GUIDE into Buying your Health Insurance - Discussion & Guide

[Rahul098]

Is it possible to port out my policy and add my wife also to the new policy? Or should I first add my wife to the policy and after that only port out ?

 

[drvirag]

Is it possible to port out my policy and add my wife also to the new policy? Or should I first add my wife to the policy and after that only port out ?

U can do that together. If u add wife to existing policy then u have to pay premium for that. And if it is due for renewal then it will be added from next year. So wherever u r posting tell them u want to ad wife. They will do

 

[Rahul098]

U can do that together. If u add wife to existing policy then u have to pay premium for that. And if it is due for renewal then it will be added from next year. So wherever u r posting tell them u want to ad wife. They will do

She does not have an existing policy. Mine is with star health insurance so, I want to port out

 

[drvirag]

She does not have an existing policy. Mine is with star health insurance so, I want to port out

Port and name addition will be together. New policy will cover both of u

 

[daen.kith]

hello folks,

we are non resident and frequent visit india , family of 4 . me wife and my parents. we are in mid 30's and parents are early 60's shall we get 1 coverage for all of us? which insurance company is great when it comes to settle the claim.
plus buying our first insurance in india considering our age factor we like to be cover instantly or within a year. i was being told that some conditions will be covered after 3 years. although we dont have any medical condition so far , hypertension to my father though.

guys please help me through this with your valuable inputs.

 

[abhiaj_geek]

hello folks,

we are non resident and frequent visit india , family of 4 . me wife and my parents. we are in mid 30's and parents are early 60's shall we get 1 coverage for all of us? which insurance company is great when it comes to settle the claim.
plus buying our first insurance in india considering our age factor we like to be cover instantly or within a year. i was being told that some conditions will be covered after 3 years. although we dont have any medical condition so far , hypertension to my father though.

guys please help me through this with your valuable inputs.

You will have to take 2 separate insurances.
One for parents one for yourselves

Whatever insurance you take, buy it through a really helpful agent with proven track record of helping others get claims.

Good ones are hdfc ergo, niva bupa, icici, afaik. I have taken Hdfc ergo optima super secure for both me and my parents.

 

[techie_space]

I was planning to go for Niva Bupa Reassure 2.0 Titanium+
Reason: Premium lock in until claim. No claim bonus upto 10X.

Not sure why many people are not talking about this plan?! Am I missing something? As this insurer got better csr

 

[sovon]

I was planning to go for Niva Bupa Reassure 2.0 Titanium+
Reason: Premium lock in until claim. No claim bonus upto 10X.

Not sure why many people are not talking about this plan?! Am I missing something? As this insurer got better csr

Premium lock untill claim is little bit misleading.
They will increase the price according to the inflation.

Also recently Niva bupa is getting large volumes of complaints in compared to others.

Although I think it's not a permanent problem, they will fix the issue eventually.

Also maximum online agents like Ditto, avoid Niva bupa so may be that's a reason that people are not talking much about this.

Personally I have The Niva bupa aspire titanium+ bought this is February

 

[cardy]

It's not final edited because on laptop u can only see things in dark.
Will edit tomorrow asthetic

Will be making thread on most common reason for health insurance rejection/ partial rejection


Buying a health insurance has become a hectic task , because there is too many sub clause and sub limits added and as much as we are vulnerable while availing the health emergency , these company leach on those moments and save their money .

so before buying health insurance like any other thing you buy ,
make a list what do you need in your health insurance

questions like
is 5 lakh cover sufficient ?
do you think hospital you would admit having 5-6k per day budget good ?
are you ok with double wing sharing ? or you need single private room ?

but bigger question is we will buy policy based on features but there is always some conditions hidden .


now question is who need health insurance ? anyone who doesnt have corpus in multiple crores should take health insurance


there are two types of health insurance
1 individual
2 family\flotter - cheaper but let say u take 10 lakh insurance for 5 member but if one uses 8 lakh then 4 can only use remaining 2 lakhs

take individual plan for person with more risk ( like elders like one with alcohol or smoking ) as adding them in flooter would increase premium for everyone , flotter for childrens and less risk individual



now lets talk about devil in the show

1 room rent fasade - lets say you took 5 lakh policy , it has 1% policy for room rent cap so 5000 and you took 10k room and thinking u only have to pay 5k extra of room but in some policy company would only give 50% of the surgery amount too as room rent was also 50 % reimbursed
even for other post surgery expenses

so ideally take higher value policy or dont take policy with such clause


2 CO PAY - avoid this at all cost


3 sub limit - some insurance have sub limit on type of surgery like heart attack etc has 2 lakh sub limit , avoid these policy too


4 zonal vs pan india policy - sometimes policy premium depends on area , ideally take insurance on pincode you live dont take at rular address to save money . sometimes due to this you might have to do 20 % co pay .
not a deal breaker but ask your policy agent .

