OPD Health Insurance
Outpatient treatment refers to medical services that are provided to patients who do not require an overnight stay in a hospital. In outpatient treatment, a patient undergoes diagnosis, treatment, or consultation and returns to their homes on the same day. The services usually include therapies, consultations with doctors and specialists, various diagnostic tests, etc.
Advancements in healthcare have resulted in quite a few treatments being available as OPD treatment, i.e. outpatient department treatment. Though the cost of OPD treatment and consultations might not be a lot as compared to inpatient treatment expenses, these can add up. Over an entire year, these costs can pile up and set you back. You can opt for health insurance to protect your finances against such expenses. OPD coverage in health insurance is just the thing you need.
What is OPD treatment?
OPD or outpatient department is when a patient visits the hospital and returns home the same day, after undergoing some form of medical assessment or treatment. In other words, if the treatment or assessment does not need hospitalisation, it is usually known as OPD treatment. Most hospitals have various departments in OPD, where the patient can consult a specialist. Common examples of departments include oncology, orthopaedics, paediatrics, general medicine, etc.
What is OPD cover?
OPD cover is a type of health insurance plan, that covers expenses related to doctor consultations, diagnosis tests, and even medical prescriptions. A standard health insurance plan might not offer coverage for OPD expenses. Opting for an additional OPD cover will safeguard your finances against such regular expenses.
Why opt for a HI plan with OPD benefits?
There are quite a few studies that prove that OPD expenses can be quite high in the country. The average cost of OPD visits can range between Rs. 94 for a visit to a government hospital to Rs. 2,213 for a visit to a private hospital. Some estimates show that OPD expenses amount to almost 62% of overall healthcare expenses in India.
A sedentary lifestyle and work practices have resulted in an uptick in the number of diabetes and hypertension cases. These require regular diagnostic tests and treatment. While it might seem a bit less upfront, these costs can add up. People who maintain a healthy lifestyle and workout regularly, are also prone to injuries in the gym. Choosing a health insurance plan with OPD benefits will help you save money, for regular hospital visits.
Who should buy health insurance with OPD coverage?
A health insurance plan with OPD coverage can be a sensible choice for a lot of reasons. Here are some common groups of people, who should consider getting an OPD cover.
As a general rule of thumb, senior citizens should have health insurance coverage. However, an OPD cover can be even more effective for seniors, since the probability of a hospital visit is much higher. They might need to visit a hospital for OPD treatment on a regular basis or for minor injuries or even dental care.
One might wonder, whether a OPD cover is for people who visit the gym or workout regularly. Yet, this group needs an OPD cover, since people who workout regularly, are prone to injuries. Back and knee injuries are the most common. And these would require you to avail of OPD services in a hospital.
A large number of working professionals are covered by health insurance plans. However, these plans are usually restrictive and the sum insured can be a bit underwhelming at times. To complement a corporate or employer health insurance plan, an OPD cover can be ideal. It will not only help you save money in the form of taxes but also give an additional layer of protection.
A lot of people in the age group of 25 to 40 years opt for health insurance plans. Since age is on their side, they can secure a health plan at much more affordable rates and easily complete waiting periods for health ailments. You can complement the plan with an OPD cover, which you are more likely to use. Irrespective of how healthy a person is, there is a possibility of visiting a hospital a few times a year.
Benefits of OPD expenses
A lot of people are usually content with just a health insurance plan. However, opting for an OPD cover can be beneficial. Here are some of the benefits of choosing such a cover.
1. You can enjoy tax benefits when you opt for OPD coverage under Section 80D.
2. People who suffer from long-term diseases and who need frequent visits to the hospital will benefit from this coverage. Diabetes and hypertension are two such examples.
3. The cost of regular visits to a doctor or hospital might not seem much for one instance. However, on adding it for an entire year, the amount can be a bit significant.
4. Should you opt for the OPD cover, the policy will take care of various expenses such as diagnostic tests, doctor consultations, prescriptions, etc. Thus, allowing you to focus on your health rather than being constantly bothered by money.
Coverage in health insurance
A health insurance plan with OPD coverage acts like any other insurance plan. Your insurance provider will offer coverage for various health contingencies in exchange for the premium that you pay. However, the coverage is not limitless. Here are the inclusions and exclusions of a standard OPD cover plan.
Inclusions
- Any fees related to professional consultation and examinations for assessment of a health condition.
- The cost of buying medicines and drugs that are prescribed by the doctor.
- The cost of dental treatments if it is recommended by your doctor.
- The cost of hearing aids for people who are developing serious hearing impairment.
- Fees related to diagnostic tests such as x-rays, CT scans, MRIs, pathology tests, etc. to diagnose a health ailment.
- The cost of minor surgeries that do not require admission to the hospital such as dressing of accidents, sutures, animal bite cases, etc. that are performed by a doctor.
Exclusions
- Vitamin supplements
- Thermometers
- Contact lenses
- Spectacles
- Physiotherapy
- Blood pressure monitors
- Glucometers
- Walkers
- Cosmetic surgeries
- Consultation for dieticians
Which OPD health insurance plan should you buy?
Here are some of the health insurance plans that offer OPD benefits for you to avail.
1. Bajaj Allianz Tax Gain
The Bajaj Allianz Tax Gain is a great family floater plan. Tax gain offers to cover hospitalisation expenses as well as OPD expenses. And both under one plan. You can file a claim for OPD cover for various conditions such as dentures, dental procedures, crutches, etc.
2. Cholamandalam Family Healthline
Family Healthline plan offers the benefits on both individual and floater basis. To get access to OPD cover, you will need to opt for the add-on by paying a small premium. You can use the cover for hearing aids, spectacles, contact lenses, etc.
3. Niva Bupa Go Activ Health Plan
For regular hospital visits, the Go Activ Health Plan is perfect. And unlike a few other plans in the list, the benefits are not available as an add-on. The plan offers up to 10 OPD consultations, that can be reimbursed or can be cashless and are available through Practo.
