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Does Health Insurance Cover Chronic Conditions

by Aditya dige

Does health insurance cover chronic conditions? This question has left the majority who want to be insured of their chronic conditions in a cliffhanger. As a policy, a group health insurance cover may cater some conditions in an individual and excludes others. It will depend on the set policy terms included in the coverage plan you want to purchase.

However, the majority with chronic illness has surmised, health insurance doesn’t cover their chronic conditions. Therefore, they have secluded themselves from the health insurance benefits because of the false belief hovering around.

Health insurance is primarily an agreement that involves an insurer and the insured. Depending on the policy you have secured, your coverage plan will strictly be under the policies of the plan you have purchased, whether individual or incorporating a group of members, as evident in the group health insurance.

Thus, it is important to keep in mind, a chronic condition normally develops at a certain age. In the olden days, it was unpopular for toddlers to develop a grave chronic illness such as arthritis, asthma, and heart diseases among others. It was deemed a disease associated with elderly individuals.

Therefore, younger people could belittle the act of taking health insurance coverage for chronic conditions as opposed to the aged people in society. This, then, raises the question: does health insurance cover chronic conditions?

As the group health insurance cover may spread the risks involved across the group simply, to reduce the insurer’s cost, it might be entailing to cover for someone who has a chronic illness. A chronic condition typically is a disease or illness that may affect the sufferer for a long duration and possibly won’t recover from it. These conditions include asthma, diabetes, arthritis, and heart diseases among others.

As such, the sufferers tend to look for a health insurance plan for their conditions. When looking for a health insurance plan or group health insurance for your chronic illness, there are several ways an insurance provider may tackle your condition.

When you have a chronic condition before purchasing a health insurance plan policy, that illness will then be considered to be a pre-existing condition. If you are longing to know how an insurance provider will deal with your chronic condition featured as a pre-existing condition, you are fortunate to meet this post.

Below are the top ways an insurance provider might deal with your chronic conditions.

Through Exclusion

Exclusion is the most well-known technique used to handle pre-existing conditions. Meaning, when you purchased the plan and claimed to have a chronic condition, the illness and the related symptoms of the condition will be excluded from the coverage plan under the policy.

The international health insurance plan uses this technique to exclude any treatment related to your chronic conditions. However, you will be able to receive medical treatment unrelated to that illness. You won’t be entitled to any cost of the pre-existing illness.

Placing Moratorium on the Coverage of the illness

This is the second choice several insurers will use. Moratorium simply means a period of waiting that can last for 24 months.

During this period of waiting, your chronic condition cannot be covered under the health insurance policy. Health insurance uses this period to cross-examine your illness before making their final verdicts about the illness.

However, if the policyholder finishes the moratorium duration without medication, treatment, or any check-ups whatsoever, then they might consider providing coverage for the illness in line with the policy.

Chronic conditions can be covered under the health insurance policy provided all the terms are adhered to.

Through “Coverage with Loading”

Insurers might decide to cover your chronic condition by this means known as, “Coverage with Loading.”

This technique comes with a higher premium to cover the condition as needed. However, not all insurance providers are willing to offer their clients this option. Also, some conditions are lethargic and cannot fit under “coverage with loading.” Meaning, even if you raise the policy premium, it will be difficult to cover the condition.

Before implementing this technique, there must be a grave consultation with the health insurance company to pass it to the client. Upon unanimous agreement between both parties, you might be offered coverage with loading to suit your chronic condition.

Through Medical History Disregarded (MHD)

A policyholder can get coverage for their pre-existing chronic condition through MHD benefits.

This coverage is primarily available for a group of more than 20 people who have deemed expat health insurance. This coverage is advantageous because it benefits all pre-existing chronic conditions.

Pregnancy might be included in MHD.

Final Thoughts

Chronic conditions are illnesses, injuries, or diseases that might take a long haul to get healed. These conditions are typically treated to help the sufferers live a better lifestyle with others. Some are expensive to manage like cancer; this compels the victims to seek a health insurance plan policy for their conditions.

Don’t be discouraged, you can get coverage for your pre-existing condition through higher premiums, MHD, and Moratorium among others.

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