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21 July 2011

What to watch out for in medical insurance:: Business Line,

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ing that may come as a shock to you at the time of filing the claim:
‘Exclusion' is a term that you should keenly look for in the policy document.
This will outline the general waiting period under the policy, as well as the waiting period for claims on pre-existing diseases and also specify the diseases that will not be covered under the policy.
The ‘Benefits' column in the document lists the insured events.
In a critical illness policy it is crucial that one reads and understands the policy coverage as only the insured events will strictly be eligible for the benefits.
This section (or the ‘Interpretations and definitions' section) will also mention specific exclusions under each medical condition — for instance, most critical illness policies cover bypass surgery of heart but not an angioplasty treatment/key-hole surgery.
The other details that you need to look for before buying a health policy include details on network hospitals across which the insurer offers a cashless service and the sub-limits on various expenses

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