Health Insurance for surgery
Health Insurance For Surgery
A human body is prone to illnesses and several of them have only surgical intervention as a remedy. A surgery, however, minor it may be, involves a certain amount of risk which is comparatively higher than any other form of treatment. Some surgeries require hospitalisation for a few hours, while some require a few days, depending on the type of surgery that you have undergone and your health condition and response towards treatments and therapies.
Although medical and technological advancements have improved surgical procedures to a significant extent, the medical inflation factors have raised the costs too. A few days of hospitalisation due to any surgery is enough to deplete a considerable part of your hard-earned money.
A competent surgery insurance cover is enough to save your day under such circumstances.
What is surgery insurance?
Surgery or operation insurance involves a surgical intervention to cure any ailment. Any surgery is a critical medical process and proves to be essential to offer remedies for certain health conditions.
Surgery insurance is a special variant of a health insurance plan that offers competent comprehensive coverage for surgery costs. It acts as a financial protection cover for certain predetermined surgical procedures.
This list of surgeries covered by a surgery insurance plan differs from one insurance company to another. However, each of them ensures you access to the best medical facilities available to complete the necessary surgical procedure.
A competent surgery health insurance cover retains your peace of mind by offering assurance that you receive the best possible medical facilities without worrying about finances.
List of surgeries covered under operation insurance plans
Currently, the insurance market has several types of surgery insurance policies. Not all of them offer coverage for every sort of surgery, but there is a common trend. After careful research, we have encountered some common surgery procedures usually covered by surgery health insurance policies.
Some of these surgeries are daycare procedures, implying that they require less than 24 hours of hospitalisation, while some others require hospitalisation for a few days for you to recover.
Such common surgery procedures include the following:
1. Cataract surgery
Several health insurance providers offer special surgery insurance for cataract surgery. This is a daycare procedure and requires hospitalisation for a few hours. However, there is a probability that there may be pre-defined sub-limits on the coverage limit. This implies that the insurance provider might pay only up to a certain limit of the costs incurred. Moreover, there may be a waiting period of at least 1-2 years for most such insurances. You have to clarify all the details beforehand.
2. Heart surgery
There are special insurance policies that exclusively focus on surgical remedies for the heart. If you need to undergo any sort of heart surgery, you can get your costs covered under such plans. The specific terms and conditions may vary from one insurer to another. You have to clarify and compare different such plans to know which one suits your requirements the best.
3. Knee replacement surgery
This form of therapy has gained rapid popularity and is very common, especially in recent times. While some insurers may agree to cover the entire cost of the surgery others only agree to pay a part of it, depending on the terms of the chosen plan. Depending on the terms of your chosen insurer, the waiting period may vary anywhere between 2 and 4 years in the case of PEDs.
4. Kidney stone removal
Removing kidney stones has become a minor affair in light of today’s medical and technological advancements. Most doctors prefer the microsurgery technique, involving minimal incision. This makes the recovery process faster too. However, you must note that surgery, however minor it may be, must be involved, to get this insurance coverage. Only medicinal remedies without any surgical intervention will not entertain your claim under this policy.
5. Bypass surgery
Bypass surgery is a major heart surgery. There are specialised insurance plans that simply focus on heart bypass surgery only. Your insurance for heart surgery will also cover this cost. However, you can avail of a separate plan for bypass surgery if you feel the requirement. However, the terms and conditions may vary from one insurer to another. You must be aware of all the inherent conditions before you proceed to purchase one.
6. Appendix surgery
Appendicitis surgery is usually covered by most surgery insurance plans. However, you must clarify all the inclusions and exclusions beforehand to avoid any misunderstandings during claim settlement. The surgery involves a small incision and a rapid removal of the appendix. Leaving the affected appendicitis untreated may lead to grave suffering in future. So, if the need arises it is best to get it removed under expert medical guidance and facilities at the earliest.
7. Liver transplant surgery
Any organ transplant is a serious and major surgical procedure and liver transplant is no exception. Several insurance providers offer coverage for organ donor costs. However, liver transplant surgery insurance will bear all the associated costs of the surgery and not only the organ donor expenses, depending on the terms and conditions of your chosen policy.
It includes critical liver screening, pre-hospitalisation costs, hospitalisation costs, surgery expenses, post-surgery costs, recovery expenses, and post-hospitalisation costs. We can well understand that this is quite an expensive affair. Insurance coverage protection can save your day under such critical circumstances.
8. Brain surgery
Any surgical intervention on the brain is considered to be critical and gets insurance coverage. The brain is considered to be one of the most vital and major body parts. Any surgery on such body organs is a serious and expensive affair. Apart from critical illness insurance policies, there are specific surgery insurance plans that cover brain surgery costs. Befitting surgery insurance policies will cover pre- and post-hospitalisation cover, hospitalisation charges, ICU expenses, surgery costs, and recovery costs.
9. Kidney transplant surgery
As mentioned earlier, any sort of transplantation is a major surgical procedure and involves a considerable amount of risk and money. Kidney transplant costs are usually covered by critical illness policies and maintain a waiting period of 90 days under standard circumstances. Any standard health plan for patients with kidney transplants usually covers the costs of the recipients. It competently handles the pre- and post-hospitalisation cover, hospitalisation expenses, surgery costs, organ donor costs, ICU charges, ambulance cover, recovery expenses, etc., depending on the terms of the concerned plan.
10. Prostate cancer surgery
A prostate is a tiny walnut-looking male gland that leaves the female urethra post-ejaculation, generating seminal liquid and eventually nourishing and transporting semen. However, this gland is very prone to cancer that requires surgical intervention for treatment. There are competent surgery health policies that cover the costs of prostate cancer surgery, including screening costs, treatment costs, surgery charges, pre- and post-hospitalisation cover, etc.
