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Health Insurance

5 common exclusions in health insurance policies

Travel and health insurance provide a protective net during medical emergencies by reducing the financial burden associated with hospital bills. However, many of us make the mistake of assuming that buying a health cover is sufficient and forget to read the fine print of the policy, which talks about coverage, waiting periods, exclusions and other important aspects. Today’s blog will be looking at the most common exclusions in health insurance policies.

Cosmetic surgery

Health insurance policies do not cover cosmetic procedures done to enhance your appearance. In some cases, however, the insurance company can cover cosmetic procedures for reconstructive surgery after an accident or injury when a registered medical practitioner suggests it.

Pre-existing conditions

A pre-existing condition is an illness or medical condition that occurs six months prior to buying health insurance coverage. They tend to be long-term and chronic diseases such as diabetes, cancer, asthma, sleep apnea, depression, etc. Although in the UAE, all health insurance companies are required by law to provide patients with pre-existing conditions with cover, chronic illnesses will most likely be excluded or limited from your plan.

Pregnancy and maternity care

Most general health insurance policies do not cover pregnancy and related treatments. That said, pregnancy and maternity coverage vary significantly between plans. In some cases, the delivery could be covered, but the pre-natal and post-natal are excluded, so confirm with your insurance provider about coverage. If pregnancy and maternity care are excluded from your plan, you can always buy a separate maternity insurance cover.

Alternative and experimental treatments

Your health insurance only covers you for well-established treatments that have undergone necessary clinical trials and experiments and are proven effective. If you wish to participate in clinical trials and other experimental treatments, you will have to cater for those costs on your own. Alternative treatments such as acupuncture, acupressure, homoeopathy, massage are also excluded from most health insurance plans.

Dental and vision

Treatments related to eyes, ears, teeth are excluded from most health insurance covers. As an alternative, insurance companies sell plans specifically for dental and vision or offer additional riders to your existing plan.

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Categories
Health Insurance

What to look out for when buying health insurance

When it comes to health insurance, you have to draw the line on what you can compromise on. Price is an important factor to consider when you buy health insurance, but cheap can be expensive in the long run. Remember, health insurance is supposed to protect you from worrying about your finances when a health emergency arises. We have compiled a list of some of the things to look out for when buying health insurance.

Waiting Period

Waiting periods deter you from making a claim shortly after signing on to a health plan. They also prevent you from claiming on pre-existent diseases, so check the company’s policy on that before signing. Maternity and dental treatments are some of the benefits that have waiting periods, but it varies from one company to another, so reach out to experts for more advice on this.

Hospital network

If you travel a lot or have family members living in different parts of the country, you should be very keen on this. Just because an insurance plan covers the UAE, it does not mean that you can access all hospitals in the country. Ensure that the hospitals nearest to you are in the company’s medical network to avoid any inconveniences. If you travel for work or have family members in other towns, check on the same.

Deductibles

Also known as co-payment, deductibles are fixed rates that you, the policyholder, have to pay when undergoing treatment. There are various types of deductibles: fixed amount per visit and annual deductibles. Fixed amount per visit is applied in outpatient treatments only, and you are required to pay 20 to 75 AED depending on the insurance company. Annual deductibles are not common in the UAE, but make sure to ask your insurance provider about it.

Exclusions

Health insurance companies do not cover all treatments in order to protect themselves from high-risk conditions. Review the policy carefully or consult one of our experts for more information on what is excluded and covered under the health insurance plan before buying, especially if you suffer from a chronic disease.

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