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  • Section 80D Deduction Limit for Health Insurance

    by Almog Ramrajkar | May 17, 2023

    The Income Tax Act’s Section 80D offers a silver lining to taxpayers by enabling them to avail deductions for health insurance premiums disbursed towards their own well-being, family, and Hindu Undivided Family or HUF members. This deduction can help taxpayers reduce their tax liability, making it an attractive investment option. However, you must meet specific conditions and limits to be eligible for these deductions.

    What is the Maximum 80D Tax Deduction Limit for Health Insurance?

    Individuals and HUFs can breathe a sigh of relief as Section 80D of the Income Tax Act gives them the opportunity to avail of deductions for the health insurance premiums they've paid. The 80d deduction limit for individuals is Rs 25,000 for policy fees or premiums paid for themselves, their spouse, and dependent children. For premiums paid towards their parents’ health insurance, individuals can claim an added deduction of up to Rs 25,000 or Rs 50,000, depending on their parents’ age. If any health insurance policy does not cover medical expenses for senior citizens (i.e., you, your parents, or any family member), you can claim a deduction of up to Rs 5,000 within the Rs 50,000 80d limit. In case the individual, spouse, dependent children, and parents are all senior citizens, you can claim a maximum deduction of Rs 1,00,000 under this Section.

    HUFs can claim an 80d maximum limit deduction of Rs 25,000 or Rs 50,000 for premiums paid for members aged under 60 or 60 and above, respectively. It’s worth noting that payments made in cash for health insurance premiums do not fall under the purview of deductions under Section 80D.

    What are the Eligibility Criteria to Claim 80D Tax Deductions?

    Health insurance is an essential part of your investment portfolio as it provides financial protection during medical emergencies and allows you to claim a maximum deduction under 80d. Unfortunately, many of the Indian population are not covered under health insurance,Different leaving them vulnerable to high medical expenses.

    types of health insurance policies are available, such as individual, family floater, health insurance for seniors, and critical illness insurance.

    • Only individual or HUF taxpayers are eligible to request write-offs under Section 80D for medical insurance premiums paid for themselves, their spouse, dependent children, and parents.
    • Other entities like companies or firms cannot claim this deduction.
    • Section 80D permits deductions for a range of payments, such as expenses for preventive health check-ups, medical costs incurred by senior citizens not covered by health insurance plans, and contributions made towards notified schemes.

    In conclusion, investing in health insurance is a wise decision to secure your financial future and reduce your tax liability.

  • Pre-Existing Illness Waiting Period in Health Insurance

    by Almog Ramrajkar | May 17, 2023

    Imagine you have finally taken the step to secure your health and well-being by purchasing a health insurance policy. You feel relieved, knowing you have taken a proactive measure towards protecting yourself and your family. However, you soon realise that your policy comes with a waiting period for pre-existing illnesses. Suddenly, you feel a sense of uncertainty and wonder how this PED waiting period will affect you in the event of a medical emergency. So let’s talk about what exactly does waiting period in health insurance denotes, its duration, and factors to consider before finalising a policy and investing in it.

    What are pre-existing illnesses?

    Pre-existing illnesses are health conditions an individual already has before taking up a health insurance policy. These can range from chronic ailments like diabetes, heart disease, and asthma to terminal illnesses like cancer. Such illnesses get considered as pre-existing ailments if a person receives treatment for any ailment falling in this category before purchasing the insurance policy.

    For instance, if a person has diabetes before taking up a health insurance policy, it will get considered a pre-existing illness. In case the policyholder needs medical treatment for diabetes, the insurer may not provide coverage or may provide it with certain restrictions and limitations.

    Many insurance companies offer policies that cover pre-existing illnesses, but they may come at a higher premium or with various exclusions. One must exercise due diligence and carefully analyse the policy document, comprehending all the terms and conditions before making an informed decision. 

    How much waiting period can there be for pre-existing illness?

    Insurance companies determine the waiting period for pre-existing illnesses in health insurance policies. For instance, a healthcare policy you choose may have a 2-year waiting period for health insurance. In other words, you cannot make any claim for pre-existing illnesses or other ailments specified in the plan before the two-year period expires.

    The waiting period for pre-existing illnesses in medical insurance policies may vary between insurance companies, but it generally falls within the 12-48 months bracket. The waiting period comprises the following parameters.

    The waiting period for pre-existing diseases can vary depending on the disease type. Some diseases, such as hypertension or diabetes, are considered chronic conditions. Therefore, the waiting period for these diseases may be longer than other conditions.

    The waiting period may also depend on the severity of the pre-existing condition. The waiting period may be more if the ailment is severe and requires significant medical treatment.

    The policyholder’s age is also essential in determining the waiting period. The waiting period for pre-existing diseases is typically longer for older policyholders as they are more likely to have such health issues.

    Important things to note about the health insurance waiting period

    Here are some key aspects to note about health insurance waiting periods:

    • Duration:

    The waiting period for pre-existing illnesses generally ranges from two to four years, while the waiting period for specific treatments may be shorter.

    • Coverage:

    During the waiting period, a policyholder is ineligible for any benefits or coverage for the specific illness or treatment mentioned in the policy.

    • Disclosure:

    It is essential to disclose all pre-existing illnesses or medical conditions during policy purchase to avoid rejection of claims or cancellation of the plan.

    • Renewal:

    Waiting periods are usually applicable only for a specific period of the policy. A policyholder becomes eligible for the full benefits of the policy, including coverage for pre-existing illnesses, if he/she continues to renew the policy on time and completes the policy’s waiting period for specific ailments.

    • Exclusions:

    Certain policies may have permanent exclusions for pre-existing illnesses or specific treatments.

    • Impact on premiums:

    Policies with shorter or no waiting periods may have higher premiums than those with a more extended waiting period.

  • Personal Accident Insurance: Meaning & Benefits

    by Almog Ramrajkar | May 17, 2023

    India has a high rate of accidents, which can result in huge financial expenses for the victim and his/her family. With the rising number of accidents on Indian roads and workplaces, it has become essential for individuals to have personal accident insurance. Let us start with getting into knowing what personal accident insurance meaning is.

    Personal accident insurance provides monetary compensation in case an accident results in injury, disability, or death of a policyholder. This type of insurance can help individuals and their families cope with the financial impact of an accident and its aftermath.

    Scroll down to learn in detail about personal accident policy.

    What is Personal Accident Insurance?

    These policies provide financial assistance against an accident resulting in injury, temporary or permanent disability, or even the demise of a policyholder. A personal accident insurance policy covers the insured person against accidents that occur while he or she is travelling, working, or participating in any other activities.

    It is also important to know the features of the coverage that such plans offer. Some of the prime features of a personal accident insurance policy include coverage for medical expenses, accidental death, as well as permanent/temporary disability. Medical expenses coverage provides reimbursement for expenditures incurred as a result of an accident.

    Personal injury protection insurance provides a lump sum payment to the nominee in the event of the insured person’s accidental death or permanent disability resulting from an accident. Temporary disability coverage provides a weekly or monthly benefit to the policyholder.

    Benefits of Personal Accident Insurance

    Understanding personal accident policy also requires being aware of the benefits it offers. The policy provides financial security to the insured person and his or her family from the adverse consequences that an accident can lead to. It offers much-needed peace of mind to the insured person and his/her family, knowing they will receive coverage against the financial impact of an accident.

    Also, personal accident insurance policies are affordable, and the premium rates are reasonable. You can customise such plans based on your particular requirements. As per the Income Tax Act, a policyholder can avail of tax deductions for the premium paid towards a personal accident insurance policy under Section 80D.

