FAQs
Are adventure or high-risk activities covered (skiing, scuba, climbing)?
Often excluded under standard plans unless you add a sport/adventure rider or buy a specialized policy. Always check activity lists and exclusions.
Are any types of cancer excluded in Cancer Insurance coverage?
Coverage varies. Some policies exclude pre-malignant conditions, recurrences, or specific cancer types. Review exclusions carefully before choosing a plan.
Are dependents covered under hospital/medical indemnity insurance?
Yes—most plans allow you to cover spouses and children under the same policy, though the premium cost may increase.
Are DVH plans renewable?
Most DVH policies are guaranteed renewable, meaning your coverage continues as long as premiums are paid—without worrying about your health status or age.
Are Final Expense premiums fixed or variable?
Premiums are typically fixed and guaranteed level for life—as long as you pay on time, your rate won’t increase.
Are lost, stolen, or delayed bags covered?
Comprehensive policies typically reimburse for lost/damaged baggage and essentials during qualifying delays; baggage coverage is often secondary to other coverage (e.g., homeowners, airline).
Are LTC Insurance benefits taxable?
Yes. Tax-qualified LTC policies allow non-taxable benefits and may also allow you to deduct premiums (subject to IRS limits); benefits themselves are generally tax-free.
Are pre-existing conditions covered under ACA plans?
Yes! Marketplace plans cannot deny coverage or charge more based on health history or pre-existing conditions.
Are pre-existing conditions covered under Short-term medical insurance?
No—short-term plans typically exclude pre-existing conditions, meaning any condition you had before coverage won’t be covered.
Are pre-existing conditions or illnesses covered by Accident Insurance?
No. Accident insurance covers only unforeseen injuries — not illnesses, chronic conditions, or pre-existing health issues
Are Term Life insurance policy premiums fixed during the term?
Yes—premium rates are level and guaranteed for the entire chosen term.
Are there any exclusions or limitations in Accident Insurance?
Yes—accident policies often exclude injuries from illegal acts, intoxication, or self-inflicted harm. Always review your policy’s exclusions, covered events, and payout limits.
Are there out-of-pocket maximums?
Yes—unlike Original Medicare, MA plans have a hard max out-of-pocket limit for Part A/B services (e.g., hospital, medical). After reaching it, Medicare covers 100% of services.
Disclaimer: Limits vary by plan.
Are there penalties for not having Marketplace insurance?
The federal penalty for not having health coverage was eliminated starting in 2019. There is no federal penalty for being uninsured. However, some states (like California, Massachusetts, and New Jersey) do charge a state-level penalty for going without coverage.
Are there prior authorizations or restrictions?
Yes—many plans use utilization management tools such as prior authorization, step therapy, and quantity limits. Ask your agent before enrolling.
Disclaimer: These requirements vary by plan and service type