Tag Archive | "Health Insurance"

Health Insurance Cover for Dengue

  • Easypolicy
  • 13 Jul 2017

When Ms. Mehra residing in south Delhi was struck by dengue last year, she was hospitalized and bed-ridden for over a fortnight, bringing life to a halt. Disease-induced weakness apart, this viral attack also made her realise that the costs of treatment for this vector-borne disease can be exceptionally high for someone like her.

Not many Health Insurance plans in India cover dengue or provide reasonable cost benefits if they do. Should you consider investing in dengue-specific insurance this monsoon?

Come rainy season, and several thousand cases of dengue and other vector-borne diseases are reported from across the country. This year itself, over 18,700 dengue cases have already been reported in the country so far, according to recent news reports.


While the government claims to be taking measures to check the spread of this and other vector-borne diseases in India by trying to raise awareness of the same through massive campaigns, it is time for you to see where you stand in the protection for you and your loved ones. Have you considered health insurance to tackle this unforeseen but high Risk health expense this monsoon?

Symptoms of dengue include fever, headache, muscle and joints pain, skin rashes, nausea – and in extreme cases may cause haemorrhaging leading to death. As it is a virus that causes the disease, antibiotics cannot help making supportive treatment imperative. With rising medical diagnosis and treatment costs, you could do well by securing yourself against the health risk borne out of this disease in the mosquito-breeding season of monsoon.

The Dengue Treatment Costs

Detection of dengue usually involves multiple schedules of blood tests amounting to rather high diagnostic test costs. This could be over a few thousand rupees, at times.

It could involve repeated visits to the doctor’s clinic or the hospital for regular check-ups. This would add to the medical costs as consultation fee.

If dengue tests turn out to be in the positive, hospitalisation of anywhere between a couple of days and about a fortnight may be required. The costs for this could be as expensive as up to 50,000 rupees.

WHY TAKE DENGUE INSURANCE?

The first question to ask here is – whether your current health insurance plan covers dengue. And even if it does, does it really make financial sense to lose your no-claim Bonus on a larger health cover for a smaller dengue expense as opposed to a small-premium separate dengue cover?

You are better off with this plan as compared with the regular health insurance covers – which while offering In-patient benefits – may restrict these to the sub-limits and capping mentioned in the plan details.

Also, certain diseases or treatments of these are often restricted to a limited amount of money which makes the policyholder responsible for dispensing the remaining claim. The out-patient benefits are also limited to a certain amount or may even be absent in the regular health insurance policy.

SO HOW DO YOU BENEFIT FORM A STANDALONE DENGUE POLICY?

A dengue-specific cover would reimburse outpatient billing besides covering inpatient treatment, and do a lot more for you, if and when one is caught with the menace of this disease. So what is on offer? Let us explore a plan on offer in this category:

Apollo Munich Dengue Care Health Insurance

Apollo Munich claims that its’ Dengue Care plan offers Coverage against any medical expenses incurred on inpatient or outpatient treatment for dengue. At the time of buying the cover, the company says, only a declaration stating “I do not suffer from dengue” will suffice as the plan doesn’t require the Policyholder to undergo any medical test. What are the other salient features to benefit the Insured under this cover?

It is Affordable

Coming at a fairly low Premium price of 500 to 700 rupees (inclusive of taxes) for an insured sum of up to one lakh rupees, it is surely an affordable dengue health cover plan for the average person. Apollo Munich offers you a choice between an insurance of a sum of 50,000 rupees or one lakh rupees.

Additionally, you benefit from a uniform premium irrespective of the age of the insured.

Realistic Expense Cover

The plan provides cover for OPD expenses up to 10,000 rupees upon diagnosis of dengue.

It also offers coverage for consultations, diagnostic tests, pharmacy and home nursing for dengue treatment taken at home. Further, it proposes accounting for coverage even for non-medical expenses incurred during hospitalisation, wherever the insured have opted for shared accommodation.

Short Waiting Period

What is great about this plan is just a fortnight of Waiting Period since inception of policy. There are no additional waiting periods in this plan.

Lifelong Renewal

This cover is renewable through the life Term of the insured.

No Pre-Medical Tests

All you need to do to get this plan in terms of medical health is a self-declaration – along with the Proposal form – that you are not infected with the dengue virus. Apart from this, you are not required to undergo any pre-acceptance medical tests.

One Plan for All

One dengue care plan would suffice for the entire family since the Apollo Munch Dengue Care Plan lets you insure several family members including adults and children (beginning age 91 days) on an individual sum insured basis for comprehensive dengue cover.

Further, this Policy covers persons in the age group of 91 days up to 65 years, the maximum entry age being restricted to 65 years. While the minimum entry age for an adult is 18 years and maximum 65 years, the minimum entry age for children is 91 days and the maximum is 25 years.

