What are the Things Covered Under Individual Health Insurance Plans?


Depending on the amount insured selected and the premium paid, individual policies of health insurance in India provide coverage for a variety of healthcare expenses to a person. One may qualify for tax benefits under Section 80D of the ITA (Income Tax Act) of 1961 on the premium paid for these programs.

One of the best aspects is that these plans allow policyholders to choose from various coverage options and are very customised. These lifetime plans are renewable, and their premiums qualify for Section 80D of Income tax benefits.

What are the Things Covered Under Individual Health Insurance Plans

The best health insurance policy in India covers all necessary medical charges for daycare operations, inpatient hospitalisation, pre-hospitalisation and post-hospitalisation, domiciliary hospitalisation, organ donation, and other services.

This blog will discuss healthcare insurance, what aspects it covers and how to choose a helathcare plan.

What is Health Insurance in India?

The insured pays expenses out-of-pocket and subsequently is reimbursed, or the insurance company pays expenses directly, depending on the insurance policy’s terms. It pays the care provider for the covered person directly or reimburses the costs incurred due to illness or injury.

An individual healthcare insurance plan is the best health insurance in India that pays for the insured person’s medical costs. At the sum insured maximum, it covers the policyholder’s hospitalisation and surgery costs. It can also be added to an employer-provided insurance plan for additional coverage, as these plans usually need more protection.

Things Covered Under a Health Plan

A health insurance policy covers different things such as:

  • Inpatient hospitalisation
  • Day care treatments
  • Pre and post-hospitalisation expenses
  • Pre-existing diseases
  • Ambulance cover
  • Vaccination cover
  • Maternity cover
  • Personal Accident cover
  • Critical illness cover
  • Domiciliary hospitalisation
  • Health check-up
  • OPD cover
  • Ayurveda / Homeopathy / Unani treatment
  • Accidental Death & Dismemberment Cover

Getting the Best Health Insurance Policy in India?

You must look at specific aspects to choose which medical insurance is best. Here are some considerations when choosing the best health insurance policy in India:

  • Choose a sufficient total insured amount. The insurance coverage you can use to pay for medical costs is the sum insured. A significant sum assured may also translate into a high premium. That shouldn’t prevent you from choosing a high insurance deductible, though.
  • Remember that the amount assured should be sufficient for various medical expenses. Decide on an appropriate amount after evaluating your medical requirements, prior health, current ailments, medical inflation, etc.
  • Verify whether you have the option of increasing the overall amount of coverage you have. Your needs will inevitably vary over time. Even if you purchased it a few years ago, it might not be adequate now. So, picking a health plan that allows you to adjust over time is crucial.
  • Examine the waiting period for pre-existing conditions. All these best health insurance policies in India have a waiting period aside from claims for accidental injuries. It is the shortest period after purchasing a policy, during which you are not permitted to file a claim or use insurance funds to pay for treatment of a non-accidental health issue.
  • Select a company that has a high claim settlement rate. With a high claim settlement ratio to support them, the best insurance companies stand out from the competition. A favourable claim settlement ratio shows the company’s capacity to resolve claims.

As medical costs have increased. You are undoubtedly well aware that this insurance is costly. However, there are various options to obtain cheap health insurance. It does not require a more expensive insurance plan. Finding affordable health insurance plans is straightforward without sacrificing coverage. Best health insurance company like Niva Bupa provide the cheapest health insurance in India, which covers essential medical bills and supports your financial health in emergencies.

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