Some insurers may, however, have a cap on room category - which means they only allow a particular category of room. If you ever opt for a room above this category, u have to bear the difference and proportionate charges for the entire bill.
Never trade coverage for room rent limit. You must have best of both
Room Rent - Never opt for a policy with room limit. A 10L policy with limit of 10K may look adequate today, but the cover will degrade with inflation. (At 8% infln, 10K=2.1K in 20yrs)
But I buy a low cover today and upgrade later, someone said?
My take: You should never, I repeat never bet on future upgrades (unless you have genuine budget constraints) - since insurers might decline upgrades based on your age and health condition at the time of your request.
You must worry about the pre-existing disease waiting period - ONLY if you have disease while buying the policy.
If u don't, this waiting period is not applicable for u.
In fact, u must be aware of the 2 yrs waiting period for specified illnesses.
Always note, that apart from a) existing diseases before buying the policy, and b) specified listed illnesses c) permanently excluded treatments listed in the policy, all diseases that are diagnosed after the policy issuance are covered from day zero.
This is not right.
Most group insurance policies from employers do not have a waiting period for pre-existing diseases. They cover pre-existing diseases from day zero. The problem is different and explained in the next tweet.
Important:
- The policy does not cease to exist when the primary policyholder dies.
- The policy continues with remaining members without any change in cover or waiting periods. You simply have to make another family member the proposer. So chill.
Never buy a Topup, which is what seems to have been bought here.
Always look for a Super Topup. A topup works only on a single instance of hospitalization, while a Super Topup works on an aggregate of multiple hospitalizations during a year.
Apart from this, ensure the following: 1) All Daycare procedures (that take less than 24 hrs are covered) 2) Organ Donor cover without limits 3) Understand each financial limit in the policy. 4) Fill the proposal form, make disclosures like you are making your will :)
Summary
1 Always remain covered
2 Opt for cover u will need at 50+yrs
3 Do not opt for policy with room limit
4 Ensure all Daycare procedures are covered
5 Ensure Organ Donor is covered sans limits
6 Understand limits, exclusions before signing up
7 Fill proposal form diligently.
There is no doubt that insights from real users are extremely valuable. More and more aware buyers who read wordings should share. So not taking away anything from the effort.
The effort here is only to clarify, give a better understanding.
Do RT if you found this valuable.🙏
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"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.