11. Heart transplant surgery
Heart transplant surgery is covered under specific cardiac plans, critical illness insurance, and also surgery policies, if surgical intervention is involved. Multiple insurance providers offer organ transplant expenses and it is the same for heart transplantation too. Under competent insurance providers, you can easily avail of both cashless as well as reimbursement facilities for claim settlement.
12. Bariatric surgery
If you meet the specific requirements and eligibility criteria of your insurance provider, your costs for bariatric surgery will receive insurance coverage. This obesity-treating surgery is a considerably expensive affair and may cost between INR 2 lakhs and INR 6 lakhs. However, it may differ depending on the circumstances and several other contributing factors.
Some of the popular types of bariatric surgery include sleeve gastrectomy, mini gastric bypass, metabolic surgery, adjustable gastric banding, reduced port surgery, the Roux-en-Y gastric bypass, etc.
The criteria for getting insurance coverage for bariatric surgery include:
○ Attaining 18 years of age while undergoing the surgical procedure
○ The BMI must be 40 or above
○ BMI is 35 but you suffer(ed) from stroke, heart ailments, diabetes, etc.
○ Proper medical advice suggesting the surgical intervention as a remedy by at least one registered medical practitioner
13. Breast cancer surgery
Fixed-benefit plans like critical illness coverage policies cover breast cancer surgery costs. Regular health policies do not cover breast cancer surgery costs. However, you may add a critical illness rider to enhance the coverage. Surgery insurance plans also cover breast cancer surgery costs. The standard waiting period is 2 years. However, it may vary depending on the terms of your chosen insurance.
14. Aorta graft surgery
This is also covered under critical illness insurance plans. Depending on the stage of the ailment, the method the surgery is decided. It may take 5 hours or even more. The average cost may range between 4.5 lakhs and 6 lakhs. However, it may vary depending on the medical services you require and receive depending on your health condition. Competent surgery insurance covers aorta graft surgery costs.
15. Lung transplant surgery
Lung transplant or pulmonary transplantation becomes essential when the existing lung fails to purify deoxygenated blood. On the availability of suitable donors, the doctors may seek lung transplantation, where the existing lungs get replaced by donor lungs. This is a serious medical procedure and quite expensive too. If you have a befitting surgery insurance plan, you can get insurance coverage for the same including the organ donor costs.
16. Robotic surgery
As per the IRDAI norms, Indian health policies mandatorily offer coverage for robotic surgeries, including hospitalisation costs, surgery costs, nursing charges, doctors’ fees, ICU cover, pre- and post-hospitalisation costs, etc.
17. Hip replacement surgery
Most insurance providers offer befitting plans that cover hip replacement surgery costs. If the hip gets severely damaged due to an accident, you may require an artificial prosthetic hip implant. This is termed a hip prosthesis. Depending on the current health condition, you may need either a total hip replacement or a partial one. Surgery insurance will cover the costs incurred in the process. However, you may need to serve a waiting period of 1-2 years, depending on the terms of the plan you have chosen.
18. Deep brain stimulation surgery
This sort of brain surgery also termed as DBS in short is essential for patients suffering from Parkinson’s disease. A tiny battery-operated medical device termed an implantable pulse generator is inserted for smooth electrical stimulation in specific brain areas. Since such implantation involves surgical intervention, surgery insurance covers DBS.
19. LASIK eye surgery
Heavily myopic individuals may opt for this surgery and all insurance plans cover this. However, it will not be covered if the refractive power of the affected individual remains below 7.5 diopters. If you still opt for LASIK, it becomes optional and therefore you do not get insurance coverage. The LASIK may cost between INR 20000 and INR 30000 on average.
Inclusions of surgery insurance plans
Some standard inclusions of a surgery insurance plan include the following:
1. Screening
2. Pre-hospitalisation covers for a specific period
3. Ambulance charges
4. Hospitalisation expenses
5. Surgery costs
6. Doctors’ charges
7. Nurses charge
8. ICU costs
9. Recovery expenses
10 .Post-hospitalisation charges up to a specified tenure, etc.
Exclusions of surgery insurance plans
Although the list of inclusions may vary from one insurer to another, the Insurance Development Authority of India has standardised certain common exclusions that are equally applicable to every insurance plan. These common exclusions include:
1. A genetic disorder or congenital issue:
This implies any health issue present in any individual since birth. It can be further classified as external congenital issues like excess skin formation outside or internal congenital issues like defective or weak hearts since birth, etc. No health plan covers such issues.
2. Cosmetic surgery:
Cosmetic surgeries including Botox, lip and breast augmentation, facelifts, rhinoplasty, etc. are methods to enhance the existing physical beauty. These are not indispensable and doing without them does not hamper the daily life activities of any individual. Therefore, these surgical procedures are not covered by any health insurance plans.
3. Health issues arising due to overconsumption of drugs, alcohol or other similarly intoxicating substances:
You cannot deny the fact that regular smokers and alcohol consumers carry a comparatively higher risk of several lifestyle diseases which can become quite serious in the long run like mouth or lung cancer, bronchitis, liver issues, etc. No health plan covers the cost of such treatments.
4. Infertility and IVF treatments:
Any infertility treatment or IVF procedures are planned events and involve a significantly higher sum. So, no such treatment procedures get covered under surgical insurance plans.
5. Pregnancy treatments:
Surgical health insurance plans do not offer coverage for any sort of treatment for pregnancy-related complications.
6. Voluntary abortion:
Voluntary abortion is a matter of choice and our country has certain specific rules regarding this. So, it does not get covered under surgery insurance plans.
7. Pre-existing ailments:
Every health insurance coverage plan maintains a list of PEDs that will not be covered before a certain period. Therefore, if you undergo any surgery for any of those ailments it will not get covered under a standard surgery insurance cover.
