Health Insurance
Embedded Files
Health insurance plans come with several benefits which include cover for several medical expenses, cover for critical illnesses, tax benefits under Section 80D of the Income Tax Act, 1961, cashless claim benefit, additional protection over and above employer's coverage, etc.
How to Choose the Best Plan?
How to Choose the Best Plan?
1. Company- Knowing company’s background, the network of hospitals, settlement process, company’s management, claim settlement ratio etc.
2. Sublimit clause - You should look for companies which offer health insurance plan without any sub-limits.
3. Coverage
For Married people with kids - Family Floater
Your parent comes under senior citizen category - separate senior citizen policy for them
If you are unmarried - buy an individual policy.
4. Expenses - Opting for a health insurance plan which offers all benefits but comes at a slightly higher cost is a better plan rather than focusing on the cost on a standalone basis.
5. Renewal plan - Most of the public insurance companies provide health policies with a renewal age up to 75 or 80 years.
Why do you need Health Insurance?
Why do you need Health Insurance?
Health insurance protects against future illnesses and medical expenses without consuming resources or having a negative financial impact on your family.
Health insurance policies provide coverage for a range of illnesses, procedures, and other areas of medical care.
Medical costs are increasing rapidly and for those with insufficient savings, affording medical care becomes a problem during emergencies
You simply need to pay a small premium for health insurance to keep you and your family worry-free.
Within network hospitals, cashless treatment is an option, and in other circumstances, insurance companies provide reimbursements.
Basic Benefits - click here
Pre & Post Hospitalisation
30 Days Pre-Hospitalisation : Covers the medical expenses incurred by you up to 30 days before your hospitalisation.
60 Days Post-Hospitalisation : Covers the medical expenses incurred by you up to 60 days after your hospitalisation.
Lifelong Renewability :
The flexibility to renew a policy for life without any limitations or age limits is known as lifetime renewability. Lifetime renewability relieves financial stress for seniors in the event when they are faced with a serious illness.
Tax Benefit :
Your health insurance premium is tax deductible Under Section 80D of the Income Tax Act of 1961.
Ambulance Cover :
Ambulance coverage is provided by health insurance policies up to INR 2,000 per claim. You can also add ambulance coverage as an add-on if your health plan does not already include it.
Organ Donor Cover :
the expenses incurred by an organ donor are covered.
Advance Benefits - click here
Upto 10% discount
Health Check-Up : Your health insurance policy allows annual FREE medical check-up.
No Claims Bonus : An incentive provided to the policyholder in their health insurance policy.
Direct Conversations To Settle Claims : quick & hassle-free, seamless claim process.
Extra Care With No Claims Bonus - Super* : A comprehensive health insurance service called NCB Super includes a remarkable No Claim Bonus increase in the Sum Assured.
Annual Health Check-Up Without Any Age Constraints
Freedom Of Choice Of Treatment
Recharge Your Sum Insured : allows customers to recharge their sum insured amount in the same policy year after it has been used up.
TOP PLANS - click here
Care NCB
Care Advantage
Care Supreme
Star Family Health Optima
Star Comprehensive
HDFC Optima Restore
HDFC Optima Secure
Aditya Birla Sun Life Activ Assure - Diamond Plan
Tax Benefits Of Health Insurance Under Section 80D (Rs.75000*)
Health Insurance Tax Benefits
Health Insurance Tax Benefits
If you've been working for a while, you probably already know this. Other, less well-known health insurance tax advantages abound though. You might not be able to take advantage of tax benefits on your policy if you are unaware of these, so think ahead and keep reading to learn more about health insurance income tax deductions.
What Are The Tax Benefits Of Health Insurance?
What Are The Tax Benefits Of Health Insurance?
One of the most important investments for anyone to make to assure complete security during medical emergencies is health insurance and they offer attractive tax benefits too. So, is health insurance tax deductible?
It is, indeed! Tax advantages are provided on the premium amount paid for health insurance. According to Section 80D of the Indian Income Tax Act, the cost of your health insurance is tax deductible. This means that the premium you pay for health insurance can be written off from your taxable income (subject to certain limits).