4. Star Out Patient Care Insurance
The plan is curated for OPD treatments. The sum insured by the plan ranges from Rs. 25,000 to Rs. 1 lakh. Outpatient Care Insurance even offers coverage for AYUSH treatments, apart from the ophthalmic cover, dental cover, pharmacy, diagnostics, and physiotherapy. You can choose either on an individual or floater basis.
5. Digit Health Insurance with OPD cover
The plan from Digit offers the benefits of standard hospitalisation and OPD benefits together. OPD benefits cover diagnostic fees, medicine bills, dental treatments, hearing aids, minor surgeries, consultation fees, etc. You can also avail of hospitalisation benefits with no room rent cap, health checkups, daycare procedures, surgeries, and no copayment, among others.
6. ManilaCigna Health Insurance
It is a comprehensive health insurance plan that caters to most medical needs. You can opt for the ProHelath Prime Advantage plan, which allows you to select a sum insured in the range of Rs, 20,00 to Rs. 50,000 per year for OPD benefits. Alternatively, you can choose the Health 360 OPD add-on with any other plan, where the sum insured ranges between Rs. 20,000 and Rs. 30,000 with increments of Rs. 5,000 and a sum insured between Rs. 30,000 and Rs. 50,000 with increments of Rs. 10,000.
7. Aditya Birla Activ Health Enhanced Platinum Plan
The plan is available as a family floater or individual basis and the sum insured ranges between Rs. 2 lakhs and Rs. 2 crores. The policy covers expenses of up to 10% of the OPD limit per visit to a physician and 50% of the limit for diagnostic and medicine, each.
8. Bharti AXA Health AdvantEdge
The OPD cover in the plan is available for both dental as well as medical expenses. The OPD cover is limited to 0.5% of the total sum insured of the health insurance plan or Rs. 1 lakh, whichever is less. The cover includes consultations, physiotherapy, pharmacy, etc.
OPD eligibility criteria
Should you decide to opt for OPD coverage in health insurance, you would need to meet the following eligibility criteria.
1. You can choose an OPD cover for your children. Provided they are at least 90 days old and less than 18 years old as well.
2. Standard coverage applies to adults between the ages of 18 years and 65 years. The actual age limits might differ a bit, depending on the insurance provider.
3. For senior citizens, above 65 or 70 years, you can look for exclusive plans from insurance providers.
How to buy health insurance with OPD coverage?
Once you decide to buy a health insurance plan with OPD coverage, choosing the right insurance provider is the next sensible step. Here are a few simple steps to help you buy the right health insurance plan with OPD coverage.
1. Access the website or application of any preferred insurance provider.
2. Alternatively, you can even visit the website or application of an insurance aggregator.
3. Search for health insurance option on the platform.
4. If you are on the platform of an insurance provider, you can choose a health insurance plan.
5. If you are on an insurance aggregator platform, you can compare different plans and choose a plan that offers the most value and coverage. You can view details of the plans and coverage on offer.
6. Proceed to purchase the plan.
7. Enter all the details such as contact information, medical history, address, etc.
8. Upload all the documents required by the insurance provider.
9. Make the payment for the plan.
Once you complete the above steps, you will receive a digital copy of the insurance in your email account.
Processes to raise a claim for OPD expenses
If you want to avail yourself of the benefits of your OPD coverage, there are two different ways of doing so. You can either opt for cashless treatment or go for reimbursement claims. Here are more details about each claim type.
Cashless claim
In this type of claim, the insured must visit a network hospital as listed by the insurance provider. Upon visiting a network hospital, the insured can show their insurance card and benefit from cashless benefits. In simple words, your insurance provider will take care of all the expenses and will settle them directly with the hospital. Thereby, ensuring that you do not have to worry about spending anything out of your pockets.
Reimbursement claim
A reimbursement claim is the other type of claim that an insured can opt for. In such claims, the insured must undergo the treatment at their expense. Later, on submitting all the necessary documents, the insurance provider will reimburse all the expenses. Documents usually include lab diagnostic reports, consultations with doctors, medical prescriptions, recommendations for dental treatment, etc.
Difference between daycare treatment and OPD treatment
OPD or outpatient department treatment is often confused with daycare treatment. And a lot of people use the terms interchangeably. However, that is not the case.
Daycare treatment refers to any medical procedure or attention that a person needs, which requires them to be admitted to the hospital for at least one day or 24 hours. Usually, the treatments require the patient to be under general or local anaesthesia. Minor accidents or health ailments require daycare treatment. Some common examples of daycare treatments are dialysis treatment, radiation treatment, etc.
While both daycare and OPD treatments require much less time as compared to inpatients, however, they are quite different. In order to avail of OPD treatments, a patient is not required to be admitted to the hospital. However, for daycare treatments, they must be admitted for at least 24 hours.
Here is a simple example to demonstrate the difference between both treatments to help you understand them better.
Patient A has severe stomach pain and visits a doctor for consultation. The doctor on examining, prescribes some medicines and recommends a couple of days rest for Patient A. After the consultation, Patient A can return home and take the medicines and rest as prescribed.
On the other hand, if Patient A had met with an accident that resulted in a fracture, he or she would need to visit the doctor for treatment of the fracture. It is possible that the patient would need to be under observation for a day. If the patient is admitted for more than a day, they would qualify as an inpatient.
Difference between Out-patient department treatment and in-patient department(IPD) treatment
OPD and IPD are two entirely different types of treatment. IPD or indoor patient department treatment refers to all the medical attention that a patient receives while being admitted to the hospital. IPD admissions are usually done on the recommendation of a doctor. The patient can be admitted from OPD, ambulatory care, or even emergency services.
IPD treatment needs much higher levels of care, where the patients are monitored by doctors regularly, nursing services are available, and drugs or medications are administered as required. Some common departments that might require IPD treatment include orthopaedics, general surgery, general medicine, ophthalmology, physiotherapy, burn cases, etc.
Here are a couple of examples where a patient might be admitted to the hospital for IPD treatments. Patient A meets with a severe accident while driving. He is first moved to the emergency department, receives all the immediate care, and is later moved to IPD for further treatment and recovery.
The parent of an insured has been suffering from arthritis for a while and they need knee replacement surgery. For the surgery and recovery, they would need to be admitted to the IPD, undergo surgery in the operation theatre, and return to bed for further recovery.
