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FREQUENTLY ASKED QUESTIONS

What is a waiting period?

 A waiting period is the designated time an insured individual must wait before certain, or all coverage benefits become effective.

What are pre-existing conditions?

Pre-existing conditions are medical conditions diagnosed or existing before the commencement of a new health insurance policy.

What is a pre-authorization code and why is it needed?

A pre-authorization code is an approval issued by the insurer to verify coverage eligibility and medical necessity for a procedure or treatment, ensuring cost and claim validity.

What is secondary care?

Secondary care refers to specialized medical services provided by healthcare professionals such as specialists and consultants, typically following a referral from a primary care provider.

What is primary care?

Primary care is the initial level of medical attention, where general practitioners provide basic diagnosis, treatment, and preventive healthcare services.

What are exclusions?

Exclusions are specific medical services or treatments not covered under an insurance policy.