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Roopam

Roopam Asthana  | Answer  |Ask -

Answered on Jul 06, 2021

Dakshay Question by Dakshay on Jul 06, 2021Hindi
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My father is 51 (has diabetes and hypertension) and my mother is 42 (she has her thyroid glands removed; she has to take pills daily). Can they get health insurance at this age and with these preconditions? If yes, do they have to undergo medical tests before they are offered insurance?

Ans: Yes, they can get insurance at this age. They will need to undergo a pre-policy medical test as these are mandatory for most insurance companies and help the insurance company to make decisions on appropriate cover for the insured or denial of the same. These tests play a pivotal role during the claims process.

A claim can get rejected if the insurance company discovers that the illness was caused due to a pre-existing medical condition that was not disclosed by the policyholder. So, it is advisable to disclose all pre-existing illnesses and to go for such pre-medical test as it makes it easier for both the insurance company and policyholder at the time of the claim.

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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Ramalingam

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I want to take Health Insurance for my mom and dad , But not sure if they contain pre existing disease or not. As My Mon often get sick. And I if take Health Insurance Blindly I might need to be waiting list or company can reject claim stating you didn't mention about pre diseases. Please Guide what steps I need to take
Ans: It's commendable that you're considering health insurance for your parents. It's a vital step towards securing their well-being.

Understanding your parents' health condition is crucial before purchasing insurance. Consider scheduling a comprehensive health check-up for them. This will help identify any pre-existing conditions they may have.

If pre-existing conditions are found, don't worry. Many insurance policies cover pre-existing illnesses after a waiting period. Disclose all relevant information to the insurer transparently to avoid claim rejections later.

Opting for a family floater health insurance plan can be beneficial. It covers the entire family under a single policy, including pre-existing conditions after the waiting period.

Compare different health insurance policies, considering factors like coverage, premium, waiting period, and claim settlement ratio. Choose a plan that suits your parents' healthcare needs and your budget.

Regularly review and renew the health insurance policy to ensure continuous coverage. As a Certified Financial Planner, I'm here to guide you through this process and address any concerns you may have.

Remember, investing in your parents' health is an investment in their happiness and well-being.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

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Ramalingam

Ramalingam Kalirajan  |5367 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jul 24, 2024

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SIR/MADAM, I AM INTERESTED IN TAKING A HEALTH INSURANCE POLICY FOR MY ELDER BROTHER WHO IS 82 YEAR OLD INDIAN SENIOR CITIZEN. HE HAD CAD IN 2016 AND ANGIO PLASTY DONE. HE HAS ELEVATED CREATINE AND UREA LEVEL . HE TAKES REGULAR MDICINES. CAN I TAKE A HEALTH INSURANCE POLICY IF SO WHICH INSURER ? PLEASE HELP
Ans: Health Insurance for Senior Citizens with Pre-existing Conditions

1. Availability of Health Insurance for Senior Citizens:

Coverage Challenges:

Health insurance for senior citizens, especially those with pre-existing conditions, can be challenging. Most insurers have strict underwriting guidelines for elderly applicants.
Pre-existing Conditions:

Existing conditions like CAD, elevated creatinine, and urea levels often lead to higher premiums or exclusions.
Policy Options:

Some insurers offer policies for senior citizens but with specific terms related to pre-existing conditions.
2. Insurer Considerations:

Age Limits:

Choose insurers that cater to elderly individuals. Many insurers have age limits that might exclude those above 70-75 years.
Pre-existing Conditions Coverage:

Look for insurers who provide coverage for pre-existing conditions after a certain waiting period.
Hospital Network:

Ensure the insurer has a broad network of hospitals, especially those known for treating cardiac conditions and renal issues.
Cashless Facility:

Verify if the insurer offers cashless treatment in a wide range of hospitals.
Premiums and Terms:

Compare premiums, policy terms, and sub-limits. Policies with higher premiums often offer better coverage for pre-existing conditions.
3. Recommended Insurers:

Leading Insurers:

Reputable insurance companies in India like Star Health, Max Bupa, and HDFC ERGO often provide policies for senior citizens.
Specialised Plans:

Some insurers offer specific plans designed for senior citizens, covering various medical conditions with benefits like no claim bonus and coverage for pre-existing conditions.
4. Steps to Take:

Consult Insurers:

Contact multiple insurers to discuss policy options based on your brother's health conditions.
Medical Examination:

Some insurers may require a medical examination. Ensure all relevant health information is disclosed.
Professional Help:

Consult a Certified Financial Planner or insurance consultant to get the best policy recommendation and to navigate the options available.
Policy Review:

Carefully review policy documents and terms before purchasing. Ensure that all pre-existing conditions and future medical needs are covered.
Final Insights

Securing health insurance for an 82-year-old with pre-existing conditions requires careful consideration. Look for insurers with policies catering to senior citizens and those that cover pre-existing conditions after a waiting period. Leading insurers like Star Health, Max Bupa, and HDFC ERGO might offer suitable options. Consulting a Certified Financial Planner can provide personalized assistance and ensure that you choose the best policy for your brother's needs.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

..Read more

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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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