Health Insurance Plans

About Health Insurance

For instance, imagine that you are in your 20s and lead a perfectly healthy life. In a few years, you find it challenging to maintain a work-life balance and increased responsibilities along with changing lifestyles start taking a toll on your health. Falling sick often and frequent hospital visits are now part of your routine, which is draining your savings. This is where a health insurance plan comes in handy, and that is when Finserv MARKETS come in the picture. So, safeguard your and your family’s health with bespoke health insurance plans that will fulfil your medical needs. You get access to some best-in-class health care at the network hospitals and extensive coverage with comprehensive health insurance plans available on Finserv MARKETS.

Why Do You Need Health Insurance

Here are a few reasons why you should purchase Health Insurance available on Finserv MARKETS-

• 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.

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Top Health Insurance Plans of 2020

What are the Different Types of Health Insurance Plans

While you want the best for your and your family’s health, it is good to go through various health insurance plans available, to make a well-informed decision and pick the right plan as per your needs! Read on to understand the different types of health insurance plans on Finserv MARKETS. 

• Individual Health Insurance –

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. 

• Family 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 spilt 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. 

• Top-up Health Insurance –

You never know what’s destined for you! Ever wondered what could happened 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. 

• Group Health Insurance –

Offering a group health insurance is a 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. 

Why Compare Health Insurance Online

Buying health insurance may be an overwhelming task if not done considering all the aspects that help decide the right insurance plan for you. When choosing the most suitable health insurance, it becomes critical to go through the features and benefits of the plans, the coverage they offer and the premium amount, to make a well-informed decision. Having said that, it is also very important to focus, not just on the cost-effectiveness of the plan, but the coverage it offers. After all, you don’t want to end up with barely any claim amount during a medical emergency! And, when it’s about getting a health insurance to ensure that you can prevent your savings from being exhausted on health treatments, you don’t want to take any chances.

How to Calculate Health Insurance Premium

Now that you know the ins and outs of your health insurance premium, take a look at how you can calculate the premium amount online! In case you are planning to buy a comprehensive health insurance policy on Finserv MARKETS, you can simply visit our health insurance premium calculator and go about getting your quote. Here’s how- 

1. Visit the calculator page
2. Enter details including the family member whom you wish to insure, age of the eldest member, pin code, mobile and more
3. Hit the ‘Get Quote’ button, and review the available plans for you
4. Pick the plan of your choice as per your needs
5. Based on your selection, the calculator will display the premium amount
6. You can also select add-on covers to enhance your medical coverage
7. Now, just make the payment and our done!

It’s that simple!

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!

Health Insurance Renewal

So, Why Do You Need to Renew Your Health Insurance Before Expiry

It is important to be aware of the consequences of not renewing your health insurance on time! Here are the key reasons why timely policy renewal is critical to ensure that you can continue availing of the benefits of your health insurance plan.

• No Claim Bonus benefit– 

If your health insurance plan offers a No Claim Bonus (NCB) offer, 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 in-active 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 you 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.

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

What are the Tax Benefits on Health Insurance

You can save taxes on your Health Insurance available on Finserv MARKETS.

Details about Government Health Schemes

In an attempt to offer exclusive health insurance benefits to the citizens, the government offers various health schemes that cater to underprivileged sections of the society. This way, the economically deprived citizens can avail health insurance coverage too.

Here are some of the government health schemes:

PMJAY Scheme

The 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 –

• Central Government Health Scheme (CGHC)
• Employee State Insurance Scheme (ESIS)
• National Health Protection Scheme (NHPS)

Latest Health Insurance News

Clarifies on Revision in Health Insurance Premium by Insurance Regulator 

The Insurance Regulatory and Development Authority of India or IRDA has recently clarified that the insurers are permitted to alter the base premium to a maximum of -5% or +5% of the initially approved rate of the premium. This is in compliance with the set guidelines of standardization on exclusions, thereby ensuring sustainability and viability of existing products into a seamless one time transition. 

Furthermore, during the entire year up until 30th November, 2020, the authority of insurance regulatory has revised the alteration of premiums by 5% only in case of five types of health insurance products of health or general insurers which is a part of the periodical alteration of their respective insurance products.

Health Insurance Sector: 8 Key Changes witnessed in 2020 

These are the 8 significant changes in the health insurance sector that were initiated in 2020:

• IRDA permitted the policyholders an option to pay the premium of their health insurance in installments.

• IRDA permitted cashless payments in every hospital during the treatment for Covid-19.

• Launch of two health insurance policies that are coronavirus specific: Corona Rakshak and Corona Kavach.

• IRDA permitted the proposal forms of health insurance policies digitally.

• IRDA asked for the inclusion of telemedicine under health insurance policies.

• IRDA asked to include preventive and wellness features in the health insurance policies.

• Several ailments that were previously excluded under the health coverage are now included.

• Definition of Pre-Existing Diseases has been altered to serve the needs of customers.

