Health Insurance

  • Covers your entire family at less cost
  • Hospitalization expenses are covered
  • Lower Prices while purchasing online
  • Provides tax Benefits
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    About Health Insurance

    Health insurance policy is like an annual contract in which the insurance company pays for the medical expenses that occur during the policy tenure. The medical expenses include hospitalization due to sickness, accident, surgeries etc. These expenses can be availed by paying a fixed amount called premium. A medical insurance policy provides these expenses in the form of either reimbursement or cashless treatment.
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    What is Health Insurance?

    Health insurance is an agreement wherein the insurance company provides medical coverage to the insured person for a fixed premium amount. Medical insurance has become the need of the hour, especially since COVID-19 pandemic started. People have become more aware of the various benefits that come with medical insurance policy.
    A health insurance policy protects you from heavy hospitalization expenses during medical emergencies. This includes hospitalization expenses, day-care expenses, ICU charges, and other medical expenses. The benefits offered depend on the medical insurance plan and the insurance company you have chosen. You can also avail of tax benefits under Income Tax Act, 1961 if you possess a medical insurance policy.

    Highlights of Health Insurance

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    Renewal Bonus Upto 60.0%

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    Cashless Claims

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    Top Hospitals Coverage

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    Senior Citizen Cover

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    Child Cover

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    Free Health Check-ups

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    Tax Benefits

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    Surgery Cover

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    AYUSH Treatment

    Importance of Health Insurance Policy in India

    When you have medical insurance, you don’t need to have a huge bank balance during medical emergencies.
    A health insurance plan does the following;

    Provides A Cover Of Up To 1 CR:

    You get a cover amount of up to 1 CR every year. You can use this amount for any hospitalization treatment throughout the year.

    Pays 90% Of Your Hospital Bill:

    Just get admitted & give your cashless card to the hospital. The hospital takes money from your insurance company while your treatment goes on.

    Pays For Any Accident Bills:

    Pays for your accident hospitalization bills from day one of your policy. Both indoor & outdoor accident hospitalization bills are covered.

    Pays For Any Seasonal Illness Hospital Bills:

    Pays for any seasonal illnesses like Covid19, viral fever, Dengue, Malaria, typhoid, pneumonia, diarrhoea & many more immediately after 30 days of buying the policy.

    Pays For Any Pre-Existing Illness Hospital Bills:

    Any pre-existing illness before buying the policy is covered after 3-4 yrs. after buying the policy. These include heart, lung, liver, kidney, diabetes, blood pressure & many more.

    Critical Illnesses Are Covered:

    If you don’t have any pre-existing illness before buying the policy & if you suddenly get any critical ailment, it’s covered after 30 days. These include heart, lung, liver, kidney, diabetes, blood pressure & many more.

    Pays For Any General Surgery:

    Pays for any general surgery after a waiting period of 2-3 years. These include piles, fissures, gallbladder, kidney stone & any surgeries listed in your health plan.

    Benefits of Health Insurance Renewal

    A medical insurance policy needs to be renewed annually upon its expiry. On-time health insurance renewal can reap you with the following benefits:

    Tax Benefits

    On purchasing or renewing a medical insurance policy, the insured person becomes eligible to gain tax benefits under section 80D of the Income Tax Act 1961. In order to get annual tax benefits, one should renew health policy on time.

    Stay protected

    Renewing your health insurance policy on time helps ensure that you stay protected and get uninterrupted coverage. A medical emergency can arise at any time which is why you must have a valid medical insurance policy. A lapsed policy means that your medical expenses are not covered and you might also lose your No Claim Bonus.

    Premium Amount

    With age, your health policy premium also increases. Moreover, if your policy lapses you need to buy new insurance policy which comes with higher premium. In order to avoid paying higher premium amount, you need to make sure you do health insurance policy renewal on time.
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    Types of Health Insurance Plans

    There is a wide range of health insurance policies & plans in India. Here’s a list of some popular health plans:
    Individual Health Plan
    An individual health insurance policy or plan provides coverage for a single individual only. This plan covers for your medical expenses related to hospitalization, injury, room rent, and more. This policy offers sum insured which can be used by only one person i.e. the individual covered under the plan.
    Family Health Plan
    Under a family health insurance, you can cover your entire family under a single policy. The sum insured for these policies are usually higher than regular individual health insurance plans. The sum insured is available for all the family members insured under the plan. The best part about this plan is that you can get cover for your entire family for a small premium amount.
    Group Medical
    Insurance Plans
    Group health insurance plans are highly popular in the corporate sector. Medium and large-sized enterprises use this insurance policy to offer cover for their employees in time of a medical crisis. It is a benefit that most employees expect when joining a company and this helps the employer retain their employees.
    Critical Illness
    Insurance Plan
    Critical illness policy offers cover specially for critical illnesses such as stroke, kidney failure, organ transplant, cancer, and more. Treating critical illnesses can get expensive and a policy like this can save a lot of money if you ever were diagnosed with a critical illness. The insurance pays a predetermined amount towards the treatment when the insured is diagnosed with a critical illness.

    Benefits of Buying Health Insurance Policy

    Cashless Treatment

    If you have cashless health policy & you get hospitalized, you don’t have to pay 90% of the hospital bill. You also don’t need to have a huge amount of hard cash on you. You just need to submit your cashless card & the hospital will coordinate with the insurance company & get the money as needed.

