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10 Health Insurance Jargons You Should Know About

Published On Mar 02, 2022 10:00 AM By InsuranceDekho

If you're looking for a health insurance plan, you'll find a variety of options in India. These documents include critical information about the policy's coverage and eligibility conditions. In order to analyse the income security and protection provided, you'll need to read through all documents and grasp each phrase.
Even yet, some of the terminology used in health insurance policies might be confusing. You may avoid making costly blunders if you have a thorough understanding of health insurance basics. Neglecting to do so might result in a reduction in the amount of money you're covered for while you're in the hospital. However, there are a few key health insurance phrases that you should be aware of before deciding on the best health coverage for you and your family. Insurance customers are increasingly relying on prior knowledge of the ABCs of health insurance, such as aggregate deductibles, premiums, claims, and co-payments. To get to know about some basic health insurance terms, read on.

10 Health Insurance Jargons You Should Know About

What Are Some Basic Health Insurance Terms That a Person Should Know About?

Following are some of the basic health insurance terms that a person should know about -

1. Insured Sum - The term "sum insured" refers to the amount of money that the insurance company will pay out in the event of a loss. When you file a claim, this really is the absolute maximum the insurer is obligated to pay. The policyholder is responsible for any expenditures that exceed the amounts covered. The quantity of sum insured you select to receive may have a direct impact on the premium you pay for your health insurance policy.

2. Nominee - In the event that the policyholder dies, the profits of the insurance will be distributed to the nominee. In the event of health insurance, a nominee may not get the profits if the claim is cashless; however, if the claim is a reimbursement claim, the nominee will receive all of the proceedings. A nominee should not be confused with a beneficiary. If the beneficiary and the nominee are not quite the same person, the nominee will be accountable for implementing or delivering the profits of the insurance to the beneficiary.

3. Deductible - A deductible is a fraction of the claim amount that the policyholder is responsible for. In the event of a cashless claim, the deductible must be paid up front, but in the case of a reimbursement claim, the deductible will be deducted from the ultimate claim amount. The purpose of a deductible is to encourage people to avoid filing claims for minor incidents.

4. Pre-existing ailments - A pre-existing sickness, as the name implies, is a condition that the policyholder had prior to purchasing health insurance. Diabetes, cataracts, high blood pressure, asthma, and other pre-existing disorders are common. To be honest with his or her insurance provider, one must report all pre-existing ailments. As a result, if the insurer permits, protection for a pre-existing condition can be obtained.

5. Waiting Period - This is the period during which a policyholder is unable to file a claim. Pre-existing illnesses, maternity benefits, and other benefits frequently have a waiting time. A waiting period might last anywhere from a few months and several years. As a result, it is advised to purchase health insurance as early as feasible in life.


Make an informed decision that would save you effort and money over the long term, despite the fact that health insurance coverage differs. Elderly people might consider a particular senior citizen health insurance plan, which offers maximum coverage at a cheap cost. When getting health insurance for the elderly, make sure to compare and pick the best plan by following the criteria provided above. Also, before selecting the finest coverage for you, remember to look through and contrast the many plans given by various insurers online.

Also read-Does My Existing Health Insurance Policy Cover CoronaVirus?

Can I Buy A CoronaVirus Specific Health Insurance Plan?

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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