Illness and diseases don’t come with a warning!
What is Health insurance?
Importance of Health insurance
- Comes with a lower premium
- Tax benefits
- Easy process to get insurance
- No waiting period
- Additional Bonus
Most Preferred Health insurances
HDFC Optima Restore Health Insurance
- Restore Benefits
- Health Checkup
- 2X multiplier benefit
- Modern treatment
- Extended coverage
- Portability
Manipal Cigna Health Insurance
- Insurance cover from ₹50 lacs to ₹3 crores at an affordable premium
- Get continuity benefit on the entire opted Sum Insured* for those with existing health cover
Of `10 lacs and above - Unlimited restoration for unrelated illnesses to ensure you never run out of cover.
MAX Bupa Health Companion Insurance
- No claim bonus
- No room rent capping*
- Refill Benefits
- Cashless claim
- AYUSH treatment
Aditya Birla Active Assure Diamond plan
- A comprehensive range of sum insured from ₹2 lakhs to ₹2 crores
- Reload 150% of sum insured
- 586-day care procedures covered
- ‘No claim bonus’ of 10% for every claim-free year
- Earn up to 30% of your premium as HealthReturns
Government Sponsored Insurance Schemes
- Low Price Annual Premium
- Best for People with low wages
- Pradhan Mantri Jeevan Jyoti Bima Yojana(PMJJBY)
- Pradhan Mantri Suraksha Bima Yojana(PMSBY)
How to claim a health insurance?
Formalities for a health insurance claim
Here we are explaining the full health insurance reimbursement and claim process. You can apply your claim under a Health insurance policy in the following two ways:
- Cashless Basis
- Reimbursement basis
Cashless claim process:
For a claim on a cashless basis, your treatment must be only at a network hospital of the Third Party Administrator (TPA) who is servicing your policy. You have to ask for authorization for availing of the medical facility on a cashless basis as per procedures decided and in the prescribed form. Please read the policy document when receive it to make yourself aware of the process rather than wait for a claim to arise.
Reimbursement claim process:
Read the clause relating to claims in your policy document when you receive it to ensure that you are aware of the procedure and the documents needed for making a claim on a reimbursement basis. When a claim arises you should inform the insurance company as per the methods required. After hospitalization, you have to verify that you obtain and keep documents handy such as claim form, discharge summary, prescriptions, and all test and medicine bills that you should submit for a claim.
Common Inclusions in health insurance plans
Before buying health insurance, it is advised to check what’s covered in your health insurance policy. This helps you from any future problems related to health insurance. Below is a list of common inclusions in any health insurance policy.
- DOMICILIARY HOSPITALIZATION
- CO-PAYMENT
- PRE HOSPITALISATION
- POST HOSPITALISATION
- AYUSH TREATMENT BENEFIT
- INPATIENT TREATMENT
- NO CLAIM BONUS
- CUMULATIVE BONUS
- DAYCARE PROCEDURE
- NETWORK HOSPITAL
- WAITING PERIOD
- OPTIONAL HEALTH INSURANCE RIDER BENEFIT
- CONVALESCENE BENEFIT
- E-INSURANCE ACCOUNT
- GRACE PERIOD
- DONOR EXPENSES
- AIR AMBULANCE COVER
- RENEWAL BENEFIT/RESTORE/RECHARGE/RELOAD
Common Exclusions in health insurance plans
Like common inclusions, a health insurance policy also excludes some conditions. A person should be well aware of those conditions so that he can make himself/herself ready at the time of any health issue. These are a few aspects excluded from the health insurance:
- PRE-EXISTING AILMENTS
- LIFESTYLE-RELATED DISEASES
- NEW OR ALTERNATIVE TREATMENTS
- COSMETIC SURGERIES
- DENTAL, VISION AND HEARING
- PREGNANCY AND CHILDBIRTH
- HOSPITAL EXPENSE LIMIT
- DIAGNOSTIC TESTS
- SUICIDE ATTEMPTS OR ANY SELF-HARM
- PERMANENT EXCLUSIONS
To conclude, you should have the knowledge about the exclusions of your health insurance to prepare yourself for a time of crisis. You should check if some exclusions can be covered with the help of additional riders on your insurance plans or with any other health coverage plan.