Carnival - Sheba Health (Platinum)

No benefit shall be paid under this Contract for expenses or losses resulting from or incurred in connection with or in consequence of the following:

Core Exclusions:

• 15 days waiting period after registration will be applied for all types of claims
• 90 days waiting period will be applied for maternity claims
• 24 hours hospital waiting period after admission will be applied for IPD coverage
• Maximum 3-day coverage at a stretch will be considered as a single confinement for IPD
• Only MBBS doctor's prescriptions will be valid for OPD claims
• Minimum 6 month’s disability certification will be required by an MBBS doctor

General Exclusions:

• Immunization procedures
• Treatment of family planning purposes including termination of pregnancy, sterility or treatment related to assisted reproduction, cost of contraception, cost of female hygiene product like sanitary pads, etc.
• Mental, emotional or psychiatric disorders, alcoholism or any other narcotic addiction
• Obesity i.e., treatment for, or required as a result of obesity, any cosmetic or plastic treatment/surgery, unless required as reconstructive surgery as a consequence of an injury due to accidents, burns
• Allergy tests that detect allergen- specific IgE
• Any procedures which is experimental or not generally accepted by the medical profession viz. acupuncture, herbal/ayurvedic/homeopathy treatment and any Alternative Medical Care (AMC) etc.
• Rest, convalescence or rejuvenation cures, thermal baths, physiotherapy or confinement for the purposes of slimming or beautification
• Injury arising due to accident while participating in any unlawful activities (e.g., driving a car without a license), attempted suicide, violation or attempted violation of the law, injuries willfully or intentionally self-inflicted or due to insanity or under the influence of a drug
• Routine examination of eye and ear, fitting or replacement of eyeglasses (including Intra-ocular lens or contact lenses) or hearing aids, health screening including routine physical examinations (health check-ups) and any dental treatment unless require hospitalization for re-constructive surgery as a consequence of an accident
• Non-surgical care for tuberculosis, hepatitis B & C and any other vaccinations, all expenses incurred in connection with the donor for any treatment, AIDS and HIV diseases and costs of prostheses, corrective devices
• Sleep disorders i.e., treatment for insomnia, sleep apnea, snoring, or any other sleep related breathing problem