Children Health Insurance

Children have weaker immune systems that are not fully developed which limits their ability to fight several diseases. Also, young children have slower reflexes as compared to adults. Their reflexes grow as they age and until then they may be accident-prone. Thirdly, children are more exposed to illnesses than adults. Considering their eating habits that involve unhealthy food, they are more prone to illnesses. So, it is imperative to purchase health insurance that provides children with the adequate coverage they need. Dependent children can be covered on a family floater basis along with either of their parents. You can also consider buying health insurance for newborns to get coverage from the start.

Benefits of Buying Health Insurance for Children

Health insurance plans for children generally cover a wide range of illnesses and offer the following benefits.

1. Lower Premium: Children can be covered along with their parents at a lower cost.
2. Comprehensive Coverage: Usually, there is no restriction in the coverage features for children as they are offered comprehensive coverage.
3. Additional Perks: Children are offered added perks like a consultation with experts, information on nutrition and diet, etc.
4. No-Claim Bonus: Some health insurance plans for children offer A Claim Bonus. This bonus increases the sum insured amount for greater coverage or gives a concession on health insurance premiums if no claim is made during the policy period.

How Many Members Can Be Covered Under Health Insurance Plans For Children?

Children can be covered on a family floater basis along with either of their parents. Usually, these plans cover Self, Spouse, and up to 4 children. However the number of members who can be included under the health insurance may vary from insurer to insurer and from plan to plan.

Factors to Consider When Buying Health Insurance For Children

To make an informed decision when buying a health insurance plan for children, one must consider the following parameters:

1. Coverage Features: Checking the plan coverage features is important in order to choose a plan that offers an adequate cover so that it is useful at the time of need. Make sure to choose a plan that covers OPD treatment, in-patient hospitalisation expenses, pre-hospitalisation, and post-hospitalisation expenses, etc.

2. Additional Benefits: Several health insurance plans offer added benefits to the policyholders. So, it is better to go for a health insurance policy for children that offers added benefits like cover for consultation with experts, no co-payment clause, no limit on room rent capping, etc.

3. Network Hospitals: Network hospitals are the hospitals that insurance companies have tie-ups with and where the policyholders can avail cashless treatment. So, it is recommended to choose a health insurance policy for children that has a good number of hospitals and preferably near the place of residence, so that they can transfer the child to the nearest hospital without wasting any time at the time of emergency.

4. Critical Illness Cover: Not all health insurance plans for children offer critical illness cover, and those that do, offer it for specified illnesses. So, make sure when choosing a health insurance policy, to opt for a plan that offers cover for the maximum number of critical illnesses.

5. Sum Insured Options: Choosing a sufficient sum insured amount is a must as it provides the insured sufficient coverage without having to worry at the time of claim. So, one must opt for a sum insured amount that suits best their requirements and falls within the budget.

Choosing the Right Health Insurance Policy For Children

Family floater health insurance plans offer comprehensive coverage to the insured, by providing them cover for several healthcare expenses for your child’s health. Under these policies, you can find value-added benefits such as health risk assessment, primary consultation with qualified experts and physicians, and health-related counseling. But certain coverage benefits such as pre-existing illnesses generally come with a waiting period, during which no claim can be made. So, when choosing a family floater health insurance policy, you must look for certain criteria. This is given below:

• Check if the policy offers coverage for children aged 5 years and above.
• Children aged less than 5 years can seek cover under the policy from the 91st day if both parents are covered already.
• See if the policy offers a maximum renewal ceasing age that should ideally be a lifetime renewability policy.
• Check if the policy offers the highest amount of coverage for your child, both in terms of co-payment and treatment.
• Although not in terms of children, you must opt for plans that cover them for pre-existing diseases.

But the most important thing before you select any children’s health insurance policy is to thoroughly read the brochure. It helps a lot to find out how useful a children’s health insurance plan is, what are the inclusions and exclusions under it, and other policy features.

What is Covered Under Health Insurance Plans For Children?

Most health insurance plans for children cover for healthcare expenses listed below. But note that the coverage benefits of one health insurance plan may differ from another.

