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Will my cured illness be eligible for coverage after three years?

November 15, 2024

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Mint Mumbai

My health insurance policy started on 29 June 2022. I was treated for a disease in October 2016. The period between the treatment and the policy start date is over 56 months. As per regulations, pre-existing conditions are those diagnosed within 36 months of policy purchase date. I had a surgery on 29 August 2024. Will my claim for the latest surgery get reimbursed? - Name withheld on request

- Shilpa Arora

Will my cured illness be eligible for coverage after three years?

In this situation, the claim for the surgery can't be reimbursed due to the 36-month waiting period for pre-existing diseases (PEDs). As per insurance rules, PED is defined as any illness or condition that was diagnosed, treated within a certain period before the policy was taken. In this case, the policy has not completed the 36-month waiting period.

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