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  • What is Waiting Period in Health Insurance?

    by Almog Ramrajkar | May 24, 2023

    Health insurance plans offer coverage for medical expenses incurred by the insured that typically involves payment of a premium against the coverage provided by the insurer. However, apart from the coverage and premium, you must consider certain additional factors before buying a health insurance policy. One such important factor is the waiting period. Waiting periods in health insurance are specific time durations during which certain benefits or coverage may not be available, depending on the policy terms and conditions. Waiting periods can vary in duration and may apply to pre-existing conditions, specific illnesses, or treatments.

    Definition of Waiting Period

    A waiting period in health insurance is a time during which an individual who has bought a health insurance plan must wait before he/she becomes eligible to avail of certain benefits or coverage. It is the time between the purchase of the healthcare plan till the coverage kicks in. It is a predetermined period starting from the date of policy issuance or when the plan becomes active. During this time, the insured individual cannot receive coverage for specific services or conditions, as mentioned in the policy terms.

    What are the Types of Waiting Periods in Health Insurance?

    Below are some types of waiting periods in medical insurance that you should be aware of.

    • General Waiting Period:

    Also known as the policy waiting period or the initial waiting period, this type of waiting period is the time that starts from the date of policy issuance or the plan’s date of purchase. During this period, the insurer offers no benefits or coverage for any medical condition or treatment except for accidental injuries.

    • Waiting Period for Pre-existing Diseases:

    Some health insurance plans may have a specific waiting period for pre-existing diseases or conditions. As the name suggests, a policyholder cannot avail of coverage or benefits for any pre-existing condition during this waiting period. This duration of the waiting period for pre-existing diseases or conditions also varies depending on the policy and can range from a few months to a few years.

    • Waiting Period for Specific Illnesses or Treatments:

    Some healthcare plans may have waiting periods for specific illnesses or treatments, such as maternity coverage or dental treatment. These waiting periods may vary depending on the policy as well as from insurer to insurer.

    Why is it Important to Buy Health Insurance Early?

    Health insurance policies often come with waiting periods, as discussed above. By purchasing a healthcare plan early, you can avoid or minimise the duration of these waiting periods in health insurance. This allows you to avail of coverage for various medical conditions, treatments, or medical services without having to wait for an extended period. This ensures you can access the necessary and timely medical care when you require it the most.

    If you have pre-existing medical conditions, purchasing health insurance early is crucial. As health insurance policies may have waiting periods for pre-existing diseases, and the duration of these can vary, buying medical insurance earlier is wise. You can complete the waiting period for pre-existing conditions sooner and start availing of the coverage for your existing medical conditions.

    Buying health insurance early also comes with several benefits, like lower premiums and easy or no health check-ups.

  • What is Top-Up in Health Insurance?

    by Almog Ramrajkar | May 24, 2023

    Given the increase in lifestyle ailments and medical inflation, sometimes your basic health plan may not be adequate. This is where top-up health insurance can help you. So, what is top-up in health insurance? Top-up health insurance is an additional health coverage option you can add to an existing health insurance policy. It offers an extra layer of protection against rising healthcare costs and additional coverage beyond the basic health insurance plan. In case the coverage limit of the primary health insurance policy gets exhausted, the top-up plan comes into play. It provides additional coverage, thus acting as a financial safety net. Let’s understand what is a top up plan in health insurance, its types, and more.

    What are Top-Up Health Insurance Plans?

    Now that you know what is top-up health insurance, the succeeding step is to know the various types of top-up healthcare plans available in the market. Top-up health insurance plans in India come in various types, each catering to the different needs of policyholders. Here are some common types of top-up health plans available in India –

    Deductible-based Top-Up Plans:

    In this type of plan, the policyholder chooses a deductible amount, which is the threshold limit up to which the primary health insurance policy covers the expenses. If the medical expenses exceed this deductible amount, the top-up plan kicks in and provides additional coverage.

    Aggregate-based Top-Up Plans:

    The total medical expenses you incur during the policy year get considered in such plans. The top-up coverage gets triggered if the total expenses exceed the chosen aggregate limit.

    Super Top-Up Plans:

    These plans are similar to aggregate-based top-up plans but provide coverage for multiple claims in a policy year. For example, if the policyholder incurs medical expenses of Rs 3 lakh in one claim and Rs 2 lakh in another claim during the policy year, a super top-up plan with an aggregate limit of Rs 5 lakh will provide coverage for the entire amount.

    Disease-specific Top-Up Plans:

    Some top-up plans cover specific diseases or medical conditions. For example, there are top-up plans that provide coverage for specific critical illnesses like cancer, heart disease, or organ transplant. These plans can provide additional coverage for specific medical needs and are beneficial for individuals at a higher risk of developing such conditions.

    Advantages of Top-Up Health Insurance

    To clearly understand what is top-up medical insurance, it is important to understand what it offers. Listed below are some significant advantages of buying top-up health insurance.

    • Cost-effective:

    Top-up plans are generally more affordable compared to buying a plan with a higher sum insured in the primary health insurance policy. They provide additional coverage at a lower premium, making them a cost-effective choice for enhancing medical insurance coverage.

    • Extended Coverage:

    Top-up plans act as a financial safety net by providing additional coverage beyond the basic health insurance policy. They cover expenses exceeding the primary policy’s coverage limit, ensuring the policyholder does not face financial strain during a medical emergency.

    • Customisable:

    Top-up plans can be tailored to suit an individual’s specific needs. Policyholders can choose the deductible or aggregate limit as per their preference and budget, making it a flexible option for enhancing health insurance coverage.

    • Tax Benefits:

    Just like regular health insurance policies, premiums paid for top-up medical insurance plans are eligible for tax rebates under the Income Tax Act’s Section 80D, making it a tax-efficient investment.

