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How to Choose Best Health Insurance in India

by Manish Chauhan · 781 comments

Today we will find out how to Choose Best Health Insurance in India . With so many Insurance companies , so many health insurance policies with different names and complex features, it becomes an impossible task for a common man to pick a policy and be confident about it . So I requested Mahavir Chopra from medimanage.com, a vetern in the Health Insurance sector having a vast experience to give some insights to readers on how to choose health insurance product and explain the think step wise. Medimanage is a health insurance broker, which blends unbiased Health Insurance Expertise, Technology Powered Delivery and Professional Claims Management into one integrated service model.  Over to Mahavir from here on -

Health Insurance Buying steps

Health Insurance, as its’ known worldwide is the only effective mechanism known and available that can ensure you to get the best healthcare at affordable price. Whereas, the healthcare industry being more organized abroad, has resulted in insurance companies offering more comprehensive range of products overseas. Comparing this to the Indian Healthcare system, in its current form, can be actually be called by ‘Hospitalization Insurance’. The products that are available in country, only covers for the expenses related to hospitalization charges for accidents as well as sickness. This benefit of course is subject to a looooong list of term and conditions.

Manish asked me to be very specific, and give the readers (of JagoInvestor.com, a blog I admire for its simplicity and rich content) a clear take away on how they can zero in the best product in the market. With more than 25 General Insurance Companies marketing more than 40 Health Insurance products, comparing multiple terms of such policies looks like a daunting task (see a common man complaint to a health insurance company) . It’s not, if you first come to terms with the following 2 things:

  1. Settle to the fact that there is no Exact-match, no Perfect Product available.
  2. You only compare the crucial features/benefits/terms that will affect your coverage in the long run.

Here are the most important things you must follow when you compare products. Of course, there are other features you can compare, which have been left out in this article. These features (like 1, 2 year waiting periods, Pre and Post Hospitalization Expenses, Loading, No Claim Discounts have been left out, looking at Health Insurance as a long-term product)

1. Cut out the frills. Go Basic

Most frilled products in India are not at all cost-effective. They are the products which take almost double the median premium and offers unnecessary frills is a strict no no. We have all traditionally lived with and survived the cost of routine medical expenses like Consultation expenses, Dentists bills, Medicine bills, and such costs are therefore manageable by most of us, unlike a huge hospitalization bill which could eat way more than a couple of months’ salary or savings.

Bottom-line : You should first look at covering ALL members of your family for the larger “unmanageable” costs, which could burn a hole in your overall financial planning before signing for any fancy product. (see two policies which are cost effective)

2. Don’t Compare Premiums

Never start by comparing premiums. Health Insurance is long-term purchase and it is more than a Mumbai-Delhi Air Ticket, which you can compare and buy from comparison/aggregator websites. Health Insurance is a long-term complex contract coupled with complex services. Comparison of premiums could be largely misleading and could result in a disaster. Comparing Health Insurance requires deeper insights into the overall insurance contract (called policy wordings) over and above price comparison. Either you need to get yourself into comparing the features in detail, or take help of an unbiased health insurance advisor.

Bottom-line: Understanding the benefits and terms is more important than the cost you are paying.

3. Look for Maximum Renewal Age

Maximum Renewal age is the age on which the coverage on your health insurance would discontinue. This could be for all members or for a specific proposer/member, depending on product to product. Remember, your core goal, when you buy Health Insurance is to save yourself from mounting healthcare costs right through your life. A product, which ceases renewal, while you are still alive and when you need it more than any time before, is a BAD product. Shift through all products and find out the maximum renewal age. Better, look for Lifetime products. Rule out all products, which do not cover your family members for a reasonable lifetime. As medical science progresses and becomes more accessible to the common man, life expectancy in India will move higher from the current average of around 70 years. A product with a lower renewal ceasing age than 70 years is a complete no no.

Health Insurance max renewal age

Bottom-line: An insurance product which does not work, when you most need it, is not insurance.

