When applying for health insurance, it is crucial to accurately disclose any pre-existing medical conditions recorded in your medical history. Insurance companies often review these records, and if it is found that a condition existed before the policy was taken out but was not disclosed in the application, it can result in denied claims for future medical treatments.
We have encountered several cases where policyholders expected coverage for a treatment, only for the insurance company to later determine—through a review of medical records—that the condition was pre-existing. This highlights the importance of being aware of what is documented in your medical history when applying for insurance.
It is also important to communicate clearly with healthcare providers. If a doctor asks about previous health issues, your answers may be included in your medical records, even if the condition was minor or occurred a long time ago. This does not mean that information should be withheld, but rather that one should carefully understand the questions and provide accurate responses to avoid misunderstandings that could affect future insurance claims.
During recent insurance symposiums we attended, it was revealed that global healthcare costs are rising rapidly, impacting insurance premiums and coverage levels. Thailand is one of the countries experiencing the highest medical inflation, with increases ranging from 8% to 15% over the past year. At the same time, the demand for both inpatient and outpatient care has risen significantly.
We also want to highlight that some hospitals in Thailand tend to recommend expensive tests and treatments, even in cases where simpler and more cost-effective alternatives would suffice. For instance, costly MRI or CT scans are often suggested as a first step, even when blood tests, stool tests, or basic X-rays might be more appropriate. Therefore, it is always a good idea to ask about alternative examination methods and consult your insurance provider before proceeding with non-urgent treatments.
Finally, we emphasize the importance of choosing a reputable insurance agent. Unfortunately, there are some agents in the market who advise clients to withhold information or provide false details when applying for insurance. This can lead to serious issues down the line, as insurance companies have the right to review medical records and may deny claims accordingly. A professional agent ensures that you receive the right coverage based on your actual circumstances, without risking future complications.
Do you have questions about insurance terms or the best way to proceed with your application? Don’t hesitate to contact us – we are here to help you find the best solution for your needs.