You may get enticed by offers made your existing health insurer that you can make your parents a part of the existing family floater plan at a discounted price or you can always buy family floater plan with your parents being included into it so that you don’t have to buy a separate plan. Though this offer might look very attractive but don’t make a mistake by doing that.
We all understand that health is actual wealth and a buying the right health insurance policy is the first step towards protecting it. Things have to be planned in a proper manner to get right benefits underlying a policy and it is helpful when you actually need it. Hasty decision while buying a health plan can be sometime be very dangerous.
One of the foremost reason why including your parents in your family plan is a big mistake is because health needs are different at different stages of life and your health insurance company calculates the premium based upon the risk associated with insuring a family and the age of the eldest member defines everything. So in case if you have including your elderly parents as a part of the family floater plan the cost of insuring the family drastically increases and if there is a pre-existing health conditions with your parents, it puts an extra load on the premium even though of the members of your family are healthy.
Another important factor is the effect the same will have on NCB benefits of your policy. In any case if you have claim free years you can accumulate the benefits as NCB or non claim bonus and which you can utilize at the time of policy renewal by availing the same as discount. But once you get your parents includes the NCB value depletes because at an older age there are higher chances of raising a claim. You should always prefer to have separate policy for your parents because that ensures NCB protection on your family plan under which you, your spouse and your kids are included.
Third most important factor that need to be considered is that since in any floater plan the total cover can be used for the benefit of any member of the family, your parents making regular claims because of their health condition can eat up the total sum assured during any Health insurance policy term and the same becomes ineffective for the rest of the members.
Since your parents always need an extra support for their health care and they might be making a constant claim, you should always have a separate policy for them. Though a separate plan and extra sum assured might look like an extra cost it always helps because it gives an extra protection to them. Other than you can always claim for extra tax benefits under it under Section 80D and you can increase your tax benefit limit from Rs.25000 to Rs.50000 which is a huge jump.
In today’s Indian society contribution of women to the overall societal and economic development has changed. Women are no more just stay home mothers anymore , their role in running the affairs of an Indian family have changed dramatically. They now go hand in hand with male members of the family in terms of generating wealth for the family. We also need to understand the stay home mothers or women in our family also have a large economic value for the family even if they are not working.
Women have always been a great contributor to the overall well-being of the family. She has always been the inner link who binds the various members of the family and in this endeavor they generally miss out to take care of their own health. It is the responsibility of the other members of the family to take this issue very seriously. Single women, stay home mothers, married women and working women all require the right amount of health insurance cover and ignoring can be quite disastrous.
At present, some health insurance providers have started offering the specific health insurance plans for the women in the house. To look at few
Let’s try and understand why health insurance is important for women and what benefits they should look into:
In a country which has the second highest health care inflation of 12% among all Asian countries, health care is actually becoming a pain for a lot of Indians. The pain is further aggravated by the fact that we still don’t efficient public health care services which should have been providing services at a discounted rate which has lead to more dependence on private facilities and which is quite unbearable for lot of households and makes it tough for them to manage financial turmoil in a state of health emergency. The most effective way the to take this problem can be by building effective financial reserve for handle the emergency .The cost effective option to build that reserve is to buy a health insurance plan. In fact if you don’t have a health insurance plan in place then it should be the most important commitment that you should make for 2017...This supposedly should be the most effective investment which you should plan for the year 2017.
So if you are planning to fulfill your health insurance this year, below is the list of thing that you should look into in your health insurer’s plans so that you make the most effective decision:
Hospitalization benefits: In the earlier days the only way you can raise a claim with your health insurer is when you have gone through a 24 hour hospitalization. Though the concept has changed drastically but still a lot of policies do have certain limitations which defines what would be covered and what is the amount that would be covered so while buying a health insurance do look at the various clauses governing which this part of the benefit.
Day to Day care related benefits: With recent advancements in medical science today a lot medical treatment doesn’t even require somebody to get a hospital admission. All a lot of ailments can be handled by OPD services provided by various hospital. While planning for your health insurance in 2017 you should look at guidelines regarding day care health procedure and check is there any limitation governing the same.
Cashless facility: Today all health insurance plans offer cashless facility but the challenge lies in understanding are there any hospitals under your insurer's network present in current city of residence. Though cashless is an efficient way to settling claims and you don’t have panic for financial aid when you are faced with a medical emergency but the factor regarding presence of hospitals through which you can access this facility is also very important.
Room rent: This is actually bit tricky benefits. A lot of health insurer limits the type of services that you can opt under a specific plan and hospital room facilities in one of them. A better of this very important because it's misinterpretation can put you in a state where your others claims can also be denied.
Ancillary benefits : You should understand the during the state of a medical emergency other than the major cost like hospitalization , doctor advise and medicine cost there are a lots of ancillary cost involved which we often ignore. One of the most common of them is Ambulance services which can be at times can become very costly. While investing in a health insurance plan do check at things relating how claims would be settled by your insurer against all these costs.
Other than these important things which are defining factors to identify which policy to buy and which not , you can always take tax benefits on Sec 80D on the premium that you would pay this year and in the future years subject to the conditions the regulation don’t change. Another thing is that important is that you always do an online comparison of all health insurance plans before investing so that the decision that you take this year should have long term benefits.
Combating health cost today is one of the toughest challenge people are facing . In a situation when uneven lifestyle ,bad eating habits etc are becoming a common phenomenon leading to regular medical requirements and which is further supplemented by a higher health care inflation compared to regular inflation the need for effective amount of health insurance cover is becoming very important. Few years back an amount Rs.3 lac of health cover was enough for a family of four but considering current situation you would be called underinsured. But this additional health insurance cover requirement comes with an extra cost and can always be a burden for lot of people and that is where top up health cover becomes an effective solution.
What is a top up health insurance?
