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Does Health Insurance Cover Psychological & Bipolar Disorders in India?

Mental Health vs Health Insurance: Overview

Mental health involves the psychological, emotional and social well-being of an individual. It has a crucial impact on a person’s overall behaviour. It is important at every stage of life and impacts how one handles stress, interacts with people, and makes various life choices. Mental health is significantly influenced by various biological, social and psychological factors.

When a person has a mental illness, it refers to someone unable to think, memorise, behave, and function properly. It results in diseases like bipolar disorder in India, schizophrenia and other critical illnesses.

However, for instance, if an individual has schizophrenia and requires weekly sessions, they need to know about the schizophrenia treatment cost in India and avail health insurance policies accordingly.

Mental health has been a part of the discussion in recent times as more people are getting diagnosed with it with each passing year. It has called for attention to psychological diseases and the mental well-being of an individual. As a positive step towards finding a solution to this, the Insurance Regulatory and Development Authority of India (IRDAI) has announced to include mental illness in all the regular health insurance coverage.

Besides, the IRDAI has confirmed that insurers cannot refuse financial coverage to individuals who have used certain acceptable kinds of anti-depressants before. By following the directions of IRDAI, leading medical insurance providers have started personalising products to cater to the specific requirements of policyholders.

Mental health coverage in India

In the past, expenses associated with psychological diseases were not covered under health insurance policies in India. Only physical health illnesses and disorders were included in the health insurance plans. But fortunately, a massive shift has been observed in the last few years

Usually, inpatient hospitalisation for mental illness is covered under traditional health insurance plans. However, outpatient counselling or therapy is covered if the policy has OPD benefits. Therefore, individuals seeking mental health insurance can find a reputed health insurance solution like Activ Assure Diamond Plan from Bajaj Finance Limited. It offers access to adequate financial coverage against affordable premiums. Besides, individuals need to check whether mental illness requires hospitalisation or can be cured through medication or therapy before purchasing an insurance policy.

Does health insurance cover mental health?

Yes, the health insurance policies in India cover mental health. Initially, there was no cover for psychological diseases under health insurance plans. However, now that more people are coming forward and openly speaking about mental illness in mainstream discussions, there has been a notable awareness of their mental well-being.

Nowadays, mental illness has become more common than ever before. It is, however, still a pricey affair to get treatment. Therefore, it is easier to deal with from a financial standpoint if you have health insurance that also covers OPD benefits. Including psychological issues in regular health insurance plans is a crucial step in developing the national health insurance ecosystem. In addition, substantial financial coverage would help individuals undergo necessary treatment without worrying about the financial burden.

Benefits of covering mental health In Insurance

The insured individuals can obtain the following coverage benefits in health insurance policies with a mental health cover:

  1. The financial coverage benefits offered under mental health insurance are similar to the traditional health insurance plan, including inpatient hospitalisation expenses, diagnostic test charges, ambulance charges, treatment costs, etc.
  2. This policy covers individuals suffering from mental disorders impacting cognitive abilities, mental capacity, behaviour, and the likes.
  3. Consultation cost, rehabilitation and counselling for mental illnesses are covered under OPD benefits offered by a few reputed insurance providers.

Diseases covered under mental health insurance

Following are the diseases covered under the mental health insurance policies:

  • Bipolar disease
  • Schizophrenia
  • Psychotic disorder
  • Mood disorder
  • Acute depression
  • Obsessive-compulsive disorder (OCD)
  • Dementia
  • Post-traumatic stress disorder
  • Attention deficit or hyperactivity disorder

Why should you buy mental health Insurance?

Mental health insurance coverage is applicable for anyone with a family history of psychological diseases. It is also effective for individuals suffering from trauma or any such incidents. However, while purchasing this policy, one must note that any mental illness influenced due to alcohol or drug abuse will not be covered under a mental health insurance policy.

If one wants to alleviate their financial burden due to psychological diseases, they can consider purchasing a suitable health insurance plan that sufficiently covers mental illness-related expenses. However, before choosing any plan, one must thoroughly compare the offerings extended by various insurers in the market and go through the terms and conditions to avoid any future complications.

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