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Things to Know When Buying Health Insurance for Pre-Existing Conditions

Updated On Nov 18, 2021

Abiding by the terms and conditions of the health insurance plans, the health insurance providers offer monetary compensation to their policyholders at an affordable premium rate in case of a medical emergency. These plans not only offer the much needed financial support but also maintain the quality of treatment that is provided to the policyholders at the private hospitals. People can receive cashless claims and intensive care at the network hospitals of the health insurance providers without worrying about the monetary constraints. 

Most of the policyholders believe that the insurance policies do not compensate for pre-existing diseases, but there are several health insurance companies that provide comprehensive and cost-effective health insurance policies that include the medical bills incurred due to the treatment of pre-existing diseases. Therefore, there are certain points that you must consider when looking for a plan that covers for your pre-existing medical conditions. 

Things to Know When Buying Health Insurance for Pre-Existing Conditions

Things To Know When Buying Health Insurance For Pre-Existing Conditions

Following things should be considered when buying a health insurance plan for the pre-existing medical conditions: 

  • Policies Differ 

The inclusions offered under a health insurance policy regarding pre-existing medical conditions, may differ from one health insurance provider to the other. Usually, health insurance companies do not offer any coverage for pre-existing medical diseases, but these days some insurers offer the coverage but with a certain waiting period that might range between 2 to 4 years. Therefore, when buying a plan for pre-existing conditions, you must make sure that your requirements are included under the plan so that you can make claims without any hassles. 

Must Read: Are Pre-Existing Diseases Covered in Health Insurance?

  • All Doctor’s Visits Are Not Counted 

The doctor visits made by the policyholder for illness that have a long lasting impact on the policyholder's health are counted under the health insurance plans. You must not worry about the regular basic visits that are made for cold, cough, or fever related medical treatments. Therefore, you can make regular and general visits to the doctor without worrying about your visit getting counted under the coverage of the purchased policy. 

  • Inform The Insurer About Your Pre-Existing Medical Conditions 

You should never hide your medical profile from the health insurance provider as they can charge you legally against fraud. You must intimate your insurer regarding any pre-existing diseases to make easy claims. Claims requested for medical conditions that the insurer is unaware of, will be rejected. Therefore, for a convenient claim procedure, you must be open about your health profile to your health insurance provider.

  • Pre-Existing Medical Conditions Are Covered

People usually lie about their pre-existing medical conditions as they believe that it might lead to the rejection of the health insurance policy by the insurer; however, the plans for pre-existing conditions are available in the market widely for the policyholders at different prices. You can buy a plan that covers your respective existing medical diseases at an affordable price. These conditions are covered only after a certain waiting period that is specified by the insurer and therefore, you must make haste when investing in a plan. 

  • Waiting Periods Can Be Reduced

The pre-existing medical conditions under a health insurance plan are covered after a specified waiting period. The waiting period for these medical conditions can range between 2 to 4 years. But, these waiting periods can be reduced by the policyholders according to their convenience by paying extra premium amounts to the health insurance providers. Waiting period is the time period during which you cannot avail your purchased health insurance policy. 


Instead of believing the myths on pre-existing diseases coverage under health insurance policies, you can confirm the coverage scope of your plan from the health insurance provider. Another reliable source is your policy terms and conditions, you must carefully go through the policy fine print to understand the policy and avoid any confusion at the time of the claiming procedure. 

Also Read: Hidden Facts About Health Insurance

Disclaimer: This article is issued in the general public interest and meant for general information purposes only. Readers are advised not to rely on the contents of the article as conclusive in nature and should research further or consult an expert in this regard.

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