If you've ever felt like sadness keeps coming back, making it hard to enjoy life, you're not alone. Recurrent depressive disorder is more than just feeling blue occasionally. It's like a heavy cloud that hangs around, affecting how you feel and act every day. But there's hope. In this blog, we'll break down what recurrent depressive disorder is, its common symptoms, and how you can find support and ways to cope. Let's navigate this journey together.

What is recurrent depressive disorder?

Recurrent depressive disorder is a mental health condition where feelings of deep sadness and hopelessness keep coming back. It's not just feeling sad for a short while; it's like a heavy cloud that hangs around for weeks or months. People with this disorder may struggle to enjoy things they once loved and find it hard to do everyday tasks. These feelings can affect sleep, appetite, and concentration. Recurrent depressive disorder can make life really tough, but with the right support and treatment, many people find ways to manage it and lead fulfilling lives.

How is recurrent depressive disorder diagnosed?

To be diagnosed with recurrent depressive disorder, you must have experienced all of the following conditions listed below:

• At least one episode of previous depression that lasted for at least 2 weeks.
• You must have experienced five current depressive symptoms at least for two weeks.
• No depressive symptoms in between episodes for at least 2 months.
• No increase in energy levels.
• No episode of mental, behavioral, or neurodevelopment disorder (mania or hypomania).

Other parameters to diagnose depressive disorder may involve physical examination and laboratory tests:

• Physical examination

Your doctor might check your body and talk to you a lot about how you're feeling to understand what's going on with your mind. They might also watch how you move your hands and body to see if you seem confident or if you're shaking when you talk.

• Laboratory tests

Your healthcare provider may recommend laboratory tests like blood tests to check if the cause of the depressive disorder is linked to other medical conditions like hypothyroidism. He may form another test, such as an ECG, CT scan, EEG, or other tests, to look for other health conditions.

• Psychological evaluation

The doctor will talk to you about how you think, feel, and act to understand your mental health. They might give you a questionnaire to fill out, which helps them figure out if you have something like persistent depressive disorder or another mood condition like major depression or bipolar disorder. If they diagnose you with a depressive disorder, they might suggest a mix of treatments like therapy and medication. Therapy options include talking therapies like CBT or DBT, among others, while medication might include SSRIs or SNRIs. You might also consider getting health insurance to help cover the costs of your treatment, including checkups and hospital stays.

What are the symptoms of recurrent depressive disorder?

Recurrent depressive disorder is a form of depression that comes and goes. Sometimes, the symptoms can be really strong, and other times, they might not be there at all for weeks or even years before coming back again. Its symptoms include the following:

• Feelings of sadness or emptiness
• Loss of interest in activities
• Difficulty concentrating or making decisions
• Irritability or anger
• Changes in appetite or weight over time
• Fatigue or lack of energy
• Low self-esteem
• Feelings of worthlessness
• Feelings of excessive guilt
• Changes in sleep patterns, like insomnia or excessive sleeping
• Anxiety or restlessness throughout the day
• Unexplained physical pains even when you rested properly
• Gastrointestinal disturbances as the brain and digestive system are strongly connected.
• Suicidal thoughts or attempts

The degree or extent to which these symptoms affect an individual’s ability to function effectively determines if depressive disorder episodes are mild, moderate, or severe. In case of a mild episode, you may feel irritated and annoyed most of the time, whereas in cases of severe depressive episode, you may find difficulty in performing daily activities.

Recurrent depression can happen because of a mix of things like social issues, how you think and feel, and even how your body works. It can lead to major depressive disorder, a serious condition that majorly affects how you feel, think, and handle daily activities. If you're struggling with feelings of sadness or hopelessness, it's essential to talk to a doctor. They can help you figure out what's going on and find the right treatment for you. Don't hesitate to reach out and get the support you need.

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.

Kidney stones also known as renal calculi, nephrolithiasis, or urolithiasis are hard compounds made of minerals and salts that form inside the kidneys.

Kidney stones can be caused by certain types of diet, supplements, medical conditions, or medications. They affect the urinary tract from the kidneys to the bladder.

There are four types of kidney stones namely calcium oxalate, struvite, uric acid, and cystine. They can be treated with shockwave lithotripsy, uteroscopy, percutaneous nephrolithomy, or nephrolithotripsy.

Symptoms of kidney stones are severe pain in the lower back, blood in the urine, fever, nausea, chills, or urine with a bad smell or cloudy appearance.

Now, let us look into the causes of kidney stones.

Causes of Kidney Stones

There are numerous causes responsible for the formation of kidney stones. At times drinking too little water, more or less exercise, being overweight, weight loss surgery, consuming food with too much salt or sugar, infections, or family history of the disease. Here are the causes of kidney stones in detail:

• Medical conditions- Medical conditions like urinary tract infections, gout, inflammatory bowel disease, etc. are some of the conditions that can cause stones in the kidneys. High levels of calcium in the blood and urine and an increase in acid in the body give rise to a condition called distal renal tubular acidosis which can raise the chances of formation of calcium phosphate kidney stones.
• Family history- Family history increases your chances of developing kidney stones. In order to avoid its occurrence, you should get regular checkups done and refrain from eating foods that in high in sugar and salt as a preventive measure.
• Obesity- Obesity is directly related to the development of kidney stones. Obesity causes insulin resistance and compensatory hyperinsulinemia, metabolic derangements that may form calcium-containing kidney stones. It changes the acid levels in the body and hampers the body’s metabolism causing more secretion of substances like oxalate and uric acid into the urine, which form stones and birth defect that results in cysts formation, people suffering from type 2 diabetes more prone to get kidney stones.
• Dehydration- Drinking less fluids leads to a lack of water or fluids in the body. This leads to more concentration of minerals and salts crystallizing in the urine thus leading to the formation of kidney stones. Less quantity of fluids in the body reduces the urine’s ability to dissolve wastes thus forming stones. You should stay properly hydrated in order to avoid the risk of developing stones.
• Exercise- When we perform too little or too much exercise then also, we are at high risk of developing kidney stones. A sedentary lifestyle is directly related to obesity which in turn is in itself a cause of kidney stone development. On the other hand, excessive exercise leads to concentration in the urine leading to stone formation in the kidneys.

Conclusion

Kidney stones do not form on their own but a number of factors are responsible for their formation. We have listed above some of the common causes of kidney stones. We can control the situation to some extent by adopting a healthy diet, regular exercise, staying properly hydrated, etc. Having a health insurance plan that covers diagnostic tests, treatments, and surgeries for kidney-related conditions can provide financial support and ensure access to timely medical care if kidney stones develop.

Disclaimer: The information provided in this blog is for educational and informational purposes only. It may contain outdated data and information regarding the Insurance industry and products. It is advised to verify the currency and relevance of the data and information before taking any major steps. ICICI Lombard is not liable for any inaccuracies or consequences resulting from the use of this outdated information.

Bladder cancer begins when there is abnormal outgrowth of cells in the bladder region. These cells tend to outgrow, forming a tumour and might spread to muscles and other organs. According to statistics, it is the 10th most common type of cancer globally.

