హెల్త్ ఇన్సూరెన్స్

హెల్త్ ఇన్సూరెన్స్

Medical emergencies demand immediate action and access to finances. With increasing medical inflation every year, having health insurance has become more important.

హెల్త్ ఇన్స్యూరెన్స్ ఏమిటి?

Health insurance is a type of insurance that allows the insured to claim compensation for his or her medical expenses. Some individuals also choose to opt for Mediclaim policy, which provides compensation up to a fixed sum only. However, if you’re looking for coverage of doctor’s fees, medication, diagnostic tests and hospitalization expenses, health insurance can be a better option for you.

Why is health insurance important?

Health insurance gives you financial security, especially when healthcare inflation is on the rise. With rapidly changing lifestyle habits, increasing pollution, the evolution of new diseases and healthcare facilities becoming unbelievably expensive day-by-day, it is important to have oneself covered under the health insurance policy. It safeguards you from burning a huge hole into your pocket in times of sudden emergencies.
Health insurance policies are customised as per an individual’s needs-- providing coverage for all kinds of health issues. It enables you to avail timely and quality health solutions without worrying about its expenses. Having a health insurance plan also help you keep your savings intact and grow for future goals.
Also, many corporate insurance policies don’t provide coverage for all sorts of requirements—they have limitations to it. Hence, having a separate individual health insurance cover or a family floater insurance cover secures your medical needs.

హెల్త్ ఇన్సూరెన్స్ ప్రయోజనాలు

Here’s a look at some of the benefits of choosing a health insurance plan.
  • 1. Cashless transactions

    Cashless health insurance helps one to avail treatment facilities at network hospitals without worrying about immediate cash availability.

  • 2. Covers pre-and post-hospitalisation expenses

    A health insurance plan covers the cost incurred for required treatment before hospitalisation and after hospitalisation, depending on the policy taken.

  • 3. Transportation expenses

    Most health insurance policies also cover the transportation costs for commuting the insured person to the hospital, if required.

  • 4. Medical check-ups

    These policies also cover routine or periodic health examinations, with some insurance providers offering free medical check-ups to the policyholders.

  • 5. Tax saving benefit

    Policyholders can reap tax benefits by paying premiums towards health insurance plans, under the Income Tax Act.

  • Types of Health Insurance Policies

    Following are the different categories of health insurance:
  • వ్యక్తిగత హెల్త్ ఇన్సూరెన్స్ పాలసీ

    Only the individual/insured person under the individual health insurance plan is entitled to the benefits and can claim the sum assured under the policy.

  • ఫ్యామిలీ ఫ్లోటర్ హెల్త్ ఇన్సూరెన్స్ పాలసీ

    ఫ్యామిలీ ఫ్లోటర్ హెల్త్ ఇన్సూరెన్స్ పాలసీలో, ఎంచుకోబడిన హామీ ఇవ్వబడిన మొత్తం ఒకే కవర్ క్రింద కవర్ చేయబడిన కుటుంబ సభ్యులు అందరికీ వర్తిస్తుంది అనగా సభ్యులు అందరికీ ఒక కవర్. ఇది పూర్తిగా ఒక సభ్యునిచే లేదా అనేక క్లెయిముల ద్వారా అనేకమందిచే ఉపయోగించుకోబడవచ్చు.

  • 3. సామూహిక / ఉద్యోగుల ఆరోగ్య బీమా పాలసీ

    Group/employee health insurance policies cover the expenses of the employees against unforeseen medical emergencies. The premium of group medical insurance plans is generally lower than average and offers wide coverage for medical expenses.

  • Senior Citizen Health Insurance Policy

    4. వయో వృద్ధుల ఆరోగ్య బీమా పాలసీ

    Individuals who are 60 years and above can avail a senior citizen health insurance plan designed exclusively for them to cover the medical care expenses. Such policies generally need you to undergo a medical check-up before you can avail of the plan. The premium for this plan is generally lower than usual.

