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Sanjib

Sanjib Jha  |66 Answers  |Ask -

Insurance Expert - Answered on Jul 05, 2022

Sanjib Jha is the CEO of Coverfox Insurance. His expertise includes health and auto insurance. He has over 22 years of experience in the financial sector. He has completed his post-graduation from the Institute of Company Secretaries of India.... more
FAQ Question by FAQ on Jul 05, 2022Hindi
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3. If I have a chronic ailment (diabetes, BP, thyroid, heart cond ition, etc.) can I still get coverage? Should I inform the insurer?

Ans:

Yes. If you have any major health ailments in India -- whether it's Thyroid, BP or Diabetes -- you can still avail of your hospital and medical expenses. There are policies available for patients with the common complications of prevalent conditions like diabetes and thyroid. There is health insurance coverage accessible for everyone, but make sure you notify your insurance provider of any illnesses and understand your policy's coverage.

Thus, when you fill up your proposal form for a health insurance plan, you need to disclose all material facts; else your claim might be rejected on the basis of non-disclosure or misrepresentation of material facts. So, if you have high blood pressure or diabetes, just remember to mention it along with the list of medications prescribed to you. Then, the underwriter will assess your risk and quote the premium accordingly. Also, there could be a waiting period, or, an exclusion attached.

Once the health insurance plan is accepted with the specified risks, all expenses associated with your pre-existing ailment would be covered by your insurer.

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

Ramalingam Kalirajan  |8315 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on May 12, 2024

Asked by Anonymous - Mar 12, 2024Hindi
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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

..Read more

Moneywize

Moneywize   |181 Answers  |Ask -

Financial Planner - Answered on Apr 01, 2024

Asked by Anonymous - Mar 31, 2024Hindi
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If I have a chronic ailment (diabetes, BP, thyroid, heart cond ition, etc.) can I still get coverage? Should I inform the insurer? What if I hide this information from the policy issuer?
Ans: Yes, you can still get health insurance coverage even with a pre-existing chronic ailment like diabetes, high blood pressure, or a heart condition. Here's a breakdown of what to consider:

Disclosing Pre-existing Conditions:

• It is crucial to disclose any pre-existing conditions to the insurer. This is because they assess the risk involved in covering you. Hiding this information can lead to claim rejection later.

Coverage for Pre-existing Conditions:

• Most health insurance plans cover pre-existing conditions, but with a waiting period. This waiting period can range from 2 to 4 years depending on the plan and the severity of the condition.
• There are plans that offer coverage for pre-existing conditions from day one, but they typically come with higher premiums.

Finding the Right Plan:

• Do your research and compare different health insurance plans to find one that offers coverage for your specific chronic ailment and has a reasonable waiting period.

Here are some additional tips:

• Be honest and upfront about your medical history in your application.
• Get a copy of the policy documents and carefully review the exclusions clause to understand what is not covered.
• Consider critical illness plans that provide a lump sum payment for specific critical illnesses, including some chronic conditions.
• Remember, transparency is the key. Disclosing pre-existing conditions ensures you get the right coverage and avoid claim rejections later.

..Read more

Ramalingam

Ramalingam Kalirajan  |8315 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on May 20, 2024

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Hi team, I have a health insurance since 2011. No claims as of now. I don't have BP or Diabetes as of now. the insurance company is NIA. What if in due course of time i develop some lifestyle ailment like BP or diabetes and it goes unchecked. will it affect my claims after that?
Ans: That's a great question! It's fantastic that you've been proactive with your health and maintained good health so far. Let's break down how pre-existing conditions and health insurance claims work:

No Claims and Pre-existing Conditions:

Good news! Having no claims history generally looks good to insurance companies. It shows you've been responsible with your health.
Pre-existing conditions are medical conditions you have before buying health insurance. These might affect your coverage or premiums in the future.
Lifestyle Ailments and Claims:

