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What does a health insurance pre-policy medical checkup entail?
Before approving and offering coverage to a prospective policyholder, the best health insurance policy provider’s policy may require a set of medical examinations known as the “pre-policy Medical Check-up.” Prior to providing coverage, this examination establishes the applicant’s medical fitness and aids the insurer in determining if the applicant is eligible for the policy. Additionally, it is very important in determining the payable premium. *
The age of the applicant and the scope of the policy are the two variables that determine how many pre-policy medical exams are required. If the policyholder is older than 45 years old, the majority of health insurance companies demand a Pre-policy Medical Check-up. The value of selecting an online health insurance plan that requires a pre-policy medical exam. *
Pre-policy medical examinations are becoming more and more common and are now required by a number of the best health insurance policy providers. These exams are crucial in a variety of ways, such as:
- They serve as a benchmark by which the insurance provider can assess the policyholder’s current state of health.
- They disclose any existing medical issues that the applicant might not be aware of.
- These tests’ results reports are crucial records for settling claims.
Benefits of purchasing medical insurance with a pre-policy physical
People purchase medical insurance plans to protect their funds against potential future medical costs. However, proper procedure must be followed to guarantee a quick settlement of claims. Because of this, it’s crucial to make sure the proper steps are taken when buying plans after making a proper health insurance policy comparison.
What are the advantages of purchasing health insurance with a pre-policy medical checkup?
- Reduce your chances of having your claim denied: In some cases, the insurance provider may deny your claim by claiming that the illness was caused by a previously unreported pre-existing medical condition. However, your pre-policy test results may avoid such rejections by making the insurer’s understanding of your disease clear so that an appropriate premium may be charged and non-disclosure won’t be a problem.
- Concessions based on test results: Some insurance firms give applicants who pass particular tests – such as those that measure their body’s amount of nicotine – concessions on their premiums. ##
- Extra coverage for pre-existing conditions: It might be preferable to be informed of a problem at the Pre-Policy Check-up rather than having coverage denied because the condition wasn’t disclosed. The online health insurance provider may even give a specified level of coverage for the condition of the policyholder or offer exceptions from waiting periods based on the examination.
Insurance based on health status: The policyholder’s likelihood of acquiring enough coverage in accordance with their medical condition increases with the timely submission of the medical test results.
What are the kinds of tests typically performed during pre-policy medical examinations?
The tests that are typically performed during the check-up are easy to understand but effective. Here are some examples of basic investigations that were done.
- Full Blood Count (CBC)
- Fasting blood sugar
- Vital signs like heart rate, blood pressure, and respiration rate
- ECG
- Urinalysis
- Lipid profiles
- Tests for blood serum or serology, etc.
Who will cover the cost of the pre-medical examinations?
According to a rule from the Insurance Regulatory and Development Authority (IRDAI), the insurance provider must cover at least half of the expense of the pre-medical checkup. However, the majority of health insurance companies cover the whole cost of such tests. #
Once coverage has been approved, the money is often repaid to the policyholder in situations where health insurers ask policyholders to cover the cost of the medical tests or if the tests are not performed at a centre that is listed.
* Standard T&C Apply
** Currently, there are 2 tax regimes in India – new and old. To get the tax benefit you desire, choose the correct one after consulting an expert. You can opt for a regime change during the next financial year.
# Visit the official website of IRDAI for further details.
## All savings are provided by the insurer as per the IRDAI-approved insurance plan. Standard T&C apply
Insurance is the subject matter of solicitation. For more details on benefits, exclusions, limitations, terms, and conditions, please read the sales brochure/policy wording carefully before concluding a sale.