  • 5. సంక్లిష్ట అనారోగ్యం ఆరోగ్య బీమా ప్లాన్లు

    This provides coverage against life-threatening or serious diseases. It is taken as a standalone insurance policy or as a rider for treatments of critical illnesses like - cancer, kidney failure, heart attack, etc. These policies offer a huge amount as compensation to the policyholder for expenses that fall in the ambit of this plan

  • 6. టాప్-అప్ హెల్త్ ఇన్స్యూరెన్స్ పాలసీ

    A top-up health insurance plan lets you scale up your insurance coverage at an affordable cost. This plan covers expenditure that arises out of a single illness when the existing policy threshold is not enough.

  • 7. వ్యక్తిగత బీమా పూచీలు

    Personal accident insurance protects you and your family from expenses incurred as the result of an accident that may lead to death, disability, injury, and other unforeseen situations. Personal accident covers can be purchased independently or as a rider to an already existing policy.

Why choose insurance plans from Bajaj Finserv?

Bajaj Finserv is a trusted brand that has your best interest at heart. Maintaining high credibility and transparency at all levels, we offer unbiased guidance to ensure that you choose the right insurance plan for your family. Bajaj Finserv works with reliable insurance partners to offer plans that best suit your requirements. From safeguarding health to keeping your phone data safe, we cover you against wide-ranging risks.

హెల్త్ ఇన్సూరెన్స్ కోసం అర్హత మరియు అవసరమైన డాక్యుమెంట్లు

Eligibility criteria for every health insurance policy may differ as per the insurer’s terms and conditions. Here are some common eligibility criteria mentioned in insurance policies:

  • కనీసం 18 నుండి 65 సంవత్సరాల వయస్సు కలిగి ఉన్న వ్యక్తులు లేదా ఇన్సూరెన్స్ ప్లాన్‌లో గల షరతుల ప్రకారం హెల్త్ ఇన్సూరెన్స్ పాలసీని పొందవచ్చు
  • వయస్సులు 90 రోజులనుండి 25 సంవత్సరాల మధ్య ఉన్న ఆధారపడి ఉన్న పిల్లలు ఈ పాలసీ కింద కవర్ చేయబడవచ్చు
  • 60 ఏళ్ల వయస్సు పైబడిన వారికి అనుకూలంగా రూపొందించిన పాలసీలలో వయో వృద్ధులు కవర్ చేయబడతారు
  • సాధారణంగా, హెల్త్ ఇన్సూరెన్స్ పాలసీలకు స్పష్టంగా నింపబడి సంతకం చేయబడిన అప్లికేషన్ ఫారం తప్ప, ఏ డాక్యుమెంట్లు అవసరం లేదు. అయితే, మీరు ఒక నిర్దిష్ట వయస్సుకు పైబడి ఉంటే మీరు ఒక వైద్య పరీక్షను చేయించుకోవలసి రావచ్చు.

మీరు హెల్త్ ఇన్సూరెన్స్ ప్లాన్లు కొనడానికి ముందు పరిగణించవలసిన అంశాలు

Here are a few tips to help you choose the right insurance plan for you and your family.
  • Know which type of insurance policy like individual or family or senior citizen, do you wish to purchase when considering availing health insurance plan.
  • మీకుమీ కుటుంబం కోసం ఏది అనువైన ఇన్సూరెన్స్ కవర్ అవుతుంది?
  • Know about the add-on features you would want to opt-in for.
  • Know the applicable sub-limits (capping amount of expenses category like room rent, doctors’ fees, medical test cost etc.)
  • Read all policy inclusions and exclusions.
  • Know the claim or claim settlement procedure (cashless, reimbursement).
  • Know about medical check-ups required before policy acceptance.

