Mental Illness to be Included in Health Insurance Coverage
One of the most underestimated illnesses in society is mental illness. Despite the advances we have made in technology and science, as well as the fact that mainstream social media should have raised awareness already, most people still consider it as a theory, more than established disease that has been the root cause of many deaths, especially suicides.
This is reflected in most health insurance plans, as they are usually associated with strictly only physical ailments, like the malfunctioning of any organs in the body, as well as the hospitalization that usually follows for this kind of treatment. However, it seems all the attempts at spreading awareness have not been in vain, as even mental illness is going to be covered under insurance policies, and the costs needed during treatment are going to get reimbursed.
The Mental Healthcare Act of 2017, which was effectuated in May of this year, states that every insurer will make provisions in medical insurance regarding the treatment of mental illness on a similar basis as is available for physical illnesses treatments.
Because of this, the insurance regulator served a circular asking all insurers to follow this provision of the Mental Healthcare Act immediately. This means that the mental health benefits can’t have more restrictive requirements compared to those that apply to physical health.
Definition of Mental Illness in the Act
The Mental Healthcare Act states that mental illness is defined as a substantial disorder of thinking, perception, mood, memory or orientation that extremely hinders behavior, judgment, ability to meet the ordinary demands of life or capacity to recognize reality, mental conditions connected to the abuse of drugs and alcohol, but will not include mental retardation which is a condition of incomplete or complete development of a person’s mind, specially noted in the sub normality of intelligence.
Two important things are apparent from the definition. One is that it clearly won’t include mental retardation. However, it does include mental conditions that are associated with drug and alcohol abuse. But insurers are able to exclude the latter, if they wish. According to Vaidyanathan Ramani, the Head of Product and Innovation at Policybazaar.com, the traditional exclusions in physical illness like a full day of hospitalization required, or an outcome caused by alcohol might be excluded from mental illness too.
For now, most policy documents and brochures will exclude mental illness. According to experts, it will state that treatment of any psychiatric or mental condition including but not limited to mental or nervous breakdown, insanity, dementia, depression, and Alzheimer’s disease.
Mental Illnesses Commonly Known
Ramini also adds that whatever is classified as mental illness according to the World Health Organization’s ICD, also known as the International Classification of Diseases, will be considered covered. The norms here will be according to ICD-10 and 11. For example, schizophrenia and bipolar disorder are considered as mental illnesses.
Just In case of hospitalization due to mental illness, diagnosis and analysis of a person’s mental condition, as well as treatment and care and rehabilitation of the person for his mental illness, suspected or otherwise will be covered. The 24-hour mandatory hospitalization will also be a part of the healthcare process.
Will this include existing plans?
The insurer’s pre-existing plans might need to be re-filed with the regulator, and it should be expected that there be a price revision as well. According to Ramani, the insurers are to begin covering mental illness starting on the day the regulation was issued, which was last Aug 16. Also, the mental illness is going to be covered in the existing plans to the extent that is specified by the National Mental Healthcare Act of 2017.
More in Insurance
You’ll Be Inspired After Reading Former NBA Player Junior Bridgeman’s Expectation-Defying Success Story
It’s a sad reality than a reported 60% of NBA players eventually go broke after about five years into their retirement...December 24, 2019
These Millionaires Refuse to Spend Their Money on These Items & Maybe You Should Too
Contrary to what most people might believe, not all millionaires spend indiscriminately on themselves. Some prefer to put their money on...December 23, 2019
Want to Advance Your Career? Avoid Turning Into These Negative Workplace Personalities at All Costs
One’s professional personality can make or break their career. Now, more than ever, workplaces are beginning to focus on creating positive...December 20, 2019
Want to Keep Your Creative & Analytical Skills Sharp For Work? Take On These Interesting Hobbies On Your Free Time
Self-improvement should be a lifelong practice, especially for people who want to advance their professional career. Doing so would help an...December 19, 2019
Your Profession May Have More Weight On The Car Insurance Rates You’re Granted With Than You Initially Thought
When assessing their applicants, car insurance providers create accurate profiles of individuals considering factors like their age, credit score, marital status,...December 18, 2019
You Won’t Believe How Much These Actors, Who Played Professors in the Harry Potter Movies, Are Worth
Young and old, everyone was captivated by the Harry Potter franchise – and who wouldn’t be? Die-hard fans carefully followed the...December 16, 2019
Experts’ Tips on Creating a Budget to Become Financially Successful
Have you ever been a one-day millionaire? After getting your monthly salary, you feel so rich that you eat at a...December 13, 2019
All You Need to Know About the Extraordinary YouTube Exec Susan Wojcicki, The Former Landlord of Google Founders Larry Page and Sergey Brin
Google has become more than just a proper noun, it is now also used as a verb in casual conversations. This...December 12, 2019
Dreaming of an Early Retirement? These Simple Steps Could Help You Achieve That
Every one of us has different dreams and aspirations in life, but one thing is for sure: we all want to...December 11, 2019