Bladder cancer starts in the urothelial cells, the line inside the bladder. Doctors can often detect bladder cancer early, making it easier to cure. Even after successful treatment, bladder cancer can return. Doctors advise people with bladder cancer to undergo regular follow-up appointments to check for any recurrence.

In this blog, we will delve deeply into the causes of bladder cancer.

Causes of Bladder Cancer

Although the precise cause of bladder cancer is often unclear, medical experts have identified numerous risk factors that can heighten the chances of its development. These risk factors include:

1. Smoking tobacco- Smoking tobacco is one of the major causes of bladder cancer as it contains carcinogenic cancer-causing substances. Smoking is estimated to double the risk of developing the disease, and it is the cause of more than a third of all bladder cancer cases. Smoking pipes and cigars and exposure to second-hand smoke also link to the development of bladder cancer.
2. Exposure to chemicals- Certain chemicals at the workplace, such as amines, benzene products, aniline dyes, 2-naphthylamine, 4-aminobiphenyl, etc., increase the chances of developing bladder cancer. Research suggests exposure to these chemicals increases bladder cancer risk by 25%. Industries like textiles, rubber, paints, dyes, plastic and leather tanning use these chemicals.
3. Age- The older you get, the more you risk developing bladder cancer. However, any person of any age can develop bladder cancer. However, the diagnosis of bladder cancer is more common in people aged 55 or above. So, increasing age is also one of the significant causes of bladder cancer.
4. Gender- If you are assigned male by birth, you are at an increased risk of developing bladder cancer. Men tend to suffer more from bladder cancer than their female counterparts.
5. Chemotherapy- If you have a previous history of use of chemotherapy, then you are at an increased risk of developing bladder cancer. Chemotherapy medications such as cyclophosphamide and cisplatin can put you at risk of suffering from bladder cancer.
6. Use of catheter in the bladder- Using a catheter in the bladder is also linked to developing bladder cancer. It is said so because when you are required to have the catheter in the bladder, it will stay there for a long time because you have nerve damage resulting in paralysis.
7. Frequent infections of the bladder- Frequent infections are another major reason for developing bladder cancer. People suffering from bladder stones, urinary tract infections and other bladder infections are more prone to bladder cancer.
8. Exposure to radiation therapy- Experts cite exposure to radiation therapy among other major causes of bladder cancer. E Radiation therapy utilized in treating certain cancers like bowel cancer, particularly when administered in the pelvic region, is believed by experts to elevate the risk of bladder cancer development potentially.
9. Family history of cancer- Once again, having a family history of bladder cancer is cited as a major factor in developing the disease. Suppose any of your parents, siblings or family members have ever had bladder cancer; your chances of suffering from the disease increase. Moreover, people who have a history of Lynch syndrome in the family are prone to suffer from bladder cancer.
10. 10. Lack of fluid intake- People who do not consume enough liquids are more prone to developing urinary tract infections and other infections. Liquids help in removing toxins from the body. Frequent infection can lead to toxins in the body, increasing the chances of developing bladder cancer.

Conclusion

Bladder cancer develops in the tissue of the bladder. There are many causes of bladder cancer, and in this blog, we have discussed some of the few prevalent reasons for the development of bladder cancer. However, treatment and outlook can depend on the stage to which the cancer has advanced. Though bladder cancer has the potential to reoccur, you need regular follow-ups to keep the situation in check. Having a comprehensive health insurance plan can help cover the costs of follow-up consultations, diagnostic tests, and treatments, ensuring you have the financial support needed to manage your health effectively and with confidence.

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 your general physician or another certified medical professional for any questions regarding a medical condition. 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.

Lung cancer is a formidable adversary that claims countless lives across the globe. It is the leading reason for cancer-related deaths worldwide, making it crucial to delve into the intricate web of factors contributing to its development. While smoking is a well-known risk factor, lung cancer can also affect non-smokers and those with limited exposure to secondhand smoke. Here, you can explore the causes of lung cancer, shedding light on modifiable and non-modifiable risk factors that can profoundly impact an individual’s health.

How is Lung Cancer Caused?

Lung cancer is a complex disease, and its causes are multifaceted. Let’s break down the various lung cancer reasons that plays a pivotal role in its development:

• Smoking

It is the primary reason for lung cancer. It involves inhaling cigarette smoke with carcinogens, gradually damaging the cells lining the lungs. With repeated exposure, normal lung cells become increasingly abnormal, eventually forming cancerous tumours. Smoking cigarettes daily and the duration of smoking directly correlate with an increased risk of lung cancer. However, quitting smoking at any stage can significantly reduce the risk.

• Exposure to Secondhand Smoke

Even if you’re not a smoker, exposure to secondhand smoke can elevate your risk of lung cancer. When others smoke, toxins in the air can infiltrate your lungs, contributing to cancer development over time. It underscores the importance of creating smoke-free environments in homes and public spaces to protect non-smokers from this insidious threat.

• Previous Radiation Therapy

Individuals undergoing chest radiation therapy as a component of their cancer treatment may have an increased risk of developing lung cancer. While radiation therapy can be a life-saving treatment, the radiation used in such therapies can damage lung tissue, potentially leading to cancer in the future. It is a sobering reminder of the delicate balance between treating one condition and inadvertently increasing the risk of another.

• Exposure to Radon Gas

Radon gas, a radioactive gas, possesses no colour or odour and arises naturally from the decay of uranium in rock and water. It can infiltrate homes and accumulate at unsafe levels, posing a significant risk to residents. Extended exposure to elevated levels of this hazardous gas is a widely recognized risk factor for lung cancer. Testing for radon levels in homes and implementing effective mitigation strategies is crucial for reducing this risk, especially in areas with known radon issues.

• Exposure to Carcinogens

Workplace exposure to carcinogenic substances can significantly elevate the risk of lung cancer, particularly if an individual is a smoker. Occupations such as mining, construction and manufacturing may involve contact with hazardous materials like asbestos, arsenic, chromium and nickel. Inhalation or skin contact with these substances can contribute to the development of lung cancer. Occupational safety measures, including proper ventilation and personal protective equipment, are essential to mitigate this risk.

• Family History

A family history of lung cancer can also increase an individual’s susceptibility. A lung cancer diagnosis in a parent, sibling or child may heighten one’s risk. While genetics play a role, shared environmental factors, such as smoking habits, can also contribute to familial clusters of lung cancer.

Conclusion

Lung cancer is a multifaceted disease with various causes and risk factors. By understanding these causes of lung cancer, individuals can make informed choices to protect their lung health and reduce their chances of falling victim to this lethal condition. Early detection and prevention efforts are crucial in the battle against lung cancer, offering hope for a future where this disease no longer holds its devastating grip on many lives. Having a robust health insurance plan can provide financial support for routine screenings, diagnostic tests, and cutting-edge treatments, ensuring access to timely care and improving the chances of successful outcomes.

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 your general physician or another certified medical professional for any questions regarding a medical condition. 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.

