Health insurance

Health insurance

Contributors in Health insurance

Health insurance

A provision in health insurance policies to exclude benefits for sickness beginning within a specified number of days, such as 15 or 30, following the policy date. Its purpose is to reduce the number ...

cut-off provision

Health care; Managed care

A provision in health insurance that regulates the period during which benefits are payable under major medical and comprehensive medical expense insurance.

benefit clause

Health care; Managed care

A provision in health policies that describes the payments and the services provided under the contract.

preexisting condition limitations

Health care; Managed care

A provision in insurance policies that excludes health conditions existing prior to coverage sign up. These limitations exclude specified conditions entirely or for a specified period. When an ...

free-look provision

Health care; Managed care

A provision in life and health insurance policies that gives the policy owner a stated amount of time (usually 10 days) to review a new policy. It can be returned within this time for a 100% refund ...

restoration of benefits

Health care; Managed care

A provision in many Major Medical Plans that restores a person’s lifetime maximum benefit amount in small increments aft er a claim has been paid. Usually, only a small amount ($1,000–$3,000) may be ...

house confinement

Health care; Managed care

A provision in some health insurance contracts that requires an insured to be confined to the house to be eligible for benefits. This provision is most commonly found in policies providing loss of ...