Cosmetic operations Sample Clauses
The 'Cosmetic operations' clause defines the rules and limitations regarding elective, non-medically necessary procedures performed for aesthetic purposes. Typically, this clause outlines whether such procedures are covered under an insurance policy or agreement, specifying any exclusions, conditions, or required approvals. Its core function is to clarify the extent of coverage or responsibility for cosmetic treatments, thereby preventing misunderstandings and managing expectations between the parties involved.
Cosmetic operations. 1.9.1 The insurer will pay the costs for cosmetic operations after an accident in terms of 1.2, up to a maximum of EUR 25,000.00.
1.9.2 Where the accident injuries of the insured person require a cosmetic operation following the completion of the treatment, the insurer will assume the costs hereby incurred. - Doctor's fees - Other costs related to the cosmetic operation - Costs for accommodations and meals in the clinic (but not for additional food and beverages). Dental treatment and dental replacement costs are only assumed to the extent that the injury consists of the loss of or damages to incisors or eye teeth as a result of an accident.
1.9.3 Unless agreed differently, the following applies:
1.9.4 In the case of accession by another party required to provide compensation, only the remaining costs may be claimed from us for reimbursement. Where another party required to pay compensation disputes their obligation, the insured person may call on the insurer directly.