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
This is What Former Baseball Star Alex Rodriguez is Doing to Prepare For His Upcoming Union With Jennifer Lopez
Months into their engagement, former New York Yankees player Alex Rodriguez and singer-actress Jennifer Lopez have been busy settling their affairs...July 1, 2019
You Won’t Believe Which Body Parts Mariah Carey Insured for a Whopping Total of $70 Million
Mariah Carey is one of pop music’s most celebrated performers. Beginning her successful music career in the late 80s, the now...July 1, 2019
CEOs vs Celebrities: Who Really Makes More Money?
It’s no secret that being a CEO and a celebrity brings in the big bucks. With multimillion-dollar deals and huge payouts,...July 1, 2019
The Crazy Story About How Comedian Katt Williams Allegedly Lost $59 Million of His Fortune
It’s ironic how it’s actually comedians, whose job is making other people laugh, that usually tend to live troubled and unhappy...July 1, 2019
Here’s Why These Nuns and Katy Perry Are Fighting Over Multi-Million Dollar Former California Convent
Katy Perry has been involved in quite a few controversies throughout her career as a pop star. But none of them...June 30, 2019
Rihanna is Living Her Best Life With Billionaire Boyfriend Hassan Jameel — Here’s Proof
Rihanna has surely gone a long way from her humble beginnings in her home country of Barbados. Not only is she...June 30, 2019
Gayle King Signs a Huge Contact with CBS, And You Won’t Believe How Much She’s Being Paid!
The renowned TV host, Gayle King, has knocked the ball out of the park with her recently CBS renewed contract that...June 29, 2019
The Amazing Story of How Will Smith Became a Real Life ‘Fresh Prince’ With an Expansive Real Estate Portfolio
Will Smith has had one of the most interesting career tracks in Hollywood. Starting out as a rapper donning the name ‘The...June 23, 2019
Experts Say That You Can Never Succeed in Business If You Do This
Everyone wants to be a successful businessman, but over time, we notice that some people have a better chance at being...June 23, 2019