What is an exclusion? | healthinsurance.org (2024)

FAQs

What is an exclusion on an insurance policy? ›

An exclusion is a provision within an insurance policy that eliminates coverage for certain acts, property, types of damage or locations. Things that are excluded are not covered by the plan, and excluded costs don't count towards the plan's total out-of-pocket maximum.

A diagnosis of exclusion or by exclusion (per exclusionem) is a diagnosis of a medical condition reached by a process of elimination, which may be necessary if presence cannot be established with complete confidence from history, examination or testing.

A benefits payable exclusion is a clause in insurance policy contracts that removes the insurer's responsibility for paying claims related to employee benefits.

An exclusion is an event (peril, accident, incident, or accusation) that an insurance policy will not cover. A standard insurance policy will typically include some exclusions. While insurance policies help small businesses mitigate risk, they don't cover everything.

An exclusion is an instance of leaving something or someone out. If you love someone to the exclusion of all others, he or she is the only one for you! Exclusion is closely related to some words that have a positive or negative feel.

Permanent exclusion is the most serious sanction a school can give if a child does something that is against the school's behaviour policy (the school rules). It means that the child is no longer allowed to attend the school and their name will be removed from the school roll.

People can be excluded because of who they are, where they live, sociocultural reasons, lack of resources – and frequently a combination of these factors, as shown in Figure 1.2. The overlapping circles in the diagram indicate how there may be more than one reason for exclusion of any individual or group.

What is an Exclusion? Exclusion may refer to the act of omitting or denying something, or the state of being excluded.

Parents are sometimes asked to keep their child at home (called 'exclusion') in the event of illness or disease within the care service. The aim of exclusion is to reduce the spread of infectious diseases in the care service.

Some of these exclusions, such as dental and optical care, are actually add-on benefits that can be obtained on top of many general health insurance plans. On the contrary, miscellaneous hospital stay charges and cosmetic surgeries are virtually always excluded as they are not medically necessary expenses.

What is exclusion in disability? ›

An exclusion rider generally states that benefits are not payable for disability resulting from or related to a specified medical condition (e.g., asthma), from a disease or disorder of an area or part of the body (e.g., the cervical spine), or injury sustained while participating in a specific activity (e.g., rock ...

Medical Definition

exclusion. noun. ex·​clu·​sion iks-ˈklü-zhən. : surgical separation of part of an organ from the rest without excision.

“Exclusion consists of dynamic, multi-dimensional processes driven by unequal power relationships interacting across four main dimensions—economic, political, social and cul- tural—and at different levels including individual, household, group, community, country and global levels.

excluded condition : considered condition that one or more healthcare professionals have determined not to be consistent with the known observed conditions. We use cookies to understand how this site is used and to improve the site to make use easier.

Exclusion rules define exceptional roles that may have been included in certain structure but an exception needs to be applied to remove that role in certain Organization-Location-Job Field circ*mstances. Exclusion rules are optional.

If the policyholder dies due to criminal activities, the Term Insurance policy may not cover it. This Exclusion is in place to prevent insurers from paying out for events caused by illegal behaviour.

It means that some people are excluded from this offer.

Some common excluded services include: Alternative medicine (e.g., acupressure, yoga, acupuncture, massage, biofeedback) Dental services. Vision care.

Infestations

Bedbugs, termites, mice and other vermin are typically excluded from home insurance for the same reason wear and tear isn't covered. From an insurer's perspective, getting rid of infestations and fixing the damage left behind are simply part of maintaining your home.