What is Health Insurance Plans and their Benefits?

What is Health Insurance Plans and their Benefits?: Friends, we are going to share information about health insurance with you. What is health insurance? Why is health insurance important to you? Which is the best health insurance in India?

So all of you are requested to read this article completely from beginning to end. Do not skip any information and read the entire article carefully.

What is health insurance?

Friends, the way life insurance covers our life, in the same way health insurance is also an insurance policy.

Which protects the policy holder and his family from medical expenses arising due to any illness or any serious illness.

This is the reason that today many insurance companies have started providing health insurance plans to their customers.

All differents insurance companies provide different health insurance plans to their customers.

Whose benefits and services are also different. If you are such a member in your family. Whose income fulfills all the needs of your family.

So you must take a health insurance policy for yourself. It also protects the savings made by you.

lets move of the topic What is Health Insurance Plans

Why is health insurance necessary for you?

Friends, whether you earn lakhs of rupees in a month or thousands of rupees, none of you can deny that our lifestyle is not healthy today.

You save by depositing little money in your whole life to improve your family and your future.

Suppose your income is one lakh rupees in a month, by depositing some of them you have saved one crore rupees.

Then suddenly your health deteriorates, you have to be admitted in a private hospital. Where you come to know that you have cancer or any other serious or minor disease.

Now your family puts all their efforts to save you, even spends the savings of that 1 crore for your health.

Now ask yourself how much time will it take for you to save that 1 crore rupees again. Will you be able to save that amount again while you are alive, which can give financial support to your family after you.

Therefore, there is only one way to save your hard earned wealth by taking such a plan or security. So that in future if you or your family member has any health related problem.

So instead of all its expenditure falling on your savings, that expenditure should be compensated from somewhere else. Keeping this objective in mind, many insurance companies provide you different insurance plans.

If you get your treatment done in a good hospital, then your entire savings will be spent in a few days. In such a situation, instead of taking tension about hospital bills, you should put your full potential in your recovery.

In such a time, a health insurance policy can help you a lot. You can get yourself treated in any such network hospital. Who keeps tie up with your insurance company.

Due to which your treatment is also done well and your life savings so far are also secure. You and your family are also completely relaxed because the insurance company is bearing all your expenses.

So friends, let us know which are the top best health insurance plans in India, so stay with us. lets read of the topic What is Health Insurance Plans

Top Health Insurance Plans in India

There are many such insurance companies in India that provide the best health insurance plans to their customers. We are telling you below about some of the top health insurance plans.

Name of scheme Minimum Entry Age Maximum Insured Amount Hospital Network
Care (Earlier it was known as Religare Care Health Insurance) Adult – 5 Year’s

Child – 91 Days

75 Lakh 7400+
Star Family Health Optima Adult – 18 Year’s

Child – 16 Days

25 Lakh 9900+
My Health Safety Silver Smart Adult – 18 Year’s

Child – 91 Days

75 Lakh 10000+
Aditya Birla Active Assure Diamond Adult – 5 Year’s
Child – 91 Days
2 Carore 6000 +
HDFC Ergo Health Optima Restore (formerly known as Apollo Munich Optima Restore) Adult – 5 Year’s

Child – 91 Days

50 Lakh 10000+

What are the benefits of a Health Insurance Plan?

Pre & Post Hospitalization Expenses: If your illness is related to the rules and regulation of the insurance company and the insurance policy taken by you. So in such a situation, the insurance company bears the entire cost of your admission from the hospital till the discharge from the hospital. (there may be a time limit)

Cashless Treatment: If you have taken a health insurance policy, then you can get your treatment done in any hospital tie up (Network Hospital) with that insurance company. From being admitted to the hospital till your discharge, you do not need to make any payment to the hospital. In this way, you can give all your focus only on your treatment and health.

Daily Hospital Cash: These benefits are very important when you are admitted in the hospital. Because it pays for some expenses related to your regular life. As expenses like hospital food, transport etc. can be reduced for you. Usually this benefit amount can be Rs 2,000 per day. But in some cases it can also be different, like in cases like Accidents and ICU it can be different.

Tax Benefits: If you take any health insurance policy, then you get tax benefits on the premium paid under Section 80D of the Income Tax Act 1961.

Organ Transplant Cost: If you have any disease in which you have to transplant any organ of your body. So in such a situation, the insurance company pays whatever the cost of that organ transplant will come. Because health insurance includes expenses related to organ transplant.

Free Health Check up: Many insurance companies provide free health check up service to their customers. So that their policy holder can become more secure and aware about their health than before. These benefits make you eligible for master health check up, depending on the company and your policy type.

Lifetime Renewable: Health insurance keeps you insured for a long time. Every one of us tries to spend his life by adopting a healthy lifestyle. But when no one knows which disease or accident happens, it is best to have a health insurance policy with you at such a time.

