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Which of the following is NOT a valid reason for an insurer to deny a claim based on exclusions?

medium Q7 of Q15
Insurance Awareness - Health Insurance
Which of the following is NOT a valid reason for an insurer to deny a claim based on exclusions?
AHospitalization due to participation in hazardous sports
BTreatment for a pre-existing disease during the waiting period
CTreatment for cosmetic surgery done for aesthetic reasons
DHospitalization due to accidental injury covered under the policy
Step-by-Step Solution
  1. Step 1: Understand exclusions

    Exclusions include hazardous sports, pre-existing diseases during waiting period, and cosmetic surgeries.
  2. Step 2: Analyze options

    Accidental injury hospitalization is generally covered and not a valid reason for claim denial.
  3. Final Answer:

    Hospitalization due to accidental injury covered under the policy → Option D
  4. Quick Check:

    Hospitalization due to accidental = NOT the correct feature ✅
Quick Trick: Accidental injuries covered; hazardous activities and cosmetic surgeries excluded.
Common Mistakes:
MISTAKES
  • Confusing covered accidental injuries with excluded hazardous activities.
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