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

FAQs

What is an exclusion? | healthinsurance.org? ›

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.

the act of not allowing someone or something to take part in an activity or to enter a place: exclusion from her exclusion from the list of Oscar nominees.

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.

Health care services that your health insurance or plan doesn't pay for or cover.

In contract law, exclusion clauses aim to exclude or limit a party's liability in the event of default. While exclusions can be among the most hotly contested and negotiated portions of a contract, they are found in nearly every type of agreement.

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.

Impact of social exclusion on health

Being excluded can be mentally painful. Research show that social exclusion can lead to the following mental health challenges: Depression. Anxiety.

A benefits payable exclusion is a legal clause indemnifying an insurer against claims relating to employee benefits. These types of claims are regarded as an uninsurable business risk. In practice, courts will sometimes require insurers to cover such claims even if a benefits payable exclusion clause is in place.

An excluded driver is a person in your household who has been explicitly excluded from coverage under your car insurance policy. Their name will show as "excluded" on your policy, and they won't be insured to drive any vehicles on your policy.

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.

What are the four types of exclusion? ›

“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.

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

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.

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.

If someone is excluded, on the other hand, it means that someone has been deliberately and painfully left out. Exclusion is more neutral. The department store that advertises a big sale often states at the bottom of the ad that "some exclusions apply," meaning the discounts don't apply to all items.

the act of not allowing someone or something to take part in an activity or to enter a place: exclusion from her exclusion from the list of Oscar nominees. exclusion of the exclusion of disruptive students from school.

Exclusion is the act of preventing someone from entering a place or taking part in an activity.

to shut out from consideration, privilege, etc.: Employees and their relatives were excluded from participation in the contest. to expel and keep out; thrust out; eject: He was excluded from the club for infractions of the rules. Synonyms: reject.

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.

Examples from Collins dictionaries

The Academy excluded women from its classes. Many of the youngsters feel excluded. They eat only plant foods, and exclude animal products from other areas of their lives. I cannot entirely exclude the possibility that some form of pressure was applied to the neck.