Securing a health insurance policy is one of the most significant decisions you can make for yourself and your loved ones. However, your responsibility as a policyholder does not end once you purchase a policy. As your plan nears its expiration date, it is essential to consider the renewal process. Renewing your health insurance policy not only ensures that you continue to receive coverage but also provides an opportunity to reassess your healthcare needs and make any necessary changes to your policy.

Health Insurance Renewal Procedure

You can complete the health insurance renewal process by following a few simple steps.

Before renewing your policy, take the time to review it. Ensure you understand the coverage, any changes in benefits or premiums, and the policy terms and conditions.

Connect with your insurance provider to initiate the renewal process. You can do this by visiting the insurer’s official website. Provide your insurance provider with any updated information, such as changes in your address or contact details.

Once you have reviewed your policy, contacted your insurance provider, and provided updated information, it is time to make payment. You can pay online, through mobile apps, or via a cheque. After making payment, you will receive confirmation of your policy renewal. Make sure to maintain a copy of this confirmation for your records.

Why Should You Renew Your Health Insurance?

• Discounts and offers: Renewing your health insurance policy on time makes you eligible for discounts and offers provided by your insurer, which can help you save on premium costs.
• Continuous coverage: Renewing your healthcare policy on time ensures you do not face any break in coverage. A coverage gap can lead to loss of benefits and require reapplication for coverage.
• Pre-existing conditions coverage: You can rest assured that your coverage for pre-existing conditions will continue, provided it falls under the policy’s terms and conditions.
• Customisation: When you renew your health insurance policy, you can customise your plan and widen the scope of coverage to suit your changing needs.
• Tax Benefits: You can avail of tax rebates as you become eligible for deductions under the Income Tax Act’s Section 80D.
• Peace of Mind: You can achieve a sense of security by renewing your healthcare plan, as it safeguards you against unexpected medical emergencies and frees your mind from anxiety.

Benefits of Renewing Health Insurance Online

• Time-saving: Renewing your healthcare policy online saves time and effort. With the easy-to-use online platform of the insurer, you can renew your policy hassle-free from the comfort of your home, office or on the go using your laptop or smartphone.
• Paperless experience: You can easily access and compare different policies, select the best one according to your requirements, and complete the renewal process with just a few clicks without furnishing any hard copy of the documents.
• Easy payment options: You can opt for quick and easy payment options, such as net banking, credit or debit cards, and mobile wallets, by choosing the online renewal process. You can easily complete the payment and obtain renewal confirmation within minutes.
• Confidentiality: Insurers employ secure payment gateways and encryption technology to safeguard sensitive information, ensuring that their policyholders’ data remains safe from prying eyes.
• Cost-effective: When you renew your policy online, the need for a health insurance agent gets eliminated. This allows you to save money on commissions while decreasing premiums. 

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 your general physician or another certified medical professional for any questions regarding a medical condition. 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.

Hepatitis is an inflammation of the liver that may be caused by a variety of viruses. The most influential form is hepatitis B, which results from infection with the hepatitis B virus (HBV). This infection can spread through contact with infected body fluids like blood, saliva, vaginal fluids and semen and can also be passed from a mother to her baby. It can cause serious health complications if left improperly treated or managed incorrectly. In this article, we'll explore the common symptoms of hepatitis B that can help ensure timely diagnosis and treatment, helping prevent any potential long-term damage to your health.

What are the Symptoms of Hepatitis B?

Hepatitis B virus usually takes one to four months of incubation time for symptoms to appear after contracting the virus, and this virus can survive outside the host body for at least 7 days without the liver being the host for this virus. During this incubation period, the virus replicates in the body and activates the immune system within 30 to 60 days after infection launches an attack against the Hepatitis B virus and develops into chronic hepatitis B, especially when transmitted in infancy or childhood. Some people experience acute illness with hep B symptoms that last several weeks, which include:

• Jaundice in which yellowing of eyes and skin appears
• Abdominal and stomach pain in the upper right quadrant
• Dark coloured urine
• Loss of appetite
• Upset stomach
• Vomiting
• Itching
• Pale-coloured stools
• Joint pain
• Fever
• Diarrhea
• Fatigue

Conclusion

To sum it up, hepatitis is a serious condition that manifests itself differently in each person and can range from mild to severe. Living with chronic hepatitis can be hard, but it's important to stay educated about the symptoms and causes so you know if you should seek professional help. Speak to your doctor if you experience any of the above-mentioned HBV symptoms. The severity of hepatitis can vary greatly and an accurate diagnosis is needed for successful treatment. Having health insurance that covers diagnostic tests, consultations, and treatments for chronic conditions like hepatitis can ease the financial burden, ensuring access to timely and effective care.

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 your general physician or another certified medical professional for any questions regarding a medical condition. 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.

Navigating the complexities of health insurance can present a challenging and overwhelming experience for many individuals. It is common to come across various insurance terminologies, such as copay and deductible, that may seem interchangeable but refer to distinct aspects of your insurance policy. Understanding the distinctions between copay vs deductible is crucial in making informed decisions about your medical care and insurance needs.

What is a copay?

Under the copay clause, the health insurance plan requires individuals to pay a fixed amount of money out-of-pocket at the time of receiving medical services. The insurer and the insured share the cost of medical services using this common feature of health insurance plans.

Suppose a health insurance plan has a copay of Rs. 1,000. The policyholder chooses outpatient department (OPD) services and visits a doctor for consultation, where the total cost is Rs 3,000. In this case, the insured needs to pay Rs 1,000 while the insurer reimburses the balance of Rs 2,000.

What are deductibles?

Deductibles refer to a fixed amount of money an individual needs to pay out-of-pocket for healthcare services before his/her insurance policy begins to cover the costs. Essentially, it is the amount an individual must pay before the insurance plan kicks in to cover the remaining expenses.

There are two categories of deductibles in health insurance: compulsory and voluntary. Insurers set compulsory deductibles, which are mandatory for all policyholders; a policyholder can choose a voluntary deductible that the person can adjust according to his/her preferences.

For example, if an insurance policy has a deductible of Rs 5,000 and an individual incurs a medical bill of Rs 10,000, the person would need to pay the initial Rs 5,000. The insurance company would cover the remaining Rs 5,000.

Difference between copay and deductible

Which one to choose: Copay or Deductible?

When deciding between a health insurance deductible vs copay, there are several key considerations to keep in mind:

• Healthcare needs: Consider your needs, including ongoing medical conditions, prescriptions, or regular check-ups. If you anticipate needing frequent healthcare services, a plan with lower or no copays may be better.
• Budget: Consider your budget and how much you can pay out of pocket for healthcare expenses. Although plans with higher deductibles often have lower monthly premiums, it means that you have to pay a larger amount of your healthcare expenses before your insurance begins to cover the remaining costs.
• Risk tolerance: Consider your risk tolerance. A plan with a higher deductible may be better if you are willing to take on more risk in exchange for lower monthly premiums.

