ASIMPLE GUIDE TO
INSURANCE unt 4Don't split the bill
Insurers might nudge you to consider a co-payment
clause, in which case, you'll be forced to foot a part
of the bill each time you make a claim. This could be
10%, 20%, or even 30% of the bill.
This might not be the best option unless you have
no choice, or are purchasing for elderly citizens.
~~ Your part
\ + of bill “@Restrictions on
room & room rent
Some insurers won't let you pick a room you like.
Instead, they'll have a limit on room rent. And if you
breach this limit, they'll make you pay extra for every
little service rendered in the room and not just the
rent.
So opt for a policy that doesn't have too many
restrictions on this front.Check for Disease
Wise Sub-limits
It's what happens when the insurer offers you a
massive cover (say 10 lakhs) for a modest fee, only
to include restrictions on how much of this cover will
be available for each disease.
You'll likely end up having only a part of the 10 lakhs
available in most cases.Opt for pre and post-
hospitalization care
Nobody falls sick right off the bat. Youll likely have
to go through a host of diagnostic tests before
hospitalization. And, once you're discharged,
there’s medication to worry about.
Since these costs can add up, it's best to pick a
policy that covers pre & post-hospitalization care.Seek a Low
Waiting Period
If you have pre-existing diseases (including diabetes,
blood pressure, or thyroid-related illnesses), you
might have to wait a fixed period (typically 2-4
years) before your insurer starts covering claims
arising out of them.
It's best to pick a policy where you don't have to wait
a lot.Coverage for daycare
treatments
Chemotherapy, dialysis, a quick appendectomy. All
of these procedures might last less than 24 hours.
And even if you're hospitalized to avail treatment,
some insurers might not cover these claims,
because they don't do “daycare treatments’.Ask for restoration
benefit
You buy a policy for the family. You're hospitalized.
You make a claim and your cover runs out. A few
days later, someone else in the family falls sick, But
you've already used up the cover.
What can help you here is a restoration benefit ie. if
your insurer restores your cover each time you make
a claim. If not every time, maybe at least once?
It's possible. You need only ask.
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Looking to buy a health plan?
Talk to Ditto today for honest,
unbiased insurance advice.
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