Medical insurance

Common exclusions in medical insurance policies

The extent and content of exclusions vary from insurer to insurer. The following illustrate some common exclusions in medical insurance policies:-

  • Pre-existing conditions and congenital deformities or anomalies
  • Voluntary expenses, such as cosmetic treatment
  • Routine treatment, such as checkups, dental work and optical therapy
  • Childbirth and related expenses, such as maternity care, birth control and fertility treatments
  • Exposure to, or involvement in, extremely hazardous events, such as radiation, war and dangerous activities
  • Unacceptable coverage such as illegal acts, self-inflicted injuries or substance abuse
  • Artificial limbs, including prostheses, appliances and braces
  • Exceptional medical therapy, such as that involved in the treatment of mental disorders and rest cures
  • Non-eligible expenses such as travel costs, and non-recognized and experimental treatment
  • Injuries arising directly or indirectly as a result of participation in any professional or competitive sports

The above exclusions are not exhaustive, and it is important to study the terms of the Medical Insurance Policy carefully before purchasing it.