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Health Insurance FAQ's |
- Will Mediclaim
reimburse my expenses related to the disease which I am already suffering before
the inception of the plan?
- Insurance company will
not cover any illness/ailment which already existed at the time of first obtaining
the insurance cover. However, some companies cover such conditions after, two or
four continuous renewals; they start covering the pre-existing illness after that.
- What is Mediclaim
Policy and what does it cover?
The policy provides for reimbursement of hospitalization/ domiciliary hospitalization
expenses for illness/diseases suffered or accidental injuries sustained by the insured
during the policy period.
- Does Mediclaim
cover any expenses besides hospitalization costs?
Mediclaim covers pre-hospitalisation (30 days) and post-hospitalisation (60days)
expenses also if they are connected with the sickness / accident for which the hospitalisation
takes place.
- What is considered
as "domiciliary hospitalization" under Mediclaim?
It is that condition of the patient in which he cannot be moved to the hospital
or if there is no bed available in any of the hospitals, then the treatment is taken
at home and if it is given like the treatment given at the hospital, then in such
situation, it is reimbursable.
- What is a Cashless
Facility?
Cashless Facility is a service wherein the insured can get admitted and can settle
all hospitalization expenses at the time of discharge from hospital. The settlement
is done directly by the insurance company, that’s why it’s a cashless facility where
you are provided with the claim there and then at the time of settling the bills,
the hospital directly contacts with the insurance company and settle the claim.
- What is a Health
Card?
A Health Card is that card which comes along with the policy which would entitle
you to get cashless claim at any of the company’s network hospitals.
- Am I entitled
for cover immediately after I take my policy?
For the first 30 days after your policy is activated, you would not be entitled
for any cover for sickness but you can avail of accidental cover immediately.
- Do I have to
undergo medical Check up while taking health insurance policy?
Medical tests is required after 45 years of age.
- Is a Medical
check up again required at the time of renewal of the policy?
No, the medical check up has to be taken only once, during the inception of taking
a policy and only if you are 46 years of age or above.
- What is the
Critical Illness policy? And what does it cover?
It is that policy which covers Illness; it is complimentary to a mediclaim policy,
being an additional policy which can be taken along with Mediclaim. The Critical
Illness policy covers five major illnesses • Cancer.
• Kidney failure.
• Organ transplant.
• Multiple sclerosis and.
• Coronary artery surgery (20 percent of Sum Insured)
- When does the
Critical Illness policy cover all the five illnesses?
As long as the policyholder was not suffering from any of the illnesses, the pre-existing
illness exclusion applies to the Critical Illness policy also.
- What is a Floater
Policy?
A floater Policy is issued with a single sum insured covering number of individuals.
The family is covered for a fixed amount and anyone in the family can avail of the
benefit till the limit is exhausted. In short, it is one single policy which takes
care of the hospitalization expenses of your entire family.
- Do I get a No
Claim Bonus under my health insurance if I do not make a claim?
Yes, some plans offer a discount in premium. Others offer an increase in your benefit
amount for every claim-free year.
- What are the
benefits of renewing my health insurance policy?
There should be continuous renewal of the policies. If there is a break in insurance,
the insured would lose the benefits of insurance in the event of any contingency.
You will be prevented from the benefits of No claim Bonus in a claim free year.
Moreover you will not be covered for Pre-existing diseases.
- Why should I
take Individual health plan or a Family Floater plan if I already have health insurance
from my employer?
You are covered with the health insurance policy as long as you are in the employer’s
services. If tomorrow, you change your job, then you and your family will be barred
of any medical emergency arises when you have not arranged for an alternative health
insurance policy. It is at this point of time that an Individual or Family Floater
Health Insurance policy will come to your rescue.
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