EMERGENCY MEDICAL EVACUATION

Emergency Medical Evacuation covers all acute illnesses, bodily injuries and accidents where a person could not be transported by own transport or where a paramedic service is needed on the scene. The following definitions are important:

Acute Illness:

  • shall mean the sudden unforeseeable onset of any acute, potentially life-threatening illness, which warrants assistance.

Assistance:

  • shall mean the service provided including the following:
  • Dispatch of a response vehicle or ambulance in an emergency;
  • Co-ordination of ambulance transfers;
  • Medically assisted repatriation to the patient’s place of residence;
  • Guaranteed admission to hospital;
  • Liaison with next of kin;
  • Assistance of stranded children;
  • Repatriation of mortal remains within the boundary of South Africa.

Body Injury:

  • shall mean any unforeseeable potentially life threatening bodily injury arising accidentally, which warrants assistance.

Medical Emergency:

  • shall mean any fortunate resulting in body injury or acute illness.

Member :

  • means the person named as the principal member, the Principal member’s spouse and minor children (under 21) all of whom shall be permanently with the Principal member and bona fida students living on educational institution’s premises but who would normally reside with the principal member outside of term time.

In the event of a medical emergency CrisisOnCall will arrange and pay for the transport of the patient, with or without medical supervision, by appropriate means (including road ambulance, chartered or commercial flight, or road transport) to the nearest appropriate hospital.

CrisisOnCall will arrange further transportation to the nearest appropriate hospital should the doctor treating the patient recommend that.

CrisisOnCall will repatriate the member by road or air transport with medical supervision to a hospital close to the permanent residence of the member if his medical condition permits provided the treating doctor has advised that the patient would require prolonged hospitalization.

EXCLUSIONS

The staff of CrisisOnCall will have the right to make decisions and/or take action with due consideration of the medical evidence and what they deem to be in the best interest of any person calling for assistance. The timing and mode of transportation or repatriation will be at the sole discretion of a medical practitioner sub-contracted by CrisisOnCall.

CrisisOnCall shall be under no obligation to provide assistance nor shall CrisisOnCall be liable in any way in the event of it failing, or refusing to provide a service to a member in circumstances where the medical emergency is:

  1. Of such a nature as can adequately be treated at or near the place where the medical emergency occurred;
  2. Of such nature that the member is nonetheless able to travel as a seated passenger in any form of transport without requiring medical support;
  3. The result of the intentional act of the member, committing suicide or any such attempt and/or the participation by the member in a crime;
  4. Directly attributable to any medical disease for which the member has received treatment during the twelve (12) months preceding the medical emergency;
  5. Attributable to chronic or congenital abnormality;
  6. The result of any illness or condition for which the member has received any medical advice or treatment during the twelve (12) month period preceding the medical emergency;
  7. The result of any incident in which the member can be considered to have been negligent of his own personal safety;
  8. The result of or has been contributed to by Acquired Immune Deficiency Syndrome (AIDS) or any AIDS related complex (ARC). If it has been established that the member has contracted AIDS, CrisisOnCall will not be responsible for paying any expenses incurred and will, when necessary seek reimbursement from the member for any expenses which might have been paid or authorized by CrisisOnCall;
  9. Attributable directly or indirectly to war, invasion, acts of foreign armies, armed hostility, civil war, rebellion, terrorism, political riot or civil commotion or, while the member is a member of any security force engaging in any of the aforementioned activities;
  10. A result of the member engaging in any sporting or other activity regarded as being dangerous or, as a competitor in any kind of race or competition, provided that, if the member has advised CrisisOnCall of such competition prior to entering therein, CrisisOnCall may, in its discretion, agree in writing to waive this exception;
  11. Directly or indirectly caused by nuclear material or by radiation or contamination by radioactivity from any nuclear fuel or from nuclear waste;
  12. Caused directly or indirectly as a result of the member being under the influence of liquor or drugs, save that, in the case of drugs, this exception shall not apply where such drugs have been prescribed by and taken in accordance with the instructions of a qualified medical practitioner;
  13. After the laps or termination of the agreement of which these standard terms and conditions form part of;
  14. Attributable to any other circumstances for which CrisisOnCall cannot reasonably be expected to provide assistance.

 

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