    Personal accident insurance policies do not require a medical examination for the policyholder to purchase the policy. One can also buy add-on covers, such as accidental hospitalisation rider, accidental death and dismemberment rider, etc., which provide additional coverage to the insured person.

    Advantages of Buying Personal Accident Insurance

    A personal accident policy provides a financial cushion to the insured and his/her family against accidents. The policy provides several benefits, such as financial security, peace of mind, affordability, customisation, tax benefits, worldwide coverage, and additional riders. Every individual should consider purchasing a personal accident insurance policy to ensure financial protection against accidents.

    Apart from having a clear understanding of what is a personal accident policy, you must consider some factors before buying one. You must choose the coverage amount of a personal accident policy based on your particular needs and financial capabilities. It is essential to thoroughly read and identify the exclusions stated in the policy document. Some personal accident policies may have a waiting period before the insurance plan becomes effective. The waiting period may range from a few days to some weeks. Now that you have sufficient details about personal accident policy do a quick search and buy personal accident insurance at the earliest.

  • Mediclaim After 60 Years of Age

    by Almog Ramrajkar | May 17, 2023

    Mediclaim after 60 years is crucial as it provides financial support during medical emergencies, which is common in this age group. With age, the risk of developing chronic diseases and health complications increases, which requires continuous medical attention and medication. The cost of medical treatments has also increased significantly in recent years, making it even more important to have health insurance. Without a mediclaim policy after 60 years, the burden of medical expenses can quickly drain the savings of senior citizens and affect their financial stability, making it essential to have robust health insurance coverage.

    Need of a Mediclaim Policy After 60 Years

    With age, the risk of developing chronic diseases, such as heart disease, hypertension, and diabetes, increases. These medical conditions require continuous medical intervention, which can be expensive. Therefore, having a mediclaim policy after 60 years is crucial to ensure that you do not have to bear the financial burden of these medical expenses.

    Also, financial capacity may get somewhat restricted in old age. After retirement, there is a significant drop in income, and one has to rely on his/her savings to manage expenses. In such circumstances, medical emergencies can quickly drain your savings. A mediclaim policy for those over 60 years provides financial support during such emergencies and ensures that their savings remain intact.

    Furthermore, with the advancement in medical technology and increasing demand for quality healthcare, medical treatment costs have risen significantly in recent years. This makes it even more necessary to have a mediclaim policy that covers your healthcare expenses.

    Things to Consider While Buying a Mediclaim Policy for 60+

    When buying a mediclaim policy after you reach 60, choosing a coverage amount sufficient to cover all your medical expenses is essential. As you age, medical expenses tend to increase, so opting for a policy with higher coverage is crucial. It is important to note that some mediclaim policies come with co-payments and deductibles, meaning you will have to shell out a specific percentage of the medical expenses yourself. Therefore, checking the co-payment and deductible clauses before buying a mediclaim policy is crucial.

    Most mediclaim policies have a waiting period of 2-4 years for pre-existing ailments. Therefore, choosing a policy that covers pre-existing conditions or has a shorter waiting period is important. Next, it is crucial to check the network hospitals of the insurer offering the mediclaim policy before buying it. This will ensure you can avail of cashless hospitalisation at the nearest network hospital without worrying about medical expenses.

    Do consider the premium as the amount for mediclaim after 60 years tends to increase with age. Therefore, comparing the premiums of different policies before buying one is essential.  

    In conclusion, mediclaim after 60 years is essential for senior citizens as it provides financial support during medical emergencies. Remember to consider the coverage amount, co-payments, deductibles, waiting period for pre-existing ailments, network hospitals, and premiums. By considering all these aspects, you can pick a policy that suits your medical requirements and budget.

  • How to Get Dental Implants Covered by Insurance in India

    by Almog Ramrajkar | May 17, 2023

    The loss of a tooth, whether due to injury, decay or age, can significantly impact one’s quality of life. It can affect one’s confidence, ability to eat and speak, and overall well-being. Fortunately, a dental implant has emerged as a reliable and practical remedy for a missing tooth. Yet, opting for dental implants can be pricey, and not everyone can afford it. Many people in India are unaware that they may have options to help offset the cost of dental implants. This article delves into various methods to help cover dental treatment costs.

    Are dental implants covered by health insurance?

    Typically, standard health insurance plans exclude coverage for dental treatments. The patient must bear any expenses for dental procedures that aim to improve facial appearance. Health insurance providers will only cover dental procedures that are medically necessary and recommended by a certified medical practitioner. In cases where a condition has the potential to become life-threatening if left untreated, health insurance will also provide coverage for dental treatment.

    Several insurers have recently started providing dental insurance as an add-on. This additional coverage offers protection for oral check-ups, root canal procedures, extractions, preventive treatment, and filings. On the other hand, dental insurance usually excludes cosmetic treatments like dentures, prostheses, jaw alignment, and orthodontics.

    Dental treatment can involve costly procedures. Hence it is extremely important to go through the policy wording to comprehend the exclusions of your healthcare plan. If you have a doubt and require clarification about the exclusions and limitations of your medical policy, you must reach out to your insurance provider. You can talk to the insurer’s customer care department or visit the nearest branch of the insurance provider. It would be wise to have all your queries answered before you invest in the policy.

    When does insurance cover dental implants?

    Insurance coverage for dental implants is typically contingent upon specific circumstances:

    • Accidental Dental Injury: If teeth are damaged or lost due to an accident, certain health insurance policies may cover the cost of necessary dental procedures, including implants, especially if hospitalisation is involved.
    • Comprehensive Health Plans with Dental Riders: Some insurers offer comprehensive health insurance plans that include optional dental riders, which may cover a portion of the costs associated with dental implants.

    How to get dental implants covered by medical insurance?

    You can cover dental-related treatment costs in the following ways.

    • Dental Cover:

    Purchase a dental insurance rider to supplement your health insurance coverage and deal with dental issues.

    • Government Schemes:

    The Government of India offers several schemes that provide eligible individuals with free or subsidised dental treatment.

    • Payment Plans:

    Many dental clinics in India offer payment plans that allow patients to pay for treatment in instalments over time. This can be a good option for those who cannot afford to pay for such treatments upfront.

    • Medical Crowdfunding:

    This is becoming an increasingly popular way to raise funds for medical expenses, including dental treatment. Multiple platforms in India allow individuals to create fundraising campaigns and share them on social media to raise money for dental treatment. One must bear in mind that such platforms do not cater to people looking for cosmetic enhancements.

    • Dental Colleges:

    Many dental colleges offer treatment at a reduced cost compared to private clinics. Dental students conduct various procedures and offer treatment under the supervision of experienced dentists. This can be a good option for those who cannot afford private dental treatment.

    Things to remember when buying dental insurance

    When selecting a health insurance policy with dental coverage, consider the following:

    • Coverage Scope: If you are relying on a health insurance policy for family, verify whether the policy covers only basic dental procedures or extends to major treatments like implants.
    • Waiting Periods: Be aware of any waiting periods before dental benefits become active.
    • Sub-Limits and Co-Payments: Understand any sub-limits on dental procedures and whether co-payments are required, which could affect out-of-pocket expenses.
    • Network of Dental Providers: Check if the insurance plan has a network of dental practitioners, which can facilitate cashless treatments and potentially lower costs.
    • Exclusions: Carefully read the policy's fine print to identify any exclusions, such as cosmetic dental procedures, to avoid unexpected expenses.

