Health Insurance Guide

Understanding insurance can be challenging, especially for those unfamiliar with its details. Some terms in insurance may seem confusing or unheard of, leading people to avoid buying policies even after reading them carefully.

Let's simplify things for you. We will explain complicated terms and concepts in a straightforward way to help you understand the basics of insurance better and its impact on your life.  

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Let's start by discussing common features of health insurance.

Individual or Family-Floater – Make a decision

Consideration Points

Individual Health Insurance Plans

Family-Floater Health Insurance

Description

These plans protect an individual against numerous expenses incurred towards his/her overall health and wellbeing. Here, the coverage is offered as per the sum insured and the premium paid by the policyholder.
Family-floater health plans allow coverage to all members of a family under one policy. They are available on a family floater or individual sum insured basis.

Who all are covered?

Only the individual who is insured under the plan.
All family members who are insured under the plan.

Expenses

The costs may be higher as every person has his/her own sum insured.
It may be more cost-effective as all members of the family get protection under one plan and one premium.

Concern

Premium increases with age.
The sum insured may not be enough for all family members.

Preference

Suits bigger families with senior citizens.
Suits well for nuclear families.

Recommendations

Buy relevant add-ons to have exclusive coverage.
Opt for an increased sum insured to have sufficient coverage for all family members.

Coverage amount (sum insured)

Waiting period for pre-existing conditions

Room rent restrictions

Deductables/Co-Pay

Pre & Post-Hospitalization

Restoration

Day care treatments

Domiciliary Expenses

No claim bonus

Free health checkups

Alternative treatments

Maternity

Doctor Consultations

Conclusion

Buying health insurance means paying attention to small details. If you are getting a plan soon, think about the following aspects:

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Health insurance exclusions

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Insurer’s reputation

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Network hospitals offered by the insurer

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Sum insured coverage

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Insurance coverage

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Cashless options

Guidance as per Your Need

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If you have any questions on how to choose the best insurance plan, you can connect with our IRDAI certified insurance advisors.

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