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What is health insurance

A Health Insurance Policy is a contract between the insurer and policyholder. The policy aims to provide the financial coverage against expenses incurred during a medical emergency.  Under this, one can avail of the benefits of reimbursement of medical expenses or cashless treatment as mentioned in the health policy.

Why do we need health insurance?

Owing to the rise in medical cost these days, health insurance has gained importance in today’s world. A health insurance plan can save you from burning a hole in your pocket and derail your finances. With such plans, you can manage your hefty medical expenses in a hassle-free manner. Moreover, you can also take advantage of several tax deductions on the premiums paid towards health insurance under Section 80D of the Income Tax Act, 1961.

Health insurance plan/policy can help you with the much-needed financial backup when you come across any medical emergency in your life, especially when you do not have enough funds to cover up your treatment. By purchasing a medical cover, you can be assured of both i.e. your health and money without much hassle.

What are the eligibility criteria for health insurance in india?

In India, people under 45 years of age are not required to undergo a mandatory health check-up while obtaining a health insurance policy. However, they are required only to disclose any pre-existing conditions such as diabetes or hypertension beforehand to their insurer. It is therefore usually advised that one should get health insurance at a young age so that the premium charged would be less. Usually, individuals above 55 years of age need to undergo additional medical examination while buying a health insurance plan.

Min Premium

₹ 3600/year

Net Work Hospital

11000+ hospitals

Claim settlement Ratio

 90%

Min Premium

 ₹ 4544/year

Net Work Hospital

6303+ hospitals

Claim settlement Ratio

87.42%

Min Premium

 ₹ 6935/year

Net Work Hospital

12000+ hospitals

Claim settlement Ratio

97%

Min Premium

 ₹ 6600/year

Net Work Hospital

8500+ hospitals

Claim settlement Ratio

98%

Min Premium

 ₹ 2800/year

Net Work Hospital

8500+ hospitals

Claim settlement Ratio

97%

Min Premium

₹ 4320/year

Net Work Hospital

2177+ hospitals

Claim settlement Ratio

89%

Min Premium

₹ 6320/year

Net Work Hospital

 5177+ hospitals

Claim settlement Ratio

 92%

Min Premium

 ₹ 4188/year

Net Work Hospital

 8000+ hospitals

Claim settlement Ratio

100%

Min Premium

 ₹ 3360/year

Net Work Hospital

8300+ hospitals

Claim settlement Ratio

98%

Min Premium

₹ 5740/year

Net Work Hospital

 19000+ hospitals

Claim settlement Ratio

 95%

Min Premium

₹ 5740/year

Net Work Hospital

 19000+ hospitals

Claim settlement Ratio

 95%

Min Premium

₹ 15636/year

Net Work Hospital

10000+ hospitals

Claim settlement Ratio

90%

FAQ (Frequently Asked Question)

Health insurance is a type of insurance coverage that pays for medical and surgical expenses incurred by the insured. It can also cover other types of healthcare costs, such as prescription drugs, doctor’s visits, and preventive care.

Health insurance helps protect you from high medical costs. It ensures that you have access to necessary healthcare services and provides financial security in case of unexpected medical emergencies

Common types of health insurance plans include:

  • Individual Health Insurance: Coverage for a single person.
  • Family Health Insurance: Coverage for the entire family under a single policy.
  • Group Health Insurance: Coverage provided by an employer for employees.
  • Critical Illness Insurance: Coverage for specific serious illnesses like cancer, heart attack, etc.
  • Senior Citizen Health Insurance: Coverage specifically designed for senior citizens.

Health insurance typically covers:

  • Hospitalization expenses (inpatient and outpatient)
  • Doctor consultations and visits
  • Diagnostic tests and lab work
  • Prescription drugs
  • Preventive care services
  • Emergency medical services
  • Some plans may also cover dental and vision care

Common exclusions in health insurance policies include:

  • Pre-existing conditions (for a specified waiting period)
  • Cosmetic surgeries
  • Dental and vision care (unless specified)
  • Alternative treatments (like Ayurveda, Homeopathy)
  • Self-inflicted injuries
  • Non-prescription drugs and supplements

Consider the following factors when choosing a health insurance plan:

  • Coverage benefits and exclusions
  • Premium amount and affordability
  • Network hospitals and doctors
  • Claim settlement process and ratio
  • Customer service and support
  • Additional benefits like wellness programs

To file a claim, follow these steps:

  1. Inform your insurance provider about the hospitalization or treatment.
  2. Fill out the claim form provided by the insurer.
  3. Submit required documents such as medical bills, discharge summary, and doctor’s prescriptions.
  4. The insurer will review the claim and process the reimbursement or direct payment to the hospital.
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