Employees should buy Health Cover
Most salaried employees who are covered by their employers group health insurance schemes put off buying personal health covers till they are close to retirement. Some may buy it only after retirement. But it makes sense to buy an individual policy, or at least a top- up even while you continue to enjoy your employer- provided schemes. This is because of the waiting periods which do not allow you to claim immediately after buying the policy. In group policies, there is typically no waiting period.
Most policies have a 30- 90 days waiting period, during which you will not be able to claim any hospitalisation expense, except in case of accidents. This is to ensure that the buyer does not purchase the policy immediately after he or she is diagnosed with an illness and then try to claim the money for the treatment.
Then there is a waiting period for specific ailments like cataract, stones ( kidney or urinary tract stones), arthritis, hysterectomy, hip or knee replacements and so on. The waiting period in these ailments vary from one to two years. Most companies have a list of 10- 20 such ailments. Some companies may have a longer waiting period for those above 60 years.
There is also a personal waiting period which would include ailments like diabetes or high blood pressure, which are discovered at the time of the medical check- up while buying the policy. This waiting period, too, is typically for two years.
Then there is a waiting period for pre-existing diseases which may not get disclosed during the medical check- up. This can be up to four years, which is the maximum limit prescribed by Irda.
Medical check- up is restricted and there could be conditions may not get detected. So, at the time of hospitalisation if the doctor says that the particular condition was pre-existing then it may not get covered. By an additional payment over the premium the waiting period could be reduced to from the standard 48 months to 24 months on payment of additional premium. This option is available even for reducing the waiting period for maternity covers. While porting insurance policies, getting the benefit of the waiting period may not be easy. In some cases you may get it only if you port to a plan within the same company, but not if you port to another company. The new company you want to move to can always say that the features of their product are not the same as your existing plan, and hence, your waiting period may not hold good
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