Aditya Birla Health Insurance Co. Limited

Understanding Health Insurance Premium Calculation

  • Published on: 08-02-2022
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Investment decisions can baffle you and give rise to numerous questions in your head. One such question is: ‘How are Health Insurance Premiums calculated?’ Health insurance is opted by people at large to protect themselves from medical contingencies. In return, you pay the insurance company a premium for your wellbeing. The sum you pay depends on your age, the insured amount, the kind of coverage you need, your medical history, and your family’s medical history. You need to pay your health insurance premiums at specified intervals to keep yourself covered.

When you are young, you do not consider buying a health insurance plan for yourself because most youngsters do not consider health insurance as a significant investment. But not all ailments are related to your age, they can also be lifestyle-induced, and you need to be well-prepared for them right from the start. Generally, the older the individual, the dearer is the premium. Moreover, those who have a lifestyle disease/ailment like diabetes or blood pressure can also be subjected to higher premiums.

For that, you are always advised to begin early. Starting soon has its own benefits, like cheaper premiums. Also, you can amend the coverage as time progresses to include or exclude specific ailments.

Let Us Have A Look At The Parameters Used To Answer Your Question Of How To Calculate Medical Insurance Premium?

Do Pre-Existing Medical Conditions Affect Premiums?

A pre-existing ailment affects your insurance premium amount. Most insurers conduct a health check-up before granting the insurance plan. Such check-ups can help the insurer verify the genuineness of the information furnished by you. Smoking and drinking also make your premium dearer.

How Can Underwriting of the Health Insurance Affect The Premium?

The underwriter evaluates the insurer’s ability to accommodate every new insured individual under the insurance plan. This is termed as the underwriting of the insurance. Such underwriting is crucial in determining the premium that an applicant would need to pay to avail a specific policy.

Why Does Premium Depend On Mortality Rate?

A claim is a cost that the insurance company has to bear; hence, learning about the mortality rate becomes vital for different types of ailments. The mortality rate of each ailment determines how cheap or dear your insurance premium can get.

Sophisticated algorithms have solved the manual errors that occurred earlier in premium determination by making tools available online such as the health insurance premium calculator. It helps resolve doubts regarding calculation of premiums in a family floater plan or employee health insurance premiums. A few simple clicks can help you determine your premium.

While you determine your health insurance premium, you can have a look at other related topics on our health guide spanning from chronic care management to exclusions in health insurance.

Make sure you avail a health cover early to stay at peace during exigencies!



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