Disclaimer: The information provided in this blog is for educational and informational purposes only. It may contain outdated data and information regarding the relevant industry. It is advised to verify the relevance of the data and information before taking any major steps. ICICI Lombard is not liable for any inaccuracies or consequences resulting from the use of this outdated information.

As the fiscal year’s end looms closer, most of us are left rushing about in an attempt to make heads or tails of our financial situation. We review our bank statements, tally up our expenses, and try to make sense of the numbers. What if we were to inform you there exists a viable solution to alleviate the stress associated with this process? Here, we introduce Sections 80C and 80D of the Income Tax Act to you. These two Sections offer a world of possibilities when it comes to saving on taxes and maximising your income.

Understanding income tax deductions in health insurance

The deduction sum an individual is eligible for depends on several factors, such as the policyholder’s age and the sum insured. For instance, an individual under the age of 60 years can claim up to Rs 25,000 as a deduction, while those above 60 can claim up to Rs 50,000. Additionally, policyholders paying health insurance premiums for their parents can claim an extra deduction of up to Rs 25,000 (parents under 60) or Rs 50,000 (parents above 60).

It’s important to note that the deduction is applicable only for health insurance plans and not for other types of insurance, such as life insurance policies. Additionally, the deduction benefit is only available for payments made through cheques, electronic transfers, or demand drafts.

How much deduction can I claim under Sections 80C & 80D?

Since we have already discussed the deduction limit under Section 80D, let’s throw some light on another Section in question. Under Section 80C, a deduction of up to Rs 1.5 lakh per financial year on multiple schemes is available. Some eligible investments under this section include:

• Life insurance premiums: Any premiums paid towards life insurance policies, including term plans, endowment plans, and ULIPs, qualify for a deduction under Section 80C. The insurance must be under the name of the person paying tax or their spouse or children. Additionally, the policy premium must not surpass 10% of the coverage amount.
• Public Provident Fund (PPF): Contributions made towards a PPF account are eligible for a deduction under Section 80C. The interest earned is also tax-exempt.
• Equity-Linked Saving Scheme (ELSS): It is a mutual fund investment where the fund manager parks your money primarily in companies’ equity shares. 
• National Savings Certificate (NSC): NSC is a government scheme where the interest earned is reinvested and paid out in full at maturity.
• Sukanya Samriddhi Yojana (SSY): SSY is a government scheme promoting girl child welfare, offering eligible 80C deductions on contributions and tax-free interest earnings.

Eligibility criteria for tax deduction under Section 80C & 80D

To be eligible for tax benefits under both sections, avoid the following things.

Section 80C:

• Do not invest in non-specified schemes that are ineligible for a tax benefit.
• Do not exceed the maximum limit of Rs 1.5 lakhs per year for the deduction claimed.
• Do not claim tuition fees for more than two children.
• Do not forget to include home loan principal repayment and life insurance premium paid while claiming deductions.

Section 80D:

• Do not claim medical expenses that an insurance company or employer has reimbursed.
• Do not claim preventive health check-ups for more than Rs 5,000.
• Do not claim medical insurance premiums paid for non-eligible family members such as siblings or grandparents.
• Do not claim deductions for medical expenses incurred outside India.

Conclusion

Maximise your tax savings with income tax deductions under Sections 80C & 80D. Choose eligible instruments, consult a chartered accountant if you need clarity on Sections 80C and 80D limit, and avoid penalties for incorrect filing. Save smart, save big!

Disclaimer: The information provided in this blog is for educational and informational purposes only. It may contain outdated data and information regarding the relevant industry. It is advised to verify the relevance of the data and information before taking any major steps. ICICI Lombard is not liable for any inaccuracies or consequences resulting from the use of this outdated information.

Most of us try to maintain a fit lifestyle and take necessary precautions to prevent illnesses and injuries. Notwithstanding our utmost endeavours, certain medical conditions may remain beyond our control; such health conditions are pre-existing diseases (PED). These ailments could be hereditary or a result of us leading a hectic and sedentary way of living. While it is essential to have insurance coverage for PED, policyholders must be aware of the waiting period associated with them. 

What is Waiting Period?

A waiting period is a specific time in an insurance policy that must pass before the policyholder can receive benefits, such as cashless treatment. Waiting periods are a risk management tool employed by insurance companies to prevent policyholders from making immediate claims after obtaining a policy.

The duration of waiting periods can differ depending on the policy type and the benefits you claim. However, the exception to this clause is hospitalisation due to accidental injury. For example, if the policyholder sustains an injury while riding a bike or gets hit by another vehicle, the insurer will reimburse the treatment expenses.

What are the Waiting Periods for Pre-existing Conditions?

• A pre-existing condition is a medical issue or illness that exists before the policy purchase date.
• Insurance policies come with waiting periods for pre-existing conditions; during this time, a policyholder does not get coverage for treatment expenses related to the condition.
• The waiting period for pre-existing conditions can vary from policy to policy, ranging from a few months to several years, and gets typically specified in the policy document.

For example, a person has a pre-existing condition such as diabetes and purchases a health insurance policy with a one-year PED waiting period. If the person requires medical treatment for diabetes during the waiting period, his/her insurance provider will not cover the expenses. The policyholder needs to carry the burden of the treatment cost during this period.

Things you should know about Pre-existing conditions or PED

Now that you know the PED waiting period meaning, let’s look at certain important factors that you should be aware of.

• Impact on policy renewal: PED can also impact policy renewal, as insurers may review claims history and medical records to assess risk and premiums. Maintaining accurate medical records and following treatment plans to minimise the impact on policy renewal is crucial.
• Premiums for PED: Insurance policies for individuals with PED may have higher premiums due to the increased risk of claims. It is essential to compare policies and premiums across different insurers to find the best coverage for the most reasonable price.
• Disclosure of PED: Policyholders are required to disclose any pre-existing conditions at the time of policy purchase. Failure to disclose a PED can result in the insurer rejecting claims related to the pre-existing condition.
• Permanent exclusion of PED: Some insurance policies may permanently exclude coverage for certain PED, even after the waiting period has passed. It is essential to carefully review policy documents to understand the exclusions and limitations related to PED.

Disclaimer: The information provided in this blog is for educational and informational purposes only. It may contain outdated data and information regarding the relevant industry. It is advised to verify the relevance of the data and information before taking any major steps. ICICI Lombard is not liable for any inaccuracies or consequences resulting from the use of this outdated information.

Studying abroad is an incredible experience that opens doors to new knowledge and cultures. However, ensuring the well-being of students in a foreign country is crucial. That's where medical insurance for students studying abroad comes into play. With comprehensive coverage tailored for international students, it provides financial protection and peace of mind in unexpected illnesses or injuries.

From medical expenses to emergency evacuations, this insurance is a vital safety net that allows students to focus on their studies and exploration without worrying about healthcare costs.

Health Insurance For Students Studying Abroad 

Studying abroad is a transformative experience, allowing students the chance to broaden their horizons and gain a global perspective. However, amidst the thrill of exploring a new country and immersing oneself in a different culture, it is essential not to overlook the importance of health insurance.