Restoration Benefit: Suppose you have taken an insurance policy today, and you get some disease after two months. Due to which you have to be admitted in the hospital, according to the insurance policy you have taken, the insurance company can pay up to 10,00,000 lakhs in a year. Suppose your insurance plan is for 5 years, in such a situation, if you get treatment for this entire Rs 10,00,000 in a year. So after that you can get treatment up to Rs 10,00,000 again next year.

Let us tell you that you hardly get these benefits in the general health insurance policy. But if you take any restoration policy, then its premium will be higher than normal health insurance policy. But you should also keep in mind that you get insurance benefits every year in this.

No Claim Bonus: If you have health insurance for 5 years and you do not claim insurance in these 5 years or any year. So whenever you increase the time period or insured amount of your policy, you get a discount on its premium. Therefore, whenever you get your health insurance policy renewable, before that you should get to know about the no claim bonus benefits. Whether you have received these benefits or not.

Read more What is Health Insurance Plans and their Benefits

Types of Health Insurance Plans

Friends, every person’s need related to his health is different and on the basis of that people take health insurance plans for themselves.

Insurance companies launch different health insurance plans to meet the different needs of different customers.

Customers i.e. according to our needs, we buy the best insurance plan for ourselves and our family. These different types of health insurance plans are as follows –

(1) Critical Illness Insurance Plan

(2) Senior Citizen Health Plan

(3) Maternity Health Insurance Plan

(4) Individual Health Insurance Plan

(5) Family Floater Health Insurance Plan

(6) Unit Linked Health Plan (ULHP)

(7) Corona Health Insurance Plan – New Plan

Friends, if you have any question, then definitely tell by commenting below, we will be happy to help you. Along with this, share this article of ours with your friends on social media.

Read more What is Health Insurance Plans and their Benefits

Health Insurance Plans

If you have Care Health Insurance then you do not need to worry about money during the treatment. With this, you get cashless facility to get treatment for yourself and your family. For a comprehensive health insurance policy, you can check our plans given below. In which you get maximum coverage at cheap premium. Let us know about them in detail.

Care- Family Health Insurance

Care health insurance helps to safeguard you and your family against financial risks arising out of a medical emergency. On your part you can be reassured that when you are unwell; We’ll take care of your treatment concerns so you can stay worry-free and focus only on your recovery. The plan covers hospitalisation, pre and post hospitalisation, day-care treatment (which does not require hospitalisation), health check-up etc.

Care Freedom Plan – Diabetes & Hypertension Cover

Our Care Freedom Policy aims at providing you the freedom to live your life to the fullest. It does not require any pre-policy medical check-up for all ages and Sum Assured. Also, the waiting period is only 2 years in case of pre-existing diseases. It is available as a family floater and individual plan for up to 6 members.

Joy Plan – Maternity and Newborn Baby Cover

Joy is a state-of-the-art insurance product, which takes away all the questions and uncertainties regarding this new chapter in your family life. It takes care of your maternity and related health insurance needs not only for today but also for tomorrow. Joy Maternity Insurance Plan covers expenses during pregnancy and post hospitalization.

Super Mediclaim – Critical Illness Cover

Care Health Insurance offers to help you protect against the cost of Critical Illness Super Mediclaim. This is one of the most important policies. In this, coverage is provided for the expenses incurred in the treatment of the insured person on the diagnosis of any critical illness. This policy provides you coverage against 32 critical illnesses. You can choose any of the following cover under Super Mediclaim plan:

  • Critical medical
  • Cancer Medicarem
  • Heart Medicarem
  • Operation Medicalem

Read more What is Health Insurance Plans and their Benefits

How to choose the best health insurance plan?

In view of the costly medical services and increasing cases of serious health problems, it is becoming necessary to take health insurance. It saves you from stress and financial troubles at the time of medical emergency. Under this, you do not have to face financial compulsion to get treatment in case of emergency. Hence, investing in health insurance plans is a wise decision. Let us know how you can choose the cheapest health insurance plan for you and your family.

Premium amount

Premium is the amount that you have to pay after the specified interval. You can calculate the premium with the help of online premium calculator available on the website. It calculates the correct premium amount based on your age, standard of living, family members, dependents, income and your medical history. So that you can choose a policy that will cover your emergency medical expenses without putting a financial burden on you.

Maximum coverage

It is to be noted that the general health insurance plan does not cover serious diseases like heart attack, cancer, stroke, organ transplant, kidney failure etc. These come under critical illness cover. Reimbursement of medical expenses for critical illnesses covered under this cover is paid. That’s why you should look for plans that give you maximum coverage.

Minimum exclusion

In the exclusion health insurance policy, there are circumstances cases, medical procedures, treatments, diseases, etc., under which you cannot claim a claim. Therefore, it is important for you to know what are permanently excluded from the policy coverage and what treatments are covered by the policy after waiting for a certain period of time. You should choose the plan which has minimum coverage along with maximum coverage.

Waiting period

In pre-existing diseases i.e. pre-existing diseases, the waiting period is around 48 months, then you should look for a policy in which you can get the option to reduce the waiting period. Like in Care Health Insurance we give you Reduction in Wait Period add on cover so that you can reduce 48 months to 24 months.