    Understanding the ins and outs of what is a top-up policy in health insurance will help you make a knowledgeable decision to buy a top-up plan that fits your needs and budget. Top-up health insurance is a valuable addition to a standard health insurance policy that provides extended coverage at an affordable cost.

  • What is the Waiting Period for Cancer Insurance?

    by Almog Ramrajkar | May 24, 2023

    Cancer insurance is an add-on that provides coverage explicitly for cancer-related costs. It complements your regular healthcare insurance by offering additional financial protection against the high costs associated with cancer diagnosis and treatment. The cancer policy waiting period is an important aspect of cancer insurance, which determines how soon a policyholder can start making coverage claims after purchasing the plan.  

    In this post, we will explore all about the cancer policy waiting period and why you should take note of the same while purchasing cancer insurance.

    What is Cancer Insurance?

    Cancer insurance is a type of voluntary, condition-specific additional health coverage that pays out a lump sum to policyholders diagnosed with carcinoma. It covers the costs accompanying cancer treatment, such as chemotherapy, surgery, radiation, medications, hospital stays, and other related expenses that a standard health insurance plan may not cover. It can also help cover indirect costs like lost wages, transportation, and childcare, which can add up quickly during cancer treatment.

    Waiting Period for Cancer Insurance

    A waiting period is a specific timeframe that a policyholder must wait after purchasing a cancer insurance policy before the person can start making coverage claims. The cancer insurance waiting period varies depending on the insurance company and the policy.

    Here are certain fundamental points to comprehend about the waiting period for cancer insurance:

    • Waiting period length:

    The waiting period for cancer insurance typically ranges from 30 to 90 days, although it can be longer in some cases.

    • Inception date:

    The cancer policy waiting period begins on the policy’s inception date, which is the date the policy becomes effective after purchase.

    • No coverage during the waiting period:

    Policyholders are not eligible to make coverage claims during the cancer insurance waiting period. This means the policy will not cover any cancer-related expenses incurred during the waiting period, and the policyholder must pay for all expenses during this time.

    • Pre-existing conditions:

    Waiting periods for cancer insurance may be specific to some pre-existing conditions. This means that if a policyholder has a pre-existing condition, the person may have to wait for a more extended period before making claims for cancer coverage.

    Reasons to Buy Cancer Insurance

    There are several reasons why individuals may choose to purchase cancer insurance. Here are certain factors to ponder:

    • Financial protection:

    Cancer treatment can be incredibly expensive, and even with regular health insurance, there may be out-of-pocket costs that can quickly add up. Cancer insurance can provide additional financial protection by covering expenditures that are not covered by regular health insurance plans, helping to alleviate the financial burden associated with cancer treatment.

    • Income replacement:

    Cancer treatment may require time off from work for treatment and recovery, which can result in lost wages. Cancer insurance can provide income replacement benefits, helping policyholders to maintain their financial stability during their journey to recovery.

    • Flexibility:

    Cancer insurance benefits are typically paid out as a lump sum or ongoing benefits, providing policyholders with flexibility in how they use the funds. Policyholders can utilise the funds to cover a wide range of expenses, including medical bills, transportation costs, childcare, or even taking time off work to focus on recovery.

    • Peace of mind:

    Dealing with a cancer diagnosis can be emotionally and mentally challenging. Having cancer insurance in place can provide peace of mind, knowing that there is an additional layer of financial protection in case of a cancer diagnosis.

    Cancer insurance is an add-on health insurance policy that provides coverage for expenses related to the ailment. The waiting period for cancer insurance is the timeframe that a policyholder must wait after purchasing the policy before he/she can start making coverage claims. Understanding the cancer policy waiting period and other details is important when considering cancer insurance.
  • What is the Average Cost of Health Insurance for a Family of 4?

    by Almog Ramrajkar | May 24, 2023

    Health insurance is a necessary form of protection that provides financial coverage against unexpected medical expenses. In India, healthcare costs are increasing rapidly, making health insurance necessary for individuals and families. Among the best ways to safeguard your family’s health is to invest in a family health insurance plan with adequate coverage. The cost of health insurance for a family of 4 in India varies based on several factors such as age, health condition, and coverage benefits. Given that nuclear families are on the rise, a fair idea about the average cost of health insurance for a family of 4 will help you understand how much coverage you should opt for.

    What is Family Health Insurance?

    Family health insurance, also called family floater plans, is a category of medical insurance that offers coverage to the entire household under one policy. Such policies cover all members of the family, including the policyholder, his/her children, spouse, and parents. One can even cover parents-in-law under a family floater plan, regardless of the fact that they are dependents of your spouse. Family health insurance offers financial protection against medical expenses arising from illnesses, accidents, or hospitalisation. It ensures that the family members can get access to quality healthcare without constantly worrying about the cost of treatment.

    Coverage of Family Health Insurance Plans

    Health insurance for families offers a range of coverage benefits that include hospitalisation expenses, pre- and post-hospitalisation expenditures, and costs incurred for daycare procedures, ambulance charges, and more. Here are some coverage benefits of a typical family health insurance plan:

    • Hospitalisation Expenses:

    Family health insurance plans cover expenses related to hospitalisation, including room rent, nursing expenses, and doctor’s fees.

    • Pre- and Post-Hospitalisation Expenses:

    Family floater policies cover expenses incurred before and after hospitalisation, such as diagnostic tests and follow-up consultations.

    • Daycare Procedures:

    These medical insurance plans cover daycare procedures that do not require hospitalisation, such as cataract surgery and dialysis.

    • Ambulance Charges:

    Family health insurance plans cover ambulance charges for transportation to the hospital in case of an emergency.

    • Critical Illness Coverage:

    Family floater policies offer coverage for critical illnesses, such as heart disease, cancer, and kidney failure.

