• Organ Donation and Health Insurance in India

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    As humanity has advanced through the ages, medical science has kept pace – extending our lifespan and keeping us protected from deadly viruses. The number of deaths that were attributed to organ failure have reduced thanks to the incredible advancements in medical science that enable us to replace organs that no longer function.

    Advancements in medical sciences today have resulted in humans being able to replace malfunctioning internal organs with fully-functional ones, but at a price.

    The price is a result of the complications involved, the risks and liabilities that everyone involved in the process (especially on the part of the medical professionals) exposes themselves to. Though it’s a seemingly miraculous procedure, it’s still highly complicated, risky, and expensive.

    Cornea transplants can cost around Rs.1,00,000, heart transplants are in the range of Rs.10,00,000 and the more expensive liver transplants can burn a Rs.25,00,000 hole in your pocket.

    In order to protect your pocket and savings from taking such a huge hit, should it become necessary, many insurance providers in India are stepping up and offering insurance products which have in-built organ donation clauses. But are these clauses all they’re cracked up to be?

    As we all know, insurance companies like to protect their own interests with extremely detailed and intricate policy documents that you need a calculator to decipher. Here are some of the areas of fine print in your policy document you’ll need to analyse with a fine toothed comb, in order to ensure that you’re making the most of the organ donation part your insurance policy.

    Expenses in Organ Transplantation:

    Most insurers with organ donation cover will only cover the cost of hospitalization, which would work out to about 10% (if you’re lucky) of the total expenditure involved in an organ transplant.

    Here are some of the broad headings under which you’ll be spending:

    1. Organ screening. Before a person can be hospitalized for the purpose of an organ transplant, the right organ must be found. There are many factors involved in finding the right organ to replace the malfunctioning one, and finding the right donor is expensive.
    2. Pre-hospitalization expenses. After finding the right organ to transplant from the right donor, the person undergoing the surgery will need to be brought to the right medical condition with drugs and pre-surgery preparation.
    3. Hospitalization charges. These include the room charges, nurse and doctor’s fees, etc.
    4. Organ transplant surgery. The complicated and risky process of actually transplanting an organ between the donor and recipient.
    5. Post-surgery hospitalization, monitoring. After the surgery, it’s not like the recipient can just pick up his bag and leave the hospital. He or she will be monitored under various situations and the stability of the organ will be judged, in order for the patient to live a normal life.
    6. Rectification of complications arising out of surgery. There have been, sadly, many cases reported wherein the surgery had been performed successfully, but the patient had developed many new symptoms, or the organ was being rejected by the body. Rectifying these problems is an arduous and complicated process, and may double or even triple the entire bill.

    Apart from these expenses, there will be many more expenses on the ground level that won’t necessarily make it into your insurance provider’s coverage. Expenses like pharmaceuticals, ambulance charges, expensive medicines and drugs, extra care facilities in hospitals, etc. all add up to a tidy sum.

    Many hospitals today offer organ transplant surgeries as package deals for a predetermined set amount (which is usually sky high), instead of breaking down and categorizing the expenses under clear headings. This makes it more difficult for the insurer to find out how much it is liable to pay you.

    There are a few companies that cover more than one of the above expenses. Star Health and Max Bupa cover the actual cost of the surgery in addition to hospitalization, but ICICI Lombard, HDFC Ergo and Apllo Munich have avoided the coverage of this huge expense.

    While purchasing your health insurance policy, look for the different types of expenses and find out whether there is comprehensive coverage for all the expenses you’ll incur. An insurance provider can simply cover your hospitalization expenses and get away with marketing their policies as “Organ donor coverage” policies.

    In any case, coverage for organ transplantation and donation is relatively new, and until the kinks are worked out in the policy wordings, we can only expect minimal / surface level coverage for expenses arising out of this manner of hospitalization.

    More and more insurance providers – Religare, Apollo Munich, Max Bupa, Bharti AXA, HDFC Ergo and Star Health – are slowly waking to the reality that donor and transplantation insurance is a product whose demand is rising fast. We could see a large number of highly comprehensive insurance policies flooding the market in the near future, as long as the insurance companies read the signs and fill this incredibly important niche requirement in insurance.

    GST rate of 18% applicable for all financial services effective July 1, 2017.

    Disclaimer: Premiums may vary depending upon factors like age, location and prevailing taxes/GST.

