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What Are Modern Treatments?
The term “modern treatment” in the context of health insurance refers to the recent development of novel and cutting-edge medical techniques, therapies, and technology. These therapies frequently entail state-of-the-art medical procedures, medications, or equipment that may not have been accessible in the past. Modern treatments are covered by health insurance policies, ensuring that policyholders have access to the most recent treatments to enhance their health outcomes.
Modern Treatments That Health Insurance May Cover Include:
- Precision Medicine– This method involves modifying a patient’s medical care by their genetic make-up, way of life, and environmental circumstances. Personalized treatments, targeted drugs, and genetic testing may all be covered by health insurance programs.
- Immunotherapy-Immunotherapy uses the immune system of the body to combat cancer and other disorders. It encompasses therapies including CAR-T cell therapy, immune checkpoint inhibitors, and therapeutic vaccinations. These treatments, which can be expensive, may be covered by health insurance.
- Biologic Therapies-Drugs known as biologics are made from living organisms and are used to treat diseases like Crohn’s disease, psoriasis, and rheumatoid arthritis. These cutting-edge treatments, which can be more expensive than conventional pharmaceuticals, may be covered by health insurance programs.
- Telemedicine- As telehealth has grown, telemedicine services like remote monitoring and virtual consultations are frequently covered by health insurance policies. As a result, fewer in-person visits are necessary and patient access to healthcare is improved. Patients can now obtain medical care remotely.
- Robotic Surgery– Robotic surgeries, in which a surgeon directs a robotic device to carry out accurate and minimally invasive procedures, may be covered by health insurance. Shorter recovery times and fewer complications are two advantages of robotic surgery.
Points To Remember Before Availing of Modern Treatment Coverage
1)In-patient, daycare, and domiciliary treatments covered
Modern treatments must be covered as in-patient care, daycare services, or at-home treatments that don’t require a 24-hour hospital stay.
For instance, deep brain stimulation surgery can aid Parkinson’s patients with their stiffness and tremors. After a DBS procedure, the average hospital stay is 24 hours, although it could be longer depending on how long the patient needs to heal. Inpatient care will pay for this hospitalization.
On the other hand, Uterine Artery Embolization, a non-surgical procedure, typically takes 1-3 hours to treat fibroids (benign tumors). The daycare procedure will provide coverage for this.
2)Treatment Must Be Medically Necessary
Your contemporary therapy will only be covered by your health insurance if it has been duly prescribed by a licensed physician and is deemed medically necessary. A procedure is deemed medically necessary if it:
- is necessary to recover from any sickness or injury.
- does not go beyond what is required to deliver safe and effective medical care.
- is suggested by a doctor who is not a relative of yours.
- meets requirements that are commonly acknowledged by the Indian medical community or in the worldwide medical practice.
3)Certain Conditions May Be Applied for Pre- and Post-Hospitalization Coverage
Costs associated with pre-hospitalization include diagnostic testing, physical exams, and other related expenses. Costs associated with care after hospitalization include expenses for prescription drugs, additional testing, and other items.
How Do You Evaluate the Coverage of Modern Treatments While Buying a Policy
- Research Modern Treatments: Start by becoming acquainted with the most recent developments and cutting-edge therapies for a range of medical ailments. Keep abreast with new treatments, methods, drugs, and technology that are gaining traction in the medical world.
- Examine Coverage Limits: Review the policy’s benefit caps or coverage restrictions for various conditions. Due to their high costs or experimental nature, certain policies may have special coverage limitations for current treatments. Ascertain that the coverage is adequate for your requirements, particularly for therapies that may be extremely pricey.
- Consider Policy Exclusions: Examine the policy exclusions in detail to find any particular current treatments that are expressly excluded from coverage. Different policies may have different exclusions, and some experimental or investigational therapies might be among them. Be mindful of these exclusions and how they can affect your insurance.
- Compare Policies: Compare the coverage for contemporary treatments while contrasting various insurance policies. To choose the policy that best meets your needs, carefully weigh elements like premium prices, deductibles, co-pays, and overall benefits.
- Seek Professional Advice: Consider speaking with a financial counselor or insurance broker that focuses on healthcare insurance if you find the evaluation process to be complicated or burdensome. They are able to walk you through the steps and assist you in navigating the intricate details of policy coverage.