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Know Everything About Mediclaim Policies

Updated On Feb 16, 2022

Mediclaim insurance is a sort of health insurance that provides specific financial protection against medical costs. It's a low-cost method of dealing with any health-related problem. However, mediclaim insurance coverage is restricted to hospitalisation, and the insured is responsible for all additional medical expenditures.
A mediclaim policy is indeed a covering costs policy that covers financial assistance and protection towards the insured individual in the case of a medical emergency. The insured person pays for medical care, and the insurance company pays back them up to the policy's maximum coverage level. The insured person will be compensated once the insurance company receives their medical bills. To know more about mediclaim policies, read on.

Know Everything About Mediclaim Policies

What Are Some Facts About Mediclaim Policies?

Documentation Policy - It is critical to maintain your Mediclaim documentation up to date after purchasing an insurance. In the event of a scheduled hospitalisation, you can notify your insurance ahead of time and request treatment preauthorization.
Rules For Non-Resident Indians - NRIs (non-resident Indians) can also purchase health insurance coverage in India. They will, however, be required to show evidence of residency as well as other documentation. The insured must obtain treatment in India and pay premiums based on Indian actuaries' recommendations.
Staying with your insurer - Health insurance firms reward loyal clients with bonuses, prizes, and free health examinations. If you have remained faithful to your insurance carrier, you may be eligible for such benefits.
Change of Hospitals - There are a few insurance companies that will enable you to switch hospitals if you need better treatment. It's also feasible if a Third Party Administrator approves your request and you follow the policy's terms and restrictions.
Cashless Mediclaim Facilities - Another key aspect of your coverage is cashless Mediclaim. policy on medical insurance It is critical to remember that if the documentation you supply are insufficient, your cashless claim will be denied. It is required that you be admitted to one of the insurer's network hospitals in order to receive the benefit.
Mediclaim & Critical Illness Cover - There is a distinction to be made between mediclaim and critical illness insurance. A mediclaim insurance covers hospitalisation costs, but a critical illness coverage covers serious diseases such as cancer, strokes, heart attacks, and other conditions. Many health insurance policies do not cover critical illnesses, so it's crucial to double-check the advantages of critical illness coverage before you buy.
Maternity Expenses Cover - A variety of medical insurance programmes include coverage for pregnancy costs. Prenatal fees, birth charges, and post-natal costs are all covered.
Copayment & Coinsurance - While both names refer to a cost-sharing arrangement between the consumer and the insurance company, they are actually two separate forms of payments. In a copayment arrangement, the policyholder pays the service provider a set sum for each treatment. Coinsurance, on the other hand, requires the patient to pay a part of the cost once the deductible has been reached.


Many individuals choose Mediclaim Policy since the premiums are lower. While some experts might argue that it is a severe error, the reality is that having any type of health insurance is always preferable than having none at all. Health insurance is a more complete plan that comes with a slew of advantages. However, if your budget does not enable you to get health insurance, mediclaim coverage is a viable alternative. At the same hand, if you have wrongly acquired a mediclaim policy in the false belief that you have obtained health insurance, purchasing a second health insurance policy is not a terrible idea. The benefit of this is that you may use your mediclaim insurance for any type of minor hospitalisation, earning you a no-claim bonus on your primary health insurance plan.

Also read- Health Insurance Regulations Every Policyholder Should Know

Know Everything About Mediclaim Policies

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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