What do you mean by a pre-existing disease?
Any condition, ailment or injury or related condition(s), for which you have had signs or symptoms, and/or were diagnosed, and/or received medical advice/treatment, within 36 months prior to the first
policy with the insurance company is called a pre-existing disease.
What do you mean by waiting period?
Waiting period is the time you need to wait after buying your policy before certain claims are allowed.
What does annual sum insured mean?
Annual (basic) sum insured is the maximum amount that an insurance company will pay you in the event of a claim in a policy year.
If I increase my sum insured at the time of renewal, does a waiting period apply?
Yes, a waiting period will apply only to the added sum insured.
My employer provides me with a health insurance. Do I still need one?
Numerous employers offer group or individual health plans. However, these are not customised as per your needs and may have certain restrictions and limitations. Also, the coverage is dependent on the
continuation of the job. Once you quit, you cannot avail the health plan benefits. Therefore, it is important to insure yourself with a comprehensive cover that lets you customise as per your needs. For
example, for a family of 4 members, a sum insured of ₹2 lakh-₹3 lakh provided by your employer may be inadequate.
From what age can I include my children in the plan?
You can include your children aged between 90 days to 20 years in your policy. Newborns can be included after 90 days of birth. However, your daughter or son cannot be shown as a ‘dependent’ if they file
a joint tax return.
Which health insurance policy is ideal?
It depends on your needs. For example, you can opt for a family floater health insurance if you want to cover multiple family members under a single policy. However, you can also opt for an individual health insurance policy for wider coverage.
What is the advantage of buying health insurance?
Health insurance protects you from unexpected medical expenses and offers cashless treatment at network hospitals. Apart from this, you can also get tax benefits on your health insurance policy under the old tax regime.
Can a person have more than one health insurance policy?
Yes, you can buy multiple health insurance policies to cover your medical costs. If one insurer rejects your claim, there is still a chance that others may accept as per its terms and conditions.
What is the right age to buy a health insurance policy?
It is recommended that you obtain a health insurance policy as soon as possible. Purchasing insurance at a young age allows you to earn an additional sum insured for every claim-free year under your
policy. And as you get older, you will be able to accumulate higher and better coverage.
What to do if I am admitted to a non-network hospital?
When you get treatment at a non-network hospital, you need to pay for the medical costs out of your pocket first and later raise the bills with your insurer for reimbursement. You can also check with your insurer to avail cashless treatment through the ‘Cashless Everywhere” Initiative.
How does the GST waiver affect my health insurance premium?
With the 18% GST waiver, you now pay only the premium amount for your health insurance and no additional taxes. All this without compromising on coverage!
Will my existing health insurance policy also receive the GST benefit?
Yes, all existing health policies that are due for renewal will be GST-free.
How much GST do I have to pay on health insurance?
Effective 22nd September 2025, GST on health insurance has been reduced to 0%. This means your health insurance is GST-free.