Can I Change My Medical Expense Insurance?

What about my seniority? What should I consider?

It is important that before considering changing insurance you take into account our recommendations and values ​​for said change.

Will the new insurer recognize your seniority from the previous policy? 

Regardless of the above, are there waiting periods that are not covered by the new plan, and do you have to re-create seniority for them?

You or a member of your family has a pre-existing illness, is undergoing some treatment that is being paid for, or will request payment. Or is any treatment or surgical intervention planned?  

Probably the pre-existing word of the previous paragraph generated one more question. What are pre-existing conditions in GM insurance?

Pre-existing diseases or conditions must meet one of the following conditions:

• The insured already has a diagnosis.
• Treatment has already been received, even if it was at no cost.
• There have been expenses for the care of the accident or illness.
• Symptoms or signs cannot go unnoticed.

There are many diseases that can develop without any apparent symptoms or signs. Examples of this are many types of cancer, autoimmune diseases, or high blood pressure. But these cases would not be considered pre-existing diseases since the insured is unaware that he has a condition. And he has not sought any doctor for treatment.

 * Eye must be diagnosed made by an authorized doctor. Those made by friends and family are not such.

But then if a new insurer gives me recognition of seniority, how will I know that it has been granted?

The new insurer will give you a written acceptance of the time that a person has been injured in major medical insurance. This will be noted in the new policy.

 

However, very often the insured believe that with the recognition of seniority their pre-existing illnesses will be covered, but this is not the case.

 

So, what is the recognition of seniority in medical expense insurance for?

Insurance contracts for major medical expenses in India generally do not provide coverage for certain illnesses until the policy has been in force for a certain time. This is known as the waiting period. And the recognition of seniority allows your insurance not to be limited by these waiting periods. In case your previous insurance is very recent, you can reduce it with the seniority you have accumulated.

We give you the following general list of some conditions that generally appear in all insurers, just consider that they are by way of example.

• Childbirth, cesarean section, and maternity complications
• Gastroesophageal diseases
• Hernias, eventrations, and diseases of the perineal floor
• Gynecological conditions
• Prostate affectations
• Knee care
• Vertebral column ailments
• Lithiasis (stones or calculations) in the kidneys, biliary and urinary tracts
• Tonsil and adenoid surgery
• Cancer
• Varices
• Nose and sinus surgery

 

You must pay close attention to verifying these clauses in the contract. It can be the difference between your claim being covered or not.

If an illness is diagnosed before completing the established waiting period, it will never be covered by that insurance. No matter how much time passes after.

 

How does the pre-existing clause work?

Some health insurance contracts establish that after two years of uninterrupted coverage it is possible to cover pre-existing illnesses. However, it is important to read them very carefully. Here I give you an example:

“After two years of continuous coverage in this Policy and with this coverage contracted with this Company, the expenses for Pre-existing Conditions covered by this coverage that has been declared by the Insured in the application for this contract are covered, as long as during said period he does not receive treatment, nor does he present symptoms and/or signs, nor has he incurred expenses for his care.”

 

It is very unlikely that a disease will not generate any symptoms or expenses for two years. Simply having a review visit or taking medication no longer meets the requirement.

 

Can you take out insurance for major medical expenses while pregnant?

Yes, it is possible, but not convenient. Since this event will not cover you. Childbirth, cesarean section, and maternity complications have a waiting period of 10 months. And in most of the policies, the recognition of seniority does not apply to the said concept.

 So you can see that switching major medical insurance is something that involves care responsible advice and someone trained. But this does not mean that in some situations this is not convenient.