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Benefits Offered By Health Insurance Policies

Health insurance policies come with a variety of benefits including vaccination cover, restoration of insurance plan, attendant allowance, different premiums, donor expenses, discounted health check-ups, bonus for good health, etc.
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Health insurance is something which most of us are familiar with. The health insurance industry in India has progressed a lot since its early days. With time, many companies have come up which offer health insurance solutions for a variety of requirements and budgets. When it comes to health insurance, the most important purpose that it serves is to help people get access to quality medical services without having to worry about the financial part of it. Medical insurance policies can help you preserve your savings which otherwise may be spent at times of a medical emergency. It also provides you with peace of mind which you get knowing that the policy will help provide financial assistance in case of a medical incident.

In India, there are many companies which provide health insurance plans at various price points and for varying needs. With the help of multiple mediums of advertising, a majority of people who are looking to buy health insurance are already aware of the benefits which these plans provide. However, besides the widely advertised benefits, there are a number of other benefits which sometimes don’t make it to the public’s attention. In this article, we bring you a list of some such benefits which you may not know about.

Restoration of Insurance Cover:

Certain health insurance policies come with the option of restoring the policy sum assured if the policyholder has exhausted their entire original policy sum assured during the policy year. This way, they can continue to be covered under the policy without having to worry about raising a claim at the time of a medical emergency. An example of this is the health insurance policy offered by Apollo Munich where the sum assured restoration option can be utilised for covering the costs of an ailment or treatment which is different from the illness for which a claim has already been raised. Another company which offers a similar benefit under their health insurance plans is Religare Health Insurance wherein the policyholder can enhance their sum insured even if the present cover has not been exhausted yet.

Second Opinion:

When it comes to health-related issues, many people prefer to take a second or even a third doctor’s opinion to be absolutely sure before proceeding with a particular treatment or medication. However, a regular health insurance policy usually provides cover for a single doctor’s consultation expenses. Considering how important it is to be sure in medical matters, of late, many health insurance providers are now starting to provide cover for a medical specialist’s fee from whom the policyholder may be seeking a second opinion. This benefit is usually provided in case of the diagnosis of a major illness. Religare health insurance is one such provider who provides coverage for a second doctor’s opinion.

Vaccination Cover:

Until some years back, health insurance policies rarely provided cover for pregnancy-related expenses. However, lately, these expenses are covered under health insurance policies, on the condition of a certain waiting period. Similarly, many health insurance providers have also started providing cover for vaccinations which the child requires. The vaccination cover benefit is usually provided subject to a waiting period of 2 to 4 years, like the maternity benefit.

Cover for OPD Expenses:

Conventionally, health insurance policies provide cover on the condition that the policyholder has been hospitalised for a minimum duration of 24 hours. However, for many illnesses or injuries, it is not necessary for one to be hospitalised as these treatments usually fall under the OPD (out patient department) category. As a result, many health insurance providers are now providing policyholders with cover for OPD expenses like dentist consultations, routine medical check-ups, dentist treatments, etc. This essentially implies that the policyholder need not be hospitalised as is required under a traditional medical insurance policy. For instance, the ICICI Complete Health and the Star Health Comprehensive policies offer cover for OPD expenses as well.

Varied Premiums:

Premiums for health insurance policies remained uniform for all policyholders across the country. However, lately, companies providing health insurance plans have started offering varied pricing for health plans. Insurers such as Star Health, Bharti AXA, L&T insurance, New India Assurance, and Max Bupa have started offering zone-based premiums. Here, the premiums charged in metro cities will be higher than those charged from policyholders living in smaller towns, since costs of treatments and medical expenses are significantly higher in metro cities as compared to smaller towns.

Lifelong Renewal:

Traditional health insurance policies usually come with an age limit beyond which the policyholder cannot receive cover from the policy. However, some companies have done away with this clause and offer health insurance plans which can be renewed for a lifetime. This is important considering that a person’s health is likely to deteriorate as they grow older. Age limits on health insurance cover can either make it too expensive for individuals to get a new policy at an older age or eliminate their chances of getting any health insurance coverage at all. With the elimination of the exit age clause, customers can now enjoy health insurance cover throughout their life.

