- About Coverfox
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.
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.
Read More: What is Health Insurance?
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.
Read More: Importance of Health Insurance Plans?
A medical insurance policy needs to be renewed annually upon its expiry. On-time health insurance renewal can reap you with the following benefits:
There is a wide range of best 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.
|Best Medical Insurance Policies||Coverage|
|Niva Bupa ReAssure|
|Aditya Birla health Activ Health Platinum - Enhanced|
|Star Health Young Star (SILVER)|
|Niva Bupa Health Companion|
|SBI General Insurance Arogya Sanjeevani|
|Care - No Claim Bonus Super|
|Star Health Young Star (GOLD)|
|Raheja Arogya Sanjeevani|
Disclaimer: Sum Assured of policies is depend upon the age, policy type, location & Add-ons.
Apart from this IRDAI has directed insurance companies to launch two special standard health plans, namely Corona Kavach Policy and Corona Rakshak, were launched.
This plan provides you with a cover against hospitalization due to Covid-19. However, one needs to get hospitalized for a minimum of 24 hours. This plan covers for your covid-19 hospitalization cost, bills related to AYUSH treatment that go up to Rs. 5 Lakh & expenses related to home treatment. The cost of items that are consumable are also covered. These consumable items include PPE kits, oxygen cylinders, ventilators, masks, gloves etc.
The benefits provided to the policy holder under the terms and conditions of the Corona Kavach Policy remain the same regardless of the insurance provider.
|Age of Entry||18 to 65 yrs.|
|Types of Coverage||Family floater or Individual|
|Sum Insured Amount||Rs. 50,000/- to Rs. 5,00,000/-|
|Discount Percentage on Premium||5% for doctors & health workers|
If you are covid positive & it is diagnosed in the policy term period, you receive a lump sum amount on your hospitalization. However, the hospitalization needs to be for a minimum of 72 hours. The duration of Corona Rakshak Policy on the minimum is 3.5 months & 9.5 months on the maximum.
|Age of Entry||18 to 65 yrs.|
|Types of Coverage||Individual|
|Sum Insured Amount||Rs. 50,000/- to Rs. 2,50,000/-|
|Discount Percentage on Premium||5% for doctors & health workers|
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:
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:
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?:
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.
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:
Buying Health Policy online through the Coverfox website is quite an easy task. Coverfox gives you detailed insights, on-call customer service & an efficient tech-enabled interface. These factors make your online medical insurance buying process quite smooth & easy. We get you expert advice along with an informed, unbiased opinion that will clear all your doubts and help you buy the perfect plan.
Follow the steps given below in order to buy a health policy online with the Coverfox website.
Once you select the plan which meets your needs with the least amount of premium, you can go ahead and pay the medical insurance premium or talk to our customer service to avail of the insurance policy. While it is understandable to choose the policy with the least insurance premium, it is essential to know that various factors can affect your health policy premium.
Some factors influencing the premium of a medical insurance policy include lifestyle, family health history, personal medical history, proposer’s age, sum insured etc. These factors are considered before the premium amount is determined. It is important to take note of these to make an informed decision.
It is essential to pay a fixed premium regularly in order to keep the policy in force. Have you ever wondered how this premium is calculated? Certain factors affect health insurance premiums like your family’s medical background, your personal medical history, and so on.
Depending on that, you might want to calculate your premium to know how much you would have to pay for the policy. It can be done via a Health Insurance Premium Calculator. A premium calculator is an online tool that calculates the premium to be paid as per your information. At Coverfox.com, you can calculate your medical insurance premium easily.
As the medical facilities are advancing, so are the health care costs. The primary benefit of health policy is that it takes care of healthcare costs. It give you a financial security if any unanticipated serious illness or accidental injuries drains all your savings. Learn how the cost of your insurance premium is determined:
Arogya Sanjeevani is a medical insurance policy offered by every Indian health insurance company. Arogya Sanjeevani policy covers your primary medical insurance needs. It is a good option for those who do not have medical insurance cover, particularly in smaller towns.
As mandated by the IRDAI, the Arogya Sanjeevani Policy offers health cover ranging from ₹ 1 lakh to ₹ 5 lakhs. A primary waiting period of 30 days is applicable from the date of policy issuance. The waiting period for specific illnesses ranges from 24 months to 48 months, depending on the disease.
If the policyholder is hospitalization he/she needs to submit certain documents as mentioned below for making a reimbursement claim:
A policy holder does not have to carry on with their current health insurance policy provider, if he or she doesn't want to. IRDAI gives you a provision to change the insurance provider. This switch happens without the policy holder having to compromise on the existing policy benefits or accumulated benefits.
Now IRDAI allows you to switch from one insurer to another while the new insurer will have to consider the credits you have gained from your previous insurer, where the credits refer to the completed waiting period in pre-existing conditions. The same thing applies if you switch from one plan to another within the same insurance company.
In case of a critical medical condition that needs treatment, you need an active health plan. Not having an active health insurance plan will force you to bear all the medical expenses & burn your savings. When you renew your health insurance plan it keeps your loved ones protected. Renewing your health policy keeps it active & you can always use it in times of emergency.
A medical insurance policy is an annual contract which means it is valid for one year after which you need to renew it upon its expiry. If you do not renew health insurance policy on time, you may lose all the benefits that you have accumulated during the past tenure. Here are some basic steps to follow for health insurance renewal process:
Step 1: Visit your insurance company's official website.
Step 2: Within the website, visit the section that deals with health insurance policy.
Step 3: Put in your previous medical insurance plan no. & your registered mobile no.
Step 4: Checkout the health insurance plans details & the plan renewal premium.
Here is the list of documents required while buying or renewing a health insurance policy.
The best way to get the highest coverage with medical insurance without splurging is through additional riders. You can add riders as per your needs and enhance your policy coverage.
The minimum age to purchase a health insurance plan is 18 years.
Your policy will lapse or get terminated if you fail to pay your premiums.
There is no limit on how many medical insurance plans you can purchase.
Cashless treatment under health plans ensures that you do not have to pay anything when you get admitted to one of the network hospitals of your health insurance provider.
No, medical insurance is quite affordable. For instance, under a basic health plan with a sum insured of Rs. 5 lakh, you might have to pay a premium of Rs. 5,000 - Rs. 10,000 per year. The premium depends on your age, type of policy, and other factors.
Yes, you can add family members like your spouse, children, parents or parents-in-law under a family floater which offers cover for the entire family.
Every policy comes with a waiting period after which your cover gets activated. The waiting period for most health policies is 30 days but we suggest checking with your insurance provider on the same.
Yes, your health policy will still cover you if you are admitted to a non-network hospital. The only difference is that you will have to pay the bills and then file for reimbursement as opposed to getting cashless treatment.