The Various Exclusions In Health Insurance Policy

by AkshayMehrotra   |   0 Comments  |   69 Views    |   5/5 Rating   |   Print This Article
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Jul 18th, 2012
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Today, health insurance is becoming one of the highly demanded products in the insurance market because of the fact that it compensates for the higher costs of health care without much deliberation and with low cost premiums being paid by the policy holders. Today, common people who belong to the working class and business people who depend upon irregular incomes depend highly upon the health insurance plans that they buy to avoid paying the sky rocketing hospital bills.

Exclusions are those diseases or conditions which are deemed as exceptions in most cases by most insurance companies under most health insurance plans.

Many a times, these exceptions are employed by insurance companies in their health insurance policy to make them cheaper. In other words, in a health insurance policy, the higher the number of exclusions, the cheaper the policy. Such a health insurance policy, when bought can be very disadvantageous to the policy holder, as it will be worth next to nothing. Taking such a policy will only make the matter worse in many cases. This is the reason why, it is advised to ask more about what kind of diseases and conditions are covered under most of the health insurance plans.

Some of the most common types of exclusions in health insurance policy include:

Maternity: In many cases, maternity and related expenditures are not admitted for claims by most of the insurance companies. Maternity is not covered under individual or family policies but they are covered under group policies and corporate health insurance plans.

Claims within the prescribed period of the policy: Health insurance is subject to so many rules and regulations because of the high risk of claims from all corners. Under such conditions, a health insurance policy shall make a rule not to honor any such claims which are filed within the first one month of policy in general and in pre-existing conditions, first year with some companies to four years in others. In this way, claims filed before the prescribed period will not yield any compensations and thus regarded as exclusions.

Specific diseases are not covered: In most of the health insurance policies, there are few diseases which are not covered. These diseases include cataract, prostate, hernia, fistula, piles, rheumatism, stones in kidneys, hemorrhoids, sinus related diseases, etc. are not covered. Also treatment from alternate therapies such as homeopathy, Ayurveda, Unani, etc are also not covered.

Other diseases: In many cases, claims such as dental diseases, treatment, contact lenses, outpatient charges, etc are also not entertained by insurance companies.

These are some of the exceptions or exclusions that are maintained in health insurance plans from insurance companies.

In most cases, one of the major diseases which are not covered include diabetes and hypertension. These two diseases are considered to be major conditions which are linked to be the source of other diseases such as heart diseases, stroke, kidney diseases, etc and they remain as the major sources for claims being rejected.

So, it is advised by many insurance experts to start early with health insurance before diseases such as diabetes and hypertension are contracted.

Article Source: http://www.informationbible.com/article-the-various-exclusions-in-health-insurance-policy-221419.html

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