Non-cancellable and guaranteed renewable
Non-cancellable and guaranteed renewable are desirable features
in a policy. Many health insurance policies are cancellable by the
company. Companies need protection against fraudulent and
exaggerated claims and, under certain circumstances, are justified
in discontinuing insurance. Indirectly, this protects all
policyholders from paying higher insurance rates.
Deductibles
Deductibles are familiar features in health as in automobile
insurance. Deductibles are stated as amount of total expense,
specified number of days of sickness, or number of visits to the
doctor that the insured must pay before benefits start.
"Exclusion clauses"
"Exclusion clauses" eliminate certain conditions from coverage in
a policy. Examples might be alcoholism, drug addiction, and
pregnancy.
Effective coverage
Effective coverage indicates when the insurance actually starts.
Waiting periods are common, especially with sickness benefits, and
range from 5 to 30 days after a policy is issued. The longer the
waiting period, the less the cost of insurance.
Medical history and present health
Medical history and present health are usually reviewed before a
company issues a policy. If a person has certain defects or
diseases, it may not be possible to get health insurance. In some
cases, coverage is available but an extra amount is charged to cover
the added risk, or a restricted type of coverage may be offered.
The meaning of total and partial disability may
vary in different policies.
Disability or income protection insurance
Disability or income protection insurance is usually made
available up to 60 to 75 percent of a person's gross earnings. The
total amount payable, or the period over which a certain amount is
payable, is also limited. Loss of income policies usually exclude
payments for injuries or illness incurred on the job if the job is
covered by workmen's compensation regulations.