Hospitalisation
Inpatient treatment expenses subject to policy limits.
Health Insurance Plans
Health insurance explained in simple language — what it is, what a policy can potentially cover, and what you should compare before making a decision.
What is Health Insurance?
Health insurance is a contract in which the insurer covers eligible medical expenses according to the policy's terms, conditions, exclusions and limits. In exchange, you pay a premium — usually yearly — for the chosen sum insured.
In simple words: it helps you manage the cost of medical treatment so that one hospital visit does not wipe out your family's savings. Because every policy is different, it is important to understand the specific terms of the plan you are considering.
Coverage varies by policy. Always check the policy wording, exclusions, waiting periods, sub-limits and terms before purchasing.
What Can a Policy Potentially Cover?
Depending on the plan you choose, a health insurance policy may provide coverage for:
Day-care Procedures
Certain procedures that do not require 24-hour hospital stay.
Pre / Post-hospitalisation
Eligible expenses before and after hospital stays, per policy.
Ambulance Expenses
Ambulance charges as allowed under the policy.
Certain Medical Treatments
Treatments covered under the plan's terms and conditions.
Other Benefits
Additional features supplied by the selected policy.
Remember: coverage differs from one insurer and plan to another. The list above is indicative — the actual policy wording defines exactly what is and is not covered.
Things to Compare
When comparing plans, ask your adviser to explain how each plan handles these points:
Sum Insured
The maximum the insurer pays for covered claims.
Premium
The yearly amount you pay for the cover.
Waiting Periods
The time before certain covers become active.
Network Hospitals
Where cashless treatment may be available.
Room-rent Conditions
Limits on room rent and related expenses.
Co-payment
The share of a claim you may need to pay.
Deductibles
An amount you pay before cover begins.
Exclusions
What a policy will not cover.
Restoration Benefits
Whether sum insured can get restored in a policy year.
No-claim Benefits
Benefits offered for claim-free years, if any.
Claim Process
How claims are filed, including cashless and reimbursement.