Health Insurance is a type of insurance that covers your hospitalization expenses in the following situations:
a. In case of a sudden illness
b. In case of an accident
c. In case of any surgery, which is required in respect of any disease which has arisen during the policy period.
What are the benefits of buying a Health Insurance policy?
The basic benefits of buying a Health Insurance policy are:
a. Reimbursement for Hospitalization due to illness / disease / surgery.
b. Reimbursement for Domicilary Hospitalization expenses in lieu of Hospitalization.
c. Pre-hospitalization expenses
d. Post-hospitalization expenses
e. Ambulance charges
What are different types of health insurance?
The major types of health insurance plans available in the market are -
i) Individual Health Plan
ii) Family Floater Plan
iii) Critical Illness Plan
iv) Senior Citizen Health Plan
I am already covered under the Group Health Insurance Policy provided by my employer. Do I still need Health Insurance?
Well, it depends. If you plan to stay with the company forever, it may be ok. However, when you leave the company, your cover expires and you will have to buy a new policy. This may have implication. For example, any existing disease may not be covered if you go for a new policy. Considering this, you may consider buying an additional policy which will increase your coverage amount as well as come handy if you ever decide to leave the company.
Can a person get claim from his own company or spouse company if they both are covered under group insurance policy by respective companies?
Yes, if both husband and wife are covered from their respective employer, they can claim from insurance provided to them by either of the companies, but not both the companies.
How much amount is provided as coverage under the Hospitalization Charges head?
The hospitalization charges generally cover:
Pre-hospitalization expenses - Expenses incurred for the treatment of a disease, illness or injury during a specific period immediately before hospitalization.
Hospitalization charges - Expenses incurred while being hospitalized and in the course of treatment.
Post-hospitalization expenses- Routine expenses incurred for the treatment of disease, illness or injury for a specific period after discharge from hospital.
What is Domiciliary Hospitalization?
Domiciliary (Home) Hospitalization means medical treatment for a period exceeding three days for such illness/disease/injury which in the normal course would require care and treatment at a Hospital/Nursing Home but actually taken at home under any of the following circumstances:
i) The condition of the patient is such that he/she cannot be removed to the Hospital/Nursing Home, or
ii) The patient cannot be removed to Hospital/Nursing Home for lack of accomodation therein.
What is Cashless facility?
Cashless facility is the benefiit of health insurance in which you will be able to avail the hospital services without making any advance payments. Hospital should be one out of the list of empanelled hospitals with the respective health insurance company.
How to avail the benefit of Cashless facility?
You can avail the benefit of cashless facility through a health card provided to you by the TPA (Third Party Administrator) of your health insurance company.
What is the method to inform the TPA in case emergency for Hospitalization arises?
You can contact your TPA for assistance at any time by calling on the helpline numbers provided to you on your health card.
Does my health insurance policy provide coverage when travelling abroad?
No, generally your health insurance policy does not extend the coverage to international trips and is limited to geographical area of India, unless you have specifically bought an international health cover policy.
How can I cover myself for medical expenses incurred during my trip outside India?
For this you need to buy a Foreign Travel Insurance Plan.
What are the important things to check in a health insurance policy?
While taking a health insurance policy, one should check the following:
List of hospitals that are tied up with the insurance company for cashless treatment
Waiting period for pre-existing diseases
Can I take more than one health insurance policy? How will I make a claim in that scenario?
Yes, you can take multiple health insurance policies from the same company or different companies. In that case, you can make a claim either under any one policy or split the claim between the policies in proportion of the sum assured availed.
Will the premium amount remain constant throughout the policy period?
The premiums charged by the health insurance company is usually the same for specific age group. The premium usually remains constant as long as you are in the same age bracket. But once you shift from one age bracket to another, the premium will increase.
Can I transfer my policy from one insurance company to another without losing the renewal benefits?
Yes. You can transfer your health policy from one insurance company to another and from one plan to another, without losing the renewal benefits for pre-existing illness. However, this benefit will be limited to the Sum Assured (including bonus) under previous policy.
What is critical illness insurance?
This policy pays an amount equal to the sum insured upon first diagnosis of a critical illness covered under the policy. It pays the whole sum assured at the point of diagnosis, irrespective of actual cost incurred on treatment.
What are the critical illnesses that are covered in the Critical Illness insurance?
Generally, the following critical illnesses are covered :- cancer, multiple sclerosis, coma, heart attack, bypass surgery, stroke, paralysis, kidney failure, major organ transplant, etc. However, the same may differ from insurer to insurer.
Why to buy Critical Illness insurance if I have a Health Insurance cover?
A basic health insurance policy generally pays only for hospitalization bills. However the amount of health cover may not be enough for treatment if you are diagonised of a critical illness. It may also lead to loss of income, change in lifestyle and permanent disability. To help you combat these, the critical illness insurance plan pay you lumpsum money to meet your large medical cost as well as meet your day to day expenses.
What is the difference between critical illness insurance and normal health insurance?
In a critical illness policy, you are covered for certain mentioned critical illnesses only. If you have normal health insurance, you will get cover for normal disease as well as critical illness.