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Understanding Health Insurance

Health insurance covers expenses incurred in the private treatment of illnesses and injuries. Every year, millions encounter unforseen accidents and sickness, though not fatal, that can severely affect both the physiological and financial capabilities of the insured. Health insurance is the best way to both fund and recoup the expenses associated with these events.

This site is intended to provide a general guide to health insurance, how the plans work and the illnesses normally covered. It also includes the main features and benefits provided by most plans and the tax implications.

Get online quotes!

Check our links section to the different insurance company websites. Most offer online quotes on monthly premiums.

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Kinds of Policies

Policies essentially differ by their premium levels and the breadth of their cover. A standard policy excludes all ailments suffered before the commencement of the current contract, known as “pre-existing conditions”.

Pre-existing conditions can often be barriers to changing insurers, because a new insurer will want to exclude them from the cover either permanently or temporarily.

Moratorium policies cover pre-existing conditions but only after a specified treatment-free period has elapsed (e.g. 2 years), starting from when the policy is first taken out. The definition of “treatment-free” can be strict, but usually means that during the moratorium period:

  • There have been no consultations with a doctor concerning the pre-existing or any related condition
  • No advice has been sought about the condition, including check-ups.
  • No medication or special diets have been prescribed.

Moratorium policies are often criticised on the grounds that they may encourage policyholders to defer necessary medical treatment in order to have the costs met by the insurer.

What illnesses are covered?

The illnesses covered include the following but the list may vary slightly depending on the insurance company. Some of these are:

  • Alzheimer's disease
  • Blindness
  • Heart attack
  • Parkinson's disease
  • Cancer
  • Stroke

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