How does a mid-range policy differ from a comprehensive PMI policy?

Preparing for the CII Certificate in Insurance - Healthcare Insurance (IF7)? Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

A mid-range policy typically differs from a comprehensive Private Medical Insurance (PMI) policy primarily in the range of coverage provided. When discussing outpatient costs, mid-range policies often have specified limits or caps on how much can be claimed for outpatient treatments. This is an important distinction because comprehensive policies generally offer broader coverage without such limitations, enabling greater access to a variety of outpatient services, including consultations and treatments outside of the hospital setting.

In terms of benefits, the mid-range policy is designed to balance premium costs with coverage, leading to the restriction on outpatient costs to keep the premiums lower. This means clients might pay less for the insurance, but they also receive less coverage for outpatient services, making the mid-range policy less comprehensive than the full-fledged comprehensive PMI policy.

The other options—covering more hospital stays, offering lower premiums, and excluding pre-existing conditions—do not specifically highlight the characteristic differences relevant to outpatient costs, which are a major concern when evaluating the capacities of various health insurance policies.

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