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    Health Insurance

    – A Promise of Security and Peace –

    Ensure your well-being with our health insurance plans. We offer policies that cater to all your medical needs. Apply now today to find the best coverage to get started.

    A Health Insurance Policy covers the medical expenses of the insured individual, establishing a legal contract between the policyholder and the insurance company. Depending on the policy, the insurer ensures eligibility for cashless treatment at network hospitals for illnesses or injuries covered under the plan, or they may reimburse the medical expenses incurred.

    Additionally, health insurance premiums qualify for tax deductions under Section 80D of the Income Tax Act of 1961, offering policyholders financial benefits while securing their health.

    Car Loan Details

    Interest Rate (Monthly reducing balance)

    Starts from 8.70% p.a.

    Guarantor Requirement

    Varies with bank

    Pre-closure Charges

    Varies with bank

    Loan Tenure

    1 year to 8 years

    Processing Fee

    Depends on the bank

    What is Health Insurance?

    Health Insurance Plans are essential indemnity-based products designed to provide financial support for medical expenses resulting from hospitalization or critical illnesses. In India, health insurance operates as a contract between the insurance provider and the policyholder, ensuring coverage for medical bills in the event of future injuries or illnesses that require hospitalization.

    These plans cover a wide range of medical expenses, including hospitalization, treatment costs, surgeries, and various other healthcare-related expenditures. Leading health insurance policies in India are typically associated with extensive networks of hospitals, allowing policyholders to access convenient cashless treatment.

    List of Best Health Insurance Companies in India

    The table below lists some of the leading insurance companies that provide health insurance policies, including details on Sum Insured, Network Hospitals, and Key Benefits.

    Health Insurance PlanSum Insured
    Aditya Birla Activ Assure Diamond PlanMin – ₹2 lakh, Max – ₹2 crore
    Bajaj Allianz Health Guard PolicyMin – ₹1.5 lakh, Max – ₹1 crore
    Care Health Insurance PlanMin – ₹3 lakh, Max – ₹75 lakh
    Cholamandalam Flexi Health Supreme PlanMin – ₹5 lakh, Max – ₹5 crore
    Digit Health Insurance PlanMin – ₹2 lakh, Max – ₹3 crore
    Future Generali Health Total PolicyMin – ₹3 lakh, Max – ₹1 crore
    IFFCO Tokio Individual Health Protector PlanMin – ₹50,000, Max – ₹20 lakh
    Kotak Mahindra Health Premier PolicyMin – ₹25 lakh, Max – ₹2 crore
    Liberty HealthPrime Connect PolicyMin – ₹10 lakh, Max – ₹1 crore
    Magma HDI OneHealth Insurance PlanMin – ₹2 lakh, Max – ₹1 crore
    ManipalCigna ProHealth Insurance PolicyMin – ₹2.5 lakh, Max – ₹1 crore
    National Mediclaim Policy (Individual)Min – ₹1 lakh, Max – ₹10 lakh
    New India Assurance Mediclaim PolicyMin – ₹1 lakh, Max – ₹15 lakh
    Niva Bupa (Formerly Max Bupa) ReAssure 2.0 PlanMin – ₹5 lakh, Max – ₹1 crore
    Oriental Happy Family Floater PolicyMin – ₹1 lakh, Max – ₹50 lakh
    Raheja Health QuBE Insurance PolicyMin – ₹1 lakh, Max – ₹50 lakh
    Reliance Health Infinity Insurance PolicyMin – ₹3 lakh, Max – ₹5 crore
    Royal Sundaram Lifeline Insurance PlanMin – ₹2 lakh, Max – ₹1.5 crore
    SBI Arogya Supreme PolicyMin – ₹1 lakh, Max – ₹5 crore
    Star Comprehensive Insurance PolicyMin – ₹5 lakh, Max – ₹1 crore
    Tata AIG Medicare Premier PolicyMin – ₹5 lakh, Max – ₹50 lakh
    United India Individual Health Insurance PolicyMin – ₹2 lakh, Max – ₹20 lakh
    Universal Sompo Complete Healthcare Insurance PlanMin – ₹1 lakh, Max – ₹50 lakh
    Zuno (Formerly Edelweiss) Health Insurance PolicyMin – ₹1 lakh, Max – ₹1 crore

    Note: GST rate of 18% applicable for all financial services effective July 1, 2017.

