5 Factors to Consider While Buying a Health Insurance Plan
Published On Apr 09, 2019, Updated On Dec 04, 2020
Unlike the process a few years ago, buying health insurance was similar to buying a train ticket. Like booking a train ticket required reaching out to a travel agent for consultation, purchasing health insurance plans were no different.
With everything going online, even the health insurance sector has also made its way to the digital stage. There are a lot of firms selling health insurance plans in India, which may make it a tough choice to buy the best.
To simplify it for you, here are a few factors to consider while zeroing down on a plan-
1. Think if you require family floater policy
You can choose from an individual health insurance plan or family floater health insurance policy depending on your needs. An individual health insurance plan will focus only on you, whereas the latter covers your whole family. The premium amount may differ and be higher for a family floater plan.
But it is a risk that is calculated as chances are very less that all the members would require hospitalization in the same year. But if any family member has an ailment, then looking for an individual health insurance plan for them would be a wise choice so that the premium does not increase.
2. Decide on the coverage amount wisely
While deciding the coverage amount, you must have a long-term plan for your health costs. Give a thought on your medical and financial requirements covering coverage amount, monthly premiums, co-payments, deductibles etc. It helps you assess the needs and priorities so you know what you look out in a plan.
(Co-payment is a share of the claim that the policyholder has to pay from his/her own pocket.
A deductible is an amount that the policyholder pays for health care services before the insurer begins to pay.)
3. Compare capping clause for sub-limit on room rent
Many health insurance plans have capping on room rent. This means that the policyholder can claim for expenses only up to that particular amount. If you choose a room with rent greater than this amount, you will have to bear the additional expenses.
For instance, the limit for room rent as per your health insurance policy is Rs. 6,000 per day, but you get hospitalized and choose room rent with Rs. 10,000, then you will have to bear the rest of the amount from your own pocket.
4. Search for treatment-wise limits and co-pays
Many health insurance plans limits on specific treatments such as cataract or cardiac treatments. Limits like these cap your claim even when you have a large sum insured under the policy. So, give importance to these factors before signing up for a policy.
5. Check for a facility of cashless treatment
One of the most important factors to consider while buying health insurance is to check if it is providing a cashless mediclaim facility or not. With cashless facility, a policyholder can avail medical treatment without having to pay from his/her own pocket. He/she can seek treatment from any network hospital mentioned in the policy.
Therefore, while choosing a policy also look for the ones with more number of network hospitals near your residence.
As there are a lot of insurers offering health insurance plans, it is better to do some research from your end before purchasing a health insurance plan. Some important factors other than the ones mentioned above are-waiting period, claim settlement ratio, price, etc. These will help you make a smart move in the right direction.