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Financial Planner - Answered on Feb 10, 2024

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Asked by Anonymous - Feb 09, 2024Hindi
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Do health insurance companies provide mediclaim for diabetics and cancer patients?

Ans: Yes, some health insurance companies in India offer mediclaim coverage for diabetics and cancer patients, but with certain conditions and limitations. Here's a breakdown:

For diabetics:

• Specific diabetes-focused plans: Several insurers offer dedicated health insurance plans for diabetics, covering medical expenses related to managing the condition, including:
• Daycare treatments: Dialysis, insulin pump therapy, etc.
• Pre and post-hospitalisation expenses: Doctor consultations, lab tests, medications.
• AYUSH treatments: Ayurveda, Yoga, Unani, Siddha, and Homeopathy.
• Critical illness cover: Coverage for specific complications like kidney failure.
• Regular health insurance plans: Many regular health insurance plans also cover pre-existing conditions like diabetes after an initial waiting period (2-4 years typically). However, coverage for specific diabetes-related expenses might be limited or excluded.

For cancer patients:

• Dedicated cancer-focused plans: Similar to diabetes, some insurers offer specific cancer insurance plans covering:
• Cancer treatments: Chemotherapy, radiation therapy, surgery, etc.
• Hospitalisation expenses: Room rent, nursing charges, etc.
• Loss of income: Financial support during treatment.
• Regular health insurance plans: Most regular health insurance plans cover cancer treatment after a waiting period. However, specific aspects like pre-existing stages, claim limits, and exclusions might apply.

Important things to remember:

• Pre-existing condition loading: Both diabetics and cancer patients might face higher premiums due to their pre-existing conditions.
• Waiting period: You might have to wait for a specific period (typically 2-4 years) before claiming benefits related to your pre-existing condition.
• Exclusions: Policies might exclude certain treatments, stages of cancer, or complications arising from pre-existing conditions.

Recommendations:

• Compare plans: Carefully compare various plans offered by different insurers, focusing on coverage details, exclusions, waiting periods, and premium costs.
• Consult an advisor: Seek guidance from a qualified insurance advisor who can understand your specific needs and recommend suitable plans.
• Disclose your condition: Always disclose your pre-existing condition (diabetes or cancer) accurately when applying for insurance.

Remember, this information should not be considered financial advice. Please consult with a qualified professional for personalised guidance on choosing the right health insurance plan.
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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Financial Planner - Answered on Jan 28, 2024

Asked by Anonymous - Jan 27, 2024Hindi
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Is there any good medical insurance cover for diabetics? Could you suggest which are the best mediclaim option plans for diabetics in India. I am from Raipur in Chhattisgarh.
Ans: While availability of insurance plans can change you are requested to consult a professional medical health insurance agent who can assist you with your mediclaim requirements. However, I can provide you with some general guidance on finding suitable medical insurance for individuals with diabetes in India.

Star Health Diabetes Safe Insurance Policy:

• Star Health is known for its diabetes-specific insurance plans.
• Diabetes Safe Insurance Policy is designed exclusively for individuals with diabetes.

New India Assurance Jan Arogya Policy:

New India Assurance offers Jan Arogya Policy, which covers pre-existing conditions after a waiting period.

Apollo Munich Optima Restore Family Health Insurance:

• This plan provides coverage for diabetes after a waiting period.
• It offers a Restore benefit, which automatically restores the sum insured if it gets exhausted during the policy year.

Max Bupa Health Companion Individual:

Max Bupa offers the Health Companion Individual plan, which covers diabetes after a specified waiting period.

HDFC ERGO Health Suraksha Gold:

• This plan provides coverage for diabetes after the waiting period.
• It offers cashless hospitalisation, and the sum insured can be enhanced through the multiplier benefit.

It's crucial to carefully read the policy documents, terms, and conditions to understand the coverage details, waiting periods, exclusions, and other important aspects. Additionally, consider factors such as the network of hospitals, claim settlement ratio, and customer reviews when choosing an insurance provider.

Before making a decision, I recommend contacting insurance agents, checking the official websites of insurance companies, or visiting their local branches to get the most up-to-date and accurate information on available plans. You can also consult with a financial advisor or an insurance expert to find the best plan that suits your specific needs and preferences.

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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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