    Types of Health Insurance Plans

    Mentioned below are the different types of health insurance plans you can choose to meet your specific requirements:

    • Individual Health Insurance
    • Family Floater Health Insurance
    • Senior Citizen Health Insurance
    • Critical Illness Health Insurance
    • Maternity Health Insurance
    • Group Health Insurance
    • Preventive Healthcare
    • Personal Accident Insurance

    Required Documents for Purchasing Health Insurance in India

    To purchase health insurance in India, you will need the following documents:

    Proof of Identity
    • Aadhaar Card
    • PAN Card
    • Voter’s ID
    • Passport
    • Driving License
    • Passport-sized Photographs
    Age Proof
    • Birth Certificate
    • Passport
    • 10th or 12th Class Marks Card
    • Voter’s ID
    • PAN Card
    • Aadhaar Card
    • Driving License
    Proof of Residence
    • Telephone Bill
    • Passport
    • Electricity Bill
    • Driving License
    • Ration Card
    • Voter’s ID
    • Aadhaar Card

    Additionally, some health insurance companies may require applicants to undergo medical examinations to qualify for coverage. Insurers might also request other documents beyond those listed above.

    *Note – GST Update: GST of 18% is applicable on car insurance effective from the 1st of July, 2017

    Eligibility Criteria for Health Insurance

    The common eligibility criteria for Health Insurance in India are as follows:

    CriteriaSpecifications
    Age18 to 65 years
    Pre-Existing ConditionsRequired above the age of 45 years
    NationalityOnly citizens or legal residents may be eligible for certain types of health insurance.

    Car Loan EMI Calculator

    The Equated Monthly Installments (EMIs) that you will pay will depend on a few key factors.

    • The loan amount.
    • The interest rate that is applicable to the loan.
    • The tenure of the loan.
    • The processing fees.

    The higher the loan amount, the higher your EMI will be. Similarly, the shorter the loan tenure the higher the EMI.

    EMI:

    0 INR

    Total Interest Payable:

    0 INR

    Total of Payments (Principal + Interest):

    0 INR

    To calculate the EMI on your car loan, you can use the formula:

    EMI=P×R×(1+R)N(1+R)N−1\text{EMI} = \frac{P \times R \times (1+R)^N}{(1+R)^N – 1}

    where:

    • ‘R’ is the rate of interest
    • ‘P’ is the principal amount
    • ‘N’ is the loan tenure

    Manual calculations can be error-prone, complex, and time-consuming, so using an online personal loan EMI calculator is preferable. This calculator requires only a few basic details such as the interest rate, loan amount, and loan tenure.

    Once these details are entered, the EMI amount is calculated instantly. Additionally, the calculator provides the total interest amount and an amortization schedule for easy reference.

    What is Covered & Not Covered Under Car Insurance Policy?

    InclusionsExclusions
    In-patient Hospitalisation ExpensesClaims within the initial 30 days of purchasing the policy, unless due to accidental emergencies
    Pre and Post-Hospitalisation ExpensesPre-existing Illnesses or Diseases - Coverage for pre-existing diseases usually requires a waiting period of 2 to 4 years
    Ambulance ChargesCritical illness coverage often involves a waiting period of 90 days
    Daycare ProceduresInjuries resulting from war, terrorism, or nuclear activities
    Home Treatment CoverSelf-inflicted injuries or attempted suicides
    Preventive Health Check-upsTerminal illnesses, AIDS, and similar diseases
    Mental Healthcare CoverCosmetic or plastic surgery, hormone replacement surgery, and related procedures
    Maternity CoverExpenses for dental or eye surgeries
    Ayurveda, Unani, Siddha, or Homeopathy treatmentsCharges for bed rest, hospitalisation, rehabilitation, and common illnesses

    *Note –  It’s advisable to review your policy documents for a comprehensive list of inclusions and exclusions.

    Factors to be Considered Before Buying a Health Insurance?

    Before purchasing a health insurance plan, carefully evaluate the following factors:

    1. Scope of Coverage: Review the coverage details, including hospitalization expenses, COVID-19 coverage, and maternity benefits.

    2. Adequate Sum Insured: Choose a policy with sufficient coverage, ranging from Rs. 10 lakh to Rs. 1 crore, considering inflation and healthcare costs.

