COVID-19 Hospital Bills not Covered in Basic Health Insurance - Buy Coronavirus Policy Online

When you take admission to a hospital for COVID treatment they add the cost of consumable items like sanitation kits, PPE kits, and ventilators to the bill. But a basic health insurance plan that covers basic COVID hospitalization expenses will not cover most of these charges.

Read More

Policybazaar exclusive benefits
  • 30 minutes claim support*
  • 50,000 claims approved in last 15 months*
  • Schedule home visit with our advisors
  • Get a plan based on your medical needs

*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C Apply

*Tax benefit is subject to changes in tax laws. Standard T&C Apply

Back
All health plans cover Covid-19 treatment
  • 1
  • 2
  • 3
  • 4

Who would you like to insure?

  • Previous step
    Continue
    By clicking on “CONTINUE”, you agree to our Privacy Policy and Terms of use
    Previous step
    Continue

      Popular Cities

      Previous step
      Continue
      Previous step
      Continue

      Do you have an existing illness or medical history?

      This helps us find plans that cover your condition and avoid claim rejection

      Get updates on WhatsApp

      What is your existing illness?

      Select all that apply

      Previous step

      When did you recover from Covid-19?

      Some plans are available only after a certain time

      Previous step
      Advantages of
      entering a valid number
      You save time, money and effort,
      Our experts will help you choose the right plan in less than 20 minutes & save you upto 80% on your premium

      2021 is witnessing the second wave of COVID-19 and it has hit the entire nation hard and is severer than the COVID wave in 2020. Apart from taking a toll on people’s health, it can also put a dent in savings and ruin all the financial planning.



      If you have health insurance cover, financial protection is provided only up to an extent. This is because all health insurance plans come with a set of exclusions for which the medical expenses are not covered. For instance, all medical insurance plans have a waiting period of 2-4 years before the expenses incurred on pre-existing diseases are covered. Similarly, hernia and cataract surgeries are usually not compensated in the first policy year. 

      During coronavirus hospitalization, disputes between hospitals and insurance companies on overcharging further added to the financial burden. As per industry estimates, policyholders only get 50-55% of their actual COVID-19 hospitalization expense.  In such a situation a coronavirus health insurance policy is what you need. We will discuss different health plans like Corona Rakshak and Corona Kavach policy policies later on this page.

      COVID-19 Expenses not covered under Health Insurance

      PPE kits are a major expense of COVID-19 treatment because they are consumable items, their cost is not covered. Insurance companies later changed their minds and started covering these expenses as well up to a certain limit. Since PPE kits add to a significant portion of the total hospital bill and usage of excess kits above the specified limit is not allowed.

      The capping on PPE kits as per the General Insurance Council is kept at Rs 1,200-2,000 a day. The cost of multiple PPE kits is not covered. Most of the insurers pay for one PPE kit per day up to a maximum of Rs 1,500-2,000 on daily basis for PPE Kits.

      The increased cost of sanitization by the hospitals has added up to the overall hospital bills. Insurance companies, in some cases object to bills that are charged separately. The cost of air conditioning, housekeeping, daily charts, and infection control charges are a part of the room rent bills. If they are billed separately then they might not be covered. And if sanitization expenses are charged separately then they are also not covered.  

      Some other expenses that your basic medical insurance policy won’t cover are nebulizers, oxygen cylinders, and private attendant/nurses charges. 


      What Your Insurance Covers for COVID-19

      These are the expenses that are paid by the insurer:

      Specific Coronavirus Health Insurance Cover

      However, if you have purchased specific coronavirus health insurance plans like Corona kavach policy, Corona Rakshak policy then the insurer will cover all these costs up to the limit specified. However, you can also consider buying coronavirus health insurance plans from health insurance companies other than corona kavach and corona Rakshak. All the insurers are offering pilot products to cover the cost of COVID-related hospitalization expenses.

