Do I need to designate a nominee?
Yes, designating a nominee is a must. In the event of a policyholder’s death by accident, during hospitalization or through […]
Do you have a lot of questions & confused about Health Insurance Policy in India? Are you confused about rules & regulation related to Mediclaim Insurance policies ?
Yes, designating a nominee is a must. In the event of a policyholder’s death by accident, during hospitalization or through […]
Yes. All health insurance policies are governed by the insurer’s terms and conditions. It is advisable to read the fine
In the event of an insurance company refusing to settle your claim, provided you have adhered to the terms and
Yes, NRIs can get health insurance in India but policy coverage is valid only in India and not applicable outside
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