EXCLUSIONS in a health policy

The foremost consideration while buying a health insurance policy should be the benefits provided by the policy?

Not Really.

We must deliberate on the exclusions.There is an initial 30 days moratorium on all illnesses except accident. Pre- existing diseases are not covered for 3-4 years. Specified diseases like cataract,hernia,fistula, gall bladder and pancreatic stones etc. are covered after 24 months.

Illnesses caused by war or nuclear radiation are  precluded. Many policies do not cover non-allopathic treatment. Weight control and cosmetic treatment are debarred. There is no protection available for illnesses caused by use of drugs or alcohol.Some policies cover organ donor expenses, others do not.

We must read the policy wordings carefully. Many would not know that while domiciliary treatment is covered, pre or post hospitalization expenses under it, are not compensated.There may a list of diseases(arthritis, laryngitis,etc.) not covered under domiciliary hospitalization.

However, the IRDAI has mandated a few changes for exclusions since October 1, 2019.

It is vital that we must be aware of all the exclusions before buying a health insurance policy.

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