Health Insurance for students studying abroad acts as a safety net, providing coverage and peace of mind in case of unexpected medical emergencies or healthcare needs. It offers protection against medical expenses, ensuring students have access to quality healthcare services and can focus on their studies without having to worry about the financial burden of medical bills.  

From routine check-ups to emergency treatments, student abroad health insurance offers comprehensive coverage tailored to their unique needs. Whether it’s a minor illness, a sudden injury, or even a severe medical condition, having the right health insurance ensures that students receive the necessary care and support during their time abroad. So, before embarking on an educational journey abroad, it is crucial for students to prioritise their health and well-being by securing a reliable health insurance plan. With the right coverage in place, students can fully embrace their international education experience, knowing that their health is well-protected.

Importance of Health Insurance For Students Studying Abroad 

• Health insurance for students studying abroad provides crucial protection and peace of mind in unforeseen medical emergencies or healthcare needs.
• It serves as a safety net, ensuring access to quality healthcare services and preventing the financial burden of medical expenses.
• Health insurance covers a range of healthcare needs, from routine check-ups to emergency treatments, offering comprehensive coverage tailored to the unique requirements of students studying abroad.
• It safeguards against the costs of medical treatments, medications, hospital stays, and surgeries, allowing students to focus on their studies without worrying about the financial implications of healthcare.
• Medical insurance for students studying abroad also assists and supports them in navigating the host country’s healthcare system. It makes the task of finding appropriate medical facilities and professionals easy.
• Having the right health insurance ensures prompt and adequate care for students in the event of a minor illness, sudden injury, or even a severe medical condition.
• It offers a sense of security and ensures that students can fully embrace their educational experience abroad, knowing their health and well-being are protected.
• Securing a reliable health insurance plan before studying abroad is essential to prioritising students' health and overall well-being during their international educational journey.

Disclaimer: The information provided in this blog is for educational and informational purposes only. It may contain outdated data and information regarding the relevant industry. It is advised to verify the relevance of the data and information before taking any major steps. ICICI Lombard is not liable for any inaccuracies or consequences resulting from the use of this outdated information.

As a responsible family member, you recognise the importance of looking after your family’s health and well-being. While maintaining a healthy lifestyle and getting regular medical check-ups are important, unexpected health emergencies can put a strain on your finances. Obtaining adequate health insurance coverage is critical to protect your family’s health and finances. However, with so many health insurance policies in the market, choosing the best one for your family’s needs can be difficult.

Why Compare Health Insurance Plans for Family?

When it comes to obtaining health insurance coverage for your loved ones, comparing family health insurance is crucial to ensure that you select the most appropriate policy that meets your needs. For example, let’s say you have a family of four with two young children who require frequent medical attention for vaccinations, check-ups, and occasional illnesses. In this scenario, you may want to opt for a family plan offering extensive coverage for paediatric care, including doctor visits, lab tests, and prescription medications.

By making a family health insurance comparison, you can evaluate diverse factors, such as premium costs, coverage limits, and co-payments, that can impact your financial situation. For instance, you may want to consider a policy with a higher premium cost that offers lower co-payments and deductibles to reduce your out-of-pocket expenses.

How to Evaluate Health Insurance Plans for Family?

Reviewing the following parameters, you can compare family floater plans by various insurers.

• Determine your requirements: Consider your family’s medical history, any pre-existing conditions, and the level of coverage required.
• Compare premium costs: Look at the premium amounts of different plans, and determine which ones fit your budget. Be sure to consider any out-of-pocket expenses like co-payments, deductibles, and coinsurance.
• Evaluate coverage limits: Assess the maximum amount different policies or insurers offer for specific medical procedures, tests, and treatments.
• Examine exclusions: Review the policy’s list of medical procedures, treatments, or conditions that do not get covered. Verify that any exclusions align with your family’s healthcare needs and preferences.
• Check waiting periods: Explore the policy’s terms and conditions to find out if any waiting periods apply for coverage of specific treatments or procedures.
• Understand renewal provisions: Review the policy’s renewal terms and provisions, including any rate hikes or changes to coverage.
• Assess customer service: Consider the level of customer service provided by your insurance provider, including the accessibility of customer support and the ease of filing claims.

Disclaimer: The information provided in this blog is for educational and informational purposes only. It may contain outdated data and information regarding the relevant industry. It is advised to verify the relevance of the data and information before taking any major steps. ICICI Lombard is not liable for any inaccuracies or consequences resulting from the use of this outdated information.

Life hits us with multiple uncertainties - an accident, sudden illnesses, and whatnot. But amidst all this chaos, the beacon of reassurance comes through health insurance.

Family health insurance is like an umbrella covering you and your entire family in medical emergencies. Contrary to the prevailing notion that health insurance is only necessary for the elderly or those with pre-existing health conditions, everyone must have coverage. In Kerala, you can choose the best family health insurance policies offering comprehensive coverage.

Importance of Buying Family Health Policy in Kerala

Here are all the right reasons for you to invest in family health insurance in Kerala:

Due to medical inflation, the cost of healthcare facilities has grown tremendously over time in Kerala. Hence, relying solely on your savings is not the right financial decision. It becomes paramount to secure top-tier medical insurance in Kerala. This ensures ongoing financial stability for the insured individuals.

• Lifestyle changes

The lifestyle has changed in multiple ways. People today only engage themselves in physical activities a little. When caught up in work pressure, there is less time to devote to one's health. Alongside this, the dietary choices have also become worse. This increases the number of health complications in people living in Kerala. Opting for comprehensive health insurance is imperative in this landscape. Such coverage offers regular complimentary health check-ups and safeguards against the progression of potential health issues.

• Cashless treatments

You can buy the best family health insurance in Kerala to get cashless treatments. It allows policyholders to receive medical treatment at network hospitals without paying upfront expenses. Instead, you can focus on your recovery while the insurance covers your bills.

• Tax reductions

The government of India provides tax reductions to taxpayers who invest in health insurance. Section 80D of the Income Tax Act 1961 permits individuals and HUFs to avail deductions and tax advantages for the premiums paid towards health insurance and expenses incurred on preventive health check-ups during a fiscal year. This provision not only assists in handling medical costs but also provides a means to mitigate high tax liabilities.

• Safety net

Health insurance can help you stay financially supported during tough times. A medical emergency can deplete your savings without a health insurance policy, adversely affecting your financial standing.

• Floater plans

Family health insurance policies typically offer the convenience of covering the entire family under a single plan, often referred to as a family floater policy. This simplifies insurance coverage management for all family members and saves costs compared to individual policies for each family member.

Why You Should Buy ICICI Lombard Family Health Insurance in Kerala?

ICICI Lombard Family Health Insurance in Kerala will offer you several benefits, including the following:

• Daycare procedures

 There are some illnesses where an individual gets hospitalised for less than 24 hours. Will this be covered under insurance? Well, yes, in the case of ICICI Lombard Family Health Insurance. Treatments that require no hospitalisation are covered under health insurance.

• Domiciliary expenses

Some circumstances require the patient to be treated at home. These conditions may include the fact that there is no room in hospitals (as was the case in COVID-19) or that the patient cannot be hospitalised. In such situations, the expenses incurred for treatment will also be covered under this benefit.

