|Sum Insured||The plan provides a wide coverage of Rs. 10 lac to Rs. 30 lacs.|
|In-patient hospitalisation||The plan covers hospitalization: Room rent & boarding expenses, Medical practitioners fees, Intensive care unit, Nursing expenses, Anesthesia, blood, oxygen, operation theatre expenses, surgical appliances, medicines & consumables, diagnostic expenses and x-ray, dialysis, chemotherapy, radiotherapy, cost of pacemaker, prosthesis/internal implants and any medical expenses incurred which is integral part of the operation, Physiotherapy as inpatient care and being part of the treatment, Drugs, medicines and consumables consumed during hospitalization period, Diagnostic procedures, Dressing, ordinary splints and plaster casts|
|Pre-hospitalisation||The plan provides 60 days coverage for pre-hospitalization|
|Post-hospitalization||The plan provides 90 days coverage for post-hospitalization|
|Ambulance Cover||This plan covers ambulance expenses up to Rs. 1 lac, including air ambulance.|
|Health Check up||Health Check up reimbursement to Rs. 5,000 insured after 4 consecutive years free of charge.|
|Alternative treatment||This plan covers Alternative treatment such as Ayurveda, Unani, Siddha and Homeopathy.|
|Organ Donor Cover||This policy covers the costs for organ donor’s treatment.|
|Cumulative bonus||Cumulative bonus at a rate of 10 percent of the insured amount for each claim free renewal up to 50 percent.|
A waiting period is the length of time you, the insured, will have to wait before the benefits under the health policy can be utilised.
A ‘Free Look Period’ is a period of 15 days from the date of receipt of the policy that a policyholder, in this case you, have to review the entire health insurance plan. If you disagree with any of the terms or conditions mentioned in the policy, you have the option of returning the policy by stating the reasons for the objection. Following this, you are entitled to a refund of the premium paid, provided no claim has been made under this mediclaim insurance policy (subject only to a deduction of the expenses incurred by the company on medical examination and the stamp duty charges). Please note that this facility is not applicable on renewal and portability cases.
A grace period refers to a period of 30 days immediately following the premium due date of the medical insurance policy. During this period you can pay the premium of your expired policy and avail continuity benefits such as waiting periods and coverage of pre-existing disease.
A deductible is a cost-sharing requirement. It states that the insurer will not be liable for a specified amount in case of indemnity policies. This is applicable for a specified number of days/hours in case of hospital cash policies which apply before any benefits are payable by the insurer. Remember that a deductible does not reduce your sum insured.
Factors for medical insurance in India, How much is the premium and the coverage offered by India health insurance plans..Click here to read more