The criteria around claims of this nature are reasonably straightforward.
The policy will pay out if a doctor certifies that you have had an accident or illness that prevents you from doing your current or any similar job for which you are reasonably qualified.
You must not be doing any other job.
You must be working at least 16 hours per week before you can apply for a policy.
There are some exclusions that would prevent a claim being made. They are as follows:
Any sickness you knew about, or that is related to a condition for which you consulted a doctor in the twelve months before the policy start date. Our 18 month policy and our income related policy will allow you to claim if you have been free of the conditions for at least two years.
Normal pregnancy
Pre-existing chronic illnesses (See definition below)
Elective surgery e.g. cosmetic surgery - Where you undergo any elective surgical procedure.
Intentional injury (any self-inflicted injuries while sane or insane).
Alcohol, solvent or drug abuse
AIDS or HIV infection
Pre-existing Chronic Condition
This is considered to be a condition that occurs prior to the policy start date, and that continues indefinitely, or that cannot be cured or eradicated and that reoccurs or requires treatment.
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