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List and Features of Health Insurance Plans

You must be an immortal or a person with immensely strong immunity if you think you don't need Health Insurance even after looking at the current circumstance around you. Please do, share the secret of your good health with all of us. If not, then read on . . .

Health insurance is essential for you as well. Today, we are surrounded by several diseases COVID-19, Cancer, Heart Problems, Dengue, Malaria, the list is never-ending. Having health insurance for yourself and your family members has become a necessity instead of a luxury.

Many people believe that health insurance is just another way to save Rs. 75,000/- under Section 80D from becoming taxable. This is not the case; a health insurance plan goes way beyond just giving tax benefits.

health insurance plans protect your life savings from medical and treatment expenses arising from an accident, illness, and disease. A health insurance plan protects you against medical inflation and helps you get quality health care.

Features of Health Insurance Plans

Let us list out some essential features of health insurance plans for you:

  • Variety of Plans: Health Insurance consists of various plans that you can choose as per your needs. The Indian insurance market has a considerable number of plans.

    • Individual Health Insurance - A standalone health insurance plan that protects just you against medical expenses. You get to use the entire sum insured for your treatment-related costs.

    • Family Health Insurance - As the name suggests, this plan covers you and your family under a single plan for just one single premium. The family consists of you, spouse, children, parents, and parents-in-law. Some health insurance plans cover up to 13 relatives under one plan. Under such plans, the entire sum insured is available for the use of the whole family during the policy year.

    • Senior Citizen Health Insurance - This plan is the best buddy for senior citizens. It provides health cover and also covers any pre-existing diseases after a shorter waiting period.

    • Critical Illness Cover - These are unique plans designed for taking care of health expenses for the treatment of life-threatening diseases like cancer, kidney failure, liver failure, heart problems, and so on. As the treatment costs are high for such conditions, it is imperative to be protected with a unique health plan.

    • Disease-Specific Health Covers - As the season changes, we see many people getting infected with illnesses, especially during the rainy season. In this season, we see people suffering from Malaria, Dengue, and other water-borne diseases, which can also lead to death if proper, timely medical attention is not provided. To overcome such treatment costs, disease-specific health insurance plans like Malaria Cover, Dengue Cover, and so on are available.

    • Super Top-up - These plans allow you to increase your sum insured at just a fraction of the base plan's cost. This way, you enjoy a high insurance cover at an affordable price.

    • Group Health Insurance - These plans are provided by the employer to their employees as a loyalty benefit to protect their health

These are just a few plans to name; there is a plan variety available as per your need. So throw out that excuse that there is no health insurance plan that can solve my needs.

  • Cashless Claims: Gone are the days when you would have to deposit money before getting admitted into a hospital to get your treatment started. Now you can get treated without paying a single rupee from your pocket and get back home all healthy and hearty; how? Thanks to Cashless Claims Facility.

Health Insurance Companies are offering this significant feature with almost all of their health plans. Through this feature, you can get treated at a Network Hospitals, and the insurance company settles your bill with the hospital on your behalf.

All you have to do is,

  • Present your health card and fill the Cashless Claim form at the network hospital
  • Receive approval from the insurance company
  • Get admitted and undergo treatment

The health insurance company will settle your bill. In case of emergency hospitalization, you can do the paperwork within 48 hours of getting hospitalized.

  • No Claim Bonus - Who does not want to stay healthy and avoid visits to the doctor and hospital? Well, everybody wants that, and trust even your health insurance company wants you to stay healthy. To motivate you to avoid making claims, health insurance companies offer a No Claim Bonus to their customers.

Under No Claim Bonus, when you finish a policy year without making a claim, the sum insured in the next policy year increases by a fixed percentage, say 5%, or 10% at the same premium. Now isn't this great; you get a large cover at the same cost.

  • Wellness Benefit - Are you an active person? Do you go for regular workouts like walking, jogging, gym workout session? If not, then dust off those sports shoes and put them on because staying fit can never be this rewarding. Your health insurance plan offers you various wellness benefits like Gym Membership, Health Points that you can encash for Medical Check-ups, or even pay your premium from the accumulated health points.

  • Pre and Post Hospitalization - When a medical emergency strikes us, there are many expenses over and above hospitalization costs. There are many tests and reports that one has to undergo before the surgery or actual treatment starts. Such expenses are called pre-hospitalization expenses.

Also, getting discharged from the hospital does not mean that you are now completely healed. There are any tests, reports, follow-up treatments that you must undergo after getting discharged. Such expenses are called Post-Hospitalization.

Health insurance plans cover both Pre and Post-Hospitalization expenses. Generally, all health insurance plans cover 30 days of pre-hospitalization expenses and 60 days of post-hospitalization expenses. However, many health insurance plans offer up to 60 days of pre-hospitalization and 90 days of post-hospitalization expenses cover.

  • Alternate Treatment- Not everyone is comfortable with Allopathic treatments. Many still believe that fighting disease at its root cause and eliminating it from source is the best way of getting rid of it, even if it is time-consuming. Such is the practice of Alternate Treatment methods, i.e., Ayurveda, Yoga, Unani, Siddha, and Homeopathy in short AYUSH.

Today's health insurance plans also provide cover for Alternative treatment methods, i.e., AYUSH, which is more useful for senior citizens who are more worried about the side effects of the medicine they consume.

  • Day Care and OPD Expenses - Today, medical technology has taken a giant leap; treatments that needed hospitalization are now completed within hours, enabling the patients to go home the same day. Treatments such as dialysis, chemotherapy, eye surgery, and so on are completed just within a few hours. This list goes beyond 150+ treatments, which are now covered under a health insurance plan. Many of us have never been admitted to a hospital for lengthy treatments, but we do visit a doctor for OPD consultation.

Though this may look like a small thing, OPD consultation fees are also rising; today, a general physician's OPD Consultation Fees falls in the range of Rs. 500 to 1000. Now imagine what a specialist would charge you.

Today health insurance plans also cover your OPD expenses. Thus, offering all-round protection in all scenarios.

Compare, Buy and Renew Medical Insurance Plans Online

Top Health Insurance Plans

Here are a few top health insurance plans that you can consider for buying:

Plan Max Sum Insured COVID-19 Cover Pre Hospitalization Post Hospitalization Cashless Claim DayCare Treatment
Aditya Birla Active Assure Diamond Plan Rs. 2 crores Yes 30 Days 60 Days Yes Yes
Care Health Plan Rs. 6 crores Yes 30 Days 60 Days Yes Yes
Max Bupa Health Companion Rs. 1 crores Yes 30 Days 60 Days Yes Yes
HDFC ERGO - my: Health Suraksha Rs. 75 Lakhs Yes 60 Days 180 Days Yes Yes
ManipalCigna ProHealth Plus Insurance Plan Rs. 50 Lakh Yes 60 Days 180 Days Yes Yes

Disclaimer: The above information has been sourced from the official website of the respective insurance company. (Last updated 15-10-2020)

Cutting a long story short

Before buying health insurance, it is of utmost importance that you know about all health insurance features. You should ideally read about all the features offered and then compare them. However, comparing all the features available under a health insurance plan can become quite a tedious task.

Not when Coverfox is there to help you. You can easily compare all the features of the best health insurance plans instantly online on Coverfox. Coverfox enables you to perform a side-by-side comparison of various features of health insurance plans. This way, you choose the best plan in its class which gives you complete all-round protection and is pocket friendly at the same time.

Recommended Link: The Must See Checklist Before You Buy Health Insurance

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