      • Corona Rakshak Policy- Corona Rakshakpolicy pays out 100% of the sum insured for COVID-19 hospitalization of more than 72 hours. The policy provides a sum insured between Rs 50,000 and Rs 2.5 lakh.
      • Corona Kavach Policy- Corona Kavach Policy covers hospitalization expenses upon diagnosis of COVID-19. It is mandated by IRDAI. Not only this, but the policyalso covers co-morbidities resulting due to COVID-19 hospitalization. The sum insured in this policy is Rs 50,000 to Rs. 5 lakh.
      • Coronavirus Health Plans- Coronavirus health insurance is an affordable insurance policy that covers COVID-19 related hospitalization expenses. Almost all the insurance companies are providing coverage benefits. 100% percent Lumpsum benefit is provided with no pre-medical screening.

      You can buy all these coronavirus health plans online from Policybazaar from the comfort of your home.

      How are Cashless Health Insurance Claims Settled?

      While settling cashless health claims, health insurers directly make the payment to network hospitals up to the sum insured or the limit as specified in the policy wordings. But during COVID-19 treatment, policyholders have faced huge deductions that were not covered by the insurer under the cashless claims also. In January, the IRDAI stepped in to advise the insurance companies to enter into agreements for COVID-19 cashless claims with hospitals, using COVID-19 cashless claims and state government as references. 

      As per agreed tariff rates, the insurer settles the cashless claims. After the intervention of the Insurance Regulator, though the situation seems to have improved for policyholders, not all the insurance providers agree to COVID-19 cashless payments due to differences over fair pricing.

      After GI Council guidelines to reduce excessive rates due to coronavirus pandemic, a lot of hospitals are not in agreement with the proposed tariffs. Therefore, the insurers are now doing fresh negotiations for claims settlement as per the policy wordings.

      How are Health Reimbursement Claims Settled?

      For claim reimbursement, you need to submit your hospitalization bills to the Health Insurance Company that will make the payment after ascertaining all the documents submitted by you.

      Medical claims where the hospitals have billed as per the local body or state rates are settled according to the bills submitted. If the hospitals submit open bills or non-GI Council bills the same gets settled as per mediclaim policy terms and conditions.  

      Though, medical policies have a clause of reasonable and customary charges. And the reimbursement is provided as per the policy terms and conditions adhering to capping imposed by the GI Council or government, leading to a partial payment of claim amount.


      Conclusion

      During such tough times, health insurers are trying their best to meet the rising demand for adequate health cover.  If you have a health insurance policy do read its clauses for COVID cover, if it’s not sufficient buy to buy coronavirus health insurance online from Policybazaar at reasonable premiums.

      Search
      Disclaimer: Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by an insurer.

      Health insurance articles

      Recent Articles
      Popular Articles
      Does Health Insurance Premium Change on Renewal?

      06 Dec 2022

      After the pandemic, the demand for good health plans has
      Read more
      Sum Insured in Health Insurance: Meaning & Importance

      11 Nov 2022

      People who are new to the world of insurance may not understand
      Read more
      How to File a Reimbursement Claim Under Health Insurance?

      03 Nov 2022

      The biggest reason for buying health insurance is to get financial
      Read more
      Monkeypox: Dos and Don’ts of the Disease That You Should Know

      15 Sep 2022

      Monkeypox has slowly and steadily spread to more than 85 countries
      Read more
      Why is It Important to Disclose Pre-existing Diseases to Your Insurer?

      06 Sep 2022

      As we grow old, the chances of developing a disease or a medical
      Read more
      PMJAY Scheme: Ayushman Bharat Yojana Eligibility & Registration Online
      Prime Minister Shri Narendra Modi announced the launch of (PMJAY) Ayushman Bharat Yojana in his Independence
      Read more
      Best Maternity Insurance Plans
      Maternity insurance offers comprehensive coverage for medical expenses incurred during pregnancy, including the cost
      Read more
      10 Major Benefits of Ayushman Bharat Yojana
      Pradhan Mantri Jan Arogya Yojana (PM-JAY) is the second component under Ayushman Bharat Scheme. PM Narendra Modi
      Read more
      How to Apply for Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)?
      Ayushman Bharat Yojana is a flagship health insurance scheme launched by the Government of India to offer universal
      Read more
      Best Health Insurance Plans for Senior Citizens in 2022
      Senior citizens are the most prone to diseases. Considering the medical inflation in India, buying health insurance
      Read more

      top
      Close
      Download the Policybazaar app
      to manage all your insurance needs.
      INSTALL