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46-Year-Old with High Cholesterol: To Disclose or Not to Insurance?

Milind

Milind Vadjikar  |134 Answers  |Ask -

Insurance, Stocks, MF, PF Expert - Answered on Sep 04, 2024

Milind Vadjikar is an independent MF distributor registered with Association of Mutual Funds in India (AMFI) and a retirement financial planning advisor registered with Pension Fund Regulatory and Development Authority (PFRDA).
He has a mechanical engineering degree from Government Engineering College, Sambhajinagar, and an MBA in international business from the Symbiosis Institute of Business Management, Pune.
With over 16 years of experience in stock investments, and over six year experience in investment guidance and support, he believes that balanced asset allocation and goal-focused disciplined investing is the key to achieving investor goals.... more
Asked by Anonymous - Mar 01, 2024Hindi
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I am 46 years old and planning to taka e a health top up policy. Although my cholesterol levels are well within limits, to reduce the risk factor my doctor has advised me to take medicine to lower it. Should this be disclosed to the insurance provider. What if I do not disclose this and cross the 2-3 years of waiting period before any health complication regarding heart comes up?

Ans: If the values are within limits you need not disclose it, but you must clarify upfront regarding any family history of cardiac problems in your lineage.
DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Users are advised to pursue the information provided by the rediffGURU only as a source of information to be as a point of reference and to rely on their own judgement when making a decision.
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iam holding a health insurance policy from bajaj for 15 lakhs. iam told that one has to disclose ailments if any, while taking policy. i was suffering from high bp when i took policy, but do not remember whether the same had been dic sclosed or not at the time of taking policy. the policy is more than 3 years old, and no claim has been made under this. will in the future my claim for any heart related ailements that i might suffer , gets rejecte by company on grounds that bp was not disclosed while taking policy. 12.03.2024
Ans: It's essential to be transparent about pre-existing conditions like high blood pressure (BP) when applying for a health insurance policy. While I can't provide a definitive answer without reviewing your policy documents and the specific terms and conditions, here's some guidance:

Review Policy Documents: Take some time to carefully review your health insurance policy documents. Look for any clauses related to non-disclosure of pre-existing conditions at the time of policy issuance.

Contact the Insurer: If you're unsure whether you disclosed your high BP when taking the policy, consider reaching out to the insurance company directly. They can provide clarity on the information provided during the application process.

Grace Period: Since your policy is more than 3 years old and you haven't made any claims, it's possible that any non-disclosure issues may be considered lapsed due to the grace period typically provided by insurers.

Future Claims: In the event that you develop heart-related ailments in the future, the insurance company may investigate whether the non-disclosure of high BP was intentional or unintentional. If it's determined that the non-disclosure didn't affect the underwriting decision or the terms of the policy, your claim may still be honored.

Seek Professional Advice: If you're concerned about the potential impact of non-disclosure on future claims, consider consulting with a legal or insurance expert who can provide personalized guidance based on your specific situation and policy terms.

Ultimately, it's crucial to maintain transparency with your insurer and ensure that all relevant information, including pre-existing conditions, is disclosed at the time of policy application to avoid any complications during claim processing.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

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Moneywize

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Financial Planner - Answered on May 28, 2024

Asked by Anonymous - May 26, 2024Hindi
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At 50 I want to take a top up mediclaim policy. Although my cholesterol levels are under normal range, my doctor has advised me to take medicine to lower it so as to reduce whatever the risk factor. Should I tell this to my insurance company? What if I do not disclose this and cross the 2-3 years of waiting period before any health complication regarding heart comes up?
Ans: When purchasing a mediclaim policy, it is crucial to disclose all relevant health information to your insurance company, including your current medication for cholesterol, even if your levels are within the normal range. Here's why:

1. Transparency and Honesty: Insurance contracts are based on the principle of utmost good faith (uberrima fides). Failing to disclose complete information can be considered a breach of this principle, potentially leading to the rejection of claims.

2. Pre-existing Conditions: Insurance companies often have specific clauses related to pre-existing conditions and waiting periods. Disclosing your medication helps ensure that your policy accurately reflects your health status, and any pre-existing conditions are appropriately considered.

3. Claim Rejection Risk: If you do not disclose your medication and later file a claim related to a heart condition, the insurance company may investigate your medical history. Discovering that you did not disclose your medication could result in claim denial or policy cancellation, especially if it relates to a condition you were aware of but did not mention.

4. Legal and Financial Repercussions: Non-disclosure can lead to legal and financial consequences, including denied claims and possible penalties, leaving you without coverage when you need it most.

5. Customised Coverage: Providing complete health information enables the insurance company to offer a policy that best suits your needs, potentially providing better coverage options or terms specific to your health situation.

To ensure you are fully covered and avoid complications:

• Disclose All Health Information: When applying for the policy, include all relevant details about your health, including medications and doctor's advice.
• Read the Policy Document Carefully: Understand the terms and conditions, especially regarding pre-existing conditions and waiting periods.
• Consult Your Insurance Agent: If you have any doubts or need clarification, consult your insurance agent or a financial advisor to ensure you are fully informed and compliant.

By being transparent about your health status, you can secure your mediclaim policy effectively and avoid potential issues with future claims.

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I am having a home loan of 12 lac for 20 years @8.7p.a. roi. I am about to have estimated 4500 Surplus every month out of which I will invest rs 1200 in sip with 1% step up every year and rest in principal. My query is 1-Please suggest the fund names for excellent growth to recover all the interest and principal(if possible). 2- Bank has committed to review and revise roi every year based on my cibil. I want to get this statement verified from the expert 3-My Cibil score is 790 at present. I am a regular user of credit card, pay dues timely, my average monthly bill is 2000/- only. and as told above I am going to have a home loan. I want my cibil score 825. How much time will it take to increase my cibil by 35 points.
Ans: Hello;

Your home loan of 12 L with 8.7%(considered fixed for calculation sake)and 20 year tenure is expected to have an interest outgo of 13.36 L

If you start a SIP of 1200 with 1% top-up each year then it will yield you a corpus of 14.55 L, after 20 years,thereby covering your interest outgo

If you want principal also to be covered for recovery through your investment then you must make a SIP of 2100 with 1% top-up each year which will yield you a corpus of around 25.56 L, after 20 years, thus exceeding your entire loan outgo(principal+ interest) of 25.36 L.

Here I have considered moderate return of 13% and recommend you to invest in PPFAS flexicap fund.

CIBIL score of above 750 is considered excellent and bank should offer you best possible ROI. Do check with other banks for best offer.

CIBIL Score calculation depends on:
Repayment history(35%)
Credit Utilisation (30%)
Credit history(15%)
Credit Mix(10%)
New Credit(10%)

My opinion is you are already in the excellent cibil rating category and should get best ROI from the bank.

CIBIL score increase happens over a period of time based on positive development on aforementioned criteria.

*Investments in mutual funds are subject to market risks. Please read all scheme related documents carefully before investing

Happy Investing!!

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DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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