8 main benefits of Health Insurance, Disadvantage, Importance
Health insurance is a type of insurance plan in which the insured gets financial help in his emergency medical treatment. The health insurance policy chosen by the insured provides financial assistance towards expenses like surgical expenses, nursing expenses and critical illness expenses etc.
Types of Health Insurance Policy Main 8 types-
1. Discount in increasingly expensive treatments
Due to reduction in physically demanding activities and increasing dependence on technology, people have started falling ill. Medical expenses of new diseases are also increasing rapidly. Its growth has been consistently in the 3 digits (above 11 percent) for recent decades. Whereas the increase in prices of food and other essential items of life has been limited to one unit only (between 0 to 10 percent). The rising cost of treatment and medicines sometimes becomes beyond the reach of a common person. In such a situation, having health insurance comes as a big help for him.
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2 daily paid benefits
Under the Daily Cash Benefit Plan, you get a fixed amount of assistance on a daily basis during treatment. No matter how high or low the expenses are at the time of your admission.
3. Benefits related to treatment of serious diseases
In these, you are given a lump sum amount on detection of some pre-determined serious diseases and for the procedures related to their treatment. Diseases which are very fatal, such as heart attack, cancer, paralysis etc. Their treatment costs a lot of money.
4 Cashless treatment facility also available
Almost all major insurance companies provide cashless treatment facility. In this, you can get admitted to the hospital without paying a single penny. You can get yourself treated. Later the insurance company pays the expenses of your treatment. But, this payment is also made under the terms and conditions given in your insurance policy.
5. Benefits that pay for medical expenses
In hospitalization plans, out of the expenses incurred on the treatment of the insured person, only a pre-fixed amount is paid by the insurance company. Due to this specialty, such insurance plans are called indemnity plans. It is definitely beneficial in the treatment of any kind of disease or health problem.
6 plans per person or family
Any insured can take a combined family health insurance policy for the entire family. Under the fixed insurance coverage, there will be relief in the treatment of any family member. Its premium is cheaper or you can take individual health policy for one member of the family or for different members.
7 Provision for tax exemption on insurance also
You get tax exemption under Section 80D of the Income Tax Act on the medical expenses incurred by you or your family members. If you have taken a Insurance or Medical Insurance policy, then you get this tax exemption on its premium payment also.
8 No burden of lump sum payment
It is not right to raise a lump sum amount for treatment in case of sudden illness. It is even more important especially for the elderly. Because with increasing age the attack of diseases becomes more dangerous. And it happens often. Health insurance provides solution to such medical emergencies or health related problems. Small deposits in the form of premiums and sum assured help in meeting the lump sum expenses.
In case of certain fatal diseases, the benefit of health insurance policy is available only once. But most of the diseases are treated multiple times and benefits can be availed up to the limit of the insurance policy.
Which diseases are to be covered in your health insurance policy is decided at the very beginning. According to the severity of the disease and its recurrence, your policy is made and its premium is also made. These are benefit-based health insurance plans.
Some examples in case of insurance
For example, there are 6 members in a family and the insurance benefit of Rs 2 lakh is fixed separately for each person. In such a situation, no single member of the family can get help of more than Rs 2 lakh for himself. It will work like separate policies for all three persons. But if this plan of Rs 3 lakh is taken as a family health plan, then any member can get help up to Rs 4 lakh. But, keep in mind that all the members together cannot get more than Rs 5 lakh help.
For example, a person has taken a defined benefit policy of only Rs 1502. Now, if ever Rs 2050 is being spent on his treatment when he gets admitted, then he will get help only at the rate of Rs 1590 per day. On the other hand, even if his expenditure is Rs 1000, he will still get an assistance of Rs 1600.
