Do Health Insurance Plans Cover Psychological Disorders?


The COVID-19 pandemic has brought discussions about mental health issues to the forefront. From depression to anxiety, a complete host of mental health issues may result from genetic predisposition to emphasize and burnout. Today, awareness about mental health issues is gaining importance. With this greater impetus, many medical health insurance policyholders wonder if their policy covers psychological disorders.

The Insurance Regulatory and Development Authority (IRDAI) issued orders to all insurance firms to cover mental illnesses under existing and latest policies. For the reason that order was passed in 2018, disorders like acute depression, obsessive-compulsive disorder (OCD), anxiety disorders, bipolar disorder, post-traumatic stress disorder, schizophrenia, dementia, psychotic disorder, attention deficit or hyperactivity disorder, and mood disorder are beginning to be covered under health policies.

But policyholders must be aware that normally medical health insurance only covers hospitalisation costs on the subject of psychological disorders. Most comprehensive policies don’t cover OPD costs. Thus, when buying a policy, individuals should rigorously undergo the terms of the policy. Very like other settlements, policyholders do must first undergo a waiting period for the policy to kick in for issues regarding psychological disorders.

“Generally, medical health insurance plans offered by these insurers cover in-patient hospitalisation expenses for mental illness. But outpatient counselling or therapy is roofed provided that the policy offers outpatient department (OPD) advantages,” said Ankit Agrawal, Chief Executive Officer and Co-Founder, InsuranceDekho, to the Mint.

Some insurers like Max Bupa Health Insurance, ICICI Lombard, Aditya Birla Health Insurance Company, HDFC Ergo General Insurance and Digit General Insurance have give you medical health insurance policies that specifically cover those affected by mental health issues.

(Edited by : Shoma Bhattacharjee)


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