    Conclusion

    While obtaining coverage for dental implants through health insurance in India can seem challenging, it is not as complicated as it looks. By properly researching and selecting comprehensive health insurance policies that include dental benefits, understanding policy specifics and maintaining thorough documentation, individuals can enhance their chances of receiving financial assistance for dental implant procedures. Prioritising oral health and aligning it with suitable health insurance coverage is a smart strategy for managing dental care expenses effectively.



    Disclaimer: The information provided in this blog is for educational and informational purposes only. It is not intended as a substitute for professional advice, diagnosis or treatment. Please consult a certified medical and/or nutrition professional for any questions. Relying on any information provided in this blog is solely at your own risk, and ICICI Lombard is not responsible for any effects or consequences resulting from the use of the information shared.

  • No Claim Bonus in Health Insurance: Maximize Your Benefits

    by Almog Ramrajkar | May 17, 2023

    As a health insurance policyholder, you are familiar with the protection and peace of mind that comes with healthcare coverage. However, policyholders who maintain good health and avoid filing claims can earn an additional benefit — the No Claim Bonus. This incentive serves as a means to motivate policyholders to prioritise their health and take preventive measures to avoid illness or injury. While the No Claim Bonus is another technical term in the context of health insurance, comprehending its workings can bring significant advantages. Let’s talk about how does no-claim bonus works in health insurance and how, as a policyholder, you can avail yourself of its advantages.

    What is a no claim bonus in health insurance?

    A No Claim Bonus (NCB) in a health insurance policy is a reward given by insurance companies to policyholders who do not file a claim during the policy term. This reward can be an increased sum insured without any additional premium or a discount on renewal premium, depending on the policy. It acts as a motivation for individuals to maintain good health and avoid unnecessary claims. NCB applies to both individual and health insurance policy for family plans.

    Different types of no claim bonus

    To understand how NCB in health insurance works, comprehending its type is crucial.

    • Cumulative bonus:

    Insurers provide an additional percentage of the sum insured for every claim-free policy year. For each year you do not claim on your health insurance policy, your sum insured grows by a certain percentage up to a pre-specified limit.

    For instance, let’s say your health insurance policy has a sum insured of Rs 3,00,000 and a cumulative bonus of 10%. You refrain from filing any claims on your health insurance policy during the initial year. As a result, your sum insured will increase by 10% to Rs 3,30,000 in the second year. If you still don’t make any claims in the second year, your sum insured will increase by another 10% to Rs 3,60,000 in the third year, and so on. This can be a substantial advantage, raising your coverage without any additional premium payments.

    • Discount on premium:

    The discount on premium NCB works as follows. Let's say your health insurance policy includes this benefit, and you don't make any claims in a policy year. In that case, the insurer will offer you a discount on the premium for the following year. This discount can progressively increase with each subsequent claim-free year, reducing the cost of your health insurance policy’s premium while incentivising you to maintain a healthy lifestyle.

    Features of no-claim bonus in health insurance

    The main components of a no-claim bonus in health insurance policy are:

    • Reward for staying claim-free: This encourages policyholders to avoid small or unnecessary claims.
    • Applicable on renewals: NCB is added only at the time of renewal of the policy after a claim-free year.
    • Varies by insurer: The percentage increase or discount and the maximum limit differ from one insurer to another.
    • Carried forward: The bonus continues to accumulate for every claim-free year, up to a certain cap.
    • Available on family policies: Even a health insurance policy for family can avail of NCB benefits.

    Benefits of no claim bonus (NCB) in health insurance

    Here are some of the advantages of NCB in health insurance:

    • Premium discount:

    One of the primary benefits of NCB is that you may receive a discount on the premium for the following policy year. This discount can increase with every consecutive claim-free year.

    • Increased coverage:

    NCB may also increase your sum insured without incurring extra premiums. This increase in the sum insured can be helpful in the event of a medical crisis that necessitates a higher level of coverage.

    • Guaranteed renewal:

    A no-claim bonus also ensures that your policy remains valid and renewable as long as you continue making timely premium payments.

    How does no claim bonus work in health insurance?

    Let us understand NCB through this example:

    Suppose you purchase a health insurance policy with a sum insured of ₹5 lakhs, and your insurer offers a 10% cumulative NCB. If you do not raise any claim during the first year, your insured sum at renewal will increase to ₹5.5 lakhs at no extra cost. If you continue to remain claim-free, the sum insured can go up to ₹6 lakhs, ₹6.5 lakhs, and so on (depending on the cap set by the insurer).

    However, if you make a claim during any year, your accumulated bonus may either be reduced or lapse entirely, depending on the terms of your policy.

    Conclusion

    No Claim Bonus is a useful feature in any health insurance policy, rewarding you for staying healthy and not making any claims. Whether you are considering individual coverage or a health insurance policy for family, understanding and using NCB smartly can offer enhanced benefits at a lower cost. Always read the policy documents carefully to know how NCB applies to your plan, and use it as a tool to maximise your coverage and savings.



    Disclaimer: The information provided in this blog is for educational and informational purposes only. It is not intended as a substitute for professional advice, diagnosis or treatment. Please consult a certified medical and/or nutrition professional for any questions. Relying on any information provided in this blog is solely at your own risk, and ICICI Lombard is not responsible for any effects or consequences resulting from the use of the information shared.

  • Health Insurance for Single Parents

    by Almog Ramrajkar | May 16, 2023

    Life as a single parent is not easy, and one of the many challenges is making sure that your family’s healthcare needs are covered. Subsequently, investing in health insurance for single parents ensure that their children receive suitable and timely medical care. With the high costs of medical care, having a health insurance policy is essential not only for the children but also for the well-being of the single parent. Given that as a single parent, it is your sole responsibility to plan your and your family’s well-being, single parent health insurance plans can be one of your best bets.

    In this post, we will discuss health insurance for single parents and the importance of having health insurance as a single parent.

    Health Insurance Options for Single Parents

    Here are some different types of health insurance for single parents in India that you can consider purchasing:

    • Individual Health Insurance:

    This is a basic type of health insurance plan that single parents can avail of. It provides coverage to a single parent and his/her children.

    • Family Floater Health Insurance:

    This is one of the best health insurance for single parents. This policy covers the entire family, including dependent children, under a single policy.

    • Critical Illness Insurance:

    This policy covers specific illnesses like kidney failure, heart attack, cancer, etc. The insurer gives a lump sum amount to the policyholder on the diagnosis of the illness.

    • Group Health Insurance:

    Some employers offer group health insurance policies to their employees. Single parents can check with their employers if they offer such policies.

    • Senior Citizen Health Insurance:

    This policy provides coverage to senior citizens who may be single parents and have dependent children. Single parents aged over 60 should definitely invest in a comprehensive senior citizen health insurance plan.

    • Maternity Health Insurance:

    Medical insurance for single moms covers expenses related to pregnancy and childbirth. It can be useful for would-be-moms who are single or women who have recently given birth. Maternity coverage is a highly beneficial health insurance for single moms.

    • Personal Accident Insurance:

    This policy covers accidents resulting in disability or death. Single parents who are the sole earners in the family may find this policy particularly useful.

    Importance of Health Insurance for a Single Parent

    As a single parent, you are the sole provider for your family, and your children’s health and well-being are your priority. Having single parent health cover is necessary for numerous reasons. With single parent health insurance plans, you and your children can access healthcare services without worrying about the cost. Regular check-ups, timely treatment, and preventive care for illnesses and injuries can help keep your family healthy.

