There are six situations in which Million Medical Insurance will not be claimed.
Due to the rapid spread of the Internet, some people hear the news that insurance companies refuse to pay and think that insurance companies are scammers. However, buying insurance does not mean that all expenses will be covered. For example, accident insurance does not cover hospitalization expenses for illness, and the compensation rates for disability and total disability are different. Critical illness insurance does not cover hospitalization medical expenses, and the claim standard is determined according to the terms of the insurance.
So, what are the circumstances under which medical insurance will be denied? According to the claims data of insurance companies, the six major reasons for denying medical insurance for millions are listed.
First, it is not covered by the guarantee. The coverage of Million Medical Insurance usually covers hospitalization expenses, special outpatient visits, outpatient surgeries, and outpatient emergency room expenses before and after hospitalization. If it is not covered, the insurance company will naturally not pay for it. For example, if you fall while walking, hang up surgery, and only minor abrasions after examination, then the medical expenses of the surgical clinic are not covered by the claim.
Second, pre-existing conditions, which are related diseases that the insured person knew or should have known before the insurance company became effective. This is clearly stated in the contract terms, so medical expenses incurred due to pre-existing conditions cannot be compensated.
Third, the waiting period is insured. In order to prevent insuring with illness, insurance companies usually set a waiting period, which is usually 30 or 90 days. During this period, the insurance company will not pay.
Fourth, failure to truthfully inform the health situation. The Insurance Law stipulates the principle of maximum good faith, and the insurance company has the right to refuse compensation if the medical history is deliberately concealed.
Fifth, the contract guarantee period. The coverage period of Million Medical Insurance is usually one year, after which the policy will be terminated if it is not renewed in time. Accidents that occur during this period will not be compensated. When hospitalized, be sure to pay attention to whether the invoice has exceeded the coverage period.
Sixth, liability exemption is not compensated. The disclaimer clause in the insurance contract is very important. Any cases in which the insurance company does not pay are covered by the exclusion clause. Therefore, you must read the disclaimer carefully before applying for insurance, and do not wait until the insurance is out to find out that there is no compensation. For example, common dental diseases and plastic surgery are included in the disclaimer.
If you have other questions about Million Medical Insurance, please leave a message in the comment area or join my live broadcast room to discuss insurance topics with me.