CASHLESS CLAIM - click here
CASHLESS CLAIM - click here
Submit your Claim
A policyholder notifies insurers of a planned hospitalisation of the forthcoming claim. A claim intimation for an emergency hospitalisation must be sent to the insurance provider or TPA within 24 hours. First and foremost, keep in mind that if you opt for a cashless claim, your treatment must take place in one of your insurance provider's network hospitals. If you've scheduled a hospital stay, get in touch with us and let us know the specifics so we can let your insurer know you're in the hospital on your behalf. We promptly put you in touch with the appropriate professionals. We will then fill a cashless claim request form and submit it to the insurance company.
Submit your Documents
1. KYC is one of the crucial documents. 2. Claim Form 3. Prescription from a doctor. If you haven't supplied any papers or have only submitted a portion of them, you'll need to do so in order for us to process your claim. If the insurer requests or requests that the insured supply further documentation, the insured must do so.
Insurer Approval
An approval will be provided by the insurance company for the documents you've submitted us.
Hospitalisation
You will be required to present the insured's ID card, which was issued by the insurance carrier, for identification purposes at the time of hospitalisation.
Final Approval
The insurer will issue final clearance to proceed with the claim if it is pleased with the customer's presented paperwork.
Settlement
Following the formalities, the insurance provider will pay the hospital's bills in accordance with the terms and conditions.
Rejected
There is a chance that a claim will be rejected if the customer's information and supporting documentation are unsatisfactory. The following are some typical grounds for rejecting a claim:
a. The customer attempts to make a claim while there is a waiting period or for a condition that is not covered by the policy (example, Cosmetic surgery, OPD claims, or in case there is a permanent exclusion).
b. The claim the customer is making is false.
REIMBURSEMENT CLAIM -click here
REIMBURSEMENT CLAIM -click here
Intimate your Claim
A policyholder intimates insurers of a planned hospitalisation of the forthcoming claim. A claim intimation for an emergency hospitalisation must be sent to the insurance provider or TPA within 24 hours. If the policyholder selects a hospital other than one of the insurer's networked hospitals, a reimbursement claim for health insurance may be made. The policyholder is responsible for paying the hospital bills as part of the reimbursement claim process. You must complete a reimbursement claim request form and send it to the insurance provider OR tell us, we will do it online on your behalf.
Submit your Documents
If you haven't supplied any papers or have only submitted a portion of them, you'll need to do so in order for us to process your claim. If the insurer requests or requests that the insured supply further documentation, the insured must do so.
Insurer Approval
The insurance provider will give us clearance for the documents you've sent us.
Hospitalisation
You will be required to present the insured's ID card, which was issued by the insurance carrier, for identification purposes at the time of hospitalisation.
Settlement
The insurance company will settle the invoices in accordance with the terms and conditions after the formalities are finished. The policy does not provide for reimbursement of any expenses.
Rejected
There is a potential that a claim will be denied if the customer's information and supporting documentation are unsatisfactory. The following are some typical grounds for rejecting a claim:
1) Customer tries to claim during waiting period, or for an ailment which is not included in the policy (example, Cosmetic surgery, OPD claims, or in case there is a permanent exclusion).
2. Customer is making a fraudulent claim.
Documents required for claim (click here)
Documents required for claim (click here)
The whole list of paperwork that might be required to support your claim is provided below. Depending on your circumstance, you might just require a few or all of them.
Claim form
Doctor's prescription for treatment
Hospital discharge certificate
Final hospital bill in original Medical investigation reports
Medicine bills with prescriptions
Final payment receipt for reimbursement
Cancelled Cheque of insured bank for reimbursement
Medico legal Medico Legal Certificate/FIR for road accidents
Exclusions click here
War, an act of a foreign enemy, a riot, a dictatorship, or other armed conflict. Criminally motivated lawbreaking and willful self harm. Misuse of narcotics or psychedelic drugs or its aftereffects. Treatments and operations for reshaping, aesthetic, and cosmetic reasons hearing aids, eyewear, contact lenses, and optometric car. Mental illnesses, psychiatric or psychological conditions.
Waiting Period & Pre-Existing Disease Cover click here
Waiting Period & Pre-Existing Disease Cover click here
Customer Care Contacts
Page updated
Google Sites
Report abuse