Cashless hospitalization

Cashless hospitalization is one of the benefits of health insurance. In today’s time of epidemic, it is difficult to arrange money for treatment. So it is important that you take a plan that can provide you cashless hospitalization facility in your vicinity.

Add on

Along with the basic coverage, you can also see if you can get the option to extend the coverage of your policy. We provide various add-ons under our health insurance plans such as International Second Opinion, OPD Cover, Care Shield, No Claim Bonus Super, etc. These help you in getting adequate treatment by increasing your policy coverage.

Easy payment

You should opt for a health insurance plan where you can easily pay the premium without any hassle. Nowadays you can get health insurance policy EMI so that your monthly budget will not be eaten up.

Tax savings

The premium you pay for health insurance is tax exempt under Section 80D of the Payment of Income Tax Act. Premiums paid for health insurance for self, dependent parents, children and spouse are eligible for tax exemption of up to Rs 50,000. However, the tax amounts are dependent on your income and age. It also helps to under-represent your tax income.

Additional benefits

A right health insurance also gives you additional cover. Annual No Claim Bonus, Annual Health Checkup, Cashless Hospitalization, Ambulance Cover Reduction in Wait Period, COVID Shield, etc. Covers give you complete protection.

Care Health Insurance Company, which is considered as one of the top health insurance providers in India, offers a wide range of health insurance plans. These plans meet your healthcare needs and help you get the best medical care.

What is not covered under health insurance policy?

Many treatments/medical procedures are not covered in the health insurance policy. Let us know what is not covered in the policy:

  • Any diagnosis, treatment or surgery for diseases occurring within 30 days from the date of commencement of the policy term
  • Medical expenses related to treatment of congenital disease
  • Medical expenses due to IVF or infertility treatment
  • Treatment arising out of pregnancy, childbirth, miscarriage, abortion and/or treatment of its consequences
  • hospitalization due to war, riot, strike or nuclear weapons
  • Medical expenses due to alcohol or drug abuse
  • Expenses arising on account of self-inflicted injuries and suicide/attempted suicide
  • Pre-existing illness up to 48 months from the date of commencement of the policy

Read more What is Health Insurance Plans and their Benefits

What is covered under health insurance policy?

The main benefits of buying health insurance are:

In-patient hospitalization cover: The health policy covers your hospitalization expenses if the hospitalization due to accident or illness exceeds 24 hours.

Pre and Post Hospitalization: Covers expenses up to 30 days before doctor’s consultation, scheduled diagnostics, or hospitalization and 60 days after hospitalization.

Covid-19 cover: Now you don’t have to worry if the worry of covid doesn’t let you sleep. The health policy also covers the hospitalization expenses due to coronavirus.

Ambulance cover: The policy covers the ambulance cost which provides the benefit of road ambulance to any policyholder.

ICU Fees: Your health is important. Your ICU charges during hospitalization are covered on a plan basis without any limit.

Domiciliary Hospitalization: Domiciliary hospitalization means home treatment is also available on fulfillment of certain specified conditions.

AYUSH Benefits: AYUSH (Ayurveda, Unani, Siddha and Homeopathy) helps you in permanent treatment. The policy covers the hospitalization expenses for the same.

No Claim Bonus: You can get No Claim Bonus every claim-free year under the policy for your good health. This will increase your sum insured by a maximum of 50% in 5 consecutive years.

Day-care procedures: Various day-care procedures are covered in the policy. which requires hospitalization for less than 24 hours.

Organ Donor Cover: Donating an organ takes courage. The policy covers the medical and surgical expenses for the transplant.

Automatic Recharge: Don’t worry if your hospital bill ever exceeds your existing Sum Assured. The facility of automatic recharge is also included in your policy.

Annual Health Checkup: Why spend unnecessarily on outside health checkup when you can get annual health checkup under the policy coverage.

Second Opinion: At times, it may be possible that you need a second opinion. If you are not satisfied with your current treatment plan, you can avail this benefit.

Lifelong Renewability: Once opting for the insurance plans, you can breathe a sigh of relief and continue with the policy for life at break-free renewables.

Read more What is Health Insurance Plans and their Benefits

What is not covered under health insurance policy?

Many treatments/medical procedures are not covered in the health insurance policy. Let us know what is not covered in the policy:

  • Any diagnosis, treatment or surgery for diseases occurring within 30 days from the date of commencement of the policy term
  • Medical expenses related to treatment of congenital disease
  • Medical expenses due to IVF or infertility treatment
  • Treatment arising out of pregnancy, childbirth, miscarriage, abortion and/or treatment of its consequences
  • hospitalization due to war, riot, strike or nuclear weapons
  • Medical expenses due to alcohol or drug abuse
  • Expenses arising on account of self-inflicted injuries and suicide/attempted suicide
  • Pre-existing illness up to 48 months from the date of commencement of the policy

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