8. Self-inflicted injury:
Health plans do not cover any self-inflicted injury leading to suicide or attempted suicide.
9. Transmitted disease:
Treatment costs for any venereal or transmitted diseases like HIV/AIDS do not get covered under surgery health plans.
10. Permanent exclusions:
Some of the permanent exclusions of any surgical health cover include treatment and surgery costs for treating injuries caused in any war or riot-like situation, due to involvement in any defence activities or adventurous activities.
Benefits of buying health insurance for surgery
Some of the most highlighting benefits of obtaining health insurance for surgery include:
1. Coverage for specific surgical procedures
2. Pre-hospitalisation cover
3. Hospitalisation cover
4. Post-hospitalisation cover
5. In-patient care costs
6. Daycare treatment costs
7. Organ donor coverage
8. Cost of obtaining a second medical opinion
9. Annual health check-up facility
10. No Claim Bonus availability for raising no claims
11. Air ambulance cover within the country
12. Unlimited room rent coverage
13. Ensures peace of mind and a lot more.
So, opting for a health insurance for surgery is not just a financial decision but an emotional one to ensure best in class treatment opportunities for yourself and your loved ones without havign to stress about money.
Surgery insurance plan eligibility criteria
Some of the basic eligibility criteria that you need to meet for purchasing surgery health insurance coverage include:
1. The policyholder must be at least 18 years of age and usually the maximum age limit is 65 years. However, it may vary from one insurance company to another.
2. You might require health check-ups at your own cost for certain specific ailments before policy issuance
3. The waiting periods for different ailments are different for different insurers and you will receive the coverage accordingly.
How to buy health insurance for surgery Online?
Buying a befitting surgery insurance plan online is very simple, quick, and paperless. You can do it anytime at your convenience. You simply need to follow these steps:
1. Make a thorough research to know which surgery insurance will work best for you
2. Once the choice is finalised, visit the official website of your chosen insurer or download their designated app
3. Search for the specific surgery insurance
4. Enter all the relevant details as required
5. Click on “Submit”
6. Pay the relevant premium amount using any online mode
7. Click “buy”
8. You will receive the policy documents at your registered email address shortly.
Things to keep in mind while buying a surgery insurance plan
Some of the most critical factors that you need to consider before buying health insurance for surgery include:
1. Age:
You must meet the relevant age criteria per your insurer’s requirement to purchase surgery health insurance.
2. Correct balance of coverage and premium:
A thorough and wise analysis and homework are essential to know which plan suits you best offering optimum coverage and the lowest possible price.
3. Waiting period:
The waiting period for different ailments varies from one insurer to another. You must be aware of this specific clause for your chosen plan for smooth claim settlement. This implies that no claim will be settled for those specific ailments before that period is over.
4. Cashless hospitalisation:
The more number of network hospitals your insurer maintains, the better chances you have to avail of cashless hospitalisation facilities.
5. Maternity coverage:
Most insurances do not cover maternity insurance plans. However, if you need one you must customise your search accordingly.
6. No Claim Bonus:
Some health insurance providers offer a No Claim Bonus for each claim-free year. This eventually raises your sum insured amount. However, it may be available in other reward forms too, depending on the approach of your insurance provider.
7. Preventive health check-up benefit:
You should opt for an insurer that offers preventive health check-up benefits annually. It helps in early detection of any ailment and close monitoring of your health.
8. Co-payment clause:
You need to share a part of your total claim with your insurer. It is defined by a specific percentage. The policy document mentions this. The higher the co-payment percentage, the lower the premium and vice versa.
9. Claim process:
You must ensure that the claim process of your chosen insurer is smooth and maintains a smooth claim settlement ratio.
10. Inclusions and exclusions:
Not all surgery insurance plans suit every type of surgery. You must make a clear analysis beforehand and make your choice accordingly.
Tax benefits
Since surgery insurance is a type of health insurance, you can avail of tax benefits under Section 80D of the IT Act. This tabular representation will clarify the matter:
| POLICY FOR | DEDUCTION FOR SELF AND FAMILY | DEDUCTION FOR PARENTS |
| Self and family all below 60 years | INR 25000 | – |
| Self and family along with parents all being non-senior citizens | INR 25000 | INR 25000 |
| Self and family (below 60 years) + parents (senior citizens) | INR 25000 | INR 50000 |
| Self+family+parents all are senior citizens | INR 50000 | INR 50000 |
| Non-senior citizen members of the HUF | INR 25000 | INR 25000 |
| Members of HUF with one senior citizen member | INR 50000 | INR 50000 |
Key factors to consider while purchasing critical illness insurance for surgery
Since surgery health insurance is a contract between you and the insurance company, you must be very critical and wise while making your selection. Some of the most significant factors that you need to keep in mind while buying critical illness insurance for surgery include:
1. Inclusions and exclusions:
Every type of insurance maintains a clear set of inclusions and exclusions. You must have a clear understanding of all these inclusions and exclusions for a smooth claim settlement.
2. Selecting the right insurer:
You must choose your insurer only after careful and thorough research and homework. This is essential as the market is loaded with innumerable insurance providers and thousands of health plans. Making the right choice might prove to be overwhelming and confusing without proper study.
3. Waiting period:
Every health plan comes with a specific waiting period clause for certain specific ailments. This means you cannot raise any claim during the waiting period for those pre-defined illnesses.
4. Sum insured and the premium amount:
You have to ensure that the premium amount remains within your budget and maintaining befitting critical illness insurance for surgery does not seem financially burdensome. Clarify the coverage span and the premium details beforehand. You can also use the premium calculator very easily available online.