    3. Policy Type: Select between individual, family floater, or critical illness plans. Consider top-up options for additional coverage as well.

    4. Waiting Period Clause: Understand waiting periods for pre-existing conditions and specific illnesses to avoid delays in coverage.

    5. Co-payment Clause: Evaluate policies with co-payment clauses to balance reduced premiums with potential out-of-pocket expenses.

    6. Room Rent Sub-limits: Be aware of room rent restrictions (sub-limits). Opt for plans with minimal sub-limits to avoid additional expenses during hospitalization.

    7. Network of Cashless Hospitals: Confirm the availability of cashless hospitals in the insurer’s network for convenient claims processing.

    8. Lifelong Renewability Option: Choose a plan offering lifelong renewal to ensure continuous coverage as medical insurance policies are typically renewed annually.

    9. Premium Loading Factor: Watch for premium loading, especially for senior citizen plans. Choose options without additional charges to manage costs effectively.

    10. Claim Settlement Ratio: Consider insurers with a claim settlement ratio above 80% for reliable and hassle-free claim processing.

    How to Claim a Health Insurance?

    How to Claim Health Insurance: Planned Hospitalisation

    If you have planned hospitalisation, follow these steps to claim health insurance:

    1. Notification: Inform your insurer at least 48 hours before hospitalisation.

    2. Approval: Await approval from the Third-Party Administrator (TPA).

    3. Claim Filing:

      • Fill out the claim form for reimbursement or cashless claims.
      • Submit necessary documents such as medical bills, reports, and discharge summaries.
    4. Reimbursement Claims:

      • After treatment, pay the hospital bills.
      • File for reimbursement with the insurer.
    5. Cashless Claims:

      • Upon approval, the insurer directly settles the hospital bill.
    How to Claim Health Insurance: Emergency Hospitalisation

    For emergency hospitalisation, follow these steps to claim health insurance:

    1. Notification: Inform your insurer within 24 hours of hospitalisation.

    2. Health Card: Present your health insurance card at the hospital.

    3. Pre-authorisation:

      • Submit a pre-authorisation form for TPA approval.
      • This facilitates cashless claims.
    4. Approval Process:

      • If approved, the insurer settles the claim directly with the hospital.
      • If not approved initially, you can file for reimbursement later.
    5. Document Submission:

      • Provide all necessary documents including hospital bills and discharge summaries.
    6. Claim Disbursement: The approved claim amount will be disbursed to you.

    How to Calculate Health Insurance Premiums

    Calculating your health insurance premium can be crucial for budgeting and planning. Premiums vary based on factors like your medical history, family health history, coverage amount, cumulative bonuses, and more. To estimate your premium, use a health insurance premium calculator. Simply input details such as the desired sum insured and the insured’s age, and the calculator will provide the estimated premium based on your inputs.

    Factors Affecting Your Health Insurance Premium

    Several key factors influence the cost of your health insurance premium:

    1. Age: Generally, younger individuals pay lower premiums due to reduced health risks.

    2. Lifestyle Choices: Habits like smoking can increase premiums as they lead to higher healthcare costs.

    3. Pre-existing Conditions: A history of pre-existing diseases or family health issues can result in higher premiums.

    4. Location: Your place of residence can affect premiums, with areas facing high pollution or health risks incurring higher costs.

    5. Additional Coverage: Opting for add-ons, such as maternity coverage, can slightly increase your premium.

    How NRIs Can Get GST Refund on Health Insurance Policies

    As a Non-Resident Indian (NRI), you can obtain a GST refund on health insurance premiums by following these steps:

    1. Confirm NRI Status: Ensure you hold NRI status to be eligible.

    2. Select an Eligible Plan: Choose a health insurance plan that qualifies for GST refunds.

    3. Payment Method: Pay premiums annually using funds from a Non-Resident External (NRE) Account.

    4. Document Collection: Gather necessary documents, including KYC, Tax Residency Certificate (TRC), and more.

    5. Submission: Submit all documents to your insurance provider for verification.

    6. Refund Process: The GST refund typically takes about 15 days post-policy issuance. Ensure to select the GST refund option during policy acquisition.

