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 Pub date
2009-11-01

When the purchase of health insurance must pay attention to the period of observ

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When the purchase of health insurance must pay attention to the period of observation
Insurance observation period is also called the insurance waiting period, or the exemption period. Refers to the insurance contract in force within a specified period, the insured person insured event occurring during this period, the insurance company without liability.
In November 2008, she had got the insurance companies to buy their own insurance, a major disease. In January 2009, unfortunately, she had got him to come, she was diagnosed with lung cancer. Ms Zhou learned that critical-illness insurance is the timely payment type insurance, so long as the hospital diagnosed diseases are among the insurance coverage, you can get the appropriate insurance.

She had got the necessary materials in the collection, after Qi claims, they would apply for insurance claim. However, contrary to Ms Zhou surprise is that insurance companies have made exclusions decision. Insurance aspects of reason: she had got the policy is still observation period, the insurance company assumes no liability insurance.

Insurance observation period is also called the insurance waiting period, or the exemption period. Refers to the insurance contract in force within a specified period, the insured person insured event occurring during this period, the insurance company without liability. According to experts, insurance, the observation period is to prevent the insured accident insurance, he knows will happen, but immediately the insured to obtain financial compensation behavior. "Observation period" was established to prevent the sick from the source and so potentially fraudulent insurance acts, to avoid adverse selection, reduce moral hazard.

While the exclusions of insurance companies expressed dissatisfaction with the decision, but she had got re-read the terms of disease risk and found that indeed there are written in terms of "insurance responsibilities from the date of the end of the observation period started, if the insurance accident occurred in the observation period the, the insurance company liable. "

Learned from the insurance companies, according to the situation she had got, although it can not receive compensation, but can be paid before the insurance premiums, liability insurance will also be terminated.

It is understood that all domestic health insurance products with insurance, the period of observation. Critical-illness insurance is usually the observation period of 180 days, such as human health care insurance specialist on a regular basis diseases are self-reported medical insurance, CPIC foolproof well-being of major diseases insurance. The general hospital medical insurance, respectively, the observation period ranging from 30,60,90 days, such as the Wing-shing of the eternal life of the observation period for the Medicare program for 30 days, the 100 million-shun Taikang comprehensive protection scheme, worry-free care of the observation period of 60 days, PICC Health care experts in the short-term emphasis on disease (promotion version) group sickness insurance for the observation period of 90 days.

In addition, some type of medical insurance products, life-long observation period length is different. Such as China Life's Critical Illness Yasuhiro observation period of one year, while Ping An additional guardian of life, life-long observation period of medical insurance as long as 90 days.

It is noteworthy that, for an accident caused by a major illness or death is not covered by insurance observation period. Because accidents are random, unexpected, and therefore there is no moral hazard, the insurance company should bear the responsibility of compensation insurance payments.

For some period of insurance for one year and guaranteed renewal of health insurance products, insurance observation period applies only to the first policy year, after the renewal of insurance consumers, are no longer a separate insurance, the period of observation. In other words, even if the insured person the renewal took place the day after the accident insurance is also available to insurance compensation.


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