Which mediclaim policy will be best at present

Which mediclaim policy will be best at present

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I wanted to have a mediclaim for my family.
Mediclaim should be of
Father(43)
Mother(39)
Me(16)
My brother(13)

My father is a bit lazy in these matters or he wants to make me Informative about these things
Whenever I ask him about an medical insurance he says get knowledge and do it urself
I said OK
As these are basically holidays period for me I want to get this task done
After having a search on google
I got options like
HDFC ERGO – 5 LAKH SUM INSURED- 19000 premium per year 18% GST
if paid for 3 years it becomes 48000
18% GST
Apollo Munich-5 lakhs – 21000 per year +GST
Royal sundaram
New India life insurance
ETC
I have a major doubt
Whether these insurance too have tiny * atlast of policy
Whether it will be a big hassle settling the claims
What should I look upon while choosing the best insurance
How can I check for review of them
Suggestions are welcome
MAX benefit Max coverage easy settlement of claim in emergency is what I want in return of the premium
Are there any such insurance policies present?
Average premium(average meaning not too high not too low) max benefits (max meaning best as per the premium)
My father is in construction works so his health is always in risk, he be 90% of days away from home
He has high cholesterol
Mother has dental problem
Me not sure about my self
Brother (will be known in future)
Major coverage needed for parents
What should I choose
What should be the parameters
Who have chose it already plz provide reviews
As it may be helpful for someone in future too

20 Comments  |  
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Health insurance covers only one thing, in general: hospitalization.

If you were hospitalized, then you can make a claim for reimbursement.

Health insurance might also cover pre-hospitalization and post-hospitalization – but within reasonable limits. Some health insurances might cover health checkups etc. as well.

If you already have some disease, there would be a waiting period. As in, if you declare while taking a policy, that you have diabetes, then up to 3 years – any hospitalization because of diabetes, won’t be covered by the policy.

Other than this, health insurance does not cover hospitalization for HIV patients.

Normally health insurance does not cover critical illnesses like Cancer / Stroke as they cost more. Better to get a specific critical illness or top-up plans, available separately. HFDC ERGO does cover critical illness in some of their health insurance plans so check for their plans.

So, which health insurance plan should I get?

This is difficult to say. Your medical profile is one factor that would decide this.

In general, I would say go for one

  • that does not have room rent limit,
  • that doesn’t have restore benefits,
  • that doesn’t have top-up benefits,
  • that doesn’t have co-pay option,
  • that doesn’t have health-checkup benefits

These things either increases the premium or puts you at a disadvantage, without ever being of any benefit to you.

Go to CoverFox https://www.coverfox.com/health-insu...e/
And based on your requirements, check which plans suits your family the best.

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No policy will cover dental issues that your mother is having. So, that would need to be paid on your own.

You and your brother are too young to think of mediclaim policy. The amount that would be spent to cover extra two of you wouldn’t be worth.

Just think of policy for your father and mother and check with him as how much premium is he ready to pay every year.

Max Bupa is one good health insurance provider.

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Roushh wrote:

Health insurance covers only one thing, in general: hospitalization.

Not familiar with indian health care..

It don’t cover doctors and medication and treatments etc?

If you want to go see a doctor because you broke you leg? the xrays and such, pain kilelrs etc..

When I heard a job includes medical and dental as perks I mean it covers me and family.. With a small deductible.. When I left the job they asked if I wanted to continue and it would be $600 or so person per month.. So for a family this is more important than the salary they get.

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alienteck wrote:

Not familiar with indian health care..

It don’t cover doctors and medication and treatments etc?

If you want to go see a doctor because you broke you leg? the xrays and such, pain kilelrs etc..

When I heard a job includes medical and dental as perks I mean it covers me and family.. With a small deductible.. When I left the job they asked if I wanted to continue and it would be $600 or so person per month.. So for a family this is more important than the salary they get.

In India it doesn’t generally.

Here, most health insurance plans don’t cover hospitalization for less than 24 hours.

Although accidents maybe covered in the health insurance plan. But OPD is usually not.

If he needs to include OPD and other things then he needs to find a special plan. But it will increase the premium by big amount. Usually OPD is not expensive in India so I would not worry about it.

Only thing to remember that if someone got some serious injury and the treatment is expensive than make sure to get hospitalized for at least 2 days. It might not work in every injuries.

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sardasa wrote:

You and your brother are too young to think of mediclaim policy. The amount that would be spent to cover extra two of you wouldn’t be worth.