Lifestyle diseases like BP and diabetes can develop over time. If they go unchecked, they might become pre-existing conditions.
The impact on claims depends on your specific policy and when the condition developed. Some plans have waiting periods for pre-existing conditions. This means you might have to wait a certain time before coverage kicks in for those conditions.
Here's what you can do:

Maintain a Healthy Lifestyle: This is key! Keep up the good work by eating healthy, exercising, and getting regular checkups.
Review your Policy Wording: Look at the section on pre-existing conditions and waiting periods. If unsure, call your NIA customer service for clarification.
Talk to a CFP Professional: A Certified Financial Planner can help you review your health insurance coverage and see if it aligns with your future health needs.
Remember: Early detection and management of lifestyle diseases can make a big difference. Taking care of your health now can benefit you in the long run, both physically and financially.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

..Read more

Latest Questions
Ramalingam

Ramalingam Kalirajan  |8315 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Apr 30, 2025

Money
Hi Sir, My name is Abhishek, and i am 40 years old, I have 12 lakhs in FD, 6 lakhs in MF and stocks(5+1), and 10 lakhs cash, also, i have a flat in Delhi with 15 lakhs home loan, A car loan of 8 lakhs. and i am a software engr. In an MNC, having salary of 1.5 lakhs in a month. ABOVE IS ALL my asset. But i want to be financially free. Is it possible? Please suggest any best practical idea for me. Currently, WFH in ranchi.
Ans: At 40, with your current income and asset base, the goal of financial freedom is definitely achievable. Let’s work towards a 360-degree financial strategy to help you build a solid and practical roadmap.

Below is a complete evaluation and guidance to align your financial life with your freedom goal.

Current Financial Position – Snapshot and Assessment
You have Rs. 12 lakhs in Fixed Deposit.

You hold Rs. 6 lakhs in mutual funds and stocks.

You are keeping Rs. 10 lakhs in cash.

You have a flat in Delhi. You have Rs. 15 lakhs home loan on it.

You also have a car loan of Rs. 8 lakhs.

Your monthly salary is Rs. 1.5 lakhs from an MNC job. You are working from Ranchi now.

You are 40 years old and working in a stable job.

This is a very decent starting point. You are earning well, and you have good savings. But to reach financial freedom, we need better alignment.

Let’s move step-by-step.

Step 1 – Clarify What Financial Freedom Means to You
Financial freedom is not only about quitting your job.

It means you have enough income from investments to cover your monthly needs.

You should be able to choose to work or not, without worrying about money.

So first, we need to estimate your monthly future expenses post-retirement.

Let’s assume Rs. 60,000 to Rs. 80,000 per month today, adjusted for inflation later.

That means you need to create income sources to support at least Rs. 1 crore to Rs. 2 crore in future corpus.

This is not impossible. You have time and income to build this.

Step 2 – Improve the Quality of Your Assets
Let us now improve your asset quality to suit your freedom goal.

Rs. 12 lakhs in Fixed Deposit is very conservative.

FD earns low returns, and interest is fully taxable.

Keep only 4 to 5 lakhs in FD for emergency use.

Move the rest (7 to 8 lakhs) to good quality mutual funds through SIP.

Your Rs. 10 lakhs in cash is too much to keep idle.

Keep Rs. 1.5 to 2 lakhs in savings for short-term needs.

Move the balance Rs. 8+ lakhs to a liquid mutual fund for better returns.

Over the next 3 to 6 months, you can start shifting this towards equity-oriented funds.

Rs. 6 lakhs in MF and stocks is a good beginning.

But if these include index funds or direct funds, you must evaluate them carefully.

Index funds only copy the market, and don’t actively manage risks.

They underperform in falling or flat markets.

A good actively managed mutual fund is better in Indian conditions.

Direct mutual funds look low-cost, but no expert advice is included.

When you invest through a Mutual Fund Distributor (MFD) who is also a Certified Financial Planner, you get proper hand-holding.

Regular funds through a CFP-linked MFD provide portfolio monitoring, review, and behavioural coaching.

