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Health insurance is popularly known as Medical Insurance or Mediclaim. It is a kind of agreement made between a person and an insurance company. It protects you and your dependents against any financial constraints arising on account of a medical emergency. It sometimes includes disability and long term medical needs. In Mediclaim you pay a premium and in return the insurer commits to pay a prearranged sum of money to meet the claims. Health insurance is new in Indian context and is slowly catching up with the consumers. Consumers recognize the objective of health insurance and it’s offering to cover the ever rising medical expenses. Health insurance is sometimes used more generally to include insurance covering disability or long-term nursing or custodial care needs. It may be provided through a government-sponsored social insurance program or from private insurance companies.
Health insurance is obtainable to both individual and groups (e.g. by a firm to cover its
employees). In each case the covered groups or individuals pay premiums or taxes to protect themselves from high or unexpected healthcare expenses. However premium for individual policy is costlier than that of the group policy. An individual is the owner of his personal policy. Whereas in group plans the sponsor is the owner of the policy and the registered members are enclosed by the policy. You can take benefit of group health insurance to overcome the shortage of your individual insurance. People with no policy or are uninsurable due to one or the other reason can take good advantage of the group plans and be covered
By estimating the overall risk of healthcare expenses a routine finance structure such as a monthly premium or annual tax can be developed, ensuring that money is available to pay for the healthcare benefits specified in the insurance agreement. The benefit is administered by a central organization such as a government agency, private business or not-for-profit entity. The person or the insured should pay a regular fee called a premium to the insurance company. In return the insurance company will pay all or some medical expenses wanted when the insured becomes injured, ill, or otherwise hospitalized.
Medical expenses has raised manifold in last few years. So it is very important to take a and the services provided are simulation of one another thus making choice difficult. There are some kinds of health insurance and they are follows :
These types of medical insurance plans offer protection and indemnity on an individual basis. Insurance premium for individual plans are advanced than that for a group policy.
These medical insurance plans generally available through an employer or society or union are written on a number of people under a single master policy.
These plans are specially structured to suit the needs of elderly persons, veterans of military service, etc.
Health care expenses have seen a phenomenal rise in the recent times. This has led the customers to insure not only themselves but their family members also. It will cover future medical expenses and other connected requirements if it ever arises. The need to insure has gained more importance amongst older generation who is either retired or will retire in the near future. Let us discuss the types of medical insurances available in the market.
This is typically a hospitalization cover and reimbursement of the medical expenses incurred in respect of enclosed disease or surgery while the insured was admitted in the hospital as a patient. Different types of medical insurances are available in the market like individual medical insurance group medical insurance and overseas medical insurance. There are health policies that reimburse you the actual hospitalization cost for treatment of any disease and are obtainable by the non-life insurers only. These policies are popularly called Mediclaim policies. Other types of health insurances are provided by both the life and non-life insurers.
Critical Illness plan insures you against the risk of serious illnesses in return of a premium you are necessary to pay. This gives you the same safety of knowing that a certain cash sum will be paid if the unexpected happens and you are diagnosed with any one of the critical illness. Sometimes a critical illness can change your lifestyle in adding to help within the home or the family. In this type of health insurance plan the insured receive a lump sum amount within a few days of diagnosing critical illness. Once this lump sum is paid the plan ceases to remain in force. Normally a critical illness plan would supply cover for the illnesses mentioned below;
This coverage will reimburse/payback you, a member of your family, or a designated driver if one of you is hit by an uninsured or hit-and-run driver.
Medical expenses are in sky high these days. A meeting with a doctor might churn out big bucks. The complicated medical treatment expenses could eat into your savings meant for the future. Health insurance policy kicks in to guarantee that you get the necessary treatment and your pocket is still under control. Having health insurance is significant because the coverage helps people get timely medical care and improve lives and health. It covers the risk of monetary difficulties in the event of long illness. The awareness has been enormous in the last couple of years. This must have been in response to the series of uncertainties people have observed in recent times like the terror attacks.
Benefit depends on the policy you choose and the coverage it provides. Here is a list of basic coverage provided by most of the health policies.
Following are the tips to note while taking a health insurance policy
No one likes pay more than its worth. Getting the most appropriate and reasonable Health insurance is dependent on a few aspects like your choices, capability to choose and of courses the health conditions of the policy buyer. But by following a few steps you can save a good lot on your health insurance premium.
Below given table will help you to compare some of the good Health Insurance Products in the Market.
|Company Name||ICICI Lombard Insurance||HDFC ERGO General Insurance||Royal Sundaram General Insurance||Bajaj Allianz Life|
|Product Name||ICICI Lombard Health Advantage Plus Plan||HDFC ERGO New Health Wise Plan||Royal Sundaram Health Shield Plan||Bajaj Allianz Life Health Care Plan|
|Medical Expenses (30 days prior and 60 days post hospitalization)||Available||Available||Available||Information not available|
|Day Care expenses for advanced technological surgeries and procedures *||Available||Available||Available||Available|
|Outpatient Treatment Expenses*||Available||Available||Available||Available|
|Pre-existing diseases||It is covered after 24 Months of Continuous Coverage||Information not available||It is Covered after 4 Years of consecutive insurance||Information not available|
|Sum Insured||Information not available||Rs. 5,00,000||Information not available||Rs. 10,000|
|Policy Duration||1 Year||3 Years||Information not available||Information not available|
|Eligibility||Age at entry 5 Years to 65 Years||Upto the age of 55 Years||Upto the age of 45 Years||Age at entry 18 years to 57 year|
*Day Care expenses for advanced technological surgeries and procedures :
Dialysis, Radiotherapy, and Chemotherapy, requiring less than 24 hours of hospitalization.
*Outpatient Treatment Expenses :
Expenses related to Dental Treatment, Surgery, Anaesthesia, Operation Theatre Charges, Cost of Pacemaker, Cost of Artificial Limbs External Medical Aids, Dental treatment charges, Ambulance charges, etc.
*Inpatient expenses :
Room charges, Doctors / surgeons fee, Medicines, diagnostic tests, etc.
Taking health insurance and paying premium is one story and filing for claim is another. Claiming benefits can be quiet tricky at times so you have to be smart and careful while filing for the claim. To file a Health Insurance claim with your Insurance Company you have to keep the following things ready.