A couple of major differences between OPD and IPD treatment include the duration of stay and the kind of services on offer. For a visit to qualify as IPD, the patient must be admitted for more than 24 hours to the hospital. On the other hand, for OPD treatments, the patient can leave home within a few hours.
Also, in IPD treatments patients receive much better care, due to much more serious conditions. As a result, the cost of treatment is high as well.
List of top 5 health insurance plans with OPD cover
The following is a list of the top 5 health insurance plans that you can buy right now, that offer OPD cover. Here are the plans along with their policy highlights to make the decision easier for you.
1. SBI Arogya Plus
The plan offers OPD cover for its subscribers and the sum insured ranges between Rs. 1 lakh and Rs. 3 lakhs. SBI’s Arogya Plus will let you get treatment coverage as well.
2. Bharti AXA Health AdvantEdge
The plan offers a wide range of sums insured. Starting at Rs. 2 lakhs the plan offers coverage for up to Rs. 3 crores, depending on what you are looking for. OPD cover is optional with the plan, providing you with a robust health plan.
3. Bajaj Allianz Tax Gain
The plan grants you access to more than 6,000 network hospitals in the country. You can avail of hospitalisation and OPD expenses under a single plan. The plan also covers daycare procedures, offering you a rounded policy.
4. Aditya Birla Activ Health Enhanced Platinum
Aditya Birla’s plan also offers a wide spectrum of sums insured for you to choose from. The sum insured ranges between Rs. 2 lakhs and Rs. 2 crores. The coverage for OPD ranges between Rs. 5,000 to Rs. 20,000.
5. Care Family Health Insurance Plan
If you are looking for an ideal plan for your entire family, Care’s Family Health Insurance Plan is just ideal. The sum insured on the plan ranges between Rs. 3 lakhs and Rs. 6 lakhs. The OPD cover on the plan is optional and ranges between Rs. 5,000 and Rs. 50,000.
How to file a claim for OPD cover?
If you want to file a claim for OPD cover, there are a couple of ways to do so. And the steps will vary accordingly.
1. Cashless:
- For cashless claims, you can visit any of the hospitals under the network of an insurance provider.
- Once you reach the hospital for treatment, you can share your insurance policy card.
- You can avail of the OPD services.
- Your insurer will directly settle the bills with the hospital.
2. Reimbursement:
- For reimbursement claims, you can visit any hospital of your choice.
- You must first avail of the OPD treatment first.
- Inform your insurance provider regarding the intent to file a claim.
- You can file a claim on their app, or website or by calling the insurance provider.
- You must submit all the necessary documents such as bills, consultation notes, summaries, etc.
- A lot of insurers will allow you to submit the documents online.
- Once the claim is approved, the amount will be credited to your account.
To Sum Up!
Always assess your situation and buy an OPD cover with a good insurance provider. This reduces any financial stress in case of a medical emergency and this also ensures you get the best treatment available without compromising on doctors and the treatment due to high costs. So do not delay and get OPD coverage and enjoy a happy life with no stress on this front.
Leading Health Insurance Companies
Latest Blogs
Why Is It Necessary To Take Insurance? Imagine waking up one day to find that your car stolen, your home damaged by a sudden storm, or a medical emergency has left you with a hefty hospital bill to pay off. Life can sometimes be very scary and unpredictable, and while we can’t control the bizarre twists and turns it takes, we can ensure that we are protected from the financial fallout. This is where insurance steps in. It is more than just a financial safety net; it’s peace of mind, a superhero who can protect you against the unknown and make you feel safe in this world of uncertainty. In this blog, we explore why taking insurance isn’t just a smart choice—it’s a necessary step in moving on from the past, enjoying the present worry-free and safeguarding the future. Unexpected Challenges and High Costs Insurance is not just an option, it’s a financial necessity in today’s unpredictable world. From sudden medical emergencies and car accidents to unforeseen natural disasters or personal setbacks, life can throw unexpected challenges at you when you least expect them. These challenges often come with high costs like hospital bills, vehicle repairs, or property damage that can quickly drain you financially. Protecting Your Financial Stability Without proper insurance coverage, you could be left to bear the full brunt of these expenses, which could wipe out your savings, force you into debt, or delay other financial goals like buying a home or securing your retirement fund. By investing in insurance today, you’re essentially paying a small premium today to protect your future self. It acts as a shocker, protecting you from the bumpy ride of financial hits and offers long-term security, ensuring that even in the face of a crisis, you and your family can recover without any major permanent setbacks. Whether it’s life insurance securing your family’s future or health insurance helping you out with expensive medical bills, having the right coverage is key to maintaining financial stability in the face of uncertainty. Reducing Stress and Anxiety Insurance provides more than just financial protection; it offers peace of mind that can have profound emotional and mental benefits. Knowing that you are covered in case of emergencies relieves a significant amount of stress and anxiety, especially in situations where things could go wrong at any moment. Whether it’s the worry of a sudden illness, a car accident, or damage to your home, the assurance that you won’t be left to handle the costs can reduce the emotional burden. This peace of mind allows you to focus on the things that matter most to you- your health, your family, and your well-being, without being consumed by the fear of financial burdens. Life’s uncertainties often create anxiety, but insurance helps restore balance by offering a plan for when things go off course. You know that in the event of an emergency, there’s a system in place to help you recover without derailing your finances and your life. This emotional safety net is priceless, allowing you to live with confidence rather than constant worry and fear of financial ruin. Insurance isn’t just about safeguarding your money; it’s about protecting your mental and emotional well-being too. Beyond Financial Protection In a world filled with unpredictability, insurance is not just a luxury but a necessity. It goes beyond financial protection, providing an emotional cushion that allows you to face life’s uncertainties with confidence and peace of mind. Comprehensive Coverage for a Secure Future Whether it’s health insurance protecting you from unexpected medical expenses, life insurance ensuring your loved ones are cared for, or home and motor insurance shielding your valuable assets, the importance of having the right coverage cannot be overstated. Peace of Mind By investing in insurance, you are not only safeguarding your finances but also your future. It allows you to live freely, knowing that you have a safety net in place for life’s unforeseen challenges. So, as you move through life, don’t just think of insurance as a formality but view it as an essential part of securing your present and future, ensuring that no matter what happens, you’ll be ready to face it with confidence and calmness. After all, peace of mind is one of the greatest investments you can make.
