Heart Care Plus Rider
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Attaching to and format part of the certificate:
VIC01009A, VIC0109B and VIC0109C
In consideration fo additional Premium, and subject to all other Terms and Conditions of the Certificate of Insurance and the
Master Policy the above-referenced Visitor Care Certificate is hereby amended as follows:
The following shall be added in its entirety to Section C. Scheduled of Benefits/Limits:
Heart Plus Rider
Ages 0-69 years: Up to maximum of $5,000 per Period of Coverage.
Ages 70+: Up to maximum of $2,500 per Period of Coverage.
The following shall be added to Section F. Eligible Medical Expenses as item (5):
(5). Charges incurred that are directly related to a Myocardial Infarction or Cerebrovascular Accident, which is determined to
be a Pre-existing Condition, as defined herein, will be reimbursed up to the maximum as shown in Schedule C. Schedule of
Benefits/Limits, Heart Plus Rider, above.
The following shall be added to Section L. Defintions:
Cerebrovascular Accident (Stroke, CVA, Transient Ischemic Attack, TIA): A disruption of blood flow to the brain resulting
in neurologic changes, either permanent (CVA) or temporary (TIA). This can include an ischemic stroke, hemorrhagic stroke or
bleeding due to an aneurysm.
Myocardial Infarction (MI, Acute Myocardial Infarction, AMI, Non-ST Segment Elevation Myocardial Infarction, NSTEMI,
Heart Attack): An acute interruption of vascular perfusion of any portion of the myocardium (muscles of the heart) due to
either an occlusion of a coronary artery or to vascular spasm ausing damage to the myocardium.
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