4 Things You Should Know About Pre-Policy Check-Ups

Health insurance plans are really flexible when it comes to medical emergencies. Health insurance helps you plan for a healthy future, not only mentally but also financially. Once you buy health insurance, you do not have to worry about the medicinal costs.

Before buying medical insurance or health insurance, your insurer might ask you to perform some medical tests. This medical check-up is known as a pre-policy medical check-up. Many people try to avoid pre-policy medical check-ups, which is not the right thing to do.

Pre-policy medical check-ups are for the best of both parties. The insurer insists on performing pre-policy medical checks to understand your medical history. It also gives them a fair understanding of the pre-existing medical issues.

Let us understand thefour important aspects of pre-policy medical check-ups:

  1. Common tests

Every health insurance company has a defined policy for a pre-medical health check-up. However, some medical tests are common. For example, blood pressure test, lipid profile, ECG, blood sugar, and so on. The results of these tests influenceyour premium and coverage amount.

  1. Coverage of expenses

The Insurance Regulatory and Development Authority of India (IRDAI) is the regulatory board under which all insurance companies function. It ordains that both the policyholder and the insurance company are supposed to split the expenses of the pre-policy medical check-up equally. Most insurance companies offer to pay the entire cost of the pre-policy medical tests done for this purpose. Some companies ask the prospective policyholder to pay the expenses but make sure they reimburse the amount once the policy is granted.

  1. Premium

Now, when the tests are done, and the reports are in, you need to wait for the insurers call. The general insurance company will soon decide the terms and conditions to give the health insurance policy. One of the following three things happen:

  1. Charge a higher premium

If there are any pre-existing health issues found in the medical reports, the insurer might still grant you the insurance but charge a relatively higher premium. The premium amount will depend on the severity of the pre-existing illness.

  1. A pre-existing condition might be excluded from the cover

The insurance company may decide to give the policy but put your pre-existing condition in the exclusion column. Any health damage caused by the pre-existing medical condition cannot be claimed under such circumstances.

  1. Rejection

Yes! The insurance company has all the rights to reject your proposal for insurance. The policy will be immediately rejected, if the insurer finds any risk factor. It might also be rejected, if they find any pre-existing medical issue that needs frequent hospitalization.

  1. Fewer chances of claim denial

Pre-policy medical health check-ups help your insurer to understand your medical history.Once you do pre-medical tests, your insurer will know about all your pre-existing illnesses. In this way, there are fewer chances to reject your claim. It also helps you to have your illnesses documented for future references.

Health insurance is a must-have investment for all age groups in today’s fast-paced world. Therefore, if you want to make the process of application hassle-free, you can find and buy your plan online.You can check for policies online and use a health insurance premium calculator to predict the premium. Moreover, one must purchase a policy at an early stage of life. In a young age, you are less prone to illnesses and can enjoy the complete benefit of your policy. The premium is also less as there are no risk factors in your medical report. Based on your financial condition and health needs, you can select the plan that suits you the best.


James Harrison: James, a supply chain expert, shares industry trends, logistics solutions, and best practices in his insightful blog.