Yes, it is true. Your health insurance policy allows FREE medical check-up. However, there are many people who don’t know how to avail it while others fear that it may escalate the premium rates.
It’s time to break the myth. The medical test results have no impact on the policy. These are used only for underwriting purpose if the policyholder wants to increase the sum insured at the time of policy renewal. Undergoing medical test, on the other hand, is important and you should get it done at least once a year not just for the sake of insurance procedure but also for yourself.
Here’s how you can get a free medical check-up from your health insurer.
Call up at the toll-free number of the health insurance provider or visit the nearest branch to schedule the health check-up. After verifying all details, the insurance company will revert back with a confirmed date, time and location as per the policyholder’s preference. An authorization letter is sent to the insured which has to be presented at the diagnostic centre along with the health card.
For fast service and convenience, it is advised to get your tests done at network hospitals. If a test is done at empanelled hospitals or centres, the customer is not asked to pay anything as all charges are settled by the insurer as per the agreed rates. However, if a customer opts to get all tests done in a lab of his choice then he can apply for the reimbursement.
Various diagnostic centres have different charges, so the policyholder must carefully read the policy document to know how much cost will be reimbursed by the insurer. For instance, United India Insurance reimburses the health-check-up cost, which is limited to 1% of the average sum insured of 4 claim free years. Some insurers specify the tests instead of the amount. For example, Bajaj Allianz health insurance has specified the number of tests instead of defining the amount.
Mainly the tests include blood sugar, blood count, urine test, cholesterol check, PPBS (postprandial/lunch blood sugar), ECG, complete blood count, etc. Insurers like Bajaj Allianz and ICICI Lombard also cover the routine medical examination of the policyholder.
According to the policy wordings of most of the insurers, the benefit of free medical test is available only after a block of claim-free years, which could vary between 4-5 years. For instance, SBI General allows free medical check-up for every 4 claim free years. It means you can exercise free medical test option only in the 5th year provided the last four years are claim-free.
However, there are insurers like Religare Health Insurance which offer health check-ups to the policyholder (s) every year, irrespective of the medical claim made in the previous year.
A routine medical test is important to identify problems before they become serious. So call up your insurer and schedule your free medical test as it will NOT increase the premium.
After all, Health is Wealth!
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