First, Govt./IRDAI has rolled out extensions that you should be aware of. Listing them down for each type of insurance.
2/n
Life Insurance extension.
Additional grace period of 30 days in case your policy was due for renewal in March and April.
Total grace period depends on the premium frequency of your policy:
Monthly premium mode: 45 days
Annual and all other modes: 60 days.
3/n
Health Insurance extension:
Only if your policy is due between 25th Mar to 14th Apr you can pay the premium due by 21st Apr and get cover without any break - this means if there is an unfortunate claim on a health insurance policy due during the lockdown, it will get paid.
4/n
I am clueless, but Health Insurance ideally should have ideally be given equal extensions to life insurance.
Hopefully, we will see additional extensions in a few days. I will update this thread in that case.
Car Insurance extension:
If your policy is due between 25th Mar to 14th Apr - you can pay the premium due by 21st Apr and your third-party cover will continue without break. There is no relief for the own damage cover in your motor policy.
5/n
Here's a summary of all the extensions given by IRDAI/Govt. for insurance in the last few weeks.
6/n
With or without extensions, it is important to keep your term and health insurance covers afloat. Here's what you can do. If any industry expert is reading this, please add to these suggestions.
You can convert your term life insurance policy to monthly/quarterly frequency at the time of renewal and reduce the burden of paying a large premium at one go.
7/n
For Health Insurance, many insurers and aggregators have EMI facilities for making premium payments. You can also pay renewal premiums by any credit card and convert the due to EMIs by calling your bank’s call center.
8/n
Reduce your sum insured (applicable for only health insurance) only when there is no other way around. Don't touch your health insurance coverage if you have crossed 40 years. In fact, try to upgrade it if possible.
9/n
Most importantly, do not lapse your parents' health insurance for sure! 🙏
It would be very difficult to get a health insurance cover for them later.
10/n
I am hopeful that the industry will work with the regulator and come together with more extensions, other innovative ways to ensure covers that provide long term financial protection are intact.
Patient hospitalized for 6 days
Insurer pays for 2 days - says no "active treatment" after 2nd day.
Doctor shares logic for the 6-day treatment.
Insurer still disagrees.
Should patients consult insurers before taking medical decisions?
Why do patients suffer for lack of medical regulations?
First, let's understand why this happens.
So, health insurance as per the contract will pay only in case when the hospitalization is
a) "Necessary" and
b) " requires active treatment"
Ok - so what is "Necessary" treatment?
It is when patient can only be treated at a hospital and not at home or in OPD.
For instance, say I meet with an accident, and break my hand.
Now, the doctor needs to apply plaster on my hand.
But say the doctor asks me to get hospitalized for a day - This won't be covered under health insurance.
"What if I skip Health Insurance and build a fund to cover my family’s healthcare."
Fine print + claim hassles have forced all of us to think in this line.
Before you go down that road, here’s a thread on what you need to know
👇🏻👇🏻
Health insurance, despite its flaws, offers some powerful benefits that you should understand before taking such calls.
Let’s break down these powerful benefits of health insurance:
⦿ Lifetime Hospitalization Cover
Once you clear the initial waiting periods, health insurance can practically cover all your hospitalization costs for a lifetime — yours and your family’s.
Regulation does not allow insurers to stop coverage, unless they prove a fraud.
Most of the changes are applicable from immediate effect - unless there is a specific target date mentioned for the change.
Thread time 👇🏻
INCLUSIVENESS:
IRDAI has asked insurers to make available products for 1. All age groups 2. People with medical conditions, including chronic. 3. All types of treatment - including OPD!! 4. All occupations, regions, categories.
All kinds of hospitals including affordable ones.
No denial of coverage in case of emergency situations.