Taking precaution is always better than cure. One, therefore, need not wait for a pandemic like a novel Coronavirus to spread its wings all across the globe and then buy a health insurance policy. Most financial planners suggest to buy a health cover for self and family members even before one starts to save. Buying health insurance is considered to be the first step in the financial planning process.
But, with several different features across plans of so many different general insurance or standalone health insurance companies, it could be difficult to choose the right one. Also, there are certain specific restrictions in almost all health insurance plans and one needs to be aware of them for a smooth settlement of the claims. Being unaware of these restrictions can result in an unhealthy claim experience and can even turn costly for the policyholder.
Here are five such restrictions that every buyer or a policyholder needs to know for avoiding any bad surprises during claims settlement or during hospitalisation.
1. Sub-Limits
When it comes to making a claim, health insurance plans have a restriction in the form of sub-limit which basically is the maximum limit to which the insurer will pay up the claim amount under each expense head. A hospital bill will carry medical expenses under different heads such as doctor fee, room rent etc. No matter what the sum insured of the policy is, most health insurance plans restrict the re-reimbursement limit of each such expense head to a certain percentage of the sum insured.
This story is from the {{IssueName}} edition of {{MagazineName}}.
Start your 7-day Magzter GOLD free trial to access thousands of curated premium stories, and 9,000+ magazines and newspapers.
Already a subscriber ? Sign In
This story is from the {{IssueName}} edition of {{MagazineName}}.
Start your 7-day Magzter GOLD free trial to access thousands of curated premium stories, and 9,000+ magazines and newspapers.
Already a subscriber? Sign In
5 Steps To Achieve Your Financial Goals
From a beach house, a Jaguar, to traveling the world – there are many things in life that we want to accomplish.
Microbiome: The Invisible Ecosystem Within us that Safeguards our Health
Imagine being able to heal yourself and build immunity against major diseases without relying on heavy medication. It sounds fantastic, right? Who wouldn’t want that? The key to achieving this lies in a fascinating area of research—our microbiome.
Gold ETFs: Attractive option for retail investors to take exposure to yellow metal
With the equity market experiencing volatility in August, investors are increasingly seeking to diversify their portfolios.
The Retail Revolution: How India's Stock Market Got a Makeover by the Common Man
In the annals of India’s financial history, the stock market has long been the playground of the big boys—mutual funds, insurance behemoths, and foreign portfolio investors (FPIs).
Strategies to adopt when the markets are at a high (for new and existing MF investors)
An investor must have a plan in place and, more importantly, stick to it regardless of shifting market conditions.
A Collaboration to keep Health FirstPNUT and IDA come together as One!
You reap what you sow! And if you sow health, you will reap a healthier tomorrow. Following the same lines, Personal Nutrition (PNUT) and Indian Dental Association (IDA) have come together as partners to promote complete health and nutrition for each individual! How things unfolded? Let’s explore.
Making a choice between equity and debt mutual funds for long-term goals
Mutual funds are quickly becoming a preferred investment choice for millennials.
ASK THE EXPERT
From last Financial Year, I have shifted to the new Tax Regime.
Flexi-cap Fund Vs Hybrid Fund
Investors in mutual funds can choose from equity, debt, or hybrid funds, each offering different risk and return profiles. Flexi-cap funds provide diversification across market capitalisations, while hybrid funds balance equity and debt for stable returns.
Neuroplasticity: You Can Teach An 'Old' Brain New Skill
A few decades ago, it was believed that the brain’s structure and functions were entirely dependent on genetics, age, and early childhood experiences.