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✓No Medical Check-up upto 55yrs ✓Cashless Facility at 6500+ Hospitals | Pay Health Insurance Premiums in EMIs Starting at ₹198/month*

About Health Insurance

Our current lifestyle and food habits can affect the quality of our health in the future. Diseases due to changing lifestyles such as cardiovascular diseases, diabetes, hypertension, are on the rise. Moreover, medical costs are no longer cheap with a significant increase in the rate of healthcare inflation. The rise in prices of medications and surgical treatments are also estimated to increase. Medical emergencies can arise at any moment, and it is better to be financially prepared during such testing times.

 

To deal with these crises, a health insurance policy is a must!

A health insurance plan is a policy that covers the medical expenses (sudden or planned) of you and your loved ones. Having a comprehensive health insurance plan ensures that you get access to best-in-class healthcare services at a nominal price. Besides, the policy takes care of pre- and post-hospitalisation costs, daycare procedures, provides maternity and newborn coverage, and more.

How Does Health Insurance Work?

Assume that you are in your 20s, leading a perfectly healthy life. Soon, you realise the challenges of maintaining a work-life balance. Over time, this has taken a significant toll on your health (physical and mental). The constant hustle and poor diet choices have degraded your health. Further down the line, you are diagnosed with a life-threatening illness and require frequent hospital visits and expensive medical treatments for recovery. In absence of health insurance, these expenses fall on you entirely, which can deplete your life savings.

Hence, an adequate health insurance plan ensures that the medical needs of you and your family are covered. With the health insurance plans available at Finserv MARKETS, you get access to some best-in-class healthcare facilities at a wide range of network hospitals across India.

Top Health Insurance Plans at Finserv MARKETS

Plan

Description

Bajaj Allianz Health Insurance

Bajaj Allianz Health Guard is a comprehensive health insurance plan that takes care of your and your family’s health effectively. With a network of 6500+ hospitals, sum insured options ranging from Rs. 2 Lakhs to 1 Crore and a wide range of benefits that offer great value for money for its customers, the plan is an ideal health partner.

Moreover, with an incurred claim settlement ratio of 85%, Bajaj Allianz is a trusted insurer.

Aditya Birla Health Insurance

Aditya Birla Health Insurance - Active Assure Diamond plan is a unique product that not just takes care of the customer’s medical coverage, but also offers health or wellness coaching, thereby encouraging customers to live healthy lives. With sum insured ranging from Rs. 2 Lakhs to Rs. 2 Crore, a wide network of over 6500 hospitals and various benefits, the plan is a great choice!

Our Partners

Bajaj Allianz General Insurance Co.

With a great expertise in the insurance sector, Bajaj Allianz General Insurance Co. brings to you, extensive insurance plans that are designed to fit your diverse needs. Their insurance expertise marrying Finserv MARKETS’ digital approach further offers you convenience, & great value for money!

Aditya Birla Health Insurance

We understand your needs and priorities. When it comes to protecting your valued assets, health is always on the top of the list. That’s why we bring you, health insurance by Aditya Birla Health Insurance, only on Finserv MARKETS. With an extensive product portfolio of unique offerings like incentivized wellness and critical care, you need not look any further.

Why Choose Finserv MARKETS for Health Insurance

Trusted Partner

With a customer base of 100+ million across the country, Finserv MARKETS is dedicated to serve you better. Go on and choose us as your financial partner, today!

Instant Claim Settlement

A commitment to deliver the best service and a claim settlement ratio to reinstate this fact, health insurance partners at Finserv MARKETS promise to settle your claims instantly!

Customized Insurance Plans

With a choice of beneficial add-on covers, health insurance plans on Finserv MARKETS offers customization like no other!

Extensive Coverage

With a huge network of hospitals across India and plans that offer medical coverage from 1.5 lakh to 2 Crore, why look elsewhere?

Tax Benefits

Along with an extensive medical coverage, you can save more by availing health insurance tax benefits on the premiums paid, under Section 80D with medical plans on Finserv MARKETS

Who Needs Health Insurance?

Here are a few illustrations that show who can buy health insurance and why.