    • Maternity Expenses:

    Some family health insurance plans to cover maternity expenses, including pre- and post-natal care, delivery expenses, and newborn care.

    • Wellness Benefits:

    Certain insurers offer family health insurance plans that provide wellness benefits such as health checkups and discounts on gym memberships.

    How Much Does Health Insurance for a Family Cost?

    The cost of medical insurance for a family of four in India varies based on several factors such as age, number of family members and their health condition, and coverage benefits. On average, the premium for a family health insurance plan with coverage of Rs 10 lakh per annum can cost between Rs 15,000 to Rs 25,000 per annum. However, the premium for a family health insurance plan increases with the policyholder’s age and the number of family members covered under the policy. If you are looking to invest in health insurance for a family of 4 or any number of family members, compare different family health insurance plans from various insurance providers. Choose the plan that offers the most comprehensive coverage at an affordable cost.

    It is important to take note of the factors that can affect the cost of family health insurance. For instance, the premium for family health insurance plans increases with the policyholder’s age and the family members covered. Furthermore, the premium for family health insurance plans is higher for individuals with pre-existing medical conditions.

    While considering the medical insurance for a family of four, it should be kept in mind that the higher the sum insured, the more the premium for family health insurance. Also, plans with higher coverage benefits, such as maternity and critical illness coverage, have higher premiums.

    In conclusion, family health insurance plans offer comprehensive coverage benefits that provide financial protection against unexpected expenses associated with medical emergencies. But remember to compare different family health insurance plans before making your final decision. Select a plan that offers the most comprehensive coverage, matches the needs of your family members, and comes at a reasonable premium.

  • What is Super Top-Up Health Insurance?

    by Almog Ramrajkar | May 19, 2023

    Super top-up health insurance means a policy that provides additional protection beyond the existing medical insurance coverage. It acts as a supplementary policy that kicks in when the sum insured by the primary health insurance policy is exhausted. In other words, it provides an extra layer of protection against unexpected medical expenses that may exceed the coverage limit of your standard or primary health insurance policy. Increasing ailments, a sedentary lifestyle, and rising medical inflation make it necessary to consider medical coverage over and above your basic healthcare plans. Let us try to grasp the meaning of what is a super top up policy and how we can use it in medical emergencies.

    What is the Meaning of Super Top-Up Health Insurance?

    To understand the ins and outs of super top-up health insurance plans, one needs to know super top up health insurance meaning. A super top-up health insurance plan provides additional coverage if the existing cover of the primary health insurance policy is exhausted. It works on the principle of aggregate expense. The total hospitalisation and treatment expenses in a policy year get considered, not the per-claim expenditure. If the cumulative expenses in a year exceed the deductible limit, the super top-up policy comes into effect and covers the remaining expenses up to the sum insured.

    Understanding what is super top-up in health insurance explains its need as well. Medical expenses, including hospitalisation charges, surgeries, and other treatments, can quickly escalate and surpass the coverage limit of a primary health insurance policy. In such cases, having a super top-up health insurance plan can provide an extra layer of financial protection, ensuring that individuals do not get burdened with excessive out-of-pocket expenses. Super top-up plans offer additional coverage beyond the primary policy at a lower cost than purchasing a comprehensive plan with a higher coverage limit. It helps individuals mitigate the financial risks associated with unexpected medical expenses and ensures continuous coverage during critical or prolonged illness.

    Benefits of Super Top-up Health Insurance Plan

    Listed below are some of the major benefits of a super top-up health insurance plan.

    • Increased Coverage:

    One of the significant benefits of a super top-up health insurance plan is that it enhances the coverage limit beyond the existing health insurance policy. It provides an additional cushion to protect against high medical expenses, especially in cases where the primary policy's coverage limit is insufficient.

    • Cost-effective:

    Super top-up health insurance is usually more cost-effective compared to purchasing a separate health insurance policy with a higher coverage limit. It allows individuals to enhance their coverage without having to pay high premiums for a comprehensive health insurance plan.

    • Flexibility:

    Super top-up health insurance offers flexibility in choosing the deductible limit, which is the amount up to which an individual is responsible for paying for medical expenses. The higher the deductible limit, the lower the premium amount. This allows individuals to avail of a policy as per their budget and needs.

    • No Claim Bonus (NCB):

    Some super top-up health insurance plans offer a no-claim bonus (NCB) feature. If a policyholder does not make any claims in a policy year, he/she gets rewarded an increase in the sum insured or a discount on the premium for the next policy year.

    Super top-up health insurance is an effective way to enhance the coverage limit of an existing health insurance policy at an affordable cost. But most importantly, understanding what is a super top up Mediclaim policy will help you make a well-thought-out choice. With its flexibility, affordability and comprehensive protection, super top-up health insurance can be a valuable addition to your healthcare strategy.

  • What is Personal Accident Insurance?

    by Almog Ramrajkar | May 19, 2023

    You are driving down the road, listening to music and admiring the scenery, when a careless driver shifts into your lane, causing a terrible accident. You suffer severe injuries that necessitate costly medical treatment, and you are unable to work for weeks or even months. The accident's financial burden begins to weigh on you, causing stress and anxiety. This is where personal accident insurance can come in handy. Let’s talk about what is personal accident insurance policy and why you need it.

    Personal Accident Insurance Policy

    Personal accident insurance provides financial compensation to an individual or his/her family in the event of an accident that results in disability, injury, or even death. The policy aims to protect against the financial burden of unexpected medical expenses, loss of income, and other costs that may arise due to an accident.

    For example, let’s say that Mr X, a 35-year-old man, works as a construction worker. One day while working at the construction site, he falls from a high altitude and suffers severe injuries, which leads to his hospitalisation for several weeks. In this case, if Mr X has a personal accident insurance policy, he will be eligible for a payout from his insurer.

