All You Need to Know About Health Insurance in India

A health insurance plan plays a major role in providing you financial stability in case of various health issues. This is because by it your insurance provider gives you legal assurance to offer you financial help in different cases of health issues.

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

      To avail the benefits of your health insurance plan, it is extremely important to understand your health insurance plan. If you are waiting to fall ill or meet with an accident to get to know your health insurance policy, then you are definitely committing a blunder. We are saying so because at that time you will not be in a situation to even understand your medical bills, then how will you be able to understand your health insurance policy. Therefore, the perfect time is this time and the perfect day is today to know your health insurance policy full well.

       

      This article is a guide for you to understand health insurance irrespective of the insurance provider from which you have taken a plan.

      Health Insurance Terms

      Enlisted are some of the jargons that are used in the health insurance industry:

      • Survival Period: This term is majorly used in critical insurance plans. Most of the times the policyholder have to survive for at least 30 days after the diagnosis of the medical condition in order to avail the claim benefits.
      • Pre-Existing Illnesses: Pre-existing illnesses or diseases is the illness that you have before you have purchased the insurance plan. Most of the insurance providers do not offer coverage for pre-existing diseases before the completion of four years of the policy. If you have continued your health insurance policy with the same insurance provider for four contentious years, then the insurer may consider covering your pre-existing illnesses.
      • Network Hospitals: All the health insurance providers have tie-up with some hospitals; these hospitals are termed as network hospitals of the insurer.
      • Waiting Period: Every health insurance policy has a waiting period. It is a time after which you can avail the benefits of your health insurance plan. However, exceptions such as emergency hospitalization due to an accident are covered even before the waiting period is over. The tenure of waiting period may vary with the insurance provider and the plan you take, but for general health insurance policies, it is mostly 30 days.
      • Inclusions: All that is covered in your health insurance policy is considered as the inclusion of your plan. The inclusions are mentioned in the policy documents.
      • Exclusion: All that is not covered in your health insurance plan is known as its exclusion. The exclusions are mentioned in the policy documents. There are some exclusions that are common in most of the health insurance plans, such as treatment of AIDS, dental treatment, self-injury, etc. are a few standard exclusions.

      Features of Health Insurance Plans

      The basic facilities/ features that most of the health insurance plans have are:

      • Cashless Hospitalization: If you take treatment from any of the network hospitals of your insurance provider, then you will not be required to pay for your medical expenses. To avail this feature, all you have to do is to show the card provided by your health insurance provider and get your treatment done as per the coverage of your policy. However, if due to any reason, you have to be admitted to a non-network hospital, then you have to settle your bills by your own and get them reimbursed by your insurance provider later.
      • Online Policy Renewal: After completion of the policy year, you can renew your health insurance plan online. You can do the same by going to the website of your insurance provider. The renewal process of some of the insurers like Star Health Insurance renewal is very simple and quick and you can do it on your own.
      • Day Care Treatment: Some insurance providers accept your claim only if you have spent at least 24 hours in the hospital. However, there are some plans that also cover day care treatments and do not ask you to stay at the hospital for any minimum number of hours.
      • Pre and Post Hospitalization: Most of the health insurers provide the facility of both pre and post hospitalizations. Generally, 30 days of pre and 60 days of post-hospitalization care is taken into consideration by most of the health insurance plans.
      • Grace Period: It is time period offered by the insurance providers after the due date of your insurance expiry. The grace period is given to the policyholders to pay the premium in order to keep his/her health insurance policy valid and retain claim benefits. Most of the health insurance providers offer 15 days of grace period.  
      • Policy Portability Feature: If you want to upgrade your health insurance policy or want to switch your health insurance provider without losing the benefits of your current plan, then avail the portability feature. You can port your health insurance plan only at the time of its renewal. You have to initiate the process of portability at least 45 days prior to the expiration date of your current plan.
      • Complaint Correction: If you have any complaint about your health insurance provider, then it is advised to address it. The insurance provider is liable to acknowledge this complaint within 3 working days. In addition to this, if you are not satisfied with the solution given by the insurance provider, then you can escalate your issue to IRDAI, either via mail or call.
      • Claim Settlement: Every insurance provider has a process to settle claims however, it differs with the organization. Therefore, it is suggested to get yourself familiar with the claim settlement process of your insurance provider. Make sure you are aware of the documents that are needed in order to file a cashless claim. To have a seamless claim approval, it is required to understand the process of claim full well.  

      Types Health Insurance Plans

      There are several types of health insurance plans provided by different health insurance providers, however, under this list, we are providing some of the common policies that are offered by most of the insurers:

      • Individual Health Insurance: A plan that offers health insurance coverage to individuals is termed as an individual health insurance plan.
      • Family Health Insurance: It provides coverage for complete family and also known as a family floater. Generally, in a family floater plan, a family of 4 (2 adults and 2 dependent children) is covered. However, it too has variants as some providers give facility to add your parents and parents-in-law as well.
      • Senior Citizen Insurance: To provide wide health insurance coverage to those who are more than 60 years, this health insurance plan is introduced. Some of the insurance policies such as Star Health Insurance for Senior Citizens provide really extensive coverage in this policy.
      • Critical Illness Insurance: If you are diagnosed with some critical illness, then taking this policy is recommended.
      • Maternity Insurance: To provide uninterrupted medical services to pregnant women, this health insurance plan is introduced. Some plans under this policy cover the mother as well as their new-born babies.

      Apart from the above-mentioned types, some insurance providers offer insurance plans for cancer, personal accident, etc. So, if you want some specific policy, search the website of your insurance provider or contact its customer support.

      Conclusion:

      Hopefully, this article has helped you to get a basic understanding of a health insurance policy. However, it is suggested to understand the terms and conditions of a plan completely before purchasing it. Take a plan only after you get completely satisfied and found out that it is providing you all that you need from your health cover.  

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

      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
      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
      Benefits of Multi-Year Health Insurance Plans

      25 Aug 2022

      Ever since COVID-19 entered our lives, health insurance has come...
      Read more
      Does Health Insurance Cover Monkeypox?

      25 Jul 2022

      Monkeypox is the latest disease to make its way to India while we...
      Read more
      List of Diseases Covered by Bajaj Allianz Health Insurance Plans

      05 Jul 2022

      Barely any person has remained unaffected due to rising health...
      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 Health Insurance Plans in India 2022
      Finding the best health insurance plan from so many different health insurance companies can get confusing for many...
      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 Maternity Insurance Plans
      Maternity insurance offers comprehensive coverage for medical expenses incurred during pregnancy, including the cost...
      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