Attendant Allowance:

One of the least-known benefits that is a part of health insurance is the Attendant Allowance. This allowance is basically meant for the family member, friend or caretaker of the hospitalised policyholder to take care of their personal needs such as food, etc. this allowance is given on a daily basis for the duration that the insured has been hospitalised.

Good Health Bonus:

The concept of Good Health Bonus is similar to the No Claim Bonus provided by motor insurance policies. The difference being, a Good Health Bonus is provided as an incentive by health insurers to policyholders who maintain their health and have not raised a claim on their policy during the policy term. This bonus, may be known by a different name for different insurers, is provided by way of discounts on the policy premiums or as an enhancement in the sum insured that the policy provides.

Donor expenses:

One of the most routine medical procedure that is carried out is an organ transplant which can drive up the one’s medical expenses. Not only do they have to cover their own medical treatment, but also bear the donor’s hospitalisation expenses as well. Considering the financial burden that it puts on the policyholder, many health insurance providers are now offering to provide cover for the donor’s hospitalisation expenses as well, in addition to covering the insured’s treatment costs. While such benefits usually do not have restrictions on the treatment costs, but, may not cover certain expenses which the donor incurs after the harvesting of the organ.

Convalescence Benefit:

To help the insured take care of their expenses or compensate for the loss in income due to inability, many health insurance providers offer a Convalescence/Recovery Benefit. Under this benefit, the hospitalised policyholder is provided with a fixed sum of money on a daily basis, for the number of days that they are hospitalised. This benefit is provided subject to the condition that the policyholder is hospitalised for a minimum duration of 10 days.

Free/discounted Health Check-ups or Treatments:

Many health insurance providers offer policyholders the benefit of availing health check-ups or treatments either free of cost, or at heavily discounted rates. This facility is usually provided at diagnostic centers or hospitals which the insurer may have partnered with. This benefit can usually be availed by the policyholder after they have spent 2-5 policy years without raising a claim.

Alternative Treatment Cover:

Given their high success rate in treating illnesses successfully, many alternate forms of medicine and treatments such as Ayurveda, naturopathy, Yoga, Unani medicine have become highly popular in recent times. As a result, many insurers are now offering cover for these treatments. However, if your insurer is offering cover for such treatments, do make sure to enquire about all terms and conditions related to the coverage before you take the policy.

Cover For Domiciliary Treatment:

Traditional health insurance policies usually provide cover for treatments where some duration of hospitalisation is involved. However, it often is the case that the insured is unable to seek treatment at the hospital due to a variety of reasons. The most common ones being unavailability of rooms/beds at the hospital, or the insured’s delicate medical condition which restricts any movement. As a result, the insured may be forced to be get treatment at home. The good news is that many insurers are now offering cover for such treatment, known as domiciliary treatment, which is taken at home and not a hospital. What one must remember is that, in case of domiciliary treatment, the treatment must have been prescribed by a registered/certified doctor or medical practitioner.

When it comes to health insurance, the Indian market is filled with choices. There are several insurance providers who have introduced health insurance policies which cater to not only different customer needs, but also different budgets. However, with increasing competition, insurers are out to woo customers by offering value-added benefits on policies.