    A personal accident insurance policy offers a lump sum payment, which can be used by the policyholder, Mr X, for various purposes, such as paying for medical treatment costs, covering post-hospitalisation expenses related to recovery, or as a supplement for any loss of income due to the accident. The payout is not conditional to the actual medical treatment bill paid.

    Typically, health and motor insurance providers offer personal accident coverage. Additionally, the IRDAI, or the Insurance Regulatory and Development Authority of India, has made it mandatory for all motorists to have personal accident coverage in their two or four-wheeler insurance policies. Under the IRDAI guidelines, insurers must provide this policy or rider with a minimum coverage amount of Rs 15,00,000.

    Benefits of Personal Accident Insurance Policy

    Personal accident insurance policy provides financial protection to individuals and families in case of an accident, and here are some key benefits.

    • Easy claim process:

    The claim process for a personal accident insurance policy is straightforward and hassle-free. Most insurance companies offer 24/7 customer support and fast claim settlements, ensuring you receive your payout when you need it the most.

    • Affordable premiums:

    Personal accident insurance policies come with affordable premiums that make them accessible to everyone.

    • Comprehensive coverage:

    Such policies offer comprehensive coverage against a wide range of accidents, including road accidents, accidents at work, and mishaps at home. They also cover accidental death and disability, ensuring you and your family remain protected in a worst-case scenario.

    • Financial support:

    In case of an accident, a personal accident insurance policy offers a lump sum payout that can help cover various expenses. This includes rehabilitation costs, medical bills, and loss of income due to permanent or temporary disability. This financial support can help you concentrate on your recovery instead of worrying about financial woes.

    • Worldwide coverage:

    These policies offer worldwide coverage, meaning that policyholders are protected regardless of their location.

  • What is a No Claim Bonus in Health Insurance?

    by Almog Ramrajkar | May 19, 2023

    Health insurance is a significant aspect of financial planning, providing coverage for medical expenses and safeguarding against unforeseen health-related emergencies. v One such feature is the No Claim Bonus (NCB) in health insurance. Many health insurance policies offer this unique feature to reward policyholders for staying healthy and not making any claims during a policy year.

    In this post, we will explore what the no claim bonus in health insurance is, how it works, and the benefits it provides.

    Explaining No Claim Bonus

    No claim bonus in health insurance is typically a discount or additional benefit provided by health insurance companies to policyholders who do not make any claims during a policy year. It is a form of appreciation or reward for maintaining good health and not utilising insurance coverage for medical expenses. NCB is typically offered as a percentage of the premium amount and added to the sum insured, resulting in an increased coverage amount without an additional premium cost. Sometimes NCB is also awarded as a discount in the premium amount.

    How Does No Claim Bonus Work?

    Health insurance no claim bonus works on the principle of rewarding policyholders for not filing any claims during the tenure of a policy. If a policyholder does not make any claim during the policy’s term, the insurer offers a certain percentage of the sum insured as an NCB at the time of policy renewal. Some insurance providers offer the NCB as a discount on the premium instead of an increase in coverage. The percentage of NCB may vary from one insurance company to another and can range from 5% to 50% and sometimes even more, depending on the policy’s terms and conditions.

    Note that the No Claim Bonus is not cumulative and does not carry forward if not utilised during the policy period. Instead, it goes on increasing as a percentage amount every year till 5 continuous years of no claim. Once you make a claim for your health insurance coverage, the No Claim Bonus gets exhausted.

    However, some insurers offer add-ons called “No Claim Bonus Protection Cover”, which allows policyholders to retain their health insurance no claim bonus even if they make a claim during the policy period. Policyholders can buy this add-on by paying a nominal additional premium.

    Benefits of No Claim Bonus in Health Insurance

    The major benefits of no claim bonus in health insurance are listed below.

    • Increased Coverage:

    One of the primary benefits of the NCB in health insurance is the increased coverage amount without any additional premium cost.

    • Incentives for Healthy Lifestyle:

    No Claim Bonus acts as an incentive for policyholders to maintain a healthy lifestyle and avoid making claims for minor health issues.

    • Cost Savings:

    No Claim Bonus can result in cost savings as policyholders can continue getting the same coverage at a discounted cost. Policyholders who do not make any claims can avail of the benefits of health insurance with no claim bonus year after year, resulting in substantial savings on the overall premium cost.

    Insurers offer a No Claim Bonus to policyholders for not raising a claim during a policy year as an increase in coverage or sum insured or a discount on the premium. The no claim bonus feature in medical insurance encourages policyholders to adopt a healthy lifestyle and go for regular preventive check-ups.

  • What is Accident and Critical Illness Insurance?

    by Almog Ramrajkar | May 19, 2023

    While health insurance covers medical expenses for various situations, it generally does not include personal accident and critical illness insurance. Personal accident insurance covers accidental injuries and provides compensation in case of any mishaps. Critical illness cover provides a lump sum payout upon diagnosis of specific life-threatening diseases. Each policy has its advantages and limitations. Thus, you need to take time and analyse your requirements to choose the best applicable one.

    What is Accident Cover in Health Insurance?

    Standard health insurance policies do not include personal accident coverage. Therefore, you must opt for a personal accident insurance plan to get coverage.

    Personal accident insurance is a form of insurance that covers the costs or damages caused by a traffic accident. This type of policy offers compensation in the event of the insured’s permanent total disability or demise resulting from a road accident. You might want to contemplate purchasing a personal accident insurance policy for various reasons. Some benefits of personal accident cover include coverage for hospitalisation expenses, accidental death and disability, ensuring financial security for your loved ones, as well as worldwide coverage.

    You can opt for coverage for terrorism as an optional add-on with a personal accident insurance policy. Thus, it is necessary to verify the specifics of the coverage with the insurer prior to purchasing an accident insurance policy.

    What is Critical Illness Cover in Health Insurance?