    Covers Hospitalization Treatment

    Your medical insurance policy covers 90% of your medical expenses resulting from your hospitalization for more than a period of 24 hrs. These expenses include diagnostic test fees, doctor’s fee, medicine cost, room rent & at times even certain surgery costs.

    Seasonal Illness Treatment

    Any seasonal illnesses like dengue, malaria, typhoid, pneumonia, covid19 & others are covered in medical insurance. There’s a waiting period of just 30 days. After 30 days you can avail treatment for any seasonal illness.

    Pre-existing Illness Treatment

    You or your parents may have some pre-existing disease before buying the policy. Pre-existing diseases are blood pressure, diabetes, heart problems, lung issues, liver diseases, kidney ailments & anything that’s a chronic condition. Depending on your policy, you get cover for these pre-existing diseases after a waiting period of 3-4 years. It’s always better to buy the policy immediately, get done with the waiting period & not wait for an emergency.

    Emergency Support

    If you have a cashless policy, you need not worry about having a large amount of cash during an emergency. Most medical insurance policies also provide ambulance cover and emergency hospitalization expenses.

    Accident Cover

    Whether you meet with an accident indoors or outdoors, you get covered from day one. The only condition is that the accident should require hospitalization. Some policies may also cover surgeries involving an accident hospitalization treatment.

    Tax Benefits

    A medical insurance policy offers the policy holder with a lot of tax benefits that fall under the section 80 D of IT Act (income tax act) of 1961. The deduction on taxes offered to the policy holder depends on factors like the premium amount, insured person’s age and many other aspects. Based on these given factors, a policy holder can claim for tax deductions & this can be from anywhere between Rs.25,000 to Rs.50,000.

    Financial Security

    Without insurance policy, it takes just one serious medical emergency to deplete your life savings. A health plan not only offers you peace of mind but also offers financial security. With the right medical insurance policy, you can avail quality medical treatment without having to break into your savings.

    What is Covered?

    While every medical insurance policy is unique, most of them have the same cover. Listed below are some of the most common inclusions under medical insurance plans:
    • Hospitalisation expenses
    • Outpatient procedures
    • Donor transplant expenses
    • Chronic illness treatment
    • Pre-hospitalisation expenses
    • Health checkups
    • Preventive services
    • Prescription medication
    • Post-hospitalisation expenses
    • Ambulance charges
    • Critical illness

    What's NOT Covered

    While medical insurance offers cover for most health ailments and diseases, there are still some exclusions under the policy. Listed below are some of the common exclusions under health plans:
    • Cosmetic procedures
    • Congenital diseases
    • Dental procedures
    • Non-prescription drugs
    • Pre-existing conditions
    • Injuries incurred from war, terrorism, & suicide

    Who is Eligible to Buy Health Policy?

    The eligibility criteria for a medical insurance policy depends on certain pre-existing illnesses or pre-existing ailments, policy holder’s age & current medical conditions. The health insurance companies also conduct a medical test to check if the applicant already has some health diseases or not. Commonly these eligibility criterion needs to be met:

    Age Criteria to Buy Health Insurance Plans?

    • The entry age for Adults: 18 to 65 years (70 and above, depending on the plan and the insurer).
    • The entry age for Children is 90 days to 18 years, and in some plans, it goes up to 25 years.

    Pre-medical Screening Before You Buy Health Plans?

    In most cases, the applicant’s age has to be above 45 years, but it might vary depending on the insurer and the kind of medical insurance plan. Most senior citizen health plans need pre-medical tests to determine if the applicant meets the eligibility criteria for insurance cover. The criterion for an individual and family plans might vary according to the policy terms and conditions.

    Pre-existing Diseases To Mention Before You Buy Medical Insurance Plans?

    While buying a medical insurance policy, you must inform the insurer about the health diseases you have or any pre-existing illness that you or your family members have. It would be best if you did not keep it a secret as it can create problems at health insurance claim settlement time. It can even lead to the rejection of your claims.
    Most health insurers question the applicant if they have any medical conditions such as blood pressure, diabetes, kidney problems, cardiovascular diseases, and other diseases. You also have to inform them about your smoking or alcoholic habits (if you have the habit); based on these factors, the insurance company will decide if you are eligible to get medical cover or not.
    If one insurer rejects your application, you can also check with another or buy a specific health plan as per your medical conditions. Check the policy for terms and conditions to have a better understanding of the eligibility criteria.

    Why You Need to Compare Health Insurance Plan Online?

    Different health insurance companies offer various impressive features, and it can become challenging to choose the right policy. Therefore, comparing various medical insurance plans online is a great idea. We offer you a systematic way to compare top health policies so that you can select the most suitable & convenient plan.
    Here are some of the significant advantages of comparing and buying a health plan online:
    Right Information
    Coverfox gives detailed information on top health policies saving your time & effort.
    Time-Saving
    You don’t have to meet agents & compare plans. You can do it in a few clicks online.
    Easy on Pocket
    No brokerage or commission with Coverfox. Just compare, choose your premium & buy.
    Check Plan Reviews
    Check reviews on insurers & choose the right insurance company & policy.
    ICR
    You can know the ICR of a medical insurance company. Choose a company with high ICR.
    Customer Experience
    You should always consider the mass opinion. Look for customer reviews online.
    Claim Process
    Knowing the claim process saves much hassle at the eleventh hour.
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