Health Insurance Glossary | Key Terms Explained by Prudential Health

Health Insurance glossary

Learn more about key health insurance terms and definitions for a better understanding of your coverage and benefits.

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Accumulation Periods

A period during which any medical expenses incurred by the policyholder will be adjusted towards applicable health insurance deductible. Only after the deductible is satisfied, the insurer will begin covering the medical costs of the policyholder and the beneficiaries.

Add-on Covers

Add-ons are small packages that enhance the coverage of the standard policy for a slightly higher premium. They offer additional financial protection against specific medical treatments with high medical costs. Some of the add-ons provide exclusive coverage for maternity, critical illness, hospital cash benefit, etc.

Affordable room options

Hospital room categories covered under your policy help manage costs without compromising on care. They ensure access to comfortable yet budget-friendly hospital stays.

Age Limit

The legally defined age at which a person is allowed to apply for a health insurance plan or able to renew a policy.

Agent

Licensed professionals who connect insurance companies and their customers. They offer expert advice on policies and can help enable customer claims and service requests.

Ambulance Cover

Coverage of ambulance charges for transportation to the hospital.

Annual Renewal Date

The date by when the policyholder needs to renew their health insurance policy.

Any One Illness

A continuous period of a specific illness that relapses within 45 days from the last date of consultation with the respective hospital or nursing home.

Automatic Restoration

Some policies provide the benefit of the restoration of the sum insured in case it is exhausted. It gets automatically restored for the next hospitalization.

AYUSH Treatment

The full form of AYUSH is Ayurveda, Yoga, Unani, Siddha and Homeopathy (referred to as alternative medicine treatment). Some health insurance policies provide coverage for such treatments.