A big congratulation to you! After all, you are taking one step towards securing your wealth and health by thinking about buying a health insurance! However, do you know, what factors should you consider while buying a health insurance? While, it is easy and economical to buy health insurance online, there are certain things which also need to be considered. Don’t fret, when you have completed the ‘hard’ task of deciding to buy a health insurance, let us do the easy part.


Here are a few things which you should consider if you want to buy a health insurance in India=

Go with adequate coverage= The fierce competition in the health insurance segment has worked in favour of customers as various insurance companies are offering a wide range of health insurance policies with exciting features, like pre & post hospitalisation, day care expenses, cashless hospitalisation, hospital daily cash, and much more.

So, while choosing a health insurance policy, go with an adequate sum insured along with some exciting features.

Tip: While choosing a health insurance policy, don’t go just by premium only, but carefully compare all the features to get the best possible coverage at a price which you can easily afford. Further, keep increasing the cover limit from time to time to take care of the medical inflation.

Choose a health insurer with a wide network of hospitals= Health insurance companies in India offer cashless treatment at those hospitals with which they have tied up. At such network hospitals, it is feasible to get treatment without paying anything.

However, if you visit a non-network hospital, you would have to first pay your medical bills and the same would be reimbursed by the health insurance company later. To ease things, go with a health insurer who has a wide network of hospitals to make use of their cashless hospitalization feature.

Tip: Choose a health insurer that offers the best possible cashless cover, especially in a city where you are living.

Check lifetime renewability clause= Though, our current lifestyle has made even young generation susceptible to health issues, you can’t deny the fact that as we grow old, our body becomes more prone to diseases.

Therefore, while choosing a health insurance policy, go with that policy which comes with a lifetime renewability clause. There is no point in having that kind of medical insurance, which ceases to exist once you cross the age mark of 50 or 60.

Tip: Go with a health insurance policy that comes with a lifetime renewability clause, even if it is slightly costly.

Pay heed to restoration feature= Opt for a health insurance policy which comes with a restoration feature, i.e., it restores your sum insured in case it gets exhausted in the middle of the year. This feature would come handy in case of multiple hospitalisation in one policy tenure.

Tip: Go with restore feature in your health insurance policy even if it means paying the extra premium.

Go through co-payment clause= In every health insurance policy, there is a co-payment clause which says, that you would have to pay a portion of the claim at the time of claim settlement. In certain medical policies, the clause is there for some particular ailments only.

For instance, you have a health insurance policy which comes with 20% co-payment clause. It means, if a claim is Rs 40,000, you would have to pay Rs 8,000 and the remaining Rs 32,000 would be borne by the health insurance company. A higher co-pay also lowers your premiums. Therefore, if you are young and healthy with no past medical history, you can think of going with a high co-payment to save on premium costs.

Tip: Before going with a high co-payment, don’t forget the fact that a certain premium portion would have to be borne by you, so think twice before opting for a high co-payment clause.

Go with a family floater health insurance plan= If insurance premiums are going beyond your budget, you can consider buying a family floater health insurance plan which covers all the family members under one single plan. As all your family members would be covered under one plan, it leads to a reduction in your medical insurance premium costs as well. Under most of the family floater health insurance plans, you can include self, spouse, dependent kids, brothers and sisters.

Tip: Under a family floater plan, as the sum insured is divided among all the insured members, make sure it is sufficient enough to cover all of them. Also, ask for a restoration feature in the policy so that even if one family member exhausts the entire sum insured, the insurer restores the cover for the other insured members.

Check exclusions= While; it is necessary to understand the coverage available under a health insurance policy; it is equally important to know what is not covered. For instance, most of the health insurance policies cover pre-existing ailments after a waiting period of say, 3 or 4 years. So, it is essential to have a complete understanding of the exclusions to avoid a situation where the insurer rejects your claim just because it falls under the exclusion head.

Tip: Read the policy document carefully or talk to the health insurance company to seek clarification on exclusions in order to avoid nasty surprises later.

Considering the rising inclination of people towards the natural treatment in recent times, you can also look for AYUSH coverage in your health insurance policy. It will cover hospitalization expenses incurred on natural procedures like Ayurveda, yoga, homeopathy, etc.

Then some health insurers reward you with wellness points if you maintain healthy living. These points can be redeemed to avail such services which are usually not offered by health insurers like OPD consultation, diagnostic expenses, dental expenses, etc. Check whether your insurer offers wellness reward points or not.

Then various health insurance companies are offering online health plans with tenure up to 2 years. It means, you only need to pay a premium for once to enjoy the coverage for two years in one go.

Remember, the purpose of health insurance is to insulate you against soaring medical expenses, so be vigilant while choosing the mediclaim insurance. After all, your health is the real wealth!

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Categories: Health

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