You will find this interesting 🤯

Health Insurance premiums for a plan are as follows:
5 Lakh cover = Rs. 13410/-
25 Lakh cover = Rs. 24759/-
1 Crore cover = Rs. 18003/-
Wut? Yes. How? 🤔

Thread time 🧵:)
We checked if the plans were different.

What we found is that apart from the room eligibility there is no other significant difference between the plans.

This may have called for a lower “per lakh” premium, but it does not justify a discount of 37% for a 400% higher cover
So we dug deeper :)

We checked, rechecked, spoke to experts and the answer came down to simple market mathematics 🧮

Something you need to understand well.
Say you have a mobile plan with a quota of 3GB of data a day.

The average usage is say 2 GB a day.

Now if you apply for an upgrade to 10GB a day - the telco knowing this will rarely be utilised, can upgrade the plan at an extremely low cost, and not at the per GB rate.
Similarly, when you today buy a cover of 25 Lakhs. Since the average claims are say 3 Lakhs today, there are very tiny chances you will use the cover over 10 Lakhs in the short term.

So whatever amount the insurer charges today over 10 Lakhs is a bonus.
But here's what you should know:

Once claims increase, every insurer can hike premium rates post approval from the regulator.

Premiums can be hiked, the product can be withdrawn moving u to an elite product with way higher premium grids.
What you should do❓
1. Even if premiums will be hiked in the long run, you still need a high cover.
2. Ensure u buy adequate cover for your old age today. If you are 35, you will need 26L at 70 (5% inflation)
3. Do not postpone.
4. Upgrades are difficult if you have an illness
5. ⚖️ Compare premiums for the adequate cover with higher covers available.
6. If you find the difference in premium negligible or lower (like in the first tweet) take the higher cover.
7. Remember, it’s super easy to downgrade ⤵️ cover, if premiums become unaffordable.
Questions?
Insurance experts can answer them here:

beshak.org/forum

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More from @themahavir

4 Nov
A thread on the ultra viral thread by @wiredmau5

My take based on reading/learning health insurance policies, helping customers with comparison, claims for 15 years now.

This is right. *However*, most health insurance plans today do not have a room rent limit unless you are buying a cover of Rs. 4 lakhs or less.

Yes, be careful and keep an eye on the room rent limit, but there is more to it, read on.

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.
Read 17 tweets
1 Oct
Some good news: 🥂
1/ Health Insurance becomes better, clearer, cooler from today😎

A quick thread that explains the changes.

#Thread
2/ **Why was this needed**
Every plan has its own independently designed terms and conditions, especially exclusions. 🙄

It was difficult to understand & compare many of these wordings. This also resulted in unpleasant surprises & grievances during claims.
3/ IRDAI has been taking massive efforts to standardize health insurance products, making them easier to understand and compare, helping reducing confusion and grievances.

This is another effort from IRDAI. 💪💪
Read 12 tweets
3 Aug
Update.
- I email my insurance broker.
- They write an email to the insurance co. official asking for a "payment link."
- Insurance co. official gives a classic response "The below-mentioned policy does not pertain to our office."

Looks like I am in an Office Office episode😂
I usually don't like to take up a case against a brand. But I am doing it this time - coz, if it can happen with me, I am just imagining people who don't have a clue about insurance.
I mean Insurance brand.
Read 6 tweets
2 Jul
Thread alert.
1/ Had written a lonnnng post on health insurance for COVID19😷a couple of days back.

Some found it too long and technical, and did not read it.😐

So here's the same information in an easy to read, a thread.

Hope this is useful. Let me know
2/ Fixed Benefit Plans that pay a fixed amount of cash 💵💵 on being diagnosed positive for COVID 19 were helpful.

They could help insure the high deductions amounting to 25-40% of the total bill (Rs. 75K to 200K).

I had written about this:
3/ But these fixed benefit plans disappeared one after another🤦 - Maybe because they saw too many claims coming in.

I wrote about this here.
Read 12 tweets
13 Jun
1/ I am pretty sure these eye-popping charges from Max Hospitals for Covid management appeared on your timeline too.

Let's understand:
a) how Health Insurance is likely to treat these charges?
b) how you can plan and prepare for the future?

*thread*

#covid #maxhospital
2/ Health Insurance cos won't pay based on fixed package charges, unless they are part of a pre-agreed contract.

Insurers will demand a detailed breakup of the package charges and then evaluate the claim against the insurance policy.
3/ Here's how Insurers will look at the breakup from Max

#1 Room Rent, #2 RMO Visits, #3 Nursing, are considered part of Room Chg. If these are billed separately, only Room Rent will be paid.
Consumables under # 7a & # 7b are not covered

Rest of the items are payable separately Image
Read 6 tweets
15 May
WHO says Coronavirus🦠threat is permanent!

Should you have a separate Coronavirus Health plan? Read on.

Thread 1/n

timesofindia.indiatimes.com/world/rest-of-…
The terms & conditions of regular health insurance are not perfectly compatible with a Covid19 kind of treatment. This is largely due to a lack of defined protocols & charges for treatment between Hospitals and Govts or Insurers.

2/n
Insurers are complaining about unreasonable hospital bills since the time claims started trickling in early April. bit.ly/35Wp1ns

3/n
Read 16 tweets

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