Urbanization, pollution and various other factors have some of the
causes why every individual has some health issue at some or every stage of his
life. So, Doctor Appointments and
hospitalizations are frequently heard terms today. Mediclaim policy addresses this very issue by
providing coverage of Hospitalization charges and related expenses to the
insured.
Mediclaim
Insurance policy – an overview
When you or your family member has advised Hospitalization due to
various health issues like accidents, severe illness or surgery, Mediclaim
Insurance reimburses all the expenses related to Hospitalization.
Mediclaim plans are of many types and is divided on the basis of a few
features
Mediclaim Plans can be divided into different categories based on
- Payment
There are two types of Family Health Insurance plans on the basis of
amount. One is Cashless Insurance policy
(TPA), and the next one is reimbursement.
There are a few hospitals registered with Insurance Companies called
network hospitals. Once insured, you can
take treatment in these clinics without paying anything, and the Insurer will
directly pay expenses to the Hospital.
In case your doctor refers you to a different hospital, you can spend
first and get the expenses reimbursed by the Insurer later
- Number of Persons covered
Mediclaim can cover Individuals, Family Floater for Family Health
Insurance plans, or a Group – for example employees in an organization.
- Other types
There are Overseas Mediclaim plans which cover Hospitalization charges
during your treatment or travel abroad. Critical Illness plan covers costly
therapies for sometimes life-threatening diseases like Cancer. Low-cost
Mediclaim for the poor masses and Senior citizen Mediclaim for Senior citizens.
What are
the criteria for choosing the best Mediclaim Plans in 2018
The Mediclaim Insurance documents contain a lot of data and going
through them is time-consuming. While it
is advisable to read the fine prints, the wise thing to do will be first to
check and compare few basic details of policies offered by different
competitors. This way you can arrive at
the Cheapest Health Insurance for the family.
Here is how you can do it:
- Premium. - Premiums increases with
increase in age. The premium for a 30-year-old will be cheaper as compared
to a person who is into his 60s. Giving weight to the age factor, we can
arrive at the Cheapest Health Insurance for your family calculating the
premium alone!
- Features
- While there would be some standard features in all policies, Insurers
differentiate by offering unique benefits which would appeal Insurers with
individual requirements.
- Latest
Benefit additions: Insurance
Companies come up with new benefits to improve service, which could be a
critical criterion for selecting among these Family Health Insurance
plans.
- Network
Hospitals- Insurers with the most
number of Network Hospitals at nooks and corners of the country are
usually preferable more.
- Claims:
Positive History of claim reimbursement will work in favor of one
competitor against another.
Few of India’s best Mediclaim Plans in 2018
that emphasizes on Family Health Insurance plans
There are various insurers in the Insurance plan sector. Here are some of the best for the year 2018.
- Star Health Insurance
Its Mediclaim offering is called Family health Optima Insurance
Plan. The features of one of the trendy
Family Health Insurance plans are
●
Sum Assured limits
from 2 to 15 lakhs
●
Minimum age Children -16, proposer – 18 and maximum age 65
●
Waiting period four years for pre-existing diseases and
two years for ailments
●
Expenses covered include hospital charges, ambulance, fees
and appointment charges for consultants and specialists, operation theatre
charges and pre and post hospitalization charges
●
Five family members covered
●
Health checkup benefit during claim free-year period
●
Cover for 400-day procedures
There are a few New benefits
●
Compassionate travel up to Rs.5000/- for one additional
family member as travel companion to hospital location
●
Emergency Domestic Medical Evacuation
●
Reimbursement of expenses for Assisted Reproductive
treatment
- Apollo Munch
The features of Family Health Insurance plans of Apollo Munich Mediclaim
policy.
●
Sum assured minimum – 3 lakhs and maximum 50 lakhs
●
Minimum age of proposer 18
●
Waiting period – 3 years
●
Provides Insurance for a spouse, dependent children,
Parents-in-law, dependent parents.
●
Three unique benefits Stay Active, Restore and Multiplier
offered by this Insurer. Stay Active
provides premium discounts on maintaining a Healthy Lifestyle. Restore benefits restores sum assured once in
a policy year after the previous amount has been provided for any one member of
the family. Multiplier doubles your
quantity secured within two years if the last two years were claim free.
- Religare Care
Religare Care Mediclaim policies are much sought after due to various
benefits offered. Some details are as
under
●
Sum Assured limits three from 60 lacs
●
Minimum age Children -16, proposer – 18 and maximum age 65
●
Waiting period four years for pre-existing diseases and
two years for ailments
●
Expenses covered include hospital charges, ambulance, fees
and appointment charges for consultants and specialists, operation theatre
charges and pre and post hospitalization charges, Daily Cash benefit Rs.500 per
day
●
Annual Health Checkup
- Max Bupa Health companion
Max Bupa has Cheap Health
Insurance plans for your family. Some
benefits and features are
●
Sum Assured limits 1 lakh from 1 crore
●
Minimum age Children -91 days – 21 years, proposer – 18
and maximum age -
●
Waiting period three years for pre-existing diseases
●
Expenses covered include hospital charges, ambulance, fees
and appointment charges for consultants and specialists, operation theatre
charges and pre and post hospitalization charges
●
Benefits – Vaccinations in case of animal bite etc., organ
donation benefit and Hospital cash benefit
●
Strong Hospital network across north India
- Royal Sundaram Lifeline Elite
This company offers affordable Insurance and excellent service
providers. Some details Mediclaim policy
is
●
Sum Assured limits 25 lacs from 1.5 crores
●
Minimum age Children -16, proposer – 18 and maximum age 65
●
Waiting period four years for pre-existing diseases and
two years for ailments
●
Expenses covered include hospital charges, ambulance, fees
pre and post hospitalization charges, daycare expenses like Chemotherapy and
dialysis, maternity expenses
●
Coverage of costs for treatment for 11 critical illness
abroad plus three lakhs airfare
- Oriental Insurance
Happy family Floater policy is one of the Mediclaim offerings of
Oriental Insurance. Floater means a
single sum assured coverage for all family members
●
Sum assured from 2
to 20 lakhs
●
There are three types of plans under this head – Gold,
Silver, and Diamond.
●
Benefits - Organ
Benefit Cover, Maternity Benefit cover, Life Hardship survival benefit,
●
Restoration of Sum assured
●
Maximum age 65 years, extendable under special conditions
to 70 years
●
Both TPA options (Cashless facilities in network
Hospitals) and non-TPA facilities available
●
Waiting period four years for pre-existing diseases
●
Pan India Hospital network
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