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Health Insurance Basic

Loss of Income from Disability
Accidental Death & Dismemberment
Medical Expense Benefits
Dental Expense Benefits
Medical Expense Insurance
Long-Term Care Insurance (LTC)
Limited Health Exposures
Prescription Coverage
Determining Insurance Needs
Health Care Providers
Health Care Plans
Health Care Commercial Insurers
Health Maintenance Organizations
HMOs -Federal Requirements
HMO Organization
HMO Exclusions
Basic and Supplemental Services
HMO Co-Payments
Important Features Of HMOs
HMO Complaints
HMO Quality Assurance
   

Limited Health Exposures and Insurance
Contracts

There are a variety of special health insurance policies providing limited coverage. To ensure that the insured has sufficient notice that the coverage is limited, every policy that provides limited coverage must, by law, state plainly on the first page of the policy: “THIS IS A LIMITED POLICY.”

The following is a list of the main types of limited health policies:

  • Travel accident insurance provides coverage for death or injury resulting from accidents occurring while the insured is a fare-paying passenger on a common carrier.

  • Specified disease or dread disease insurance provides a variety of benefits for only certain diseases, usually cancer or heart disease.

  • Hospital income insurance pays a specified sum on a daily, weekly, or monthly basis while the insured is confined to a hospital. The amount of the benefit is not related to expenses incurred or to wages lost while the insured is hospitalized.

  • Accident only insurance provides coverage for injury from accident and excludes sickness. Benefits may be paid for all or any of the following: death, disability, dismemberment, or hospital and medical expenses.

  • Credit insurance is listed here because of the limited nature of its coverage. This policy is issued only to those who are in debt to a creditor. The coverage is limited to the total amount of the debtor’s indebtedness.

  • Blanket insurance is a form of group insurance. Often the individual’s name is not known because the individuals come and go. Such groups include students, campers, passengers of a common carrier, volunteer groups, and sports teams. Unlike group insurance the individuals are automatically covered under the blanket policy, and they do not receive certificates of insurance.

 

 

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