Standard exclusion — Excl16

Unproven Treatments

These are IRDAI's codes and IRDAI's words, not ours.

Official wording — reproduced verbatim

What the standard text says

Expenses related to any unproven treatment, services and supplies for or in connection with any treatment. Unproven treatments are treatments, procedures or supplies that lack significant medical documentation to support their effectiveness.

Source: IRDAI, Guidelines on Standardization of Exclusions in Health Insurance Contracts, page 9. Open the official PDF ↗

In plain English — our reading

What that means on the page

Treatment, services or supplies are excluded when significant medical documentation does not support their effectiveness.

This explains the standard wording. Your policy schedule, endorsements and other clauses may change how the document applies to you.