    If you receive a critical illness diagnosis, the policy provides a lump sum payout that you can utilise to cover the costly expenses associated with hospitalisation, doctor's consultation fees, medication, ambulance charges, room rent, pre- and post-hospitalisation expenses, as well as loss of income caused by the illness. This payout is in addition to your Mediclaim or health insurance policies.

    Without a critical illness cover, paying for treatment costs can put a burden on your family and erode years of savings in just a few months. In addition, this insurance offers the option to receive a monthly income in case of diagnosis. When selecting a policy, consider the sum assured, age, critical illnesses covered, renewal limit, and inclusions and exclusions.

    Having a critical illness cover can provide you with the financial support you need at the right time and help keep your other savings intact for their respective objectives.

    Is PA and Critical Illness Cover Already Included in Health Insurance Plan?

    The following are the important aspects of the accident and critical illness insurance compared to health insurance.

    • Personal accident insurance is an optional coverage you can purchase alongside a health or motor insurance policy. This coverage provides protection against injuries resulting from an accident and necessitates an extra premium.
    • The sum insured for health insurance can range from Rs 5-50 lakh or beyond, while personal accident insurance can range from Rs 2.5 lakh to 1 crore.
    • Health insurance may have a waiting period of 9 months to 4 years, while personal accident insurance has no waiting period.
    • You can widen the scope of your primary healthcare plan by purchasing personal accident coverage as an add-on to include the entire cost of medical treatment for injuries related to accidents.
    • Health insurance and critical illness policies are different types of insurance plans. Health insurance covers medical and outpatient expenses during hospitalisation but may not cover all diseases and has a more extended waiting period. On the other hand, critical illness policy covers specific life-threatening diseases and provides a lump sum upon diagnosis.
    • Health insurance covers a broader range of ailments, while a critical illness policy provides coverage for a specified list of critical illnesses. Both policies have their advantages and limitations and need to be purchased separately. The sum assured value varies between insurers, and waiting periods apply to both policies.
  • Waiting Period in Maternity Health Insurance

    by Almog Ramrajkar | May 19, 2023

    Being a mom-to-be is undoubtedly one of the most awe-inspiring experiences a woman can have, but with it comes a significant financial responsibility that can be daunting for many expectant mothers.

    Maternity healthcare can be quite expensive, and without proper insurance coverage, it can be a significant financial burden on families.

    This is where maternity health insurance comes in, providing coverage for various expenses related to pregnancy and childbirth. However, it’s essential to understand the waiting period associated with such policies and how they can impact coverage.

    What is the Waiting Period for Maternity insurance?

    The waiting period for maternity insurance is when the policyholder cannot claim any benefits related to pregnancy, childbirth, or postnatal care. Maternity health insurance plans in India may have various waiting periods, each with its own duration and purpose.

    The initial waiting period is the time between the policy’s start date and when the policyholder becomes eligible to claim maternity benefits. It is at least a minimum of 30 days. The maternity cover waiting period is the time between the end of the initial waiting period and the start of the coverage for maternity expenses. This period usually lasts for 9 months to 6 years.

    In addition to these waiting periods, some policies may also have waiting periods for pre-existing diseases. This waiting period is between the policy’s start date and when the coverage begins for medical conditions that existed before the policy’s start date. The duration of this waiting period can range from 2 to 4 years.

    Similarly, some policies may have waiting periods for specific diseases or procedures. This waiting period is the time between the policy’s start date and when the coverage begins for specific medical conditions or procedures. The duration of this waiting is generally a minimum of 2 years. Unfortunately, maternity insurance coverage with no waiting period is not available in India.

    Eligibility Criteria for Maternity Health Insurance

    Maternity health insurance is a vital aspect of planning for the financial aspects of pregnancy and childbirth. To avail of the benefits of a maternity insurance plan, one must meet the eligibility criteria laid out by the insurance companies. Factors taken into consideration by insurers are listed below:

    • Age:

    Insurance companies may require the insured to be of a certain age to avail of the benefit. The entry age is usually 18 years, and some insurers set the exit age at 45.

    • Limit on the number of maternity claims:

    Some insurance companies may have a cap on the number of maternity claims for 2 living children. This means that a person can only get maternity benefits for 2 deliveries.

    • Exceptions for loss:

    There could be exceptions in case of loss, such as a miscarriage or stillbirth, where the policyholder may be eligible for maternity benefits beyond the 2-child limit.

    • Waiting period:

    Policyholders may need to fulfil the waiting period criterion before becoming eligible for maternity benefits.

    It’s important to note that the eligibility criteria for maternity health insurance may vary across insurance companies and policies. Hence, it’s crucial to carefully review and understand the policy's terms and conditions before deciding to purchase it.

  • Top-up Vs Super Top-up Health Insurance

    by Almog Ramrajkar | May 17, 2023

    With the rising cost of healthcare, having medical insurance has become a necessity. However, even a comprehensive health insurance policy may not be sufficient in case of a major illness or surgery. This is where top-up and super top-up healthcare plans come into the picture. Top-up and super top-up medical insurance policies provide added coverage over and above your active healthcare policy, which can be especially helpful in case of a medical emergency. Let’s understand the distinction between top up vs super top up health insurance.

    Top-Up Health Insurance

    A top-up health insurance plan provides additional coverage but comes into effect only when the sum insured by the existing policy gets exhausted. The premium for a top-up plan is relatively low compared to a regular health insurance policy, as the coverage comes into effect only after the deductible amount is exhausted. However, the deductible amount can vary depending on the insurer and the plan.