...Why Is It Necessary To Take Insurance? Imagine waking up one day to find that your car stolen, your home damaged by a sudden storm, or a medical emergency has left you with a hefty hospital bill to pay off. Life can sometimes be very scary and unpredictable, and while we can’t control the bizarre twists and turns it takes, we can ensure that we are protected from the financial fallout. This is where insurance steps in. It is more than just a financial safety net; it’s peace of mind, a superhero who can protect you against the unknown and make you feel safe in this world of uncertainty. In this blog, we explore why taking insurance isn’t just a smart choice—it’s a necessary step in moving on from the past, enjoying the present worry-free and safeguarding the future. Unexpected Challenges and High Costs Insurance is not just an option, it’s a financial necessity in today’s unpredictable world. From sudden medical emergencies and car accidents to unforeseen natural disasters or personal setbacks, life can throw unexpected challenges at you when you least expect them. These challenges often come with high costs like hospital bills, vehicle repairs, or property damage that can quickly drain you financially. Protecting Your Financial Stability Without proper insurance coverage, you could be left to bear the full brunt of these expenses, which could wipe out your savings, force you into debt, or delay other financial goals like buying a home or securing your retirement fund. By investing in insurance today, you’re essentially paying a small premium today to protect your future self. It acts as a shocker, protecting you from the bumpy ride of financial hits and offers long-term security, ensuring that even in the face of a crisis, you and your family can recover without any major permanent setbacks. Whether it’s life insurance securing your family’s future or health insurance helping you out with expensive medical bills, having the right coverage is key to maintaining financial stability in the face of uncertainty. Reducing Stress and Anxiety Insurance provides more than just financial protection; it offers peace of mind that can have profound emotional and mental benefits. Knowing that you are covered in case of emergencies relieves a significant amount of stress and anxiety, especially in situations where things could go wrong at any moment. Whether it’s the worry of a sudden illness, a car accident, or damage to your home, the assurance that you won’t be left to handle the costs can reduce the emotional burden. This peace of mind allows you to focus on the things that matter most to you- your health, your family, and your well-being, without being consumed by the fear of financial burdens. Life’s uncertainties often create anxiety, but insurance helps restore balance by offering a plan for when things go off course. You know that in the event of an emergency, there’s a system in place to help you recover without derailing your finances and your life. This emotional safety net is priceless, allowing you to live with confidence rather than constant worry and fear of financial ruin. Insurance isn’t just about safeguarding your money; it’s about protecting your mental and emotional well-being too. Beyond Financial Protection In a world filled with unpredictability, insurance is not just a luxury but a necessity. It goes beyond financial protection, providing an emotional cushion that allows you to face life’s uncertainties with confidence and peace of mind. Comprehensive Coverage for a Secure Future Whether it’s health insurance protecting you from unexpected medical expenses, life insurance ensuring your loved ones are cared for, or home and motor insurance shielding your valuable assets, the importance of having the right coverage cannot be overstated. Peace of Mind By investing in insurance, you are not only safeguarding your finances but also your future. It allows you to live freely, knowing that you have a safety net in place for life’s unforeseen challenges. So, as you move through life, don’t just think of insurance as a formality but view it as an essential part of securing your present and future, ensuring that no matter what happens, you’ll be ready to face it with confidence and calmness. After all, peace of mind is one of the greatest investments you can make.
...Types Of Life Insurance Policies In India Introduction Life insurance is more than just a policy; it is a safety net that secures your family and loved ones. In today’s fast-paced, unstable world, protecting your family’s future has become critical. With so many uncertainties in modern life, it is critical that you protect your family’s financial well-being. Life insurance is an instrument to ensure that your family will be provided for in the case of your unexpected passing. But, with so many options available in India, where do you even begin? Before making any decisions, you should understand what life insurance truly covers and how different types of plans might meet your specific needs. Let’s take a deep dive into the many types of life insurance plans available in India, including their benefits and how they can safeguard your family’s financial future. Term Life Insurance One of the most common types of life insurance in India is a term life policy. It covers a set time period, or “term,” which might range from 10 to 30 years or more. The price increases with the duration of the policy term, but it guarantees that your family will get an 8-figure death benefit if something happened to you during this time. It provides extensive coverage at a relatively inexpensive cost, making it an excellent choice for individuals looking to protect their family’s future without breaking the bank. This coverage provides a financial safety net for your family in your absence. The death benefit gives much-needed financial support, allowing them to face life’s challenges without added anxiety. Term Life Insurance with Return of Premium Term Life Insurance with Return of Premium provides a distinct benefit over traditional term plans. This type of policy not only offers life insurance coverage for a defined term, generally 20 years or more, but it also returns your premiums if you survive the policy period. Essentially, it provides both protection and savings possibilities. In the unfortunate event that the policyholder passes during the term, those designated as beneficiaries get a death benefit, similar to standard term policies. However, if the policyholder outlives the insurance policy, the paid premiums are returned, making it a win-win situation for people seeking both coverage and financial return. Whole Life Insurance Whole life insurance is a form of policy that provides lifetime coverage, as opposed to term plans, which expire after a certain number of years. This policy offers a death benefit for the policyholder’s entire life, guaranteeing that their family is financially secured regardless of when the insured passes away. In addition to the death benefit, Whole Life Insurance builds up cash value over time, which may be used as a financial resource during the policyholder’s life. This makes it an important tool for guaranteeing long-term security and building a backup plan for unforeseen events. It provides lifelong security, allowing your loved ones to fulfil financial responsibilities after your passing. Endowment Life Insurance This is a one-of-a-kind policy that combines life insurance with savings. The insured receives not just life insurance for a set duration of time, but also the ability to save systematically. Over the term of the insurance, you pay recurring premiums that accumulate over time, culminating in a lump sum payoff at maturity. This payout is delivered to the policyholder if they survive the period, and in the event of death during the policy term, the beneficiaries receive the whole sum assured. Endowment plans are perfect for people looking to strike a balance between wealth growth and financial stability since they offer a guaranteed return as well as life insurance, making them a secure investment alternative for future financial objectives. ULIP Life Insurance Unit Linked Insurance Plan is designed to help individuals who face the dilemma of choosing between life insurance and investment opportunities. ULIPs offer a comprehensive solution by combining both in one plan. With ULIPs, a portion of the premium goes toward providing life insurance coverage, while the rest is invested