5 Things You Need to Know About Health Insurance

Health is something which has become a reason of concern for one and all irrespective of age and gender and hence it is necessary to have a health insurance. When dealing with the escalating count of diseases and their costly treatments, insurance acts like a support stick for you and your family. But, before purchasing a policy it is must to get familiar with the terminology and details of your health insurance policy.

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      Selection of best health cover

      Health cover selection needs a thorough analysis of one’s personal needs and financial priorities. For some, the need may be getting a wide cover for family; for others, the need may be tax-savings. Here are a few criteria which can help you select the right health insurance plan.

      • Lifestyle - Lifestyle is dependent on factors like occupation, income, city and food style. This  largely helps you to decide on the amount of sum assured you need to have in your policy.
      • Life-stage - Select the premium amount depending on your life-stage i.e. single/married, with/without kids, student/working, etc.
      • Health conditions - Recent hospitalization, if any, risky lifestyle, hereditary conditions, past illnesses are few health conditions which should be kept in mind when selecting a policy. Go through the illness covered in the policy and buy it for your future.

      Difference between network and non-network hospitalization

      A Network hospital is the one which signs agreement with a particular insurer for providing cashless treatment to an individual insured with that insurer. Whereas, non-network hospitals are the ones which neither signs any agreement with insurer nor it provides any cashless treatment. An individual has to pay for the treatment and claim as per the reimbursement process of the company.

      There might be times when the network hospital may not provide you cashless treatment but the amount or the claim can be reimbursed later. Generally the cause of deal may be lack of documentations or issues where instant approval could not be provided.

      Reimbursement of costs of treatment in non-network hospital

      Every insurer has few hospitals in their network which provide cashless hospitalization. Actually, it is not always possible to get admitted in network hospital and some people wish to get treated in their trusted hospitals.

      So, if you wish to get treated in a non-network hospital, then you are reimbursed for the reasonable expenses supported by the bills subjected to the policy taken by the policyholder. You need to contact the insurer beforehand or within 24 hours of admitting the patient with the following details –

      • Health insurance ID card number
      • Nature of illness
      • Name and address of hospital/nursing house, contact number etc.

      The claim is registered and the policy holder is provided with the claim number. The claim form is either sent to his home or faxed in the hospital. This form is to be submitted back along with the following documents –

      • Doctors prescription and medicine bills
      • Main hospital bill with payment receipts
      • Medical reports/diagnostic tests
      • Any other relevant details or documents

      Purchasing health insurance online

      Now you don’t need to run after agents, instead you can go online and visit various insurance comparison portals like policy bazaar, wherein, you can compare the policy in terms of premium paid, sum assured, coverage, benefits, etc. This time saving effort is sure to get you the best deal in best price. You can buy or renew the policy online and even pay the premium. Keeping you away from the fussy paper work, online insurance system is great to opt for.

      Need of insurance even when fit

      Even if you are young and healthy, never knocked at any doctor’s cabin for years, you still need to have health insurance. It basically covers you against unexpected mishappenigns like accidents or an emergency. It is not necessary for your health insurance to pay you for your routine doctor’s visit but it is designed with a larger approach of providing you cover against large treatment expenses like of illness or injury. Emergencies don’t dispatch a letter before knocking your door so it’s better to stay prepared to battle against any such event.

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      *We will respond in the first instance within 30 minutes of the customers contacting us. 30-minute claim support service is for the purpose of giving reasonable assistance to the policyholder in pursuance of the claim. Settlement of claim (including cashless claim) is the responsibility of the insurer as per policy terms and conditions. The 30- minute claim support is subject to our operations not being impacted by a system failure or force majeure event or for reasons beyond our control. For further details, 24x7 Claims Support Helpline can be reached out at 1800-258-5881.

      *Product information is authentic and solely based on the information received from the Insurer. Policybazaar is acting only as a facilitator and claims settlement shall be at the sole discretion of the Insurer. Policybazaar does not provide any medical or surgical advice or diagnosis and is not responsible for your interactions / treatment by a medical practitioner/hospital. Please consult a registered medical practitioner for any medical or surgical advice. The Information that you obtain or receive from Policybazaar, and its employees, or otherwise on the Website is for informational purposes only. As per the Insurance guidelines, you are allowed to cancel the policy with-in 30 days from the date of Issuance of policy.This option is available incase of policies with a term of one year or more.

      *All the health insurance plans cover hospitalization expenses including COVID-19 treatment cover up to the specified limits. You can also buy specific COVID-19 health insurance policies such as Corona Kavach Policy and Corona Rakshak policy.

      **All savings and online discounts are provided by insurers as per IRDAI approved insurance plans. #Tax Benefits are subject to changes in tax laws. GST Exemptions depend on fulfilment of qualification criteria and submission of relevant documents.

      *₹1748/month is the starting price for a 1 crore health insurance for an 18-year-old male, with no pre-existing diseases. Discount on renewal premium is subject to the number of wellness points earned in the health insurance policy. For more details about the plans, please read the sale brochure carefully to get upto 100% discount on renewal premium.

      *₹400/month is the starting price for ₹ 5 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹541/month is the starting price for ₹ 10 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹762/month is the starting price for ₹ 1 Crore Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹243/month(₹ 8/day) is the starting price for a 5 lakh health insurance for a 20-year-old male, non-smoker, living in Bengaluru with no pre-existing diseases

      *₹2020/month is the starting price for ₹ 1 Cr Health insurance for a 50 year old male & 50 years old female, living in Bangalore with no pre-existing diseases rounded off to nearest 10.

      *₹390/month (₹13 per day) is starting price for 1 cr. Health insurance for 25 years old male, with pre-existing diseases, residing from tier 1 city rounded off to the nearest 10.

      *No medical tests are required unless requested by the insurer’s underwriter. In-case of pre-existing diseases relevant medical proof would be required as per the terms and condition of the policy opted.

      *The values taken for effective cost calculation are indicative values and may change as per the selected plan.

      *Coverage upto double the amount of Sum Insured is available on certain covers for a minimum plan of Rs. 5 Lakh on the first claim only to an individual of upto 45 years of age with no pre-existing diseases. The benefit is available with or without extra cost depending on the plan chosen.

      *Coverage of pre-existing diseases is provided by insurer as per their underwriting policy.

      *The scope of coverage may vary from plan to plan.

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      Tax Benefits are subject to changes in tax laws. GST Exemption depends on fulfilment of qualification criteria and submission of relevant documents as required by the insurers. For more details on risk factors, terms and conditions, please read the sales brochure and applicable rules and regulation carefully before concluding a sale.

      STANDARD TERMS AND CONDITIONS APPLY. For more details on risk factors, terms and conditions, please read the sales brochure carefully before concluding a sale.

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