pays for your hospital bills for diagnostics, surgery etc.
The quality of medical infrastructure in a nation is a true reflection of the commitment of the nation to the health of its citizens. Over the last few years, we have seen medical expenditure in India spiraling and Hospitalization costs becoming more or less unaffordable for a common man. The rising cost is attributable to an improvement/upgradation in overall medical infrastructure (hospitals and diagnostics) and growing fees/salaries of doctors. In order to make sure that the common man gets access to the best medical care, promoting Health Insurance is of paramount importance.
A health insurance is basically a contract between an insurance (risk cover) provider and an individual under which the insurance provider guarantees payment of medical treatment costs subject to a pre-agreed limit, while an individual agrees to make annual payments (health insurance premium) to the insurance provider.
There are several companies in India that provide health insurance. Apart from variations in the sum Assured and the insurance Premium amount there are host of other clauses in the Policy which can have material implication for you in case you need to seek a claim. It is important to closely compare the policy, especially with respect to the important terms in the policies. Apart from understanding what each health insurance policy would cover and the key features, it is equally important to know what each of these will not cover. The policy exclusion clause in a health insurance policy would primarily discuss those aspects of insurance which would disallow Coverage under certain conditions.
All policies would have clauses that would carve out condition or cases which are excluded from policy coverage and insurance companies would not bear the cost in case such a situation arises. The various Exclusions commonly found in insurance policies include: