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Group Hospitalalisation & Surgical Plan

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Group Hospitalalisation & Surgical Plan
 Outpatient Clinical Coverage
 Policy Exclusions
 Claims Procedures
 Claims Notification
Outpatient Clinical
Policy Exclusions

No benefits shall be payable for the following services or conditions:-
 
a) Traditional and alternative therapy such as Acupuncture, Homone Replacement Therapy, Homeopathy, Chiropractic Services, Bomoh or Sinseh treatment by any person other than a legally registered medical practitioner
b) Treatment for congenital, hereditary disease/deformities;
c) Drugs or medicine purchased without doctor prescription and X-Ray Examination or Laboratory Tests without panel doctor's recommendation;
d) Any treatment by physical therapy or any routinary medical check-ups and screening profiles, blood and topical allergy testing;
e) Preventive vacinnation or immunisation, Travel immunisation and Adult immunisation including Hepatitis, Nerve disorders/Degenerative diseases, Endometriosis, Transverse Myclitis or any form of preventive treatment;
f) Pregnancy or resulting childbirth (including pre-natal and post-natal visits), abortion or miscarriage; infertility;
g) Any self-inflicted injury regardless whether is sane or insane at the time of commission;
h) Treatment of any functional disorder of the physics or mental constitution, such as neuropsychosis, schizophrenia and others to improve the psychological, mental or emotional well-being;
i) Any treatment arising from alcoholic or drug addiction;
j) Vitamins, Food Supplements, Herbal Cures and Anti Obesity/Weight Reducing Agents, Acne treatment or Cosmetic treatment;
k) Sonotron Therapy, Heart Scan and other new modalities not recognised by academic or government health institutions;
l) Catastrophic diseases including out-patient cancer therapies including chemotherapy, radiotherapy and immunotherapy, organ transplant,anti-rejection and related treatment including cyclosporin and out-patient renal dialysis and erythropoeitin treatment
m) Pre-employment check-up / Dental Treatment.
n) Long term medication for the following conditions are excluded :
Arthritis, Asthma, High Blood Pressure, Coronary Artery Disease, Cerebrovascular Disease, Cerebrovascular Accident, Diabetes