Author name: PolicyAdvisor

You can get group health insurance via your employer or as a private group and avail broad coverage including pre-existing […]

Besides claiming exemption on premium paid for self, spouse and dependent children, you are entitled to claim tax deductions of

Yes, there are instances when cashless hospitalization may be denied by a network hospital. Reasons are insufficient sum insured, inadequate

When you renew the Mediclaim policy, for each claim free year, you will earn a specific bonus up to a

In Mediclaim policies covering the spouse, children, and dependent parents, a discount on the total premium payable is usually applicable.

Health insurance companies apply a sub-limits clause in the policy to control claims payment. It is basically a cap on

The main reason for health insurance policy is protection against medical expenses However, the insurer may deny your claim: •

Multiplier benefit becomes effective for every claim free year when you receive a bonus on the basic sum insured for

Hospitalization expenses incurred in the 30 days immediately following the effective date of commencement the health insurance policy cover is

Inform the insurance company/TPA right away with the necessary details to establish your identity to begin the process of issuing

If the hospitalization charges exceed the authorized limit, the network hospital can appeal for enhancement of limit with detailed reasons

Yes. Appeal for reconsideration within 15 days. See policy terms and conditions for specific information.

If you do not use cashless facility, submit your claim within 15 days from the date of discharge from hospital.

Copayment is that part of the claim which the policyholder will bear if there is a claim. This is advantageous

Individual policies are purchased by an individual directly from the insurance company and the individual is the policyholder. In group

The insurer’s network of hospitals that offer cashless treatment for the insured’s convenience and this list of hospitals does not

Individuals traveling overseas on business or leisure or under student status for studies abroad can avail overseas Mediclaim. This excludes

Many insurers offer overseas travel health insurance benefits that include outpatient treatment, pre-diagnosed and planned hospitalization, second opinions and cover

Upon the death of the insured, the claim amount under the health insurance policy is received by the nominee. If

Gramin accident insurance scheme and Janata personal accident policy cover accidental risks under health insurance in India. These come with