The observation period clause is a unique clause in health insurance contracts, but not in life insurance and personal accident insurance contracts. The so-called observation period, also known as waiting period, refers to a certain period after the health insurance contract comes into effect, and the insurance company will not be responsible for the insured's medical expenses, income loss and death caused by illness.
After the observation period, the insurance company shall bear the insurance liability according to the agreed contents. Therefore, the observation period can also be called the exemption period.
So the waiting period and observation period in the insurance contract are the same.
Extended data:
The observation period clause stipulates the grace period in the form of clause. It should be pointed out that the observation period is only for disease events, and accidental deaths, medical expenses and income losses are not subject to the grace period clause. Once the contract comes into effect, the insurance company will bear the insurance responsibility.
Relevant regulations
1, long-term health insurance (sickness insurance). The observation period of long-term health insurance is generally 180 days after the contract comes into effect. If an agreed disease occurs during the observation period, the insurance company will not bear the insurance liability, but can refund the premium after deducting the handling fee.
2. Short-term health insurance. Medical expenses insurance, the initial insurance observation period is 30 ~ 90 days. During this period, if the insured suffers from medical expenses due to illness, the insurance company will not be liable for compensation, but the renewal of insurance is not limited by the observation period.
3. Disability income loss insurance. The observation period of disability income loss insurance refers to a certain period of time (usually 7-365 days) after the insured loses the ability to work, and the insurance company will not pay the insurance money after the observation period.
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