October 2020: Health Insurance to become customer friendly

The month of October has brought some significant changes in the Insurance industry. IRDAI has recently directed three key changes in the health insurance plans structure in order to make the plans more customer-friendly and provide more benefits to the policyholder. So, what exactly is there in store for you? The very first benefit that new change holds for policyholders is the simplification of clauses for it to be understood by masses. This would help compare plans easily through the clauses. Next positive change brought about IRDAI is making plans more inclusive when it comes to coverage which is expected to increase the popularity of health insurance plans in times of a pandemic. Third very important change is that the proportionate deductions on room rent limits have been made more reasonable. These changes are expected to bring in a sigh of relief for the policyholders.

Good News: Proposal for medical necessities to be fully payable now!

While health insurance is already a relief for the policyholders across the world amidst the pandemic, the new changes announced by the IRDAI are set to make scenarios even more relieving for policyholders with their recent proposal to exclude the costs of diagnostics, medicines and implants from the list of associated medical costs. As these associated medical expenses are considered when insurers compute proportion deductions from hospital bill, this could potentially mean that the health insurance claim amount settled by the insurer could be higher than the usual amount that is settled.

Insurers cannot contest claims after 8 years of premium payment: IRDAI

IRDAI, the insurance regulator in its recent set of guidelines tends to come down on the side of policyholders. The recent set of guidelines announced by IRDAI state that health insurance companies will not be permissible to content or question health insurance claims raised by policyholders once they have been paying the premium amount for a period of 8 years except for those that are proven to be fraudulent and claims around permanent exclusions as mentioned in the policy document. The regulator further stated that the objective behind this approach is to standardize the terms and clauses combined in indemnity-based health insurance plans which exclude domestic/overseas travel and personal accident. This way, IRDAI further simplifies the general terms and clauses and policy wordings to achieve consistency across the insurance industry.

COVID claim amount triples to Rs. 562 Crore in a month - Insurance industry to bear the brunt

While the pandemic is taking a toll on the world, no one is saved from its financial burnt. Where some people are losing their jobs, some are facing major financial adversities due to the stagnant scenarios driven by the pandemic. And, if someone is majorly affected, it’s the insurance industry! While the COVID coverage offered by health insurance plans came a big relief for people around the world, health insurers have faced a major financial brunt. With health insurance claim amounts exceeding to ₹562 crore through a period of less than a month, health insurance companies have indeed felt the heat of the pandemic.

COVID – A Health Insurance business booster

While the pandemic has almost brought the world to a standstill, it has turned the tables for the insurance business. As health insurance covers COVID claims, the pandemic has given a boost to the health insurance business across the world. While the health insurance segment has introduced 500 products in the last 2 decades, the COVID crisis marked the launch of 130 new product in just four months. With this development, this insurance segment has overhauled the motor insurance segment, becoming the largest business in the category of non-life insurance. IRDAI further estimates that the dominance of the health insurance segment over motor will only increase by leaps and bounds by 2020-end.

Want to enhance your coverage against COVID? Top-up, Super top-up or Corona Kavach policy, what to choose?

Are you looking for a plan that gives you added financial protection against the pandemic? If you wish to enhance your existing health insurance policy, you have 2 great options – a health insurance top up or Corona Kavach policy. Wondering which one you should choose? Both, the top-up and the Corona Kavach serve different purposes and one must choose the plans wisely, keeping his/her needs and requirements in consideration. While a health insurance top-up plan comes into play when your existing health insurance coverage is exhausted, Corona Kavach policy will only pay for COVID-19 treatment and that too for less than a year. Hence, one must not replace a comprehensive health insurance plan with Corona Kavach but get one in case he/she does not have any medical coverage.

Will your existing health insurance policy cover COVID-19 vaccine?

The hunt for the coronavirus vaccine continues and with many vaccine candidates undergoing trials, this could soon be a reality. But, the question is, will the COVID-19 vaccine be covered under your existing health plan? Typically, health insurance plans cover hospitalization costs and treatment costs, which means, if you were to be hospitalized for COVID-19, your treatment and hospitalization costs would be covered. However, if one needs to get a dose of COVID-19 vaccine, there is no need for hospitalization and in this case, if your plan offers out-patient treatment coverage, it may be covered. Having said that, currently COVID-19 vaccine is not covered under indemnity health plans but could be covered in the plans in the foreseeable future, it being a vital need.

India: COVID-19 boosts health and life insurance

The spurring COVID cases across the world and in our country and the growing awareness of the pandemic have resulted in positive developments for the life and health insurance business. With the nation battling COVID, people turned to life and health insurance plans to seek financial support for fighting the implications of the disease. With COVID claims covered, individuals felt a sense of relief with these plans. A survey carried out by the Insurance Institute of India (III) revealed the surge in demand for life and health insurance due to the increasing awareness for risk and protection. In light of this, the industry must look forward to ramp up digital platforms and surge online selling of insurance plans to leverage the scenario.