Illustration 1: Ms Manjeet is single and 25 years old who recently purchased an individual health insurance policy. Besides availing extensive benefits of her health plan, the policy helps her save money on tax. So, a health insurance plan for young adults who are just starting their career can solely be a tax-saving instrument.

Illustration 2: Mr Rakesh is married and 35 years old who has a family health insurance policy. It covers his and his family’s medical expenses (planned and sudden) as they share the sum assured. Besides, Rakesh can also avail several tax benefits under the policy. The intent of having health insurance at this age is to secure your and your family’s financial future, which can be jeopardised due to medical emergencies.

Illustration 3: Mr Amit is 62 years old and has a senior citizen health insurance policy. The plan provides cover for a wide range of critical illnesses and daycare procedures. Besides, people can avail several tax benefits if they purchase health insurance for their parents. So, a bespoke health insurance plan provides extensive coverage for older citizens and additional tax benefits alongside.

Now that you know who can benefit from a health insurance plan, let us understand why the policy is needed.

Benefits Of Health Insurance

Our current lifestyle habits can affect the quality of our health in the future. Diseases due to changing lifestyles such as cardiovascular diseases, diabetes, hypertension, are on the rise. Healthcare costs are significantly increasing the rate of medical inflation worldwide. Medical emergencies can arise at any moment, which makes it imperative to keep yourself and your family financially prepared in such challenging times.

If this does not highlight the urgency of health insurance in our lives, here are a few more reasons why you should purchase the policy.

  • Rising Medical Expenses

Managing medical expenses is #1 reason to buy health insurance. The healthcare costs across the country have risen by 15% over the last few years. With a sound health plan, you will be able to financially deal with unforeseen emergencies, treatments, and hefty medical bills.

  • Rising Health Issues

While prevention is better than cure, one should always be prepared for emergencies. With hectic work schedules and unhealthy eating habits have led to an increase in diabetes and cardiovascular-related illnesses. An appropriate health insurance plan will cover you against such conditions and bear the medical treatment expenses.

  • Tax Benefits

For salaried individuals who are having health insurance plans can claim deductions of up to INR 75,000 in tax as deduction under Section 80D of the Income Tax Act, 1961.

  • Coverage for Self and Family Members

Health emergencies can arise anytime and anywhere. With our family health insurance plans, you can safeguard yourself as well as your loved ones – all under a single policy.

  • Unforeseen Medical Emergencies

The need for hospitalization can arise at any hour. Thus, choosing the right health insurance plan will help you protect yourself and family members from unexpected health emergencies.

Health Insurance Tax Benefits as per Budget 2021

Health insurance is one of the most powerful tax-planning instruments. With the announcement of Budget 2021, you can buy a health insurance plan at Finserv MARKETS and avail several tax benefits along with other financial/medical benefits. Here’s a quick walkthrough of the same.

Description

Health Insurance Premium Paid for

Self, Spouse and dependent children

Parents

No one is above age 60 years Up to Rs. 25,000 Up to Rs. 25,000
If you are a senior citizen Up to Rs. 50,000 Up to Rs. 50,000
Note: The deduction for parents is over and above the maximum deduction allowed for an individual and his/her family.

Additional Deductions: You can claim an annual deduction of up to Rs. 5000 on expenses incurred for health check-ups. This includes the check-up expenses of all members of a family – self, spouse, children and parents.

 

Don’t fret! You can read in detail about health insurance tax benefits on Finserv MARKETS and then browse the different policies available on our platform. Keep reading to know our top health plans.

Health Insurance Coverage

A health insurance plan will provide the following coverage to you and your family members.
  • Medical expenses incurred during hospitalisation due to an illness or accident

  • Organ donor expenses

  • Coverage for treatment costs incurred during pre & post-hospitalisation procedures

  • Cover for in-patient hospitalisation treatment

  • Expenses incurred in daycare procedures

Health Insurance Exclusions

Much like any insurance product, health insurance has its limitations. Things that are not covered in health insurance are as follows:
  • Pre-existing diseases without the completion of the waiting period (which is typically 2-4 years) are not covered under the policy. However, check with your insurer for the same before raising any claim requests.

  • Treatment cost for injuries caused due to war-like scenarios, nuclear activity, suicide attempt, terrorism is not covered.

  • Dental procedures unless arising due to an accidental injury are not covered.

