Health insurance proposal with an undiagnosed PED which is part of permanently excluded disease
One of my customers has an intermittent abdomen pain since 3 years and he wants to take a policy now. Star Health has rejected the proposal. I'm guessing that other private companies may do the same.
So, I was looking to apply for National Insurance's National Mediclaim policy (UIN: NICHLIP21558V062021). The policy wordings has a clause citing List of illnesses permanently excluded if existing at the time of taking the Policy.
Inflammatory Bowel Diseases
K 50.0 to K 50.9 (including Crohn's and Ulcerative colitis)
K50.0 - Crohn's disease of small intestine; K50.1 -Crohn's disease of large intestine; K50.8 - Other Crohn's disease; K50.9 - Crohn's disease, unspecified.
K51.0 - Ulcerative (chronic) enterocolitis; K51.8 -Other ulcerative colitis; K51.9 - Ulcerative
Now the PED for this customer is still not diagnosed to be any of the above mentioned list. The doctors are yet to ascertain the exact diagnosis.
If the PED is mentioned along with the supporting reports and consultation papers and the policy is issued with a PED waiting period of 4 years and then after policy issuance, if the PED is diagnosed to be one of the above permanently excluded diseases, will it still be permanently excluded or will it come under a PED with 4 years waiting period?