a) They either provide low coverage <or>
b) are reimbursement plans that are poor substitutes for a full health insurance cover.
Here's the summary of the plans available.
5/ Then IRDAI came into the picture 🥷and made it mandatory for insurance companies to provide a health insurance plan that includes specific covers for COVID 19 treatments.
6/ Corona Kavach 🛡️ is a reimbursement plan, but solves for all the gaps that led to the deductions we spoke about. #win
Here's how.
7/ But is there a catch?🪤
Yes, there is. Insurers don't have enough data to be able to provide this too-good-to-be-true cover.
8/ Hence it's very likely the product will be
a) Challenging to get (Stringent filters - declining highrisk cases who are most likely to get hospitalized)
b) Difficult to buy. (Expensive)
A Govt. insurer may provide it at affordable rates. Let's see.
9/ We are back to square one🔄🤦
So what should you do? You have to be #Atmanirbhar 🥋
a) Maintain an emergency fund, especially for the old.
b) Health Insurance of Rs. 10 L per adult.
c) Ensure your health insurance does not have room rent limits.
d) Take care of your health.
11/ Was there a better solution to this problem, you may ask?❓
IMHO, the government and IRDAI should not pressurize private players to participate in something so unpredictable, without financially protecting these companies from probable unforeseen losses.
12/ or the government should have directly stepped in and launched their own funded insurance for the general public.
Case of cashless claim approved first, then rejected.
Customer gets admitted to hospital, cashless is approved for 70K
Later the patient's health detoriates and he is shifted to ICU,
the bill shot up to 3.4L.
The insurer withdraws cashless, leaving the customer shocked.
Here’s how a Beshak Expert stepped in - and turned it all around 👇
A customer was hospitalized for angioplasty, and the insurer first approvied a cashless treatment of 70K.
The hospital stay seemed routine until things took a sudden turn.
Complications arose, and the patient needed urgent ICU care.
This led to a significant increase in the total hospital bill, raising it to 3.4L.
The hospital submitted a request to the insurer to approve the additional ICU treatment costs.
But the insurer rejected the change in cashless request.
They argued that ICU care wasn’t necessary for this procedure. And that ANY CHANGE in the line of treatment should’ve been communicated BEFORE the treatment was carried out.
🚨 Why a ₹1 Crore health cover may NOT be enough once you hit 30!
In 1999, my dad was proud owner of a bumper health insurance cover!
Cover of 2 Lakhs. He found it adequate.
In 2010, I felt ₹10L was a decent enough cover.
Today, ₹1Cr still seems a bit of a stretch. But is it?
Let’s break it down. 🧵👇
1. India’s private healthcare is only getting more expensive.
The government spends just 2.1% of GDP on healthcare - one of the lowest in the world. Public hospitals are struggling, and most middle-class families don’t prefer to go there.
That leaves us with private hospitals, and we all know how expensive they are.
Why?
Because the demand for quality healthcare far exceeds supply.
Just look at the top hospitals wherever you live - there’s always a rush.
Beds are perenially unavailable.
(Have seen the MD of a giant company waiting at Hinduja hospital, Mumbai, with their family member, late night, patiently negotiating for a vacant bed. )
India has only
- 1 doctor for every 1,500 people
- 1 hospital bed for every 1,000 people - far below WHO’s recommended standards.
Every year HR sends an "insurance" email most ignore.
You shouldn't.
The email usually has a deck that covers:
• The benefits you are entitled to.
• The process to enrol family members.
• The process to enrol and pay for parents’ covers and top up covers.
• The terms and conditions - which are a lot, believe me (this is ignored the most!)
Employer health insurance benefits are smoooooth!
👉 It is easy to enroll.
👉 It covers maternity benefits.
👉 It covers pre-existing diseases, damn it!
👉 It is even easy to claim.