When you already have an existing cover and the same is inadequate looking at the current context so to get an extra cover you can look for below given options:
a)Buying a new policy from scratch may be from a new insurer
b)Buying just a top up plan from the existing insurer.
But let us now understand how the two options are different so that you can get a better clarity about top up plans. When you buy a top up plan there is always a concept of deductible. A deductible can be defined as the amount of claim until which your top Health insurance plan would not give you a settlement but if the claim amount of exceeds that particular amount then your top up plan become liable to cover that cost. Take for example, your base health cover is Rs.3 lacs and you have opted for an additional top up Rs.4 lac. In case you raise a claim of Rs.5 lac then first you base policy would cover the initial Rs.3 lac and the remaining of the Rs.2 lac would be covered by the top up plan. Because of the concept of deductible the premium cost of any top up plan is always lower than the buying a new health policy.
Things you should look in a top up health insurance plan:
Though top up is a much cheaper option and reduces premium burden from you but you should have a clear understanding of the amount of deductible. Claims under deductible also come with various limitations which should be kept in mind. It is always recommended to have a top up cover equivalent of the cover of your base policy. Other than this you should have a clear understanding that in case multiple hospitalizations top cover are not very effective.
So in terms of having a proper planned approach right amount of health insurance cover and also keeping cost of premium low one should always have the right mix of base and top plans.
Some of the astonishing facts released by WHO in it’s report shows an higher propensity of Indians getting their first heart attack at a very early age. Compared to Europeans an average Indian generally gets his/her first attack during the age of 50 and the survey even shows at least 25% of Indians get their first heart attack at the age of 40. The rise of heart related problems in rise during due to uneven lifestyle, bad work hours and improper eating habits.and this calls for higher demand for health insurance solutions to handle any financial emergency arising out it.
Any heart disease which is at a curable stage calls for higher spends on hospitalization ,medicine and doctoral advisees and when we see the same from the point of view of covering the same with your already existing comprehensive health plan may be an impossible thing in most of the cases.In recent few health insurance companies have started offering health insurance plans specific to heart diseases.All these plans come with twin cover benefits , they not only cover health related cost in case of occurrence of an emergency but they also provide an added term cover which in case of death the benefits are given to the dependents.
With rising occurrence of heart related disorders and rising cost of heart related treatment has lead to a rising demand for heart related health insurance . All heart related health insurance plans are actually long term plans with policy term of 10/15/20 years with a maximum of 75 lacs of sum assured under a single plan. Some insurance players have also launched dual benefits plans which covers both heart related and cancer related ailments under a single plan. Cancer related ailments is also on rise.Going by the WHO data most of the cancer related ailments are repercussions of diabetes ,which is again one of the most popular lifestyle disorders among Indians.Compared to 2000 data the number of Indians suffering from diabetes have actually doubled by 2013 taking the number to 63 millions.This added benefit of the heart related health plans makes it most have to products for most Indians.
All heart related health insurance plans are generally reimbursement plans which means they don’t offer any cash less facility .Compared other comprehensive plans which have lot of sub-limits on various type expenses , heart plan don’t have them making it is a very useful plan for the policyholders.Though all these heart related plans are gaining a lot of popularity and people are a getting a lot of benefit from them but it is always that one should look at the terms & conditions of any policy before they buy one. Online health insurance comparison plans can be looked as one of the smart ways to do it and get the highest benefit.
In today’s lifestyle context Health insurance has become a major enabler for handling financial risk which may arise due to bad health condition. With health care inflation at its peak access to better medical facilities and hospitals have become quite expensive. So making a prudent decision while buying a health insurance plan is very relevant looking at your future objectives with respect to your financial plan.To control the cost of health insurance premium , an insurance buyer can opt for a co-pay option.Co-pay was previously more relevant in case of group health plans but now it is available for individual policy holders too.Let understand how much is the co-pay option relevant with respect to your medical costs and health care choices
Let’s understand what copay is, when a policyholder opts for a co-pay option he/she actually agrees to pay a part of the claim whenever it arises. The co-pay option can range in a percentage of 10%-25% The major benefit of a co-pay is option is that if the policyholder opts for a 20% co-pay option in a health insurance plan , he/she might end up paying 20% less premium for the same amount of cover with respect to one who has not applied for it.The insured stands to gain largely when no hospitalization happens during term of the policy.In case when the health insurance claim arises the policyholders need to pay his/her part first and post which the insurer claim settlement process comes in play.
a) Class of service: In case the policy stipulates the policyholders to avail certain standard of service like deluxe room during hospital and if the policyholder opts for a higher standard of service he/she might end up paying a part of the claim.
b) Hospitalization in metro cities, few insurers ask to the policyholder to share the claim amount if he/she opts for getting hospitalized in a metro city . In case it is smaller cities the rule is not applicable.
c) Treatment in certain category hospital, most of the insurers have their list of premium hospitals . In case you opt for hospitalization care in any hospital which falls under the premium list , the policyholder would be asked to pay a part of the claim which it arises.
d) Another type of co-pay option is applicable if the policyholders opts for getting a treatment in a hospital which is not part of the empanelled list of hospitals of the insurer so it is also advised to reach to your insurer before getting admitted to a hospital.
Though co-pay might seems as a relevant feature but the option should be used with complete understanding. In case when the policyholder is young and healthy the co-pay can help you save a lot of money because generally during the early periods of the policy there is a higher chance you not getting hospitalized. On the other hand when you are considering a co-pay option at an older age things can turn awkward. Generally at an older when the medical costs are generally very high , if the policyholder opt for a co-pay option he/she might end up paying huge amount of money from his/her own pocket.
So though co-pay as an option can give you discount in premium but the relevancy of the same changes with the situation so be very cautious while selecting any extra features in a health insurance plan.