    Furthermore, medical bills can quickly add up, and without health insurance, you may have to pay them out of pocket. This can put a significant strain on your finances and make it difficult to provide for your family’s other needs. The fact that you and your children will get covered by health insurance can provide you with peace of mind. You can take care of your family’s needs without worrying about unexpected medical expenses.

    Critical illnesses and accidents can happen to anyone, irrespective of a person’s health or age. This accentuates the need for health insurance for single parents. Health insurance can provide you and your children with the much-needed cushion against the financial impact of these catastrophic events.

  • Health Insurance for NRI Parents in India

    by Almog Ramrajkar | May 16, 2023

    Being a Non-Resident Indian or NRI comes with its own set of challenges, and taking care of your parents’ health when living abroad can be one of them. As your parents grow older, their medical needs may increase, and being away from them can make it difficult to ensure their well-being. This is where health insurance for NRI parents in India comes into play. It is a crucial step towards ensuring the health and financial security of your loved ones back home. 

    Can NRIs Buy Health Insurance for their Parents Residing in India?

    NRIs can obtain health insurance coverage for their family members residing in India, including their parents. Depending on their specific requirements, NRIs can choose from various options such as senior citizen health policies, family floater plans, and critical illness coverage. Additionally, NRIs can opt for a healthcare policy that covers both themselves and their parents in the event of medical expenses in India.

    Health insurance providers typically confine their coverage to medical expenses incurred within India unless the policy specifies overseas coverage. However, travel insurance may cover medical expenses incurred overseas, but only in cases where the policyholder falls ill while on a trip. It is crucial to note that there is an exhaustive list of exclusions in travel insurance policies in terms of medical treatments.

    Therefore, if an NRI residing in the United Kingdom requires medical treatment in that country, health insurance purchased from an Indian insurer will not cover the incurred expenses.

    Benefits of Buying a Health Policy for NRI Parents in India

    • Financial security:

    Healthcare expenses can quickly add up, especially for critical illnesses or hospitalisation. With a healthcare policy, your parents can receive quality treatment without worrying about the monetary burden. The insurance policy will cover expenses related to hospitalisation, surgery, medicines, and other medical procedures, thereby providing financial security.

    • Cashless treatment:

    Most health policies provide cashless treatment facilities in one of the network hospitals. That means your parents can receive medical care without any upfront payment. This benefit is especially crucial in emergencies when there may not be enough time to arrange cash or insurance reimbursements.

    • Coverage for pre-existing conditions:

    Older adults are more likely to have pre-existing medical conditions, making it challenging to find a suitable healthcare policy. However, many insurance providers offer policies that cover pre-existing ailments following the completion of a waiting period. 

  • Health Insurance for HIV Patients: Coverage Options & Benefits

    by Almog Ramrajkar | May 16, 2023

    While health insurance for HIV patients in India has improved in recent years, it remains limited. Insurance providers offer some benefits, including in-hospital care, but accessing healthcare services can still be a challenge for those living with HIV. A comprehensive approach is needed to address these challenges and ensure HIV-positive patients receive the care and support necessary to maintain their health and well-being. Living with HIV can significantly impact a person’s health, weakening the immune system and leaving him/her vulnerable to illnesses. As a result, insurance companies often hesitate to provide health coverage to individuals living with HIV, which further increases the challenges they face.

    What is HIV?

    HIV, a short form of Human Immunodeficiency Virus, is a virus that is known to target the CD4-T cells in the body, which are responsible for helping us fight infections and diseases. When HIV reduces the number of these cells, immunity weakens and people become more prone to infections and certain cancers. If not detected on time and treated with care, HIV poses the threat of progressing into AIDS or acquired immunodeficiency syndrome, which, simply put, is an advanced stage of HIV infection.

    Does health insurance cover HIV-positive patients?

    Disability rights groups have long recognised the need for insurance coverage for people with disabilities, including those living with HIV/AIDS. However, progress has been slow in this area, and these individuals have often faced discrimination when it comes to accessing healthcare.

    Fortunately, recent developments in India have brought about a positive change. Following the Delhi High Court direction, the IRDAI has mandated private insurers create policies specifically catering to vulnerable groups, including health insurance covering HIV treatment.

    This initiative aims to ensure everyone has access to appropriate and quality healthcare, regardless of their medical history and represents a significant step forward for enforcing rights in India.

    Are there any health insurance plans available for HIV+ patients?

    In India, health insurance coverage for HIV-positive patients is generally limited, with most insurance companies refusing to issue healthcare plans. However, a few insurance providers offer benefits to HIV-positive patients, which can significantly relieve those living with the condition.

    • One of the benefits available via medical insurance for HIV patients is in-hospital care, which covers all expenses related to in-patient care. This includes physician fees, nursing charges, surgery costs, and diagnostic tests. This ensures that individuals can receive comprehensive medical treatment for their condition without facing financial constraints.
    • Some insurers provide pre- and post-hospital care, which covers healthcare expenses before and after hospitalisation.
    • Emergency ambulance services are also available for transportation to and from the hospital, ensuring patients receive prompt medical attention in an emergency.

    Some HIV positive health insurance providers offer coverage for daycare treatment, i.e., treatment at a daycare facility or hospitalisation for less than 24 hours.

    Inclusions & exclusions of health insurance for HIV patients

    There are certain services covered by a health insurance policy for HIV patients, while there are a few things not covered by the policy:

    Inclusions:

    • In-patient hospitalisation: This covers expenses related to hospital stays for treatments or surgeries.
    • Day-care procedures: Expenses for treatments that do not require prolonged hospitalisation.
    • Pre- and post-hospitalisation expenses: Medical costs incurred before and after hospitalisation, typically within a specified period.
    • Ambulance charges: Costs associated with emergency transportation to the hospital.

    Exclusions:

    • Pre-existing conditions: Some policies may have waiting periods before covering pre-existing conditions, including HIV.
    • Cosmetic treatments: Procedures not medically necessary.
    • Alternative treatments: Expenses related to non-allopathic treatments may not be covered.

    Benefits of buying health insurance for HIV patients

    Battling HIV is not an easy path; however, health insurance policy provides the following benefits that make it a little easier-

    • Financial protection: It lightens the financial burden of medical treatments and hospitalisations.
    • Access to quality healthcare: This ensures timely and appropriate medical interventions without financial constraints.
    • Peace of mind: Knowing that medical expenses are covered allows individuals to focus on their health and well-being.
    • Comprehensive coverage: Many policies offer additional benefits like coverage for critical illnesses, providing a broader safety net.

    Conclusion

    An individual health insurance policy is a useful option for anyone struggling with HIV, as it allows them to pay for costly yet essential hospital treatments, medicines and checkups. With changing medical regulations and more inclusive policies, getting suitable health insurance coverage has become more accessible. Still, it is essential to research and compare available options, understand policy terms and choose a plan that aligns with the particular requirements of the patient and their case to make sure that no expenses are spared and an individual’s physical and financial health remains unstrained.



    Disclaimer: The information provided in this blog is for educational and informational purposes only. It is not intended as a substitute for professional advice, diagnosis or treatment. Please consult a certified medical and/or nutrition professional for any questions. Relying on any information provided in this blog is solely at your own risk, and ICICI Lombard is not responsible for any effects or consequences resulting from the use of the information shared.

  • List of Cashless Network Hospital List in Akluj

    by Almog Ramrajkar | May 16, 2023

    ICICI Lombard Health Insurance Cashless Network Hospital List in Akluj, Maharashtra

    Explore ICICI Lombard’s health insurance plans :

    which offers people much needed financial backup during any medical emergencies.

