Eligibility for Health Insurance

Understand the Eligibility for Health Insurance

Most of the population today, living an urban lifestyle, often leads an unhealthy life. With increased levels of stress and an unhealthy work-life balance, individuals are often prey to irregular sleep cycles and non-nutritious eating habits. This leads to an open invitation to multiple ailments affecting them in their 40s. Working individuals with a poor work environment, along with a lack of good quality air, food, and water, often suffer from lifestyle issues like hormonal imbalance, hypertension, developing diabetes, and even early cardiovascular problems. It is essential to give your body regular exercise and a nutritious diet to keep health ailments at bay, which, in turn, will deplete your life savings.

Even though the health insurance industry in India is growing, there is still a lack of awareness regarding insurance. The overall factors contributing to the lack of awareness of the importance of having health insurance are a lack of understanding of insurance eligibility, insufficient resources to educate the public regarding health insurance, and the common misconception of no returns on investment. The general mindset of most individuals is that they want guaranteed benefits or returns on the investment; otherwise, it is not considered a worthy investment.

However, post-COVID-19, people have realized the value of a good health insurance plan and how it can protect your life savings from draining in medical bills. To purchase health insurance that provides overall coverage to you and your family, it is essential to understand health insurance eligibility.

Factors to Consider for Health Insurance Eligibility

Selecting a holistic health insurance plan is not an easy task. Health insurance eligibility is a key factor in determining which health insurance is suitable for you and your family. Before investing in any health insurance, an individual must research their health insurance eligibility, which simplifies the selection process. Several factors determine an individual's health insurance eligibility:

• Age of the Buyer: To check your health insurance eligibility, it is essential to fall within the common age limit of 18 to 65 years. The minimum and maximum entry age for health insurance plans may vary according to the insurance providers. For most adults, it lies between 18 to 65 years, whereas if you want to cover dependent children, the insurance eligibility starts from 91 days to 18 years or 25 years.
• Pre-Policy Medical Check-up: Many health insurance providers have the condition of a pre-policy medical check-up for individuals over the age of 45 years. An individual is eligible for health insurance once they undergo the medical tests and their reports indicate good health with no signs of ailments. If health insurance providers do not ask for a pre-policy medical check-up, they may ask the individual to produce their medical history and records of any medical ailments.
• Declaration of Pre-existing Conditions: To be eligible for health insurance, individuals must transparently declare their pre-existing medical conditions to their health insurance provider to avoid any conflicts in the claim process in the future. The transparency of information will help the individual to reap the benefits of their health insurance plan and also allow insurance providers to serve you better.

Common Myths About Health Insurance Eligibility

There are common misconceptions regarding health insurance eligibility that make individuals question their eligibility. We have discussed a few common myths regarding the same:

• If I am unhealthy, I am not eligible for health insurance. This is one of the most common misconceptions amongst many individuals when it comes to purchasing a health insurance plan. A high slice of the population has a drinking or smoking habit and might consider themselves ineligible to purchase a health plan, which is not true. Individuals who fail to maintain a healthy lifestyle and lead a high-risk life will have to pay a slightly higher premium than the rest and will also undergo a few medical tests, but they are perfectly eligible for health insurance.
• If I need maternity and newborn cover, I am not eligible for health insurance. Individuals who are expecting a child are eligible for health insurance and will be covered for all their medical needs and requirements, ensuring a safe pregnancy and post-natal care of the newborn baby. However, there may be some terms and conditions that may vary from insurer to insurer, such as waiting period, cover for only 1 child, etc., but that does not mean an individual is not eligible for health insurance. We suggest you understand the terms and conditions of any health insurance policy and decide if it suits your requirements.
• Declaration of Pre-existing Health Conditions Will Affect My Health Insurance Eligibility. If you are suffering from any kind of pre-existing condition, your insurer may ask you to serve a certain waiting period before they cover your illnesses and may charge you a higher premium. However, if you do not disclose the pre-existing illnesses to your insurer, they may dismiss your application for health insurance entirely, leaving you with no coverage. It is essential to be transparent with your health insurance provider for them to serve you better and for you to have hassle-free medical care. Individuals are eligible for health insurance even with pre-existing medical conditions.
• All Medical Expenses Are Covered by Health Insurance Providers. Health insurance plans do cover hospitalization bills. However, they do not cover consumables like bandages, oxygen masks, gloves, and more. There are certain sub-limits that are set up to determine how much coverage is offered by the health insurance providers.
• Hospitalization Claims Have to Be Made Only for Procedures Taking 24 Hours and Above. This is one of the most common myths when purchasing health insurance. You are eligible for health insurance even if you are going for a day care procedure like cataract treatment or any other medical procedure that requires less than 24 hours of hospitalization. Almost all health insurance plans today cover day care procedures as most medical procedures are now simpler due to advancement of technology in the medical field.

Conclusion

Health insurance plans are a necessary and safe investment that safeguard you in the face of unforeseen circumstances. An individual must gain knowledge and read the policy terms carefully to understand their health insurance eligibility, as it varies from insurer to insurer. A health insurance plan will provide you various benefits such as pre and post-hospitalization benefits, room rent, ICU, day care treatments, and more.

How to Purchase Health Insurance Plans Online?

Once an individual has locked down on the health insurance plan they want and determined their health insurance eligibility, it is fairly simple to purchase any health insurance plan.

Buying from PolicyX.com

1. Fill in the details in the 'Calculate Premium' form.
2. The next page will show all the available plans.
3. Choose the Liberty health plan and click on 'Buy Now'.
4. Pay the premium and your policy document will be shared with you on your registered email ID.

Why Buy from PolicyX.com?

With so many buying options available in the market, one must think about why they need to choose PolicyX.com. Well, we are here to answer:

• IRDAI Approved: The Insurance Regulatory Development Authority of India (IRDAI) is a regulatory body created to protect the policyholder's interest. PolicyX.com follows all the guidelines and protocols approved by the IRDAI.
• Free Comparison Service: With PolicyX.com, you can easily compare the best Health Plans in India without paying any extra amount.
• Compare 15 Companies in 30 Seconds: With us, you can compare up to 15 companies in just a few seconds.
• Buy Insurance Within 5 Minutes: With PolicyX.com, you can buy your policy online without any hassles. We offer an easy 4-step online buying process that allows you to buy your policy without any trouble.
• 24*7 Customer Service: The experts of PolicyX.com are always available to resolve any of your insurance-related queries.
• Free Future Claim Assistance: Our team will assist you at every step of your claim process. Be it claim intimation, documentation, or any other process, we are always there to help.