    Super Top-Up Health Insurance

    A super top-up health insurance plan is similar to a top-up plan, but the coverage comes into effect when the cumulative medical expenses exceed the deductible amount, regardless of whether the expenses are subject to a single hospitalisation or multiple hospitalisations in a policy year. For instance, if you have a super top-up plan that has a deductible of Rs 3 lakh and a sum insured of Rs 10 lakh, and you incur medical expenses of Rs 7 lakh in a single hospitalisation and Rs 2 lakh in another hospitalisation in the same policy year, then the super top-up plan will kick in and cover the remaining Rs 2 lakh.

    The premium for a super top-up plan is more than a top-up plan but provides a higher coverage amount; it is more comprehensive in terms of coverage.

    Difference Between Top-Up & Super Top-Up Plans in Health Insurance

    There are several points of differences between top up vs super top up. For instance, in a top-up plan, the coverage comes into effect only when the medical expenses exceed the deductible amount. In contrast, in a super top-up plan, the deductible amount gets set at a higher level than the existing policy's sum insured. The coverage comes into effect when the total medical expenses in a policy year exceed the deductible amount.

    There is a difference between health insurance top up vs super top up in terms of coverage too. In a top-up plan, the coverage is limited to the sum insured by the current health insurance policy. For example, if the sum insured of the existing policy is Rs 5 lakh and the top-up plan has a coverage limit of Rs 10 lakh, the maximum coverage amount will be Rs 10 lakh minus the sum insured of the existing policy. In contrast, in a super top-up plan, the coverage amount is higher than the sum insured by the existing policy. For example, if the sum insured of the existing policy is Rs 5 lakh and the super top-up plan has a coverage limit of Rs 10 lakh, the maximum coverage amount will be Rs 10 lakh minus the deductible amount.

    Another point of differentiation between top up vs super top up is the premium. The premium for a top-up plan is usually lower than that of a super top-up plan, as the coverage is limited to the deductible amount. However, the premium for a super top-up plan is higher, as it grants a higher coverage amount.

    Both plans provide extra coverage. However, the selection between the two depends on one’s distinct requirements and budget. If you have a low budget and want additional coverage, then a top-up plan may be suitable for you. However, a super top-up plan may be a better option if you want comprehensive coverage and are willing to pay a higher premium. Note that you should be well aware of the differences between top up vs super top up health insurance so as to make a well-informed choice.

  • Is Cataract Surgery Covered By Medical Insurance

    by Almog Ramrajkar | May 17, 2023

    If you get diagnosed with a cataract, and your ophthalmologist advises surgery, you may be curious about the question, “is cataract surgery covered by medical insurance”. Well, the good news is that your health insurance can indeed cover cataract surgery, but there are essentially a few things you need to be aware of before scheduling your procedure. Let’s explore the types of cataract surgeries available in India, the waiting period associated with coverage, and the benefits of purchasing a health insurance plan that covers such procedures.

    Is Cataract Covered Under Health Insurance

    The answer to your query, “Is cataract covered under health insurance?” is generally yes! But before you fix a date to undergo surgery, it’s essential to be aware of any sub-limits that may exist in your policy. These limits may cap the amount of coverage you receive, leaving you to foot the bill for the remaining balance.

    For example, your policy may only cover 80% of the surgery cost, leaving you responsible for the other 20%. Also, your policy may not cover additional expenses related to the surgery. So, it’s crucial to thoroughly read your plan’s terms and conditions before signing up for it or scheduling your surgery.

    Types of Cataract Surgeries in India

    There are different ways to treat cataracts in India. Thus, it is essential to discuss with your insurance provider — does health insurance cover cataract surgery — for any particular surgical procedure of your choice.

    • The commonest type of cataract surgery is Phacoemulsification, which takes less than 30 minutes. Ophthalmologists make a small incision and use an ultrasonic probe to break the eye’s lens into fragments. The lens gets replaced with an intraocular lens or IOLs through a corneal incision.
    • Ophthalmologists advise ECCE or Extracapsular Cataract Extraction for complex cataracts. It requires larger incisions to remove the cataract in one piece, and a patient requires sutures to seal the wound.
    • Intracapsular Cataract Surgery needs more extensive incisions, where your eye surgeon removes the lens and surrounding capsule and implants an IOL in front of the iris.

    FLACS, or Femtosecond Laser-assisted Cataract Surgery, is the most advanced method. The laser breaks the lens, performs anterior capsulotomy, and places the IOL.

    Waiting Period in Cataract Surgery

    • Every medical insurance policy comes with a waiting period during which you are ineligible to receive the benefits of the cataract surgery covered by health insurance. You must essentially hold off on making any claims during this time.
    • Policies that provide coverage for cataract surgeries, in particular, may have their unique waiting period that varies depending on the insurance provider. Usually, the waiting period for cataract surgeries falls between twelve to twenty-four months.

    It is vital that you check your policy documentation with great care to avoid any ambiguity or confusion regarding the waiting period. Therefore, it is imperative that you familiarise yourself with the complexities of your policy and make a note of the waiting period associated with any condition you intend to seek treatment for.

    Why should you get Health Insurance covering Cataract Surgery?

    • The surgery cost is determined by several factors such as the location, type of lens implanted, and surgical procedure involved.
    • Generally, the price ranges from Rs 10,000 to Rs 1,00,000, but if you undergo surgery at a leading hospital in a metro city or if your ophthalmologist suggests advanced procedures, the cost can go up to Rs 60,000 for one eye.
    • To save money on medical expenses, especially for ageing parents, purchasing a health insurance plan with affordable premium costs is a good option. These plans can cover the costs of daycare treatments and post-surgery expenses, subject to the policy’s terms and conditions.
    • Some health insurance companies also offer plans with cataract coverage, which can help individuals save a significant amount of money.

    Researching and choosing a reputed health insurance company for the best coverage options is advisable.

