Exclusions From Medical Benefits Exemption
Found under the "Exceptions and Exclusions Section for All Medical Benefits" in many health insurance policies that exclude:
- complications arising from elective, nontherapeutic voluntary abortion.
- necessary cosmetic surgery for the immediate repair of a nonoccupational disease, illness, accident, or injury.
- custom-built orthopedic shoes, wedges, or arch supports.
- speech therapy ordered by a physician to restore partial or complete loss of speech resulting from stroke, cancer, radiation laryngitis, orcerebral palsy.
- services, supplies, or treatment in connection with or related to endogenous obesity or obesity resulting from external causes thatthe physician certifies is associated with a serious or life-threatening disorder.
Popular Insurance Terms
Actuarial method of crediting retirement benefits earned and the costs associated with these earned retirement benefits. An increment (unit) of benefit is credited for each year of ...
Expectation of a monetary loss that can be covered by insurance. Insurable interest varies according to the type of policy. These relationships give rise to insurable interest: owner of ...
Clause in liability insurance policies stating that the insurance company has a legally enforceable obligation to pay all claims and defend all suits (even if groundless) up to the policy ...
Coverage for damage or destruction of property with relatively high monetary value, such as stock brokerage house and bank shipments, which involve the transfer of securities and monies to ...
Benefit in disability income insurance whereby an injured or ill wage earner receives a monthly income payment to replace a percentage of his or her lost earnings. ...
Shipper's policies covering one cargo exposure or all cargo exposures by sea on all risks basis. Exclusions include war, nuclear disaster, wear and tear, dampness, mold, losses due to delay ...
Excess of the sales price of an asset over its book value. Listed as part of the Annual Report in the summary of the surplus account and/or in the Summary of Operations. ...
Total amount of insurance coverage available for an insured. ...
(land and attachments) and personal (movable effects not attached to land). Both classifications of property give rise to an insurable interest. ...

Have a question or comment?
We're here to help.