When it comes to the term ‘family’, the health insurance providers have a slightly different definition to follow. If you go for a basic Family health insurance, then the family might mean your unmarried children up to the age of a certain year (usually no more than 25), spouse, self, as well as dependent parents. However, when it comes to escalating or purchasing a superior policy, then your family might include even non-dependent children, non-dependent parents, dependent siblings, sons and daughters in law, parents in law, grandchildren, or grandparents. It depends on the service provider, as well as the type of service that you go for.
Know What’s Covered
Different Family insurance plans have different products to offer. Yet, when it boils down to the basic services, most of the companies offer identical services. These include coverage for daycare treatments, pre-hospitalization, as well as post-hospitalization expenses, daycare costs, expenses for organ donors, as well as the cost of domiciliary hospitalization. There are specialized services available with different plans, of course, for example, if you research the various Family online health insurance, then you will see a handful of companies offer to cover maternity expenses. However, the benefit might be available conditionally. Similarly, not all health insurance providers offer coverage for a newborn baby or child vaccination benefits.
The best mediclaim policy ensures that your family is sufficiently insured, and no financial strain is caused to you if any family member falls ill. Moreover, many people suffer from a host of lifestyle diseases and health conditions that requires regular medical attention
When Emergency Strikes
In case of accidental hospitalization, several family health insurance companies offer special coverage. And in case of an emergency medical evacuation, if any, a dependable Family health plan would reimburse all the expenses involved in such medical evacuation. You do need to ‘shop around’ a little to look for an insurance policy that indeed works for your needs.
About Inpatient Services
You can expect different types of inpatient services from various family Mediclaim companies. This involves the expenses for nursing, board, and rooms for a minimum specified period. You can also enjoy some reimbursement for drugs and medicines, as well as expenses for X-ray, diagnostic materials, consultations, OT charges, the fee for the specialists, and the like.
Lists of Miscellaneous Expenses
Some of the most significant ‘additional’ expenses that Health insurance plans for family provide are costs of the accompanying person and expenses of patient care. You are also likely to get reimbursements for road ambulance charges, e-opinion on specified diseases, wellness care, and alternative treatment. However, the reimbursement policy would go as per the directions in the plan. Even if you fall prey to some medical emergencies while traveling overseas, you can avail of treatment there. However, you have to have a premier insurance plan to your aid to avail such benefits. Similarly, a lot of insurance companies provide add-on benefits such as coverage for the cost of the accompanying person during a family member’s hospitalization, expenses for a newborn baby, and medical treatment charges abroad. These add-on benefits many come with a slightly higher premium, but they can be very useful in the long-run.
Add-on Benefits
Unfortunately, many people mistakenly buy the cheapest health total plan without understanding that the cheapest one may not be the best. Cheap plans may not cover a range of medical expenses that can suddenly spring upon you. You may pay low-cost premiums, but when you fall sick and need the insurer to cover exorbitant hospitalization expenses, the insurer may not help you.
Similarly, a lot of insurance companies provide add-on benefits such as coverage for the cost of the accompanying person during a family member’s hospitalization, expenses for a newborn baby, and medical treatment charges abroad. These add-on benefits many come with a slightly higher premium, but they can be very useful in the long-run.
Exclusions to the Rule
No matter how helpful family health insurances are, you have to remain aware of what might not include in your plan. Several insurance service providers do not offer coverage for congenital illnesses or defects. It might refuse to offer coverage for non-prescription drugs, sex-change or related operations, hormone replacement therapies, and related issues. Your family health insurance plan might not offer treatment for injury or illnesses sustained due to drugs, alcohol, or similar substance intake or abuse. For information on family health insurance, exclusions visit our website.
Benefits to Expect
The best family health insurance providers come with a host of benefits to its subscribers. For example, you can avail of complimentary health checkups after a regular time interval. However, such checkups might be offered if you have not made any claim for a specified period. The turnaround time, both for reimbursements and claim settlements, is relatively quick. The procedures are quite simple nowadays. You can also enjoy a cumulative bonus. Also, do not forget to avail tax benefits under Section 80D of the Indian Income Tax Act, 1961.
Amount of Sum Insured
The first thing you should look at while deciding which health total plan to buy is to look at the total sum insured. In simple terms, the total sum insured is the total amount of money that will be reimbursed if you or any of your family members are hospitalized. Premiums are what you pay every year to the insurance company.
What’s Covered
Many health insurance plans cover the following expenses:
In-patient hospitalization
Organ donor expense
Maternity cover
Alternative treatments such as Ayurveda
Critical illness cover
Health check-up
Road ambulance charges
Wellness care
Emergency medical expenses such as accident hospitalization
Claim Settlement Process
How quick and efficient is the claim settlement process of your chosen mediclaim policy? What is the waiting period? It is vital to know how this process works so that you are aware of what needs to be done while reimbursing your medical expenses.
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