  • Mental illnesses are not covered in health insurance.

  • Medical emergencies arising due to consumption of intoxicants and/or addictive substances like drugs, alcohol, etc. are not covered.

  • Injuries when participating in naval, military or air force operations or dangerous sports like racing and driving.

Types of Health Insurance Plans

We want what’s best for you and your loved ones. However, it is imperative to bear a complete understanding of different health insurance plans available in the market. This will encourage you to make an informed financial decision and pick the right health insurance policy. Read on to understand the types of health insurance plans on Finserv MARKETS.

Medical emergencies may strike and catch you off-guard anytime. This is why it becomes critical for you to secure yourself with an Individual Health Insurance plan. This plan is designed to offer adequate medical coverage, to deal with such emergencies or unforeseen risks. With benefits like cashless treatments, pre and post hospitalization expense coverage, cover of day-care treatments and more, the individual health insurance plan is a great choice.

Moreover, when it comes to buying health insurance, it is recommended that you buy the plan when you are young. This is because the premium payable is comparatively less when one is young, and the benefits to be reaped by the policyholder over the long run are very attractive. Hence, millennials should definitely consider buying individual health insurance.

When it is about our loved ones, we always want to go for the best. Especially when it comes to securing their health. While you can definitely go for individual health insurance plans for each of the family members, family health insurance seems a better choice.

With this plan, a defined sum insured coverage amount is split among the family members. Being a single plan that offers coverage for the entire family, you need to pay a single premium amount, making it a cost-effective choice.

Senior citizen health insurance plans are specifically desired for people above the age of 60 years. You can buy the policy for your parents or in-laws. It usually covers a wide range of critical illnesses, pre- and post-hospitalisation expenses, in-patient costs, daycare procedures, and more. Besides, if you have a senior citizen health insurance plan for your parents, you can claim tax deductions under Section 80D of the Income Tax Act, 1961.

You never know what’s destined for you! Ever wondered what would happen if you were to be hospitalized and your basic health insurance plan falls short of covering its expenses?

With ever-rising medical costs you need to be better prepared for such a scenario. Why wait for the exhaustion of your health coverage when you can avail a health insurance top-up plan designed to take care of medical expenses after your basic health insurance policy amount is exhausted.

Offering a group health insurance is one of the perks that employers offer their employees these days. Just like any other health insurance policy, the group health insurance plan offers coverage for medical treatment costs and more.

Knowing the types of health insurance plans available in the market can make choosing the right policy an overwhelming task. Therefore, it is suggested to compare the different policies before making any purchase.

How to Compare Health Insurance?

Health insurance comparison provides valuable insights that can prove to be useful when buying the policy. You will come across several online tools that factor in different aspects of health insurance plans, allowing you to shortlist policies that fulfil your needs.

A few key factors that are helpful when comparing health insurance online are as follows:

  • Features & Benefits

It is important to map your requirements with the product details, features and benefits to understand which plan fits best as per your requirements. Hence, make a note of the features of a plan

  • Claim Settlement Ratio (CSR)

The insurer’s claim settlement ratio helps get an idea about the probability of your claims being settled. This way you can make the most ideal choice

  • Claim Process

Apart from product features and other details, the insurance company’s claim process is also a very important feature to focus on, when it comes to comparing plans. With a completely digital approach, most insurers offer a simple and hassle-free claim process

  • Premium

Affordable premiums are often a point of attraction, when it comes to buying insurance. However, you must not compromise on the coverage to go for cost-effective insurance plans. Pick a plan that fits both, your needs and your budget

  • Customer Reviews

Lastly, customer reviews about the product help understand the viability of the plan, giving other potential buyers a fair idea of the customer services offered by the insurer.

Comparison of Health Insurance Plans at Finserv MARKETS

See for yourself what’s covered in the health insurance plans available on our platform.

