Why is Medical Test Important While Buying a Health Cover?

Most health insurance plans require you to undergo a pre-medical test before buying a policy. They are done before issuing the health policy to assess the eligibility of the customer. Although there are a few insurers that do not ask for pre-medical tests, those who do are considered more customer friendly at the time of making a claim. Read on to know why pre-medical tests are important while buying a health plan.

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      Even if the insurer does not ask you to go through the medical tests, it does not imply that you can withhold a pre-existing condition. Nothing can be more blunderous than withholding a fact concerning a pre-existing illness; it is plainly considered as a fraud and can straightaway lead to rejection of the claim. When there are no medical tests, you have to submit the declaration of good health in lieu of that. Once you submit it, the insurer sets your premium. Here’s why you should go through a pre-insurance medical test:

       

      1. Avoid Paying a Hefty Amount

      Skipping medical tests seems like a quick and easy fix. And why not, the insured saves the trouble of visiting the clinic/diagnostic centre. But a little consideration and you'll realize that you might end up paying heavily later if you focus solely on such short-sighted savings. Besides, health plans offered without any pre-requisite of medical tests cost higher than the conventional health plans.

      2. To proof Your Low Risk-appetite

      If you happen to be a healthy individual, you have one more reason to go through the pre-medical tests. In case, you pass the medical tests with flying marks, you are surely going to get rewarded by the insurer with a certain discount on premium as you'll then be seen as a low-risk deal from their perspective.

      3. To Remain Covered even in the Worst Condition

      Even if you have a pre-existing condition, you'll get to know the specific exclusions and waiting period relevant to your condition. Sure, you'll have shell out slightly higher premium, but it's all worth it. It's better to incur high premium rates and getting covered rather than saving a few bucks today and getting your coverage denied altogether at a later stage.

      4. It Makes You Accountable towards Your Health

      One more reason why is it good to go through medical tests because, at times, the prospect himself isn't aware of his health condition. In such a case, his declaration of good health will not stand good anymore. But if he chooses to go through the medical tests, the responsibility of being aware of an existing condition is transferred to the insurance company; thus he frees himself of the obligation of knowing the same.

      Now the question arises if it's riskier for the insurer, why do they offer such a proposition 'no medical tests required'. Well, it is because the medical examination is by no means light on the pocket. And when the customer has to incur the medical test cost, it directly hampers customer acquisition.

      The Related Conditions

      At present most of the health insurance plans issue the policy without a medical test if you are aged below 45 years of age. However, for those aged above 45 years, a medical test is required. The costs of the pre-medical test have to be borne by the customer. But the good news is that the medical test cost is reimbursed post issuance of the policy. Medical tests differ from insurer to insurer and plan to plan. However, the common pre-medical tests performed are physical examination, blood test, sugar level, urine test, and ECG and cholesterol level.

      Wrapping it Up!

      To go through medical tests prior to getting insured, seems like a pain but it's not. On the contrary, the more stringent an insurer is while giving out the policy, the thicker will be the chances that your health insurance claims will be approved without any hassles. And even more so, the more transparent you are while giving your information, the easier and faster will it be to realize the claim amount.

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      *₹400/month is the starting price for ₹ 5 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

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      *₹390/month (₹13 per day) is starting price for 1 cr. Health insurance for 25 years old male, with pre-existing diseases, residing from tier 1 city rounded off to the nearest 10.

      *No medical tests are required unless requested by the insurer’s underwriter. In-case of pre-existing diseases relevant medical proof would be required as per the terms and condition of the policy opted.

      *The values taken for effective cost calculation are indicative values and may change as per the selected plan.

      *Coverage upto double the amount of Sum Insured is available on certain covers for a minimum plan of Rs. 5 Lakh on the first claim only to an individual of upto 45 years of age with no pre-existing diseases. The benefit is available with or without extra cost depending on the plan chosen.

      *Coverage of pre-existing diseases is provided by insurer as per their underwriting policy.

      *The scope of coverage may vary from plan to plan.

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