We have prepared a list of healthcare insurance terms for foreigners, which will help you to understand insurance terms and definitions during arranging the Health insurance contract.
The Qualifying period is where the Insurer is not obliged to provide Insurance Benefits for events which would otherwise be Insured Events. The Qualifying Period begins on the agreed starting day of the Insurance Period.
The Duration of the insurance is the time within the agreed Insurance Period.
Insured event arises from an event that causes an insurer to pay a claim, comprising all the facts and their consequences, amongst which there is a causal, territorial, chronological or other direct connection.
A single insurance premium is determined for the entire period for which the Insurance has been agreed.
A period given in days is always understood to be the number of calendar days.
A random event is a possible event which is uncertain to even occur within the Duration of the Insurance, or the time that it happens is unknown.
An illness is the onset of a disorder which threatens the health or the life of the Insured Person and requires the provision of healthcare. The onset of Illness is deemed to be the moment the Illness is medically established.
A newborn baby is a child from the time of his/her birth to the end of the 3rd month of this child’s age.
A beneficiary is a party with a right to an Insurance Benefit as a result of an Insured Event.
An insurance certificate is a written confirmation that an insurance policy has been established, which the insurer issues to the policyholder.
The insurance period is the period for which the Insurance was arranged. This period is not decreased by the premature expiration of the Insurance.
An insured event is an accidental state of affairs brought about by the Insured Peril, associated with the establishment of an obligation on the part of the Insurer to provide an Insurance Benefit.
An insured peril is the possible cause of an Insured Event. An Insured Peril does not cease due to the Insured Person’s absence at the place of Insurance.
An insurance risk is a measure of the probability of the occurrence of the Insured Event caused by an Insured Peril.
The policyholder is the party which has agreed the insurance policy with the Insurer.
The insurer is a party entitled to carry on insurance activity according to special legislation.
The insured person is a person in respect to whose life or health the insurance relates.
Postnatal care for a newborn is healthcare immediately following birth and without disruption to the continuity of hospitalisation
Professional sporting activity is performed under an employment or is the main source of the sportsperson’s income.
A loss event results in damage which may constitute grounds for the establishment of a right to an Insurance Benefit.
Loss insurance provides compensation for a loss arising from an Insured Event.
A party to the insurance means the Insurer and the Policyholder being the contracting parties, as well as the Insured Person and every other person who has a right or obligation under the private insurance.
An injury is the unforeseen action of external forces or of one’s own strength against the Insured Person’s will, which results in harm to the Insured Person’s health or his death. An Injury is meant to be drowning, near-drowning and physical damage caused by higher or lower temperatures, lightening, radiation, electrical currents, gases or vapors, toxic substances. The exception is the regularly repeated action of all of the above.
Multiple insurance arises when two or more private insurance policies relate to the same insurance risk for the same time, if the sum of the Insurance Benefit limit exceeds the actual amount of the damage caused.
An Interested party is a party interested in concluding an insurance policy with the Insurer.