Health insurance plans have become a necessity. And for people with pre-existing diseases, buying comprehensive medical insurance can be a daunting task. So, before we start discussing the limitations in coverage for pre-existing illnesses, it is important to know what does a 'pre-existing health condition actually means.
A pre-existing illness means any health issue that the proposer has been facing prior to purchasing a health insurance policy. The pre-existing conditions include all the health issues ranging from high blood pressure, thyroid, the usual suspects like diabetes, asthma, etc.
Insurance providers are apprehensive to provide health insurance cover to people suffering from pre-existing illnesses. It is because people with pre-existing illnesses are more likely to file a claim and thus, impose a higher financial risk to the health insurance providers. It is not easy to predict sickness in advance, but an insurer may be aware of people who are already suffering from health problems. Harsh truth, even the health insurance companies are working towards a profitable business.
The problem is that people with pre-existing health issues often have to undergo various procedures. This could mean refusal from the insurer to pay the bill, cancellation of coverage, or even straight of your medical insurance policy.
You must be wondering how to work around this issue? Here is a quick rundown of some useful tips to help find the best health insurance policy for yourself, especially if you have some existing health issues:
During the waiting period, the insured doesn’t cover the doctor fees, cost of medicines and any hospitalization required for pre-existing ailments will not be covered by the policy. It will only be covered after the completion of the waiting period or will not be covered at all.
Some health insurance plans will have a waiting of 2 years for the same disease and the other health insurer will have a waiting period of four years. It is suggested that you switch to a different insurance provider only after completing your waiting period; so that it is accrued when you switch the insurer and do not have to start afresh. Nonetheless, there are insurers that offer a reduction in the waiting period by paying an extra premium amount.
Additionally, some health insurance providers have a co-payment for pre-existing conditions. In this co-payment clause, you have to pay some percentage of the amount and the insurer will pay the outstanding amount.
So, even if you have a pre-existing health problem you can still get health insurance coverage. It is all about being informed and selecting the right health insurance policy.
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
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
Sumit recently discovered the excruciating pain of when one’s wisdom tooth starts to come in. Having endured it for quite some time, he decides to get the tooth extracted before it gets even worse. After asking around ...read more
“Change is only constant,” they say. Change in one thing that ends up impacting the other. The 3 percent increase in GST is going to impact the insurance premium adversely. This article will be your guide regarding t...read more
Health insurance is inevitable in today's inflation hit age. Medical costs are indeed rising at an unabated pace but have you ever wondered your health plan might as well have considerable gaps. Even a proper health poli...read more