Mediclaim

Simplifying health Insurance

Type of Policy

Individual Mediclaim Policy

Cover only for single person

 Single person use Sum Insure amount

 Premium calcuated according to age of insure person

 

Senior Citizen Policy

This policy is designed especially for people who are more than 60 years.

 This policy covers the hospitalization expenses of that age group.

 

Family Floater Policy

Cover for entire family

Premium calculate is calcuated according to the member with highest age in the family.

If the Sum insured is Rs 10 lakhs then any one person individually or the entire family jointly can claim up to the max. limit of Rs. 10 lakhs.

Critical Illness Mediclaim

While battling life-threatening diseases like cancer, kidney failure, heart diseases etc. the hospital expenses quickly deplate your saving.

A criticle illness policy helps in curbing those expenses by paying a lumpsum amount on diagnosis of the disease.

Benefit of Mediclaim Policy

Cashless Treatment

When you are covered under a health insurance policy, you can avail cashless treatments which essentially means that you can receive medical treatments without having to pay the hospital from your own pockets.

Room Rent

In case you are hospitalised, you will have to incur costs on room rent. Having a health insurance policy will ensure that these costs are covered to a significant extent.

No Claim Bonus

If you hold a health insurance policy and do not make any claims over the course of an entire policy year, you will be rewarded in the form of a No Claim Bonus.

Pre & Post Hospitalisation Expenses

Effective insurance policies offer coverage for pre- as well as post-hospitalisation expenses for a period of 60 days before and after an insured individual is hospitalised.

Frequently Asked Questions

What is a Mediclaim Policy ?

A Mediclaim policy is a health insurance policy which covers all medical treatment expenses up to the sum assured in case you are hospitalized due to an illness or accident.

Due to the high cost of hospitalization expenses, it is important to have a health insurance plan in place.

What are Pre- Hospitalization Expenses?

These are expenses you incur before you are hospitalized. They can include doctor’s consultation fees, medical tests, medication, and related expenditures. Mediclaim policies generally cover 30 days expenses immediately before you have to be hospitalized.

What are Post-Hospitalization Expenses?

These are expenses you incur once you are discharged from hospital. They can include things such as doctor’s consultation fees, medication, further tests (checkups), and even physiotherapy. The medical expenses you incur in the 60 days immediately after you are discharged from the hospital are usually covered by your mediclaim.

What is No Claim Bonus in Mediclaim Policy?

In short, it is the insurer’s way of rewarding you for paying a premium and not making any claim. Generally Mediclaim policies provide an additional cover of 5% of Sum Assured in the subsequent renewal of the policy in case there is no claim in the current policy year. This increase in sum assured of 5% every year is restricted to a maximum of 50% of the initial Sum Assured for most policies. If there is a claim in the policy then this additional cover is decreased by 10% on the next renewal. These percentages can vary depending on the insurer and the policy you choose.

What is Claim Settlement Ratio?
This refers to the number of times an insurer successfully processes claims from admission to pay-out as against the number of times it rejects them. A very high or very low ratio indicates a skewed process. A positive ratio is one where the number of claims processed successfully are higher than those rejected.
What is Free Look Period?
If a policyholder is not satisfied with the policy he/she has taken or the provider of the policy, he/she can cancel and return the policy within 15 days of receiving it. Premiums already paid will be refunded, subject to adjustments.

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