Importance of Undergoing Pre-Medical Examination
For a variety of reasons, the beneficiary must submit the results of the medical exams he/she undergoes.
Numerous companies issue Mediclaim policies without requiring you to undergo medical tests. This might initially seem alluring, but it can cause significant problems when submitting a claim. Buying a health insurance plan without undergoing a pre-medical examination means the candidate is responsible for disclosing any existing medical conditions. Before a health insurance plan is approved, applicants who opt for pre-medical exams have a financial advantage in the shape of a discount. Candidates who perform well on the medical examination may be eligible for reductions in the premium because their chances of filing a claim greatly diminish.
Pre-existing condition coverage is a significant advantage of selecting health insurance policies that subject candidates to pre-medical examinations before Mediclaim approval. After a predetermined waiting period, the provider will typically give coverage against pre-existing conditions. Unfortunately, when we least anticipate it, illnesses often strike, causing financial and emotional hardship. But having a pre-medical exam guarantees that the applicant is fully conscious of their ailments and state of health, making it easier for them to get the appropriate care when needed.
Pre-medical exams are a crucial instrument for assisting applicants in selecting an appropriate level of coverage depending on their present state of health. With this, the applicant and their family members can ensure they receive the relevant health insurance policy benefits.
Benefits of Buying Medical Insurance with Pre-Policy Medical Tests
People purchase medical insurance plans to protect their funds against potential medical costs. Hence, taking proper steps when buying a health insurance policy is crucial.
The insurance provider may sometimes deny your claim by claiming that a previously unreported pre-existing medical condition caused the sickness. Your pre-policy test findings, however, might avoid such rejections by clearly stating that you did not suffer from the illness before purchasing the policy.
Some insurance providers give applicants who pass particular tests — such as those that measure their body's amount of nicotine — discounts on their premiums. Likewise, you might be entitled to a discount on your health insurance premium if there are no signs of this substance in your blood.
If you come to know about a medical condition during the Pre-Policy Check-up, you can opt for a policy that covers it rather than being refused coverage due to non-disclosure. Depending on the examination results, the health insurance provider may even give a specific coverage level for the policyholder's circumstance or offer waiting period exclusions. However, the likelihood of being underpaid gets nearly eliminated by seeking a Pre-Policy Medical Check-up. In addition, the policyholder's chance of getting adequate coverage as per his/her medical condition increases with the timely submission of the medical test results.
Common Tests Include:
Pre-medical examinations required for a healthcare insurance policy depend on the insurer and the proposer's medical history and disclosure. However, the following are some pre-medical tests that all insurance providers assess.
The BMI test determines your body mass index, which assesses your weight and height (BMI). This aids the insurance company in determining whether you are at a good weight, an unhealthy weight, or somewhere in between. The urine analysis test helps insurers decide whether or not you suffer from elevated blood sugar levels or other conditions.
The RBC examination assesses the body’s red and white blood cells. This enables the insurance provider to verify that you don't have any undiagnosed health issues.
Diabetes is a severe illness that harms one's health. Insurers use blood sugar levels as a crucial metric to determine whether you have type I or type II diabetes.
The kidney function test reveals whether your kidneys are functioning normally. The liver function test evaluates the liver's condition to determine whether any problems exist.
The lipid profile evaluates your body’s blood cholesterol levels to eliminate any issues and their impacts on your health. Next, TMT examines your heart's health and performance. It measures the capability of your heart under conditions of high stress. Echocardiography shows whether you have cardiovascular issues or your heart is functioning properly. There are several procedures involved, including 3D and stress echocardiography.
What are the charges for these tests?
Medical exams ascertain a potential policyholder's present health status. Considering the health status enables the insurance provider to offer greater coverage and lowers the likelihood of a claim’s denial or rejection. The insurance company will cover half of the pre-medical check-up expenses, and the policyholder will cover the other half, following IRDAI regulations.
- The costs of these pre-medical tests vary as different diagnostic centres and hospitals have various charges.
- Many diagnostic facilities and hospitals provide pre-medical check-up packages in different Indian cities, and costs may differ.
- Most simple tests start with a doctor’s visit and physical examination. These health exam packages are affordable, and most clinics can customise them to meet needs. Some insurance providers cover the complete expense of the pre-medical exams to lessen their obligations to policyholders.
- Some health insurance providers advise their customers to cover the cost of the pre-policy medical assessment themselves. The insurer refunds the customer after he/she purchases the plan.
If any pre-existing health condition is detected, paying a slightly higher premium will widen the scope of your healthcare policy’s coverage. You can talk to your prospective insurance provider to figure out the percentage of the costs the insurer will reimburse, as well as the charges for undergoing the evaluation.
Pre-policy medical examinations can identify any potential future problems. Packages for pre-medical check-ups provide a complete assessment of your current state of health. Therefore, a good first move is to choose packages that, at the very least, include the fundamental exams.