Benefits Offered By Health Insurance Policies Reviews

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  • ICICI Lombard Health Insurance
    "Good service"
    0.5 4.0/5 "Great!"
    I have taken my health insurance with ICICI Lombard general insurance, there service is good, there agent had explain me about the policy which is covered in this insurance and they have tie up with many hospital and they have shared me there location , and the premium amount they have charged me was nominal,i use to pay on yearly basis.
    Was this review helpful? 0
    , hyderabad
    Reviewed on Jan 20, 2019
  • HDFC Ergo Health Insurance
    "Good service"
    0.5 4.0/5 "Great!"
    I took my medi claim with HDFC ERGO, they have tie up with many hospital,and they have shared me the location regarding this,they have mention the location on excel,and the premium amount they have charged me is nominal,they have charged me on yearly basis.overall service is good.
    Was this review helpful? 0
    , hyderabad
    Reviewed on Jan 20, 2019
  • Apollo Munich Health Insurance
    "Average Policy"
    0.5 3.0/5 "Satisfactory"
    My organization has given me a health insurance from Apollo Munich. I have not gone through about the documents and hospital list. My entire family has been covered in this policy. They have given me a satisfied coverage value. I have not contact the customer care so far.
    Was this review helpful? 0
    , gurgaon
    Reviewed on Jan 20, 2019
  • HDFC Ergo Health Insurance
    "Average Policy"
    0.5 3.0/5 "Satisfactory"
    I have purchased the health insurance from HDFC Ergo. For some enquiry, i have called the customer care service and they have resolved my query immediately. I have not made any claim experience so far. I pay the premium amount of Rs. 37000 and myself has been covered in this policy.
    Was this review helpful? 0
    , gurgaon
    Reviewed on Jan 20, 2019
  • Star Health Health Insurance
    "Less premium with Extra benefits"
    0.5 3.0/5 "Satisfactory"
    Taken my health insurance policy recently from Star. Till now i have not spoke with the customer care. Since my age is above 50, i made the premium amount of Rs. 17000. Myself, my wife and child has been covered in this policy. They have given me a coverage value of Rs. 4 lakhs. Almost major hospital has been covered in this list.
    Was this review helpful? 0
    , hyderabad
    Reviewed on Jan 20, 2019
  • Reliance General Health Insurance
    "Overall Experience is good"
    0.5 4.0/5 "Great!"
    I'm using the health insurance from Reliance last 5 years. Since I'm the in charge of corporate insurance the customer care service is really fine. I made many claim from Reliance for other employee. As per the policy, they are fulfilling the customer needs. They are providing good cashless treatment facility. They used to send a updation on a regular basis.
    Was this review helpful? 0
    , hyderabad
    Reviewed on Jan 20, 2019
  • Apollo Munich Health Insurance
    "Very Good Policy"
    0.5 5.0/5 "Blown Away!"
    I have a corporate covered health insurance policy from Apollo Munich. They have given me a coverage value of Rs. 4 lakhs. My entire family has been covered in this policy. This policy covers all the major hospitals in all over India. I have not made any claim so far.
    Was this review helpful? 0
    , hyderabad
    Reviewed on Jan 20, 2019
  • ICICI Lombard Health Insurance
    "Average Policy"
    0.5 3.0/5 "Satisfactory"
    My health insurance was purchased from ICICI Lombard. To apply the claim, its a lengthy process. I had a claim experience and they have given the claim upto 80%. I pay the premium amount of Rs. 12500 every year. My entire family has been covered in this policy.
    Was this review helpful? 0
    , indore
    Reviewed on Jan 20, 2019
  • HDFC Ergo Health Insurance
    "Excellent service"
    0.5 5.0/5 "Blown Away!"
    I experience my health insurance with HDFC Ergo,they have tie up many hospital ,i have not have claim experience yet,there is cashless treatment option available,the premium they have charged me on monthly basis,they have charged me up to 700 which is nominal , i pay premium through on line.
    Was this review helpful? 0
    , kolkata
    Reviewed on Jan 20, 2019
  • ICICI Lombard Health Insurance
    "Bad experience"
    0.5 1.0/5 "Really Bad"
    I hold health insurance with ICICI lombard,they have tie up with many hospital , and even they have shared me the location in pdf form, and i pay previously premium on yearly basis, but now it is flexible pay option is available, and i use to pay on monthly basis, up to 878 rupees ,it is bit high compare to market value,there is cashless treatment available.
    Was this review helpful? 0
    , ahmedabad