  • List of Cashless Network Hospital List in Akola

    by Almog Ramrajkar | May 15, 2023

    ICICI Lombard Health Insurance Cashless Network Hospital List in Akola, Maharashtra

    Explore ICICI Lombard’s health insurance plans :

    which offers people much needed financial backup during any medical emergencies.

  • List of Cashless Network Hospital List in Ahmednagar

    by Almog Ramrajkar | May 15, 2023

    ICICI Lombard Health Insurance Cashless Network Hospital List in Ahmednagar, Maharashtra

    Explore ICICI Lombard’s health insurance plans:

    which offers people much needed financial backup during any medical emergencies.

  • Gestational Diabetes Insurance Coverage

    by Almog Ramrajkar | May 15, 2023

    The incidence of diabetes has been increasing globally, with gestational diabetes being a significant concern. Gestational diabetes is a particular type of diabetes that develops during pregnancy and can pose a threat to the health of both the mother and the baby. In this post, we will discuss what gestational diabetes is, its coverage under health insurance, and gestational diabetes insurance coverage in India.

    What is Gestational Diabetes?

    This is a condition where an expectant mother’s body cannot produce adequate insulin. Inadequate insulin makes it difficult to regulate the increased demand for blood sugar during pregnancy. This leads to elevated blood sugar levels, which can be risky to the health of both the mom-to-be and the baby. Gestational diabetes usually develops during the second or third trimester of pregnancy and can cause complications such as premature birth, preeclampsia, and an increased risk of developing type 2 diabetes. However, with proper management and treatment, most women diagnosed with gestational diabetes can have healthy pregnancies and babies.

    Does Health Insurance Cover Gestational Diabetes?

    Yes, health insurance policies usually cover gestational diabetes under their maternity or pregnancy-related benefits. Gestational diabetes insurance coverage may include prenatal and postnatal care, delivery expenses, and any complications that arise during pregnancy, including gestational diabetes. However, the extent of gestational diabetes insurance coverage may differ based on the healthcare policy and the insurer.

    It is important to check with the insurance provider about the specific coverage for gestational diabetes before purchasing the policy. You may also not receive coverage for pre-existing conditions under some medical insurance policies, and gestational diabetes may be considered a pre-existing condition in some cases. You must understand the plan’s terms, conditions, inclusions, limitations, and exclusions to ensure that it covers gestational diabetes and meets your specific needs.

    Health Insurance for Diabetes Patients in India

    In India, health insurance plans for diabetes patients are available with different coverage options and features. These plans aim to provide financial protection to individuals with diabetes and help them manage their healthcare expenses.

    Individual health insurance is among India's most general categories of medical insurance plans. These plans cover an individual and provide benefits such as hospitalisation expenses, doctor consultations, and diagnostic tests. The gestational diabetes insurance coverage may vary from plan to plan, and choosing one that offers adequate coverage for diabetes-related expenditures is important.

    Another category of medical insurance policy available is family health insurance. These plans cover the entire family, including the policyholder’s children, spouse, and parents. Such healthcare policies provide coverage for doctor consultations, hospitalisation expenses, diagnostic tests, and medication for all family members. Family health insurance plans may also cover diabetes-related expenses, but the extent of coverage may vary depending on the policy.

    Some health insurance plans cover pre-existing ailments, including diabetes. However, the premium for these plans may be higher than regular healthcare policies. Understanding the policy’s terms and conditions before purchasing it is essential.  Do remember to check whether the plan chosen by you covers pre-existing conditions.

    Usually, maternity insurance plans cover gestational diabetes. Such plans cover the medical expenses related to pregnancy, childbirth, and postnatal care. These plans provide financial protection to women during pregnancy and help manage the high costs of medical care associated with pregnancy and childbirth.

    These policies typically cover expenses such as prenatal and postnatal consultations, diagnostic tests, and costs related to delivery and hospitalisation. Healthcare policies may vary in terms of the extent of coverage; it is important to choose a plan that offers adequate coverage for gestational diabetes-related expenses.

    In addition, some medical insurance plans also cover expenses related to diabetes management. These expenses may include doctor consultations, diagnostic investigations, medication, and medical devices like insulin pumps and pens or continuous glucose monitoring systems and glucometers. Some plans may also cover expenses related to diabetes-related complications, such as kidney disease, eye damage, and nerve damage.

    In conclusion, healthcare plans in India offer coverage for diabetes patients with various coverage options and features. It is important to compare the benefits and features of different gestational diabetes insurance coverage plans before choosing one that meets your specific needs. Remember to check whether the policy matches your particular requirements and read the policy documents to thoroughly understand the terms and conditions to ensure that it covers diabetes-related expenses.

  • Cashless Health Card

    by Almog Ramrajkar | May 15, 2023

    We all know that life is unpredictable, and it’s essential to remain prepared for any unexpected events that might come our way. One such event that can cause a financial and emotional burden is a medical emergency. In such cases, having health insurance is crucial. One may not be aware that there is a particular type of healthcare card that can enhance the entire process of accessing medical treatment. It is known as a cashless health card.

    What is a cashless health card?

    A cashless health card is a convenient and hassle-free way to receive medical treatment without worrying about expenses. It is a card issued by an insurance company that allows policyholders to get cashless treatment at network hospitals. Generally, the cashless health card comprises critical information such as the policyholder’s personal details, insurance policy number, and the insurer’s customer care team contact information.

    With a health insurance card, the policyholder does not have to shell out payments upfront for medical treatment at a network hospital. In this case, the hospital does not give the bill to the policyholder but instead sends it directly to the insurance provider for payment settlement.

    Cashless health card benefits

    • Hassle-free access to medical treatment:

    With a cashless health card, a policyholder can avail of medical treatment at any network hospital without worrying about making upfront payments. The card serves as a payment mode, and the policyholder can receive treatment without any hassle.

    • Quick settlement of claims:

    The settlement of claims is quick and hassle-free with a cashless health card. The policyholder does not have to worry about submitting multiple documents or waiting for reimbursement of the expenses incurred on medical treatment.

    • Comprehensive coverage:

    Medical insurance cards offer exhaustive financial protection for various medical expenses, including hospitalisation, surgeries, diagnostic tests, and other medical procedures.

    • Peace of mind:

    The cashless health card provides policyholders with a sense of security and peace of mind, knowing they will get covered in the event of a medical emergency. It offers a sense of assurance that is crucial during illness or medical emergencies.

    How to get a cashless health card?

    • Choose a medical plan:

    The first step is to select a health insurance plan that offers a cashless health card. One can do this by researching various health insurance plans and their benefits.

    • Submit documents:

    After choosing a health insurance plan, the policyholder needs to submit the required documents, such as documents showing proof of age, identity, address, and medical history, to the insurance company.

    • Pay premium:

    The policyholder must pay the insurance premium through various online modes of payment.

    • Receive health card:

    Once the policy is issued, the policyholder will receive a cashless health card with the policy documents

    • Activate the card:

    Policyholders need to activate the card before using it. One can do this by contacting the insurance company’s customer care or following the activation process mentioned on the card.

    • Use the card:

    After activation, the policyholder can use the cashless health card to avail of medical services at a network hospital.

  • Contingencies Not Covered under Personal Accident Insurance

    by Almog Ramrajkar | May 15, 2023

    Personal accident insurance provides coverage for unexpected accidents and can offer peace of mind to those who worry about the financial consequences of an injury or death. However, not all accidents or incidents get covered under personal accident insurance. It is important to understand what contingencies are excluded from the policy to avoid any surprises in the event of an unfortunate occurrence.

    Which Contingency Does Not Get Covered Under Personal Accident Insurance?

