Exclusions In Medical Benefits

Updated: 30 October 2024

What Does Exclusions In Medical Benefits Mean?

Exclusions in medical benefits refer to items or services that a health insurance policy will not cover. These can include specific illnesses, treatments, prescriptions, or other services that might otherwise be eligible for coverage. Health insurance companies typically implement exclusions when they assess certain items as too risky to cover.

Insuranceopedia Explains Exclusions In Medical Benefits

Previously, it was common for pre-existing conditions to be excluded from medical benefits. However, it is now illegal for health insurance companies to exclude coverage for pre-existing conditions. This means that a person with cancer who purchases a health insurance policy cannot be denied coverage for cancer treatments simply because the condition existed prior to buying the policy. Although pre-existing conditions are no longer excluded, other exclusions in medical benefits still remain.

Related Reading

Go back to top