Frequently Asked Questions: Health Insurance

Health Insurance protects you and your family by providing financial support at the time of medical emergencies. Health Insurance ensures that you do not lose your savings while paying the medical bills.

Health Insurance companies provide a free-look period of 15-30 days within which you can cancel your policy. If you cancel the policy within this period, the company will refund the entire premium amount after deducting the stamp duty and proportional risk charges.

A policyholder can make any number of claims in a year but the claim amount has to be within the maximum amount i.e. sum assured.

Yes, you can pay the insurance premium in installments on a monthly, quarterly, half-yearly, and yearly basis.

The critical illness insurance policy protects the policyholder from life-threatening illnesses such as Heart Attack, Cancer, Stroke, Kidney Failure, and many more.

It depends from company to company & plan to plan. Some companies offer plans that cover maternity/ pregnancy- related expenses. Premium of such plans is higher than that of the standard Health Insurance Plans.

Normally, a Health Insurance policy provides cover across PAN India. However, there are few companies that provide coverage outside India too.

Standard Health Policies do not cover Naturopathy and Homeopathy treatments but you can cover Naturopathy and Homeaopathy through AYUSH cover. Under AYUSH, a person can get cover for any of the treatments listed under Ayurveda, Yoga, Unani, Siddha and Homeopathy

Yes, foreigners living in India can purchase Health Insurance plans from Indian Insurers but the coverage of the policy is restricted to India only.

With Cashless Claim Settlement, the policyholder does not have to pay any bill amount in the Panel/ Network hospital of the company. The insurer settles all the bills with the hospital on its own. The policyholder has to only pay the expenses which are not covered under the cashless facility.

Yes, as per the act 1962, the Tax Benefits are available in the form of deduction under section 80D. One can avail of the benefits of annual deduction of INR 25K for taxable income for self and dependents & INR 50K for senior citizens. To avail this benefit, the policyholder has to show the proof of premium payments.

There are a set of exclusions (things that are not covered) in the Health Insurance policy. Few of them are mentioned below:-

• AIDS, Cosmetic Surgery, and Dental Surgery
• Cataract & Sinusitis: Not covered in the first year but covered in subsequent years
• PED (Pre-Existing Diseases)

If a customer (above age 50 years) wants to buy a new policy, then he must undergo a medical checkup. However, medical checkups are necessary for the renewal of policies.

Both the plans are almost similar to each other as both provide coverage above the threshold limit of the health plan. The only difference is that a Top-Up plan covers a single claim above the threshold limit, while a Super Top-Up plan covers multiple claims above the threshold limit.

Age proof, identity proof, and address proof are required for a Top-Up Health Insurance plan but if your age is 50 and above, then you require a medical test report.