Health Insurance takes care of the financial backup needed in case of medical issues and emergencies. It helps to save money on various expenses incurred from hospitalization and other Out Patient Department expenses.

It is a must to have a health insurance plan in place to ensure that financial independence does not come in the way of treatment of any illness, however critical it is. Opting for a medical insurance policy or critical illness insurance rider by way of paying a marginal amount as premium regularly ensures onea hassle free treatment in case of medical emergency.

Health Insurance Policy Types

·         Senior Citizen Plan for insuring people aged between 65 to 80 years in time of medical emergencies.

·         Critical Illness policy that pays out a lump sum amount if the insured people are diagnosed with any of the life-threatening diseases listed in the policydocument.

·         Family Floater which covers an entire family for a fixed coverage which is shared by all family members mentioned in the policy document .

·         Individual Health insurance policy to cover an individual person up to a fixed sum insured chosen by the individual during a policy year.

  • Group Mediclaim Policy which provides medical coverage to a specific group of people.

 

Heath Insurance: Compare the Best Medical Insurance Policies and Buy the Best Plan

One can pick from the below mentioned Health insurance plans in India(as mentioned in www.policybazaar.com).These plans were chosen and picked as they are the topmost in terms of certain parameters like eligibility, uniqueness of features, coverage, affordability, limits and exclusions.

A few Good Health Insurance Plans in India

 Star Health Senior Citizen Red Carpet Plan: If one is looking for an unique plan for aging parents, Star Health’s Red Carpet Policy is an ideal choice.

Features :

  • Covers medical costs due to any disease, sickness, injury or accidents.
  • Covers pre-existing conditions from the second policy year.
  • Minimum waiting period of 12 months,
  • No pre-policy medical checkup
  • Cashless treatment in more than 6000 network hospitals.
  • The premiums are very much pocket-friendly considering the benefits on offer

Exclusions

Expenses on Hospitalization are payable if the patient is hospitalised for a minimum period of 24. hours. However this time limit will not apply for Day Care treatments /procedures, taken in the Hospital /Nursing Home and the Insured is discharged on the same day.

Star Health Cardiac Care: This is a health insurance policy for those who have undergone heart related treatment.

Features

  • This policy has two Plan options – Gold Plan and Silver Plan
  • Silver Plan is for covering expenses incurred as an inpatient for treatment in respect of all cardiac related complications that necessitate surgery/intervention
  • Gold Plan is  for covering expenses incurred as an inpatient for treatment in respect of all cardiac related complications that necessitate medical management, surgery/intervention
  • Out Patient Benefit is available
  • Personal Accident: Accidental Death Cover
  • No Pre acceptance medical screening
  • 405 day-care procedures covered

Exclusions

Quite a few expenses are not covered under this plan. A few are:

  • Expenses incurred for Cardiac related treatment in the first 90 days of the plan
  • Any non-cardiac related pre-existing medical condition is covered only after 4 years of continuous renewal
  • Treatment for any disease or illness in the first 30 days of the plan unless caused due to an accident

Apollo Munich Optima Restore :This plan offers a unique Restore benefit that automatically reinstates the basic sum insured in case the amount is exhausted in a policy year.

Features

  • If the coverage in an individual policy is used up and the person falls ill with another illness, the entire sum insured is restored.
  • This is done at no extra charge.
  • It also rewards a multiplier benefit in case no claim is made on the policy.
  • The multiplier benefit doubles the sum insured in 2 claim free years.
  • With the “Stay Active” benefit premium discounts are given at renewal.

Exclusions

  • All treatments within the first 30 days of cover except any accidental injury
  • Any pre-existing condition will be covered after a waiting period of 3 years
  • 2 years waiting period for specific diseases like cataract, hernia, joint replacement surgeries, surgery of hydrocele etc.
  • Expenses arising from HIV or AIDS and related diseases and many other exclusions

ICICI Lombard Complete Health Insurance:This provides premiere service with good number of network hospitals and better claim ratio.

Features

  • Lifelong renewability
  • No health check-up up to the age of 45 years (age as on last birthday)
  • Option to choose sub-limit and modify premium

Exclusions

  • Exclusions that remain valid for the first 30 days include any illness incurred within 30 days of the beginning of the Policy.
  • on subsequent renewals, the exclusions ceaseto apply.

