GLOSSARY OF TERMS

  • Guarantee Issue - Coverage is guaranteed irrespective of medical history and/or conditions. Applications often contain no medical questions. This does not include pre-existing conditions. Pre-existing conditions are not covered until the policy has been in effect for 12 months.

  • Non-guarantee Issue - Coverage is offered only after an underwriter has reviewed the application and the medical history contained in it, and made a determination that the Insurance company will accept you. If coverage is offered there will still be a pre-existing exclusion for 12 months.

  • Pre-existing condition - any sickness or phusical condition for which you were treated, received medical advice or had taken medication within 12 before the effective date of your policy.

  • PPO - Stands for Preferred Provider Network, which is a panel of medical providers who have agreed to contract and accept a negotiated fee schedule from an insurance company. This results in discounts if you go to an in-network provider.

  • Limited Medical Plan - Any basic medical care plan that provides limited first-dollar hospital, surgical, or medical benefits, as contrasted with major medical benefit plans that provide comprehensive hospital, surgical, and medical benefits.

  • Carrier - A term sometimes used to identify the party (insurer) to the insured's contract that agrees too underwrite (carry the risk) and provide certain types of coverage and service.

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