Medical Definitions
The policy wording in worldwide health insurance plans can be confusing to a non-specialist. This page is designed as a glossary of common terms found in worldwide health insurance plans. Our team of independent medical consultants will answer anymore questions you may have about worldwide health insurance, feel free to contact us.
Acute serious illness: an “acute serious illness” shall be determined to exist only after review and agreement by both the attending physician and the Company’s medical consultant.
Anniversary date: the renewal of the worldwide health insurance.
Applicant: a person named on the Application Form and the Medical Questionnaire as an applicant for insurance.
Application: the Application Form and Medical Questionnaire you fill in when making an application.
Claim: a claim is the financial demand covered in whole or in part by the insurance. In the Company’s evaluation/determination of the claim, the time of treatment is decisive, not the time of the occurrence of the injury/illness.
Commencement date: the date indicated in the policy schedule on which the worldwide health insurance commences, unless otherwise stated in the Policy Conditions.
Deductible: the total amount of money noted in the policy schedule which each insured agrees to pay each policy year before being reimbursed by the Company.
Documents: any written information related to the insurance including original bills, policy schedules and the like.
Due date: date on which a premium is due to be paid.
Hospitalisation: surgery or medical treatment in a hospital or clinic as an in patient when it is medically necessary to occupy a bed overnight.
Inpatient: surgery or medical treatment in a hospital. It usually means that you will occupy a bed or stay overnight, but can include anything that hospitalizes you.
Insurance: the Policy Conditions and policy schedule representing the insurance contract with the Company and setting out the scope of the insurance terms, the premium payable, deductible and reimbursement rates.
Insured: the policyholder and/or all other insured persons as listed in the valid policy schedule.
Outpatient: surgery or medical treatment in a hospital or clinic where it is not medically necessary to occupy a bed.
Policy Conditions: the terms and conditions of the worldwide health insurance purchased.
Policyholder: the person identified as the policyholder on the Application Form.
Policy schedule: policy details showing the type of insurance purchased, deductible and any special terms.
Pre-existing condition: the medical history, including the illnesses and conditions listed in the Medical Questionnaire, which may affect the Company’s decision to insure or not to insure or to impose special terms.
Reimbursement rates: the maximum amount of money which will be paid by way of reimbursement of medical expenses in one year from the commencement date or from each anniversary date, as further detailed in the Policy Conditions.
Region: the name of the region as stated on the policy schedule determines the area of cover. Global Health Insurance can provide cover for many regions. Follow the link for a complete list of countries where we can obtain insurance for you.
Renewal: the automatic renewal of the insurance as per the anniversary date.
Serious injury: a “serious injury” shall be determined to exist only after review and agreement by both the attending physician and the Company’s medical consultant.
Special terms: restrictions, limitations or conditions applied to our standard terms as detailed in the policy schedule.
Standard terms: the Company’s standard insurance terms with no special restrictions, limitations or conditions.
Subrogation: the insurer’s right to enforce a remedy which the insured has against a third party and the insurer’s right to require the insured to repay the insurer if the insurer has paid expenses recouped by the insured from a third party.
Surgery: a surgical treatment/intervention, which does not include endoscopies and scannings even though these examinations may require anesthesia.
Terminal phase: when the advent of death is highly probable and medical opinion has rejected active therapy in favour of the relief of symptoms and support of both patient and family. This decision must be confirmed by the Company’s medical consultants.
Waiting period: A waiting period is the period of time from the commencement date where the insurance provides no cover. Often found with maternity cover.
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| Hi, My mom will be coming from north africa to visit me in the USA and stay for acouple of weeks. Recently she has been having a heavy hand and legs feeling. She has been prescribed a medication that is usualy prescribed for patients with mild parkinson's. I would like to get some second opinion and test(scans) performed on her in the USA. I don't think that she has parkinson's and I would like to confirn this in a center/hospital that I trust. My mom has an inssurance coverage with mutuelle Maroc,which is a partner with SwissLife and AXA. I wonder if she can get an international coverage with your company that will covers specialist evaluation, MRI, and oether scans if necessary. Thank you | |
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| Hi, We (Doanldson Europe BVBA in Belgium) are looking for a hosptal & medical insurance for one of our families (family van den Enden) we are relocating to Brockville, Canada. Up till now we haven't found an insurance compay willing to cover the pre-existing condition of Mrs. van den Enden which is bronchial asthma. Would you be able to offer us a solution with an insurance who is willing to cover also the pre-existing condition. Thanks in advance for your reply, Veerle Matthijs | |
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| do you have any insurance plan for Ivf treatment? Like if the first attempt is not successful then is there any plan to cover the next attempt? | |
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