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Why Health Insurance?
Rising Medical Costs
Hospitalization costs are increasing by 15-20% annually. A simple hospitalization can cost ₹50,000-₹2,00,000, while major surgeries can exceed ₹5,00,000.
Financial Protection
Health insurance protects your savings from unexpected medical expenses that could otherwise derail your financial plans.
Cashless Treatment
Network hospitals provide cashless treatment where the insurer pays directly, eliminating out-of-pocket expenses during emergencies.
Pre & Post Hospitalization
Covers expenses 30-60 days before and 60-90 days after hospitalization including diagnostics, medicines, and follow-ups.
Day Care Procedures
Covers 500+ treatments like chemotherapy, dialysis, and cataract surgery that don't require 24-hour hospitalization.
Tax Benefits
Premiums qualify for deductions under Section 80D (up to ₹25,000 for self, ₹50,000 for senior citizens).
Frequently Asked Questions
Health insurance is a contract where an insurer agrees to pay for your medical expenses in exchange for regular premium payments. You need it because:
- Medical inflation is rising at 15-20% annually
- A single hospitalization can wipe out years of savings
- It provides access to better healthcare facilities
- Protects your family's financial security
Individual plans cover one person with a fixed sum insured. Family floater plans cover the entire family (spouse, children, parents) under a shared sum insured which is more cost-effective for families with similar age profiles.
Waiting periods are the time during which certain conditions aren't covered:
- Initial waiting period: 30 days (except accidents)
- Pre-existing diseases: 2-4 years
- Specific ailments: 1-2 years (like hernia, cataract)
- Maternity: 9 months to 3 years
NCB is a reward for not making any claims during a policy year. It typically increases your sum insured by 5-10% each claim-free year, up to 50-100% of the base sum insured. Some insurers offer premium discounts instead.
Co-payment is the percentage of claim amount you agree to pay (typically 10-30%). Plans with co-pay have lower premiums but require you to share costs during claims. It's common for senior citizens or specific treatments.
For cashless claims at network hospitals:
- Policy number/Customer ID
- Doctor's admission advice
- Pre-authorization form
For reimbursement claims:
- Original bills/receipts
- Discharge summary
- Diagnostic reports
- Prescriptions
- KYC documents
Base plan: Provides basic coverage with deductibles and co-pay. Super top-up: Provides additional coverage after a threshold is met (e.g., covers ₹5 lakh after you've spent ₹10 lakh). Super top-ups are cost-effective for enhancing coverage.
Neeti Money provides expert guidance to select the best health insurance:
- Analyze your health profile and family medical history
- Recommend suitable sum insured based on city and hospital preferences
- Compare 15+ insurers for best coverage at lowest premium
- Explain policy terms in simple language
- Assist with claims and renewals
Yes, health insurance portability allows you to switch insurers while maintaining continuity benefits like:
- Retaining waiting period credits
- Keeping No Claim Bonus
- Maintaining coverage for pre-existing diseases
Porting must be initiated 45-60 days before renewal and requires submission of previous policy details.
Key factors influencing premiums:
- Age: Premiums increase by 8-10% each year after 35
- Sum Insured: Higher coverage = higher premium
- Location: Metro cities have higher premiums
- Medical History: Pre-existing conditions increase premiums
- Lifestyle: Smoking/alcohol consumption affects rates
- Add-ons: Riders like critical illness increase cost
Disclaimer: We are empaneled as POSP (Point of Sales Person) with Policybazaar (IRDAI Registration No: IP321139). The information provided is for general awareness and does not constitute financial advice. Please consult with a financial advisor before making any insurance decisions.