4. Look for Limits (Treatment wise limits & Copay)

Look for treatment wise limits in the products. Treatment wise limits basically cap the amount you can claim for a particular surgery under the policy. Say, there could be limits for Cardiac treatments of Rs. 1.50 Lakhs or for Cataract for Rs. 20000 per eye. Such limits would cap your claim, even n when you have a large sum insured under the policy. You need to weigh this in, before you sign up. Some products I remember are United India’s Family Medicare, Star Health’s Red Carpet have such limits. Bajaj Allianz General and ICICI Lombard have a limit only for Cataract. (Max Bupa Review)

Health Insurance treatment limits

Another condition is the COPAY – it is basically the share of admissible claim that the customer would have to pay from their own pocket. For instance, with copay option of 10%, the claim amount is of Rs. 50,000, and the admissible claim is Rs. 48,000 then the copay amount would be Rs. 4800. The Total amount you would have to pay is Rs. 6800/- (Rs. 2000 deduction in the policy + Rs. 4800 of Copay) .

Couple of products which have Copay

  • Oriental Happy Family Floater at 10% of the Sum Insured upto Rs. 5 Lakhs Sum Insured.
  • Bajaj Allianz has a copay of 10% for treatment at Non-Network Hospitals in their Health Guard products, and 20% in Silver Health.
  • Star Senior Citizen Red Carpet has a copay of 30%. For Pre-existing the copay is 50%.

Bottom-line: Know what you will not get paid.

5. Understand Day wise Cash limit Health Products

Health Insurance Hernia treatment

There are some products marketed and sold as Health Insurance (Aegon Religare Life, Tata AIG General are the popular ones) which provide a daily cash benefit for the no. of days one is hospitalization. Most surgeries require an average of 6-10 days, so at the Rs. 5000 per day limit multiplied by 10 Days would pay Rs. 50000 per hospitalization, irrespective of the actual charges incurred. An Angioplasty in this will unknowingly burn a big hole in your pocket. Please avoid this product for your core healthcare expenditure risks or as an alternative to a Standard Health Insurance product. This product is more like an add-on cover, than the bigger solution.

Important Note : Do not confuse the above with products that have specific limits on Room Rent. Room Rent Limits, to an extent, make sense both for the customer, as well as the Insurance Company, as they categorize people paying a higher premium in the higher eligibility bracket. This has been further discussed in detail below in this article.

Bottom-line: All plans which are called Health Insurance may not be what you are looking for.

6. Zero in on a Coverage amount/Sum Insured

Health Insurance premiumsSum Insured is the total annual liability under the policy. Since this is a long-term product, you should look at the maximum available cover you can afford.  Remember, a sum insured of Rs. 2 to 3 Lakhs will have no value, by the time you start using it. As per a very recent report on Healthcare in India by Tower Watson, the medical inflation in India is rocketing anywhere between 17 to 20% annual

Option of Upgrading Sum Insured: The option of upgrading the cover at a later stage when you are older is dicey and complicated. There could be a requirement for a medical test. Moreover, if you or any of the family members contact a new disease in the interim, the ailment would be excluded for the upgraded amount. Upgrade would be almost like taking a new policy at that age, which I would not recommend.

Bottom-line: Look for the highest cover affordable. An I-will-upgrade-it-later option may not work.

7. Compare Premiums for age bands higher than 45 years

Premium in Health Insurance increases as per increase in your age, but, there’s something about the no. 45. Insurance Companies dislike this no. Have a look at the rate charts, and you will be surprised to see good jump in premiums after one cross the age of 45 yrs. In some cases, the increase in premium is as high as 50%. You need to factor this, before you sign up. Ensure premium remains affordable in your retirement days, and does not kill your hard-earned retirement savings.

Note: You need to factor in that these premium charts can change even tomorrow, like they have changed earlier, but looking at the current charts for older brackets would get you a flavour of the company’s pricing philosophy for older age bands.

Bottom-line: Know how the premiums change in the long run.

8. Credibility, Check. Look at the history of the company

If it is a new company, you could look at the history of the promoters and their businesses. Generally, a company or set of promoters known for their ethics and excellent governance, venturing out into Insurance would be a decent bet. Get information from your advisor, on the overall claims experience, on responsiveness, about changes and number of changes in the product, since it was launched. Too many or too large changes, indicates there could be more tomorrow.

Bottom-line: History in the best teacher.

9. Products for older age/Senior Citizen family members.

Most Insurers, including the ones ‘specialized’ in Health Insurance resist covering members above 45 years. Remember, you need to somewhere take the responsibility of not covering your parents, earlier in their life, and not completely blame Insurance Companies for not covering them, now.

There is no perfect product available for Senior Citizens. All products for senior citizens are restrictive. You need to settle for a product, best affordable to you, even if it has co-pay, exclusions and other restrictions. Again, if your parents have existing ailments, then this becomes more complicated.

