6 Things Your Mediclaim Doesn’t Cover

6 Things Your Mediclaim Doesn’t Cover: Health insurance is essential to reduce the potential financial strain brought on by a catastrophic illness, surgery, or medical emergency. A number of health insurance plans are offered by various insurance companies, each with its own add-on benefits and coverage. The insurance that best satisfies your needs and offers you support during trying times, including when you or a loved one is hospitalised due to an unexpected illness or injury, should be your choice. The treatments and health issues that your medical insurance coverage does not cover are equally important to know.

The mortality rate of people has decreased as a result of improvements in medical technology, and the rate at which people recover from illnesses and infections has increased. Despite the fact that the cost of medical procedures is rising dramatically. Therefore, if you do not already have a health insurance policy to your name, it is necessary and imperative that you subscribe for a mediclaim or health insurance policy for yourself.

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6 Things Your Mediclaim Doesn’t Cover

Medical insurance, often referred to as mediclaim, is a crucial safeguard against unexpected healthcare expenses. However, it’s essential to understand that not all medical expenses are covered by your insurance policy. Many policyholders are unaware of these gaps until they encounter them during a medical crisis. In this article, we will discuss six common things that your mediclaim policy may not cover, helping you make informed decisions about your healthcare coverage.

Having said that, it’s crucial for you to understand the advantages of health insurance and mediclaim policy coverage as well as the list of illnesses that are and are not covered by these policies. In this section, we’ll go into detail about the key elements of mediclaim policy coverage, the illnesses that are generally covered by mediclaim policies, and what they cover and don’t cover.

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6 Things Your Mediclaim Doesn’t Cover

6 Things Your Mediclaim Doesn’t Cover Details

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Cosmetic procedures

Health insurance does not provide coverage for cosmetic operations like Botox, Liposuction, implants, and other analogous procedures. Verify with your insurer if you want to have such surgery during the insurance period. Insurance companies won’t pay for these medical procedures unless they are required as part of a therapy.

Previous ailments

Pre-existing conditions (PEDs) and the related waiting periods differ depending on the insurance provider. Diabetes, high blood pressure, heart disease, and other diseases might be covered by some insurance providers. Most health insurance policies would only pay for these costs once the waiting period, which can last anywhere between 12 and 48 months, was ended. On the other side, brand-new health plans are being established that cover PEDs right now. Pre-existing conditions may occasionally be covered by the insurer in exchange for a higher premium.

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Under your Mediclaim coverage, the insurer does not reimburse the cost of health supplements and tonics. The expenses might be covered if the treating doctor advises them. However, your insurer will not pay for it if you take it without a prescription. For more details, consult the policy wording.

Testing procedures

The costs of diagnosing the virus or undergoing pathological surveillance of your body (blood tests, CT scans) at a hospital or nursing home are not covered by a Mediclaim.

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Pregnancy & abortions

Health insurance does not pay for medical costs associated with being pregnant or having an abortion. Health insurance does not pay for hospitalisation expenses related to infertility and pregnancy-related issues, such as abortions. These expenses are not covered by fundamental health insurance, although some maternity health policies may compensate you for them. Examine the language of your policy to see if pregnancy-related expenses are covered. Once a doctor has approved it, the issue should brought up to the insurance provider.

Specific conditions

The cost of registration, entrance, and service fees is not reimbursable under a medical insurance plan. The insurance company has the right to reject your health insurance claim if any illness, such as liver damage or other problems, is connected to excessive alcohol consumption. Health insurance does not pay for alternative therapies like reflexology, acupressure, naturopathy, or other treatments of a similar nature.Read your policy wordings completely to gain a better grasp of both the inclusions and the illnesses that are not covered by health insurance. This will help you avoid the feared experience and more effectively manage your finances.


While mediclaim policies provide valuable coverage for a wide range of medical expenses, there are certain things that may not be included. One common exclusion is pre-existing conditions, which refers to any health condition that you had before taking out the policy. Another common exclusion is cosmetic procedures or treatments that are deemed to be non-essential or elective. Additionally, some policies may not cover certain alternative therapies or experimental treatments. It’s also worth noting that most mediclaim policies have a waiting period before coverage begins for certain conditions or treatments. By understanding these limitations, you can make informed decisions about your healthcare and ensure that you have the necessary coverage in place for any gaps in your mediclaim policy.

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