Health insurance Frequently Asked Question (FAQs):

1. Does health insurance cover pre-existing conditions?

Pre-existing conditions define illness which is already existing. It refers to one’s medical history -- illness/condition like heart disease, asthma, thyroid, diabetes, cancer among others that one is already diagnosed with and suffering through before enrolling for any health insurance plan. Many health insurance providers do not cover pre-existing diseases under their plans. However, it also depends on the insurance provider and policy you choose. Some insurance providers cover pre-existing conditions but with a waiting period. During this period, you cannot raise claims for any treatment of pre-existing conditions. The waiting period may vary between 2-4 years, depending on your health insurance provider.

2. ఆరోగ్య ఇన్స్యూరెన్స్ లో వెయిటింగ్ పీరియడ్ అంటే ఏంటి?

The duration from when you buy the health insurance policy till the time you cannot claim the benefits is called a waiting period. Policy claims made around this block time is not accepted by the insurance company.
Every insurance company has a waiting period. Different policy provider has a different waiting period. It also depends on the health insurance policy you choose and may vary according to the health conditions such as pre-existing diseases, or critical illnesses you have. Some policies have a waiting period of 30, 60 or 90 days, whereas a few policies have to wait for around 2 to 4 years, especially pre-existing conditions have longer waiting period. You need to know about the waiting period offered by your policy provider at the time of buying one, to avoid any confusion in future.

3. Is health insurance tax-deductible?

Yes, the premiums paid towards health insurance policy qualifies for tax benefit under Section 80D of the Income Tax Act. All health insurance plans from individual to family floater plans qualify for the tax-deduction benefit, depending on the age of the individual. One can avail of tax deduction up to Rs. 25,000, if the person is below 60 years of age. While for 60 years and above tax benefit provided is up to Rs. 75,000. If an individual below 60 years is paying premiums towards the health insurance policy of their parent(s) who are 60 years or above, then he/she can avail tax benefit of up to Rs. 50,000.

4. Can I upgrade my health insurance at any time?

Yes, you can upgrade your health insurance plan at any time. However, before planning to upgrade your policy, you must check with your insurer on the options and offers available. Some insurance providers enable up-gradation under a special enrolment period. With growing healthcare inflation, it is wise to upgrade your health insurance plans as per the needs of you and your family to benefit from maximum coverage. You can look for upgrading your plan if you have a pay-hike or new member added to your family or have a child.

5. Will my existing health insurance policy cover hospitalization expenses during COVID-19?

Almost all health insurance providers have designed and incorporated COVID-19 health insurance policy including coverage for hospitalisation expenses under their offerings. Health insurance companies also cover pre-hospitalisation, post-hospitalisation, in-patient and out-patient treatment, home isolation treatment from the day one is diagnosed. You must check with your health insurer to understand the terms and conditions of the COVID-19 health insurance policy and how you can claim it.

6. Are any waiting periods applicable to claims under COVID-19?

Yes, almost all health insurance policies covering COVID-19 have a waiting period, depending on your insurer’s terms and conditions. The waiting period may vary from the first 15 days to 30 days of buying the COVID-19 policy. During this period, your claims will not be accepted by your insurer. You can claim for COVID-19 coverage after the waiting period is over. To know about the duration of your waiting period, you must contact your insurer.

7. Will the policy cover expenses for home quarantine?

Many health insurance providers cover expenses for home care or home quarantine treatment if the doctor has advised for home isolation. However, you must check with your insurer to know the terms and condition of the policy chosen.

8. Can I transfer my health insurance to another company?

Yes, you can port your health insurance to another company. You can also do it without compromising on your existing policy benefits. Many health insurance companies provide a 15-30 days free look period depending on the policy chosen. This facility allows you to cancel and switch the policy in case you don’t find the policy terms and condition good. In case you are looking to change your health insurance company during the renewal period, then you must do so 45 days before your health insurance plan expires. Intimate both the insurance providers—existing and the one you wish to transfer your plan to. Also, it is recommended that you contact both the insurers to know the terms and conditions of health insurance portability.