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.
🚨 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.
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.