    If the policyholder has a pre-existing medical issue before buying the policy, any accident related to that condition does not get covered under the plan. To get coverage for these you would need to buy a health insurance plan and go through the necessary waiting period.

    If the policyholder is injured while participating in an activity that is unapproved or not covered under the policy or if he/she participates in any activity without the insurance company’s prior approval, the insurer will not provide any financial assistance.

    Personal accident insurance does not cover injuries or death resulting from mental illness or emotional distress. That means if a policyholder suffers from depression, anxiety, or any other mental health condition and meets with an accident, the insurer will not provide any financial assistance.

    Injuries sustained while participating in hazardous sports or activities such as bungee jumping, mountaineering, or skydiving do not get covered under personal accident insurance.

    If the policyholder is involved in an incident classified as an act of war or terrorism, the insurance company will not provide any compensation for the resulting injuries or death.

    Personal accident insurance does not cover any injuries that are self-inflicted, intentional, or caused by a policyholder’s negligence. This includes injuries resulting from the policyholder’s participation in illegal activities, such as drug abuse or alcoholism.

    Personal accident insurance typically excludes coverage for injuries sustained while flying a private aircraft. That is because a private aircraft carries a higher risk of accidents due to the lack of safety regulations and oversight.

    It is important to have clarity when it comes to understanding which contingency does not get covered under personal accident insurance. If you have any questions about your policy, be sure to contact your insurance provider for clarification and clear your doubts.

  • Critical Illness Insurance for Your Family: Essential Protection

    by Almog Ramrajkar | May 15, 2023

    Healthcare costs are on the rise, and critical illnesses, such as cancer, paralysis, heart disease etc., are becoming increasingly common. Treating these critical illnesses requires prolonged medical intervention or involves a high cost to get quality health care or both. Such illnesses not only affect the individual but also significantly impact his/her family’s finances. Therefore, it is important to buy critical illness insurance for family members to ensure they receive adequate financial support during times of crisis.

    What is critical illness insurance?

    Critical illness refers to a severe and life-threatening medical condition that can have a significant impact on a patient’s health, lifestyle, and finances. Examples of critical illnesses include kidney failure, heart attack, cancer, stroke, and major organ transplant.

    Critical illness insurance for the family provides financial coverage to the policyholder and his/her family against critical illnesses covered by the policy. This type of insurance pays a lump sum amount to the policyholder and the person’s family upon diagnosis, which one can use for medical expenses, loss of income, or any other expenditures that may arise due to the critical illness. It provides financial stability during a difficult time, allowing the person to focus on recovery without worrying about the economic burden of the illness.

    Key features of critical illness insurance plans for family

    When considering a critical illness health insurance plan for your family, it is essential to understand its distinctive features:

    • Comprehensive Coverage: These plans cover a range of severe illnesses, ensuring that multiple family members are protected under a single policy. They can be used in addition to pre-existing health insurance for senior citizen to avoid any strain caused by sudden and severe health issues.
    • Lump Sum Benefit: Upon diagnosis of a covered illness, the policyholder receives a one-time lump sum payment, providing immediate financial relief.
    • Flexible Usage: The received amount can be utilised for various purposes, including medical treatments, rehabilitation or even daily household expenses.
    • Affordable Premiums: Opting for a family plan often results in cost savings compared to individual policies for each member.
    • Tax Benefits: Premiums paid towards critical illness insurance are eligible for tax deductions under Section 80D of the Income Tax Act, offering additional financial advantages.

    Benefits of critical illness insurance plans

    Some significant advantages of critical illness insurance for the family are listed below.

    • Financial Security: Critical illness insurance provides financial security to the policyholder and the person’s family during medical emergencies resulting from such ailments. The policyholder can use the lump sum amount paid by the insurer to cover loss of income, medical expenses, or any other expenditures associated with the treatment.
    • Coverage for Multiple Illnesses: Policies offering critical illness insurance provide coverage for a range of critical illnesses, such as stroke, cancer, kidney failure, and heart disease. The policyholder can choose a policy that covers the specific illnesses that he/she might have the risk of developing.
    • Tax Benefits: Under the ITA or Income Tax Act, the premium you pay towards critical illness insurance becomes eligible for tax deductions.
    • No Claim Bonus: If the policyholder refrains from making any claim during the policy period, he or she can receive a no-claim bonus. The insurer can offer this in the form of a higher sum insured or a reduced premium.
    • Peace of Mind: Having critical illness insurance provides policyholders and their families peace of mind, knowing they will receive coverage financially in case of a critical illness.
    • Quick Disbursal of Funds: Critical illness insurance pays a lump sum upfront to a policyholder, which the person can utilise for any expenses related to the illness.

    Types of critical illnesses covered

    Critical illness insurance covers a range of severe medical conditions, including:

    • Cancer of specified severity
    • First heart attack (of specified severity)
    • Open-chest coronary artery bypass graft surgery
    • Stroke resulting in permanent symptoms
    • Permanent paralysis of limbs
    • Kidney failure requiring regular dialysis
    • Major organ/bone marrow transplant
    • Open heart replacement or repair of heart valves

    Factors to be considered while opting for critical illness insurance

    While choosing a critical illness cover for the family, consider the following factors:

    • Coverage: Choose a policy that covers the maximum number of critical illnesses and provides comprehensive coverage.
    • Sum Insured: Buy critical illness insurance that offers an adequate sum insured to cover the medical expenses and other costs for the patient’s treatment.
    • Premium: Compare the premium of different policies and go for one that extends the best coverage but at a reasonable premium.
    • Waiting Period: Check the policy’s waiting period; pick one with a lesser waiting period.
    • Claim Settlement Ratio: Check the company’s claim settlement ratio before investing in the policy. A higher claim settlement ratio shows the company is reliable and efficient in settling claims.
    • Exclusions: Carefully read the policy documents to understand the exclusions and limitations. Choose a policy that has fewer exclusions and provides comprehensive coverage.
    • Network Hospitals: Check the insurance provider’s list of network hospitals. Select a policy that covers a vast network of hospitals.

    Conclusion

    Before buying a critical illness health insurance plan, explore different insurance companies and their critical illness policies online. Make a comparison in terms of the coverage, premium, waiting period, and claim settlement ratio of different policies offered by various insurers. Make sure to opt for a policy that provides comprehensive coverage at a reasonably priced premium.

    Filling out the application form with accurate details and providing all the required documents is necessary. Pay the premium online using Internet banking or your debit/credit card.

    Critical illness cover for the family can provide peace of mind and financial support during a medical crisis. It is a valuable investment for those looking to safeguard their family members from unforeseen financial troubles.



    Disclaimer: The information provided in this blog is for educational and informational purposes only. It is not intended as a substitute for professional advice, diagnosis or treatment. Please consult a certified medical and/or nutrition professional for any questions. Relying on any information provided in this blog is solely at your own risk, and ICICI Lombard is not responsible for any effects or consequences resulting from the use of the information shared.

  • Cancer Treatment Insurance Coverage

    by Almog Ramrajkar | May 15, 2023

    Cancer insurance coverage is a safety net that provides financial protection and support to those affected by the unpredictable and often expensive cancer treatment.

    When a person is diagnosed with cancer, their world turns upside down. The physical and psychological toll can be overwhelming, and the last thing they need is to worry about the financial implications of cancer treatment. Cancer treatment insurance coverage can help alleviate this burden by providing coverage for medical and related expenses. With this coverage, patients can focus on their health and well-being during the cancer treatment journey without worrying about the associated costs. In this post, let’s discuss the advantages of cancer treatment insurance coverage and how it can be a valuable asset for anyone dealing with this challenging disease.

