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Pre-existing stability period

Deluxe Travel Health Plan

Manitoba Blue Cross is not liable to pay benefits or accept liability for claims relating to services or charges resulting directly or indirectly from a pre-existing condition that was not stable:

  • for the Deluxe Blue Plan (under age 55), the stability period is defined as the 7-day period prior to the departure date of coverage for the trip in question.
  • for the Deluxe Gold Plan (ages 55 to 74), the stability period is defined as the 90-day period prior to the departure date of coverage for the trip in question.
  • for the Deluxe Silver (ages 55 plus), the stability period is defined as the 365-day period prior to the departure date of coverage for the trip in question.

You must be stable based on the definition of stable in the agreement, regardless of the opinion (written or verbal) of your physician or any other person who may provide an opinion on your medical condition.

Pre-existing condition: means a sickness, injury or medical condition, whether or not diagnosed by a physician, which existed prior to the departure date of your coverage.

A pre-existing condition is considered to not be stable if, within the specified time period noted above:

  1. you exhibited worsening signs or symptoms; or
  2. you required or received medical consultation, treatment or hospitalization; or
  3. you were prescribed a new medication or given a change in medication.

The following would not affect the stability period of a pre-existing condition:

  • consulting a physician for a previously identified medical condition that has not changed, is not worsening and there has been no alteration in treatment prescribed or recommended or received for the stability period prior to the effective date of coverage for the trip in question.
  • changes from a brand name medication to a generic brand of the same dose or the routine adjustment of Coumadin, warfarin, insulin or oral medication to control diabetes (as long as they are not newly prescribed or stopped and there has been no change in a person's medical condition).

Deluxe Travel Health Plan with Coronavirus Coverage

Manitoba Blue Cross is not liable to pay benefits or accept liability for claims relating to services or charges resulting directly or indirectly from a pre-existing condition that was not stable:

  • for the Deluxe Blue Plan (under age 55), the stability period is defined as the 7-day period prior to the departure date of coverage for the trip in question.
  • for the Deluxe Gold Plan (ages 55 to 74), the stability period is defined as the 90-day period prior to the departure date of coverage for the trip in question.

You must be stable based on the definition of stable in the agreement, regardless of the opinion (written or verbal) of your physician or any other person who may provide an opinion on your medical condition.

Pre-existing condition: means a sickness, injury or medical condition, whether or not diagnosed by a physician, which existed prior to the departure date of your coverage.

A pre-existing condition is considered to not be stable if, within the specified time period noted above:

  1. you exhibited worsening signs or symptoms; or
  2. you required or received medical consultation, treatment or hospitalization; or
  3. you were prescribed a new medication or given a change in medication.

The following would not affect the stability period of a pre-existing condition:

  • consulting a physician for a previously identified medical condition that has not changed, is not worsening and there has been no alteration in treatment prescribed or recommended or received for the stability period prior to the effective date of coverage for the trip in question.
  • changes from a brand name medication to a generic brand of the same dose or the routine adjustment of Coumadin, warfarin, insulin or oral medication to control diabetes (as long as they are not newly prescribed or stopped and there has been no change in a person's medical condition).

Manitoba Blue Cross is not liable to pay benefits or accept any liability for claims relating to:

Coronavirus Pandemic

  1. If within the last thirty (30) days before your departure date:
    • you have undergone a coronavirus test, and you have received a positive coronavirus test result; or
    • you have been diagnosed with coronavirus by a medical professional; or
    • because of contact tracing, you have been quarantined or self-isolated.
  2. If in the last seven (7) days before your departure date:
    • you experience any coronavirus symptoms, and those symptoms lead to a positive coronavirus test result during your trip. Symptoms may include but are not limited to: new or worsening cough, shortness of breath or difficulty breathing, having a fever, chills, fatigue or weakness, muscle or body aches, new loss of smell or taste, gastrointestinal symptoms (abdominal pain, diarrhea, vomiting) or feeling very unwell; or
    • you have been exposed to anyone with coronavirus (This exclusion does not apply if, in the last seven (7) days before your departure date, you were tested for any coronavirus symptoms and received a negative coronavirus test result following the appearance of these symptoms.)

Tour Package Plan

Manitoba Blue Cross is not liable to pay benefits or accept liability for claims relating to services or charges resulting directly or indirectly from a pre-existing condition that was not stable:

  • for the Travel Health Benefits (under age 55), the stability period is defined as the 7-day period prior to the departure date of coverage for the trip in question.
  • for the Travel Health Benefits (ages 55 and over), the stability period is defined as the 365-day period prior to the departure date of coverage for the trip in question.
  • for the Airfare and Holiday Cancellation Benefits, the stability period is defined as the 180-day period prior to the date of purchase of coverage for the trip in question. If the cause of cancellation is a pre-existing medical condition, benefits are only payable if the attending physician verifies that the condition was stable for at least the 180-day period prior to the purchase date of coverage.

You must be stable based on the definition of stable in the agreement, regardless of the opinion (written or verbal) of your physician or any other person who may provide an opinion on your medical condition.

Pre-existing condition: means a sickness, injury or medical condition, whether or not diagnosed by a physician, which existed prior to the departure date of your coverage.

A pre-existing condition is considered to not be stable if, within the specified time period noted above:

  1. you exhibited worsening signs or symptoms; or
  2. you required or received medical consultation, treatment or hospitalization; or
  3. you were prescribed a new medication or given a change in medication.