Health Insurance policies for senior citizens

Bottom-line: There is no Perfect Product. Definitely not, if you are a Senior Citizen.

10. TPA V/s Non TPA Insurance Companies

TPAs have unnecessary got caught in the blame game of high claims burning the health insurance industry. The point is, TPAs are just BPOs of Insurance Companies, and are therefore as good as the Insurance Company itself. Remember, India is the world’s processing house, and there are Indian BPOs which handle more complex health claims for large Insurance companies, the world over. Insurance Companies that have engaged TPAs better and insisted on execution of hardbound contractual agreements have not faltered on their service.

11. Government V/s Private Insurance Companies

Some consider Private Insurers better due to their modern infrastructure, their responsiveness. Some consider Public Sector to be more reliable. Private Sector would run for business and hence would be very responsive. Public Sector, are the Government’s mechanism to ensure a great healthcare infrastructure, and hence somewhat have a social angle, changes in the policy are not driven only by profits but also need to socially acceptable. You need to understand the pros and cons diligently and hence set your own expectations right for your choice.

12. Finally, Ensure you have a Good Advisor

I have always said this, ensure you spend good time in deciding, who is your intermediary. Once you have taken pain to finalize a good advisor, you are more than half way done. A good advisor is one who would provide -

a) Unbiased advice, without any special affiliation to any Insurance Company.
b) Provides Routine services like Pickups, Renewals etc.
c) Assists and Guides you at the time of Claims.

Health Insurance industry is witnessing huge changes both in products, price as well as processes, being an insider, it is sensible to have an expert on your side, who updates you on changes, their impact on your coverage and suggest change in course, in case necessary.

Bottom-line: Insurance Companies will always have their own vested interests. Have someone on your side.

Note: The other terms & benefits comparable are Pre and Post Hospitalization, Benefits like No Claim Bonus/Discount, Loading of Premium, 1-2 or 4 year waiting Period for Specified Ailments have not been considered as they do not make a very big impact on the decision to purchase Health Insurance.



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{ 780 comments… read them below or add one }

1 Rakesh May 24, 2011 at 10:26 am

Manish / Mahavir,

Excellent post. Very detailed explanation.
Mahavir, I liked your quote “A product with a lower renewal ceasing age than 70 years is a complete no no.”
Most of the private insurance companies have a limit of 70 years, unlike government companies which offer for lifetime.
Now what have the Private Health Care Insurance Agents of this blog have to say who have been mis-selling their products to the customers. Why don’t they recommend a product which will last for a life-time?

Rakesh

Reply

2 Mahavir May 24, 2011 at 7:44 pm

Hi Rakesh,

Thanks for your compliments. Cheers!

Reply

3 vilas shinde February 6, 2014 at 6:05 pm

Dear Sir,

Realy Your Knowledge ie Very Good Wich Plan You Can suggest me
me age is 28 and my wife age is 26 i can pay maximum 5k yearly premium.

Reply

4 Hitesh May 24, 2011 at 12:36 pm

Hi Manish / Mahavir,

A very good article to read before finalizing on those complex health insurance policies.
One point i would like to ask is that suppose i am taking a floater policy of 5 lacs at present (my age is 30yrs). Then after some years ( say at 45) i would think of taking a individual policy for me and my spouse because it would be more effective then.
1. So during this transition from floater to individual, will all the benefits from floater be carried forward like pre existing period etc?
2. also will it be treated a fresh policy or a renewed one ?
What points should i consider now for the transition phase ?

Regards,

Hitesh

Reply

5 Mahavir Chopra May 24, 2011 at 7:48 pm

First, you should look at Mediclaim as a long term buy. Hence, you should buy a product now, what you would need in your old. age. Answering your question, the portability from a floater to an individual product, would depend upon your insurer then. I would not recommend you to depend on such a change or portability.

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6 Hitesh May 26, 2011 at 6:54 pm

Hi Mahavir,

I am in touch with Medimanage for health insurance for my family (self -30yrs, spouse-28yrs and child-1.5 yr). I have received the options of Oreintal family floater, Apollo Standard, StarOptima and United family medicare.I have zeroed in on Oriental family floater and Apollo Standard.
Now how do i select between the two ?
1.Like in case of co pay , Oreintal has defined it to 10% but Apollo has no co pay but then i want go for long term so Apollo may add this thing later.
2.Same thing for premium loading on claims. its defined in Oriental but in Apollo its linked to bonus.
3.Also i understand that both of these have lifetime renewal.
4. Also room rents and icu rent is defined in Oriental but its unlimited in Apollo.
I need your guidance in finalising the final one based on your expereince with these two companies and also the points mentioned.

