Common use of General Limitations and Exclusions Clause in Contracts

General Limitations and Exclusions. (1) Due to war, whether declared or undeclared; (2) Due to attempted suicide, or any intentionally self-inflicted injury; (3) As a result of voluntary participation in a riot or attempting to commit an assault or felony; (4) For care received outside of the United States or its territories except as provided in the World Wide Coverage Benefit; (5) Which would not be made in the absence of this insurance; (6) For treatment of alcoholism and drug addiction unless the drug addiction was a result of the administration of drugs as part of treatment by a Physician; (7) For treatment provided in a government facility unless We are required by law to cover the charges; (8) For treatment of an injury or sickness which would entitle You to benefits under any state or federal workers’ compensation, employers’ liability or occupational disease law; (9) From Family Members unless the Family Member is a regular employee of an organization which is providing the services, and the organization receives the payment for the services; and the Family Member receives no compensation other than the normal compensation for employees in his or her job category; (10) For prescription drugs, unless You incur such charges while a resident in a Nursing Facility or a Residential Care Facility and the facility charges include such prescription drugs; (11) To the extent that benefits are payable by Medicare or would be payable except for the application of a deductible or coinsurance amount; or (12) For items of comfort such as toiletries, television rental, beauty and hair charges.

General Limitations and Exclusions. (1) Due to war, whether declared or undeclared; (2) Due to attempted suicide, or any intentionally self-inflicted injury; (3) As a result of voluntary participation in a riot or attempting to commit an assault or felony; (4) For care received outside of the United States or its territories except as provided in the World Wide Coverage Benefit; (5) Which would not be made in the absence of this insurance; (6) For treatment of alcoholism and drug addiction unless the drug addiction was a result of the administration of drugs as part of treatment by a Physician; (7) For treatment provided in a government facility unless We are required by law to cover the charges; (8) For treatment of an injury or sickness which would entitle You to benefits under any state or federal workers’ compensation, employers’ liability or occupational disease law; (9) From Family Members unless the Family Member is a regular employee of an organization which is providing the services, and the organization receives the payment for the services; and the Family Member receives no compensation other than the normal compensation for employees in his or her job category; (10) For prescription drugs, unless You incur such charges while a resident in a Nursing Facility or a Residential Care Facility and the facility charges include such prescription drugs; (11) To the extent that benefits are payable by Medicare or would be payable except for the application of a deductible or coinsurance amount; (12) To the extent that benefits are payable under no-fault motor vehicle insurance benefits; or (1213) For items of comfort such as toiletries, television rental, beauty and hair charges.

General Limitations and Exclusions. (1) Due to war, whether declared or undeclared; (2) Due to attempted suicide, or any intentionally self-inflicted injury; (3) As a result of voluntary participation in a riot or attempting to commit an assault or felony; (4) For care received outside of the United States or its territories except as provided in the World Wide Coverage Benefit; (5) Which would not be made in the absence of this insurance; (6) For treatment of alcoholism and drug addiction unless the drug addiction was a result of the administration of drugs as part of treatment by a Physician; (7) For treatment provided in a government facility unless We are required by law to cover the charges; (8) For treatment of an injury or sickness which would entitle You to benefits under any state or federal workers’ compensation, employers’ liability or occupational disease law; (9) From Family Members family members unless the Family Member is a regular employee of an organization which is providing the services, and the organization receives the payment for the services; and the Family Member receives no compensation other than the normal compensation for employees in his or her job category; (10) For prescription drugs, unless You incur such charges while a resident in a Nursing Facility or a Residential Care Facility and the facility charges include such prescription drugs; (11) To the extent that benefits are payable by Medicare or would be payable except for the application of a deductible or coinsurance amount; or; (12) To the extent that benefits are payable under no-fault motor vehicle insurance benefits; (13) For items of comfort such as toiletries, television rental, beauty and hair charges.

General Limitations and Exclusions. (1) Due to war, whether declared or undeclared; (2) Due to attempted suicide, or any intentionally self-inflicted injury; (3) As a result of voluntary participation in a riot or attempting to commit an assault or felony; (4) For care received outside of the United States or its territories except as provided in the World Wide Coverage Benefit; (5) Which would not be made in the absence of this insurance; (6) For treatment of alcoholism and drug addiction unless the drug addiction was a result of the administration of drugs as part of as treatment by a Physician; (7) For treatment provided in a government facility unless We are required by law to cover the charges; (8) For treatment of an injury or sickness which would entitle You to benefits under any state or federal workers’ compensation, employers’ liability or occupational disease law; (9) From Family Members unless the Family Member is a regular employee of an organization which is providing the services, and the organization receives the payment for the services; and the Family Member receives no compensation other than the normal compensation for employees in his or her job category; (10) For prescription drugs, unless You incur such charges while a resident in a Nursing Facility or a Residential Care Facility and the facility charges include such prescription drugs; (11) To the extent that benefits are payable by Medicare or would be payable except for the application of a deductible or coinsurance amount; or (12) For items of comfort such as toiletries, television rental, beauty and hair charges.;

General Limitations and Exclusions. (1) Due to war, whether declared or undeclared; (2) Due to attempted suicide, or any intentionally self-inflicted injury; (3) As a result of voluntary participation in a riot or attempting to commit an assault or felony; (4) For care received outside of the United States or its territories except as provided in the World Wide Coverage Benefit; (5) Which would not be made in the absence of this insurance; (6) For treatment of alcoholism and drug addiction unless the drug addiction was a result of the administration of drugs as part of as treatment by a Physician; (7) For treatment provided in a government facility unless We are required by law to cover the charges; (8) For treatment of an injury or sickness which would entitle You to benefits under any state or federal workers’ compensation, employers’ liability or occupational disease law; (9) From Family Members unless the Family Member is a regular employee of an organization which is providing the services, and the organization receives the payment for the services; and the Family Member receives no compensation other than the normal compensation for employees in his or her job categorycategory (except as provided under the Informal Care Benefit); (10) For prescription drugs, unless You incur such charges while a resident in a Nursing Facility or a Residential Care Facility and the facility charges include such prescription drugs; (11) To the extent that benefits are payable by Medicare or would be payable except for the application of a deductible or coinsurance amount; (12) To the extent that benefits are payable under no-fault motor vehicle insurance benefits; or (1213) For items of comfort such as toiletries, television rental, beauty and hair charges.