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Exclusions
Exclusions in insurance refer to specific clauses in a policy that limit or exclude coverage of some conditions or events. These exclusions protect the insurance company financially by preventing large payouts in case of some large or catastrophic events. All the exclusions under a policy are typically mentioned in the policy document.
All health insurance policies come with a set of exclusions which are listed in the policy document. These exclusions may vary depending on the plan. Please read your health insurance policy document to understand what is not covered under your policy.
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A
- Accident
- Acute Care
- Acute Condition
- Age Limit
- Agent
- Ambulance Cover
- Annual Health Checkup
- Any One Illness
- AYUSH Treatment
B
C
- Cancer Insurance
- Cashless Facility
- Chronic Condition
- Claim
- Claim Settlement
- Claim Settlement Ratio
- Comorbidity
- Congenital Anomaly
- Consumables
- Contract
- Copayment
- Critical Illness
- Cumulative Bonus / No-Claim Bonus (NCB)
D
- Daily Hospital Cash / Daily Cash
- Day Care Treatment
- Deductible
- Discharge Summary
- Domiciliary Hospitalisation
E
F
G
H
I
- Illness
- Indemnity
- Injury
- Inpatient Care / Inpatient Hospitalisation
- Insurance Ombudsman
- Insured Person
- Insurer
- Intensive Care Unit (ICU)
- IRDAI
L
M
N
O
P
- Personal Accident Cover
- Policy Document
- Policyholder
- Portability
- Post-Hospitalisation Expenses
- Pre-Existing Disease (PED) / Pre-Existing Condition
- Pre-Hospitalisation Expenses
- Premium
R
- Reasonable and Customary Charges
- Reimbursement
- Renewal
- Restoration Benefit / Automatic Restoration
- Rider / Add-on Cover
- Room Rent Limit
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