Nikhil Jha Profile picture
Aug 22 9 tweets 3 min read Read on X
🚨Critical Illness policy-A Compulsory requirement now?

If you are diagnosed with critical illnesses like
🩺Cancer
🩺Heart illness
🩺Kidney diseases etc
Your Health insurance policy pays for your Hospital bill,

But,
What about the loss of employment?
A critical illness policy will help you with Lumpsum payment in case of diagnosis of Critical illnesses

A thread🧵on critical illness policy and why is it necessary?👇Image
What are critical illnesses?

There are illnesses that cause grave danger to the body and are expensive to treat!

These include
🩺Cancer,
🩺 Coronary Artery Bypass Surgery,
🩺First Heart Attack (Myocardial Infarction),
🩺Kidney Failure,
🩺 Major Organ Transplant,
🩺Stroke, Aorta Graft Surgery,
🩺Primary Pulmonary Arterial Hypertension,
🩺Multiple Sclerosis with Persisting Symptoms
🩺Permanent Paralysis of Limbs are few of the critical illnesses etc.
The treatment for these illnesses can cost anywhere b/w 5L to 50L

For eg,
For the treatment of cancer,

Immunotherapy costs anywhere b/w 30-50L
Chemotherapy costs anywhere b/w 20-50L

The treatment of these illnesses also may cause permanent loss of employment as well
So what is critical illness cover?

On the diagnosis of any of the critical illnesses listed as per your policy document,

The policyholder receives a lump sum of the sum insured.
This can be used for medical care and any lifestyle changes
For Eg,

Mr X bought critical illness insurance for 50L.(which covers diagnosis of cancer)

Some years down the line Mr X is diagnosed with cancer.

The insurance company will pay a lump sum of 50L to the insurance company for the cancer cover
Health insurance vs Critical illness?

Health insurance covers all types of illnesses and pays only ur hospital bill.
Critical illnesses cover only specific illnesses and give you lumpsum payouts as defined in our policy.
Critical illness payouts can be used to as per ur own needs
Whereas
Health insurance can only be used to pay ur hospital billsImage
Some policies available for critical illnesses

1. ICICI Critishield

The ICICI policy is the most comprehensive policy.
It covers near about 96 illnesses and has a maximum sum insured of 40L Image
HDFC critical illness policy

HDFC's policy has 15 illnesses covered with a maximum sum insured of 50L

No mandatory medical check-up up to 45 years Image
Niva Criticare policy

Niva's policy covers up to 20 illness and has a sum insured of up to 1cr -2cr

There is a compulsory medical check up to this policy Image

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More from @NIKHILLJHA

Aug 20
🚨Premium rise in Health insurance

You didn't claim, but
Ur health insurance premium rose suddenly from Rs 50,000 to Rs 70000!🤯🤯
Why did this happen?🧐

Does the premium rise after every claim?🧐🧐

A thread🧵on why health insurance premiums rise & do premiums rise after claims?👇Image
Do premiums rise with age?

Yes, health insurance premiums rise with age.

As the risk of hospitalisation increases as time goes on,
The insurer increases as time goes on
So what are the sources of premium increase?

1. Insurer takes company-wide premium increase due to massive increase in claims
2. Your age band changes
3. Rise in medical costs
Read 9 tweets
Aug 18
Sum Insured=10L
Caratact Surgery=1.2L

Insurer paid=Rs 40,000 and used the clause sublimits on treatment of cararact disease

How many of you were surprised by this?

A thread🧵on how must insurers limit the treatment of cataract?👇 Image
What is a cataract?

A cataract is a clouding of the natural lens in the eye, which can cause blurry vision, difficulty seeing in low light, and other vision problems.

Cataracts often develop with age but can also be caused by factors like eye injury, medications, or medical conditions.
Surgery is a common treatment to remove the cloudy lens and replace it with an artificial one to restore clear vision.

Cataract is only covered 2 years after issuance of the policy.
So the waiting period is 2 years.
Read 8 tweets
Aug 12
What is the biggest problem in health insurance ?

It is not increased premium

It is claim rejection 😞

Lets see what is the most common mistake many does and lets find out the way how you can avaoid it...

In below thread..
Why claim gets rejected or cut ?

1.sublimits

It is most common reason why claim is partial settled if your policy having limits on various disease even if you hold 50 lkhs policy at claim u will only get 2 or 3 lkhs limits on disease.

Sol÷ choose a no sublimits policy
rent limit

In many policies room rent limit is there of 5k per day or 10k per day..if u choose higher room category than u have to pay proportionate deduction that will cost you roughly 30 to 40% of your entire bill

Sol÷ choose no room rent limit policy2.Room
Read 7 tweets
Aug 4
🚨Health Insurance Policy Analyser-ICICI Lombard Elevate

Imagine,
A 10L policy adds 10L bonus each year without any upper cap!🤯
In the 5th year, it becomes 50L
In the 10th year, it becomes 1cr and so on

The power of unlimited bonus in "Elevate"

A thread🧵on the features of ICICI Lombard Elevate?👇Image
Room Rent limit:-

The policy has a single private AC room limit.

But this can be modified to have no room rent limit
Co-pay

This policy does not have any co-pay.

This means the insurer will pay the entire claim
Read 17 tweets
Jul 24
🚨Portability Scam-Retail policyholders getting caught out

Random Telecaller asked the customer to port 2 years ago,
Sum Insured=50L
Claim Amount=5L

The new insurer rejected the claim saying pre-existing diseases weren't disclosed!
New insurer cancels the policy!

A thread🧵on scam around portability and checklist to follow while porting?👇Image
What is health insurance portability?

You bought a health insurance policy.
After some time when u read the policy terms and conditions.

You realize the policy has
🩺Room rent limit
🩺Copay
🩺Isnt a comprehensive policy

Now u want to change the policy!
What do u do?
In such cases, you can shift your policy to another policy with the same insurer or you can move it to a policy with a different insurer altogether.

This can be done by porting your existing policy.
Read 17 tweets
Jul 18
🚨Health Insurance and Cancer

Cancer is one of the most toxic illnesses,
Treatment costs range from 50L to 1cr today!🤯🤯

Do u have an adequate sum insured to treat cancer?🤔🤔
Do already recovered cancer patients get a health insurance policy?

A thread🧵on which insurance plan covers cancer and do cancer patients get a new health insurance policy?👇Image
What is cancer?

Cancer is a disease that occurs when cells in the body grow and multiply uncontrollably, forming tumors and potentially spreading to other parts of the body

Cancer can start almost anywhere in the human body, which is made up of trillions of cells.

Normally, human cells grow and multiply (through a process called cell division) to form new cells as the body needs them. When cells grow old or become damaged, they die, and new cells take their place.Image
Types of Cancer:-

Cancer can occur in many parts of the body, including:

Bones: Sarcomas are cancers that form in bone and soft tissues

Blood: Leukemias are cancers that begin in the bone marrow, where blood is formed

Lymphoid tissue: Lymphomas are cancers that start in lymphocytes, which are T or B cells

Plasma cells: Multiple myeloma is a cancer that starts in plasma cells, which are another type of immune cell

Epithelial tissues: Carcinomas are cancers that start in epithelial tissues, which cover the outside of the body and line the inside of organs and body cavities
Read 13 tweets

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