UPDATED ON 16, MAY 2025
Moratoriums
Category/Details | Corporates & SME (Months) | ME (Months) | Category/Details | Corporates & SME (Months) | ME (Months) |
---|---|---|---|---|---|
Heart & Circulation (e.g., Heart attack, Hypertension, DVT, Varicose veins) | 24 | 24 | Back, Muscles & Joints (e.g., Osteoporosis, Arthritis, Spinal issues) | 12 | 24 |
(Hypertension/Varicose veins) | 12 | 24 | (Ankylosing Spondylosis) | 24 | 24 |
Breathing & Respiratory (e.g., Asthma, TB, Chronic bronchitis, Pneumonia) | 24 | 24 | Neurological (e.g., Epilepsy, Stroke, Parkinson's, Mental disorders) | 24 | 24 |
Bladder & Kidneys (e.g., Kidney stones, Kidney infections, Nephrectomy) | 12 | 24 | Psychological (e.g., Depression, Anxiety, Bipolar, Drug/Alcohol treatment) | 24 | 24 |
Reproductive Organs (e.g., Infertility, Endometriosis, Ovarian cysts, Prostate issues) | 12 | 24 | Tumours & Growths (e.g., Cancer, Lymph gland issues, Malignant/Benign growths) | 24 | 24 |
Digestive System (e.g., Ulcer, Crohn's Disease, Liver problems) | 12 | 12 | Blood & Bleeding Disorders (e.g., Clotting disorders, Platelet issues) | 12 | 24 |
Ear, Nose & Throat (e.g., Sinus problems, Ear infections, Nasal/throat surgery) | 12 | 24 | Skin Disorders (e.g., Eczema, Psoriasis, Lupus, Scleroderma) | 12 | 24 |
Eyes (e.g., Blindness, Cataracts, Glaucoma, Retinal detachment) | 12 | 12 | Sexually Transmitted Infections (STIs) (e.g., HIV/AIDS, Hepatitis B, Gonorrhea, Herpes) | 12 | 24 |
Endocrine (e.g., Diabetes, Thyroid issues, Cushing's Syndrome) | 12 | 24 | Pregnancy | 12 | 12 |
Exclusions
- Non-Covered & Unapproved Treatments – Any treatment not covered by policy guidelines, including experimental procedures, unauthorized services, and unapproved oncology medicines.
- Cosmetic & Lifestyle Procedures – Plastic surgery, keloid removal, hair loss treatments, obesity treatment, massages, slimming preparations, and cosmetic breast surgeries.
- Pre-Existing Conditions & Unapproved Facilities – Conditions not declared at enrollment, treatments in spas, sanatoriums, hydro-clinics, and non-registered care facilities.
- Alternative & Complementary Medicine – Homeopathy, acupuncture, Chinese medicine, aromatherapy, ozone therapy, hyperbaric oxygen therapy, osteopathy, and orthopedic footwear.
- Psychological & Specialized Therapy – Art therapy, sleep therapy, psychometry, neurofeedback, and educational psychology services.
- Fertility & Reproductive Health – Non-covered infertility treatments, impotence treatment, and surrogacy-related medical expenses.
- Vision & Optical Care – Laser eye surgery, refractive surgery, sunglasses, colored lenses, and non-essential optical products.
- Dental & Orthopedic Services – Dental implants, prosthetic repairs, orthopedic footwear, and unapproved external medical appliances.
- Transplants & Stem Cell Therapy – Organ and tissue transplants (except approved cases) and unapproved stem cell therapy.
- Military, War & Criminal-Related Injuries – Injuries from military service, war, riots, rebellion, illegal activities, or imprisonment.
- Extreme Sports & Dangerous Activities – Injuries from high-risk sports like skydiving, mountaineering, diving (unless certified), and professional extreme sports.
- Occupational & Legal Expenses – Work-related medical costs, litigation expenses, and disputes with medical providers.
- Personal & Lifestyle Items – Toiletries, soaps, scrubs, sun protection, food supplements, baby food, and special milk preparations.
- Travel & Transport Costs – Travel vaccinations, malaria prophylaxis, search and rescue, and non-medical transport.
- Unauthorized Medical Expenses – Self-treatment, treatment by family, missed appointment charges, and care from unapproved providers.
- Radiation & Nuclear Exposure – Illness from nuclear radiation, contamination, or atomic weaponry exposure.
- Excess Charges & Financial Shortfalls – Overpriced medical expenses beyond reasonable rates.