    Organ Donation and Health Insurance in India Reviews

  • Page 1 of 50 1 2 3 4 5
    • Apollo Munich Health Insurance
      "The Best"
      0.5 5.0/5 "Blown Away!"
      Since I'm working with health insurance. It is easy to claim in Apollo Munich. The best hospital list covered in this policy. The best health insurance company in PAN India. In my company, they are paying the insurance premium for me and my family.
      Was this review helpful? 0
      , hyderabad
      Reviewed on Jun 14, 2018
    • HDFC Ergo Health Insurance
      "Good Service"
      0.5 3.5/5 "Pretty good"
      I've a health insurance policy with the HDFC Ergo. I pay a premium of 6100 Per year, I do not have any claim experience with the policy and it offers full coverage for my entire family. They offer a coverage 2 lacs annually which is pretty good for me. Overall it has been a good experience with the features of the policy. .
      Was this review helpful? 0
      , ghaziabad
      Reviewed on Jun 14, 2018
    • Bajaj Allianz Health Insurance
      "Good Health Insurance policy"
      0.5 5.0/5 "Blown Away!"
      So far i have never claim the health insurance. I can claim upto 7 lakhs. I have taken this insurance policy for me and dependent. The employer take care of the premium amount. I have never contact the customer care. Almost most of the hospital has been covered in this health insurance
      Was this review helpful? 0
      , coimbatore
      Reviewed on Jun 14, 2018
    • Universal Sompo Health Insurance
      "Average"
      0.5 3.0/5 "Satisfactory"
      I have a health insurance policy taken from Universal Sompo, it was the best deal I came across when I was looking for the policy, the premium amount that I paid was quite reasonable and not too high, the sum assured amount was also good. I never got chance to take the services of this policy I have no claim experience from them so far.
      Was this review helpful? 0
      , kolkata
      Reviewed on Jun 14, 2018
    • Universal Sompo Health Insurance
      "Best Health insurance policy"
      0.5 5.0/5 "Blown Away!"
      I have taken this policy for the first time. I have not claimed the policy so far. I have paid around for Rs.8500 as premium. It family based health insurance policy. I can claim upto 5 lakhs. Cashless treatment is available. There is no pre-existing offer is available. I have taken this policy last month. Most of the hospitals are covered in this policy.
      Was this review helpful? 0
      , gurgaon
      Reviewed on Jun 14, 2018
    • review Health Insurance
      "Good policy"
      0.5 4.0/5 "Great!"
      It is a health insurance policy from HDFC. Accidental benefits are there. If i admit in a hospital, i can claim for that also. I took this policy for my whole family. I'm paying Rs. 4500 for every year. I can claim upto 3 lakhs in a year. If i renew the policy without any claim, they will offer some bonus points. I never claimed this policy so far. Cashless treatment is available.
      Was this review helpful? 0
      , chennai
      Reviewed on Jun 13, 2018
    • Royal Sundaram Health Insurance
      "Good policy to use"
      0.5 5.0/5 "Blown Away!"
      I got the health insurance policy from the ROYAL SUNDARAM GENERAL INSURANCE company and i have got it around 5 years. This policy covers 4members in my family and it has the medical coverage amount of Rs,3,00,000 . I pay the premium amount of Rs,8,000 to renew the policy every year.
      Was this review helpful? 0
      , bangalore
      Reviewed on Jun 13, 2018
    • United India Health Insurance
      "Good policy to use"
      0.5 5.0/5 "Blown Away!"
      Got the health insurance policy from the UNITED INDIA INSURANCE company and I having this policy from past 5 years. The customer support and the response is good with the United India and this policy covers 4 members in the family. This policy has the medical coverage up to Rs,3,00,000 and I pay the premium amount of Rs,10,900 to renew this policy.
      Was this review helpful? 0
      , hyderabad
      Reviewed on Jun 13, 2018
    • Apollo Munich Health Insurance
      "Good Service"
      0.5 3.0/5 "Satisfactory"
      I've a health insurance policy with the Apollo Munich Insurance company. I pay a premium of 19000, I do not have any claim experience with the policy. Sometimes I make payments via cheque and sometimes online. Overall their services are good even though I never had any claim experience with them.
      Was this review helpful? 0
      , new delhi
      Reviewed on Jun 12, 2018
    • ICICI Lombard Health Insurance
      "Good Service"
      0.5 5.0/5 "Blown Away!"
      I've a health insurance policy with the ICICI Lombard general Insurance company. I am paying a premium 39000 per year. I do not have any claim experience with this policy. So far in terms of the features and benefits it is a recommendable policy to have. I pay the premium online.
