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health insurance

Health Insurance FAQ

Frequently Asked Questions (FAQs)

How to change the address on my medical insurance?

You can change the address details by submitting a request letter to the insurance company along with an address proof. After verifying the provided details, the insurance company will make the required changes and update your personal details on the medical insurance policy. A copy of the same will be shared with you. You can share the document with your third-party administrator to update their records.

Why do I need Health Insurance?

With technological advances, new procedures and more effective medicines, the cost of healthcare has increased over the years. Health Insurance covers all of these factors, preventing you from making out-of-pocket expenses. It helps you stay financially prepared and stress-free, encouraging you to focus more on your health.
Health insurance provides coverage for hospitalisation, pre-and post-hospitalisation expenses, medicines, and more. It also helps you seek cashless treatment at the network hospitals, saving you from the worry of immediate funds. You also get tax exemption for paying the premium towards a health insurance plan under the Income Tax Act, 1961.

What is Health Insurance and Mediclaim?

Health Insurance and Mediclaim both provide coverage against medical expenses. Health insurance offers comprehensive coverage against a wide-range of facilities like hospitalisation, pre-and post-hospitalisation expenses, medicines, ambulance charges, medical check-ups and more. Mediclaim is limited to hospitalisation or accidental coverage or any other as per the policy. These policies are a contract between the insurer and the policyholder in which the insurer agrees to provide specific health insurance cover at a given premium.
The health insurer usually provides either direct payment i.e. cashless facility or reimburses the expenses incurred for the treatment of the illness or injury.

I already have a health insurance and want to increase the sum insured, what should I do?

To increase your sum insured, you can either choose to switch your insurer or upgrade your existing health insurance plan by paying a higher amount. You can also enhance your health insurance plan with an affordable top-up plan that provides additional coverage over and above your existing health plan

Can a person have more than one health policy?

Yes, but each company will pay its rateable proportion of the loss, liability, compensation, costs or expenses. For example; if a person has one health insurance from company X for Rs. 1 lakh and another health insurance from company Y for Rs. 1 lakh, then in case of a claim, each policy will pay in the ratio of 50:50 up to the sum insured.

What is a cumulative bonus?

A cumulative bonus is an advantage you gain for having a claim-free year(s). It is like a reward to the policyholder that is added to the sum insured value at the time of renewal. You get a cumulative bonus of up to a certain percentage depending on the insurer’s policy. However, to gain this monetary benefit, you must timely renew your policy without a break.

What are pre-existing diseases?

Pre-existing diseases are medical conditions one is diagnosed with before enrolling for the medical insurance. These include diseases or illness like heart disease, asthma, cholesterol, thyroid, diabetes, cancer among others. Many health insurance companies do not cover pre-existing diseases under their policies. However, it also differs from insurer to insurer. Some insurance providers cover pre-existing conditions but with a waiting period of 2-4 years.

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