Go Back   Team-BHP > Around the Corner > Shifting gears


Reply
 
Thread Tools Search this Thread
Old 6th August 2009, 01:31   #106
BHPian
 
Join Date: Dec 2008
Location: Hyderabad
Posts: 48
Thanked: 0 Times
Default

Rupesh Bhai and other knowledgeable folks,

I think this has not been clarified yet here.

Is there a difference between a Mediclaim and a Health Insurance policy?
If yes, which one is recommended?
NK@Hyd is offline   Reply With Quote
Old 6th August 2009, 10:21   #107
Senior - BHPian
 
rjvora_2000's Avatar
 
Join Date: Mar 2008
Location: Mumbai/Mulund
Posts: 1,656
Thanked: 39 Times
Default

Quote:
Originally Posted by NK@Hyd View Post
Is there a difference between a Mediclaim and a Health Insurance policy?
If yes, which one is recommended?
No difference. All the general insurance companies have different name's for there product.

Life insurance companies have different plan's they are not medi-claim or health insurance plan's.
rjvora_2000 is offline   Reply With Quote
Old 15th January 2010, 09:44   #108
BHPian
 
vampire's Avatar
 
Join Date: Oct 2009
Location: "Calcutta"
Posts: 59
Thanked: Once
Default query for rjvora

Hi RJ
its a pleasure to see you help so many people. I guess its time for me to squeeze some information out of you. so here goes
My girlfriends father a year back got a health insurance from ICICI lombard coupled with a credit card from ICICI.
Poor guy did not know what they are putting him into. Now he's retired and a senior citizen. He wants to stop the insurance but they are not ready to cancel the policy saying he has to pay an amount of 13000 bucks. Now since the policy payment is linked to the credit card so he is not able to stop the payment since everymonth they are charging the credit card.
On speaking to the credit card guys they are saying that the policy cannot be stopped from their end.
The term of the policy was 24 months and about 15 months are over.
My question to you is : can we get outof this mess?

thanks a tonne for your effort to help others in dire straits!

GODSPEED
vampire is offline   Reply With Quote
Old 15th January 2010, 10:26   #109
Senior - BHPian
 
rjvora_2000's Avatar
 
Join Date: Mar 2008
Location: Mumbai/Mulund
Posts: 1,656
Thanked: 39 Times
Default

Quote:
Originally Posted by vampire View Post
Hi RJ
its a pleasure to see you help so many people. I guess its time for me to squeeze some information out of you. so here goes
My girlfriends father a year back got a health insurance from ICICI lombard coupled with a credit card from ICICI.
Poor guy did not know what they are putting him into. Now he's retired and a senior citizen. He wants to stop the insurance but they are not ready to cancel the policy saying he has to pay an amount of 13000 bucks. Now since the policy payment is linked to the credit card so he is not able to stop the payment since everymonth they are charging the credit card.
On speaking to the credit card guys they are saying that the policy cannot be stopped from their end.
The term of the policy was 24 months and about 15 months are over.
My question to you is : can we get outof this mess?

thanks a tonne for your effort to help others in dire straits!

GODSPEED
Yes you can!!!

Tell Icici you need to cancel this policy as insurance is a contract which can be ended from both the party. Please inform them in writing. If they ask for money tell them you will not use the card. Please see the policy in which there is somewhere written how to cancel the policy?
rjvora_2000 is offline   Reply With Quote
Old 15th January 2010, 12:37   #110
BHPian
 
Join Date: May 2009
Location: Jam-luru
Posts: 257
Thanked: 55 Times
Default

Quote:
Originally Posted by ashthedivx View Post
Will inquire exact name and post by tomm.

Still i find the scheme as a better cost preposition !!
This looks good - any other details in terms of what is covered and what is not ?
Are they allwoing only hospitalization claims or normal doctor visits as well ?
LonelyPlanet is offline   Reply With Quote
Old 15th January 2010, 15:34   #111
Senior - BHPian
 
DCEite's Avatar
 
Join Date: Sep 2004
Location: NCR
Posts: 3,015
Thanked: 441 Times
Default

I received no answer to this query made on March 2008 ! So much for "Ask me". :(

Anyway to rephrase , what is the time period from declaration of remission from a critical illness to applying for fresh policy without the need for declaration of any pre-existing desease. Is it 4 years?


Quote:
Originally Posted by DCEite View Post
OK. Here is one question for which i could not get any clear answer from any insurance agent.

What is a pre-existing desease? Suppose, a person was diagnosed with a critical illness (say Heart desease/Cancer/) but was subsequently declared disease free (remission) by the doctors, could he still avail the Health insurance without the pre-existing disease clause?

