Vital Organ Transplant Sample Clauses

Vital Organ Transplant. The performance of an organ transplant in which the Insured/Insured Person is the recipient of any of the following organs: Heart, Lung, Liver, Pancreas, Kidney, Small intestine or Bone Marrow. The performance of the transplant must be confirmed by a medical specialist.

Vital Organ Transplant. The performance of an organ transplant in which the Insured/Insured Person is the recipient of any of the following organs: Heart, Lung, Liver, Pancreas, Kidney, Small intestine or Bone Marrow. The performance of the transplant must be confirmed by a medical specialist. Clause 4 – Waiting period Clause 5 – Justification and acknowledgment of the right to the insured amounts a) In case of a serious illness, the Insured/Insured Person must send to the Insurer a report from the treating physician, after the precise and detailed diagnosis of the serious illness, describing their medical history and mentioning the date of the first symptoms. This statement, for the account of the Insured/Insured Person, must be sent to the Insurer within sixty (60) days following the diagnosis of the illness; b) The serious illness must manifest during the term of the Contract and/or during the period in which this cover is in force regarding the Insured/Insured Person; c) Upon the subscription of the insurance Contract, the Insured/Insured Person must authorise their treating physician to provide, on a confidential basis, to the physician representing the Insurer all medical information regarding the reported claim; d) The non-compliance by the Beneficiary or the Insured/Insured Person with the provisions in a), b) and c), as well as the lack of truthfulness in the information provided to the Insurer may imply the loss of the right to the insured amounts or the suspension of this cover during the period of non-compliance; e) The Insurer may proceed, at its discretion, to the investigations it deems necessary regarding the Insured/Insured Person in order to determine their real state of health or about the declared illness. Except in cases of force majeure, refusing the Insurer free access shall imply the suspension of the Guarantee. The Insured/Insured Person must authorise their treating physician to provide, on a confidential basis, to the physician representing the Insurer any medical information regarding the reported claim; f) Within the scope of this Additional Cover, after the diagnosis has been reported and after all additional documents have been produced, that may possibly be requested by the Insurer, the Insurer undertakes to inform the Insured/Insured Person and/or the Beneficiary, within the maximum period of thirty (30) days whether or not it considers that said claim is guaranteed under the Contract; g) In case of dispute, the parties may resort to the means of ...