5. Day care procedures:
Your surgery plan must ideally cover day care procedures i.e., surgeries that require less than 24 hours of hospitalisation. Cataract surgery is an ideal example in this context.
6. Specific ailments covered:
Not every surgery plan is suitable for all types of surgeries. You must ensure what are the specific types of surgeries that your surgery policy covers for.
7. Co-payment:
Most health plans come with a co-payment clause, meaning you have to share a pre-determined percentage with your insurer during claim settlement. The co-payment is inversely proportional to the premium payable amount.
8. Network hospitals:
You must ensure that your insurance provider maintains an enriched network of listed hospitals. This will confirm the easy availability of cashless treatment facilities across the country.
9. Additional benefits:
Several insurers offer additional benefits like NCB, annual health check-up facilities, etc. You can clarify with your respective insurance provider if there are any such benefits offered for your plan.
Frequently Asked Questions
If the risk involvement remains too high with enormous financial involvement and for a considerable time, the insurance providers tend to back out from settling claims.
Depending on the terms and conditions of the concerned insurance provider and the chosen insurance plan, certain health insurance plans offer coverage for AYUSH treatments, including, homoeopathy, Ayurveda, Unani, etc.
Any voluntary cosmetic surgery procedures like liposuction, facelift, implants, Botox, etc. are not covered by insurance policies.
Surgery insurance implies insurance coverage for those health remedies that require surgical intervention. It is also termed operation insurance.
Most surgery health plans include post-hospitalisation expenses for up to 45-90 days after the hospital discharge date. It remains mentioned in the policy details.
The four commonest forms of surgeries include treatment of wounds, extirpative surgery, reconstructive surgical procedure and transplantation.
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Reviewing Your Car Insurance Policy and Gathering Evidence Now, it’s time to get forensic. Dig out your car insurance policy document and read it carefully. Yes, it’s dull, but it’s essential. Pay close attention to: The small print: Focus on exclusions, conditions, and definitions. Your policy schedule: This confirms what you’re covered for and any specific endorsements (add-ons). The terms and conditions: Understand your obligations as the policyholder. Next, gather all the evidence you can to support your claim. This might include: Photos and videos: Of the accident scene, damage to your car, and any other vehicles involved. Police reports: If the accident was reported to the police, get a copy of their report. Witness statements: Get written statements from any witnesses to the accident. Repair estimates: Obtain quotes from reputable garages. Medical reports: If you or anyone else was injured, gather medical records. Any other relevant documents: This could include CCTV footage, receipts for repairs, or correspondence with other parties involved. The more evidence you have, the stronger your appeal will be. 3. Appealing the Car Insurance Company’s Decision Once you understand the reason for the rejection and have gathered your evidence, it’s time to appeal. This is a formal process, so keep it professional. Write a formal letter of appeal: Address it to the insurance company’s complaints department (usually found on their website). Clearly state the reason for your appeal: Explain why you believe the rejection was unfair or incorrect. Provide supporting evidence: Attach copies of all relevant documents, photos, and statements. Reference specific clauses in your policy: If the rejection is based on a misunderstanding of the policy terms, highlight the relevant clauses and explain your interpretation. Set a deadline for a response: Give the insurance company a reasonable timeframe to review your appeal (e.g., 14 days). Keep a copy of your appeal letter and all supporting documents for your records. 4. Seeking Mediation or Arbitration for Your Insurance Claim If the insurance company rejects your appeal, you’re not out of options. You can consider mediation or arbitration. Mediation: This involves a neutral third party (the mediator) who helps you and the insurance company reach a mutually agreeable settlement. The mediator doesn’t make a decision; they simply facilitate the negotiation. Arbitration: This involves a neutral third party (the arbitrator) who reviews the evidence and makes a binding decision. Both you and the insurance company agree to abide by the arbitrator’s decision. The Financial Ombudsman Service (FOS) is a free and independent service that can help resolve disputes between consumers and financial services providers, including car insurance companies. They can investigate your complaint and make a decision if they believe the insurance company acted unfairly. According to recent FOS data, car insurance complaints have been steadily rising, with a particular increase in disputes related to claim rejections. This highlights the importance of knowing your rights and understanding the appeals process. 5. Consulting with a Legal Professional Regarding Your Rejected Insurance Claims If mediation or arbitration doesn’t work, or if you believe the insurance company is acting in bad faith, you may need to consult with a solicitor specializing in insurance law. They can assess your case and advise you on your legal options, which might include taking the insurance company to court. This can be an expensive option, so it’s important to weigh the costs and benefits carefully. 6. Policywings: Resources for Securing Car Insurance While Policywings doesn’t directly handle claim disputes, we can assist you in finding a car insurance policy that meets your needs and provides adequate coverage. We compare quotes from a wide range of insurers, helping you find the best deal. Our comparison algorithms take into account factors such as your age, driving history, car model, and postcode to provide personalised quotes. We generate revenue through commissions from the insurers featured on our platform. We strive to be transparent about our revenue model and any potential biases. Understanding different policy types is crucial. A comprehensive policy provides the broadest coverage, including damage to your own car, even if you’re at
