In our country, the cost of medical treatments has been increasing by the year. Financial instability in our time cannot be ensured without added protection. Health risks and uncertainties are a part of life and as such, there is very little that we can do to avoid scams, infections, injuries, and various diseases. You will find yourself exploring and researching the important topic of health insurance. You'll likely have to do this at some point in your life, whether it be for yourself or a loved one. Instead of worrying too much over medical costs and increasing healthcare prices, you can better prepare yourself financially. This can be done through proper health insurance planning so that you'll never be caught off guard paying an increasingly large amount of money for medical expenses out-of-pocket for yourself or family members.
What is Health Insurance?
Health insurance is a type of contract between you and an insurance company, wherein the insurer agrees to pay for your medical expenses that are incurred in the course of your illness or treatment. You could have health insurance via your employer or you could buy a plan directly from the insurer on your own. Health insurance falls under two "eras": Pre-deductible insurance era Post-deductible insurance era, it is not necessary for you to bear any expense incurred from treating an illness caused during the policy period. Pre-deductible plans cover most hospitalizations, surgeries, and tests at network hospitals and clinics. The amount of reimbursement is also usually a percentage of the total bill charged by a hospital or doctor. Post deductible era post-deductible covers a small fixed amount which will be paid on behalf of the insured person once he has met his deductible. This is applicable only to outpatient treatments such as outpatient surgeries, lab services, and radiology procedures.
Types of Health Insurances
Individual Health Insurance:
Individual health plans are created for the sole purpose of serving a single person. In addition, such products are more comprehensive in nature compared to the plans offered by a group of people. An individual policyholder can customize the policy he acquires based on his medical requirements and any other concerns he has with regard to his and his dependents' healthcare. The premium amount that you pay depends on a few factors such as your age and the location where you live.
Family Floater Health Insurance:
Family floater is a type of health insurance plan which covers the insured and eligible children from one family. It can also be extended to cover eligible parents or siblings of the family. There are a lot of advantages you can get by purchasing a family floater health insurance plan. One of the main advantages is that it helps you save on your premiums. This is because you are split into a single pool of people and your costs are shared together. Another great advantage is that all covered members under this plan qualify for the same online facilities. You and your dependents will all be easily able to use the same doctors and hospitals without having to make a lot of additional inquiries about doctors.
Senior Citizens Health Insurance:
Senior citizen health plans were introduced for the welfare of the senior citizens who are 60 years of age and above. These policies are only meant for them. The companies that sell such policies check the general health condition of the applicants before selling the policy. Instead of premiums, such insurance plans require contributions on a monthly basis. Senior healthcare plans cost more than other health insurance plans because people above 60 have higher probabilities to have illnesses and diseases as compared to younger people.
- Critical Illness Health Insurance:
Critical illness insurance is a comprehensive policy that will help you deal with medical expenses on critical illnesses including cancer, organ failure, heart attack, kidney failure, etc. Critical illness cover is the most cost-effective form of insurance today. It's a good investment to make for your family's financial safety net. This is especially important if there is a history of certain critical illnesses in the family because critical illness cover will pay you fast and easy monetary benefits – it can take care of a lot of day-to-day bills while you are recovering from a serious illness or injury.
Maternity Health Insurance:
Getting a maternity plan is one of the first steps toward pre-natal care. It will cover medical expenses like ultrasound, sonography tests, consultations with doctors, and more. You can buy maternity plans depending on your own needs and requirements. These can be bought as standalone or rider policies. If purchased as rider policies, these are purchased along with existing health insurance plans like life insurance.
- Group/Employee Health Insurance:
Group health insurance is generally a cheaper option for employers. The premiums, co-payments, and deductibles all entail lower costs than if you were to purchase an individual health plan. Group health plans are also able to afford members with pre-existing illnesses or disabilities a smaller amount of time before covering their medical bills. Group health plans are generally favorable to employers and employees since they do not require huge investment from both parties, especially in the case of small non-profit companies for which group health plans can be a source of overhead expenses.
- Preventive Healthcare:
Preventive healthcare is an important aspect of a happy and healthy life. A good preventive healthcare policy allows you to get checkups and tests which help detect illnesses early on before they become chronic diseases that require long-term care and management. A preventive healthcare strategy safeguards your health by keeping tabs on any growth or changes in your body that might have an adverse effect on your overall health. Simply put, preventive healthcare refers to actions taken to maintain optimal health and to treat diseases and other conditions before they become serious enough to require treatment.
- Personal Accident Insurance:
Personal accident plans may seem to be similar to medical insurance, but the truth is that they are only concerned about the compensation for loss of life or limb due to any kind of life event. This event can include road accidents, water accidents, air crashes, etc. Personal accident insurance is a type of health care coverage that provides protection against the costs incurred from certain injuries. There are several types of personal accident plans available in the marketplace these days, and it is up to consumers to understand their respective plan benefits.
Required Documents for Health Insurance
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Eligibility Criteria for Qualifying for a Health Insurance
When you are considering buying a health insurance policy, it is necessary to understand which tests and health examinations must be carried out. In the current world scenario, it is advisable to carry out medical tests before applying for health insurance. These medical examinations will increase your eligibility for getting the best health plan with low premiums
Most of the health insurance companies in India provide coverage to individuals under 45 years of age without the need for medical exams.
If you have a pre-existing condition, such as diabetes or depression, you will most likely be rejected for insurance because insurers consider pre-existing conditions to be high-risk. But various health insurance plans have different rules on this matter. If your insurer does not insist on conducting a medical examination, you can withhold information about the presence of the conditions in order to be eligible for lower rates and deductibles.
Medical examinations are a necessary requirement for those who are planning to take medical plans. This is because insurance companies carry out medical evaluations so as to determine the eligibility of an individual and also to figure out whether the person can be covered by the plans.
The ones who apply for health insurance after the age of 55 are required to take more medical tests
Key Features of Top Health Insurance Providers
|Insurance Provider||Claim Settlement Ratio||Key Features|
|IFFCO Tokio General Insurance||99.71%||Cashless treatment at 6400+ hospitals
24/7 claim assistance
|Bajaj Allianz General Insurance||98.48%||Fast claim settlement process
|Care Health Insurance||96.2%||Discounts on premiums
16500+ network hospitals worldwide
|Navi General Insurance||97%||Cashless claim settlement within 20 minutes
10,000+ network hospitals across the country
|Bharti AXA General Insurance||99.05%||Avail of tax benefits
Waiver of premium after the first claim