Health insurance
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Benefits
1. Covers pre and post hospitalization expenses.
- Covers pre and post hospitalization expenses.
- Provides cashless treatment in network hospital.
- If the treatment is taken in non-network hospital then reimbursement of hospitalization expenses are covered.
- Free health check-up benefit after 3 yrs. or 4 yrs. (no of years differ from insurance co to co and it is considered as claim free year).
- You can claim a tax deduction on health insurance premium under section 80D of the Income Tax Act, 1961.
2. Provides cashless treatment in network hospital.
3. If the treatment is taken in non-network hospital then reimbursement of hospitalization expenses are covered.
4. Free health check-up benefit after 3 yrs. or 4 yrs. (no of years differ from insurance co to co and it is considered as claim free year).
5. You can claim a tax deduction on health insurance premium under section 80D of the Income Tax Act, 1961.
Types of Insurance
1. Indemnity Health Insurance Plans
It offers health insurance coverage to a group of people such as a group of employees of a company. It is pretty popular among medium and large-scale enterprises as they provide health insurance to a large number of their employees. The premium amount of this type of health plan is comparatively less compared to individual health insurance.
It offers health coverage to the entire family (self, spouse, dependent children, and parents) in a single health insurance plan. It is more affordable, the sum assured can be availed of as often as needed among all the family members.
A top-up health insurance is a backup to your primary health insurance plan. It is ideal for individuals looking to replenish the sum insured to a specific amount above the basic plan.
It offers health coverage to a single person only. This type of health insurance covers the cost of surgery, hospitalization, room rent, day care procedures and many more. The premium amount of an individual health plan is determined based on the insured age and medical history.
It offers health coverage to people who are above 65 years of age. Generally, the premium amount of a senior citizen health plan is slightly higher than that of an individual and family health insurance plan. A senior citizen health insurance covers the cost of medicines, doctor’s consultation, pre and post-hospitalization etc.
2. Defined Benefit Health Insurance Plans
Critical illness health insurance plans are tailored to address specific severe illnesses, which often incur substantial expenses. These plans serve as a lifeline during emergencies by providing a lump sum payment to policyholders upon diagnosis of a critical illness. Covered conditions typically include major organ transplants, cardiovascular diseases, cancer, kidney failure, multiple sclerosis, among others.
Personal accident health insurance offers financial protection to policyholders in the event of death, permanent disability, or partial disability resulting from accidents. If the policyholder passes away, the insurance company provides compensation to their family member or designated beneficiary. Similarly, if the policyholder experiences permanent or partial disability due to an accident, they receive compensation directly from the insurer.
Hospital daily cash health insurance is a type of health plan that provides a daily cash allowance up to a certain limit to the policyholder for their day-to-day expenses at the time of hospitalization.
USP
- A well dedicated and trained team at every location for hassle free claim process from scrutinizing documents to claim settlement.
- To provide sustainable, optimized health and benefits strategy for your organization.
- SAHAY a Senior Citizens Group is formed to help Sr. Citizens related to Health Insurance Claims, wherever needed.
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Frequently Asked Questions
Health Insurance provide support to you and your family during medical emergencies so that you don’t lose your lifelong savings while paying for medical bills.
Yes, tax benefit can be avail in the form of deductions under sec 80 D of the income tax act, you will have to show the proof of premium payment.
To buy health insurance policy, you need to submit any one document which shows your identity like aadhaar card, voter id, driving license and in some cases pre medical check-up reports.
Yes, renewal discount of 5% of the renewal premium if no claim made during the policy year.
If the customer is above the age of 40 or 45 years depending on the insurance company norms, then he /she should go for a medical check-up.
If you already have an insurance policy but want to increase sum insured, you can do so at the time of renewal of the policy.
Any number of claims in a year but be ensured that your policy sum insured limit does not get exceeded.
Yes, you can transfer your health insurance policy from one Health Insurance Company to another without losing any accumulated benefits like renewal credits for pre-existing diseases.
Cumulative bonus is an increase in the sum insured by a specific percentage for every year if claim does not occur, up to a certain limit. It is offered by insurers on indemnity based health insurance plans and only when the policy is renewed without a break.
The cashless claim facility can be availed by a policyholder at any of the insurer’s network hospital which offers this facility. Under the cashless, the policyholder can avail treatment at the network hospital, the bill for which will directly be settled between the insurer and the hospital. The policyholder will only have to pay for expenses which are not covered under the cashless facility or under the policy.