Why is Medical Test Important While Buying a Medical Insurance Cover?

The majority of health insurance plans demand that you have a pre-medical examination before purchasing a policy. They are done before issuing the health insurance policy to determine the customer’s eligibility. Although some insurers do not need pre-medical exams, those who do are seen as more hospitable to customers when filing a claim.

Continue reading to learn why pre-medical testing is crucial when purchasing medical insurance. Withholding information about a pre-existing condition can be unwise; it is immediately regarded as a fraud and may result in the claim being denied. You must submit a declaration of good health if no medical tests are required. The insurer determines your premium after you submit it.

Did you know? In India, medical insurance coverage covered about 514 million people during the fiscal year 2021[1]. Why you ought to get a pre-insurance medical examination is as follows:

1. Steer clear of paying a hefty sum

It appears like a simple and quick fix to skip medical testing. And why not? The insured avoids the inconvenience of travelling to the hospital or diagnostic facility. But if you give it a little thought, you’ll see that if you only concentrate on such opportunistic savings, you end up paying dearly in the future. In addition, non-prerequisite medical test health insurance is more expensive than traditional health plans.

2. To demonstrate Your low-risk tolerance

You have one additional incentive to undergo the pre-medical exams if you are healthy. If you pass the medical exams with flying colours, the insurance can reward you with a specific premium cut because they will view you as a low-risk transaction.

3. Covered Even Under the Worst Situation

You will learn about the specific exclusions and waiting periods applicable to your condition, even if you already have a pre-existing condition. Yes, the premium will be more, but it’s all worthwhile. Instead of saving a few rupees today and having your coverage ultimately refused later, it is preferable to pay high premium rates and be protected. You can start considering health insurance plans for your family as well.

4. Accountability for Your Health

Another reason is that the prospect needs to be aware of their health situation. Their claim of good health will no longer be valid in this situation. But if they decide to undergo the tests, the insurance provider is now responsible for being aware of any pre-existing conditions.*

Why do they provide a concept like “no medical checks required” if it’s riskier for the insurer? Well, it is because getting a medical checkup is not exactly cheap. Additionally, it immediately hinders client acquisition when the customer is required to pay for the medical test.

The Complicating Factors

If you are under 45 years old, most health insurance insurers currently provide policies without requiring a medical exam. However, individuals above the age of 45 need to undergo medical examinations. The buyer is required to pay for the pre-medical test. However, the medical test cost is reimbursed after issuing the policy, which is good news. It varies from insurer to insurer. However, the most often done pre-medical exams are physical examinations, blood tests, sugar tests, urine tests, ECG tests, and cholesterol tests. *

In Conclusion

It may seem painful to undergo medical testing before becoming insured, but it’s not. Contrarily, the likelihood that will accept your health insurance claim without problems will increase the more stringent an insurer is while issuing a policy. Furthermore, it will be simpler and quicker to calculate the claim amount the more openly you provide your information. * To compare the premiums of different policies, you can make use of a health insurance premium calculator.

* Standard T&C Apply

Insurance is the subject matter of solicitation. For more details on benefits, exclusions, limitations, terms, and conditions, please read the sales brochure/policy wording carefully before concluding a sale.

Accurate Insurance Eligibility Verification supports revenue cycle management. By confirming insurance details upfront, it minimizes billing errors and accelerates reimbursement timelines for healthcare practices.