    Benefits of Health Insurance

    Health insurance offers numerous advantages, including:

    1. Cashless Treatment: Enjoy cashless medical treatment at network hospitals.

    2. Coverage for Pre & Post-Hospitalization Expenses: Many policies cover expenses incurred up to 60 days before and after hospitalization.

    3. Transportation Costs: Policies often cover ambulance costs for hospital transport.

    4. Free Medical Check-ups: Most insurers provide free health check-ups, especially with a No Claim Bonus.

    5. No Claim Bonus: Unused claims can lead to bonus rewards, reducing future premiums.

    6. Room Rent Coverage: Hospital room rent expenses are significantly covered by health insurance.

    7. Tax Benefits: Claim tax deductions under Section 80D of the Income Tax Act for health insurance premiums.

    8. Convenient Online Purchasing: Purchase policies online for added convenience.

    9. Easy Renewals: Renew your policy online with flexible coverage terms.

    10. OPD Expense Coverage: Some plans cover outpatient department (OPD) expenses as well.

    Common Mistakes to Avoid When Purchasing Health Insurance

    When purchasing health insurance, avoid these common pitfalls:

    • Inadequate Coverage: Ensure your policy offers sufficient coverage to prevent high costs later.

    • Ignoring the Fine Print: Review policy details thoroughly to understand exclusions and coverage limits.

    • Insurer Comparison: Compare multiple plans to find the best fit for your needs.

    • Falsified Medical History: Always provide accurate medical history to avoid claim rejection.

    • Cashless Hospitalization: Choose insurers that offer cashless treatment options for emergencies.

    • Choosing Too Many Riders: Select only essential riders to enhance your policy without overcomplicating it.

    Advantages of Buying Health Insurance Plans Online

    Purchasing health insurance online comes with many benefits:

    • Easy Plan Comparison: Compare various insurance plans easily on platforms like Policybazaar.com.

    • Convenience: Avoid the hassle of visiting branches and scheduling meetings.

    • Exclusive Discounts: Online purchases often come with premium discounts.

    • Lower Premiums: Online policies frequently feature reduced premiums due to lower operational costs.

    • Minimal Paperwork: Enjoy a streamlined buying process with less paperwork.

    • 24/7 Accessibility: Buy policies anytime, even on weekends and holidays.

    • Digital Payment Options: Secure online payments simplify premium transactions.

    • Instant Policy Issuance: Get your policy immediately after purchase, unlike offline delays.

    • Time Efficiency: Save time with quick policy issuance within minutes.

    Key Reasons to Invest in a Health Insurance Plan

    With rising medical costs, having health insurance is essential. Here are key reasons to invest:

    1. Combat Medical Inflation: Health insurance helps cover rising medical expenses, including pre and post-hospitalization charges.

    2. Access Quality Healthcare: Ensure you can afford the best medical care and focus on recovery.

    3. Cover Lifestyle Ailments: Policies cover treatments for increasing lifestyle-related diseases.

    4. Protect Your Savings: Safeguard your savings from unexpected medical expenses.

    5. Cashless Hospitalization: Enjoy the convenience of cashless treatments at network hospitals.

    6. Tax Benefits: Benefit from tax deductions under Section 80D of the Income Tax Act.

    7. Peace of Mind: Reduce stress over medical costs, allowing you to concentrate on your health.

    COVID-19 Coverage in Health Insurance Policies

    Most health insurance plans cover COVID-19 treatment costs. Insurers have launched specific plans like Corona Kavach and Corona Rakshak to cover COVID-related expenses, following guidelines from the Insurance Regulatory and Development Authority of India (IRDAI).

    • Corona Kavach Policy: An indemnity-based plan covering hospitalization, home treatment, and related expenses like PPE kits and oxygen.

    • Corona Rakshak Policy: A benefit-based plan providing a lump sum payment for hospitalization (minimum of 72 hours) upon COVID-19 diagnosis.

    Myths About Health Insurance

    It’s important to dispel common myths about health insurance:

    • “I don’t need insurance, I’m healthy”: Unexpected illnesses can occur, making health insurance essential.

    • “All expenses are covered”: Policies have exclusions; always review coverage details.

    • “Pre-existing disease declarations”: Accurate information is vital to avoid claim rejection.

    • “Smokers can’t get insurance”: Some insurers offer coverage with higher premiums for smokers.