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A Mediclaim insurance policy provides financial protection by covering hospitalization and treatment expenses during medical emergencies. With healthcare costs rising every year and lifestyle-related illnesses becoming more common, having a reliable mediclaim policy has become a practical necessity for individuals and families alike. It not only reduces the burden of unexpected expenses but also ensures access to quality care without any delay. From cashless hospitalization at network hospitals to tax benefits and optional add-ons, the benefits are many. In this blog, we’ll highlight the top reason why actually investing in a mediclaim policy today is essential in order to protect both your health and your finances. What is a Mediclaim Insurance Policy? A mediclaim insurance policy is a type of health insurance that actually helps you pay for hospital expenses during illness or even accidents. It covers costs, like hospital room charger, doctor’s fees, tests, along with medicines during hospitalization. The main difference from standard health insurance is that Mediclaim actually focuses on hospital-related expenses. However, there are different types of Mediclaim policies available: individual plans for one person, family floater plans that cover your whole family under one policy, group policies for employees, and special senior citizen plans for older adults who need extra care. Top Reasons to Buy a Mediclaim Insurance Policy Today It’s common that a Mediclaim insurance policy is a health cover. Over and above that, it’s your shield against rising medical costs along with life’s uncertainties. Here are the top reasons why investing in one today is a smart and necessary decision: 1. Rising Medical Costs Healthcare costs in India are increasing by 10-15% annually. From surgeries to medicines, everything is becoming expensive. A Mediclaim insurance policy helps protect you from this inflation as it covers major medical expenses and ensure you receive quality treatment without even financial stress. 2. Covers Hospitalization Expenses No matter if it’s an emergency, or even planned treatment, a Mediclaim insurance policy covers hospitalization expenses, like ICU charges, room rent, tests, along with doctor’s fees. This ensures that you, or even your family, don’t face financial hurdles while receiving care. 3. Financial Protection for the Entire Family It’s a policy that covers all family members under a single sum insured. It’s perfect for both families who are joint or not. It provides affordable health insurance and peace of mind, especially during unexpected medical emergencies. 4. Cashless Hospitalization Facility Many Mediclaim insurance policies offer cashless treatment at a wide network of hospitals. This implies that you don’t actually have to pay upfront; the insurer settles the bills directly, saving time while reducing stress during emergencies. 5. Tax Benefits Under Section 80D Premium paid towards your Mediclaim insurance policy qualifies for deductions under Section 80D of the Income Tax Act. You can also claim an additional deduction if you insure senior citizen parents. 6. Peace of Mind in Emergencies In critical health situations, having a Mediclaim insurance policy ensures you don’t have to borrow money or even dip into savings. It actually gives you confidence that you’re financially prepared for emergencies, so that you can focus entirely on treatment and recovery. 7. Coverage for Daycare and Pre/Post Hospitalization Most Mediclaim policies now cover daycare procedures that don’t actually need 24-hour admission, along with expenses incurred before and after hospitalization. This ensures end-to-end care without worrying about multiple bills. 8. Protection Against Lifestyle Diseases With more people being diagnosed with diabetes, heart conditions, along with high blood pressure, a Mediclaim insurance policy becomes essential. It actually helps manage long-term treatment expenses, especially for lifestyle-related health issues. 9. Additional Benefits & Add-Ons You can enhance your Mediclaim insurance policy with add-ons like critical illness cover, maternity benefits, OPD cover, along with wellness programs. These extras make the policy more customized and suitable for your health needs. Who Should Consider a Mediclaim Policy? Mediclaim insurance is a crucial part for everyone, but certain groups benefit even more due to their unique health or financial needs. Here’s who should strongly consider getting one: Young professionals starting careers: If you’re a young professional and starting your career, early Mediclaim purchases always ensure long-term coverage, lower premiums, along with financial security against sudden healthcare expenses from the beginning. Families with children: Family floater Mediclaim plans cover all members, and offer affordable protection as well as easy claims during emergencies, especially for growing kids. Seniors with rising health risks: Senior citizens face frequent health concerns; a Mediclaim policy provides financial help for treatments and hospital stays when needed. People with existing health conditions or family medical history: Those with known medical risks should get covered early to avoid large treatment costs and meet future healthcare needs easily. Tips to Choose the Right Mediclaim Insurance Policy When it comes to choosing the right Mediclaim insurance policy, it needs careful comparison is needed. Here are some of the key tips in order to help you make smart decisions: Always choose a policy with a wide hospital network along with cashless treatment in order to ensure smooth access during emergencies, or even planned care. Compare premium costs with sum insured to ensure maximum coverage without overspending on your annual health insurance budget. Carefully read inclusions, exclusions as well as waiting periods so that you understand what’s covered and avoid surprise at claim time. Check the insurer’s claim settlement ratio; it actually reflects their reliability and how efficiently they handle and settle claims. Conclusion So, when it comes to Mediclaim insurance policy, it truly offers support when medical needs arise, whether it’s a sudden emergency, or even planned care. It’s all about being prepared, not actually panicked. With so many plans available, choosing the best and right one matters a lot. That’s where Policywings helps. Policywings offers clarity, comparison options, aling with expert guidance every step of the way. Now, you just need to explore your
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You can protect yourself in the event that something goes wrong while you’re traveling by getting a travel insurance plan. Medical crises, misplaced luggage trip cancellations and delays are all covered. Having the appropriate travel insurance plan provides you with peace of mind whether you are taking a short weekend getaway business trip or vacation. It ensures that you don’t suffer significant financial losses in the event of unforeseen issues. Because every trip is unique, it’s critical to select a plan that works for you. We will explain how to choose the best travel insurance for any type of trip in this guide. Know What Travel Insurance Typically Covers Medical emergencies and hospitalization Travel insurance plan online assists in covering medical bills or hospital stays in the event that you become ill or are hurt while traveling. It can pay for tests, medications operations and even ambulance fees. If you’re going to a place where healthcare is expensive or unknown this is crucial. Trip cancellations or delays Your pre-paid expenses may be refunded by your travel insurance if you have to cancel your trip for any major reason such as illness or an accident. In the event that your flight is delayed or you miss a connection it also helps by paying for additional hotel stays, meals and other urgent costs while you wait. Lost luggage and personal belongings A travel insurance plan online can assist you in purchasing necessities like clothing or toiletries in the event that your luggage is delayed, lost or stolen. Depending on the restrictions and terms of your plan it might also pay for the replacement of valuables like