Regards,

Hitesh

Reply

7 Mahavir Chopra May 26, 2011 at 11:21 pm

I have gone through your requirement. For your specific case, in case your family has no ailments Apollo Munich is a good choice.

No one can predict how Private companies would change their pricing. terms in the future, as we still have to see how they treat senior citizens renewals and claims.

Pricing and terms in Public Insurance companies are like pricing by BSNL or MTNL. Due to their government holding and market share, they would always have huge social pressure, if they have to increase prices or apply restrictions.

For instance, the withdrawal of cashless by PSUs was front page news, while many changes in the Private sector products (some very alarming) never got noticed by the media.

If you are looking for very very long term, want to have a good balanced pricing and terms, and you have a good advisor – you could go for a PSU. Buying from a PSU without a strong advisor who believes in service can be a disaster.

If you are looking for modern infrastructure, responsiveness etc. – Private Companies are somewhat better.

It really is a personal choice.

Reply

8 Hitesh May 27, 2011 at 10:40 am

Hi Mahavir,

Thanks for the guidance. I have read your points and shall take the decision. You have given supporting reasons for both private and PSUs.

Currently i have mediclaim (individual) of my parents of Rs 1.5 lacs each from Oriental. The policy is there from last 7-8 years. My fathers age is 64 yrs and mom’s age is 62 yrs. I want to increase the cover. Should i
1. increase it in the individual form (2.5-3 lacs each)
2. or change to family floater of both (5 lacs) ?
My dad has a diabetes and have claimed for diabetic foot twice. My mom has claimed for knee joint replacement. and for a fractured foot.
Also i shall continue with oriental as there is no point in changing the company.

Regards,
Hitesh

Reply

9 Mahavir Chopra May 30, 2011 at 9:31 am

With the ailments history, no private insurance company will offer cover for your parents. An Individual policy would be better, as given the age, the risks should not overlap, leaving one of them uninsured.

Reply

10 Manu May 24, 2011 at 2:11 pm

Thanks for the detail explanation on Health Insurance policy..

Reply

11 Manish Chauhan June 5, 2011 at 1:57 pm

Manu

Many thanks for your appreciation :)

Manish

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12 Manikaran Singal May 24, 2011 at 2:37 pm

Hi Manish/Mahavir

NIce explanation on Health Insurance.
I have one doubt in point no. 3 ” Renewal age”. I don’t know about other nationalised company but National Insurance does not offer Life time renewability..for Mediclaim the maximum renewal age is 80 years and for Varishtha Beema it is 90 years.
Pls correct me if i m wrong.

Reply

13 Mahavir Chopra May 24, 2011 at 7:50 pm

No PSU Insurance company are currently denying renewal of any Mediclaim, if the policy wordings are silent. Varishtha does have a 90 years maximum renewal age, in the policy terms.

Reply

14 Marshal May 24, 2011 at 4:18 pm

very informative.. good job.. thanks for sharing..
Question: if you and your family(parents as well) are covered by your and spouse’s employer then also one should opt for heath insurance.?

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15 Mahavir Chopra May 24, 2011 at 7:52 pm

Yes, you should not depend on your employers’ Insurance cover, especially for your parents who are growing old. We have seen discontinuance of coverage for parents in very large corporates too.

Reply

16 Atul May 24, 2011 at 5:33 pm

Hi Manish,

Thanks for facilitating the article writeup.

I happen to watch program on Medical Insurance yesterday on CNBC TV-18. Both the program and article has given immense information.

Thanks once again!

Regards

Atul

Reply

17 Mahavir Chopra May 24, 2011 at 7:53 pm

Thanks Atul….

Reply

18 Vinod Dutt September 30, 2013 at 3:42 pm

Dear Team,

I am Vinod Dutt aged 31 years old. I have two kids. I want to purchase Health floater insurance Plan. Which company would be BEST as per cash less and customer satisfaction.

regards
Vinod Dutt
9034280700

Reply

19 Manish Chauhan October 7, 2013 at 8:39 am

Hi Vinod

Please contact medimanage.com directly on their website.

