Which Medical Conditions are automatically covered?

This section outlines those Medical Conditions automatically included, where You, at the Relevant Time:

  • have not required hospitalisation or treatment (where treatment does not include an annual or routine medical check-up, blood testing or a visit to a medical practitioner to obtain a regular prescription) by any Treating Doctor within the last 24 months (unless a different time-period is specifically listed in the list below) for the Medical Condition;
  • are not awaiting the outcome of any investigation, tests, surgery or other treatment for the Medical Condition; and
  • meet any additional criteria set out in the Medical Conditions we automatically cover list below.

If the criteria above are satisfied, cover is automatically included for the following Medical Conditions: 

  1. Acne
  2. Allergies limited to Rhinitis, Chronic Sinusitis, Eczema, Food Intolerance, Hay Fever, however this excludes any Anaphylaxis as part of any such condition
  3. Asthma providing You:
    1. have no other lung disease; and
    2. are less than 60 years of age at the time You purchase the policy
  4. Bell's Palsy
  5. Benign Positional Vertigo
  6. Bunions
  7. Carpal Tunnel Syndrome
  8. Cataracts
  9. Coeliac Disease
  10. Congenital Blindness
  11. Congenital Deafness
  12. Diabetes Mellitus (Type I) providing You:
    1. were diagnosed over 24 months ago; and
    2. have no eye, kidney, nerve or vascular complications; and
    3. do not suffer from a known cardiovascular disease, hypertension, or hypercholesterolemia; and
    4. are under 50 years of age at the date of policy purchase
  13. Diabetes Mellitus (Type II) providing You:
    1. were diagnosed over 24 months ago; and
    2. have no eye, kidney, nerve or vascular complications; and
    3. do not suffer from a known cardiovascular disease, hypertension, or hypercholesterolemia; and
    4. are under 50 years of age at the date of policy purchase
  14. Dry Eye Syndrome
  15. Epilepsy providing:
    1. there has been no change to Your medication regime in the past 24 months; and
    2. You are on no more than one anticonvulsant medication
  16. Gastric reflux
  17. Gastric/Peptic ulcer
  18. Glaucoma
  19. Gout
  20. Graves' Disease
  21. Hiatus Hernia
  22. Hip/Knee replacement if performed more than 24 months ago but less than 10 years ago
  23. Hypercholesterolemia (High Cholesterol) providing You do not also suffer from a known cardiovascular disease and/or Diabetes
  24. Hyperlipidaemia (High Blood Lipids) providing You do not also suffer from a known cardiovascular disease and/or Diabetes
  25. Hypertension (High Blood Pressure) providing You do not also suffer from a known cardiovascular disease and/or Diabetes
  26. Hypothyroidism, including Hashimoto’s Disease
  27. Incontinence
  28. Insulin Resistance
  29. Macular Degeneration
  30. Meniere's Disease
  31. Migraine
  32. Nocturnal cramps
  33. Plantar Fasciitis
  34. Raynaud's Disease
  35. Sleep Apnoea
  36. Solar Keratosis
  37. Trigeminal Neuralgia
  38. Trigger Finger

If You require cover for Medical Conditions that are not automatically covered above, You may apply for additional cover for that condition.

If your condition meets the automatically covered conditions criteria, there is nothing further you need to do in order to be covered for that condition.

If your condition does not meet the automatically covered conditions criteria, and you want cover for this, you must complete a medical assessment to assess whether we can accept this risk and what, if any additional premium is payable by you, to have that condition specified on your policy.

Please also read the “General Exclusions” section of the Product Disclosure Statement.

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Terms and conditions apply. This advice is general advice only. Please refer to the Product Disclosure Statement before making a decision about this product and read the Target Market Determinations (TMDs) before determining whether this product is suitable for your circumstances. This product is issued by Tokio Marine & Nichido Fire Insurance Co., Ltd (ABN 80 000 438 291 AFSL 246548).