Mental Healthcare Act of 2017 promotes the importance of mental health
Depression, dementia, and anxiety are covered under mental health insurance
A mental healthcare plan doesn’t cover illnesses due to alcohol and drug abuse
Mental health has been neglected in India for a long time. However, with the rise in healthy conversations around mental disorders in recent years, more people are acknowledging their importance. Still, the burden of mental health problems in India is estimated at 2443 disability-adjusted life years (DALYs) per a population of 10,000, as per the WHO . One smart way to address mental issues is to get a mental health coverage plan.
Fortunately, the Mental Healthcare Act of 2017 gives equal importance to both physical and mental health issues. Moreover, the IRDAI has advised all health insurance companies to offer medical health coverage for such problems. Health insurance that covers mental health is fairly new in India. So, read on to understand what is covered under a mental healthcare plan and why you need it.
Similar to pre-existing diseases in medical health coverage, mental health insurance also comes with a waiting period. Most health insurance companies require you to wait for two years. Moreover, they require hospitalization for at least 24 hours for your claim to be eligible. However, this period may differ from one provider to another. So, make sure you compare plans and go for a policy that has the least waiting period. Also, buy a mental healthcare plan early in life to benefit from it.
Like regular medical health coverage, mental health insurance also has certain exclusions. Make sure you know about what is included and what is not to be informed and avoid rejections of your claims. Mental health coverage does not cover the following in most cases.
Mental retardation is excluded under mental health insurance. Mental retardation begins before the age of 18 and is classified by significantly below average functioning of intellect . A mentally retarded person will have an IQ below 70 to 75 and have substantial limitations in two or more adaptive skills . Some adaptive skill areas include self-care, communication, social skills, work, and leisure.
Mental health insurance plans would not cover any mental illnesses arising out of drug or alcohol abuse. Your settlement claim will be rejected in such a case.
Generally, mental health coverage covers expenses only when you are hospitalized and doesn’t include OPD expenses. However, few health insurance companies may cover outpatient consultation or counselling charges.
Your mental health insurance claim is likely to get rejected in case of recurring mental problems. This is because recurring conditions often take place due to lack of discipline with medications and treatments.
The rise in mental health issues in India and around the world can be associated with genetic and environmental factors . Stressful lifestyles have made more people vulnerable to mental illnesses. Rising diseases, unemployment, and poverty are all linked with mental health issues . Thus, buying mental health coverage in the present times has become a necessity.
With a family history of mental illnesses, the risk of such conditions increases. If you fall in this category, you should definitely buy mental health insurance. People suffering from traumatic experiences, such as surviving an accident or losing a loved one, should also think about getting health insurance for mental health. Most importantly, buy a suitable medical health coverage to lower the financial burden of mental illnesses. However, do not forget to compare the plans, waiting period, and benefits and read policy documents carefully for inclusions and exclusions.
With the rise of mental health problems  including stress, depression, and anxiety among people nowadays, it is necessary to buy mental health insurance. To start the journey of taking care of your mental health, check the Aarogya Care health plans on Bajaj Finserv Health. Make sure you also address symptoms of such problems at once by booking an online or in-personal consultation with a therapist or psychologist. This way, you are focusing on overall well-being instead of just your physical health.