Reply

20 Radhey May 24, 2011 at 6:14 pm

Very informative. Keep up the good work.

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21 Mahavir Chopra May 24, 2011 at 7:53 pm

Thanks Radhey

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22 Rakesh May 24, 2011 at 6:36 pm

Mahavir,

Please also mention what companies you have been recommending to your clients and what are their feedback about it. The health-policy requirement would be for a small family which consists of husband , wife who are below 45 years and two kids. A healthy family with no pre-existing illness. In this case which company should we opt for. Your feedback would be appreciated.

Rakesh

Reply

23 Mahavir Chopra May 24, 2011 at 8:04 pm

Hi Rakesh,

The recommendations completely depend on the requirement of the customer, ailments, his outlook towards cappings, copay etc.

Also, there are some companies which have very good products, but these are good only if you have a decent advisor to represent you, for service and claims. Such products would have a different experience if bought direct or through a good intermediary.

It would be very difficult to generalize and provide a list of recommended products as per age.

Reply

24 rah80 May 31, 2012 at 8:07 am

Hi

-Can you please elaborate on the role of good intermediary?
-Who is the intermediary here? How does he affect a claim request?
-There are not many PSU -health insurance companies, is it that difficult to tell which is the best among them, based on claim histories, service and turn around time?

IMO it is always better to stick to a trusted PSU health insurance provided it is managed well, less bureaucratic and has good network of hospitals. You never know when the private companies unduly change their terms and conditions.

“The very thin line or the smallest font sentence in the policy agreement”

rah

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25 Mahavir Chopra May 31, 2012 at 9:57 am

Hello Rah,

This is clearly mentioned at the end of the article. Let me reproduce the same to you:
A good advisor is one who would provide minimum of the following services -
a) Unbiased advice, without any special affiliation to any Insurance Company.
b) Provides Routine services like Pickups, Renewals etc.
c) Assists and Guides you at the time of Claims.

A good intermediary, can understand claims better,
- ensure you are aware of and follow various rules and procedures important for the claim to be passed,
- hand-holds you with the paperwork,
- follow up regularly with the Insurance Company/TPA,
- coordinate to ensure the payment reaches you.
- If a claim is denied, such an intermediary can help you understand the reasons. If the reasons are not satisfactory he can help you in lodging grievance with the specified authorities.

In short, he does all the coordinating work regarding the claim, while you can concentrate on your work.

PSU Insurance companies still do not have a service mechanism of their own. They depend on Intermediaries themselves. For instance, a PSU will not send a runner boy to pick your renewal cheque, or your claim papers. IMO, Service from PSUs are very much dependent on Intermediaries and TPAs.

I personally visit so many PSUs and have seen how people who have bought policies are treated. I would not in my wildest dreams think of dealing directly with them :)

A Good advisor also has better negotiating skills (due to the volume of business), better rapport and relationship, which one can leverage.

Yes, Private Companies are Profit conscious and hence would taken rigid steps to ensure they protect that. But there is also a different perspective, “a business needs to be profitable for it to serve me, if it does not, it could shut shop, and I could be stranded.”

Finally, it is a personal choice.

Regards,

Mahavir Chopra | http://www.medimanage.com

Reply

26 rahchand May 31, 2012 at 10:51 pm

Ok so middle men here also.

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27 SHAKIL SHAIKH May 25, 2011 at 5:53 pm

Nice Atricle…. Keep up the good work….

As an expert I need your inputs on my query on health insurance.

I am in 31 and have a health insurance (family floater) of INR 3 lacs from ICICI Lombard covering self, wife (30) and daughter (1)

My parents were staying abroad and have recently joined me in Mumbai. Dad (56) and Mom (51) are fit, healthy and fine. My mom is a diabatic from last five years (basic stage, under control and is on medication). I recently visited a diabatic speacialist doctor in Mumbai and after going thru all my moms test the doc is impressed on the way my mom is maintaining her sugar level.

As per my understanding my parents don’t need any medical attention for the next 4-5 years. But still i wish to take a health insurance for them. I am planning to buy family floater for all of us and have zeroed on Oriental Insurance – Happy Family Floater plan. I wish to go with a sum assure of 7 lac for which the premium comes to approximate twenty thousand rupees.

Before purchasing Oriental policy i thought it would be wise to discuss this with you and take your inputs.

