What is a categorical exclusion?

A categorical exclusion is a legal term used in North Dakota health insurance law. It describes a situation where an individual or group can be excluded from health insurance coverage. This exclusion may be based on age, gender, race, or pre-existing medical conditions. In North Dakota, categorical exclusions can be used by health insurance companies to deny coverage. This could be done by rejecting individuals based on age, gender, race, medical history, or other criteria. For example, an insurance company might only offer coverage to individuals who are under 30 years of age or deny coverage to individuals with pre-existing conditions. Categorical exclusions can also be used by employers to deny healthcare coverage to certain employees. For example, an employer may exclude employees who are pregnant or have a disability from their health insurance plan. Overall, categorical exclusions are a way for health insurance companies and employers to limit the number of people that are eligible for health insurance coverage. This type of exclusion is allowed by North Dakota health insurance law as long as it is not based on any illegal criteria.

Related FAQs

What are some of the benefits of group health insurance?
What is a network provider?
What is a catastrophic health insurance plan?
What is a qualified health plan (QHP)?
What is a capitated plan?
What is the difference between Medicare and Medicaid?
What is an out-of-pocket maximum?
What is an out-of-pocket limit?
What is a fee-for-service plan?
How much does health insurance cost?

What is a categorical exclusion?

Related FAQs

Related Blog Posts