Insurance · Policy Provisions

What is a 'rider' on a health insurance policy?

Correct answer

An optional addition (with extra premium) that modifies coverage — examples include accident-only coverage, hospital indemnity, prescription drug coverage, or specific-disease (cancer) riders

  1. A A driver of the policy
  2. B An optional addition (with extra premium) that modifies coverage — examples include accident-only coverage, hospital indemnity, prescription drug coverage, or specific-disease (cancer) riders
  3. C A required attachment
  4. D A type of beneficiary

Why this is the answer

A rider in health insurance is an optional add-on that modifies or supplements the base policy, typically for additional premium. Common health insurance riders: hospital indemnity (pays a flat daily amount during hospital stays); accident-only (pays for accident-related medical expenses); critical illness (lump-sum payment on diagnosis of specified conditions); dental/vision (add coverage for these services); maternity (for plans that exclude it); and prescription drug coverage. Riders are most common on supplemental policies and specialty coverages; ACA-compliant comprehensive plans must include essential health benefits, reducing the need for many traditional riders. When presenting riders, producers should explain the additional premium and verify the rider serves a genuine need.
Source: NAIC Model Outline, Riders

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