Besides above should i also buy a Diabetes Safe policy offered by Star Health Insurance for my mom.

Thanks for going thru my query – i appreciate your reply….

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28 Mahavir Chopra May 25, 2011 at 6:13 pm

Hi Shakil,

Its great to hear that you believe in long term investment in Health Insurance.

Oriental Happy Family Floater is a good product for Parents – in the long term, and even better if you are buying a cover above 5 Lakhs. If you can afford, I would suggest you take the full 10 Lakhs cover.

Since Government Companies do not have a customer service mechanism and have a TPA, ensure you have a good advisor who will coordinate for any service required + help you at the time of claims.

Again Diabetes Safe is a good policy for Diabetes Mellitus II patients.

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29 Shakil Shaikh June 9, 2011 at 4:44 pm

Hi Mahvir & Manish

Shed some more light on buying Critical Insurance….

For a guy like me who is 31 and has a health insurance (family floater) of INR 3 lacs from ICICI Lombard covering self, wife (30) and daughter (1)

I will be taking a Oriental Happy Family Floater for my parents includine self, wife and my daughter – the cover will be between 7 to 10 lacs.

I think i need to cover my self with a critical illness insurance. After doing my research i feel Bajaj Allianz yearly premium is reasonable but the problem is that they only cover 10 major critical ilness. What is your comment on this…. Thanks….

Thanks for

Reply

30 Mahavir Chopra June 9, 2011 at 7:41 pm

Shakil,
You are taking very good steps at covering you and your family. Critical Illness and a good comprehensive cover under Personal Accident is a must for every earning individual with a dependant family.
Reg. Critical Illness Policies, Life Insurance Companies offer better more comprehensive cover than General ones.

ICICI Pru’s Crisis Cover and Max NY’s Lifeline Wellness Plus are some of the good plans. These cover more than 30 conditions. Of course, they are substantially expensive. Worth the investment, in today’s times.

People generally forget the modest and humble Personal Accident Policies. Please do ensure you have a very good cover for Disability as much as you have for death.

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31 Ravi May 2, 2012 at 4:16 pm

I bought a CI policy from Bharti AXA for 5 lacs. I am posting this on the website as an experience for people who want to opt for this. It has been over a month now since money has got debited from my account. I have recd. only premium statement from the company so far, that also by email. The papers pending include health card, policy wordings,policy schedules, 80d certificate. Assurances are being given by three seperate departments regarding resolving the matter at the earliest including the advisor but of no avail.
Hence my request is readers please post experiences and read them before deciding about any company and plan.

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32 Manish Chauhan May 3, 2012 at 10:54 am

Ravi

Thanks for posting your experience , I am sure it will help a lot to others

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33 PARKASH CHAWLA May 27, 2011 at 2:47 pm

DEAR MAM
YOU CAN BUY NATIONAL INSURANCE PARIVAR MEDICLAIM POLICY PAY 10% EXTRA PREMIUM YOU CAN COVER DIABETES FROM 1 ST DAY
ONLY ONE POINT THAT SINGLE CLAIM LIMT IS 50% S.A.
I AM ALSO AGENT FROM NATIONAL INSURANCE DELHI.
IF YOU WANT,I CAN DO IT FROM DELHI ALSO & ICAN HELP YOU IN CASE OF CLAIM IN MUMBAI

Reply

34 Kishore May 25, 2011 at 10:40 pm

Nice article! Very informative!

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35 Mahavir Chopra May 26, 2011 at 11:22 pm

Thanks Kishore.

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36 raj May 25, 2011 at 10:58 pm

Dear Mahavir,

A very important aspect has been totally sidelined i.e. Medical Policy from an Agent vs Policy from a Bank. This query has been posted in All the Health related articles, but somehow never replied to.

The Benefits are as under:
1. Huge financial Benefits of purchasing Medical Insurance policy of a NATIONALIZED Insurance through a Bank?

I think these are best products at very reasonable rates, as compared to policy through agents. It is just like Newly Launched and now widely popular Online Term Plans, that save a lot. Here there is no intermediary, so Agents don’t get anything so no ONE recommends these products. But these are not available online. But are really very Cost Effective.

2. FIXED Premium for Health Policy!! Yes, you read it right. In these Policies, the PREMIUMS are fixed for age upto 60 to 80 years.

