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Health Insurance Guide

Health insurance is a contract that covers medical expenses, reducing financial burdens during health emergencies. Key features include sum insured, premium, cashless network, and various inclusions and exclusions. Popular insurance providers in India offer unique benefits, and trusted websites are available for comparing plans and features.

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3 views3 pages

Health Insurance Guide

Health insurance is a contract that covers medical expenses, reducing financial burdens during health emergencies. Key features include sum insured, premium, cashless network, and various inclusions and exclusions. Popular insurance providers in India offer unique benefits, and trusted websites are available for comparing plans and features.

Uploaded by

c45476219
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Health Insurance Guide: Features, Terms, and Reliable Resources

What is Health Insurance?

Health insurance is a contract between a policyholder and an insurance company that covers medical and
surgical expenses. It helps reduce the financial burden during health emergencies by covering hospital bills,
surgeries, and more.

Key Features of Health Insurance

Feature Description

Sum Insured The maximum amount the insurer pays in a year.

Premium Regular payment (monthly/yearly) to keep the policy active.

Cashless Network Partner hospitals where treatment is cashless.

Waiting Period Period before specific diseases or conditions are covered.

No Claim Bonus (NCB) Reward for no claims in a year (e.g., increased coverage).

Daycare Procedures Minor surgeries that don't require 24-hour hospitalization.

Co-payment Percentage of the bill that must be paid by the insured.

Room Rent Limit Cap on per-day room charges covered by the policy.

Pre & Post Hospitalization Coverage for tests and treatment before and after hospital admission.

Common Inclusions

• In-patient hospitalization
• Daycare procedures
• Pre & post-hospitalization expenses
• Ambulance charges
• Organ transplant
• AYUSH treatments
• Maternity (in some plans)
• COVID-19 treatment

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Common Exclusions

• Pre-existing diseases (initially excluded for 2-4 years)


• Cosmetic treatments
• Injuries from war or self-harm
• Dental/vision (unless mentioned)
• Infertility/IVF treatment

Important Terms & Conditions

• Waiting Periods: Typically 30 days for general, 2-4 years for pre-existing conditions.
• Co-payment: Mandatory cost-sharing in some cases.
• Sub-limits: Specific caps on treatment or room charges.
• Free Look Period: 15 days to cancel the policy for a full refund.
• Renewability: Ensure the policy offers lifetime renewability.

Popular Insurance Providers in India

Provider Unique Features

Star Health Direct claim settlement (no TPA)

Niva Bupa Hospital cash and OPD benefits

HDFC Ergo Large cashless hospital network

Care Health Global treatment in high-end plans

TATA AIG Enhanced restoration benefits

Trusted Websites to Explore Plans

1. Policybazaar - Compare policies, premiums, and features. https://www.policybazaar.com/health-


insurance/

2. IRDAI (Govt. Regulator) - Know rules, complaints, and authentic data. https://irdai.gov.in/

3. Coverfox - Easy comparison with detailed breakdowns. https://www.coverfox.com/health-insurance/

4. Turtlemint - Personalized help, clear explanations. https://www.turtlemint.com/health-insurance/

5. Ditto (by Finshots) - Beginner-friendly advice & WhatsApp consultation. https://joinditto.in/

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Would you like a plan recommendation based on your age, location, and budget?

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