Does Not Upset Main Health Cover

In any case, if you go for a dengue Claim through a dengue cover, even when you own a separate health insurance policy, you can preserve the larger benefits of your regular health plan such as a no-claim bonus.

You may further compare this dengue care health insurance plan with other health covers and buy this plan online with EasyPolicy.com.

No Sub-Limits

The benefit of a standalone dengue health insurance plan like Apollo Munich offers is the absence of sub-limits (such as restriction on room rent, ICU charges, and so on) apart from there being no co-payment clause either.

So Should You Go For It?

Dengue fever takes a toll on the health and its treatment can prove to be heavy on the pocket. Coverage for both in-patient and Out-patient expenses for dengue treatment provided by Apollo Munich in its dengue care plan comes at a very reasonable price.

You may go for standalone dengue insurance if your current health insurance policy restricts you with sub-limits or capping that do not accommodate dengue treatment costs. This additional cover would protect you and your family from the life-threatening dengue virus when the need arises.

Written By: Urvashi Sibal


8 Tips To Find Almost Perfect Health Insurance!

  • Easypolicy
  • 10 Mar 2017

To buy an adequate Health Insurance is going to prove to be one of the most sensible decisions of your life! A perfect health insurance plan not only secures life, but also provides a corpus of funds needed in case of medical emergencies.

But, the question is, how to reach the perfect health insurance plan?

We are here to provide you effective and meaningful 8 tips to find almost perfect health insurance for you.

Read on!

1. Choose The Right Insurance Amount As Per Your Specific Needs

As per your medical and health care needs, you must keep a certain amount you want to be assured for. Especially with the city you are living in and the medical costs you may incur in case of Hospitalization for general or critical illnesses. Buy your health cover accordingly.

2. Do Not Miss On The Cashless Health Cover

This is one of the most important points to keep in consideration while buying a health cover. You may not have access to instant cash, as and when you need medical attention for self or family. In such emergent cases, cashless medical cover comes in handy to have immediate treatment without cash. Go for the plan which offers this feature.

 3. Look Carefully For The Age Criteria

Health insurance renewal is easily possible in young years but there are only a few insurance providers who allow renewal in old age. Keeping in view your needs of health cover, go for a plan which covers you or lets you renew your plan in old age.

4. Choose The Sub-limits Thoughtfully

A sub-limit is a stipulation by insurance providers to the hospitalisation expenses or other medical expenses incurred by you. They will pay only a certain amount as per the sub-limit. Rest has to be paid by you. You must choose your sub-limit with a sincere thought, if you understand your paying power

5. Look For Waiting Period

Waiting period is the period where you have to wait before the medical Policy comes in force and you can get the medical bills reimbursed. It can be of few months to few years, depending upon your insurance provider. You must go for an insurance company that stipulates least waiting period, so that your policy becomes useful at the earliest.

6. Make Sure You Get Maximum Pre-existing Diseases And Critical Illness Covered

All the medical insurance providers list the pre-existing diseases and critical illnesses that will be covered under the insurance. Go for the insurance plan that accommodates the maximum of those, as you never know, which expense you may have to bear at what stage of life.

7. Check Company's Background And Network Hospitals

Before you zero in to a particular medical insurance plan offered by a particular insurance company, make a thorough check of the company's background, their market standing, their customer service reputation, their Claim settlement ratio and Network Hospitals listed by them for cashless treatments. These important aspects must give a positive report about the company and the hospitals listed must be within your reach.

8. Always Remember To Start Early

In case of health insurance, the early you start, the maximum benefits you reap! Buying a health plan in young years is always advisable, as you get it at lower premiums and with lot of features which may be denied in older age. Also, if you are entitled for a basic medical cover by your employer, even then you must buy one for your customised needs.

These smart tips will help you to reach your almost perfect health insurance, and be covered for all your medical needs.

Keep these points in mind and you will end up buying the best health insurance that will prove to be of great benefit to you and your family. Be careful be wise!


Comparing Plans of Cigna TTK, Star Health and Religare

  • Easypolicy
  • 18 Oct 2016

When you decide to buy Health Insurance you are likely to face the problem of plenty. Making a choice amongst 25 odd companies is no mean feat. For starters there are 21 Private Insurance companies who do General insurance business along with Health Insurance in India, and then there are four public sector general insurance companies and 4 stand alone health insurance companies to join the bandwagon in the health insurance sector of India.

This article shows the comparison between three prominent stand alone health insurance companies operating in India i.e. Cigna Ttk Vs Religare Vs Star Health company. These three companies are some of the best health insurance companies of India and people always find hard to choose amongst them. Another standalone health insurance company that tops the charts in Apollo Munich Health Insurance Company but it is a Premium company and its plans are costlier than the other three. That is the reason I am omitting Apollo Munich in this comparison.