in a range of market-linked options like equity, debt, or hybrid funds, based on the policyholder’s risk appetite. ULIPs provide the flexibility to switch between funds as per changing market conditions, making it an attractive choice for those looking to grow their wealth while also securing their family’s future. By offering both insurance and investment, ULIPs help mitigate risk while providing the opportunity for financial growth. Money-Back Life Insurance This insurance provides policyholders with consistent returns throughout the policy term, rather than waiting until maturity to reap any benefits. Under this plan, the insured receives a percentage of the sum assured at regular periods, maintaining a consistent cash flow throughout the policy duration. This gives it a more flexible alternative than traditional life insurance plans, which only provide a lump sum payout at maturity or in the event of the policyholder’s death. In the event that the policyholder dies during the term, the beneficiaries get the whole sum promised, irrespective of any money-back instalments already received. This characteristic makes money-back plans especially suitable for those who need liquidity at various times of their lives to fund significant expenses while still providing life insurance for their loved ones. Group Life Insurance Group Life Insurance provides life insurance coverage to a large group of people, usually employees of a corporation, under a single policy. Group life insurance falls into two categories: group term life insurance and group whole life insurance. Group term life insurance is less expensive than group whole life insurance since it provides coverage for a set period of time. These plans are popular since they generally come at a little or no cost to the employee, providing peace of mind for their family in the event of an unforeseen catastrophe. Child Insurance Child insurance is a sort of life insurance that protects your child’s future while also allowing you to grow your wealth via investments. It combines insurance and investing components, allowing you to create a financial cushion for your child’s future requirements, such as education,
...How to Lower Your Commercial Insurance Premiums Out of the various overheads businesses face, the most important one that helps safeguard most of the risks is commercial insurance. These include damage to property, liabilities of any sort, injuries to employees, and much more. Providing security that covers your assets and makes you eligible to meet business obligations if something untoward happens, this insurance becomes a heavy burden on the balance sheet. One good thing is that you don’t have to drop your commercial insurance coverage so that you can reduce your commercial insurance premiums. With a few strategies, you can lower costs without forsaking protection. Let’s discuss the best practices to lower commercial insurance costs without lowering their quality in this book. Periodical Review and Update of Coverage One of the most straightforward ways to cut down on commercial insurance cost would involve reviewing policies from time to time. Businesses evolve and grow over the years to become wholesome or are forced to downsize or alter the shape that their activities take, which greatly impacts the coverage required. You end up over-insuring some aspects of the business when downsizing or bringing in fewer employees. You save money by not paying for coverage that no longer applies over your business as you realign your insurance coverage with the immediate needs of your business. Action Steps Annual review of your insurance Examine how you are changing your business operations with your agent or broker -Eliminate riders or coverage you don’t need from the policy. Group coverage with the same insurance company One way in which some insurers might save you money is by bundling together different kinds of coverage within a single policy. The most common use of bundling is to combine general liability with either property or workers’ compensation. Bundling tends to make policy management easier and could quite often lead to some savings because most insurers want to be loyal to their customers; they wish to encourage them to become multi-policy customers and offer them some sort of discount on their premiums. Actions Talk about your bundled policies with your agent in insurance Compare a bundle offer to an individual policy to identify savings Bundle policies should be sufficient enough for the coverage of your business Finally, Raise Your Deductible Deductible refers to the amount that one needs to pay before making a claim. In general terms, the higher is the deductible level on the policy then more the insurance premium. The higher your deductible is going to be, the more you are going to pay for each and every future claim. That will make the company expose itself towards lesser risks and force them to lower down your monthly or annual premium. But it’s a good thing to remember that you have money set aside to pay for the extra cost of the deductible if and when it is time to submit a claim. Being able to afford a higher deductible is not in your best interest if you do not have money in savings available to you at the time you will be submitting your claim to pay for the extra cost. Action Take a look at what your current deductible is. Compare how much in premium savings you’d receive with higher deductible options. You should have an emergency fund in case you need to claim in future due to deductibles. Carry Out Risk Management and Safety Measures You would want to consider the fact that sometimes, insurance premiums are a function of how risk-prone your business seems to the insurers. The lesser you do in reduction of risk, the lesser the likely, your insurer is going to reward with lower premiums. For example, safety nets will minimize your chances of having accident, theft or even damage; therefore it will significantly minimize your cost on insurance. This would ensure organizations with employees have a much safer working environment. This way, even conditions of working injuries can be worked upon to being totally eradicated; such incidents influence the comp premium risk of the workers. Installation of security systems, fire suppression systems, and cybersecurity measures reduce your overall profile for risk. Steps to Action -Risk Assessment and Safety Measures End Install Security Systems (alarms, cameras, etc.) and Fire Suppression Systems Train your staff on the issue of safety from time to time Invest in cybersecurity especially when your business has sensitive information to handle Improve Your Business Credit Rating Business How much will it cost: You will pay less on your commercial insurance premiums if you have a good credit rating score for business. The underwriter identifies businesses with a bright credit rating as risk-free because most such businesses will be paying premiums in time, and running them will be stable as well. What does it all amount to? If your business has a low credit rating score, you will have to dig deeper into your pocket and pay more on the premiums. Care for the bills and responsible interaction with the debt. The debt will improve your business credit score, and you’ll probably attract a better insurer that would reduce the premiums that you might face. Action steps: Business Credit Score Bill payments and premiums Pay off the debt as much as possible Low levels of credit utilization Shop Around for Quote Premiums and discounts differ from one insurance company to another. Advise that one goes around the companies to search for quotes then compare the quotes. Sometime following the price prices charged by others may save you much money. Price war is no option with faithful clients sometimes you must change a provider since you feel that another will sell you at better value. Review coverage from a “best value based on dollar coverage” standpoint rather than trying to find the least expensive. You want low-cost premiums, but you also want assurance coverage exists for your business. Action items Get quotes from three different insurance providers and
