3 min
14-May-2025
When a loved one passes away, you're not just grieving—you're also left navigating hospital bills, insurance claims, and legal formalities. While health insurance does not pay a death benefit like life insurance, it plays a crucial role in settling medical expenses up to the time of death. Understanding what your health insurance covers in such moments can prevent added financial stress and ensure your family doesn’t have to bear those costs out-of-pocket. Check plans providing coverage of Rs. 10 Lakh with premium of Rs. 9.3* per day
Here’s what’s typically covered before death:
What does health insurance cover in the event of death?
Health insurance ends when the policyholder passes away—but not before covering essential treatments that occurred while the person was still alive. From ICU charges to ventilator support, it ensures medical bills don't turn into family debt.Here’s what’s typically covered before death:
- Hospitalisation and room charges up to date of death
- ICU and ventilator expenses incurred during treatment
- Doctors' fees, diagnostic tests, and prescribed medications
- Ambulance and emergency transport (if included in policy)
Health insurance vs life insurance: know the difference
Confusion between health and life insurance is common—but here’s the real difference:Type | Health Insurance | Life Insurance |
Purpose | Covers treatment expenses while alive | Pays a lump sum to family after death |
Benefit | Reimbursement or cashless payment for medical bills | Death benefit to nominee |
Trigger | Illness, accident, or hospitalisation | Policyholder’s death during policy term |
Best For | Managing treatment costs & protecting savings | Ensuring family’s financial future after death |
Who receives the health insurance reimbursement?
If the policyholder was hospitalised before passing, the insurer will reimburse treatment costs—but only to the nominee or legal heir listed in the policy. The death of the insured doesn't void the claim—documentation decides who gets paid.Possible scenarios:
- Nominee listed: Reimbursement is transferred directly to the nominee.
- No nominee: Legal heir (spouse/child) can claim, with succession documents.
- Cashless claim: Hospital gets paid directly; family pays nothing upfront.
- Reimbursement claim: Bills are submitted post-death and processed accordingly.