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Medical Insurance Jargon Explained

There are many words and phrases used in Medical insurance policies that you may not understand, but it is important that you do otherwise you may be agreeing to something, or not stating important information which may leave you uncovered.

 

Here is our guide to the most common words and phrases, what they mean and why you must know about them.

  

Excess

This is the amount of money that you have to pay towards any claim. For instance, if you were covered for a claim for £2000 with an excess of £1,000 you would only receive a payment of £1,000. Make sure you understand your excesses when you take out a new policy so you are clear about how much you must contribute towards any claim. Excess amounts can vary from one policy to another and you will often be asked to choose the level you want (usually a higher excess means a lower premium).

 

Premium

This is the amount you pay for your plan for your insurance. This could be paid monthly; quarterly or annually. It is usually cheaper to pay your premium in one annual amount.

 

Pre-existing Condition

An illness, injury or related medical condition which existed before you bought your insurance policy.

Any illness or condition occurring between the time of signing and submitting your application and your insurer accepting it will also be considered a pre-existing medical condition.

When declaring your medical history to an insurer it’s important to be truthful and honest or your policy may be invalid when you need it the most – insurers don’t have to pay if you have not been truthful.

 

Acute Condition

These are illnesses, diseases or injuries that happen suddenly and respond quickly to treatment. They are not recurring or long term illnesses.

 

Chronic Condition

These are illnesses, diseases or injury’s that are at least one of the following:

  • Do not have a cure (but can be controlled by medication or therapies in some cases)
  • Gradually worsening
  • Lead to a permeant disability
  • Require long term treatment or supervision
  • Require you to be rehabilitated or undergo training to help manage them

 

In Patient

You are considered to be an in-patient when you need to occupy a bed for treatment in a hospital during the day or overnight. It generally involves you being admitted into the hospital for your treatment.

 

Out Patient

You are considered to be an out-patient when treatment is given to you in a hospital, clinic or consulting room but where you are not admitted and do not need to occupy a bed or stay overnight.

 

Full Medical Underwriting

This is where your insurer will ask you a series of questions about your medical history which you must answer truthfully and honestly. It is important to fully disclose all of your medical history otherwise your policy may become invalid.

 

Moratorium

This is a period of time where you are not covered for a medical condition you may already have (a ‘pre-existing’ condition) but which may be covered at a future date provided you can prove that you have been free of any symptoms or treatments for a specified period of time. Moratorium periods can vary from one insurer to another, so make sure you understand how yours works. For example, some medical conditions may need to be symptom and treatment free for two years before they can be covered, while for others it may be five years.

 

 

Visit the expat medical insruance page on our website here for more information on the services we provide or call one of our London based sales staff on +44 (0)207 590 8800