‘Post-policy health conditions must be covered’
6 years, 4 months ago

‘Post-policy health conditions must be covered’

The Hindu  

All health conditions arising after the inception of a health insurance policy should be covered and cannot be permanently excluded, a committee has recommended to the insurance regulator. Practices studied In addition, the working group also studied the practices in other countries as well as Indian laws, regulations and regulatory guidelines that could have an impact on health insurance products. The panel recommended that there should not be any permanent exclusions in the policy wordings for any specific disease condition, whether they are degenerative, physiological, or chronic in nature. Insurers must be allowed to incorporate permanent exclusions with due consent of the proposer, which will allow a wider section of the population who have serious pre-existing diseases including persons with disabilities to be insured under health insurance, the panel said.

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History of this topic

Mental health illness, stress and menopause related ailments to be included in insurance cover
5 years, 5 months ago

Mental health illness, stress and menopause related ailments to be included in insurance cover

Firstpost  

Epilepsy, HIV/AIDS, Alzheimer’s and Parkinson’s, physical disabilities will not be covered by insurance policies. Age-related ailments like knee cap surgery, cataract and menopause and puberty related disorders will also be covered by insurance. Here is a list of diseases that are permanently excluded: Sarcoidosis Malignant neoplasms Epilepsy Heart ailments like congenital and vulvar heart diseases, chronic rheumatic heart diseases, stroke, …

With fewer exclusions, will health insurance cost more?
5 years, 10 months ago

With fewer exclusions, will health insurance cost more?

Live Mint  

The insurance regulator recently issued a draft on standardizing and rationalizing exclusions in health insurance policies. Welcome step for consumers but premiums may increase The draft guidelines issued by the Insurance Regulatory and Development Authority of India aim to promote a uniform approach while incorporating exclusions in health insurance products. The prominent ones among them are treatment of mental illness, …

What is pre-existing disease exclusion?
6 years, 7 months ago

What is pre-existing disease exclusion?

Live Mint  

The Insurance Regulatory and Development Authority of India has constituted a committee that will look into rationalising and standardising exclusions in a health policy, a move that is hugely positive from the customer’s standpoint as it will remove ambiguity. These could be in the form of a pre-existing ailment, an ailment you already have at the time of buying a …

Can standardisation of exclusions in health insurance policies help customers?
6 years, 8 months ago

Can standardisation of exclusions in health insurance policies help customers?

Live Mint  

Malti Jaswal, chief operating officer, Health Insurance TPA of India Ltd Need to rationalise scope of exclusions One of the most contentious issues, which is also the reason for the highest number of grievances lodged by health insurance policyholders, pertains to “exclusions” under a health insurance contract. The exclusion list today uses too many medical as well as legal jargons …

Health insurance portability: Here’s how to go about it
6 years, 9 months ago

Health insurance portability: Here’s how to go about it

Live Mint  

Health insurance is important for everyone across all age groups. It’s, therefore, important to keep your health insurance policy going by paying premiums on time. There are three kinds of time-bound exclusions or waiting period in a health policy: initial waiting period that applies when you first buy, waiting period on pre-existing ailments which can extend up to four years …

Are Pre-Existing Condition Bans For Health Insurance Still With Us?
10 years, 10 months ago

Are Pre-Existing Condition Bans For Health Insurance Still With Us?

NPR  

Are Pre-Existing Condition Bans For Health Insurance Still With Us? Enlarge this image toggle caption Julie Rovner for NPR Julie Rovner for NPR "Welcome to Cigna," said the letter, dated May 16, on behalf of my new employer, the Kaiser Family Foundation. First, the 1996 Health Insurance Portability and Accountability Act says that if you've had continuous coverage, meaning coverage …

Insurance firm cannot exploit pre-existing disease clause: court
15 years, 7 months ago

Insurance firm cannot exploit pre-existing disease clause: court

The Hindu  

A city consumer court has held that an insurance company cannot take advantage of the exclusion clause of pre-existing disease and repudiate a claim. The court also said: “Only on the basis of assumption and presumption, a claim under the policy cannot be repudiated.” The 1st Additional Bangalore District Consumer Disputes Redressal Forum held this in the complaint filed by …

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