      Was this review helpful? 0
      , mumbai
      Reviewed on Jun 12, 2018
    • Star Health Health Insurance
      "Best Health Insurance policy"
      0.5 5.0/5 "Blown Away!"
      Cashless treatment is available only in cities. In other rural areas, i cannot claim the policy for cashless transaction. In rural side, i have to collect all the bill and claim the policy after i paid my bill. I have claimed the policy once for my father. I used to make the payment of Rs. 7500 for me and any wife. I have already recommended this policy to my friends. I can claim easily and i got the payment as soon as possible if i issue the documents properly.
      Was this review helpful? 0
      , chennai
      Reviewed on Jun 12, 2018
    • Bajaj Allianz Health Insurance
      "Best"
      0.5 5.0/5 "Blown Away!"
      I am having the health insurance policy with the Bajaj allianz general insurance company. I would like to say that the coverage value is around three lakh Rupees. Cashless treatment is applicable there, so I have not faced any such claims with them as such.
      Was this review helpful? 0
      , hyderabad
      Reviewed on Jun 12, 2018
    • Star Health Health Insurance
      "Good service"
      0.5 4.0/5 "Great!"
      Got the health insurance policy with the STAR HEALTH & ALLIED INSURANCE company around 3 years ago. This policy covers 4members in my family. This policy has the coverage amount up to Rs,2,00,000 and I am satisfied with it. The medical coverage and the cashless treatment options are good with the Star health insurance policy.
      Was this review helpful? 0
      , hyderabad
      Reviewed on Jun 12, 2018
    • ICICI Lombard Health Insurance
      "Good Service"
      0.5 4.0/5 "Great!"
      I've a health insurance policy with the ICICI Lombard which is provided by the company. The company is paying the premium. It is a policy worth the money and I never had any claim experience with them. I'll have to wait and see how they respond to my claim request in future.
      Was this review helpful? 0
      , hyderabad
      Reviewed on Jun 11, 2018
    • Universal Sompo Health Insurance
      "Good Service"
      0.5 5.0/5 "Blown Away!"
      I've a health insurance policy with the Universal Sompo . I pay a premium of 10000 Per year, the coverage is good and I never had any claim experience with the policy overall it is a useful health insurance policy to have.
      Was this review helpful? 0
      , kolkata
      Reviewed on Jun 09, 2018
    • Star Health Health Insurance
      "Good Service"
      0.5 5.0/5 "Blown Away!"
      I've a health insurance policy with the Star Health. We do not have any experience with the policy. Overall service good. My brother handles the payments for this policy. I am not aware of any other details regarding this policy. It offers coverage for the entire family. I never had any issues with the policy and their services.
      Was this review helpful? 0
      , mumbai
      Reviewed on Jun 08, 2018
    • United India Health Insurance
      "Good Policy"
      0.5 4.0/5 "Great!"
      I have my health insured with United India Insurance from last 8 years, i am not aware of the premium amount as the company pays it. I have a coverage value of Rs 1 lakh and that covers spouse and children. I have no claim experience so far from this insurance policy.
      Was this review helpful? 0
      , chennai
      Reviewed on Jun 08, 2018
    • Apollo Munich Health Insurance
      "Good Policy"
      0.5 4.0/5 "Great!"
      I have my health insured with Apollo Munich from last 6 months, i am happy with the coverage value of this insurance policy and it is family policy. A premium of Rs 8000 has to be paid for this insurance. I have no claim experience and the coverage value of this insurance is 3 lakhs.
      Was this review helpful? 0
      , mumbai
      Reviewed on Jun 08, 2018
    • ICICI Lombard Health Insurance
      "Good Service"
      0.5 3.5/5 "Pretty good"
      I've had taken a health insurance policy from the ICICI Lombard. I never had any claim experience with the policy. I'll have to wait and see how they respond to my claim requests in future. So far, I never had any issues with their services till date.
      Was this review helpful? 0
      , hyderabad
      Reviewed on Jun 07, 2018
    • Reliance General Health Insurance
      "Good Service"
      0.5 3.5/5 "Pretty good"
      I've a health insurance policy with the Reliance. I never used this policy for any medical purposes. I've been paying a premium of 11000 per year for the policy. I never had any claim experience with the policy. I see this as a back up fund in case of any medical emergency.
      Was this review helpful? 0
      , hyderabad
      Reviewed on Jun 07, 2018
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