The importance of health insurance in our lives is beyond explanation. Many people only focus on the cost of the policy and its coverage. One main thing that people forget taking into consideration is the exclusions of health insurance plans in India.
Let us consider an example for a better understanding.
Nisha and Tarun have been married for a couple of years. Recently, they decided to start a family and have been trying for it ever since. However, Nisha was diagnosed with a critical infertility condition for which her gynaecologist suggested a surgery.
The couple thought that since they have a health insurance plan under their name, the expenses of the treatment and surgery will be well taken care of. With this mindset, they started with Nisha’s treatment at a top infertility centre in the city.
But to their disappointment, the claims made on their health insurance were rejected by the insurer. Because of the rejected claims, the couple had to face financial turmoil caused due to the treatment and surgery. Later, the couple realised infertility treatments are not covered under their insurance plan and are mentioned explicitly in the exclusions by the insurer. Hence, the claims made towards it were rejected.
The above example reinstates the importance of knowing the health insurance exclusions when buying the policy. Let us take a look at some standard health insurance exclusions.
The following is a list of standard things that are not covered under health insurance plans in India.
While exclusions tend to narrow the scope of the health insurance coverage, they are quite essential. The following pointers will help you understand the need for health insurance exclusions –
The following are the exclusions of health insurance plans available on Finserv MARKETS online.
You must understand the health insurance coverage and exclusions correctly before buying the policy. That way, you will be able to make a successful claim on your health insurance plan. Other things that you can consider when buying health insurance is the premiums charged, coverage of the plan, claim settlement ratio of the insurer, etc. Based on the evaluation, you can then choose a policy that best suits your needs.