Shree Balaji Insurance Brokers Private Limited

Office Address

Ist Floor, 38 N, Shree Balaji Tower Hisar

Phone Number

+91 98965-80000

Email Address

[email protected]

How to Choose Your Health Insurance
  • Aug 30, 2024
  • Anand Prakash Gupta by Anand Prakash Gupta
  • Assess Your Health and Financial Needs   
    Health Status: Consider your age, existing medical conditions, family medical history, and lifestyle.   
    Family Coverage: If you have dependents, consider a family floater plan that covers the entire family under one sum insured.   
    Budget: Determine how much you can afford to pay for premiums and out-of-pocket expenses.

  • Understand Types of Health Insurance Plans   
    Individual Health Insurance: Covers a single person. Suitable if you are looking for individual coverage with a specific sum insured.   
    Family Floater Plans: Covers the entire family under a single sum insured. Cost-effective if you want to insure multiple family members.   
    Critical Illness Plans: Provides a lump sum upon diagnosing critical illnesses like cancer, heart disease, etc. Good for additional coverage.   
    Top-Up and Super Top-Up Plans: Additional covers kick in after you exhaust the sum insured in your base policy. Super top-up plans cover multiple claims, whereas top-up plans cover only a single claim above the deductible.   
    Senior Citizen Plans: Tailored for individuals above 60 years of age, these plans often provide coverage for specific health needs and higher premiums.   
    Group Health Insurance: Often provided by employers, it covers employees and sometimes their families. Consider additional personal insurance for more comprehensive coverage.

  • Compare Coverage and Benefits   
    Hospital Network: Check if the insurer has a tie-up with your preferred hospitals for cashless treatment. A wide network of hospitals ensures easy access to cashless facilities.   
    Pre and Post-Hospitalization: Ensure the plan covers expenses incurred before and after hospitalization for a certain period (e.g., 30 days pre and 60 days post-hospitalization).   
    Daycare Procedures: Some treatments no longer require 24-hour hospitalization. Ensure your plan covers such daycare procedures.   
    AYUSH Treatment: In India, many insurers cover Ayurvedic, Yoga, Unani, Siddha, and Homeopathy treatments. If you prefer alternative treatments, ensure your policy covers AYUSH.   
    No Claim Bonus (NCB): This benefit increases your sum insured without a proportional increase in premium if no claims are made during the policy year.

  • Check Exclusions and Waiting Periods   
    Pre-Existing Conditions: Understand the waiting period for pre-existing conditions, usually ranging from 2 to 4 years.   
    Exclusions: Familiarize yourself with what’s not covered, such as certain surgeries, cosmetic treatments, or specific diseases within the first few years of the policy.   
    Maternity Benefits: If you're planning a family, check if the plan offers maternity coverage, including newborn care, and the associated waiting period.

  • Evaluate the Insurer’s Claim Settlement Ratio   
    Claim Settlement Ratio (CSR): This is the ratio of claims settled to the total claims received by the insurer. A higher CSR indicates a better track record.   
    Claim Process: Ensure the claim process is hassle-free and offers quick settlement. Read reviews and seek feedback from current policyholders.

  • Consider Additional Features   
    Restoration Benefit: Some policies restore the sum insured if it gets exhausted within the policy year due to multiple claims.   
    Free Health Check-Ups: Some policies offer annual health check-ups at no extra cost.   
    OPD Coverage: Outpatient Department (OPD) expenses are generally not covered but can be included as an add-on in some plans.

  • Check Premiums and Discounts   
    Premiums: Compare premiums across plans, keeping in mind the coverage, sum insured, and benefits.   
    Tax Benefits: Premiums paid for health insurance are eligible for tax deductions under Section 80D of the Income Tax Act.   
    Discounts: Look for family discounts, long-term policy discounts, or discounts for purchasing policies online.

  • Review the Insurer’s Reputation   
    Customer Service: Check the insurer’s customer service quality, responsiveness, and ease of communication.   
    Policy Portability: Consider the insurer’s portability options if you want to switch to a different insurer without losing benefits accrued in your existing policy.

  • Understand the Policy Document   
    Fine Print: Read the policy document carefully, including all terms, conditions, and exclusions. Ask questions if anything is unclear.

  • Stay Informed About the Policy Renewal Process   
    Renewal Terms: Ensure the policy offers lifelong renewability and understand any premium hikes that may occur with age.

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