• Organ donation

When a patient receives an organ, the medical expenses usually exceed the cost of the organ owing to the lengthy procedures. However, health insurance can cover these expenses as well, so your financial situation would not be severely affected during untoward times.

• AYUSH treatments

There are various alternative treatments in India, such as Ayurveda and Unani. Are you wondering if expenses incurred while seeking these alternative treatments will be covered?

Rest assured, you can also seek coverage for such AYUSH treatments.

• In-patient treatment

When a patient requires hospital admission for tests, treatments, or medical procedures, it constitutes in-patient hospitalisation. This includes individuals undergoing pre-scheduled surgeries or those facing medical emergencies. Patients admitted to the in-patient department often necessitate close monitoring and care from healthcare providers. This gets covered under the best family health insurance in Kerala offered by ICICI Lombard.

Investing in a health policy is one of the wisest decisions you can make. Consult with an advisor to select the optimal plan, ensuring your family's well-being.

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.

It might seem impossible for women to produce testosterone. Despite this, it is vital to recognise testosterone is also present in women. Male reproductive organs generally produce testosterone, but female reproductive organs can also do it.

In females, ovaries produce some quantities of testosterone mixed with estrogen. Testosterone's presence in the body of females is not harmful until it reaches the limit. Regardless of gender, everyone should be aware of the symptoms of high testosterone in females. In this article, let us discuss the signs of high testosterone in a woman.

What are the signs of high testosterone in a woman?

High testosterone in women can lead to many irregular problems and symptoms. Most of these symptoms are easily observed, but they can vary individually.

Symptoms of high testosterone in women that are generally common are:-

• Body Hairs

Testosterone in males causes them to have a thick beard and body hair. Females may also experience excessive body hair if testosterone increases, especially in areas of the face that are not typically hairy.

• Balding

Increased testosterone can lead to an increase in DHT hormones, resulting in hair loss. However, this does not affect the body hair; it just affects the hair on your head.

• Acne

Males generally suffer acne and pimples in their teenage years, and that's due to testosterone. The same can happen with women if they suffer High levels of testosterone.

• Breast Size

Testosterone levels in women can define their body (muscle) mass. High testosterone can increase the muscle mass in the area of arms and shoulders. This would eventually cause a decrease in breast size.

Conclusion

High testosterone levels in men are exceptionally beneficial for them. This is because it causes them to gain muscle mass and build a good physique. However, in women, testosterone may not be that useful. High levels of testosterone in women can harm the balance of other essential hormones in their bodies. Also, different unusual physical changes can be seen as symptoms of high testosterone in women. Having a health insurance plan that includes coverage for hormonal disorders can help women access necessary diagnostic tests, consultations, and treatments to manage the condition effectively and maintain overall well-being.

Disclaimer: The information provided in this blog is for educational and informational purposes only. It may contain outdated data and information regarding the Insurance industry and products. It is advised to verify the currency and relevance of the data and information before taking any major steps. ICICI Lombard is not liable for any inaccuracies or consequences resulting from the use of this outdated information.  

A preventive health check-up is a proactive measure to identify any potential health issues before they get worse. This will help us prevent diseases in the early stages and maintain good health. Preventive health check-ups include vaccinations, regular check-ups for blood pressure and cholesterol, screening tests, physical examinations, etc. Most people in India rely on their life savings to pay their medical bills instead of buying medical health insurance policies thus exhausting their lifetime savings. To encourage people to buy health insurance plans, the government of India has introduced tax benefits under Section 80D of the Income Tax Act, of 1961. There are special provisions for tax deductions for preventive health check-ups under 80D. The claim can be made for preventive health checkups done for ourselves, our parents, or our family members.

What is a Preventive Health Check-Up Under 80D?

In India, preemptive health examinations are eligible for tax benefits under Section 80D of the Income Tax Act. We can claim income tax deductions on the expenses incurred for preventive health checkups for ourselves and our family members. It reduces the burden of preemptive medical examination expenses and also encourages people to put their health and well-being first by getting preventative health checkups, not having to worry about the charges.

Taxpayers,  including individuals, and Hindu Undivided Families (HUFs), can claim tax deductions under Section 80D for the preventive health examination costs they have paid.

For individuals and their family members, the maximum deduction permitted for preventative health check-ups is Rs. 5,000 every financial year. This deduction is in addition to the tax deduction available for health insurance premiums under Section D of the Income Tax Act.

The procedure for claiming a tax deduction for a preventive health check-up is simple. When we get any preventive health checkup done from a reputable hospital or diagnostic centre, we will receive reports and bills for the same. We will need these documents to get a refund, so keep them secure. If we are employed, we can claim the 80D deduction by providing our employer with proof of preventive medical checkup bills or we can also claim it when filing our income tax return (ITR).

The tax deduction allowed for preventive health checkups under 80D of the Income Tax Act thus supports our financial planning and helps us manage expensive preventive health checkup bills.

Disclaimer: The information provided in this blog is for educational and informational purposes only. It may contain outdated data and information regarding the relevant industry. It is advised to verify the relevance of the data and information before taking any major steps. ICICI Lombard is not liable for any inaccuracies or consequences resulting from the use of this outdated information.

In a health insurance policy, the coinsurance clause depicts the fixed percentage of costs of a covered healthcare service that you must pay after you've paid your deductible. For instance, if your healthcare policy document states that you must pay 20% of the medical bill as coinsurance, you are liable to pay this fixed percentage while your insurer will pay the remaining 80%.

This cost-sharing ratio lasts until you share your out-of-pocket maximum. The insurance company bears the related medical expenses thereafter. Coinsurance, vital to the overall scheme of health insurance, serves as a medium where healthcare costs are shared between the policyholder and the insurer.

What is coinsurance in health insurance?

Coinsurance in health insurance safeguards insurers against hefty claims. The coinsurance clause stipulates a fixed percentage, which is mentioned clearly in the policy document. This percentage aligns with the maximum out-of-pocket expenses you can incur annually before your insurance covers the rest. For instance, you get hospitalised, and the medical bill comes to INR 20,000. If your policy states that you must pay 20% of the total amount as coinsurance, you must pay INR 4,000 while your insurer will settle the remaining 80% (i.e., INR 16,000) of the billed amount.

Although the coinsurance percentage remains intact, policyholders must first meet their deductible before coinsurance applies.

Difference between Copay and Coinsurance

Copay in health insurance refers to expenses a policyholder has to bear as a fixed portion of the total costs for medical treatment. However, the remaining expenses are borne by the insurer. The policyholder must pay a fixed amount or percentage of the total cost. 

Copay and coinsurance differ in various aspects. 

Differences between Coinsurance and Deductible

A deductible is a fixed amount a policyholder has to pay before the insurer starts contributing towards the medical treatment. For example, if your policy necessitates a deductible of INR 5000, you will have to bear treatment expenses of up to INR 5000 before the insurer starts paying. 

