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4 Modern Day Features of Health Insurance Plans to Consider in 2020

Updated On Dec 26, 2020

People have begun to concentrate immensely on their health in today's age and strive to lead a healthy lifestyle. This does not rule out, however, the risk of being affected by diseases or illnesses. Therefore, with new features that provide personalized coverage based on individual requirements, it is important to get the best health insurance package in India.

Modern-Day Features in Health Insurance

Let us take a brief look at some of the modern-day features and advantages of health insurance policies to consider in 2020, bearing in mind the factors listed.

1. Outpatient and Daycare Treatment: The claim of minimum hospitalisation and OPD/Daycare costs incurred is a crucial aspect to remember when buying a health care package. In India, most health insurers give claims for a limited hospitalisation time of 24 hours. With scientific developments in the world of medical care, however, there are plenty of less time-consuming treatments, such as dialysis, vasectomy, chemotherapy, tubectomy, and so on. Several health insurers in India have begun providing coverage without any limitations or capping, considering the time period of these medical procedures. Some of the dental operations come under the framework of daycare procedures.

2. Life-Time Renewability: Health insurers in India are also expected to offer the feature of lifetime renewability to their clients, as per IRDAI guidelines. This is because if policyholders are not able to renew their existing health insurance policy at the time of the claim, they will lose their pre-existing coverage. The policyholder has the choice of renewing it until his lifetime after the issuance of the policy. Lifetime renewability will not be refused by health insurers in India for arbitrary reasons.

3. Sub-Limits: The sub-limit is another major modern-day feature that is a consequence of the evolution of health insurance policies in India. Nearly all health insurance plan requires full coverage, which is then broken down depending on the doctor's bill, surgical costs, room rent, medicine expenses, other payments, etc. The sub-limit function refers to limiting reimbursement to a predefined limit for each group. Insurance applicants should look through the fine print of the health insurance policy carefully to understand the sub-limits and capping involved with every group.

4. No Medical Examination for Applicants Up to 45: From the insurance provider's view, to come up with a practical risk management profile, it is important to determine the state of the applicant's wellbeing. The most common way of determining the health status of an applicant is based on the applicant's disclosures, along with medical tests. Most health insurers do not compel candidates up to the age of 45 to obtain medical exams, notwithstanding the latest trend, unless they have a significant history of illnesses or diseases.

Conclusion

Insurance conditions and requirements of the policyholder and the insured members appear to change significantly with advancing age and lifestyle. It is also important to regularly check and reassess health insurance coverage in India. Besides, it is important to compare, shortlist, and review multiple providers and plans to get the right one when buying a health insurance policy.

Disclaimer: This article is issued in the general public interest and meant for general information purposes only. Readers are advised not to rely on the contents of the article as conclusive in nature and should research further or consult an expert in this regard.

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