Pre-policy Medical Check-up in Health Insurance Plan

Pre-policy Medical Check-up in Health Insurance Plan



Pre-policy Medical Check-up in Health Insurance Plan

Pre-policy medical tests for buying health insurance, while not mandated in all circumstances by all insurance companies, are vital as they act as a yardstick to measure the risk factor for the insurance company.

Most common tests requires in it: All insurance companies which provide health insurance have a different policy for a pre-policy medical check-up. However, some tests are common, such as measurement of blood pressure, lipid profile, ECG, blood serum, blood sugar, complete blood count and other tests. 

Who is supposed to pay for the cost of the test? The Insurance Regulatory and Development Authority of India (IRDA) ordains that both the insurance company and the policyholder are supposed to split the cost of the pre-existing medical check-up equally.

After the test, the ball is the insurance company’s court: The insurance company generally does one of the following three things.
Charges a higher premium : If any severe pre-existing medical conditions are detected in the tests, the company may still decide to give the policy but will charge a higher premium.
A pre-existing condition might be excluded from cover: The insurance company may decide to give the policy but may choose not to cover the pre-existing condition.
Application for the policy may be rejected: When the insurance company feels that the pre-existing conditions, they are likely to reject the application for health insurance altogether.

It would be prudent on your part to take out a health insurance policy at a young age, as it will not only entail fewer premiums but also ensure you more comprehensive coverage.


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