HEALTH INSURANCE

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Health Insurance

A health insurance policy extends coverage against medical expenses incurred owing to accidents, illness or injury. An individual can avail such a policy against monthly or annual premium payments, for a specified tenure.

During this period, if an insured meets with an accident or is diagnosed with a severe ailment, the expenses incurred for treatment purposes are borne by the insurance provider. You can also enjoy several add-on benefits, extended with health insurance policies, which are discussed in detail in the following sections.

Benefits of Health Insurance Plans


1. Hospitalisation Expenses
Any medical condition requiring urgent hospitalisation is covered under standard health insurance plans. However, claims are only entertained, provided the disease has not been previously diagnosed when the insurance plan was not availed.
Hospitalisation expenses incurred under the following situations are also extended by renowned insurance providers:

  • Treatment Against Critical Illness - Some insurance providers extend substantial amounts equal to or greater than the sum insured for covering all underlying expenses to treat critical diseases. All medical costs inclusive of hospitalisation, diagnosis and medication, etc. are covered by most companies.
  • Accident and Illness Related Hospitalisation Coverage - Medical expenses borne in due course of hospitalisation due to illnesses or accidental injuries also come under these expenses. Comprehensive treatment charges up to or higher than sum insured is offered by major insurance providers. Such extensive coverage helps you stay financially protected in the event of any unforeseen circumstances.

2. Pre and Post Hospitalisation Charges
Pre hospitalisation expenses such as diagnosis expenses, and doctors’ fees etc. can be covered by a health insurance plan.
Expenditures post-release such as medication, routine check-ups, injections, etc. are also reimbursed by most insurance companies. Compensation funds against the same can be extracted as a lump sum amount, or by producing respective bills.

3. ICU Room Charges

Health insurance policies also cover ICU bed charges. An insured individual can also choose to stay in a private room, costs of which can be billed against the respective insurance provider, up to a specified amount or total insured amount, at the discretion of the insurance company.

4. Room Rent Capping
Room rent of hospital rooms is covered under such health insurance policy, allowing insured individuals to recover with comfort. Total amount disbursed in such cases are specified by an insurance company beforehand.

5. Daycare Procedures
Expenses incurred for daycare treatment at hospitals such as dialysis, cataract, tonsillectomy, etc. are covered under most health insurance plans.

6. Road Ambulance Charges
A standard health insurance policy covers any ambulance expenses incurred during times of medical emergency. This poses a significant benefit as premium hospitals often charge substantial amounts for transportation.

7. Refill Sum Insured
Under such health insurance policy, you can make claims amounting up to the sum insured twice a year, provided the medical conditions are different each time.

8. No Claim Bonus
For every non-claim year, insured individuals are extended discounts or a higher sum insured (at no additional cost) in the succeeding years, that can help to reduce their premium charges payable annually or to extend their sum insured coverage.

9. Daily Hospital Cash Cover
Daily cash allowance is provided by stipulated institutions, enabling individuals to make up for the loss of pay during times of hospitalisation.

10. 0% Co-payment
Renowned insurance companies cover the entire medical bills generated during the treatment procedure of an insured individual, up to the sum insured amount. Zero co-payment mitigates the financial liability of a patient, allowing him/her to focus solely on recovery.