Features of a Good Health Insurance Policy

Depending on the individual specific healthcare needs, there are different types of medical insurance plans.

• Individual Health Insurance: This is a health insurance plan designed for individuals. The sum insured by this policy is only dedicated to the insured person.
• Family medical insurance: It is a type of medical coverage that offers protection to all the covered family members under a single plan.
• Senior Citizen Medical Insurance: This type of health insurance provides tailored medical coverage for individuals aged 60 and above.
• Critical Illness Insurance: This type of medical insurance provides a lump-sum payment if the insured is diagnosed with a serious illness, such as cancer, heart attack, or stroke.
• Personal Accident Insurance: It offers financial protection in the event of an accident, covering injuries, disabilities, or death caused by an accident.

Also Read: Best Health Insurance Plans

When you are looking to buy a health insurance plan, there are some features you need to consider. Below are some of the important features of health insurance.

Pre and Post-Hospitalisation Cover

One of the essential features of a good health insurance policy is pre and post-hospitalisation coverage. The pre-hospitalisation coverage includes the medical test and reports that are conducted 30 to 60 days before you are admitted to the hospital.

Post-hospitalisation covers the medical expenses incurred after you are discharged from the hospital, typically up to 30 to 90 days. This includes follow-up visits, medication and any other treatments required for recovery.

Day Care Treatments Coverage

Another important feature of health insurance plans is daycare treatment coverage. Daycare treatment is a medical procedure that does not require overnight hospital stays.

These treatments typically include minor surgeries, diagnostic procedures, etc allowing the insured to receive quality care while reducing the need for long-term hospitalisation. This feature ensures that even short-term procedures are financially protected under the policy.

Maternity Coverage

Another key feature of health insurance plans is maternity coverage. It is crucial for individuals or couples who are thinking of starting a family.

Maternity coverage in health insurance plans provides financial protection for expenses related to pregnancy, childbirth and newborn care. It typically covers hospitalisation costs, delivery, prenatal and postnatal care and more.

Pre-existing Disease Coverage

Pre-existing disease coverage is an important factor to consider in health insurance plans, as it offers coverage for medical conditions that the insured person may have had before purchasing the policy.

While many insurers impose a waiting period for pre-existing conditions, this coverage ensures that once the waiting period is completed, any treatment related to those conditions will be covered.

OPD Dental Treatment

OPD Dental Treatment coverage in medical insurance plans helps policyholders manage the costs of outpatient dental care. This includes treatments such as routine check-ups, fillings, extractions and cleanings.

With OPD dental coverage, you can receive essential dental treatments without the need for hospitalisation, ensuring that your oral health is taken care of without added financial strain.

Restoration Benefit

Restoration benefits in medical insurance plans allow policyholders to restore their sum insured if it has been fully utilised during the policy year. This feature is particularly helpful in case of multiple hospitalisations or a major medical event.

It provides added security to policyholders so that their coverage can be replenished without having to buy a new policy or pay additional premiums.

Consumable Cover

When it comes to what to look for in a health insurance policy, always check if a plan comes with consumables covered. This feature covers the cost of medical consumables such as gloves, bandages, syringes and other disposable items used during treatment or hospitalisation.

These expenses can add up significantly, and having consumables covered ensures that the policyholder does not have to pay for these items out of pocket.

Organ Donor

Organ Donor Benefit in medical insurance plans provides coverage for the medical expenses incurred by the policyholder in case they donate an organ. The organ donor benefit covers all medical expenses such as hospitalisation, surgery and post-operative care for harvesting the organ only if the insured is the recipient.

Also Read: Benefits of Health Insurance

Having a medical insurance plan is crucial to safeguarding financial assets during unforeseen medical emergencies. With an adequate medical insurance plan, individuals and their families can
get quality medical care in their time of need.

However, when buying any plan, there are some factors to consider in health insurance, such as pre-and post-hospitalisation, maternity coverage, pre-existing disease coverage and more. Every plan comes equipped with some key features. These key features help in choosing the best plan that fits your health requirements.

TATA AIG offers health insurance plans that are customised to your unique health requirements. For instance, our family medical insurance offers medical coverage to you and your family in a single plan. The sum insured by this health insurance plan is distributed among all insured family members.

Moreover, our medical insurance plan offers various other benefits, such as tax benefits, cashless treatment facilities, ambulance coverage and more. Secure yourself and your family with our medical insurance plan now.

Also Read: 4 Essential Things To Consider When Investing In A Health Insurance Plan