Cigna TTK- Pro health protect is the flagship product offered by the company Cigna TTK. This plan boasts of having a many attractive features like World Wide Emergency Cover, which covers your medical expenses even when you are abroad. The Coverage would be up to the sum Assured and on reimbursement basis as there would be no Network Hospitals to take cashless treatment. This feature is useful for those who are frequent international travelers and have a good sum Insured in their Policy as treatment in foreign countries can be expensive. Another attractive feature of this plan is Cumulative Bonus for no claims, under this benefit for every Claim free year the insurance company would increase the Sum Assured by 5% without any increase in the premium. The policyholder would continue enjoying this increase in sum insured by 5% for every claim free year till the sum insured is increased by 100%. These are the rewards of staying healthy. Another very powerful feature of this plan is Restoration of sum assured, if the original sum insured along with Cumulative Bonus/Cumulative Bonus Booster (if any) has been exhausted, the company will restore the sum insured by 100% once in a policy year to meet future claims for all unrelated diseases/injuries.

One may incur some expenses on treatment before Hospitalization as well such as consultation fees of the doctors, pharmacy expenses and diagnostic tests. Under this plan all such costs are covered for up to 60 days before hospitalization and up to 90 days of post hospitalization expenses are also covered, apart from this day care treatment which requires hospitalization for less than 24 hours is also covered. Also, ambulance expenses up to Rs.2000 on every hospitalization are also covered.

Star Health – Mediclassic

The Mediclassic is also a very popular and effective health insurance product. Its restoration benefit is the best. There shall be automatic restoration of the basic sum insured by 200%, immediately after the exhaustion of the coverage limit. Plans of other companies restore it to a maximum of 100%. Another feature of this plan is that it covers HIV positive persons, provided at the time of first commencement of insurance under this policy, their CD4 count is not less than 350 (proof to be submitted). In this plan for every claim free year the Policyholder is eligible for bonus calculated at 5% of the basic sum insured which can get accumulated to the maximum of 25% i.e. (5%,5%,5%,5%, and 5%), if you get No claim bonus for five years in an individual health plan. For a Family Floater Plan the no claim bonus is 25% of sum insured for first year and 10% of sum insured in the second year. Thus, a maximum of 35% of original sum insured can be availed in the family floater Mediclassic plan. In this plan you can get pre-hospitalization expenses covered for past 30 days and post-hospitalization expenses for next 60 days. Here you can get an ambulance cover of Rs. 1500 on every hospitalization.

Religare Care

The care plan offered by Religaire allows recharge of the sum insured like the other two plans when the original sum insured gets exhausted due to some unrelated claim. Unrelated claim means, the patient or policyholder cannot use the recharged sum insured for the same ailment for which the original sum insured has been consumed. The recharge allowed is equal to 100% and is valid for the same policy period. This plan also takes car that you don’t fall sick and early diagnosis of a disease can be possible, if offers health check-up once every year irrespective of claims, for individuals of age 18 years and above. It also offers a no-claim bonus super add-on cover which makes no claim benefit equal to 60% of the sum insured for the first and second year. For third, fourth and fifth year the no claim bonus is 10 % each. Thus, you can get a total no claim bonus of 150%. It includes some specific treatments (listed in the policy document) anywhere in the world for sum insured INR 50,00,000 and above. Here, prior approval from the company has to be taken to take treatment of any of the listed diseases abroad. Unlike the plan of Cigna TTK, treatment for an emergency during a foreign trip is not covered in this plan. Under this plan there is age bar on maximum age to enter and minimum entry age is 91 days.

Conclusion

All the three are very good health insurance products. The family floater plan of Star Health can be quite beneficial as sum insured restoration is 200% when original sum insured gets exhausted on the other hand both Cigna TTK- pro health protect and Religaire-Care restore it by 100%. Here Star Health-Mediclass has an edge. The No-claim bonus scheme of Star Health-Mediclass is not very attractive as a maximum of increase on original sum insured of 25% in case of individual plan and 35% in case of family floater is allowed. Whereas, in case of Cigna TTK pro-health an increase of 5% sum insured for every claim free year is allowed up to maximum of 100%. Thus, it would take the customer 20 claim free years to increase the sum insured by 100%. The best No-claim bonus scheme is of Religaire-Care, here you can get a maximum increase in sum assured up to 150% of the original sum insured and that too in as soon as 5 claim free years. 60% increase in the first two claim free years each. That is a huge incentive to stay fit. A unique feature of Star health insurance is that it covers AIDS patients in some conditions (Conditions explained above), the other two plans exclude them. The World Wide Emergency cover provided by Cigna TTK in its plan is a master feature, if you are a frequent traveler or going abroad for a trip you need not have traveler insurance if you have Cigna TTK –pro health plan as your treatment cost in abroad would be covered up to your sum insured. This feature gives edge to Cigna TTK especially if travel abroad more often. There are many small differences in their features which one read on our website easypolicy.com. Choice of such plans is made after relating their features suitable to your needs. All these three are very competitive products and the difference in premium is also not very significant.