Team-BHP - Health insurance queries? Ask me!

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Quote:

Originally Posted by SnS_12 (Post 5091913)

The reason for that is your.... hence, win win for all.

Yes, this (the charges and all) was cleared to us by our company when they had proposed the parental insurance via zoom call.

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Originally Posted by SnS_12 (Post 5091821)

Check the coverages offered under both and the waiting period as new policy won't cover pre existing disease for at least 3 years, and if one is diabetic then chances of getting any insurance cover is nil as major health complications get related to diabetes.

Yes the coverages are very different. ICICI, apparently, does not have any limits. You can admit in any bed, no-sublimits, no Co-Pay, limit reset, etc. etc. The benefits are quite extensive in ICICI compared to Star Health which has many restrictive clauses.

Quote:

Originally Posted by diyguy (Post 5091410)

Is your concern on covid expenses or general health?

No its not COVID. Just general health related concerns.

I have a question. Since Star Health has a 30% Co-Pay, can I cover this 30% with another existing medical policy (my mother currently has a National Insurance policy)?

Quote:

Originally Posted by Pancham (Post 5093088)

I have a question. Since Star Health has a 30% Co-Pay, can I cover this 30% with another existing medical policy (my mother currently has a National Insurance policy)?

As I have mentioned earlier in case of dual health insurance both companies will chip in and pay the claim for their respective share which is determined based on the limit you have purchased from each of them.

For eg if both National and Star health decide to pay 50% each on a 1 lac claim then on on the 50% of Star health your co pay that you will have to incur is 15k.

Quote:

Originally Posted by SnS_12 (Post 5091821)

You can buy a travel specific policy say for a fixed duration while going on a holiday or an annual policy like I do which will cover multiple trips abroad. Generally the annual policy is either including USA/Canada or excluding USA/Canada and will cover all other countries.

Could you share details please? Thanks.

Quote:

Originally Posted by earthian (Post 5093311)

Could you share details please? Thanks.

My policy is issued through my office and its from Bajaj Allianz. You may visit their website for further details.

Quote:

Originally Posted by earthian (Post 5091858)

ps: Can anyone share experiences about how effective these travel policies are when it comes to the crunch ( not that we want it to happen)

I remember, bringing my father into states on travel insurance and when we had to visit a clinic, they politely refused saying they won't accept travel insurance. Please be aware, when you try to book a appointment here, the first thing they ask is about your insurance and when they come to know of travel insurance, most decline the same. I feel, it's better to take short term plans from US based providers.

Hi all, a few queries, which may have been answered, in which case I'll be very grateful for a link. My kids have company group insurance covering themselves and parents. I bought an independent policy, when persuaded that their policies would be nullified if they left their jobs. However, I discontinued it, when told it would not supplement their policies. That was some time back.
Now I want to know if I can buy a MONTHLY subscription, to a bumper to bumper, zero dep, unconditional, fully payable Covid treatment assurance policy. Any info on this?

Thanks in advance.

So I went ahead and paid the premium amount for a new ICICI Lombard policy for my mother. The premium amount is huge but the benefits seemed better than a few others I had considered. Now the catch is, which I am sure is done by all other insurance companies, that the underwriter will review the PEDs and conduct a medical test and provide a counter offer (additional premium) which is for me to either accept or reject. Once I reject they will refund me the entire sum minus the expenses for the medical tests.

Anyone here with a recent experience? Can I get an idea of how much additional premium I might have to pay for the PEDs. They were only 2 - blood pressure and Thyroid.

This is for an iHealth policy with a coverage of 15L. The insured is a senior citizen.

Quote:

Originally Posted by Pancham (Post 5095180)

So I went ahead and paid the premium amount for a new ICICI Lombard policy for my mother. The premium amount is huge but the benefits seemed better than a few others I had considered....
This is for an iHealth policy with a coverage of 15L. The insured is a senior citizen.

Hi did you check out a supertopup policy? If you take out the critical care cover (one time pay out for a critical disease), the premium works out to be much cheaper, and you get an equivalent cover.
This is what I've done - retained my health protect plan (with ICICILombard) and took a supertop up with a voluntary deductible close to the cover from the normal policy. Since i'm below 45, no medicals were needed.