 

Bajaj Allianz Health Insurance

Aditya Birla Health Insurance

Hospitalisation

Pre-Hospitalisation

Post-Hospitalisation

Daycare Procedures

Pre-Existing Illnesses

( Waiting Period: 36 months)

(Waiting Period: 48 months)

Home Healthcare

X

✔( Up to 10% of Sum Insured)

Emergency Ambulance

Organ Donor Expenses

Reinstatement Benefit

No Room Rent Capping

Rs. 10 Lakhs and Above

Rs. 7 Lakhs and Above

Free Health Check-Ups

Every three years

Every year

Maternity and Newborn Benefit

X

OPD Cover

X

X

Personal Accidental Cover

X

X

Daily Hospital Cash

Convalescence Benefit

X

Repatriation of Remains

X

X

 

How to Buy Health Insurance Plans Online

Finserv MARKETS believes in giving you a seamless and quick buying experience, when it comes to getting your and your family insured. All it takes is just a few clicks online!

  1. Visit the health insurance calculator page on the Finserv MARKETS

  2. Provide the necessary details about the people whom you wish to insurer along with your personal information

  3. Pick the ideal plan for you

  4. You can also wish to enhance your coverage by selecting the add-on covers to enhance your medical coverage

  5. Make your health insurance premium payment

  6. And that’s it! Your policy will reach you shortly!

Calculate Health Insurance Premium

It is essential to pay regular premiums towards your health insurance policy to continue available the several benefits under it. But do you ever wonder how your health insurance premiums are calculated? Factors such as your and your family’s medical history, lifestyle habits, age, etc., tend to affect the policy cost.

A simpler way to calculate the health insurance premium amount that you are liable to pay is by using the health insurance calculator. It is an online tool that determines the policy cost based on the coverage needed and the information you provide. Here’s how you can use the health insurance premium calculator available on Finserv MARKETS.

  1. Go to the ‘Health Insurance’ section on the Finserv MARKETS website and select the ‘Get an Instant Quote’ option. You will be redirected to the health insurance premium calculator page.

  2. Enter your details such as the people you want to insure, the age of the eldest member in the policy, your area pin code, contact information, and any other required details.

  3. Once you hit the ‘Get Quote’ button, the tool gives you a list of available health insurance plans.

  4. Pick the plan that best suits your health insurance needs and proceed to the next step.

  5. Based on your selection, the health insurance premium calculator further provides the premium amount (that is the policy cost) you are liable to pay for availing the said medical coverage.

  6. Know that you can customise your health insurance plan as per your need before buying the policy. Besides, the health insurance premium calculator lets you select the add-on covers to enhance your medical coverage so that you are covered for more!

And it is that simple! All you have to do is spend a few minutes on Finserv MARKETS so that you can determine your health insurance policy cost.

Health Insurance Renewal

You can enjoy the benefits of your health insurance policy only when it is active (which is typically for a year). But have you wondered what could happen if your policy expires? The consequences could be hard to manage. In order to continue reaping the benefits of your health insurance plan, it is needless to say, the policy must be renewed timely.

The reasons to renew your health insurance policy before expiry are as follows:

  • No Claim Bonus (NCB) Benefit

If your health insurance plan offers a No Claim Bonus (NCB), which is provided on policy renewal for those having a claim-free year, it is important to note that no claim bonus in health insurance is applicable only if you renew your policy on time.

  • No-Claim Benefit on Inactive Policy

Imagine facing a medical emergency after your insurance policy has lapsed. With no claim benefit offered on an in-active policy, you would have to bear the entire treatment cost on your own expense.

  • Policy Premiums Rise with Age

As policy premiums increase with age, timely renewal ensures that you don’t miss out on time and get your coverage before it gets too late to enjoy the early buyer benefit.

Steps to Renew Health Insurance Plan

Finserv MARKETS has made the health insurance renewal process very easy for you! Now you need not go through any tedious paperwork for getting your policy renewed. Just follow the 5 easy steps and your renewed policy will reach you!

  • Visit us online

  • Fill Details

    Fill in your basic details like existing policy number and date of birth

  • Check your renewal quote

    Pick your quote & review the policy terms and conditions

  • Make an online payment

  • You are done!