The following would not affect the stability period of a pre-existing condition:

  • consulting a physician for a previously identified medical condition that has not changed, is not worsening and there has been no alteration in treatment prescribed or recommended or received for the stability period prior to the effective date of coverage for the trip in question.
  • changes from a brand name medication to a generic brand of the same dose or the routine adjustment of Coumadin, warfarin, insulin or oral medication to control diabetes (as long as they are not newly prescribed or stopped and there has been no change in a person's medical condition).

Annual Travel Plan

Manitoba Blue Cross is not liable to pay benefits or accept liability for claims relating to services or charges resulting directly or indirectly from a pre-existing condition that was not stable:

  • for the Annual Plan (under age 55), the stability period is defined as the 7-day period prior to the departure date of coverage for the trip in question.
  • for the Annual Plan (ages 55 to 74), the stability period is defined as the 365-day period prior to the departure date of coverage for the trip in question.

You must be stable based on the definition of stable in the agreement, regardless of the opinion (written or verbal) of your physician or any other person who may provide an opinion on your medical condition.

Pre-existing condition: means a sickness, injury or medical condition, whether or not diagnosed by a physician, which existed prior to the departure date of your coverage.

A pre-existing condition is considered to not be stable if, within the specified time period noted above:

  1. you exhibited worsening signs or symptoms; or
  2. you required or received medical consultation, treatment or hospitalization; or
  3. you were prescribed a new medication or given a change in medication.

The following would not affect the stability period of a pre-existing condition:

  • consulting a physician for a previously identified medical condition that has not changed, is not worsening and there has been no alteration in treatment prescribed or recommended or received for the stability period prior to the effective date of coverage for the trip in question.
  • changes from a brand name medication to a generic brand of the same dose or the routine adjustment of Coumadin, warfarin, insulin or oral medication to control diabetes (as long as they are not newly prescribed or stopped and there has been no change in a person's medical condition).

Annual Travel Plan with Coronavirus Coverage

Manitoba Blue Cross is not liable to pay benefits or accept liability for claims relating to services or charges resulting directly or indirectly from a pre-existing condition that was not stable:

  • for the Annual Plan (under age 55), the stability period is defined as the 7-day period prior to the departure date of coverage for the trip in question.
  • for the Annual Plan (ages 55 to 74), the stability period is defined as the 365-day period prior to the departure date of coverage for the trip in question.

You must be stable based on the definition of stable in the agreement, regardless of the opinion (written or verbal) of your physician or any other person who may provide an opinion on your medical condition.

Pre-existing condition: means a sickness, injury or medical condition, whether or not diagnosed by a physician, which existed prior to the departure date of your coverage.

A pre-existing condition is considered to not be stable if, within the specified time period noted above:

  1. you exhibited worsening signs or symptoms; or
  2. you required or received medical consultation, treatment or hospitalization; or
  3. you were prescribed a new medication or given a change in medication.

The following would not affect the stability period of a pre-existing condition:

  • consulting a physician for a previously identified medical condition that has not changed, is not worsening and there has been no alteration in treatment prescribed or recommended or received for the stability period prior to the effective date of coverage for the trip in question.
  • changes from a brand name medication to a generic brand of the same dose or the routine adjustment of Coumadin, warfarin, insulin or oral medication to control diabetes (as long as they are not newly prescribed or stopped and there has been no change in a person's medical condition).

Manitoba Blue Cross is not liable to pay benefits or accept any liability for claims relating to:

Coronavirus Pandemic

  1. If within the last thirty (30) days before your departure date:
    • you have undergone a coronavirus test, and you have received a positive coronavirus test result; or
    • you have been diagnosed with coronavirus by a medical professional; or
    • because of contact tracing, you have been quarantined or self-isolated.
  2. If in the last seven (7) days before your departure date:
    • you experience any coronavirus symptoms, and those symptoms lead to a positive coronavirus test result during your trip. Symptoms may include but are not limited to: new or worsening cough, shortness of breath or difficulty breathing, having a fever, chills, fatigue or weakness, muscle or body aches, new loss of smell or taste, gastrointestinal symptoms (abdominal pain, diarrhea, vomiting) or feeling very unwell; or
    • you have been exposed to anyone with coronavirus (This exclusion does not apply if, in the last seven (7) days before your departure date, you were tested for any coronavirus symptoms and received a negative coronavirus test result following the appearance of these symptoms.)

Trip Cancellation Benefits

Manitoba Blue Cross is not liable for claims relating to:

A pre-existing condition that was not stable during the 180-day period prior to the date of purchase of coverage for the trip in question. If the cause of cancellation is a pre-existing medical condition, benefits are only payable if the attending physician verifies that the condition was stable for at least the 180-day period prior to the purchase date of coverage.

The medical condition must be stable based on the definition of stable in the agreement, regardless of the opinion (written or verbal) of the physician or any other person who may provide an opinion on the medical condition.

A pre-existing condition is considered to not be stable if, within the specified time period noted above:

  1. you exhibited worsening signs or symptoms; or
  2. you required or received medical consultation, treatment or hospitalization; or
  3. you were prescribed a new medication or given a change in medication.

The following would not affect the stability period of a pre-existing condition:

  • consulting a physician for a previously identified medical condition that has not changed, is not worsening and there has been no alteration in treatment prescribed or recommended or received for the stability period prior to the effective date of coverage for the trip in question.
  • changes from a brand name medication to a generic brand of the same dose or the routine adjustment of Coumadin, warfarin, insulin or oral medication to control diabetes (as long as they are not newly prescribed or stopped and there has been no change in a person's medical condition).

If you are in doubt or need further assistance, please call our Information Service Centre at 204.775.0151 or toll free 1.800.873.2583.