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Ans: It covers hospitalization expenses including OT charges, medicines, oxygen, blood or any other test that is required for the treatment. It also covers day-care treatment expenses, diagnostic tests, and technologically advanced treatment. The pre and post hospitalization expenses are covered for a period of 30 days before getting admitted and 60 days of getting discharged
Ans: As per the IRDAI regulations, medical insurance providers are mandated to cover coronavirus related quarantine as well as hospitalization expenses. Some insurer providers are offering specific coronavirus health insurance policy, and rest are offering in the basic mediclaim plans only. However, do check with your insurer if it covers COVID-19 after it is declared as a pandemic.
There are two ways to claim the benefits of your mediclaim policy- reimbursement claim and cashless claim. To get reimbursement you need to inform the insurer or the TPA regarding the hospitalization. Along with the hospitalization expenses you also need to keep all the medical bills to claim your medical reimbursements. For cashless claim settlement, you need to fill all the details in the claim form and submit the same to the insurer. And the insurer will settle your hospital bills directly with the hospital (up to the sum insured limit).
Ans: The exclusions vary from one mediclaim policy to another and from one insurance provider to another. Most of the mediclaim policies do not cover expenses incurred on pre-existing diseases before completion of the waiting period, suicidal attempts, cosmetic surgeries, any act of criminal intent. You can check the policy wordings for the detailed list of exclusions.
Ans: You can easily select the right mediclaim policy to choose as there are a plethora of health insurance plans available online. You can easily compare and buy mediclaim policies from top health insurance companies on our website. There are plans that ensure the best coverage at an affordable premium. You can select the right type of medical plan for yourself and your family.
Ans: The age a criterion usually varies from one insurer to another. It is usually between the age group of 18 and 65 years and even covers new-born babies starting from 91 days. Some plans offer lifetime renewable facilities.
Ans: The first thing you need to do is immediately inform the TPA regarding the hospitalization, along with the details of your policy, hospital, and the treatment you need to undergo. You need to fill the claim form that includes details like your policy number, the name of the hospital and the treatment undertaken. After that, you need to submit all the documents to the TPA department at the hospital. The claim is then taken forward once all the documents are submitted to the insurer.
Ans: Accidents are covered under personal accident insurance plans. You can buy an add-on for personal accident cover along with your basic mediclaim policy.
Ans: In a cashless mediclaim policy, the health insurance company settles the hospitalization expenses directly with the hospital. You do not need to pay anything up to the sum insured amount (unless there are deductibles).
Ans: LASIK surgery is usually not covered under most of the mediclaim policies. However, if you meet certain criteria you can get the claim benefits. Please check with your insurance provider regarding LASIK surgery cover before making the purchase or on the policy wordings.
Ans: Dental treatments are not covered under basic health plans unless it is an accidental emergency. However, some insurers cover dental treatment as an add-on benefit. You need to pay an extra premium to get dental treatment cover (if any).
Ans: A group mediclaim policy is usually offered by companies to their employees and can be extended to their family members including spouse, children, and parents in some cases. The premium is paid by the employer on behalf of the employees and can customize on payment of extra premium to suit the interest of the insured members. The coverage is limited; therefore, it is important to have a separate health insurance policy as well.
Ans: As the name suggests, an international or overseas mediclaim policy is a type of medical insurance that covers emergency hospitalization expenses when traveling overseas or abroad.
Ans: As the name suggests, a floater mediclaim policy offers covered to you and your family members under a common sum insured and single premium amount.
Ans: It is easy to port your mediclaim policy. You can inform your health insurance provider 45 to 60 days ahead of the expiry of your current health plan. You would need to fill portability from, provide details of your previous health insurer and then apply for portability.
Ans: Most of the insurers do not accept claims for illnesses arising during the initial 30 of policy purchase. However, it covers accidental hospitalization expenses during the first 30 days of policy commencement.