An friend's mother was treated for squamous cell cancer ( a type of skin cancer i think), 4 years back but was declared disease free after treatment for 1 year. But even today, insurance companies reject her application for Health insurance saying that she has to first declare this as a pre-existing disease and undergo medical tests. And that this pre-existing disease will be covered after 4 subsequent renewals only.
DCEite is offline   Reply With Quote
Old 15th January 2010, 16:35   #112
Senior - BHPian
 
rjvora_2000's Avatar
 
Join Date: Mar 2008
Location: Mumbai/Mulund
Posts: 1,656
Thanked: 39 Times
Default

Quote:
Originally Posted by DCEite View Post
I received no answer to this query made on March 2008 ! So much for "Ask me". :(

Anyway to rephrase , what is the time period from declaration of remission from a critical illness to applying for fresh policy without the need for declaration of any pre-existing desease. Is it 4 years?
Sorry buddy for not replying that one.

Here goes the answer.

Any illness which you have, before taking the health insurance policy is called a pre-existing illness. You need to declare this illness for getting the policy. There are lot of insurance company who cover pre-existing illness after some period.
rjvora_2000 is offline   Reply With Quote
Old 15th January 2010, 16:44   #113
Senior - BHPian
 
DCEite's Avatar
 
Join Date: Sep 2004
Location: NCR
Posts: 3,015
Thanked: 441 Times
Default

Thanks for you answer. But i am sorry my question was different. Someone has *had* a critical illness. He got treatment and is in remission since the last 5 years. Now does he still need to declare this as a pre-existing disease ? From what i know, there is a time period during the declaration of the patient being disease free (remission) and applying for fresh policy without having the need for declaring it as a pre-existing disease. My question was more related to this.
DCEite is offline   Reply With Quote
Old 16th January 2010, 08:56   #114
Senior - BHPian
 
rjvora_2000's Avatar
 
Join Date: Mar 2008
Location: Mumbai/Mulund
Posts: 1,656
Thanked: 39 Times
Default

Quote:
Originally Posted by DCEite View Post
Thanks for you answer. But i am sorry my question was different. Someone has *had* a critical illness. He got treatment and is in remission since the last 5 years. Now does he still need to declare this as a pre-existing disease ? From what i know, there is a time period during the declaration of the patient being disease free (remission) and applying for fresh policy without having the need for declaring it as a pre-existing disease. My question was more related to this.
Yes sir.

You still have to declare those illness along with that you also need to declare that now you are not taking any treatment from the same illness.
rjvora_2000 is offline   Reply With Quote
Old 16th February 2010, 16:55   #115
BHPian
 
huntrz's Avatar
 
Join Date: Feb 2007
Location: Hyderabad
Posts: 66
Thanked: 18 Times
Default

rjvora_2000 Cholamandalam is not renewable life long. I checked out their site and also talked to their agent. It is renewable only upto the age of 70.
Only Oriental Insurance and probably STAR is renewable life long. Its sad to see how the private insurers are trying to sell policies to the young and healthy but conveniently ignoring the people who really need it. I am planning to get a health insurance next financial year but I will make it a point to buy it from a company who serve the old as well as the young. There is a very good site I cam across about health insurance, and yes it doesn't require any contact number to provide readers with comparative quote.
Hope this will help some.
Best guide to buy health insurance india, cashless free hospitalization, Click to buy family medical health insurance plans, individual health insurance policy, Family floater health insurance policy, Group Health Insurance in India, Health Insurance

It also mentions that in 2004 Maternity was withdrawn by all the companies for individual policies but they still kept it as a part of group insurance policies.
Coverage of health insurance in india, What healh insurance policy in india does not cover, Policy coverage - India, Delhi, Mumbai, Chennai, Kolkata, Pune, Page-2
huntrz is offline   Reply With Quote
Old 16th February 2010, 17:17   #116
Senior - BHPian
 
Gansan's Avatar
 
Join Date: May 2009
Location: Chennai
Posts: 3,417
Thanked: 860 Times
Default

I feel going for cash less policies at a higher premium is a waste of money. I recently had to hospitalize my mother for an abdominal surgery. She is covered by a cash-less health policy from NIA with TTK health care as the TPA. First thing I saw at the cash counter at the time of admission was a board proclaiming "TTK cards suspended for the time being - please deposit cash"! So I had to deposit Rs 25000 immediately. Then the surgeon said she will not wait for insurance settlement and I will have to pay her team directly first, and as soon as the insurance cheque came in she will pass on the payment to me! So I had to pay her Rs 65000 towards the fees for her team.

So ultimately had to settle the entire cost of ~ Rs 95000 first and then applied to TTK for reimbursement, which was settled within three weeks after applying some caps / sub limits for each head - which is as per the policy. When it comes for renewal, I will opt out of the cash less facility and at least save some premium!

