Travel insurance is an important decision to make during your trip planning. Finding suitable cover that meets your needs is one of the steps to help you travel with peace of mind. The nature of our travel insurance is to protect you from unforeseen mishaps or accidents - but we can’t cover you for everything. This is where our Product Disclosure Statement comes in! We outline what we can and cannot provide cover for in this document.
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The excess is the first amount of a claim which We will not pay for. The excess, if applicable, applies to any claim arising from a separate event in respect of Sections 1, 2, 3, 4, 5, 9, 10 and 17 of this policy only. The excess is the amount shown on Your Certificate of Insurance.
An additional excess may apply in certain circumstances, such as cover for Existing Medical Conditions where You do not meet the provisions on pages 12-15. If an additional excess applies We will notify You in writing.
Refer to the Benefits table on pages 4-5.
The limits of Our liability for each Section of the policy are the amounts shown in the relevant table for the plan selected (see pages 4-5) except:
a) where the policy limit for Section 3 on the Premium Plan or Inbound Plan will be shown on Your Certificate of Insurance;
b) where additional luggage cover has been effected;
c) on the Domestic Plan where the maximum liability collectively shall not exceed in total the sum insured stated under the policy plan selected for Sections 2 and 3;
d) on the Domestic Cancellation Plan where the maximum liability collectively shall not exceed in total the sum insured stated under the policy plan selected for Sections 2 and 3;
e) the maximum liability collectively for Sections 13, 14 and 15 shall not exceed $25,000 on the Premium Plan or $10,000 on the Domestic Plan;
f) the maximum liability collectively for Sections 1 and 2 shall not exceed $10,000,000 on the Inbound Plan;
g) where You have paid an additional amount to increase the level of Rental Car insurance excess cover; or h) where We have notified You in writing of different limits such as on Your Certificate of Insurance.
a) The loss or theft of luggage, personal effects, travel documents or money must be reported within 24 hours to the police and (where applicable) the responsible Transport Provider and a written report must be obtained at that time.
b) If You are admitted to hospital or You anticipate Your medical expenses and Additional expenses are likely to exceed $500 You must phone the emergency assistance number as soon as physically possible.
c) You must take all reasonable steps to prevent or minimise a claim.
d) You must not make any offer, promise of payment or admit any liability without Our written consent.
e) You must advise Us of any claim or occurrence which may give rise to a claim as soon as possible and within 60 days of the return date shown on Your Certificate of Insurance by sending a completed claim form.
f) You must at Your own expense, supply any documents in support of Your claim which We may request, such as an original police report, a Property Irregularity Report (P.I.R.), receipts, valuations, a repair quote, a death certificate and/or medical certificate.
g) You must co-operate fully in the assessment or investigation of Your claim.
h) If You make or try to make a false, exaggerated or fraudulent claim or use any false, exaggerated or fraudulent means in trying to make a claim, We will not pay Your claim, Your cover under this policy will be voided (without any return of the amount You have paid), We may report You to the appropriate authorities and You may be prosecuted.
i) Where You are a registered entity on the Domestic Plan or on the Domestic Cancellation Plan You may be entitled to an input tax credit for Your Amount Payable and/or for things covered by this policy. You must disclose these entitlements to Us if You make a claim under Your policy.
j) If We agree to pay a claim under Your policy We will base any claim payment on the Goods and Services Tax (GST) inclusive costs (up to the relevant limits of liability). However, We will reduce any claim payment by any input tax credit You are, or would be, entitled to for the repair or replacement of insured property or for other things covered by this policy.
If You are able to claim from a statutory fund, compensation scheme (for example a private health fund or workers compensation scheme) or Transport Provider for monies otherwise payable under this policy You must do so and the policy will only cover the remaining amount.
We have the right to recover from any other party in Your name, money payable under the policy or to choose to defend any action brought against You. You must provide reasonable assistance to Us.
All amounts payable and claims are payable in Australian dollars at the rate of exchange applicable at the time the expenses were incurred.
The policy shall be interpreted in accordance with the law of the Australian State or Territory in which it is issued.
a) Where Your claim is excluded or falls outside the policy coverage, the giving of emergency assistance will not in itself be an admission of liability.
b) The medical standards, sanitary conditions, reliability of telephone systems and facilities for urgent medical evacuations differ from country to country. Responsibility for any loss, medical complication or death resulting from any factor reasonably beyond Our control cannot be accepted by Our emergency assistance, Cover-More or Us.
Where Your Journey is necessarily extended due to an unforeseeable circumstance outside Your control, Your Period Of Insurance will be extended until You are physically able to travel Home by the quickest and most direct route. The Period Of Insurance will not be extended for any other reason.
a) want cover for an Existing Medical Condition or pregnancy which does not satisfy the provisions set out on pages 11-18 You will need to complete a health assessment. We will notify You of the outcome. If We are able to approve cover for the condition(s) or pregnancy You must pay an extra premium to Us. Cover may be subject to special conditions, limitations, limits, and excesses.
b) in the last 5 years have:
(i) made 3 or more travel insurance claims;
(ii) had insurance declined or cancelled or had a renewal refused or claim rejected; or
(iii) been in prison or had any criminal conviction (other than driving offences) cover must be separately applied for and accepted by Us, and it may be subject to special conditions, limitations, excesses and amounts payable.
We will notify You in writing of these before We issue the policy.
If You purchase the Annual Multi-Trip Policy the limits of liability under each Section of the policy are automatically reinstated on completion of each Journey and in respect of Section 4, also once on each Journey.
a) We have the option of returning You to Australia if the cost of medical and/or Additional expenses overseas are likely to exceed the cost of returning You to Australia subject always to medical advice. We also have the option of evacuating You to another country.
b) In all cases the cost of evacuation or to bring You back to Australia will only be met if Your claim is approved by Us and it was arranged by and deemed necessary by Our emergency assistance network.
c) If We request that You be moved to another hospital, return to Australia or be evacuated to another country and You refuse, We will only consider:
(i) Your costs and expenses per Sections 1 and 2 (as applicable) incurred up to the time of Our request; and
(ii) the lesser of:
- an amount equivalent to the costs and expenses per Sections 1 and 2 (as applicable) that You would have incurred after Our request had You moved to another hospital, returned to Australia or been evacuated to another country as requested; or
- Your costs and expenses actually incurred after Our request.
d) If You are hospitalised We will pay for a share room. If a share room is not available We will, at Our discretion and that of Our medical advisors, pay to upgrade You to a single room.
e) If You do not hold a return airline ticket an amount equal to the cost of an economy class one way ticket will be deducted from Your claim for repatriation expenses.
a) If the conveyance You are travelling in disappears, sinks or crashes and Your body has not been found after 12 months You will be presumed to have died.
b) You must obtain and follow advice and treatment given by a qualified medical practitioner as soon as possible after suffering a disabling injury, during the Period Of Insurance.
This policy condition applies if You have paid the Inbound Plan Amount Payable and You are a non-Australian resident. In this policy wording (other than in this Policy condition, the second bullet point on page 28, Section 1 and Section 17):
a) the word “Australia” (as bolded) should be replaced with Your country of residence; and
b) the word “overseas” (as bolded) should be interpreted to mean a place outside Your country of residence.
Notwithstanding any other terms or conditions under this policy, We shall not be deemed to provide coverage and will not make any payments nor provide any service or benefit to You or any other party to the extent that such cover, payment, service, benefit and/or activity of Yours would violate any applicable trade or economic sanctions, law or regulation.
The information on this page relates to the Direct Cover-More travel insurance product effective 19 June 2019.