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Benefits of Comprehensive Health Insurance Coverage

Author: Radha Lakshmi
by Radha Lakshmi
Posted: Nov 21, 2019
health insurance

The modern and ever-changing lifestyle of people takes a toll on their health and wellness. Lifestyle change results in many health-related complications. Various critical health conditions escalate the costs of medical treatments and hospitalization. To ensure financial security against such unexpected costs, purchase health insurance plans from a reputable insurer.

What is health insurance?

Health insurance plans are a financial cushion. They are useful for covering the hospitalization expenses that are incurred to treat any medical conditions, injuries, diseases or any critical health conditions. Many conditions require professional medical care. However, they are not covered under the standard health insurance policy. There are a lot of comprehensive health insurance plans easily available in the market. A comprehensive health coverage shields your healthcare expenses that a regular plan might not include.

Why is it important? Medical care is expensive, especially in the private sector. Hence, buying a health insurance policy for yourself and your family is important. Lack of insurance is a fiscal burden for you as well as your family. This burden can be avoided simply by paying a small annual premium. This would also lessen your stress in case of medical emergencies. If your health insurance policy is good, it will cover expenses made towards doctor consultation fees, costs towards medical tests, ambulance charges, hospitalization costs as well as post-hospitalization recovery costs to some extent. Unlike basic plans, comprehensive health insurance will cover all your medical needs. It also has health insurance plans for family members. Outpatient and inpatient treatments are covered. Limited cover for physiotherapy, acupuncture, homeopathy, and osteopathy is also offered by the comprehensive medical insurance.

Some of the key benefits of comprehensive coverage are listed below:

1. In-patient hospitalization benefit

The hospitalization expenses of the insured person under this cover will be reimbursed. Room rent, doctor’s fees, nursing charges and cost of the medical procedures and medications will be included.

2. Pre- and post-hospitalization expenses

All the expenses that are incurred for medical tests and health check-ups that are carried before hospitalization will be covered. Also, whatever is the cost of follow-up procedures and medication expenses will be reimbursed under this plan.

3. Day-care procedures covers

There are a few medical treatments and surgeries that require less than 24 hours of hospitalization. Specialized units are set in hospitals for this purpose. Day-care treatments and procedures like these are covered.

4. Emergency Ambulance Cover

Some of the medical emergencies might want to use ambulance services for reaching the hospital. The expenses of this emergency medical transportation will be covered.

5. Hospital Cash Benefit

If there are any kind of additional expenses incurred during your stay at the hospital, you will be provided hospital cash through this policy.

6. Reload of Sum Insured

If the entire sum insured in a particular year gets exhausted, then 100% of the sum insured can be reloaded for a top-up premium.

On a Cashless basis:

Your treatment must only be at a network hospital for an insurance claim on a cashless basis. Authorization is important for availing the treatment on a cashless basis as per the procedures that are laid down in the prescribed form. Reading the policy document is essential. You must read it as soon as you receive it so you can familiarise yourself with the process and not wait for a claim to arise.

Claims on reimbursement basis:

You must read the clause that relates to claims in your policy document as soon as you receive it. This is for your understanding of the procedure as well as the documents that are required for claiming based on reimbursement.

  • Conclusion

Consider the credibility as well as reputation of the insurer while finalizing the policy. If an insurer offers you a low-cost policy that has a terrible track record of settling claims, it might prove to be a bad choice for your family. Do not focus on the premium amount. Instead, consider value for money along with features, customization options and additional benefits when you choose the best health insurance plan for yourself and your family.

About the Author

A mother of 2 lovely kids. Digital Marketer by profession and a blogger by passion! Here to inspire and motivate people with my writing.

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Author: Radha Lakshmi
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Radha Lakshmi

Member since: Mar 03, 2019
Published articles: 28

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