Medical Insurance: Pre-Existing, What You Should Know Before Contracting

When you are going to hire Major Expenses Medical Insurance, it is very important to take into account many important aspects when doing so, because not considering them may generate false expectations.

You should take into account if you have pre-existing. But what are pre-existing conditions and how can they affect you when taking out Medical Insurance?

As its name indicates, pre-existing conditions are those diagnoses or illnesses that the person already has prior to the date of contracting the Medical Insurance. That is, it is any health condition that the person already knows they have.

When if there is a pre-existence?

Most medical insurance companies in India understand the following medical conditions as pre-existing:

That the disease or pathology has been diagnosed by a medical specialist.

That illness had already produced expenses.

That due to its different symptoms or signs, it could not go unnoticed.

The last point is extremely controversial: there have been cases of insurers that deny Medical Insurance to a certain patient or do not cover certain medical expenses, because shortly after contracting an illness or pathology is detected that supposedly already existed before the entry into force of the policy.

When does a pre-existence not exist?

There is no pre-existence when the person, obviously, does not suffer from said disease or pathology prior to contracting the Medical Insurance or if they currently have some disease that they do not know about and that has not caused symptoms or discomfort, and was not previously detected.

What to do if you already have an illness?

In these cases, it must be indicated when filling out the insurance application at the time of contracting the Insurance; and it will be the insurance company that will finally decide if it covers the medical expenses that it may cause after the entry into force of the policy. The insurer may give any of the following answers when ruling on the result of the issuance of your policy.

1 Deny the Policy

2 Definitively exclude your preexistence but will give you coverage for other new conditions

3 Put a waiting period for said pre-existence. In other words, after a while, you can cover it as long as the requirements you have are met.

4 Charge an extra premium but cover the pre-existence

5 Apply a special deductible and/or coinsurance in the event of a claim related to that pre-existence

Medical Insurance is, in essence, preventive. That is if you already know you are sick or you speculate that you are. Unfortunately, health insurance is not the option. We invite you to review other topics and information on our website and forum