I can't change from NIA to some other company as both my parents (age 69 & 77) are covered in this policy (taken 15 years ago) and no new policy will ever cover them again. They will be covered for their entire lifetime under the current one if I keep renewing it, though.
Gansan is offline   Reply With Quote
Old 16th February 2010, 19:02   #117
Senior - BHPian
 
aargee's Avatar
 
Join Date: Jan 2010
Location: KATN
Posts: 4,647
Thanked: 1,957 Times
Default

^^^ What you did was perfectly correct Gansan. Never opt for cashless treatment. Here's an true incident that happened for a friend of mine. He opted for cashless treatment for his dad; so as part of the treatment his dad was given a very painful injection in the hip & this had to be given everyday for about a week. After each shot, his dad could not walk for 2-3 days & imagine this being given an entire week. After 2 days, my friend could not withstand the suffering his Dad is undergoing & asked the nurse about alternative. She promptly said there's an injection that costs Rs 1500 & its given only once; So when my friend asked why the hospital didn't opt for that injection, he got the true face of cashless treatment. They said that the insurance companies have a tie up with hospitals on certain package of medicines (cheap ones) for each of the treatment & hence they opted for a week's injection that costs Rs 100 per day as the standard treatment package

Needless to say, my friend paid Rs 1500 out of his pocket immediately.

Last edited by aargee : 16th February 2010 at 19:03.
aargee is offline   Reply With Quote
Old 16th February 2010, 19:13   #118
BHPian
 
abdriver2000's Avatar
 
Join Date: Feb 2004
Location: Mumbai
Posts: 330
Thanked: 23 Times
Default

Quote:
Originally Posted by Gansan View Post
I feel going for cash less policies at a higher premium is a waste of money. I recently had to hospitalize my mother for an abdominal surgery. She is covered by a cash-less health policy from NIA with TTK health care as the TPA. First thing I saw at the cash counter at the time of admission was a board proclaiming "TTK cards suspended for the time being - please deposit cash"! So I had to deposit Rs 25000 immediately. Then the surgeon said she will not wait for insurance settlement and I will have to pay her team directly first, and as soon as the insurance cheque came in she will pass on the payment to me! So I had to pay her Rs 65000 towards the fees for her team.

So ultimately had to settle the entire cost of ~ Rs 95000 first and then applied to TTK for reimbursement, which was settled within three weeks after applying some caps / sub limits for each head - which is as per the policy. When it comes for renewal, I will opt out of the cash less facility and at least save some premium!

I can't change from NIA to some other company as both my parents (age 69 & 77) are covered in this policy (taken 15 years ago) and no new policy will ever cover them again. They will be covered for their entire lifetime under the current one if I keep renewing it, though.
My parents are 70 and 79. Are you sure NIA will keep covering them forever if I keep renewing? I thought they had an upper limit of 80 yrs.

Last edited by abdriver2000 : 16th February 2010 at 19:15.
abdriver2000 is offline   Reply With Quote
Old 16th February 2010, 20:05   #119
Senior - BHPian
 
Gansan's Avatar
 
Join Date: May 2009
Location: Chennai
Posts: 3,417
Thanked: 860 Times
Default

Quote:
Originally Posted by abdriver2000 View Post
My parents are 70 and 79. Are you sure NIA will keep covering them forever if I keep renewing? I thought they had an upper limit of 80 yrs.
The upper age limit was enhanced to 100 a couple of years back.
Gansan is offline   Reply With Quote
Old 17th February 2010, 11:59   #120
Senior - BHPian
 
rjvora_2000's Avatar
 
Join Date: Mar 2008
Location: Mumbai/Mulund
Posts: 1,656
Thanked: 39 Times
Default

Quote:
Originally Posted by huntrz View Post
rjvora_2000 Cholamandalam is not renewable life long.
Your comments on this letter are most welcome.

renewability_010409.pdf
rjvora_2000 is offline   Reply With Quote
Reply


Thread Tools Search this Thread
Search this Thread:

Advanced Search


Similar Threads
Thread Thread Starter Forum Replies Last Post
Automobile Insurance Queries? Ask me rjvora_2000 Indian Car Loans & Insurance 3889 17th August 2017 18:31
Queries in 'Ask the gurus' section rocksterraghu In-Car Entertainment 738 30th July 2017 23:45
Group Health Insurance in USA airbender Shifting gears 0 16th March 2011 21:10
P-150 classic for sale .What can i ask for jango Motorbikes 1 31st March 2006 12:51


All times are GMT +5.5. The time now is 20:10.

Copyright 2000 - 2017, Team-BHP.com
Proudly powered by E2E Networks