Deductibles differ from coinsurance payments on a few criteria:

Conclusion 

Comprehending the notion of coinsurance in health insurance is comparable to working with your insurer to manage medical costs. Coinsurance in health insurance ensures that financial responsibilities are distributed fairly by splitting the expenses after you pay the deductible. 

Choosing a comprehensive health insurance policy with coinsurance features is smart if you want to maintain your financial stability and be ready for medical emergencies. For financial security and peace of mind, embrace this team-based approach to healthcare coverage.

Disclaimer: The information provided in this blog is for educational and informational purposes only. It may contain outdated data and information regarding the relevant industry. It is advised to verify the relevance of the data and information before taking any major steps. ICICI Lombard is not liable for any inaccuracies or consequences resulting from the use of this outdated information.

Epididymitis is the inflammation of a tube in the male reproductive system, leading to pain and swelling. There are two types: acute (sudden, lasts <6 weeks) and chronic (develops slowly, lasts >6 weeks). It can affect males of any age. When the inflammation includes the testicles, it's called epididymo-orchitis. Understanding epididymitis types is essential for effective care.

What are The Types of Epididymitis?

Acute Epididymitis:

When the epididymis suddenly swells up, it's called acute epididymitis, usually caused by a bacterial infection. The symptoms include rapid swelling, redness, and pain in the affected testicle. Getting quick medical help, like antibiotics, often works well, and the symptoms usually go away with treatment.

Chronic Epididymitis:

Chronic epididymitis means the inflammation in the epididymis lingers on for a while. The symptoms, like a dull and lingering pain, develop slowly. Even with treatment, these symptoms might not completely go away. Managing chronic epididymitis requires ongoing medical care and a specific plan to address the root causes.

Conclusion

Epididymitis, marked by inflammation in the epididymis – the tube aiding sperm transport at the back of the testicle, can disrupt daily life. Health insurance ensures accessible treatment, eliminating infection and improving symptoms. Adhering to prescribed medications and healthcare provider's advice is vital for a successful recovery.

Disclaimer: The information provided in this blog is for educational and informational purposes only. It may contain outdated data and information regarding the relevant industry. It is advised to verify the relevance of the data and information before taking any major steps. ICICI Lombard is not liable for any inaccuracies or consequences resulting from the use of this outdated information.

Numerous diseases, infections, and several other health-related problems are becoming increasingly common. A medical exigency can wipe out your savings and cause financial distress.

Hence, opting for a comprehensive health insurance policy that fits all your healthcare requirements and budget is essential. When you decide to purchase a health insurance policy for yourself, you might come across different terms such as deductibles, copayments, etc. Here, we will try to cover the difference between copayment and deductible so you know how they affect your policy.

Copayment vs Deductible — Which is Better?

So, what is the difference between copay and deductible?

The deductible is a crucial factor in determining when your coverage kicks in. Essentially, it's the threshold your medical expenses must cross before your insurance policy starts paying.

For example, Ms Riya has a health insurance plan with a coverage of INR 2,00,000 and a deductible of INR 15,000. For her to tap into her insurance benefits, her medical costs must surpass INR 15,000.

A copayment is the portion of your claim that you have to cover yourself. This idea stems from sharing the financial load of insurance between you and the insurer. A copay can be a fixed amount or a percentage of your plan's sum insured.

For example, Mr Raj’s health insurance plan has a sum insured of INR 2,00,000 with a 10% copay. If he files a claim for INR 80,000, he’ll need to pay INR 8,000 (i.e., 10% of the claim), and the insurer will cover the remaining INR 72,000.

We will try to bring out the difference between the two in the table below.

The above table clearly illustrates the difference between copay and deductibles. Both of them account for a reduction in healthcare policies. The lower your deductible, the higher your premium will be. Similarly, the higher the copay amount, the lower your premium will be. Understanding the difference between copay and deductible is essential for selecting the right healthcare plan.

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.

Value-based care is crucial to the current healthcare revolution, which aims to reduce rising costs and improve patient outcomes worldwide. It emphasises the importance of revamping delivery systems and prioritises arranging treatment around the objective of value for patients. Streamlining services in the healthcare sector with a focus on value-based care will not only result in improved patient outcomes but also positively impact the economy.

Value-Based Care Meaning

Let us first understand what is value-based healthcare.

Value-based healthcare refers to a model of care delivery wherein hospitals and doctors get paid according to the results of their patients. This model correlates with how well the patient has achieved his/her health goals and not the fee-for-service result. The healthcare provider is encouraged to focus on the health and recovery of patients, treating chronic conditions, and increasing preventive care. 

The "value" is a result of what happened in terms of the health outcomes and to what cost they are achieved. This approach results in a shift in healthcare delivery, prioritising quality over quantity. By orienting rewards with outcomes, value-based care strives for the best patient health outcomes while keeping costs in check. 

Benefits of Value-Based Healthcare Delivery

Now that you know value-based care meaning, let’s look at its advantages. The following are some significant benefits of value-based healthcare delivery:

· Better Health and Lower Cost for Patients

Patients' health outcomes improve, resulting in less monetary burden on them. Managing and treating chronic diseases that require long-term treatment, such as diabetes, hypertension and cancer, prove to be less expensive. Value-based healthcare eases costs for patients as there is less need for doctor consultations, diagnostic tests, and medication, leading to improved overall well-being.

· Economy and Patient Satisfaction

By emphasising the prevention-oriented approach to therapies and reducing the time required to manage chronic conditions, the efficiency of care providers is increased alongside patient satisfaction. As priority is given to quality instead of volume, it reduces the risk of suffering financial loss from capitated payment.

· Price positioning alignment with patient performance

Suppliers can align products and services, leading to enhanced patient performance and lower costs. Stakeholders in the healthcare domain are recommending the alignment of the prices of medicines to their actual value to patients.

· Improved Coordination and Reduced Risk

Value-based healthcare ensures continuous coordination of care. Service providers can work jointly more often, communicate efficiently, and share information to achieve more consistent, high-quality patient care as they shift in and out of different care settings. Also, fewer claims will result in less drainage of insurers' investments and pools. Insurers will face reduced risk and can even bundle payments covering the entire care cycle or any chronic condition over a stipulated period.

· Data-Driven Decision Making

The value-based healthcare model is supported by research-based evidence and accountability assessments. Using data on patients' results, spending, and resource utilisation, healthcare providers can identify areas for improvement, take evidence-based actions, and track progress. This data-driven approach allows healthcare providers to make well-informed decisions.

Conclusion

Value-based healthcare is an innovative approach that seeks to reduce expenses and improve patient outcomes. It encourages preventative care, chronic illness management, and patient education by rewarding healthcare providers based on patient health outcomes rather than procedures and fees. Patient satisfaction is enhanced by this approach to provide quality healthcare. A comprehensive health insurance plan and value-based care will go a long way in encouraging efficiency, cost savings, and greater cooperation throughout the healthcare domain.