...Top 5 Business Insurance Policies Every Entrepreneur Should Know About Insurance has come to play an extremely crucial role in the modern fast-paced and uncertain business environment because of its elements that protect businesses against many kinds of risks that may crop up. If you also propose beginning with a new business or managing an already well-established business, which would help protect your business from losing finances and create sustainability for long periods of time, then you should know the right insurance policies. Not all kinds of insurance become inevitable to entrepreneurs and other people who do business in order to avoid risking their ventures. Top five business insurance policies that every entrepreneur should know. General Liability Insurance This might be the very reason why General Liability Insurance is one of the most basic forms of commercial insurance that will keep your business safe from claims against such an occurrence, if through your transactions or nature of business, you somehow damage other people’s property or else causes some damage in the health or any other type of harm. Some Benefits Property Damage: General liability insurance that relates to loss or the cost to rebuild properties due to the presence of your business. Bodily Injury: If one of your customers or many others, for that matter, gets hurt in your place of business, such insurance will compensate them for medical care and attorneys’ fees. Legal Liability: General Liability pays costs and damages if someone sues your business for the argument that your business has caused injuries or property damage too. Professional Liability Insurance, also known as Errors & Omissions Insurance This is also sometimes referred to as Errors and Omissions (E&O) Insurance. Its name probably has something to do with the practitioners who often use it most: lawyers, accountants, and even realtors do so much that this kind of insurance could be described after these types of professionals. The coverage of such insurance would protect your business against negligence, mistake, and failure to deliver promised services. Main Benefits : Litigation against Customer: Indeed, if the customer thinks that the service you offered to the client was a bad mark or something they lost because of your service, this cover will manage to get you money in order to indemnify for money spent on lawyers for the defense of your business. It contains some mistake and negligence that most accidents were caused due to negligence while giving your service. Such negativities that involve settlements and lawyers. Protects Reputation: It always protects your business from professional negligence claims, which tend to drag your business to court-that step always protects your business reputation. This means if an organization owns property or is leasing one, then the compulsorily insured property is a commercial property. It mainly insures physical assets such as a building or part of it, equipment, stock, furniture, and all other business properties against loss caused by dangers such as fire, theft, and natural disasters. Some of the main benefits Protection Against Natural Calamities: If any of these calamities threatens your property, be it fire, flood, or any other, it would pay to have your property restored or replaced. Commercial Equipment Insurance: This kind of insurance will cover your essential equipment, which includes computers, machinery, and other office furniture, so you can get back to business again in no time after an incidence. Inventory Insurance: This is pay put together by replacing the goods if your stock gets either destroyed or stolen so that you do not miss sales in time. Workers’ Compensation Insurance If you have employees, Workers Compensation Insurance is also the right thing to do well, and most states will require it. Workers compensation insurance pays your employees if they get hurt or fall ill at work. Major Advantages Healthcare Costs: The cost of medical and rehabilitation of injuries or diseases to which an employee is exposed on the job are provided under workers’ compensation. Wage Replacement: It also covers your business in case the worker cannot go to work, providing wage replacement. Legal Protection: This also protects the company from some litigations resulting from injuries since most of the states have disallowed people from taking lawsuits to their employers if they are receiving workers’ compensation. As these heights of digital threats are on the rise, it was realized that business organizations dealing with sensitive information from customers or money transactions electronically have to be in an increasingly demanding market for Cyber Liability Insurance. This particular type of insurance covers the loss resulting from lost data hacking and other types of cyberattacks. Key Benefits: Data Breach Coverage: cyber liability insurance will replace the money that it will cost to inform the customers, to notify them of credit monitoring, and to rebuild the lost data. Laws and Regulatory Fines: in case your company is liable for data breach of personal data, then this coverage can help relieve some of the legal fees to defend yourself besides other fines that you will face a probability of being charged with because you were breaking some regulations. Others include Reputation Management: At times, an attack may affect the reputation of your business. Cyber liability insurance therefore may also include public relation ventures that help recover reputation. Other thoughts for entrepreneurs: Except for these general types, there are the very specific types of business insurance that entrepreneurs might be interested to learn more about depending upon industry or geographic location or particular needs of the business. Other policies that might be useful to carry: Business Interruption Insurance: It will cover loss income in case your business had temporarily to shut down, for instance, a huge damage by natural disaster. Product Liability Insurance: Product liability insurance covers businesses as a product liability insurance form for the firms associated with the manufacturing or distribution of products. Such an insurance deals with claims involving the defects of the product or safety on the product. Business
...How to Build a Comprehensive Business Insurance Package Any firm needs to armor itself against any form of risk in this unpredictable world. Thereby, protecting one’s firm still calls for much importance than at any other time. An established business insurance package will ensure that your operations run according to schedule even during such times when unexpected things are springing around each corner. It is pretty confusing to those new to the game, but the world of business insurance can be explained in simple steps. Below are the steps on how you can construct an entire business insurance package to ensure you are fully covered in case of varying liabilities and losses. Business Insurance Package What is actually a business insurance package? Actually, a business insurance package is an offer of different insurance deals that will be meant to address varied kinds of risks that a given business may expose to. The specific bundle of a business insurance package can be general liability, property insurance, professional liability insurance, workers’ compensation amongst other risk components. All these can usually safeguard your business from any financial losses that it might incur due to accidents, lawsuits, natural disasters, and other calamities not yet foreseen or even in the imagination. Step 1: Categorizing Your Business Risks As you come up with an integrated insurance product, there is the need to identify particular risks of your business. Since no two businesses are similar, these factors become very important in classifying possible risks of your business. Among them, some are general and affect most businesses: Risk that emanates from physical characteristics: This is loss to the office, equipment, or stock occasioned by fire, theft, and causes including natural calamities. Liability-based risk: The risk precipitated out of a case of injury, negligence, and breach of contract lawsuit Employee-related risks: Injuries or illnesses that will adversely affect the employees at work and can be treated either medically or benefits fund-wise Industry-related risks: Risk is specific to a given industry; cyber risk is an industry-specific and particular only to IT companies. Malpractice risks are specific to the medical fraternity only. Knowing your risks may as well help you know which type of cover will go into your package. Step 2: Critical Types of Insurance Coverage With a much greater awareness of what you might lose, it’s high time to find some