That’s why get a family floater plan. Difference in premium is not much than buying health insurance for two adults.

And yes, you are right. Most plans will not cover Eye and Dental issues.

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Roushh wrote:

That’s why get a family floater plan. Difference in premium is not much than buying health insurance for two adults.

And yes, you are right. Most plans will not cover Eye and Dental issues.

The dentist told me I had to get my wisdom teeth out and the cost was $20,000.. Since I only had $10,000 per year he scheduled it for like 30th dec..

I made sure I moved and changed my phone as he would not take NO for an answer.. All dental problems I developed were because of dentists. So both sides abuse it a lot. I got steroids for hair growth and the cost was $99 per bottle.. I got the same medication but different company here for rs75.. The doctors gave me so many pills I did not know what to do with it. I took a few of them when I wanted to get high. Like paxil will give you a good buzz like drinking half a bottle.. Guess he does that so you go see him often enough..

I have some insurance here.. really weird payment system with an account code where you have to manually get the bank to do it. I saw how Apollo killed you on charges.. It costs like 100,000 a day with them.. for most anything if you have to stay there.. So my 10L limit lets me stay there for 10 days I suppose..

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choose Mediclaim with No ROOM rent limit ( why ? because if you cross the permissible room rent given by your insurer then all other claims would be adjusted as per % of rent you exceeded ) .

choose a Family floater plan ( a comprehensive plan of minimum 3 lakh) then a super top up plan of 10 Lakh , this will reduce your premium in someway. Also do not pay for whole 3-5 years in advance . because if you pay yearly then your father is eligible for tax benefits under section 80d.

coming to which company you should go for then prefer some major public sector general insurance companies like NIC,UII,OI etc ,check their claim selttlement ratio ,all of them use TPA for settlement , private companies are also good and give good service but go for top brands like HDFC Ergo ,ICICI, Appolo munich ,max bupa etc.

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alienteck wrote:

Not familiar with indian health care..

It don’t cover doctors and medication and treatments etc?

If you want to go see a doctor because you broke you leg? the xrays and such, pain kilelrs etc..

When I heard a job includes medical and dental as perks I mean it covers me and family.. With a small deductible.. When I left the job they asked if I wanted to continue and it would be $600 or so person per month.. So for a family this is more important than the salary they get.

Is it USA you are talking about this $600 Per month?

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Check Max Bupa. Consider only for uncle and aunty. You guys may not need right now.

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alienteck wrote:

The dentist told me I had to get my wisdom teeth out and the cost was $20,000.. Since I only had $10,000 per year he scheduled it for like 30th dec..

I made sure I moved and changed my phone as he would not take NO for an answer.. All dental problems I developed were because of dentists. So both sides abuse it a lot. I got steroids for hair growth and the cost was $99 per bottle.. I got the same medication but different company here for rs75.. The doctors gave me so many pills I did not know what to do with it. I took a few of them when I wanted to get high. Like paxil will give you a good buzz like drinking half a bottle.. Guess he does that so you go see him often enough..

I have some insurance here.. really weird payment system with an account code where you have to manually get the bank to do it. I saw how Apollo killed you on charges.. It costs like 100,000 a day with them.. for most anything if you have to stay there.. So my 10L limit lets me stay there for 10 days I suppose..

WTF. $20k for wisdom teeth removal.

In India a good dentist will take 10k-30k. Also, you can get it removed for free if we visit a govt dental collage/hospital only if you know a doctor there. The treatment is painless if you know the doctor personally.

I got RCT in one of my teeth for free from govt dental hospital at Jaipur.

I have heard from many friends and relatives that the health care in US is very expensive. That’s why many of them get their medical treatments here instead of US.

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Roushh wrote:

WTF. $20k for wisdom teeth removal.

In India a good dentist will take 10k-30k. Also, you can get it removed for free if we visit a govt dental collage/hospital only if you know a doctor there. The treatment is painless if you know the doctor personally.

I got RCT in one of my teeth for free from govt dental hospital at Jaipur.

I have heard from many friends and relatives that the health care in US is very expensive. That’s why many of them get their medical treatments here instead of US.

I am not sure I would go to gov centers for treatment (I don’t know anyone myself).. Not unless we had relatives. What I noticed it the level of competence between the low and high end. A relative cousin is the most junior neurosurgeon.. He is the one who does the surgery.. If you know what I mean here.. So we ask his advice for almost everything like this and he recommends. If you want to get safe and proper treatment you must know the ropes.

