I want to take a health insurance policy for my sister who has paralysis. Which company should I approach? What is the process involved?
Health insurance is not denied to disabled or paralysed persons. Therefore, you can approach any insurer. Before issuing the policy, the insurer will ask your sister to go through certain medical tests. The terms and conditions of the policy will be based on these tests.
Do remember that pre-existing diseases are not covered by any health insurance policy. So, unfortunately, in your sister’s case, paralysis, any ailment that caused paralysis or any complication arising out of paralysis will not be covered.
Me and my family are beneficiaries of the Central Government Health Scheme (CGHS). How is it different from a normal health insurance policy?
A health insurance policy provides you access to many private hospitals which are not covered under CGHS. It also allows you to avail cashless treatment. Sometimes, under CGHS, the patient has to pay first and then get a reimbursement from CGHS. Other than these two points, CGHS provides more comprehensive cover than other health insurance products currently available in India. For example, CGHS covers outpatient department (OPD) treatment, which is not covered under normal health insurance policies.
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I made a third-party claim on my car insurance policy, which is a comprehensive cover. I have been getting no-claim bonus (NCB) for the past three years. This year when I renew my policy, will I get NCB?
Yes, you will get NCB because a third-party claim makes no difference to it. NCB is removed only if the claim is made for damages done to the vehicle.
Please suggest a policy that covers regular check-ups and OPD treatments, including dental.
Health insurance policies issued by non-life insurers do not cover OPD and dental expenses. However, life insurers such as the Life Insurance Corp. of India (LIC) and ICICI Prudential have come out with health insurance plans that allow the insured to accumulate a health fund. The premium paid for these policies has two portions. One portion goes towards the hospitalization cover, while the other goes into a savings account. This account accumulates money over the years. The insured person can withdraw money from this fund to meet with OPD and dental expenses.
Graphic by Yogesh Kumar /. Mint
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