How to shop for Health Insurance in India

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Having a decent Health Insurance policy can take care of your financial needs during sickness or ill-health. Several companies now offer health insurance in India. For individuals who do not have employer-based health insurance getting a health insurance policy is definitely worth considering. So it is important to understand the coverage terms and benefits and shop around for the best price before buying health insurance.

Things You'll Need

  1. An idea about how much health insurance coverage you will need for your family
  2. Time – to review various health insurance plans to understand the cost, benefits and restrictions

Steps

1

Understand the Basic Coverage Benefits of a Health Insurance Policy Most health insurance policies in India cover the following types of treatments:

  1. Re-imbursement for Hospitalization due to illness/disease/ surgery.
  2. Reimbursement for Domiciliary Hospitalization expenses in lieu of Hospitalization.
  3. Pre-hospitalization expenses that might be incurred before hospitalization will take place.
  4. Post-hospitalization expenses after you’re release from the hospital.
  5. Ambulance Charges
2

Understand the Restrictions and Conditions not Covered Most Health Insurance policies offered in India have the following restrictions:

  1. Based upon the Insurance the following types of ailments might have a specific waiting period before being covered: cataract, hernia, piles, sinusitis, benign Prosthetic Hypertrophy, Hysterectomy for Menorrhegia or Fibromioma etc.
  2. Most policies also have a 30-day waiting period. With the exception of accidents most treatments are not covered for the 1st 30 days after the policy has been in effect.
  3. One of the most important exclusion is that any pre-existing conditions (that an individual already has prior to start of coverage) are not covered through the life of the policy. So if you already have any serious medical conditions buying a health insurance policy is a waste of money.
  4. Out patient treatment like diagnostic tests, dental visits, vision and spectacles, etc. are also typically not covered.
  5. Injuries resulting from war, invasion, etc are also not covered.
  6. Pregnancy/child-birth and naturopathic/ayurvedic treatments are also not covered.
3

Other Policy Benefits that might be useful

  1. Income Tax Benefit – An Income Tax exemption of up to Rs. 10,000/year is applicable for a family. In case any Senior Citizens are covered, the exemption is Rs. 15,000.
  2. Cashless Benefit – For treatment at hospitals that are in the Insurance Provider’s network a pre-admission claim can filed with the Third-party administrator. Upon approval you can undergo treatment without having to make any out of pocket payments.
  3. Family Floater – This type of policy covers everyone in your family for a single premium. A single member of the family can use the entire coverage amount. In addition you will not need to keep track of individual policy renewals.
  4. Cumulative Bonus – Most insurance providers raise the coverage amount at no extra cost to you, if you have not made any claims in the past year. Some companies offer a renewal discount.
4

Shop around for Health Insurance Quotes Use the internet to get some Insurance quotes from various Health Insurance companies. Based upon your understanding of the coverage terms, benefits and restrictions get a price for a policy that best suits your needs. You will also need to decide how much Coverage you will need. Some useful sites for Health Insurance quotes for India are: Insurance Pandit GetMeInsure ApnaInsurance Also consider visiting the websites for various companies offering Health Insurance in India. Insurance companies offering online quotes are listed below: Star Health Insurance ICICI Lombard ICICI PruLife You might also be able to get lower quotes and more reliable policies from Nationalized Insurance Companies like:

5

Narrow down your selections to a couple of good schemes Talk to your friends and relatives to get recommendations for Health Insurance policies. Based upon your research and recommendations from your friends narrow down your choices to a couple of suitable policies. Contact an Insurance agent from these companies to get printed brochures, terms and conditions, accurate quotes, etc.

6

Buy your Health Insurance Policy Make sure you setup automatic payments so that you never lose coverage. Also store the policy in a safe place but give all your family members the policy ID cards.

Tips

  • You can check customer satisfaction (or lack of) for Health Insurance schemes at India Consumer Complaints Forum
  • Make sure you understand the process for cashless treatment and claims process well.
  • In case of issues with Health Insurance Claims the Insurance Regulatory and Development Authority has appointed Ombudsman (arbitrators) whom you contact to file a complaint. These Ombudsman have the authority to order the Insurance company to pay your claim if they rule in your favor.

Caution

  • Make sure you don’t heed verbal promises from an Insurance agent. Instead ask them to show the relevant information in the printed materials or give any promises to you in writing.
  • It makes a lot of sense to stay with the same Insurance Provider for several years because of the loyalty based premium increases and discounts. Make sure you take your time before making your selection.

Comments

Insurance

Dear sir/Madam, I am shilpa from delhi, I purchased a ULIP plan from ICICI four year before, the annual premium was 1000/- and after four year when i withdraw money from the insurance I got only 41020/- , and at the time of police they people said me that your amount get doubled, they are doing froud things I have submit a complaint regarding this at http://www.consumercourt.in , but the Govt department is also not taking action on it. This is very bad thing. My overall experiance was so bad.

suns

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