    The renewed health insurance plan will be sent to you in no time

Key Factors Affecting Your Health Insurance Premium

Your Age

Your health insurance premium increase with age. This is because, insurers believe that with the increasing age, you are more vulnerable towards health concerns thereby increasing the probability of you filing a claim

Area You Reside in

Typically, insurance companies calculate your health insurance premium on the basis of your location too. Factors like severe weather conditions, deprivation of healthy food alternatives, distaste to exercise, etc. can have an impact on premiums charged

Pre-existing Health Issues

With a greater probability of filing a claim, insurers take the pre-existing disease factor into consideration while determining your premium. Anyone with a pre-existing disease is likely to pay a higher premium too

Type of Plan

Your medical insurance premium also depends on the plan you select. Premium amount differs with regards to differ plans, Individual, Family, or Top-up health insurance

Customized Add-on Covers

If you have opted for an additional cover to enhance your medical coverage, you are supposed to pay an additional premium amount, thus increasing the overall premium against the plan

Health Insurance Claim Settlement

Understanding the claim settlement process is also one of the key aspects of getting your health insurance plan. This is as critical as knowing your plan’s coverage details so that you can make the most of the medical coverage.

How to Register Health Insurance Claims at Finserv MARKETS

How to file cashless claims

  1. Visit the network hospital. Provide policy details and take the pre-authorization form

  2. Insurer verifies the form and the hospital is notified about the details of the policy

  3. Once discharged, the hospital will send the bill along with discharge papers to the insurer

  4. The claims are then, directly settled with the hospital, after reducing the co-payment, if any

How to get a claim reimbursement

  1. Submit all original medical documents and hospital bills

  2. Insurer evaluates the details and may ask for any additional information, if required

  3. On receiving all the documents, your claim decision is made

  4. You will receive the claim amount based on the policy terms and conditions

Document Required for Health Insurance Claim Process

  • Duly filled the claim form

  • Medical Certificate

  • Original copy of hospital discharge summary or card

  • Prescription and cash invoice from pharmacies and the hospital

  • Investigation report by the doctor

  • FIR or Medico Legal Certificate (MLC), in case of an accident

Government Health Schemes

The Government of India offers a wide range of exclusive health insurance benefits to the citizens. These schemes cater to the healthcare needs of underprivileged individuals and families in society. It gives the economically deprived people easy access to beneficial healthcare facilities.

Here are a few popular Government Health Schemes.

With an aim to offer medical coverage to at least 50 Lakh individuals, the scheme focuses on developing health centres for these people, while also offering a health cover worth Rs. 5 Lakhs to each family.

This scheme offers cover for personal accidents leading to death of accidental disability. Available for a period of 1 year, the plan can be availed of by any one falling in the age bracket of 18 to 70 years, having a AADHAAR card and savings account.

With this plan, against a premium of Rs. 200 for a family, they get a cover of Rs. 30,000 in case of a natural death, Rs. 37,500 in case of partial permanent disability and death or total disability cover of Rs. 75,000.

  • Universal Health Insurance Scheme (UHIS)

With this scheme, the government aims to improve the health standards of citizens. The plan offers up to Rs. 30,000 of reimbursement for medical costs along with an accidental death benefit of Rs. 25,000. Moreover, the plan also provides a loss of income of Rs. 50 per day for up to 15 days in a month.

Designed for workers who work in non-seasonal factories with an employee strength of at least 10, the ESIS offers illness benefit, disability benefit, 90% last wages in case of temporary disability, and more.

Particularly designed for the poor, the scheme provides cashless treatments at the network hospitals along with in-patient medical care of Rs. 30,000 per year. Moreover, with no waiting period for pre-existing diseases, this plan has gained significance.

Pradhan Mantri Jan Arogya Yojana (PMJAY) Scheme

Pradhan Mantri Jan Arogya Yojana (PMJAY) is a government-managed national healthcare program which is also famously known as Ayushman Bharat Yojana. Through the PMJAY scheme, our government wants to make the primary healthcare facilities available to all citizens in all parts of the country. Under this scheme, over 10 crore families that are below the poverty line are covered with health insurance of INR 5 Lakh.

A list of schemes under the PMJAY program are as follows –

Latest Health Insurance News

India needs more health insurance for senior citizens

According to certain statistics, senior citizens in our country lack adequate health coverage. As per data, only 15% policies were bought in the senior citizen category, i.e. those who fall into the age bracket of 60 to 80 years of age, out of the overall health insurance policies sold during the period of April to December 2020. This scenario was fairly different when it comes to the younger lot of the country. On the other hand, the percentage is 45%  for younger age groups of 18 to 40 years. This reflects the customer's buying patterns, reiterating the importance of having health insurance for senior citizens of the country.