  • Is Bariatric Surgery Covered By Insurance

    by Almog Ramrajkar | May 17, 2023

    Bariatric surgery is a viable option for people with morbid obesity who fail to lose weight through traditional methods. Policyholders should review their plan’s terms and conditions to ensure coverage and fulfil specific criteria for validating their bariatric surgery coverage. There are three types of bariatric surgeries, and patients should consult a medical professional to determine the most suitable option. Finally, the cost of bariatric surgery varies depending on various factors. You should consult healthcare professionals to determine the most affordable and effective option within your budget.

    Does health insurance cover bariatric surgery?

    Most health insurance policies include bariatric surgery as per the guidelines established by the Insurance Regulatory and Development Authority of India in 2019. However, checking the terms and conditions of the insurance that covers bariatric surgery is advisable to ensure coverage. Health insurance policies cover bariatric surgery only if a person meets certain conditions, such as being aged at least 18 years and having a BMI or body mass index of 40 or higher. If the BMI is between 35 and 40 and the patient has comorbidities such as diabetes, heart disease, or stroke, a policyholder will receive coverage for the surgery. Additionally, the patient must provide a doctor's prescription and relevant diagnostic test reports to claim coverage. Finally, patients should expect to wait for the coverage to begin, as most insurance for bariatric surgery has an initial waiting period of around 30 days. Individuals with pre-existing conditions may have to serve another waiting period of 2 to 4 years.

    Types of bariatric surgery

    There are three types of weight loss surgeries: Laparoscopic Sleeve Gastrectomy (LSG), Roux-en-Y Gastric Bypass, and Mini Gastric Bypass (MGB).

    • Laparoscopic Sleeve Gastrectomy involves removing the outer margin of the stomach to restrict food intake, reducing the stomach to about 15% of its original size.
    • Roux-en-Y Gastric Bypass involves:
    • The process of partitioning the stomach into a smaller upper section and a larger lower section.
    • Reattaching the small intestine to the pouch.
    • Creating a bypass for food to absorb fewer calories and nutrients.
    • Mini Gastric Bypass, also known as Single Anastomosis or Omega Loop gastric bypass, restricts food intake, causes malabsorption, and alters gut hormones responsible for appetite control.
    • Unlike the standard Roux-en-Y Gastric Bypass, MGB involves only one anastomosis and can be performed in less time and with fewer early complications.

    The various surgeries come with their own set of advantages and disadvantages; hence patients must seek guidance from a healthcare expert to decide on the most suitable choice.

    How much does bariatric surgery cost

    The weight loss surgery cost can vary depending on various factors, such as a patient’s health conditions. Remember to ask the insurance provider, “is bariatric surgery covered by insurance” before choosing any type of surgery.

    • The cost of weight loss surgery in major cities of India varies from Rs 1,36,000 to Rs 4,58,000.
    • In Mumbai, the cost ranges from Rs 1,90,000 to Rs 3,58,000, while in Delhi, it ranges from Rs 2,30,000 to Rs. 4,58,000.
    • In Bangalore, the cost is between Rs 2,20,000 and Rs 3,48,000, while in Kolkata, it is between Rs 2,36,000 and Rs 3,26,000.
    • In Pune, the cost ranges from Rs 1,36,000 to Rs. 2,76,000, and in Hyderabad, it is between Rs 1,48,000 and Rs 2,66,000.
  • Critical Illness Insurance For Senior Citizens

    by Almog Ramrajkar | May 17, 2023

    As we age, the risk of developing critical illnesses increases, making planning for unexpected healthcare expenses essential. Critical illness insurance for senior citizens provides financial protection against life-threatening ailments and lifestyle diseases that are expensive to treat. We will discuss the advantages of acquiring critical illness insurance for those aged over 60. Such policies provide coverage for exclusive therapies, medicines, and domestic medical services not included in standard health insurance plans. Furthermore, we will delve into how this supplementary coverage can safeguard retirement funds and offer reassurance for senior citizens and their loved ones.

    What Is Critical Illness Insurance For Senior Citizens

    The fast-paced and stressful lifestyle of modern times has resulted in a rise in lifestyle diseases, such as hypertension, diabetes, and others, leading to serious health complications later in life. However, one can live a healthy life with proper management and treatment. Critical illness insurance policies help you deal with the expenses related to critical conditions and lifestyle-related diseases. It’s imperative to invest in a top-tier health insurance plan that safeguards you financially from these ailments since the treatment for these critical illnesses is exorbitant, and the resultant financial burden is unsettling.

    Before purchasing a senior citizen critical illness policy, it is crucial to consider various factors, such as present age, number of dependents, and health status. For example, suppose you have certain family members who are senior citizens and dependents. In such circumstances, you may want additional coverage for sudden healthcare emergencies, such as heart attacks. Thus, it is always advisable to opt for a critical illness cover for senior citizens with sufficient financial support. Additionally, people who smoke regularly, have high-stress jobs or are more at risk of developing health problems with advancing age should start to plan early to overcome hurdles while purchasing insurance.

    Your present financial position is also crucial to consider as the cost of quality healthcare continuously increases, and inflation is bound to happen. Consequently, it is essential to think about all these issues while deciding on the adequate sum insured.

    Why Should You Buy Critical Illness Insurance For Senior Citizens

    While traditional health insurance coverage can help with medical expenses, it may not cover all the costs associated with a critical illness. For this reason, senior citizens must consider obtaining a separate critical illness insurance plan.

    • A critical illness policy for senior citizens can provide additional financial coverage in the event of a severe medical condition. This type of insurance can cover specialised treatments, medications, and domiciliary treatment, which do not typically get covered by regular health insurance policies. This additional coverage gives those aged over 60 the financial resources they need to cover the costs associated with a critical illness.
    • A critical illness’s potential impact can have severe repercussions on the retirement savings of senior citizens. In the event of a severe medical condition, senior citizens may have to withdraw funds from their retirement savings to cover expenses not covered by their standard medical insurance plan. This could significantly impact their retirement plans and leave them with a shortage of funds in their twilight years. Investing in a separate critical illness insurance policy can help alleviate these concerns.
    • Critical illness insurance provides a safety net to senior citizens and their family members, as they have additional financial coverage in the event of a severe medical condition.

