All Other Exclusions Sample Clauses

All Other Exclusions. 1. Health care services and supplies that do not meet the definition of a Covered Health Care Service. Covered Health Care Services are those health services, including services, supplies, or Pharmaceutical Products, which we determine to be all of the following: ◆ Medically Necessary. ◆ Described as a Covered Health Care Service in this Policy under Section 1: Covered Health Care Services and in the Schedule of Benefits. ◆ Not otherwise excluded in this Policy under Section 2: Exclusions and Limitations. 2. Physical, psychiatric or psychological exams, testing, all forms of vaccinations and immunizations or treatments that are otherwise covered under this Policy when:  Required only for school, sports or camp, travel, career or employment, insurance, marriage or adoption.  Related to judicial or administrative proceedings or orders. This exclusion does not apply to services that are determined to be Medically Necessary.  Conducted for purposes of medical research. This exclusion does not apply to Covered Health Care Services provided during a clinical trial for which Benefits are provided as described under Clinical Trials in Section 1: Covered Health Care Services.  Required to get or maintain a license of any type. 3. Health care services received as a result of war or any act of war, whether declared or undeclared or caused during service in the armed forces of any country. This exclusion does not apply if you are a civilian Injured or otherwise affected by war, any act of war, or terrorism in non-war zones. 4. Health care services received after the date your coverage under this Policy ends. This applies to all health care services, even if the health care service is required to treat a medical condition that started before the date your coverage under this Policy ended. 5. Health care services when you have no legal responsibility to pay, or when a charge would not ordinarily be made in the absence of coverage under this Policy. 6. In the event an out-of-Network provider waives, does not pursue, or fails to collect, Co-payments, Co-insurance and/or any deductible or other amount owed for a particular health care service, no Benefits are provided for the health care service when the Co-payments, Co-insurance and/or deductible are waived. 7. Charges in excess of the Allowed Amount or in excess of any specified limitation.