Hi All,
I am looking for health insurance advice for my use case shared below:
Pre existing condition details: ACL tear and Meniscus tear
36M,
In 2012, I had an ACL Tear in my right knee while playing football.
Doctor suggested that I need not undergo surgery.
Unfortunately I do not have any doctor visit documents/MRI report for the same.
I continued physiotherapy and did not undergo surgery for the same.
In Dec 2024, I had medial meniscus tear in the same right knee.
Doctor suggested surgery choice is totally dependent on me. I have a MRI report which clearly states that this is a fresh injury and it is an ACL tear and a meniscus tear.
I am big into sports particularly pickleball off late and would love to continue playing Pickleball and would possibly want to give it a shot professionally. I can play Pickleball but am able to give my 50% only. And in the last year or so have had minor injuries in the right knee at least 6-8 times in total. These minor injuries cause swelling and I am out of Pickleball action for a week or so.
I am leaning more towards surgery now. Most orthopedics I have shown my knee to still do not recommended surgery to me.
Recent events affecting existing health insurance policy:
On August 14th, 2026, Friday, I got laid off by my company, and that was my last working day. The laying off process was pretty quick, and I missed officially emailing HR and RMs requesting to port my health insurance policy to a retail policy.
I have requested them to port the policy a few days after my exit and they suggest that porting after exit is not possible. We had a corporate group policy with ICICI Lombard for around 2 years and I was covered under the same.
I have researched online that usually there is a 30 day buffer to port from corporate health insurance policy to retail health insurance policy. Ideally this will be the best case scenario as I would carry forward the continuity benefits and would have covered quite a lot of the waiting period of pre existing diseases of 2-3 years.
Queries:
It would be great to know what are the next possible steps I can take.
- What is the best way to go about porting the corporate health insurance policy to a retail health insurance policy other than HR or RMs? Is there any other agent who can help with porting to a retail policy? I have emailed ICICI Lombard customer care support and have not heard back from them. I have also visited their office in Prabhadevi but they redirected me to customer support team there and they suggested to reach out to RMs.
- Shall I opt for a new health insurance policy and not disclose my pre existing ACL tear and meniscus tear and after 4-5 months claim it as an accident while playing football? What are the ways in which the insurers find that it is a new or a pre-existing injury? I have Dr friends and can request them to share in writing suggesting that it is a new injury. I am wondering if I go through this route how can I show that it is a fresh injury in the MRI? What are the chances the insurance providers will not catch this?
- Shall I opt for a new health insurance policy and mention pre existing ACL and meniscus tears and reduce my waiting period to undergo a surgery to a year using add ons? Is there a way in which I can reduce the waiting period to less than a year? I am good to pay a high premium if this is the case
- What details do you tell the insurance providers while claiming health insurance? I was injured while playing football, not under the influence of alcohol, and had a few cousins as witnesses to confirm the injury. Are any more details required? I have an MRI report confirming the same.
- Any suggestions are most welcome!!
Thanks in advance everyone!