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Rider/Exclusionary rider

 What is a rider/exclusionary rider?

A rider is an addition to a health insurance policy that amends or supplements the terms of coverage. Some riders add coverage; for example, adding a maternity rider will add coverage for pregnancy. However, other riders, called exclusionary riders, exclude or limit coverage for a specific health impairment, whether that’s coverage for a health condition, body part, or body system.

Federal law does not allow exclusionary riders to be applied to children’s coverage, and since 2014, no exclusionary riders have been allowed in any health insurance. This means that health insurance may not exclude or limit coverage for a specific health condition.

Health insurance riders generally come at an additional cost but add extra coverage for an area chosen. For example, the pregnancy rider will add coverage to manage the costs of prenatal care and labor and delivery.

Some types of riders include: 

  • Long-term care riders 
  • Term conversion riders 
  • Accidental death riders 
  • Guaranteed insurability riders 
  • Critical illness riders 

How do riders improve healthcare?

Given the varied health needs of every individual, there is no one-size-fits-all option for health insurance that is a perfect fit for everyone. Insurance riders exist to help fill the gaps by tacking on additional coverage only when needed. This also lowers overall health insurance since not everyone will have to pay for services that only a select group needs.