    What is Cancer Insurance Coverage?

    Cancer insurance coverage assures policyholders that they will not have to bear the financial burden of treatment alone, allowing them to focus on their health and well-being.

    Suppose, Mr X, a 30-year-old family man, buys this medical coverage with Rs 15,00,000 sum insured. The policy period is 20 years. When X reaches the age of 40, he develops a cancerous tumour which is in its initial stage. Since he has insurance coverage, he will receive the sum insured amount as per the percentage specified in his policy. But at this point, the coverage amount reduces.

    After the passage of a few years, the tumour reaches an acute stage, prompting the insurer to disburse the remaining sum insured, and the coverage ends. Notably, the payout from the policy is contingent upon the stage of cancer identified.

    What Does Cancer Insurance cover?

    Typically, cancer insurance covers the following:

    • Overall comprehensive coverage
    • Regular checkups
    • Pre-hospitalisation charges
    • Post-hospitalistion charges

    While knowing about the coverage of a cancer policy, you should also understand what it doesn’t cover. Here are the details of what the policy doesn’t cover:

    • Pre-existing ailments related to cancer
    • Cancers due to sexually-transmitted diseases like AIDS, HIV
    • Cancers that may have progressed due to congenital diseases
    • Cancers that progress from overuse of drugs or alcohol
    • Cancers that progress from different sources of pollution (chemical, biological sources, etc.)

    Benefits of Cancer Treatment Insurance Coverage

    Cancer treatment insurance coverage can be highly beneficial. It can cover the cost of medical treatment and related expenses. 

    Here are the benefits of the coverage:

    • Top-quality care: By investing in cancer treatment insurance, individuals can secure access to high-quality medical services, including cutting-edge technologies and top-notch medical practitioners.
    • Reduced financial burden: Seeking insurance coverage for cancer treatment can be a strategic move as it can help alleviate the financial stress that accompanies medical care. Such coverage can mitigate or even eliminate the expenses that arise from cancer treatment, reducing the out-of-pocket burden on patients and their families.
    • Coverage for all stages of cancer: Cancer treatment insurance can offer comprehensive coverage, spanning from the initial diagnosis to the follow-up care. With this coverage, policyholders can receive a lump sum payout allocated to different stages of cancer treatment, with a portion dedicated to the early-stage treatment and the remainder available for advanced-stage care.
    • Flexibility: Having insurance coverage can offer the freedom to select the optimal treatment approach that aligns with individual requirements and personal preferences.
    • Home care: With cancer treatment insurance, policyholders may be eligible for coverage of expenses related to in-home care, including services provided by nursing or personal care professionals.
    • Coverage for transportation: Frequent visits to the doctor are often necessary during cancer treatment, which can result in significant expenses. If you have insurance coverage, it usually covers the transportation costs that arise from your cancer treatment.
    • Dealing with mental health: The emotional impact of cancer can be challenging to manage. However, with cancer treatment insurance, one may obtain coverage for mental health services with lump sum payouts, such as counselling or therapy, to support their well-being during treatment.

    Conclusion

    A critical illness like cancer can cause a huge setback physically, emotionally, and financially. Having proper health insurance coverage can relieve a lot of burden. Hence, when choosing a cancer coverage policy, you should check the coverage in detail, including the inclusions and exclusions. Getting a good cancer treatment insurance policy is a great investment which will benefit you in distressing times.

    Also Read:

  • Can Medical Bills be Claimed Under Section 80D?

    by Almog Ramrajkar | May 15, 2023

    Medical bills can be a significant expense for individuals and families, and the Indian government provides tax benefits through various provisions to help ease the financial burden. One such provision is Section 80D of the Income Tax Act, which allows people to claim deductions for health insurance premiums and preventive health check-up expenses. So, if you are wondering can medical bills be claimed under 80D, the simple answer is yes.

    As you are now clear about the question of can medical bills be claimed under Section 80D, in this blog, we will discuss Section 80D in detail, including what it is, the deductions available, and the additional tax benefits of health insurance.

    What is Section 80D?

    The Income Tax Act’s Section 80D is a tax-saving provision in India that offers deductions on premiums paid towards health insurance policies, providing a valuable health insurance tax benefit. It aims to provide financial relief to individuals by reducing their taxable income and overall tax liability. Taxpayers can effectively reduce their taxable income by claiming deductions on health insurance premiums, further enhancing their health insurance tax benefit. This results in lower tax liability and a higher disposable income.

    The main benefit of Section 80D deduction is that it encourages individuals to secure health insurance coverage for themselves and their family members. This incentivises individuals to prioritise health insurance for their family’s well-being and financial security. Another advantage of Section 80D is that it promotes preventive healthcare. Thus if you’re wondering can medical expenses be claimed under 80D, the answer is a resounding Yes. You can claim your medical bills for tax relief up to the prescribed limit.

    What are the Deductions Under Section 80D?

    The maximum deduction limit depends on the insured person's age and his/her parents' age, if applicable. Let us take a look at the deductions available under Section 80D:

    • For individuals aged below 60: The maximum deduction limit is Rs 25,000 for premiums paid for self, spouse, and children. A deduction of Rs 25,000 is also allowed for premiums that you pay for your parents. Therefore, the total deduction limit for individuals below 60 years of age is Rs 50,000 (Rs 25,000 + Rs 25,000)
    • For individuals aged more than 60: The maximum deduction limit is Rs 50,000 for premiums paid for self, children, and spouse. Additionally, you can avail of a deduction of Rs 50,000 for premiums paid for your parents. Therefore, the total deduction limit for individuals above 60 years of age is Rs 1,00,000 (Rs 50,000 + Rs 50,000)
    • For HUF (Hindu Undivided Family): Up to ₹25,000 can be claimed for premiums paid for the HUF and its members (including spouses, children, and dependent relatives). If the insured individuals are senior citizens, this increases to ₹50,000.

    It is important to know that these tax benefits are available if and only if you make the payments through bank transfer.

    Amount of Deduction Available under Section 80D

    The amount of deductions available under Section 80D depends on the age of persons for whom the policy is insured. The following section will give you a clear view of the deduction limit under this section for different people.

    1. For Self, dependent children and spouse
    Rs.25,000 if the age of all are below 60 years.
    Rs.50,000 if children are below 25 and at least one member is above 60 years old.

    2. For parents
    Rs.25,000 if both of them are below 60 years.
    Rs.50,000 if their age is above 60 years.

    3. For self, spouse, dependent children and parents
    Rs.50,000 if the parents are aged below 60.
    Rs.75,000 if the parents are below 60 years of age.

    4. For self, spouse, dependent children and parents
    Rs.1,00,000 if the policyholder or the dependent spouse is above 60 years of age and the parents are senior citizens.

    5. Members of a Hindu undivided family
    Rs. 25000

    6. Members of a Hindu undivided family
    Rs.50000 if the members are aged above 60 years.

    7. Deduction Towards Preventive Healthcare
    Rs.5,000 for all ages.

    Additional Tax Benefits of Health Insurance

    Health insurance policies provide additional tax benefits under Section 80D.

    • These benefits are in the form of deductions for preventive health check-up expenses. Taxpayers can claim tax deductions of up to Rs 5,000 for expenditures incurred on preventive health check-ups for themselves, their children and spouse, as well as their parents. Note that you can avail of these benefits even for cash payments. This is within the overall limit of the deduction available under Section 80D.
    • The objective of undergoing preventive health check-ups is the early detection as well as prevention of ailments. The expenses incurred on such check-ups can be claimed as a deduction under Section 80D, helping taxpayers save on their tax liabilities.

