Uncovered Conditions Should Be Noted Well

By J.D Theis

Insurance companies in general are risk based companies; they are good in assessing the risks over their profit projections. In shopping for insurance policies, shoppers should well consider two major possibilities- risks and exclusions. Risks are the main basis for most insurance companies in determining the premium rate that the policy shopper needs to pay. On the other hand, exclusions in their prospect insurance policies should be well noted by the policy shopper because their needed coverage can be included in the exclusion part of the policy.

As for the case of health insurance policies there are some major and common exclusion parameters that policy shoppers and holders should know- pre-existing conditions, suicide and other self inflicted injuries, sexually-transmitted disease or STDs, vision correction, noncommercial airline travel, self and experimental treatments and from war sustained injuries. These conditions are excluded in the coverage of most insurance policies simply because they are assured risks that the insurance companies cannot take. They are conditions that assure profit losses for the insurance companies.

Among these exclusion possibilities the most commonly committed is pre- existing conditions. Pre-existing conditions are medical conditions which are diagnosed prior to the application for the medical insurance policy. However in the event that the individual who has a pre- existing medical condition opted to purchase an insurance policy anyway a certain "waiting period" is needed before the policy to take its effect. The waiting period is the time duration needed by the policy holder to free him or her from the pre- existing condition as deemed by the insurance companies.

There are conditions in healthcare plans that almost contradict the other conditions of the insurance policy. In assessing these confusing conditions a complete and comprehensive knowledge on the insurance conditions is needed. For example, pregnancy is not considered as a pre- existing condition but adapting a child and the newborn would be included in the waiting period.

However, policy holders should check the specific policy of their existing health insurance policy. There are discrepancies in the policy of the different insurance companies which are usually driven by their inclinations in their risk specializations.

Exclusions in the insurance policy are also called as Impairment Riders. Policy shoppers and policy holders should look for the attached rider page in their insurance policy. The rider form is attached separately from the rest of the policy to make the process of finding the excluded conditions a whole lot easier for the part of the policy shoppers and holders.

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