- Feb 16, 2021

IRDAI: New guidelines announced for standard vector borne disease-specific health insurance

Insurance Regulatory and Development Authority of India (IRDAI) recently announced new norms for the standard vector borne disease-specific health insurance product. As per the new guidelines released, the minimum sum insured under Standard Product would be Rs. 10,000, while the maximum capping in Rs. 2 Lakhs. The insurance regulator encouraged health and general insurers to offer Standard VectorBorne Disease Health Policy to make the available vector borne disease specific health insurance product address the requirement of covering public and getting a health cover for specific vector borne disease. While insurers have the freedom to determine the price, they must keep a check on the coverage.

- Feb 15, 2021

Expectations from Budget 2021: Government must relook tax relief, FDI on health insurance

With the major hit followed by the pandemic that hit the globe, the government must keep certain aspects in limelight when announcing the new budget. With the massive healthcare expenditure and the changed scenarios for the insurance industry, Budget 2021 is expected to bring significant changes for the sector. Some key expectations from the budget include increasing the tax exemption limit on health insurance and increasing the FDI beyond the current 49%. These changes are likely to give a much needed push to the insurance industry, particularly the health insurance sector.

- Feb 12, 2021

IRDAI about to streamline Covid-19 health insurance and more

The IRDAI (Insurance Regulatory and Development Authority of India) issued a circular with new instructions for health insurance on 13th January, 2021,stating that cashless claims under a health insurance policy should be settled according to the tariff decided upon by the parties in compliance with the provisions of IRDAI (Health Insurance) Regulations, 2016- Regulation 31. Additionally, they urged insurers to have agreements with health providers upon the rates of Covid-19 treatment, in a similar fashion to other diseases. Insurers have also been asked to ensure that a health insurance policy’s reimbursement claims are settled according to terms and conditions of the relevant policy contract.

- Jan 29, 2021

Latest National Family Health Survey reveals key realities about health insurance cover

The latest National Family Health Survey (NFHS-5) revealed that in the past 5 years, health insurance coverage has increased in a majority of Indian states and union territories. However, most states and UTs still recorded coverage that remains significantly below 50% of the population.

A total of 15 states and UTs have witnessed a health coverage spike. But except for Andhra Pradesh, Assam, Telangana, and Kerala, in all the major states, less than 50% households have at least one member with a health cover.

While health insurance coverage figures might suggest differently, it is also true that schemes such as the Pradhan Mantri Jan Arogya Yojana and other state-launched schemes were widely well-known through awareness campaigns and have provided health benefits to more than 10 crore poor Indian families.

- Jan 24, 2021

IRDAI set to change the health insurance scenario with new advisory committee

The IRDAI (Insurance Regulatory and Development Authority of India) has set up a Health Insurance Advisory Committee, noting the upward trend in health insurance in the country and expecting it to continue.

The committee will examine key factors including availability and needs of the Indian society. The regulator has also made efforts to ensure orderly growth of the health insurance industry, bringing in greater efficiency, and protecting policyholder interests.

The committee will also suggest an approach on coverage of specific diseases, examine policy conditions, develop a treatment protocol strategy and a rate structure to make health insurance more affordable in India.

- Jan 19, 2021

Is India’s health insurance sector set for a revolution?

India was recently ranked among the top countries for insurance potential. There has been a significant expansion of the health insurance industry in the country. Following this, the IRDAI has been taking steps to foster this positive growth. 

The IRDAI (Insurance Regulatory and Development Authority of India) has formed a committee of 10 experts and specialist doctors for examining the provision of health insurance products in India. Formulated in January 2021, the move is directed towards protecting the interests of policyholders and driving innovation for new products. 

The said committee is also slated to recommend health insurance products such as expanded coverage for Covid-19, and suggest ways to improve processing of claims..

- Jan 17, 2021

Manage all your Health Insurance Questions Here

✔️If I am young, fit, and healthy, do I need health insurance?

Yes of course, not just you, but your family too needs a health insurance policy. It is a well-known fact that medical expenses are increasing significantly, and it is hence sensible to invest in a health insurance plan, irrespective of your age. The pace at which treatment costs are rising, one hospitalization event can take a huge toll on your savings. Also, there is a noteworthy increase in the number of life-threatening diseases, which makes it essential for every individual and his family (be it spouse, kids or senior citizen parents) to have the best health insurance plan available out there.

