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Ques. |
I have no medical policy and I suffer from hypertension. Will I get a health insurance cover? |
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Ans. |
Definitely you can get a health insurance cover, but hypertension would be treated as a pre-existing disease and it will get covered only after a period of 4 years. Diseases which occur as a consequence of hypertension will not be covered during first 4 years.
However you get an option in the policy issued by New India and can get it covered from 2nd year onwards by paying 20% additional premium. By paying the additional premium you will get 50% coverage in the 3rd year, 75% coverage in the 4th year and 100% coverage from 5th year onwards. |
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Ques. |
Please suggest a policy that covers regular check-ups and OPD treatments, including dental. |
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Ans. |
Health insurance policies issued by non-life insurers do not cover OPD and dental expenses. However, life insurers such as the Life Insurance Corp. of India (LIC) and ICICI Prudential have come out with health insurance plans that allow the insured to accumulate a health fund. The premium paid for these policies has two portions. One portion goes towards the hospitalization cover, while the other goes into a savings account. This account accumulates money over the years. The insured person can withdraw money from this fund to meet with OPD and dental expenses.
You have two options ICICI Lombard’s “Health Advantage Plus” and Apollo Munich’s “Maxima” Health Insurance plan.
ICICI Lombard’s Health Advantage Plus covers OPD expenses from the first day of the policy. The OPD cover may vary from Rs. 2,000 to Rs. 10,000 depending on the plan opted and your age. You can claim OPD charges only once during the policy term, which means you will have to collect all the bills and get the reimbursements as and when the limit is reached.
The Apollo Munich’s Maxima covers, cash- less OPD expenses across trusted network of pharmacies for pharmacy bills, diagnostic centers for diagnostic tests and annual health check-up, dental and optical care centers for contact lenses, spectacles and dental treatments along with consultation with family doctors. In Maxima OPD cover is sub-divided. The maximum benefit allowable for 1 adult is Rs. 8,500.
In addition, both the policies do not allow, an insured person to claim OPD cost within 90 days of commencement of the policy. |
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Ques. |
I want to take health Insurance policy for my sister who has paralysis. Which company should I approach? What is the process involved? |
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Ans. |
In our opinion you must disclose that paralysis is pre-existing.
All insurance companies will consider this proposal and most will issue the policy by mentioning that paralysis is pre-existing disease. As a consequence any treatment due to this disease or as a result of this disease will not be payable during next 4 years.
You may even be asked to pay extra premium in the form of loading.
Generally pre-existing diseases are covered after a period of four years, so in this case paralysis will be covered after the said period. |
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Ques. |
I want to take health Insurance policy for my sister who has paralysis. Which company should I approach? What is the process involved? |
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Ans. |
You can take Oriental’s Happy Family Floater policy in which you would be able to cover your daughter along with you and your wife. You will have to take individual policy for your son as his age is above 25 years and is not to be considered as your dependent. You can take Oriental’s Individual policy for your son. The premium for Rs. 5 lakh of cover would sum up to Rs. 18,670. You will have to bear co-payment of 10% when lodging a claim.
If you increase the sum assured to Rs. 6 lakhs, there is no co-payment. The premium for Rs. 6 lakhs cover will sum up to Rs. 23,630. |
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| Name |
Age |
Rs.5 Lakh |
Rs. 6 Lakh |
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|
(Oriental) |
(Oriental) |
| |
|
(Family Floater Silver) |
(Family Floater Gold) |
| Shri B.N. Shukla |
55 |
10400 |
14210 |
| Mrs. Shakuntala Shukla |
52 |
2080 |
2840 |
| Ankita Shukla (Daughter) |
25 |
1040 |
1430 |
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|
| Name |
Age |
Rs.5 Lakh |
Rs.5 Lakh |
| |
|
(Oriental) |
(Oriental) |
| |
|
(Individual) |
(Individual) |
| Gaurav Shukla (Son) |
28 |
5150 |
5150 |
| Total |
|
18670 |
23630 |
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Ques. |
What are the eligibility criteria for purchasing International Student Health Insurance? |
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Ans. |
You should be a student of a school / college/ university in the foreign country and have a valid student visa. |
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Ques. |
Are dependents of students of overseas student Health Insurance also eligible for coverage? |
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Ans. |
They are eligible but they do not get student Health Insurance Policy. They get normal Overseas Travel Policy. |
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Ques. |
May I purchase Student insurance if I am already studying outside my home country? |
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Ans. |
Yes- you can purchase. But see requirement of your educational institution –what sum assured they are looking for. |
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Ques. |
What is Domestic Travel Insurance? |
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Ans. |
This is travel insurance –when you are traveling within India. |
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Ques. |
Am I still covered by Domestic Travel Insurance if I catch a connecting flight to a different destination? |
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Ans. |
Yes-it is for number of days and it covers all modes of public transport – road, rail & air. It also covers accidents / illness / hospitalization etc. |
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Ques. |
What can I do if I encounter an accident while covered under Domestic Travel Insurance? |
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Ans. |
Get treated and it will be paid by the insurance company. |
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