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caks2006407 wrote:

Is it USA you are talking about this $600 Per month?

Well yea that’s for 1 person. To insure 5 would be 5 times that amount. But with a job it comes as part of your benefits and why you want a permanent position rather than contract. Almost everyone I talked to think their benefits package is more important to them than basic salary.. But if you get to the post of like General manager of anything you would be making $50K a month plus housing and car allowance and some shares etc..

I am more into learning and moving than staying and raising a family so I have to worry about keeping some money aside for medicals and such emergencies myself. But most people cant handle that and why so many get into trouble because any emergency can hit you very badly and destroy your life. Yea life is so easy in india. you really don’t know how easy you have it. Its like living in paradise.. Only problem is the darn bugs.. Since everyone’s into such easy living not many like actually working.. But you don’t get killed if you mess up. Not many chances to screw up and continue living.

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Apollo optima is a good plan for family floater as premium is lower than other players.

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Bro only buy sarkaari policy for mediclaim.
Pvt cos show real tantrums while giving claims, premium they accept happily.
Govt policy would be costly but the best.

My aunt mediclaim of pvt cos got rejected , she was suffering from swine flu, still.

Get any policy from united india or national india insurance or new india insurance.

I am myself using parivar mediclaim from national india.

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Bro only buy sarkaari policy for mediclaim.
Pvt cos show real tantrums while giving claims, premium they accept happily.
Govt policy would be costly but the best.

My aunt mediclaim of pvt cos got rejected , she was suffering from swine flu, still.

Get any policy from united india or national india insurance or new india insurance.

I am myself using parivar mediclaim from national india.

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alienteck wrote:

The dentist told me I had to get my wisdom teeth out and the cost was $20,000.. Since I only had $10,000 per year he scheduled it for like 30th dec..

I made sure I moved and changed my phone as he would not take NO for an answer.. All dental problems I developed were because of dentists. So both sides abuse it a lot. I got steroids for hair growth and the cost was $99 per bottle.. I got the same medication but different company here for rs75.. The doctors gave me so many pills I did not know what to do with it. I took a few of them when I wanted to get high. Like paxil will give you a good buzz like drinking half a bottle.. Guess he does that so you go see him often enough..

I have some insurance here.. really weird payment system with an account code where you have to manually get the bank to do it. I saw how Apollo killed you on charges.. It costs like 100,000 a day with them.. for most anything if you have to stay there.. So my 10L limit lets me stay there for 10 days I suppose..

$20,000 for wisdom teeth removal??
I got 3/4 teeth removed for around ₹8,000.

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It is good that you have shown interest in Health Insurance at a very early age. Please keep in view the following points before narrowing down type of floater/family individual plan. Please stay away from Group Health Plans unless they are funded by the employer.

1. Keep your Health needs ready(Minimum Sum Insured, Pre-existing ailments etc). Always read the policy brochure & the wordings before you opt for a cover. Check if the insurers offer the below covers with your health insurance. Some Insurers bundle the below& make the cover more lucrative.
a. PA Cover
b. Critical illness
c. Hospital Daily cash limits
d. OPD cover/limits

2. Purchase a base plan with minimum of 1 lacs cover per individual, in your case as there are 4 persons to be insured ensure that the cover is of 4 lacs at least. This will ensure adequate cover for all the 4 persons.

3. Get a Top up Policy from the same insurer if you have a base policy. This will allow you to keep your premium cost low & also make the process of claiming under this policy easier.

4. Check for the co-pay limits before you purchase. Co-Pay limits may range from 10% to as high as 50% in some cases. Sometimes they may even be Zero %

Finally, purchase the policy directly from the insurer. Never get the policy from a broker or agent regardless of how rosy the picture is painted. Also keep in mind that any misrepresentation of facts during proposal will end in getting your claim to be rejected. The insurer can even cancel the policy in case they notice any such activity.I’m informing this to you out of experience as I work with a General Insurer under their Grievances Cell.

After purchase please add a reminder in google baba (calender) to ensure renewal of the policy happens much before the due date. Keep this as early as month. Never port the cover unless you absolutely need to.

I hope this was useful to you.

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I worked in New India Assurance co. And suggest you to opt a policy from Government company. Others may be interested in your premium timely but not for claim. Go for a family floater plan.

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I suggest star health insurance.
The public insurance companies many have no cashless facility and reimbursement only.if we suggest TPA again need to pay extra.
In star your family floter premium for 300000 will be around 10000

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