当我感觉良好时,我的样子。迹象表明我需要支持者,如果我有以下几个迹象和/或症状,请致电下一页命名的支持者。Information on Medications / Supplements / Health Care Information Physician ______________________ Psychiatrist ________________________ Other Health Care Providers: Pharmacy ______________________ Pharmacist ______________________________ Allergies Insurance Information ____________________________________________________ Medication / Supplement / Health Care Preparation I am currently using Dosage ___________________________Purpose________________________ Medication / Supplement / Health Care Preparation I am currently using Dosage ___________________________Purpose Treatments and Complementary Therapies that work well for me Treatment/Complementary Therapy _______________________________________________________________________ When and how to use this treatment/complementary therapy _______________________________________________________________________
1我们仅支付每一个福利,而支出则受产品摘要中规定的定义的约束。在某些医疗条件下,从发行或恢复原状的日期以后的等待时间为90天。在提出索赔之前,适用于7天的生存期。2这还包括心脏瓣膜和心脏血管(即冠状动脉和主动脉)。3这还包括纵隔。4最高续订年龄为70岁,下一个生日。应付续签政策条款应支付的保费将取决于已确保的下一个生日的寿命,并以续签之日的普遍保费利率为基础。5如果保证的寿命不到55岁,并且遵守条款和条件,则可以将此选项转换为另一个政策。