Wanted to do the same for my parents as well, but then backed off when I saw that medical checkup is necessary, wanted to avoid visits to medical centers given the covid situation. Will persue this once situation "seems" more normal.

Quote:

Originally Posted by Pancham (Post 5095180)

So I went ahead and paid the premium amount for a new ICICI Lombard policy for my mother....

Also do keep in mind if one goes for a new policy we lose the below benefit, some thing I just learnt from a forward just now.

Quote:

After completion of eight continuous years under the policy no look back to be applied. This period of eight years is called as moratorium period. The moratorium would be applicable for the sums insured of the first policy and subsequently completion of 8 continuous years would be applicable from date of enhancement of sums insured only on the enhanced limits. After the expiry of Moratorium Period no health insurance claim shall be contestable except for proven fraud and permanent exclusions specified in the policy contract. The policies would however be subject to all limits, sub limits, co-payments, deductibles as per the policy contract.

https://www.irdai.gov.in/ADMINCMS/cm...eNo4157&flag=1

Sorry for the back2back post - I cannot edit my precious post any longer.

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Originally Posted by whitewing (Post 5095810)

Also do keep in mind if one goes for a new policy we lose the below benefit, some thing I just learnt from a forward just now.

https://www.irdai.gov.in/ADMINCMS/cm...eNo4157&flag=1
.

Sorry I did not get this. What I understand is that this is a benefit that if you keep up with the policy for 8 years, they won’t contest your claims beyond that period. What I am getting wrong here. Pardon my ignorance.

Quote:

Originally Posted by Pancham (Post 5095815)

Yes this is my understanding as well.
From your original post I take it that you would be porting your existing policy to a new policy - in which case you would lose out on this benefit in the case of any claims.

How reliable is Digit health insurance? The prices are far lower than the other insurers and there are plenty of hospitals in their network too.

Are there insurance plans that can accommodate people with diabetes, hypertrnsion etc? The premium might be higher but are there good plans available?

hello everyone,

I have my Family health Insurance with the New India Assurance, since last 15 years.

Myself (47yrs) : 8 lakhs + Cummulative Bonus 50%
Wife (44yrs) : 8 lakhs + Cummulative Bonus 50%
Daughter (21 yrs) : 5lakhs + Cummulative Bonus 50%
Son: (12 Yrs) : 5 Lakhs + Cummulative Bonus 50%

Premium is 36900/- and its due for renewal.

My query : Is it worth upgrading to 10+10+8+8 lacs (premium 43200/-) or change to family floater plan

Thanks

Quote:

Originally Posted by vharihar (Post 4854409)

I'm considering buying another health insurance for me and my family and my parents, besides the one that I already have thru my employer.

Questions:

How exactly does claim submission work if a covered medical expense exceeds the employer-provided insurer's limits? Can a bill be split across insurers? I have trouble figuring this out because as far as I know normally all "claim submission" processes have you submit original receipts. And clearly there can only be one original receipt for a bill. So how exactly does this work?

Or is it that we need to live with the limitation that one bill cannot be shared across insurers, but if there are 5 bills for a particular medical expense/procedure, then some bills can be claimed from insurer#1 while the rest from #2 (subject to limits of course)?

To the best of my knowledge, u can't claim same issue with 2 diff insurers.
That's actually illegal, and is highly advised against! (Exceptions are when the policy document explicitly agrees to this, but I've never seen one till date)

This applies to medical, as much as to car insurance.

If u have 2 health policies, u can choose which one to go with, but u can't pick n choose who to send which bill to.

Needless to say, under cashless claims, there's no scope of doing it anyway.

Quote:

Originally Posted by proton (Post 5093730)

Corona KAvach is a short term policy that fits the bill.
Not literally month to month, more like Quarter to quarter

Many providers issue this
Flipkart's app also has this.

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Originally Posted by ike (Post 5097987)

I've found Digit's claims to be transparent.
I have a car & health insurance.
I've claimed the car insurance one till date.
I also attempted to claim the health insurance, but was denied as there was no hospitalisation involved, and the policy did not cover OPD.

Yes, there are plans which cover ppl with diabetes etc, but there's a waiting period for PED, and also there are other formalities (like medical checkup) etc required at the time of signing up!