5 top up and super top up - these are stand alone policy you can take from same company or other . take same company for cashless experience
top up --- say u have 5 lakh insurance and 5 lakh top up
surgey 8 lakh so 5 lakh from base 3 from top up

but same year u got another 2 lakh bill u can't claim from top up as top up only will activate after 5 lakh base in same year

but in super top up - u can claim that 2 lakh standalone in next surgey same year

take super top up



6 pre and post hospitalization - ideally every company is providing this 60 day pre op and 180 day post op . some have 30 and 60 respectively so check according to your need . more for old people , less for young guns

7 day care coverage - some surgey dont need 24 hour admit , and to claim any health claim u have to be admitted 24 hour minimum so take day care coverage if you live in city as medicine is getting smarter

8 extended coverage - ayush treatment should be there , if you want to go that way , cosmetic is very much optionallllll


9 - waiting period - 30 day is minimum waiting period for any claim this is standard waiting
critical illness - has 90 day waiting period
maternity claims - 9 to 36 months (depends on policy )

10 pre existing disease -3 or 4 year depending on company but there are few diseases which would be there in policy paper has 2-3 year waiting period even though u dont have that disease


11 no claim bonus - ideally they increase the base cover in next 3-4 year for no claim bonus . say 5 lakh insurnce can go upto 7.5 with 3 year no claim bonus ( must have )

12 ambulance charges - check if this is covered or not

13 cashless hospital - check for hospital link up for cashless in city its not a prob , for tier 3 town etc you must know your hospital

14 free health checkup - a big stress reliever as having free check up from company linked checkup would be , your health condition would be updated yerly so no chance of denial for pre existing diseases

15 restoration of sum assured - lets say u took 5 lakh policy but it has restoration benifit once a year , then u can claim 10 lakh in total . but there can be clause u cant use restoration for same disease etc

16 - exclusions --- there is list of exclusion like reg fees ,some diseases which will never be covered no matter what etc so keep eye on it

17 - you should anyday choose cashless +reimbursement policy as in case of accident , no one will care for your only cashless network hospital , reimbursement is best for any planned surgery as cashless claims are being used as scam to loot money from insurance from hospital . i know many clinic doing this fake admit and earns 10k daily being fake admit patient

most important thing dont lie about your health problem like drinking & smoking


these were some of the question you should check . ideally if you would choose all you might not get any policy ticking all boxes so you have to prioritise which one most important to you

Commendable post, very nicely put together.

 

[techie_space]

Premium lock untill claim is little bit misleading.
They will increase the price according to the inflation.

Also recently Niva bupa is getting large volumes of complaints in compared to others.

Although I think it's not a permanent problem, they will fix the issue eventually.

Also maximum online agents like Ditto, avoid Niva bupa so may be that's a reason that people are not talking much about this.

Personally I have The Niva bupa aspire titanium+ bought this is February

No. Seriously, there won't be any premium change until a claim is made. Nothing related to age change or inflation. I've personally checked with cc of policy bazaar and niva bupa

 

[sovon]

No. Seriously, there won't be any premium change until a claim is made. Nothing related to age change or inflation. I've personally checked with cc of policy bazaar and niva bupa

Not sure, because last month they revised their premiums and this was applicable for renewal also.
They will not increase the price for increasing age.
But they will increase the price according to the inflation.

 

[sovon]

There are many posts on Twitter like this

 

[chinnodu]

Thanks for very useful post. Would you let me know if Amex mediated health insurance schemes to its card holders worth considering?

 

[abhiaj_geek]

Thanks for very useful post. Would you let me know if Amex mediated health insurance schemes to its card holders worth considering?

No group insurance is worth considering ever.

They have 0 claim support.

 

[chinnodu]

No group insurance is worth considering ever.

They have 0 claim support.

They are suggesting individual Health Insurance schemes

 

[abhiaj_geek]

They are suggesting individual Health Insurance schemes

Boss, take insurance from someone who has proven track record of helping you get claims, even if they take 10-15%, it is worth it.

Banks just sell you insurance and earn fat commissions. Will ghost you during claims as it is not their main and only job.