Disclaimer: The information provided in this blog is for educational and informational purposes only. It may contain outdated data and information regarding the relevant industry. It is advised to verify the relevance of the data and information before taking any major steps. ICICI Lombard is not liable for any inaccuracies or consequences resulting from the use of this outdated information.

There is an alarming rise in non-communicable diseases in India. Moreover, a recent study by Insurtech company Plu points out that medical inflation has reached 14% in India. If we look at the Out-of-Pocket Expenditure (OOPE) in total Health Expenditure in India, it stands at 47.1%. Although there has been a decline in OOPE, these statistics point out the importance of investing in a health insurance policy.

A health insurance policy not only covers hospitalisation and treatment costs but also includes day care procedures and alternative treatments. A significant number of health insurance plans offer a cashless treatment facility across a wide network of hospitals in India, which is incredibly beneficial in emergencies. Several health insurance policies also cover the cost of hospital room rent during your stay.

Apart from the benefits of health insurance discussed above, it is also a wise financial investment. This is because health insurance is also a tax-saving instrument.

So, let’s look at the answer to the question, “Is health insurance worth it?”

Is investment in health insurance worth it?

Here is why purchasing a health insurance policy is worth it.

Health insurance not only covers hospitalisation costs but also includes OPD visits, diagnostic tests, medications, and both pre- and post-hospitalisation expenses.

Most healthcare expenses are for treatments that do not require a 24-hour hospital stay. Nowadays, even such procedures are covered under health insurance policies.

Nowadays, health insurance plans also cover alternative therapies (AYUSH) like Ayurveda, Unani, Homoeopathy, etc.

The facility of availing cashless hospitalisation simplifies the process of getting quality healthcare at a healthcare establishment of your choice during emergencies; the insurer settles your medical bills directly with the hospital, and you don’t have to worry about paying anything upfront.

Healthcare plans offer room rent coverage. The exact coverage for room rent depends on each policy; some policies offer full coverage, and others a specific percentage.

Policyholders can avail of a tax rebate on premiums paid for a healthcare plan under Section 80D of the Income Tax Act, 1961.

• If you pay health insurance premiums for your family and your age is less than 60 years, you are qualified to receive a tax deduction of Rs 25,000.
• If you pay health insurance premiums for yourself and your parents aged less than 60, you can claim a tax rebate of Rs 50,000 (Rs 25,000 for yourself and Rs 25,000 for your parents).
• If you pay for your parents' health insurance, too, you can claim a Rs 75,000 deduction if they are senior citizens. (Rs 25,000 for yourself and Rs 50,000 for your parents).
• If you and your parents are both above 60 years old, you can claim about Rs 1,00,000 in deductions. You can claim Rs 50,000 each for you and your parents.

Conclusion

Now that you know why health insurance is a worthy investment, consider opting for a comprehensive healthcare plan. Apart from coming to the rescue in a health crisis, a health insurance policy is also a tax-saving instrument. Health insurance is not an expense but a crucial investment in today’s times, when both the incidence of diseases and healthcare costs are only rising.

Disclaimer: The information provided in this blog is for educational and informational purposes only. It may contain outdated data and information regarding the relevant industry. It is advised to verify the relevance of the data and information before taking any major steps. ICICI Lombard is not liable for any inaccuracies or consequences resulting from the use of this outdated information.

Health alerts don't have a ringtone. They strike unexpectedly. Sounds too scary, right? Health emergencies leave people around us strained with unexpected expenses, paperwork in the hospital, delayed medical aid, and whatnot. Health insurance plans take care of your expenses, but the formalities in the hospital can make one go wild. That is where the Third Party Administrator (TPA) in health insurance comes into play.

Let's delve deeper into the blog to learn what is an insurance TPA and comprehend the role TPAs play in the healthcare domain.

What is a Third-Party Administrator (TPA) in Health Insurance?

Third-party administrator (TPA) is the connecting dot between you as a policyholder and the insurance company from which you have taken the healthcare plan. A TPA is a company registered with the Insurance Regulatory and Development Authority of India (IRDAI) and engaged by insurers. Thus, TPA is an external party that deals on behalf of your health insurance company with policy claims and customer support. Insurance companies also offer in-house claim settlement teams with a shorter turnaround time. External TPAs are dependent on the insurance company for claim settlement. TPAs are chosen by insurers; you can cancel or switch to another TPA if the insurer approves it; however, you will have to give a valid reason explaining why you want to do so.

What is the Role of TPA in Health Insurance?

Now that you know the insurance TPA’s meaning, let’s dig deeper and understand what exactly is a TPA’s role. The third-party administrator (TPA) plays a crucial role in the claim settlement process and in providing services to the insured. It includes the following:

• Seamless hospitalisation services

Inform your TPA of the prevailing situation if you are hospitalised in an emergency and need to claim on your health insurance plan. The TPA will coordinate between the hospital and the insurance company for cashless claim settlement or reimbursement.

• Cashless claim settlement

When you get admitted to an in-network hospital of your insurance provider, you must notify the TPA immediately if it is a medical emergency. If it is a planned procedure, you must notify the TPA 2-3 days in advance. Upon verification, the TPA will give pre-authorised approval for cashless treatment on behalf of the insurer. At the time of discharge, the hospital shares the bills with TPA. After the examination of the bills, the TPA facilitates payment.

• Provides a health card

TPAs issue a health card to policyholders. It is a document showing the policy details required when processing claims.

• Maintains database

A TPA is your archive. It keeps all the essential records needed to manage and verify claims.

• Grievance redressal services

Policyholders can raise their queries through the dedicated TPA platform.

• Value-added services

TPAs offer additional services such as arranging for an ambulance, medicines, and extra beds in the hospital.

How Does TPA Benefit Policyholders?

By now, you must be aware of the meaning of TPA in insurance. Let's see what benefits TPA has to offer policyholders. Out of the multiple benefits of TPA, the significant ones include the following:

• TPA stays in contact with a network of hospitals with a panel of experienced doctors. When a medical emergency occurs, the TPA is notified.
• Smooth and efficient reimbursement claim settlement process
• TPAs serve as nodal points of contact with the insurance company.
• A TPA provides seamless customer service to policyholders on behalf of the insurance company.
• TPAs provide all the required information about health insurance plans, including any recent changes to the policy, the validation of claims, queries regarding the sum insured sum, and much more.
• A TPA simplifies the entire claim settlement process and guides policyholders through every step.
• TPAs provide 24X7 customer support.
• TPAs provide ID cards to policyholders and assist with the documentation.

TPAs provide back-end support to insurers and help facilitate claim settlement. Policyholders can contact TPAs to resolve all queries related to their healthcare plans, ensuring improved quality of services and quicker resolution of issues.

Conclusion

Knowing what is TPA in health insurance helps you gain a clear understanding of their operational services. TPAs serve as an intermediary between insurers and policyholders and help with the hassle-free settlement of claims.  

Disclaimer: The information provided in this blog is for educational and informational purposes only. It may contain outdated data and information regarding the relevant industry. It is advised to verify the relevance of the data and information before taking any major steps. ICICI Lombard is not liable for any inaccuracies or consequences resulting from the use of this outdated information.