your passport electronics or travel documents. Accidental death or dismemberment If you pass away in an accident while traveling this portion of the policy provides your family with financial support. In addition you might receive a lump sum payment if you sustain a serious injury, lose a limb or lose your sight. For the worst it serves as a safety net. Emergency evacuation and repatriation This coverage is useful in the event of a natural disaster, political upheaval or medical emergency that requires you to be transported to a safer location or returned to your nation of origin. It ensures your safe return by covering the cost of transportation whether it be by air ambulance or a special flight. Consider Add-On Coverage Options Depending on your needs, basic travel insurance might not always be sufficient. Add-on coverage options come in handy at that point. Depending on your activities, health or possessions you can add these additional protections to your plan. Coverage of adventure sports. Regular insurance might not cover injuries from sports like trekking, scuba diving or skiing if you intend to engage in these activities. Coverage for adventure sports protects you while engaging in high-risk activities and covers medical expenses in the event of an injury. Protection against COVID-19. This add-on covers COVID-19-related expenses including testing treatment quarantine and even trip cancellations in the event that you or a family member test positive. When traveling abroad where regulations can change at any time its extremely helpful. Protection against pre-existing medical conditions. Treatment for pre-existing conditions such as diabetes or heart problems can be covered while traveling with this option. Claims for such conditions could be denied without it. Coverage for rental cars electronics etc. If you misplace or break your phone laptop or camera this add-on can help. It also includes coverage for rental car damage. This is a wise addition if you’re renting a car or carrying bulky equipment. Compare Plans from Different Insurers Comparing plans from various companies is a wise move before purchasing a travel insurance plan online. This enables you to locate the best coverage at a reasonable cost. Make use of comparative websites or applications:– Compare travel insurance plans quickly by using reputable websites or apps. By displaying costs, features and advantages side by side they help you save time and effort. Examine the premiums exclusions and coverage limits:- Examine the premium (cost) the coverage amount and the exclusions on each plan. A low-cost plan might overlook crucial safeguards. Examine client feedback and claim settlement percentages:– See what other customers have to say about the business’s services. Check the company’s claim approval rate as well:- You have a better chance of receiving your money back when you need it if the claim settlement ratio is higher. Check Policy Exclusions and Limitations Always read the exclusions from a travel insurance plan online before purchasing one. This keeps you from being caught off guard when you make a claim later. Activities that are not covered:- Risky sports like skydiving, scuba diving and mountain climbing are often excluded from insurance plans. You might require specialized add-on coverage if you intend to participate in adventure sports. Pre-existing conditions:- Treatment for pre-existing conditions like diabetes or asthma is typically not covered by basic plans. For these circumstances you might need to purchase additional coverage. Specific countries or regions not covered:- Certain nations or regions might not be covered by the policy particularly if there are travel advisories about war or hazardous conditions. Always confirm that the coverage includes the place you are going. Understand the Claims Process In the event that something goes wrong while you are traveling it is crucial to know how to submit a claim. Here’s what you should remember. Documents are needed. Keep all tickets, reports, invoices and receipts secure. They must provide documentation of your loss such as police reports for misplaced property or medical bills. The period within which claims must be filed. After the incident you have a set period of time (usually 7 to 30 days) to submit your claim to the majority of insurance companies. On-time submission is crucial. Contact details for emergency situations. Never forget the insurer’s emergency number or helpline. In the event of a medical emergency or other pressing circumstance give them
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Let’s face it—we have all been there. That sinking feeling when a great employee walks into your office and says, “I’m putting in my notice.” It stings, does not it? Especially when it’s someone you have trained, someone who knows your systems inside out, someone who brought real value. We have experienced that exact moment more than once. And like you, we have asked ourselves—what more could we have done? See, the workplace has changed. People no longer stick around just for a paycheck. What they want is something deeper—security, empathy and a real sense that their employer values them not just as workers, but as people. That’s when we realized how critical Group Health Insurance is when it comes to keeping our team loyal, satisfied and motivated. You may be thinking, “Health insurance? Is not that just a checkbox benefit?” Not quite. Stick with us here, because once we truly understood how group health insurance works—not just as a policy but as a strategy—employee retention became so much easier. Cool, right? Let’s explore why this benefit has become our secret weapon in retaining our best people—and how it can work for you too. Understanding Why Group Health Insurance Makes Employees Stay There’s a reason why we’re passionate about this. Health insurance is not just about hospital bills. It’s about peace of mind. We learned this the hard way when one of our own team members had a sudden medical emergency. Before we introduced our group health plan, they had to struggle with paperwork, partial coverage and massive out-of-pocket expenses. We felt terrible. And honestly? That was the wake-up call. We needed to step up as employers. When we finally rolled out a comprehensive group health plan, it completely changed how our employees felt about being part of our organization. It was not just about ticking the HR checklist anymore. It was about giving our team members the assurance that we have got them covered. From pre-existing conditions to maternity care to mental wellness, our group insurance plan offered everything under one roof. It surprised us how quickly this shifted the mood across the team. People who were quietly worrying about family health expenses or skipping doctor visits now felt secure. Their loyalty? It skyrocketed. And the bonus? Our reputation as an employer got a solid boost. Let’s Talk About What’s Inside These Plans—and Why They Matter When we say group health insurance is powerful, it’s because of the features it brings to the table. We’re not talking about basic hospitalization cover here. We are talking about real, comprehensive care that employees actually use and value. One of the first things that stood out to us was that there’s usually no waiting period for pre-existing illnesses in a group plan. That’s huge. In