AIG EGYPT INSURANCE COMPANY S.A.E POLICY GENERAL TERMS& CONDITIONS |
| Loss with regard to: |
| Legs, feet, arms, hands means both actual complete severance & loss of use.
Eye means entire and irrecoverable loss of light. |
| EMERGENCY ACCIDENT MEDICAL EXPENSE REIMBURSMENT |
| We will pay benefits for the Reasonable and Customary Charges actually incurred up to the maximum limit shown in the Policy Schedule if as a result of an Accident occurred during Your Insured Trip in Egypt an Insured Person’s medical condition requires Immediate Medical Treatment. Medical benefits will be provided for necessary medical or surgical treatment, services, or supplies, including necessary hospital, nursing, and ambulance services. Dental benefits shall be limited to treatment of injuries sustained to sound natural teeth. Covered emergency dental expenses are those received within 30 days of the time and date of the Injury. |
| Exclusions: |
In addition to the general exclusions listed in this policy this coverage section as well as sections of Accidental Death, Permanent Total/Partial Disability shall not cover: |
| 1-loss caused directly or indirectly wholly or partly by: |
| a- bacterial infection (except pyogenic infections which shall occur through an accidental cut or wound) or any other kind of disease. |
| b- medical or surgical treatment except as may be necessary solely as a result of injury. |
| 2- any bodily injury which shall result in hernia; |
| 3- any Pre-existing Condition. |
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| SECTION-C |
| GENERAL EXCLUSIONS |
| This entire Policy does not provide benefits for any loss resulting in whole or in part from ,or expenses incurred ,directly or indirectly in respect of: |
| 1-where the Insured Person is traveling against the advice of a Physician; or receiving or on a waiting list for receiving specified medical treatment; or is traveling for the purpose of obtaining treatment; or has received a terminal prognosis for a medical condition. |
| 2- any Pre-existing Condition or any complication arising from it. |
| 3-suicide, attempted suicide (whether sane or insane) or intentionally self- inflicted injury or illness, or sexually transmitted conditions , mental or nervous disorder, anxiety, stress or depression, Acquired Immune Deficiency Syndrome (AIDS, Human Immune deficiency Virus (HIV) infection. |
| 4- Serving in any branch of the Military or Armed Forces of any country, whether in peace or war and in such an event We, upon written notification by You, shall return the pro rata premium for any such period of service during the Trip. |
| 5- Being under the influence of drugs, alcohol, or other intoxicants or hallucinogens unless properly prescribed by a Physician and taken as prescribed. |
| 6- Participation in an actual or attempted felony, riot, crime, misdemeanor, or civil commotion. |
| 7- Operating or learning to operate any aircraft, or performing duties as a member of the crew on any aircraft or Scheduled Airline. |
| 8- any loss arising out of War, civil war, invasion, insurrection, revolution, act of foreign enemy, hostilities ( whether War be declared or not ), rebellion, mutiny, use of military power or usurpation of government or military power. |
| 9-any loss damage cost or expense of whatsoever nature directly or indirectly caused by, resulting from or in connection with any act of terrorism regardless of any other cause or event contributing concurrently or in any other sequence to the loss. |
| The warranty also excludes loss, damage, cost or expenses of whatsoever nature directly or indirectly caused by, resulting from or in connection with any action taken in respect of any act of terrorism. |
| If the Company alleges that by reason of this Exclusion, any loss, damage, cost or expenses is not covered by this insurance the burden of proving the contrary shall be upon the Insured. |
| 10- any loss arising out of the intentional use of military force to intercept, prevent, or mitigate any known or suspected Act of Terrorism; or |
| 11- the use, release or escape of nuclear materials that directly or indirectly results in nuclear reaction or radiation or radioactive contamination; The dispersal or application of pathogenic or poisonous biological or chemical materials; The release of pathogenic or poisonous biological or chemical materials, (However, the above only applies if 50 or more persons sustain death within 90 Days of the date of the incident). |
| 12- The radioactive, toxic, explosive or other dangerous properties of any explosive nuclear equipment or any part of that equipment. |
| 13- Performance of manual work for employment or any other hazardous occupation, self exposure to needless peril (except in an attempt to save human life). |
| 14- Congenital anomalies or any complications or conditions arising there from. |
| 15- participation in winter sports, skydiving/parachuting, hang gliding, bungee jumping, scuba diving, mountain climbing ( where ropes or guides are customarily used ), riding or driving in races or rallies using a motorized vehicle or bicycle, caving or pot-holing, hunting or equestrian activities, skin diving or other underwater activity, rafting or canoeing involving white water rapids, yachting or boating outside coastal waters ( 2 miles ), participation in any professional Sports, any bodily contact sport or any other hazardous or potentially dangerous sport for which You are untrained. |
| 16- The Insured Person riding on a motorcycle or any other two wheeled motorized mode of conveyance as driver or as passenger. |
| 17- Any loss resulting directly or indirectly contributed or aggravated or prolonged by childbirth or from pregnancy. |
| 18- For any loss of which a contributing cause was Your actual or attempted commission of, or willful participation in, an illegal act or any violation or attempted violation of the law or Yours resistance to arrest. |
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