insurance covers that may be accessible to you. There are some essential kinds of cover every business would do very well to consider the following: Liability Insurance-General This would also include claims of lawsuits rising against the business over third parties for either actual or perceived physical or personal injury or damages to third party property like libel or slander. Most businesses need commercial property insurance because it would prevent lawsuits filed against a company in court and also some forms of claims brought about through the normal functioning of any business. Commercial Property Insurance Commercial property insurance protects your business’s physical assets: buildings, equipment, products, inventory, and furniture. It will cover you from losses that can occur through fire, theft, vandalism, and sometimes natural occurrence. This form of property insurance is also not required when purchasing ownership or leasehold interest. . Errors and Omissions Insurance Liability Coverage Errors and omission insurance, also referred to as professional liability, is supposed to cover the clients against third-party civil actions over unintentional errors or omissions represented by negligence. Such cover will offer defense costs and damages. This is one of the minimum covers for any business that involves professional practice or renders advice. It covers claims based on negligence, omissions, or errors that leave a client liable to lose money. Such businesses are risky because their activities are complex. Examples of such industries include legal services, accountancy, consultancy services amongst others . Workers’ Compensation Insurance That would be work-related injuries and illnesses for employees who get injured or fall sick for them to be compensated. Most states will require you to obtain this once you hire an employee. You’ll find yourself covering medical expenses, rehabilitation as well as lost wages while an employee is in the hospital. It will also protect your business from emerging with some liabilities of an injury-liability lawsuit. Business Interruption Insurance That is, if a covered loss-for example, hurricane or fire-disrupts your business operation, profits are made good. Other benefits of business interruption insurance include benefits on lost earnings and cost of continuing expenses and relocation expense if you should move your business temporarily so you may resume operations as soon as possible after the interruption. Other Insurance Coverage Of course, the above major policies form a business insurance package, but most businesses are structured in such a way that they need coverage beyond the policy above for certain industries. Consider adding some of the following options depending on your industry, location, and size of business: Cyber Liability Insurance This risk comes from the end as cyber threats and data breaches pose it in this new era of technology. The cover also includes costs incurred on notification when the data breach happens, lawyer fees, and repair for damages. A company that collects such sensitive data about customers’ needs such a kind of coverage. Product Liability Insurance If your company manufactures or sells goods, it could be given a form of protection against damages or injuries caused to other persons because of a defective product-product liability insurance can offer relief in that aspect. It will benefit your business both economically, in terms of expensive battles in courtrooms, and loss incurred from a defect in the product. Commercial Auto Insurance Liability insurance covers all forms of liabilities against your business. And your business is covered by liability with any cars, may be a minivan or is a huge truck. Several risks, including physical damage, liability coverage, medical payments, and comprehensive along with collision coverages get protection with this option. Commercial auto insurance will be
...General Liability Insurance Vs. Professional Liability: What Does Your Business Need? Entrepreneurship exposes you to risks which are mostly tied to dealing with the customers, handling the employees, and perhaps doing your services. Business insurance can only be fundamental in covering risks and damages that may come when doing so. But choosing what to get sometimes gets tough because it is, after all, between general liability and professional liability. The point of contention is that both insurances cover different risks, but actually knowing the difference between general and professional liability can make a huge difference in ensuring that your business is really covered with the right insurance. What is General Liability? General Liability General liability is a type of insurance coverage for your business that will protect your business from claims of bodily injury, property damages, and advertising injury. Generally, general liability is considered one of the very basic policies most business concerns require as it offers far-ranging protection against common risks that occur in operations. General liability insurance covers This one will cover the expenses on their medical cost, your attorney fees and even settlement if a person gets hurt because of any business activities or while being on your company’s premises. Property Damage: This one will pay for the repairing or restoring of damages if your business damages any other person’s property. This would be the claims that occur on the basis of sums for slander or libel or for copyright infringement in the advertisements running for your business . Who needs general liability insurance? Most businesses, in most industries will obviously be able to take benefit of general liability insurance. Whether you run a small retail establishment, a restaurant, or are a contractor, general liability insurance provides core protection from general perils. It is particularly useful to businesses that get to interact with the public, are located inside buildings, or handle customers’ property. What is Professional Liability Insurance? It is also known as errors and omissions (E&O) insurance. This is an insurance cover that safeguards professionals practicing professional services or offering advice. They help safeguard a business from negligence, errors, omissions, or mistakes attributed to them causing financial loss to a client. What is Covered Under Professional Liability Professional liability normally covers Professional liability would deal with legal costs that may emerge while it is alleged that your business did not deliver services as they should have been; hence there was a financial loss for a client. Errors and Omissions Moulded on the principles, Errors and Omissions refer to mistakes, oversights, or omissions that may occur whilst in the process of providing professional services. Cost coverage against litigation: Professional liability pays for lawyers if there exists a frivolous lawsuit filed against you Who to Buy Professional Liability Insurance? Professional liability insurance is actually a necessary business product for any business engaged in the specialty service of consultancy, accountancy, law, real estate, and health care amongst others. It is specially for a business that quickly can bleed its clients out through an apparently innocent misstep or omission. For example, an investment advisor may give unwanted investment advice and end up losing for his client, he can sue for negligence. Diverging Factors between General Liability and Professional Liability The two types of insurance, liability and general liability, therefore, differ because each provides insurance against a different type of risk. The factors of divergence include: Scope of Coverage: General liability comes to promise protection from the risk of physical injury or damage to property. Professional liability protects against financial loss resulting from mistakes or omissions in professional services. Industry Suitability: General liability is a must for any organization that does business with the public, has a place of business, and or uses manufactured products. Professional liability is essential for any business that has or offers specialty advice or service where something can go wrong financially. Claims Recovered: General liability most often covers claims of third parties’ physical injury or damage. Professional liability is to protect against all forms of errors, omissions, and other forms of negligence in services. Do You Need General