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Check Health Insurance For High Risk Individuals - Plans And Coverages

Wish

Written by Amit Jain

Updated Sep 16, 2024

As we all know, the health of an individual is considered equal to wealth and if your health is good then you are a wealthy person. But in life due to some reasons, people get diagnosed with some critical diseases and treatment for those diseases is costly as compared to other diseases. So to lower the risk of hefty hospital bills that arise during the treatment of high-risk diseases one should take health insurance to be on the safer side. 

What Are High-Risk Health Conditions?

High-risk health conditions are those in which the chances of getting severe illness are high and it can be the reason for death. Diseases caused by high-risk health conditions can damage the whole body and make your immune system ineffective in fighting against any infections and diseases. There can be lots of reasons for getting diagnosed with high-risk health conditions and different reasons cause different types of diseases.

Types of High-Risk Health Conditions

Reason for High-Risk Health Conditions

  • Genetic
  • Occupation
  • Lifestyle 
  • Environment 

Why Do High-Risk Individuals Need Specialised Health Insurance Plans?

Health Insurance for High Risk Individuals

Buying health insurance means transferring your risk to the health insurance company for the expenses related to your treatment. High-risk individuals need specialised health insurance because the chances of getting diagnosed with serious disease is high. To reduce the burden of heavy bills of the hospital an individual should have health insurance for high-risk. An insurance company is taking a big financial risk by giving health insurance to individuals with high-risk health conditions or pre-existing diseases. Insurers keep some terms and conditions on the policy designed for the high-risk and its premium is high as compared to other plans, also there are exclusions available in these plans.

Types of Health Insurance Plans for High-Risk Individuals

Providing health insurance to a high-risk individual is a very big risk that an insurance company is bearing and that also depends on the underwriter. The underwriter can reject your policy if the condition of the disease is critical. 

There are few companies that provide health insurance to high-risk individuals but with few terms and conditions. Here are a few terms and conditions that are available in the plans of different companies.

If an individual is a cancer patient and his/her treatment is going on then no company will provide health insurance.

When cancer is cured then after 2 years there is a plan of Care Health Insurance named “Care Freedom” that gives health insurance to the person who is cured of cancer. Here is the plan and company that offers health insurance to the person suffering from cancer:

Plan Name

Company Name

Sum Insured

Care Freedom

Care Health Insurance

Rs. 3 Lakh to Rs. 10 Lakh

If a person is a heart patient and wants health insurance, then there are some companies that provide health insurance for the heart patient but there are terms and conditions on which the underwriter approves the policy. Health insurance for heart patients depends on the number of stents and devices available in the body. Here are the plans and companies that give health insurance to the person suffering from heart disease:

Plan Name

Company Name

Conditions

Care Freedom

Care Health Insurance

Upto 2 stents (Along with the waiting period)

Aditya Birla Active 1Max

Aditya Birla Health Insurance

Upto 2 stents (Along with the waiting period)

Care Heart

Care Health Insurance

With Pacemaker (Along with 2 years of waiting period)

If a person is suffering from lung disease and wants to purchase health insurance then there are companies available in the market that provide health insurance. Companies keep some terms and conditions before issuing a policy to a person suffering from lung disease. Here are the plans and companies that offers health insurance to the person suffering from lung diseases:

Plan Name

Company Name

Conditions 

Care Freedom

Care Health Insurance

With a waiting period of 2 years

Aditya Birla Active 1Max

Aditya Birla Health Insurance

With a waiting period of 3 years

What To Look For In Health Insurance For High-Risk Individuals?

While purchasing health insurance for high-risk individuals one should look for the below-given factors: 

  • Coverage: Always check the coverage you are getting from the company in you health insurance for high-risk diseases.
  • Waiting Period: Go through the policy document to check the waiting period of the insurance you are purchasing and choose the policy with less waiting period.
  • Medication Coverage: Critical disease treatments are very expensive and their after-treatment medication is much costlier than other diseases.  So always look for a plan that will cover your medication cost also after treatment.
  • Sum Insured: Always go with the plans that have a high sum insured so that it can cover all the bills of hospitals without affecting your savings.

Eligibility Criteria

  • One should be between the ages of 18 to 65 years old.
  • Must be diagnosed with some High-risk diseases.

Common Challenges Faced By High-Risk Individual

  • Limited Coverage: Many companies have excluded high-risk plans and they do not provide health insurance to high-risk individuals. The companies that are providing high-risk health insurance are giving limited coverage.
  • High Premium: one has to pay a high premium to get health insurance for high-risk diseases. 
  • Waiting Period: Companies keep a long waiting period on health insurance for high-risk people. One has to serve the waiting period to get the benefit of coverage of the insurance.

FAQs

Ques 1. Is there high risk health insurance?

Ans. Health insurance for high-risk is a kind of insurance that is designed for people who tend to get diagnosed with high-risk diseases. It can happen due to different reasons such as lifestyle, occupation, and genetics.

Ques 2. Who is not eligible for health insurance?

Ans. There are certain age limits for health insurance and if you don’t fall in that age group then you are not eligible for health insurance.

Ques 3. What is high risk in medical terms?

Ans. A person or group of people who have a greater chance of developing a serious illness because of their age, health status, geographical region or other factors is known as a high-risk individual, high-risk person, or high-risk community.

Ques 4. Can I get health insurance if I have a pre-existing condition?

Ans. Yes you can get health insurance if you have pre-existing conditions but there will be limited coverage with high premiums.

Ques 5. How can I find an affordable health insurance plan if I have a high-risk health condition?

Ans. You can visit the InsuranceDekho website and from there you can compare the plans of different companies and choose the affordable plans for yourself.

Wish

Written by Amit Jain

Amit is an upcoming name in the motor industry be it new cars/ bikes or used ones. Amit in his last stint worked as a consultant for major Fortune 500 companies across the globe.&Read More

Disclaimer

This article is issued in the general public interest and meant for general information purposes only. Readers are advised not to rely on the contents of the article as conclusive in nature and should research further or consult an expert in this regard.
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