Eyes are the window to the world and its beauties. Any mishap to the eyes can lead to loss of vision. A cataract is the term famous worldwide. There is no corner in the world left untouched by cataracts.
A cataract is a disorder concerning human eyes. In cataracts, clouding occurs on the natural eye lens. It can lead to impaired vision or loss of vision. It has three variants:
Cataracts can even lead to blindness if not treated in time. In case of hazy vision or any doubt, the doctor should be consulted at the earliest to control the disorder at the initial stage.
Earlier cataract was common among people above 60 years of age. At present, it is found among people in the 40s. There can be several reasons for the occurrence of cataracts. It might be because of smoking, obesity, diabetes, high blood pressure, excessive alcohol intake, etc. People who have undergone eye surgery or having an eye condition are more vulnerable to this disease. Aging people are prone to the disorder.
Yes, there is provision for the inclusion of cataract treatment in the health insurance policy. There might be a possibility, that few of the health insurance policy does not include cataract treatment. So, it must be checked properly in the policy details at the time of purchasing the policy. In case you already withhold a health insurance policy then you can check in the policy documents and the inclusions of the policy.
The insured needs to serve the waiting period to utilize cataract treatment coverage. Generally, the waiting period in most of the health insurance companies is for 2 years for treatment-related cataracts. But, it should be confirmed with the concerned insurance company if they provide the facility.
The claim limit is completely in the hands of the insurance companies providing a cataract health insurance facility.All that is to be done is to check the inclusions and exclusions of the policy properly.
Few insurers might have set claim limits under the cataract health insurance whereas few companies might not have set any such claim limit. The claim limit for cataract treatment is finalized by the health insurance company based on the sum insured and in some cases, it can also be on the percentage basis. For example, 10% of the sum insured up to INR 25000(Maximum).
Here is the name of a few of the health insurance company and the names of their plans which provides cataract health insurance cover. One thing common in all of the plans mentioned below is that they all have a waiting period of 2 years. The other details have been mentioned below:
|Health Insurance Company||Health Plans||Cataract Surgery Claim Limit|
|ICICI Lombard||Complete Health Insurance||Offers a claim limit up to Rs.20,000 for each eye.|
|Care Health Insurance(formerly known as Religare Health Insurance)||Care freedom (Senior Citizens)||They do not have any sub-limits relating to cataract treatment insurance cover.|
|Star Health Insurance||Senior Citizen Red Carpet Policy||They offer maximum claim limit up to Rs.25,000 and it also depends on the insures sum.|
|Oriental Insurance||Happy Family Floater Policy||There are no cub limits relating to the cataract treatment under the health insurance cover.|
|SBI General Health Insurance||The claim limit is dependable on the sum insured and the maximum limit is up to Rs.25,000.|
|Apollo Munich Health Insurance||Optima Senior||Apollo Munich has not set any claim limit for the cataract treatment insurance.|
|Bajaj Allianz Health Insurance||Health-Guard||The claim limit is 10% of the sum insured and the amount can go higher to Rs.35,000.|
In India cataract is common impairedness in the people who are 40 years and above in age. The chances of the disorder increase with the increase in age. In the treatment of cataracts, the average expense may range from Rs.15,000 to Rs.35000 in India.
Insurance companies have several procedures and plans for cataract health insurance. All that is required to be done is research and buy a health insurance plan covering cataracts.
There might be a probability that the group health insurance provided by the employer includes insurance for cataracts. But, it always depends on the insurance company providing group health insurance. There might not be a waiting period in this case.
Eyes are the most precious part of the human body and it should be procured in any of the challenging conditions. Health insurance for cataracts is a ray of hope for the sufferers. Surgery is the only way out for cataracts and the fund can easily be sponsored by the health insurance companies. So, take the initiative at the earliest if you are having the cataract symptoms.
Written By : Naval Goel
Last Updated : November, 2019
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