Health insurance offers financial protection against medical costs, access to quality care, preventive health checkups, and peace of mind, enabling individuals to maintain their health without stress.

Health insurance typically covers the expenses relating to hospital stay, ambulance services, prescribed medications, maternity care, lab services, mental health support, and rehabilitation among many other covers. Specific covers may vary according to the type of Health Insurance plan.

Insurance covers costs for elective and emergency surgeries, including surgeon’s and anaesthetist’s fees and related expenses.

Yes, health insurance usually covers medical and lab test expenses which are related to the hospitalisation.

No Claim Bonus (NCB) in health insurance rewards you for having a claim-free policy. The No claim bonus increases the amount you are covered for.

A cashless claim facility in health insurance allows policyholders to receive treatment at network hospitals without having to make advance payments, since the insurance company settles the bills directly, making healthcare more accessible.

The waiting period in health insurance is the time after purchasing a policy when certain benefits cannot be availed. Such waiting periods may range from a few months to years in respect of pre-existing conditions, During the waiting periods, claims for specific treatments may not be considered.

A network hospital partners with health insurance companies to provide cashless treatment, allowing policyholders to receive care without upfront payments. This leads to easier admissions and claim settlements, as insurers uphold quality standards. Network hospitals offer services like emergency care, surgeries, and specialized treatments, ensuring smoother and more affordable benefits from your health insurance plan.

Daycare procedures are treatments or surgeries that don’t require an overnight stay, thanks to advances in medical technology. Patients can often go home the same day after procedures like chemotherapy, radiation therapy, dialysis, cataract surgery, and minor surgeries such as appendectomy. These treatments are cost-effective, reduce hospitalization expenses, and allow for recovery at home.

A sub-limit in health insurance is a cap on the amount an insurer will pay for specific treatments or services, meaning that certain categories like room rent or specific surgeries may have their own limits, even within a high overall coverage.

A. Yes, the insurance company covers expenses for consultations at a clinic or nursing home without hospitalization.

AYUSH treatments are covered by health insurance in India. Coverage is available for treatments at Government Hospitals or authorized AYUSH clinics.

The sum insured may decrease after a claim depending on the Policy or plan, and any cumulative bonus might be reduced or reset.

The insured has to submit the original claim documents within 15 days after discharge from the hospital.

A co-payment (or co-pay) in health insurance is the out-of-pocket percentage you pay for a healthcare service, varying by service and specified in your policy, serving as a cost-sharing arrangement for hospitalization expenses.

A pre-existing disease is any medical condition diagnosed or treated within a specific period before purchasing a health insurance policy. Many plans impose waiting periods for coverage of these conditions, meaning related expenses won’t be covered for a certain time after enrolment. It is essential to disclose any pre-existing conditions when buying health insurance to ensure proper coverage.

Claim reimbursement is the process by which the Policyholder/ insured submits a claim to the Insurance Company for reimbursing the money spent on hospitalisation / medical expenses.

Yes, many health insurance policies consider room rent when determining charges. If the insured chooses a room with rent above the eligible limit, then the difference between the actual and eligible room rent must be paid by the insured, and related expenses like professional fees and OT charges will be proportionally deducted.

The insured can claim expenses incurred for health check-ups, subject to the conditions and limits specified in the insurance policy.

The hospital cash benefit in health insurance provides for a fixed daily allowance to the insured during hospitalization, payable only if the stay exceeds 24 hours. The amount may increase if the patient is in ICU. Such a benefit helps to manage out-of-pocket expenses.