✔️What factors are considered while calculating my health insurance premiums?

Your health insurance premiums mainly depend upon the following factors:

·         The type of cover chosen

·         Amount insured selected

·         Amount limit (if selected)

·         Add-ons you choose (optional covers).

✔️What is covered under my Medical insurance plan?

Your health insurance plan will cover the pre and post hospitalization expenses. These expenses include:

·         In-hospital expenses, hospital room rent and boarding expenses

·         Cashless treatment in network hospitals across India

·         Charges for medical examinations

o   Physician fees and doctor’s consultation fees

o   Charges for the ambulance

✔️What is meant by pre-existing disease?

Pre-existing disease is any ailment or health condition for which you have been diagnosed or received medical advice/treatment, before buying your first Health insurance plan with the insurer. These could be anything ranging from blood pressure to diabetes to cancer to any other disease/ailment.

✔️What is a waiting period?

Waiting period refers to the duration only after which you can make a claim from your health insurance plan.

✔️What is meant by a health card?

A health card is a kind of identity card that comes along with your health insurance plan. This card will enable you to avail cashless hospitalization facility at any of the network hospitals.

✔️When am I supposed to renew my Health Insurance plan?

It is best to renew your health insurance plan before it’s expiry date. In health insurance plans, insurers usually offer a grace period of 30 days (after the expiry date of the plan), within which you can renew the plan without having to apply afresh. During this grace period, you will not be covered for any ailments or accidents, but the same plan can be continued. However, it is suggested that you pay your renewal premium while your plan is still in force so that you can enjoy the uninterrupted coverage.

✔️Will I be able to avail medical and premium reimbursements in case my policy gets rejected?

In the event of your policy getting rejected, you can avail premium reimbursements within the next seven working days. However, your medical check-up expenses will not get reimbursed.

✔️After the claim is filed, what happens to the health insurance policy?

When the claim is filed and settled the coverage amount will be reduced by the amount that has been paid to you (claim). Your policy will continue to be in existence with the remaining coverage amount.

✔️Are there any tax benefits that I can avail by purchasing health insurance plans?

Yes, there are tax benefits under the Income Tax Act, 1961. Every taxpayer can avail an annual deduction of up to Rs. 50,000 from his/her taxable income for health insurance premium paid for self and dependent family members.

✔️How should I decide the amount of coverage while purchasing any good health insurance plan?

When buying any health insurance plan, you must be realistic while deciding the level of coverage. Today, even a small routine surgical procedure can easily cost up to Rs. 1,00,000. A bypass surgery at a well-reputed hospital costs more than Rs. 2,00,000 today and will certainly cost more in the next five years. A Sum Insured that appears sufficient today may be inadequate to cover your health care expenses in the next few years. The right amount of health insurance coverage depends upon several factors like the type of hospital you prefer, your current age and health conditions, your affordability etc. It is advised to have a health insurance cover of at least 50% of your annual income.

✔️Where can I get the details of the hospitals covered under the network of the insurance company?

Our partners have tie-ups with over 6500 network hospitals across India and the details of those hospitals are available in the download section.

✔️What is meant by day care medical treatment?

Day care medical treatments are those medical procedures (surgeries or treatments) which can be completed in less than 24 hours. In such cases, even though you are hospitalized, you do not need to stay in the hospital for more than 24 hours.

✔️What are pre and post hospitalization medical expenses?

Pre and post hospitalization medical expenses cover refers to the feature when the insured is covered as per the health insurance plan, against relevant medical expenses incurred for a certain number of days, both before and after the event of hospitalization.

✔️What do you mean by pre-existing disease and waiting period applicable?

Pre-existing diseases are diseases/conditions which a person has before buying a medical insurance plan. Therefore, any pre-existing disease/condition is supposed to be declared by a consumer at the time of buying health insurance in India. It is one of the key factors in deciding any health insurance premium. Another key factor to keep in mind is that the pre-existing diseases have a waiting period which may differ from company to company. To get more details on this, please refer to the product brochure in our download section.