Health Insurance Plan

What are Some Common Exclusions of a Family Floater Health Insurance Plan?

If you are looking to secure your family members with health insurance, buying a family floater plan will prove to be more cost-effective than individual policies for each person. Family floater health insurance plans offer you and your loved ones holistic coverage at the convenience of a single, affordable premium.

Now, it is important to remember that family floater health insurance plans too have certain limitations. It is important that you be aware of these limitations in order to avoid any confusions while making a claim. The exclusions of a family floater health insurance plan can vary between insurers. In this article, we take a look at some of the main ones that you need to be aware of.

  • Dental treatment

Most family floater health insurance plans will not cover any of the insured individuals for dental treatment or dental surgeries. However, dental work may be covered if it forms a part of an accidental injury that is covered under the plan.

  • Complications from substance abuse

Any illness or health complications that arise from the consumption of drugs and alcohol are generally not covered. Some family floater plans also exclude coverage for health complications due to the consumption of tobacco.

  • Congenital disorder

A family floater plan will also generally exclude coverage for congenital disorders. Congenital disorders are health defects that occur before or during birth. Examples of congenital defects include congenital heart disease, cleft lip, and club foot.

  • Self-harm

The insured individuals under a family floater health insurance plan will also not get covered for any medical treatment necessitated due to self-harm or any kind of injury deliberately caused to the self.

  • Maternity cover

Most family floater plans may also not include coverage for expenses related to maternity and childbirth. If you are planning to start a family soon, you may need to buy separate coverage.

  • Medical conditions caused due to war

Family floater insurance will also not cover any kind of complications that arise due to wars, invasions, and similar situations of peril.

  • Cosmetic procedures

Any kind of plastic or cosmetic surgery that is done purely for aesthetic value will not be covered in family health insurance. However, plastic surgery may be covered if it forms a part of a medical treatment that is covered in the policy.

Do also note that pre-existing illnesses will not be covered right from the start of the policy. They need to be declared to the insurer post which coverage for these specified illnesses will commence upon completion of the waiting period. However, it is extremely important to always declare any pre-existing diseases to the insurer. Withholding information can lead to complications later on while making a claim on your health insurance.

When purchasing your family floater plan, do be sure to read the policy fine print for the full detail of all the policy’s exclusions. These exclusions can vary slightly between insurers and so, it is especially important to note them if you are switching between providers. We hope this article has helped you.

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