Best health insurance plans in India
insurance company |
Health Insurance Scheme |
Sum Assured ( in Rs ) |
Claimed Ratio _ _ |
Network Hospitals |
Aditya Birla Health Insurance |
Active Assure Diamond Plan |
Minimum: 2 Lakh Maximum: 2 crores |
59% |
6000+ |
Bajaj Allianz Health Insurance |
Health Guard Plan |
Minimum: 1.5 lakh Maximum: 50 lakhs |
85% |
6500+ |
Bharti AXA Health Insurance |
Smart Health Assure Plan |
Minimum: 3 Lakh Maximum: 5 Lakh |
89% |
4300+ |
Care Health Insurance (formerly Religare Health Insurance) |
care health care plan |
Minimum: 4 Lakh Maximum: 6 crores |
55% |
7400+ |
Chola MS Health Insurance |
Chola Healthline Plan |
Minimum: 2 Lakh Maximum: 25 lakhs |
35% |
6500+ |
Digit Health Insurance |
Digit Health Insurance Plan |
Minimum: 2 Lakh Maximum: 25 lakhs |
11% |
5900+ |
Edelweiss Health Insurance |
Edelweiss Health Insurance Plan |
Minimum: 5 Lakh Maximum: 1 crore |
115% |
2578+ |
Future Generali Health Insurance |
Future Generali Criticare Plan |
Minimum: 5 Lakh Maximum: 50 lakhs |
73% |
5000+ |
IFFCO Tokyo Health Insurance |
Health Protector Plus Plan |
Minimum: 2 Lakh Maximum: 25 lakhs |
102% |
5000+ |
Kotak Mahindra Health Insurance |
Kotak Health Premier Plan |
– |
47% |
4800+ |
Liberty Health Insurance |
Health Connect Supra Top-up Plan |
Maximum: 1 crore |
82% |
3000+ |
Neva Bupa Health Insurance (formerly known as Max Bupa Health Insurance) |
Companion Individual Health Plan |
Minimum: 3 Lakh Maximum: 1 crore |
54% |
4115+ |
ManipalCigna Health Insurance |
ProHealth Plan |
Minimum: 2.5 lakh Maximum: 1 crore |
62% |
6500+ |
National Health Insurance |
National Parivar Mediclaim Plus |
up to 50 lakhs |
107.64% |
6000+ |
New India Assurance Health Insurance |
New India Assurance Senior Citizen Medi Claim Policy |
Minimum: 1 Lakh Maximum: 15 lakhs |
103.74% |
3000+ |
Oriental Health Insurance |
Individual Mediclaim Health Plan |
Minimum: 1 Lakh Maximum: 10 Lakh |
108.80% |
4300+ |
Raheja QBE Health Insurance |
Health QB |
Minimum: 1 Lakh Maximum: 50 lakhs |
33% |
2000+ |
Royal Sundaram Health Insurance |
Lifeline Supreme Plan |
Minimum: 5 Lakh Maximum: 50 lakhs |
61% |
5000+ |
Reliance Health Insurance |
Critical Illness Insurance |
Minimum: 5 Lakh Maximum: 10 Lakh |
14% |
4000+ |
Star Health Insurance |
Family Health Optima Insurance Plan |
Minimum: 1 Lakh Maximum: 25 lakhs |
63% |
9800+ |
SBI Health Insurance |
Health Premier Policy |
Minimum: 10 Lakh Maximum: 30 lakhs |
52% |
6000+ |
Tata AIG Health Insurance |
Tata AIG Medicare Plan |
Minimum: 2 Lakh Maximum: 10 Lakh |
78% |
3000+ |
United India Health Insurance |
United India UNI Criticare Health Plan |
Minimum: 1 Lakh Maximum: 10 Lakh |
110.95% |
7000+ |
Universal Sompo Health Insurance |
Individual Health Plan |
Maximum: 10 Lakh |
92% |
5000+ |
The gravity of the body falling does not come due to the circumstances. With deadly risks involved in today’s lifestyle, it has become very important to have a insurance plan. Besides, diseases are also more prevalent in India due to many factors. Due to the increasing demand for hospitals and medical services day by day, inflation is also being seen in the cost of medical treatment; And this scene is usually seen in private hospitals. Without an insurance plan, your pocket can be hit in case of any emergency medical treatment.