Last Updated:
To ensure a successful health insurance claim, verify policy details like expenses covered, bonus, premium, hospitalisation days, cashless facility, and coverage of serious diseases
With the rise in the cost of medical treatments, health insurance policies act as a security net. (News18 Marathi)
The importance of health insurance policies has increased manifold with a rise in the cost of medical treatments. In a post-pandemic world, health insurance is like a safety net. After attaining a new job, young professionals typically insist on taking a few measures for their future like checking their PF account, purchasing an LIC policy, and, if their company doesn’t offer health insurance, buying a separate health insurance plan.
While choosing a health policy, it is essential to learn about a few important factors regarding health insurance to ensure timely treatment and avoid any claim dispute.
What Expenses Are Covered?
While choosing a health insurance policy, find out what expenses are covered in that policy. Find out whether the costs of hospitalisation, doctor’s fees, medicines, operation costs, chemotherapy, dialysis and other procedures are also included. Read the policy documents to know which expenses are covered and which are not, and if not, ask the insurance agent. The above expenses should be included in your policy.
Bonus And Premium
When checking health insurance, see if there is a bonus facility in the policy. Also, find out when the premium amount can increase. If you are taking out insurance for a family, it is important to get all this information because the policy will cover the treatment of diseases of everyone in your family.
Hospitalisation Days
Find out how many days of hospital stay are covered by the policy and whether the cost of health tests and medicine is covered. In some policies, you have to stay in the hospital for at least two days to have the expenses covered. If you are discharged earlier than that, you have to pay the money. The insurance company does not cover it. Also, find out the maximum number of days the company pays for the expenses in the policy.
Cashless Facility
Find out which hospitals and hospital chains the insurance company has a tie-up with. Also, see if the hospital with which the tie-up exists has a cashless facility. Otherwise, you have to pay the bill first, and then the company pays it. Also, find out the method of paying the bill.
Serious Diseases
Many policies do not cover serious diseases like cancer, heart disease and kidney failure. Check whether these diseases are covered in your policy. Even if you are buying a policy from a friend or acquaintance, you still have to verify these things yourself. If you check all these aspects before choosing a health insurance policy, you will not face much difficulty in getting a claim.