    In conclusion, senior citizens should consider obtaining a separate critical illness insurance plan in addition to their regular health insurance coverage. One can also opt for it as an add-on coverage to widen the scope of coverage of their primary healthcare policy. This can ensure they have the requisite financial resources to meet the extra expenses related to a critical illness and protect their retirement savings.

  • Senior Citizen Health Insurance Without Medical Test

    by Almog Ramrajkar | May 17, 2023

    As individuals age, their risk of developing health problems increases, leading to higher healthcare expenses. Senior citizens are more prone to chronic conditions, such as diabetes, heart disease, and hypertension, which require regular medical care. Due to their limited income and retirement funds, seniors may struggle to pay medical bills, making health insurance a necessity.

    Senior citizen insurance, also known as elderly health insurance or senior health insurance, is designed to provide medical coverage to people aged over 60 years. The insurance policy in question considers the different healthcare requirements of older adults and offers extensive medical coverage at reasonable prices.

    Medical insurance plans for senior citizens offer coverage for hospitalisation expenses, medical tests, doctor consultations, ambulance services, and pre-existing illnesses. Additionally, some insurance providers may offer add-on benefits to increase the coverage scope. However, amid all these benefits, there is one common query around this policy — Is a Mediclaim policy for senior citizens without medical tests available?

    Can You Get A Senior Citizen Health Insurance Without Medical Tests?

    In reality, senior citizens must undergo medical tests before their policies get approved. These tests help the insurer to determine the policyholder’s health status and the risks involved in covering them. For example, a senior citizen with pre-existing conditions such as diabetes or hypertension may be deemed to be at a higher risk of making a claim and may get charged a higher premium.

    Any health insurer offering Mediclaim for senior citizens without medical tests can result in significantly lower coverage amounts and higher premiums. Insurers provide coverage without a medical exam for people up to the age of 45.

    Things to Remember Before Buying Senior Citizen Health Insurance

    • Cashless hospitals:

    Network hospitals offer cashless medical treatment to policyholders, particularly senior citizens who frequently require medical attention. Managing treatment expenses can be challenging if the insurance provider does not have a network hospital in the policyholder's area.

    • Waiting period:

    Policyholders cannot claim for various illnesses or conditions during the waiting period, typically ranging from a few months to four years. It is crucial for senior citizens, who often have pre-existing medical conditions or may require frequent medical attention, to check the waiting period for such conditions.

    • Daycare procedures:

    These medical treatments or procedures do not involve an overnight stay at the hospital for the patient. Senior citizens may require such procedures frequently due to age-related health conditions. Therefore, checking if the health insurance policy covers daycare procedures and the extent of coverage is essential.

    • Claim procedure:

    To ease the claim process, senior citizens should choose insurance policies with simple reimbursement procedures, preferably online or over the phone, as they may face physical limitations in visiting the offices of their insurance providers. Also, completing extensive paperwork may be difficult for them. Additionally, it is essential to verify the insurer’s claim settlement ratio for reliability.

    • Alternative treatment:

    Most senior citizens often prefer alternative treatments like Ayurveda, Yoga, Naturopathy, and Homeopathy to treat various ailments. Hence, it is essential to consider health insurance policies that provide coverage for alternative treatments.

  • 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, Advantages

    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

    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.

  • Income Tax Benefit of Personal Accident Insurance

    by Almog Ramrajkar | May 17, 2023

    Personal accident cover provides financial protection during accidental fatality, disability, or injury. This policy safeguards against the financial implications of unexpected events. The policy offers a lump sum payout to the policyholder or their nominee in case of such an unfortunate event. This cover is mostly available as part of the insurance. However, you can purchase it as a rider to supplement existing life insurance. The coverage amount and premium depend on various factors, such as the individual's age, occupation, and level of risk involved in their work. This type of insurance is crucial for individuals who work in high-risk jobs or lead an active lifestyle. Let us now discuss the most frequently asked question: Is this policy tax deductible?

    Is Personal Accident Cover Eligible for Tax Deductions?

    Personal accident policies do not qualify for tax deductions as per the deduction provision specified in Section 80C. For example, personal accident cover purchased under a superannuation scheme for employees does not qualify for a tax deduction. In addition, policies that offer a lump sum payment to the policyholder upon a claim are ineligible for tax deductions. Such policies comprise accident insurance and critical care coverage, which aim to provide coverage for physical injuries through premium payment.

    While personal accident covers may not always be exempted from tax benefits, claiming a premium on insurance for income loss is possible. The process of claiming insurance premiums as a tax benefit is complex and requires close attention. Policyholders may be eligible for a tax deduction on their personal accident cover if they can demonstrate that the insurance premium is aimed at safeguarding their taxable income.

    Besides that, if you purchased health insurance that covers personal accidents, you can claim a deduction for it under section 80D.

    What is the Tax Deduction Limit for PA Cover?

    Under Section 80D, taxpayers are qualified for a deduction on the premium paid for personal accident insurance plans. The tax deduction limits for personal accident cover are Rs 25,000 and Rs 50,000 for individuals and senior citizens, respectively.

    If you are paying the premiums for personal accident insurance covering a senior citizen, you can claim up to Rs 75,000 as a deduction. However, if both the policyholder and you are senior citizens, then the deduction limit gets elevated to Rs 1,00,000. It is important to note that the tax benefits are only applicable to premiums paid through non-cash modes.

  • 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.

    Will a Health Insurance Plan Cover Dental Treatment Expenses?

    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.

    What are the Ways to Cover Dental Treatment Costs?

    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.

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