• In-Patient Hospitalisation Expenses: Most health insurance plans cover your child for in-patient hospitalisation expenses. These are the expenses that incur due to hospitalisation of at least 24 hours. These expenses include room rent, nursing, boarding expenses, ICU/ICCU expenses, etc.
• Pre-Hospitalisation And Post-Hospitalisation Expenses: Individual or family health insurance plans for children cover you for expenses arising before and after hospitalisation, known as pre-hospitalisation and post-hospitalisation expenses, for a specific number of days. These include doctor’s consultation fees, x-rays, tests, etc. Some health insurance companies cover these expenses for up to 60 and 90 days respectively, while others cover them for 90 and 180 days respectively.
• Daycare Treatments: Daycare treatments are the ones that do not require hospitalisation for at least 24 hours and can be done before that, due to technological advancements. For instance, balloon sinuplasty, chemotherapy, radiotherapy, sinusitis, dialysis, etc. Most health insurance plans for children cover a specific number of daycare procedures, which can be found in the policy document.
• Ambulance Expenses: Road ambulance expenses are the expenses that incur due to transportation of the patient to the nearest hospital in case of a medical emergency. Health insurance plans for children cover these expenses for up to a specific limit.
• Domiciliary Hospitalisation Expenses: Children’s health insurance policies cover your child for treatments taken at home due to the unavailability of beds in the hospital, or on the doctor’s advice. The hospitalisation should continue for at least 3 consecutive days, only then the insurance company will reimburse you for the medical expenses incurred from the first day.

There can be some exceptions to the list of inclusions under different health insurance plans for children. So, to check them, you should refer to the policy document.

What is Not Covered Under Health Insurance Plans For Children?

Common exclusions under health insurance plans for children are as follows:

• Pre-Existing Conditions: Individual or family floater health insurance plans cover you for pre-existing illnesses after a specific waiting period. During this period, you will not be covered for pre-existing diseases.
  Dental, Hearing, And Vision: Children’s health insurance plans do not cover you for any expenses related to dental, hearing, or vision. These include hearing aid, the cost of spectacles, lenses, etc.
• Cosmetic Surgery: Cosmetic surgery, for the improvement of one’s appearance, is not covered under individual or family floater health insurance policy. But in case the surgery is required due to an accident or injury, then it will be covered under the policies.
• Participation In Adventure Sports: Health insurance plans for children do not cover you for any injury, illness, or treatment required due to participation in adventure sports. For instance, rock climbing, parasailing, etc.
• Self-Harm: Health insurance plans for children do not cover you for any treatment required due to any act of self-harm like suicide, etc.

There can be some exceptions for exclusions under different health insurance plans for children. So, to check the list of exclusions, you should refer to the policy document.

How to Buy Health Insurance Plans For Children Online At InsuranceDekho?

InsuranceDekho has a simplified process when it comes to buying health insurance plans for children online. The steps given below need to be followed:

1. Visit www.insurancedekho.com, and click on the ‘health’ tab.
2. Select gender, enter your name, and then enter your mobile number. You will receive a one-time password (OTP) on the provided number. Please enter the same.
3. Tell us when you can purchase the health insurance policy for children. Then click on the ‘View Instant Quotes’ button to proceed.
4. If you want to add family members along with yourself in the policy, then select them and their ages. Click on ‘Continue’.
5. Enter your Email ID. Then enter your city and click on the ‘Submit and View Quotes’ button.
6. You will see many health insurance quotes for children. Choose the most suitable one out of them considering your requirements and budget.
7. Select the policy term. Then enter the required details. Pay the premium online via any flexible mode of payment offered.

Health insurance for children can also be purchased offline at InsuranceDekho by contacting the experts on the toll-free number 7551196989. In case of any further queries or doubts, you can even write an email to us at customer support [at] insurancedekho.com.

Mistakes to Avoid When Buying Children Health Insurance Plans

In order to make the right decision when buying health insurance plans for children, the following are the mistakes that you must avoid:

• Not Getting Enough Coverage for Children: When buying children’s health insurance plans, you check the premium to be paid for the same. And for a lot of people, the premium is the sole deciding factor to buy a health insurance policy. But this should not be the case. Choosing a policy with a nominal premium may cost you more later. So, in a way, you can understand that the higher the premium you pay for a health insurance policy for children, the higher returns you may be able to avail. So, you should not just choose it on the basis of premium, but also on the basis of other factors such as sum insured, coverage benefits, waiting period, renewability benefits, etc.
• Missing The Co-Payment Clause: The last thing to miss when buying a health insurance policy for children is the co-payment clause. Co-payment is when the insured and the insurance company pay partially for a health insurance claim. The percentage of the amount of partial payment is pre-decided and depends on the type of policy. So, you must choose a children’s health insurance policy with a minimum co-payment.
• Hiding Relevant Medical History: When buying health insurance policies for children, you must avoid hiding any health-related history with the insurance company. This is because even if you get the required policy, you may not be able to avail of the claim made under it, in case of a health emergency. Because you may not be able to hide the medical emergency in the future in case you require treatment and make a claim for the same. You may even face charges of insurance fraud, also the outcome may not be good for your health.
• Relying on a Single Insurance Policy: Another mistake people make when buying health insurance plans for children is relying on insurance cover offered by an employer or a single insurance policy. In the case of employer’s insurance, you may lose coverage for your child when you leave the organization. Also, with multiple health insurance policies, you can avail greater coverage.