Liability and Professional Liability Insurance? This sometimes applies both general liability insurance and professional liability insurance. For instance, there is a marketing agency that requires general liability to act as cover, just in case the third party is injured or property damage occurs through events or meetings. At the same time, they might be asking for professional liability insurance against lawsuits of bad marketing advice, which escalates their client’s financial loss. Features to look for before choosing an insurance company Type of Industry and Business: The type of business you are engaged in is what goes a long way in determining the kind of insurance you need. If your business deals with one on one contact or third-party properties, then general liability insurance is absolutely essential. When you are into professional services, then professional liability insurance becomes very crucial. Risk Exposure: Clearly identify what your business is at risk to. For instance, if you are a construction firm, then the risks of property damages are higher and at a greater likelihood of personal injury that will require general liability. In law firms, the probable claim is against negligence, making professional liability more crucial. Client Contracts: Certain clients will insist that you secure general and professional liability insurance coverage before you transact business with them. Always refer to your contracts to determine if any specific coverages are required. Conclusion General liability insurance and professional liability are complementary forms of protection against risks that most businesses will face. While general liability is important for offsetting the physical risks, like physical injuries and damages to other’s properties, professional liability is also very significant for businesses whose lines of business are fundamentally services, facing exposures to potential errors, omissions, or negligence. Identify what type of insurance is appropriate for your business by viewing the industry that you are entering
...Why Big Businesses Need Commercial Umbrella Coverage? The risks associated with sophisticated occurrences such as legal liability and property damage of employee-related incidents happening within the firm are today characterized by high numbers of exposures to such incidents in large firms. Though most businesses have primary coverage for these occurrences, even the best of such standards do fail sometimes. That is where commercial umbrella coverage comes in. This liability coverage is more than the usual policies issued against large corporate entities; it will give cover to these corporations in case of sudden financial loss. What is Commercial Umbrella Insurance? Commercial umbrella insurance is an excess liability coverage. It kicks in when the limits of a corporation’s main insurance policies-for example, general liability, auto liability, or workers’ compensation-are exhausted. To put this another way, if a company were being sued and the amount to be paid was greater than what the primary liability insurance would pay, commercial umbrella insurance would pay the excess amount so that the company wouldn’t lose. Why Corporate Giants Require Commercial Umbrella Insurance Preventive measure against massive claims A large corporation is more likely to suffer due to its extensive scale and size, large workforce, and massive volumes of business. The possibility of huge claims is that they easily surpass standard policy limits. Be it a multi-million-dollar lawsuit or a severe accident in the workplace, fiscal implications could be huge. Commercial umbrella insurance goes a notch higher than normal protection of commercial policies to offer other types of cover that would ensure protection for business assets from the effects of a probably unknown incident. All kinds of risks Large corporations are cross-industry, cross-geography, and cross-jurisdictional. This makes them prone to all types of risks. Insurance can thus offer cover for most lines of insurance thereby protecting the companies against such risks as bodily injury to third parties, property damage, and even legal costs to defend a lawsuit. General protection is offered whereby most cases are covered. Emergent Risks Protection Among the emergent risks in the business environment include: The business environment is always in flux, and, like any change, it carries emergent risks along with it. Some of the most dominating examples of these emergent risks include cyber threats, claims regarding workplace discrimination, and liabilities related to the environment. Amongst all of these examples, some of them fall under the comprehensive umbrella of primary insurance, while the rest have to bear all the financial costs incurred by such emergent risks. Commercial umbrella insurance provides corporates with adequate cover to cope up with situations emerging due to risks that evolve with scale and complexity in their operations. Protection for high-value assets Larger corporations also own valuable assets like office buildings, factories, machinery, and fleets of vehicles. Any liability or damage related to these assets results in heavy financial losses if a corporation is held liable for an accident or damage that exceeds its general liability limits. Such differences are covered by commercial umbrella insurance. It is especially important for such corporations owning high-value assets with long-term health in terms of finance. Litigation Costs Litigation of lawsuits may take a long period and is expensive Even an organization might be involved in the lawsuit due to a workplace accident, a case of product liability or even a breach of contract Lawfully carried litigation that usually has an over cover of what they can claim of costs on the defense under the core insurance policies. Commercial umbrella insurance supplement resources to pay for these legal costs so that corporation is not legally overridden. Example scenarios for which commercial umbrella insurance must be used Claims for Product Liability: Consider for example a business dealing in the manufacture of very common and used products in which a fault is discovered leading to mass havoc or destruction. A fair number of people will sue the business. Even with the purchase of product liability insurance, the number of claims could quickly become more than policy limits and the business will be liable for the remainder. A commercial umbrella policy would protect the bottom line against liability over that amount. Industrials Workplace Accidents: Building sites, manufacturing premises, and huge office buildings are just the environments where the best laid safety plans can still go wrong. Perhaps even a serious injury or death claim would be outside of the company’s insurance umbrella. Commercial umbrella insurance will keep corporate America running without rocking the boat by covering huge claims without disrupting business or financial security. Auto Liability: Fleet operation always exposes a business firm to the possibility of a severe auto accident that may lead to very severe bodily injury claims or property damage claims. And even when a company holds commercial auto insurance, a severe accident may gobble up the limit of such insurances. That is why there is commercial umbrella insurance in place so that the business does not end up naked in such incidents. Why Commercial Umbrella Insurance Affordably priced insurance coverage Of course, the biggest benefit that one can derive from commercial umbrella insurance coverage is extremely high coverage limits for an altogether reasonable premium. What a company is left holding but adding billions of dollars to a variety of primary policy limits, rather than purchasing an umbrella policy that comes paired with extending coverage over multiple policies, for a much more modest premium. Peace of Mind This would give corporate bodies that added layer of protection, hence being able to manage risks better with peace of mind. Executives and stakeholders will be assured that the company has a broad layer of liability protection and therefore focus more on growth and innovation knowing it will not continually lose much sleep over large financial setbacks. Business Reputation Improved They shall have a business which is well covered against risks. More than that, prudent practices and expectations of the business would be set to prepare for the unexpected, thus vesting
...