Free quotes from top insurers with lowest premiums in
4 simple steps
*Please note that the quotes shown will be from our partners
*savings provided by insurer

Health Insurance for High-Risk Category Individuals

Diseases do not come announced or affect a pre-ordained set of individuals. Diseases and illnesses are uncertain and that is the reason why they are distressing and financially difficult to shoulder. If one knew before hand that a certain disease is going to strike at a specific time, he would have made the necessary arrangements to tackle the incidence of the disease.

Since it is not the case and any disease or medical ailment causes considerable financial crisis, a health insurance policy is deemed important. By providing a financial cushion to tackle the huge hospital bills, a health insurance plan proves to be a blessing for every individual. But, can every individual avail of a comprehensive health insurance policy for his medical needs?

A health insurance policy is underwritten by the insurer based on the risk that the proposer presents. Every proposal is either classified as a low risk, moderate risk or high risk application and is accordingly dealt with. Normal healthy individuals who are young and are not afflicted with any ailments or lifestyle habits are considered low risk profiles while people who present a little higher risk are classified into the moderate risk profile.

A high risk profile is the most dangerous profile of individuals from the insurer’s perspective and thorough underwriting is carried out for such high-risk cases. The below-mentioned points classify the high-risk cases and how the insurer deals with such cases in details:

  • Existing ailments –High diabetes, hypertension, heart related ailments or any other ailments which the proposer is already afflicted with are called pre-existing ailments. If the degree of such ailments is high, it classifies as a high-risk category. Though pre-existing illnesses have a waiting period, the insurer might exclude such ailments from the coverage altogether along with a premium increase or might even reject the policy if it feels that the pre-existing illnesses are of a severe nature.
  • Family history – Your family history is also given consideration to determine any hereditary medical condition. If heart ailments are a common part of your family history, your application for health insurance would be considered in the high risk category and the coverage for heart related ailments might be excluded even though you do not suffer from such ailments at the time of application.
  • Lifestyle habits – Smoking, drinking or chewing tobacco are some lifestyle habits which are considered a high-risk scenario if the dependence on such habits is to a large extent. A chain smoker or an alcoholic presents a high health risk and any injury under the influence of alcohol is already a common exclusion. If you are categorized under this risk profile, you might have to pay a higher premium and medical contingencies due to such habits may even be excluded from the scope of your medical cover.
  • Occupation – Believe it or not, the company also weighs your risk according to your profession. A person engaged in a risky profession is considered to be a high-risk individual. Professions like mining, aviation, aeronautics, adventure sport instructors, etc. are high risk professions where the probability of medical contingencies is very high. Premium is high and coverage for such high-risk individuals is usually limited in nature as it excludes every medical contingency which might accrue by virtue of the profession the proposer is engaged in.

 The above-mentioned categories are considered a high-risk category and insurers have various measures to deal with applications which reflect such high-risk profiles. The insurer might-

  • Increase the premium,
  • Limit the coverage extended, or
  • Reject the policy

As a customer, you should not get demotivated by the insurer’s safety measures if you fall in any high-risk category. Buying a health insurance plan is important and disclosing your facts is equally important. If, fearing any of the actions above, you hide any material information which impacts your risk, you are at a high-risk of getting your claim rejected.

In case of any medical emergency, the company determines the nature of the claim raised and if it is found that the claim is a result of any undisclosed fact, the company may reject your claim.

Rather than suffering the brunt of a rejected claim, make full disclosure in your proposal form. You might be charged a higher premium with a limited coverage or you might not get the policy altogether but it would be better than getting your claim rejected.

You May Also Like
  • Top 10 Health Insurance Companies in India
    / 5 ( page reviews)

    Every year, Insurance Regulatory and Development Authority of India (IRDA) announces a list of health insurance companies. There are few important features that help it to rate the insurance companies, such as their perf...

    read more
  • Top 5 Maternity Insurance Plans
    / 5 ( page reviews)

    Maternity or pregnancy is an important phase of life, and one needs to prepare in advance to embrace parenthood. Though rearing a child is an expensive affair and may require good financial backup to meet the requirement...

    read more
  • List of Health Insurance Companies in India
    / 5 ( page reviews)

    A quiet revolution has swept through India’s health care sector in the past five years- best evidenced in the fact that now nearly 27% of the nation’s population is insured. The Indian healthcare sector is projected ...

    read more
  • Top 8 Family Health Insurance Policies for 2019
    / 5 ( page reviews)

    From the air we breathe to the food we eat, everything is intentionally or unintentionally subjected to adulteration. Due to this, the disease rate in India is rising drastically. Naturally, more and more people are visi...

    read more
  • Health Insurance Claims Ratio- Things You Should Look Before Buying Health Insurance
    / 5 ( page reviews)

    There has always been a doubt in customers mind about whether the private company will keep its side of the bargain i.e. it will settle the claim or not. A customer spends premium annually which will cover his medical ex...

    read more

Search

Sign up for newsletter

Sign up our newsletter and get email about health plans.