    Reviewed on Jan 19, 2019
  • Max Bupa Health Insurance
    "Good Policy"
    0.5 4.0/5 "Great!"
    I have chosen this MAX BUPA insurance mainly because of convincing premium benefits . This policy covers Cashless hospitalization. , pre diseases coverage . Overall am satisfied with customer care and service. Am getting income tax benefits and the premium amount which am paying is satisfied , Am making the payment through online .
    Was this review helpful? 0
    , hyderabad
    Reviewed on Jan 19, 2019
  • Star Health Health Insurance
    "Excellent service"
    0.5 5.0/5 "Blown Away!"
    I have been using health insurance with Star health insurance, the agent had clearly explain me amount the claim policy, and they have tie up with my hospital, and they have charged me location regarding to hospital location, there premium amount is on yearly basis, and it use to get auto debited from my account.
    Was this review helpful? 0
    , thane
    Reviewed on Jan 19, 2019
  • HDFC Ergo Health Insurance
    "Best Policy"
    0.5 5.0/5 "Blown Away!"
    I have taken Health insurance from Hdfc ergo insurance . Am satisfied with the premium amount which am making the payment for every 2 years . This policy gives good coverage with cashless hospitalization and pre disease cover . Even they have given network list of hospitals . While taking the policy they have explained very well about policy and claim .
    Was this review helpful? 0
    , bhubaneshwar
    Reviewed on Jan 19, 2019
  • United India Health Insurance
    "Good service"
    0.5 4.0/5 "Great!"
    I have been using my mediclaim insurance with United state of India,the premium i use to pay on yearly basis,i need to pay through on line,they have tie up with many hospital , i no doing much important is that they have share the location,i have no claim experience yet,till now no issue ,any changes they use to notify and use to send hard copy.
    Was this review helpful? 0
    , bangalore
    Reviewed on Jan 19, 2019
  • United India Health Insurance
    "Good Claim Experience"
    0.5 5.0/5 "Blown Away!"
    I have mediclaim policy with United India Insurance, My wife got surgery, it was there in the listed hospitals. I paid only for the medical , remaining all taken care by the insurer gave me the cash less treatment. My total coverage value is Rs. 3.5 lakhs including my family its good.
    Was this review helpful? 0
    , chennai
    Reviewed on Jan 19, 2019
  • United India Health Insurance
    "Good Claim Experience"
    0.5 5.0/5 "Blown Away!"
    I got group insurance from company, on time I got policy. My father was not good at the time I have used the policy. I got the reimbursement around Rs. 23,000 the total value is Rs. 33,000. I went to shobha hospital they don't have tie up with United India, hence I got the reimbursement.
    Was this review helpful? 0
    , bangalore
    Reviewed on Jan 18, 2019
  • Max Bupa Health Insurance
    "Good Claim Experience"
    0.5 5.0/5 "Blown Away!"
    I have medical cover with Max bupa, they gave me the coverage value of Rs. 5 lakhs its covers for entire family. One time I claimed for my mother for the eye surgery, I got the reimbursed within 30 days with 90% of amount, the total experience was good.
    Was this review helpful? 0
    , hyderabad
    Reviewed on Jan 18, 2019
  • New India Health Insurance
    "Yet to experience the policy"
    0.5 5.0/5 "Blown Away!"
    My company has provided me a health insurance policy from new India. As per company norms, they have given me a coverage value of Rs. 5 lakhs. My entire family has been covered in this policy. They are offering a cashless treatment facility.
    Was this review helpful? 0
    , bangalore
    Reviewed on Jan 18, 2019
  • United India Health Insurance
    "Very Good Service"
    0.5 4.0/5 "Great!"
    I had taken this insurance policy in the year of 2018 and the the premium has been deducting from my salary. The premium amount has not been too high and there has been many hospitals collaborated within my locality. There has also been some cashless treatment available with this policy as well.
    Was this review helpful? 0
    , chennai
    Reviewed on Jan 17, 2019
  • Star Health Health Insurance
    "Good service"
    0.5 4.0/5 "Great!"
    I have my health insurance with Star health insurance, i had claim experience with it, my experience was good, they have good tie up with my hospital and they have mailed me about the location of it, and i am happy with there service, they have charged me premium amount on yearly basis, and the premium amount is nominal for me, and i use to pay through on line mode.
    Was this review helpful? 2
    , chennai
    Reviewed on Jan 17, 2019
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