Exclusions From Medical Benefits Exemption
Definition of "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
Time period in health insurance that must elapse between a previous illness and a current one, if the current one is to be considered a separate illness eligible for a new set of benefits. ...
Cancellation of a policy by an insurance company. ...
Process under which terminally ill people sell their life insurance policy for value thereby excluding the policy from being subject to the transfer for value under the three-year rule. ...
Single policy covering all insurable property of specified type s) at all locations of an insured business. The form is appropriate for the business that has several locations. There are ...
Insurance salesperson who contacts potential customers and handles clerical responsibilities but has no authority to make insurance contracts. ...
Premium paid by an insured business to an insurance company from which the company subtracts charges for the cost of putting a policy on its books, premium taxes, and profit. The remainder ...
Factor considered in determining amount of life insurance to purchase in order that funds will be available to pay the emergency expenses following the death of a family member. ...
Liability insurance coverage, primarily for shipyards for ocean marine risks, provided in much the same manner as umbrella liability insurance for nonmarine risks. Coverages may be provided ...
Independent, nonprofit, membership medical-surgical plan. Benefits cover expenses associated with medical and surgical procedures. The physician and/or surgeon bills the Blue Shield plan ...
Have a question or comment?
We're here to help.