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I’m not sure the burden of proof is necessarily on the customer, but certainly the insurance companies own medical team will make an (informed?) assessment and could deny payment for treatment due to a declared (or undeclared) existing condition that could be linked to the claim. There are similar clauses in all insurance policies, for the presence, for example, of alcohol in any claim. If you fell over and broke your arm because you were drunk, then they could refuse to pay. how much alcohol is too much though? Nobody will say.
But should it not be possible to insure yourself against drunken injuries?
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