What is the procedure for claim for emergency hospitalization?
The procedure for claiming for emergency hospitalization involves the following steps: admission into hospital, informing TPA as quickly as possible, […]
health insurance questions
November 2015
health insurance questions
What is 64VB?
Section 64 VB of the Insurance Act, 1938 states that no insurer shall assume any risk until the premium is
health insurance questions
What are donor expenses?
Donor expenses are hospital expenses borne by the donor donating an organ towards the insured during an organ transplant. This
health insurance questions
Does a health insurance policy cover outpatient expenses?
Many health insurance policies require 24 hours mandatory hospitalization. However, there are several companies covering Out Patient Department or OPD
health insurance questions
What is a deductible?
Deductible is the percentage of sum insured borne by the insured as stated in the policy schedule. It is a
health insurance questions
Is there a situation where the minimum 24 hours condition for hospitalization does not apply?
The minimum 24 hours condition for hospitalization does not apply if the treatment requires hospitalization with procedures that need specialized
health insurance questions
Can I get income tax benefits and exemptions for health insurance premium?
Yes, health insurance policies come with attractive income tax deduction/exemptions under Section 80D of the Income Tax Act, provided you
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When I renew my policy will I get a discount?
Some health insurance policies come with renewal discount on the premium if no claims have been made during the policy
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Do mediclaim policies have exclusions? Does this differ from year to year?
Yes. It is important to be aware of all your policy inclusions and exclusions. Some common exclusions are: Pre-existing diseases
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Can I go in for more than one health policy? How does the claim process work for this?
You can have more than one health policy from the same insurer or different insurers. However, you must disclose any
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Is it possible to cancel my policy? Will I get my premium back?
Though not generally advisable, insurance policies can be cancelled at any time by letting the insurer know, in writing. The
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Why is there a waiting period for maternity coverage?
Health insurance companies have a compulsory waiting period of 2-4 years for maternity coverage mainly because maternity is a natural
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Is IVF covered in health insurance policies with maternity benefit?
No, health insurance policies that offer maternity benefits do not cover IVF. Always check and compare health insurance plans before
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Do health insurance policies cover maternity?
Maternity insurance is generally available as a rider to the main health insurance policy. It covers medical expenses for cesarean
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Will the top up cover critical illnesses covered by the main policy?
Top up policies basically offer indemnity and reimburse expenses. They will not apply for critical illnesses as it is a
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I heard some companies do not have top up cover. Can I get the main policy from one provider and top up with another provider?
Certainly. You can buy your main policy from one insurer and your top up plan from any other insurer. Just
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Can I increase sum insured on my existing health insurance policy?
Many insurers offer a top up facility on health insurance policies to allow enhanced benefits on existing policies. However, sum
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As I grow older, is it possible to switch from family floater to individual plan?
Yes, some insurers allow you to migrate from a family floater plan to an individual plan based on your application
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Suppose I have a family floater policy what will happen if I expire? Is it possible for another family member to renew the policy?
If the insured person dies, within 30 days, surviving members can opt to continue the family floater policy on condition
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What is a family floater policy and what does it cover?
A family floater policy offers cover for the entire family under a single plan. It takes care of medical expenses