    • “Insurance only covers hospitalization”: Many plans also cover daycare procedures that don’t require overnight stays.

    • “I’m fine with corporate insurance”: Employer-provided plans often have limitations and may not cover family members.

    Disclaimer

    Premiums may vary depending upon factors like age, location and prevailing taxes/GST.

    Frequently Asked Questions About Health Insurance

    Difference Between Health Insurance and Mediclaim

    Health Insurance provides comprehensive coverage for a wide range of medical expenses, including hospitalization, surgeries, and outpatient treatments. In contrast, Mediclaim primarily focuses on reimbursing hospitalization costs incurred due to illness or accidents.

    Is It Good to Buy Health Insurance?

    Yes, purchasing health insurance is advisable for financial protection against unexpected medical expenses, ensuring peace of mind during health crises.

    How to Claim Health Insurance

    To successfully claim health insurance:

    Notify your insurer within 24 hours for emergency hospitalizations and 48 hours for planned admissions.
    Submit reimbursement documents within 30 days post-discharge and follow up on your claim status.

    Is Dental Treatment Covered Under Health Insurance?

    Standard health insurance plans often do not cover dental treatments. However, some policies may offer optional dental coverage. Always check the policy details or consult your insurer to understand the coverage options available.

    What is a ‘No-Claim Bonus’ in Health Insurance?

    A No-Claim Bonus is a reward given to policyholders for each claim-free year, resulting in discounts on premiums or an increase in the sum assured, typically ranging from 5% to 50% upon renewal.

    What is the Proper Age to Purchase Health Insurance?

    While there’s no specific age to buy health insurance, it’s recommended to acquire it early to secure lower premiums. Purchasing in your 30s or younger can lead to better benefits at reduced costs.

    Who Are Considered ‘Dependents’?

    Dependents typically include individuals who rely on the primary policyholder for financial support, such as a spouse, children, and parents. Dependent coverage may extend to children up to 25 years if they are students or unmarried.

    What is ‘Co-payment’ and ‘Deductibles’?

    In some health insurance plans, co-payment requires the policyholder to pay a percentage of the expenses incurred. This option can lead to reduced premiums. Deductibles refer to the fixed amount that must be paid out-of-pocket before the insurer covers the remaining costs.

    What is Day Care Health Coverage?

    Day care coverage refers to medical procedures that do not require a minimum 24-hour hospitalization. Many insurers offer specific health insurance plans that cover these outpatient treatments.

    What is Domiciliary Hospitalization?

    Domiciliary hospitalization occurs when treatment is provided at home due to the patient’s inability to be moved to a hospital. This is usually applicable when hospital accommodation is unavailable or the patient cannot be transported.

    Do Health Insurance Policies Cover Homeopathy Treatments?

    Most standard health insurance plans do not cover homeopathy. However, some insurers provide plans that include coverage for AYUSH (Ayurveda, Yoga, Unani, Siddha, Homeopathy) treatments. Check with your insurer for specific details.

    What is a Health Card?

    A health card is an identity card issued by the insurer containing essential information such as the policyholder’s insurance account number, name, age, gender, policy expiry date, and more. It is mandatory to present the health card during hospitalization.

    Is a Medical Exam Required to Get a Health Insurance Policy?

    Medical examinations are generally not required to purchase health insurance. However, insurers often require medical tests for applicants over 45, varying based on age and the insurer’s requirements.

    What is the Sum Insured Under Health Insurance?

    The sum insured is the maximum amount an insurance company will pay for claims made during a policy year due to illness or accidents. It represents the coverage limit provided by the policy.

    What Does a Free Look Period Mean in Health Insurance?

    A free look period refers to the initial 15 days after policy inception, during which you can review the policy details. If you choose to cancel during this time, no cancellation fee will be charged.

    How Do I Add Family Members to My Existing Medical Policy?

    You can add family members to your health insurance plan during renewal or purchase. Family health insurance typically covers you, your spouse, dependent children, and parents as per the policy terms.

    What Are Pre- and Post-Hospitalization Charges in Health Insurance?

    Pre-hospitalization charges are medical expenses incurred before admission, while post-hospitalization charges cover follow-up treatments after discharge. Health insurance typically covers pre-hospitalization expenses for 30 to 60 days and post-hospitalization expenses for 60 to 90 days, depending on the policy.