    Thus, Section 80D of the Income Tax Act offers significant tax benefits to individuals by reducing their taxable income through deductions on health insurance premiums. It promotes the importance of health insurance, encourages preventive healthcare, and provides financial relief to taxpayers. So plan your health and taxes judiciously to reap the optimum benefit.

  • 10 Lakh Health Insurance: Comprehensive Coverage Guide

    by Almog Ramrajkar | May 11, 2023

    As one lies on a hospital bed encircled by a team of medical professionals, the person’s thoughts revolve around the looming fear of accumulating medical bills. And this is the last thing an individual in such a state requires. That is where the 10 lakh health insurance comes in as a safety net, ready to catch individuals when they fall. With coverage of up to Rs. 10 lakhs, it provides the financial backing required to receive the best medical care possible.

    What is a 10 lakhs medical insurance?

    A 10 lakh health insurance policy extends coverage for medical expenses up to Rs. 10 lakhs. In other words, if you suffer from an illness or injury and incur medical-related costs, your health insurance policy will cover up to Rs. 10 lakhs of those expenses.

    For example, suppose you have a 10 lakh health insurance policy. You need to undergo surgery that costs Rs 5 lakh. Your health insurance policy will cover the entire surgery cost, up to Rs 5 lakhs. If you have any additional medical expenses, such as post-surgery care or follow-up doctor visits, your health insurance policy will cover them as well, up to the policy limit of Rs 10 lakh.

    How does the 10 lakhs health insurance plan work?

    A 10-lakh health insurance policy functions through its features designed for well-rounded support for healthcare:

    • Comprehensive coverage

    These healthcare policies provide a substantial coverage amount that can help you meet various medical expenses, including hospitalisation, surgery, and critical illnesses.

    • Protection against rising healthcare costs

    Medical inflation in India is on the rise, and healthcare costs are increasing rapidly. A 10 lakh health insurance policy can adequately protect against these rising costs.

    • Peace of mind

    When you secure a 10 lakh health insurance policy, you can be confident that you and your family will have financial security during medical emergencies.

    • Access to quality healthcare

    Such policies can give you access to quality healthcare facilities and hospitals, which can help you receive timely and proper medical treatment.

    How to purchase 10 lakhs health insurance online from ICICI Lombard?

    Buying a ₹10 lakh health insurance policy online from ICICI Lombard is simple:

    1. Visit the official ICICI Lombard website and navigate to the health insurance section.
    2. Enter your details such as name, age, gender, and coverage type (individual or family).
    3. Choose the sum insured as ₹10 lakhs and select any additional riders or features you may need.
    4. Compare plans if multiple options are available.
    5. Proceed to payment after reviewing your premium and benefits.
    6. Submit the necessary documents, and once approved, your digital policy will be issued instantly.

    Online purchase often comes with added benefits like premium discounts, faster processing, and easy documentation.

    Benefits of 10 lakh health insurance policy

    Key benefits of 10 lakh health insurance are:

    • No Claim Bonus

    A Mediclaim policy for Rs. 10 lakhs offers a no-claim bonus to those who refrain from submitting any claims during the policy tenure. The earned incentive can be a premium discount or an increase in the sum insured.

    • Cashless hospitalisation

    A 10 lakh health insurance policy offers cashless hospitalisation, which means the policyholder doesn’t have to pay for any medical expenses upfront. The policyholder can receive medical care at any network hospital in or outside his/her city without spending any cash.

    • Tax benefits

    A 10 lakh health insurance plan offers tax advantages under the Income Tax Act’s Section 80D. Policyholders can lower their taxable earnings by up to Rs. 25,000 on the amount spent towards medical insurance policies.

    Inclusions and exclusions of 10 lakh health insurance

    The coverage of 10 lakh health insurance includes:

    • Hospitalisation expenses

    A 10 lakh health insurance policy provides coverage for hospitalisation expenses, including room rent, ICU charges, and surgical fees. This policy covers pre- and post-hospitalisation medical care expenses for up to the given sum insured.

    • Coverage for critical illness

    These healthcare policies cover cancer, heart attack, kidney failure, and other ailments if you supplement your primary healthcare policy with a critical illness rider.

    • Covers ambulance charges

    A health insurance 10 lakh policy may extend coverage for ambulance charges that include transportation to the hospital in the event of an emergency.

    • Coverage for daycare procedures

    As a policyholder, you will receive coverage for expenses related to daycare procedures, including dialysis, chemotherapy, and other medical treatments.

    • Alternative treatment coverage

    Such policies extend coverage for alternative medical care, such as Ayurveda, Homeopathy,  , and others.

    • Coverage for pre-existing diseases

    A 10 lakh health insurance policy extends coverage for pre-existing diseases, including diabetes, hypertension, and others.

    A few things are excluded from this health insurance policy, such as:

    • Cosmetic and dental procedures
    • Injuries due to self-harm or substance abuse
    • Non-medical expenses (gloves, syringes, etc.)
    • Experimental treatments

    Factors determining the premium on 10 lakhs health insurance plan

    Several factors affect the premium of your ₹10 lakh health insurance policy:

    • Age of the insured: Higher age generally means higher premiums.
    • Number of members: A family health insurance plan for more members costs more than an individual policy.
    • Medical history: Pre-existing conditions can increase premiums or lead to waiting periods.
    • Lifestyle habits: Smokers or individuals with risky lifestyles may face higher rates.
    • Geographical location: Premiums can vary based on the city or zone you live in.
    • Riders/Add-ons: Adding features like critical illness cover, maternity benefits or room rent waivers can increase the premium.

    Conclusion

    A 10-lakh health insurance policy is a smart way to protect yourself and your family against rising medical costs. If you are buying it as an individual or as part of a family health insurance plan, the substantial coverage amount will make sure that you have peace of mind and financial protection during emergencies. With easy online purchase options through insurers like ICICI Lombard and comprehensive benefits, this plan is an ideal choice for modern Indian households aiming for quality healthcare without compromise.


    Disclaimer: The information provided in this blog is for educational and informational purposes only. It is not intended as a substitute for professional advice, diagnosis or treatment. Please consult a certified medical and/or nutrition professional for any questions. Relying on any information provided in this blog is solely at your own risk, and ICICI Lombard is not responsible for any effects or consequences resulting from the use of the information shared.

  • Eligibility for Maternity Leave Policy in India

    by Almog Ramrajkar | May 08, 2023
    • Women who meet certain conditions are eligible for maternity benefits, including leave and payment during this period. These conditions are:
    • being pregnant for the first time
    • already have one or two children
    • taking in a child who is under three months old
    • having a child through a surrogate
    • or recovering from a miscarriage, abortion, or tubectomy operation

    Nevertheless, in order to qualify for perks, it is necessary to have been employed by a company for at least 80 days within the preceding 12 months prior to your childbirth.

    • Men or people who identify with other genders do not have the option to seek benefits. However, some public sector employees receive paternity leave benefits.
    • The ACT applies to various establishments, such as
    • factories
    • mines
    • government establishments
    • shops or establishments with at least 10 employees
    • any other establishment or class of establishments that the State may notify
    • It does not differentiate between permanent, temporary, or contractual employees; denying worker benefits is against the law.
    • Women engaged on a casual basis are entitled to maternity leave benefits. However, a female employee cannot avail of any maternity benefits after the expiration of the contractual period.

    Employers who fail to pay maternity benefits or dismiss an employee during their maternity leave may be imprisoned and asked to pay a fine.

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