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Health Insurance for Pre-existing Conditions - What you Need to Know?

Health Insurance for Pre-existing Conditions - What you Need to Know?

Health insurance is a critical aspect of our lives, providing financial protection against unexpected medical expenses. However, for individuals with pre-existing conditions, obtaining comprehensive health insurance coverage can be challenging. In this article, we will explore what you need to know about health insurance for pre-existing conditions, including key terms, available options, in healthcare policy.

Pre-existing conditions and your health insurance

When it comes to securing health insurance, understanding how pre-existing conditions are handled is crucial. Pre-existing conditions refer to any health condition or ailment that you already have before obtaining health insurance coverage. It is advisable to always read the terms and details of the insurance plan carefully. Let’s take a look at what these parameters are;

Premium – The premium shall be on a higher side for your insurance plan. As the insurer is taking the risk of covering a pre-existing disease. Such premium calculation is only applicable at the time of purchasing the insurance policy.

Waiting period – Waiting period is the time you have to wait before the pre-existing disease gets covered by your insurance plan. It is not a set or standard duration but depends upon the illness, the cover, and the insurer.

Medical check-up –For pre-existing condition, an insurer can request for a medical check-up from individual buying the insurance policy. And the insurance premium shall be based on the test results. There is also a chance that the insurer refuses to offer any policy if the test results are highly unfavourable.

Exclusion – In many cases the insurer offers an insurance coverage to individual with pre-existing condition. But refuses to cover it. So, if anything happens to individual from the pre-existing condition that part shall not be covered, illness from any other reason shall only be covered.

Denial – In some cases, insurers deny to offer any insurance coverage to someone with pre-existing condition. In such cases, you cannot purchase a health insurance policy from them.

Dos and Don’ts in case of pre-existing diseases


Get a detailed check-up done before purchasing any health insurance

Be transparent and communicate all details clearly

Know about insurance policy terms and conditions for pre-existing diseases


Do not withhold any information

Do not fail to compare insurance plans to see which suits you best

Do not include every doctor visit information but do disclose if any long-term medication is on


Keep in mind, when it comes to pre-existing conditions, it is best to be honest and transparent with the insurance provider to avoid any hassles during claim settlement and to get proper coverage you wish for. So, it is not required to hide your pre-existing condition while buying health insurance and take advantage of coverage you can get even with the condition.

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