personal insurance policies, employees often wait years before their diabetes, hypertension, or thyroid issues are covered. But with our group policy, the coverage kicked in from day one. That kind of instant support? It’s priceless when you are trying to win trust. We also loved the fact that our employees could add their spouse, kids and even parents under the same plan. That’s right—parents too! And when we announced this? Some of our team members literally sighed in relief. Covering aging parents is one of the most stressful parts of adulting and we were now making their lives easier. And then there’s the cashless hospital network. Across major cities and even in tier-2 locations, our employees could walk into a hospital, show their e-card and receive treatment without having to pay upfront. No messy reimbursements. No time wasted in chasing paperwork. Just seamless care when they needed it most. One of our employees even told us how their child had to be hospitalized suddenly, and thanks to the group insurance, the entire treatment was taken care of. No debt. No worry. Just gratitude. That kind of moment builds emotional loyalty far beyond what a bonus ever could. Also Read: Group Health Insurance vs. Individual Plans It’s Not Just Physical Health—Mental Wellness Is Covered Too This one’s close to our hearts. We noticed over time that some employees were silently burning out. And with all the pressures of post-pandemic work life, mental health had become a topic we could not ignore. That’s when we were pleasantly surprised to see that many modern group insurance plans include mental wellness support—like online therapy, counselling sessions and even stress management workshops. We made sure this was part of our offering. And it helped us open conversations that were previously considered “too personal” for the workplace. You know what happened next? Trust deepened. Team members started engaging more, productivity went up, and the overall vibe at work got warmer, more human. We didn’t just say, “We care about your well-being.” We proved it—with policies that actually support well-being. Affordability Makes It a Win-Win Now, you might be wondering—this all sounds great, but what about the cost? That’s what we asked at first, too. But here’s the thing: group health insurance is surprisingly affordable. Since the risk is spread across a group of people, premiums are significantly lower than individual policies. For us, offering a ₹5 lakh sum insured for each employee and their family cost way less than we expected—around ₹800 to ₹1,200 per month per employee. That’s less than what we spend on a weekend team dinner! And here’s what makes it even better—we had the option to customize the policy. We could choose add-ons, raise the cover, or extend benefits depending on our team’s unique needs. The flexibility was amazing. It didn’t feel like a one-size-fits-all solution. It felt like something we designed for our people. And let’s not forget tax benefits. As employers, the premiums we pay are tax-deductible. So while we’re taking care of our employees, we’re also saving money. Double win. What We Noticed After Implementation Once our group health plan was up and running, we
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Let’s start with something real. We have all had that moment—maybe while putting our child to bed or glancing at our partner across the dinner table—when a thought creeps in: What would happen to them if I was not around anymore? It’s uncomfortable, even a little scary, but it’s honest. We are not just thinking about ourselves anymore. We have got a family to protect and with that comes the responsibility of preparing for the unexpected. We have been there—googling “term insurance vs. whole life insurance,” trying to decode the jargon, and feeling more confused than when we started. So let’s break it all down, together. Let’s make sense of this—because making the right choice between term and whole life insurance is not just about money. Why Life Insurance Even Matters for Families Before we jump into term vs. whole life, let’s talk about why life insurance matters so much when we have a family. It’s not about expecting the worst—it’s about being prepared for it. If something were to happen to us, we want to know that our kids can still go to school, our home stays safe and our partner does not have to shoulder every financial burden alone. According to IRDAI, only around 3% of India’s population has adequate life insurance coverage. That’s scary. Many of us are underinsured simply because we did not understand our options. But the good news? We can change that right now. Let’s Understand Term Life Insurance First So what is term life insurance really? In simple terms, it’s a plan that covers us for a specific period—10, 20, maybe even 30 years. If something happens to us during that time, our family receives a lump sum payout called the death benefit. If we outlive the term, there’s no payout. Sounds straightforward, right? We love term insurance because it’s affordable and high-coverage. For example, a 30-year-old non-smoker in India can get ₹1 crore coverage for less than ₹800/month. That’s powerful financial protection at the cost of a couple of pizzas. What happens after the term ends? Say we are now in our 60s, the term has ended and we are no longer covered. If we still have dependents or debts, that’s a potential issue. That’s when we start wondering—Should we have gone with whole life insurance instead? Now Understand Whole Life Insurance Now, whole life insurance—that’s the more permanent kind. Unlike term plans, whole life covers us for our entire lifetime. As long as we keep paying premiums, the policy stays active and our family gets the payout whenever we pass away—whether that’s 20 or 60 years from now. But wait, there’s more. Whole life plans also include something we love: cash value accumulation. A portion of our premium builds up like a savings fund. Over time, we can borrow against it, withdraw from it, or even use it to pay premiums. It’s like insurance plus investment. Of course, it’s pricier. That same ₹1 crore coverage might cost ₹8,000–₹10,000/month. But in return, we get a guaranteed death benefit, lifelong coverage and a built-in savings cushion that grows over time. It’s a real asset. We have met families who used the cash value to pay for college tuition, fund a business or deal with emergencies. That kind of flexibility can be a game-changer when life throws a curveball. So Which One Do We Really Need? Let’s think through our own situation. If we are young, have a limited budget and our primary goal is protecting our family during our prime working years, term insurance is a fantastic choice. Since real estate is reasonably priced and provides excellent safety, we may concentrate on other financial objectives like investment or home ownership. However, if we are making plans and want a lifetime safety net, whole life insurance would be a better option. We could leave a legacy or make sure our kids inherit something safe.. It’s like planting a financial tree that will keep producing no matter what stage of life we’re in. We were genuinely moved by this story. One of our acquaintances in his 30s bought a term plan because he thought it was all he needed. But at 65, with a dependent spouse and no coverage left, he was stuck