LIST OF MEDICAL CONDITIONS NOT COVERED BY TSC AON MEDICAL COVER FOR TEACHERS
SCHEME EXCLUSIONS
1) Active participation in war, invasion, riots or terrorism
2) Cosmetic treatment unless relating to an accident
3) Massage (except where certified as medically necessary)
4) Nutritional supplements unless prescribed by a doctor as part of treatment of a deficiency
5) Maternity cover for dependant children
6) Self-prescribed drugs
7) Treatment other than by a registered medical practitioner
8) Outpatient, dental and optical co-pay of fifty shillings on each visit
9) Reimbursement of costs incurred outside the appointed panel of providers unless for emergency cases, accident cases and on pre-authorization
10) Private vaccines and travel vaccines
11) Alcohol related rehabilitation
12) Maternity for child dependants
13) Cost of lenses and frames not prescribed by an Ophthalmologist
14) Replacement of spectacle frames within the same year of cover.
15) Photo chromatic and/or antiglare lenses unless prescribed by a doctor
16) Cosmetic dental care — Cosmetic Crowns, Caps, Bridges, Orthodontics Dentures, self-prescribed teeth cleaning and whitening, unless necessitated by accidental injury
17) Infertility investigation and family planning procedure expenses
18) Replacement or repair of old dentures bridges and plates unless damage to dentures, bridges and plates becomes necessary as a result of an accident
19) Treatment otherwise covered by NHIF