 

Max Bupa Heartbeat Family First Policy :This covers the entire family’s medical expenses in case of illness or accident.

Features

  • Discount on premiums after 2 years of policy period.
  • Free health check –up at designated Max Bupa diagnostic centres after every 2 years
  • Assured policy renewal for life
  • Direct claim settlement

Exclusions

  • No treatment covered within first 90 days unless it is an accident/emergency.
  • Benefits not applicable on pre-existing diseases.
  • Cosmetic, aesthetic, or related treatments not covered.
  • Disease due to alcohol intake not covered.
  • Treatment done with non-allopathic medicines not covered.

A few other health insurance plans worth mentioning are :

  • Religare ‘Care’ – Health Insurance Policy
  • New India Assurance JanataMediclaim Policy
  • Bharti AXA SmartHealth
  • Oriental Insurance Happy Family Floater
  • L&T my:healthMedisure Prime Insurance

Table enumerating brief details about the Best Health Insurance Policies in the Market (www.policybazar.com)

 

No. Company Plan Entry Age Sum Assured (Rs) Premium starts from (Rs) USP
1 Star Health Senior Citizen Red Carpet 60 – 75 years 1,00,000 to 5,00,000 5000 Specially designed for old aged
2 Star Health Cardiac Care 10 – 65 years 3,00,000 to 4,00,000 18000 A boon for the cardiac patients
3 Apollo Munich Optima Restore 18 – 65 years91 days to 21 years (for floater) 3,00,000 to 15,00,000 5000 Restores the exhausted sum assured
4 ICICI Lombard Complete Health Insurance- iHealth Plan 6 years – No upper limit3 months (for floater) 3,00,000 to 10,00,000 3300 A comprehensive plan featuring a floater cover that can extend to all the family members including brothers and sisters
5 Max Bupa Heartbeat No age limit 2,00,000 to 50,00,000 3700 A family oriented health insurance with unique features such as inbuilt maternity and new-born benefits. The insured can get up to 13 family members covered under one single plan
6 Religare Care Health Insurance Plan 5 years – No upper limit3 months (for floater) 2,00,000 to60,00,000 2300 This plan set a new benchmark by extending the upper limit of the sum insured to 60 lakh (highest in health plans)
7 New India Assurance JanataMediclaim 18 – 65 years3 months (for floater) 50,000 or 75,000 700 This plan has also set a benchmark. With a lower cap of premium at just Rs 700, it is the most affordable health insurance plan
8 Bharti AXA Smart Health 2- 65 years3 months (for floater) 50,000 to 5,00,000 4300 A truly smart plan with flexible coverage and distinctive features such as inbuilt critical illness benefit, personal accident add-on at a nominal additional cost and 11 different value-added benefits
9 The Oriental Insurance Happy Family Floater 21 – 65 years3 months (for floater) 1,00,000 to 10,00,000 1300 An affordable family floater with valuable add-ons and discounts
10 L&T Insurance my:health Medisure Prime Insurance 18 – 65 years 3 months (for floater) 3,00,000 to 10,00,000 6000 It was recognized as the product of the year in 2012 and for the right reasons. my:health takes the best of all plans and serve it on one plate

What are the factors to be considered while choosing a health insurance :

  • Features
  • Costing
  • Portability
  • Exclusions
  • Waiting period for pre existing illness
  • Room benefits single room- sharing
  • Operative procedure costs covered
  • Co Share option- where the insurance company and the insured share the costs for the hospitalisation
  • Top up options
  • Insurance restoration

A few good health insurance policies for business owners to consider based on their high incurred claim ratio are:

 

·      New India Assurance Health Insurance

·      Bajaj Allianz Health Insurance Plan

·      National Health Insurance

 

Debalina Roy Chowdhury

Dilzer Consultants

 

Sources

http://www.hdfclife.com/health-insurance/need-for-health-plan

https://www.coverfox.com/health-insurance/articles/the-best-family-floater-plan/#gs.VvOQDi0

https://www.policybazar.com

https://www.advisorkhoj.com/articles/Financial-Planning/9-Steps-of-Investment-Success-for-the-Young-Generation

https://www.gibl.in/health-insurance/

https://www.bankbazar.com

https://www.coverfox.com/health-insurance/star-health-and-allied-insurance-health-insurance/senior-citizens-red-carpet-policy/#gs.xKwtJLI