trying to get a policy again—only now, with age and health issues, premiums were through the roof. That’s when we realized: it’s not just about choosing what works now but what we will wish we had 30 years later. What Are Other Families Doing? Let’s look at some trends. According to a 2023 survey by Max Life, over 65% of Indian families prefer term insurance as a starter option because of affordability. But among those over 40, there’s a growing shift toward whole life or endowment plans for their dual benefit of savings and security. It’s not a one-size-fits-all decision. Some families even combine both—using term plans early in life and gradually adding whole life or ULIP-based plans as their income grows. That hybrid strategy can work wonders. Final Thoughts: What Should We Choose? So here we are, back at the fork in the road: term or whole life? We have walked through the pain points, the features, the stats, the real stories—and here’s what it comes down to. If we are looking for affordable, focused protection for a specific time frame, term insurance has our back. If we want lifelong assurance, wealth building and flexibility, whole life steps in as the hero. The right choice? It depends on where we are in life, what our goals are and how we want to leave our mark. But one thing’s for sure—doing nothing is not an option. Because if we truly love our family, we owe it to them to be prepared. That’s why choosing the right life insurance for family matters. So let’s sit down, take a deep breath, maybe even talk to a financial advisor—and make the
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Let’s be honest: Managing auto insurance may be somewhat difficult. Everybody has been there, sifting through countless policy possibilities to determine what is worthwhile and what is a waste of money. With all those cryptic phrases, insurance firms can occasionally seem to be speaking a foreign language. Furthermore, with so many other costs associated with the car, who wants to shell out a fortune for insurance? We search for the lowest auto insurance since we want to be protected without going over budget. But here’s the million-dollar question: does cheapest always mean safe? Or are we just setting ourselves up for trouble down the road? This is something many of us wonder. Why Are We Chasing the Cheapest Car Insurance? We know car expenses add up fast — fuel, maintenance, parking, tolls and then insurance premiums. The question, “Why pay more when I can get something cheaper and still be legal?” is naturally raised. While we want to save money, we also want to be safe. Therefore, it is tempting to get the cheapest insurance, but there is a catch. Completeness does not necessarily equate to lowest cost. So let’s break down what we’re really getting when we pick the cheapest option. The Basics: What Does Cheapest Car Insurance Usually Cover? When we say “cheapest car insurance,” most of the time we are talking about Third-Party Liability Insurance. This is the bare minimum required by law in many countries, including here. Think of it as the legal ticket to drive your car without breaking the rules. What’s Covered in Third-Party Insurance? Basically, this insurance protects us against damages or injuries we cause to others. For example, if we accidentally scratch someone else’s car or cause an accident that injures another person, this insurance steps in to cover those costs. That means it pays for the repairs or medical bills of the third party. One cool thing about third-party insurance is that it usually comes with very low premiums. On average, in India, we might pay around ₹2,000 to ₹3,000 per year for a small car. That’s super affordable compared to other plans. But here’s the kicker — it does not cover our own car damage or our injuries. So if we crash our car or it gets stolen, we are on our own. It’s like having an umbrella that only covers other people standing near us but not ourselves. Risky, isn’t it? What’s NOT Covered by Third-Party Insurance? So, while it covers legal liabilities to others, it leaves out everything else. No coverage for our own car’s damage from accidents, theft, fire or natural disasters. No personal accident cover for us as drivers (or very limited). If our car gets vandalized, the insurance would not pay us a dime. We have all heard stories of someone who went cheap, got into a bad accident, and then was stuck paying thousands out of pocket. That’s the danger. So while this insurance is the cheapest, it comes with big gaps. The Next Step: Comprehensive Insurance — What Makes It Different? If we want real peace of mind, we look at comprehensive insurance. This is like upgrading from a basic phone to a smartphone — yes, it costs more but we get a lot more features and protection. What Does Comprehensive Insurance Cover? First, it covers everything the third-party insurance does — legal protection against damages or injury to others. But on top of that, it covers our own car too. That means if our car is damaged in an accident, stolen, catches fire or is hit by floods or other natural disasters, this insurance has our back. Another awesome feature is personal accident coverage for us, the driver. If we get injured or worse in a car accident, the policy pays a lump sum to us or our family. That’s a huge relief to have. Also, many comprehensive policies let us add extra protection options — called “add-ons” or “riders.” For example, zero depreciation cover means when we claim for parts replacement, the insurer would not deduct depreciation costs, so we get full repair costs. Then there’s engine and gearbox protection, roadside assistance and even return to invoice cover, which means if our car is totaled, we get the original invoice value, not just the current market value. How Much Does Comprehensive Insurance Cost? Yes, it’s pricier — typically ₹6,000 to ₹20,000 or more per year depending on the car and location. But here’s the thing — many of us feel it’s worth it because the financial protection is much broader. Also, with so many add-ons, we can customize the plan to fit our budget and needs. According to recent data, about 60% of car owners in India now prefer comprehensive plans over third-party, mainly for the added security. But What About Those Extra Costs? Are Add-Ons Worth It? Good question! When we pick cheapest insurance, we usually avoid add-ons to keep costs down. But some add-ons can actually save us money in the long run. Take zero depreciation cover again. Normally, if our car’s parts depreciate over time, the insurer deducts that from the claim amount. So, if a part costs ₹10,000 but depreciates by 50%, we get only ₹5,000. With zero depreciation, we get the full ₹10,000. Cool, right? It might add some premium to our policy, but it prevents big out-of-pocket expenses later. Then there’s roadside assistance — invaluable when we are stranded with a flat tire or a dead battery. Instead of paying a tow truck huge fees, the insurance provider sends help quickly. Engine protection cover is another lifesaver if our engine or gearbox fails due to water ingress or oil leaks — things not covered in standard policies. So, while add-ons increase the premium a bit, they can protect us from unexpected shocks. What Happens When We Choose the Cheapest Option — Real-Life Examples Let me share
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