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Health insurance offers comprehensive medical coverage. However, in most floater and individual health insurance plans, some exclusions are not covered under the policy. The same holds for personal accident plans as well. Read on to know which contingency is not covered under personal accident insurance.
You need to read the terms and conditions of the insurance policy you buy to understand what is covered and what is not. Here are some of the most common exclusions stated in a personal accident insurance plan:
There will be no payout if the accident happens due to an intentional injury such as an attempted suicide.
War injuries are not covered under a personal accident cover. Whether you are a soldier or a civilian injured in a war, you cannot make a claim for any medical expenses. There are other forms of health insurance available for such injuries that you may consider getting.
If a road accident takes place due to drunken driving, the injured driver will not get a claim from the personal accident insurance policy. Apart from alcohol, if an accident is caused by any other substance abuse such as drug abuse, you won't be able to make a claim.
Damages caused due to rioting are usually excluded from all insurance covers. Similarly, injuries sustained due to willful participation in a riot are also excluded. You cannot make a claim for any medical expense incurred in the treatment of an injury caused due to rioting.
Adventure sports are very thrilling, but they are risky and dangerous as well. If you read your policy wording carefully, you will see that all injuries resulting from water sports accidents are excluded. So, whether it is a minor fracture or a more serious injury that requires surgery, you won't be able to make a personal accident claim.
It helps to know what the exclusions are as that will help you to make a claim which won't be rejected.
These are some of the generic exclusions in a personal accident insurance plan. Read the policy wordings very carefully to know in detail about the complete list of contingencies not covered in your plan to understand the coverage better.
Disclaimer: The above information is for illustrative purposes only. For more details, please refer to the policy wordings and prospectus before concluding the sales.
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