This helps avoid panic selling or greed-driven buying.

Step 3 – Work on Your Loans
You have Rs. 15 lakhs home loan.

This is acceptable if interest is below 8.5% per annum.

Home loan offers tax benefits also. So don’t rush to close it.

Continue paying EMIs without stress. Try to pre-pay 1 EMI every 6 months if possible.

This will reduce your loan term.

But do not use emergency cash or investments to close it.

Car loan of Rs. 8 lakhs is a liability without return.

Try to clear this in the next 1.5 years.

Use your bonus or incentives for that.

Avoid buying new cars or gadgets on EMI again.

Step 4 – Build a Systematic Investment Plan
You should be investing 30% to 40% of your monthly income.

That means Rs. 45,000 to Rs. 60,000 per month.

Start SIPs in diversified actively managed mutual funds.

Allocate more in equity-oriented funds for long-term growth.

Keep a small portion in hybrid or conservative hybrid funds for balance.

If you are supporting family, consider a term insurance plan (not ULIP or endowment).

Term insurance is cheaper and offers better coverage.

Also take health insurance for self and family, even if company gives cover.

Step 5 – Emergency Planning and Risk Management
You must keep an emergency fund equal to 6 months expenses.

You already have FD and cash, so earmark Rs. 3 to 4 lakhs for this.

Put this in a separate savings or liquid mutual fund account.

Don’t touch this unless there is an actual emergency.

Review your health and life insurance policies yearly.

Step 6 – Review and Improve Your Monthly Budgeting
Track your monthly expenses. Use simple mobile apps or Excel.

Avoid impulse expenses like gadgets, travel, or lifestyle items.

Stick to a monthly budget. Save before you spend.

Increase your SIPs every year by 10%.

This will match inflation and improve wealth creation.

Step 7 – Don’t Depend on Real Estate for Financial Freedom
Real estate has low liquidity and high maintenance.

Rental yield is only 2 to 3%.

Also, resale takes time and effort.

Don’t invest more in real estate. Focus on financial instruments instead.

Step 8 – Plan Your Retirement and Passive Income Sources
At age 40, you have 15–17 years to retire.

That’s enough time to build a retirement corpus.

If you invest Rs. 50,000 monthly for 15 years in mutual funds, wealth can be significant.

Once you retire, you can shift to monthly income plans from mutual funds.

These generate regular withdrawals with tax efficiency.

You must also reallocate to more conservative funds as you near retirement.

Avoid annuity products. They give low returns and poor liquidity.

Step 9 – Tax Planning and Filing
Use tax deductions wisely under Sec 80C, 80D and home loan benefits.

Keep your investments tax-efficient.

For example, equity fund gains up to Rs. 1.25 lakhs are tax-free annually.

Above this, LTCG is taxed at 12.5%.

Short-term capital gains from equity funds are taxed at 20%.

Debt fund gains are taxed as per your income slab.

You should do tax planning with a CFP who can review your total asset base.

Step 10 – Set Clear Milestones and Review Yearly
Set short, mid, and long-term goals.

For example: close car loan in 1 year, build Rs. 50 lakhs corpus in 5 years, etc.

Track these goals once every 6 months.

If you miss one goal, don’t panic. Adjust and continue.

Stay disciplined with SIPs and avoid timing the market.

Don’t follow tips or market trends blindly.

Final Insights
You are doing well for your age and income level.

But to reach financial freedom, you need more structured planning.

Convert your cash and FDs to wealth-generating assets.

Stop investing in real estate and focus on financial investments.

Eliminate loans step-by-step.

Increase your SIPs regularly and keep your portfolio reviewed by a Certified Financial Planner.

Review your goals, risks, and insurance every year.

Stay consistent and patient. Freedom will come earlier than expected.

You are on the right track. Just need direction, discipline, and dedication.

Best Regards,

K. Ramalingam, MBA, CFP

Chief Financial Planner,

www.holisticinvestment.in

https://www.youtube.com/@HolisticInvestment

...Read more

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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