Who Is Seen As Specially Abled?
People who have one of the following disabilities are regarded as specially-abled:
- Congenital disability is a specific medical condition that affects a person from birth. Heart conditions, cystic fibrosis, spina bifida, Fragile X syndrome, Cerebral palsy, and other conditions are examples of common congenital disorders.
- A disability brought on by accident is known as an accidental disability. Accidental disability benefits are available to people who have broken or disabled limbs. Accident Disability extends coverage to people who have lost all vision due to an accident.
- Any disabilities resulting from a mental illness or disorder are called mental disabilities. It includes those with mental illness, behavioural distress, or behavioural problems.
- The high-risk group includes people with both mental and congenital disabilities. As a result, these people are not qualified for a critical illness insurance policy’s full coverage. However, people who become disabled by accident are entitled to health insurance.
Government-Sponsored Health Insurance Plans For People With Disabilities
Nirmalya Health Insurance is a government-sponsored health insurance program created with people with mental disabilities in mind. The insured person is covered for costs of medical expenses, including pre and post-hospitalization, up to Rs. 1 lakh under this insurance plan. The policyholder is only required to pay Rs. 250 as the fixed premium payout if the family’s monthly income is less than Rs. 15,000. However, if a family’s monthly income exceeds Rs. 15,000, a Rs. 500 premium is required.
Swavalamban Health Insurance is another government-sponsored health insurance plan specially designed to meet the requirements of people with disabilities thus offering benefits of health insurance to them.
The insured can use the coverage at any time for medical treatments thanks to the carefully thought-out design of this plan, which allows for the payment of a single premium all at once.
Factors That Determine Health Insurance Policy Eligibility:
- Current Health State: Before providing health insurance coverage to individuals with disabilities, an insurer will first investigate the applicant’s current state of health. To reduce their risk, insurers typically look at the health status of people with disabilities over the previous two months.
- Family Earnings: This is undoubtedly the most significant factor in determining a disabled person’s eligibility for health insurance. The insurer provides a suitable insurance policy to a person based on the family’s overall income.
- Premium Paying Capacity: Each insurance plan has a different premium share or capacity to pay premiums. The insurer will decide whether you qualify for health insurance by reviewing your bank accounts and statements.
Another thing that a person with a disability should be aware of is that the government offers health insurance tax benefits to people with disabilities who purchase health insurance. Taxpayers who are partially disabled may claim a tax deduction of up to Rs 50,000 under Section 80U. Taxpayers with severe disabilities, however, are only eligible for a maximum deduction of Rs. 1 lakh.
Tax benefits are subject to change in prevalent tax laws.
Insurance is the subject matter of solicitation. For more details on benefits, exclusions, limitations, terms, and conditions, please read the sales brochure/policy wording carefully before concluding a sale.