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7 Types Of Health Insurance You Must Know About

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With the continuous increase in health-related issues, there has been a significant rise in treatment costs as well. This highlights the importance of health insurance, which covers the medical expenses of an insured individual in times of need. Depending on the terms of the insurance coverage, the insured person may either bear the expenses and then seek reimbursement, or the insurance provider may pay the costs directly. There are many types of health insurance plans to choose from, and it's crucial to be aware of all the options and consider your needs carefully to make the right choice. Read on to explore the different types of health insurance in India. Among the different types of health care policies in India, here are some of the top picks to consider.

1. Individual Health Insurance

An individual health insurance plan is designed for a single person. An individual can purchase these types of health insurance plans to cover only their expenses of illness or medical treatment. In this plan, the insured individual is reimbursed for: 

  • Hospitalisation
  • Pre- and post-medication expenses
  • Surgical procedures (up to a specified limit)
  • Room rent

The premium for the plan is determined based on the buyer’s age and medical history. Additionally, the insured person can extend coverage to their children, spouse, and parents by paying an additional premium under the same plan. However, there is usually a waiting period of 2-3 years for claiming benefits related to any pre-existing illnesses.

2. Family Floater Health Insurance

Commonly referred to as the family floater plan, the family health insurance policy provides coverage for your entire family under one policy. This type of health insurance plan covers all your family members, including your children, spouse, and elderly relatives. The benefits of this plan include:

  • Only one member of the family is required to pay the premium, and the entire family receives coverage under a single premium payment. 
  • If two family members need treatment at the same time, the insurance can be claimed for both individuals up to the specified limit. 
  • This policy provides the convenience of managing just one policy for the entire family, rather than multiple individual policies. 
  • Family health care policies in India are often more affordable than purchasing separate policies for each family member.

How much premium would you have to pay for a family floater health insurance?

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3. Senior Citizen Health Insurance

A senior citizen health insurance policy provides coverage specifically designed for individuals aged 65 years and above. If you're considering purchasing insurance for your parents or grandparents, these types of medical insurance plans are ideal. 

Benefits: These policies cover hospitalisation expenses, treatment, and medication costs arising from health issues or accidents. Other features of health insurance for senior citizens include psychiatric care and domiciliary hospitalisation. The maximum age limit for coverage is typically set at 70 years.

Drawbacks: Insurers may require a complete medical check-up before they issue the policy due to the higher risk associated with older age. Premiums for senior citizen health insurance are generally higher, reflecting the increased likelihood of illness in older individuals.

4. Critical Illness Insurance

There is a surge in lifestyle-related diseases, including stroke, kidney failure, cancer, and cardiac diseases, which can incur substantial expenses for long-term management. To address these conditions, these types of health insurance policies have been developed. The features of this health insurance include:

  • Critical illness insurance can be obtained either as an add-on, a rider to your standard health insurance plan or independently as a standalone policy. 
  • These health care policies in India offer coverage for a defined list of critical illnesses, including cancer, heart attack, stroke, kidney failure, and others. 
  • Upon diagnosis of a covered illness, this plan pays out a lump sum amount, regardless of the actual treatment cost. This amount can be used for any purpose as per your needs.

5. Group Health Insurance

Group health insurance is becoming increasingly popular among various enterprises. Many large- and medium-scale companies are now providing this insurance policy to their employees.

Benefit: In these types of health insurance, the employer purchases the policy for the company's workforce. It is provided to a group of employees to address financial concerns and promote prudence within the company.

Drawback: The premiums for these policies are generally lower compared to individual health insurance plans.

6. Personal Accident Insurance

Personal accident insurance is a type of insurance that protects against the risk of accidental disability and death. In such unfortunate situations, it offers financial compensation to the insured or their nominee. The benefits of this type of health insurance include: 

  • This insurance can help cover loss of income, medical expenses and financial difficulties that a family may encounter in the event of the breadwinner's death caused by an accident. 
  • It may also offer compensation for unexpected hospitalisation expenses and a daily allowance for hospital stays, providing the insured or their family with a fixed daily payout during hospitalisation. 
  • Personal accident insurance is a cost-effective and essential coverage that can safeguard you and your family from life's uncertainties.

7. Top-up Health Insurance

A top-up health insurance provides extra financial cover to your existing insurance policy. It comes into play when your medical expenses exceed the limit predefined in your primary health policy. This cost-effective option ensures you're adequately covered in case of unexpected or high medical bills without the need for a more expensive health insurance plan. The benefits include: 

  • Top-up plans offer significantly higher coverage than their premiums, making them cost-effective ways to boost your overall coverage.
  • Top-ups can be added to either individual plans or floater plans covering your entire family. 
  • Rather than upgrading your primary plan to a higher sum insured, top-up plans offer significantly lower premiums. 

Buy The Best Top Up Plan

Conclusion

A health insurance plan can provide vital assistance during urgent hospitalisations or major surgical procedures. Given the different types of health insurance plans available, it is paramount to select the most suitable one to protect yourself and your family from any unforeseen financial burdens arising from medical expenses.

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Frequently Asked Questions

What are the different types of health insurance available in India?

In India, health insurance offerings vary, but broadly they can be categorised into individual health insurance, family floater plans, group health insurance, senior citizen health insurance, and critical illness insurance.

Cashless health insurance allows policyholders to avail of medical treatment at network hospitals without having to pay upfront. The insurer settles the bill with the hospital directly, up to the sum insured. Policyholders need to ensure treatment is sought at network hospitals listed by the insurer to avail of this facility. 

Waiting periods in health insurance policies refer to the duration during which certain conditions or treatments are not covered. There are typically two kinds of waiting periods; the initial waiting period (usually 30 days from the policy start date), during which no claims except those arising from accidents are entertained, and specific waiting periods for pre-existing conditions, which can range from 1 to 4 years based on the insurer and policy.

Yes, you can switch your health insurance policy from one insurer to another without losing the benefits you have accumulated such as waiting periods served and no-claim bonus. This process is called portability and is governed by regulations set by the Insurance Regulatory and Development Authority of India (IRDAI). However, it's essential to apply for porting at least 45 days before the renewal date of your existing policy.

Yes, many health insurance policies in India offer coverage for maternity costs. However, this coverage usually comes with a waiting period, typically ranging from 2 to 4 years. It's essential to check the terms and conditions of your policy regarding maternity coverage, including sub-limits and any exclusions. Additionally, some insurers offer specific maternity benefit riders that can be added to the base policy for enhanced coverage.

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