Insurance terms
in plain language

Common terms explained briefly before you go back to the actual policy wording.

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8 terms

Deductible

out-of-pocket first amount

The amount you pay first before eligible cover starts paying under the plan terms.

Waiting period

waiting time

A period after cover starts when some benefits may not yet be available. Check the actual policy wording.

Rider

additional benefit

Extra cover attached to a main policy. It does not mean everyone needs every rider.

Copayment

co-pay

A share of eligible costs that the insured person may need to pay under specified conditions.

Room limit

hospital room allowance

The room limit is only one part of a hospital bill, not the total cost of admission.

Critical illness

CI

Cover that often pays a lump sum when a defined illness meets the contract conditions, rather than reimbursing hospital bills directly.

Exclusion

not covered

A situation or condition that the contract says is outside coverage.

Pre-existing condition

existing condition

A condition present before coverage starts that may affect underwriting or contract terms.