Some unanswered queries:

3. I understand that a health policy taken through a Bank is a Group Health policy? Then what happens if the contract between Bank & Insurance company terminates?
(a) The pee-existing cover is transferred i.e. is taken to One’s next Policy from same insurance company? OR
(b) Loose all the benefits incurred till that date & Start afresh.

4. Is it possible, there could be difference in coverage aspects between policies taken from same Insurance Company through an Agent or BANK AS AN AGENT?

5. What about portability differences of these health policies? (Same insurance company but one purchased through an Agent & other through a Bank (as an agent))

6. Why such a huge difference between premium of Policy taken through an agent VERSUS Policy taken from BANK (as an agent) from same insurance company?

Regards and thanks

Reply

37 Mahavir Chopra May 26, 2011 at 11:03 pm

The dependance on a Group Insurance for a Health Insurance cover is no more sensible, be it a policy through your employer or a Group policy from your Bank. Insurance Companies are on a strict correction spree and no company is being subsidized by taking losses, however large the corporate is.

The difference in premium and benefits is short term, and gradually this gap is being filled.

Currently Banks are providing cover to everyone who has a bank account. In fact there are so called advisors in the market, whose job includes getting a savings account opened, just to enable purchase of such policy.

All such policies have not been long term. Terms can change, Premium can change, whenever the group shows a loss. So your terms would depend upon how your entire group claims and not you. We would NEVER recommend you to go for such a policy, unless you dont have any other choice.

Answering your questions:
1. If the contract terminates, there is no provision for porting it to any other policy of the company. A good insurance company may port policies to the other products with conditions. Policies with senior citizens would face huge resistance for porting. In most cases, you will lose all benefits and will have start afresh.
2. Yes, the product through bank could be a group cover with a certificate of insurance provided, or could be a separate product filed with IRDA. This product could be different from the open market products.
3. Portability will work only for young families. Older insured members will not really enjoy portability, as Insurance Cos. are bound to create road blocks (Read Loading, Exclusions, Cappings) to take such customers moved into their product.
4. As mentioned, the policy taken from Bank is a group policy, hence the premium is a negotiated one. If it is a Retail product, again, it is a separate product filed with premium discounted for volumes committed by the bank. Note, there are some policies which are expensive when bought through bank vis-a-vis directly. For instance HSBC used to sell Bajaj Policies over phone to its credit card customers. This product was more expensive than the open market one, and had a renewal ceasing age of just 55 years.

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38 raj May 25, 2011 at 10:58 pm

Some unanswered queries:

3. I understand that a health policy taken through a Bank is a Group Health policy? Then what happens if the contract between Bank & Insurance company terminates?
(a) The pee-existing cover is transferred i.e. is taken to One’s next Policy from same insurance company? OR
(b) Loose all the benefits incurred till that date & Start afresh.

4. Is it possible, there could be difference in coverage aspects between policies taken from same Insurance Company through an Agent or BANK AS AN AGENT?

5. What about portability differences of these health policies? (Same insurance company but one purchased through an Agent & other through a Bank (as an agent))

6. Why such a huge difference between premium of Policy taken through an agent VERSUS Policy taken from BANK (as an agent) from same insurance company?

Regards and thanks

Reply

39 deepak May 25, 2011 at 11:10 pm

hi mahavir/manish
thnx for the this informative article:) my query is what are the process for nri to buy health insurance and do we need to be present in india at the time of buying insurance.
thnx
deepak

Reply

40 Mahavir Chopra June 6, 2011 at 9:41 am

Hi Deepak,

Ideally, you should be present in India, when you sign up for a policy.

With eCommerce in full swing in various industries in India, this does not seem to be a practical requirement.

Reply

41 Sujit Singasane May 26, 2011 at 1:23 pm

Hi Mahavir /Manish,

Thank you for above information. I am 38 yrs old and I have taken Star heatlh floater policy (optima) for 2A and 2C for 10L. After reading this article, I was wondering if I made a right decision as Star health is till 60 years of age. I called customer care, they informed me that, it will get convereted to senior citizen policy. What are the pros and cons in this situation

Thanks-Sujit

Reply

42 Mahavir Chopra May 26, 2011 at 11:12 pm

Hi Sujit,

The product you would be ported to at age 60, would have a 30% Copay on all Claims, Capping on all major surgeries. As per current terms of Star Red Carpet, for your coverage (of Rs. 10L) the limits would be Rs. 1.50,000 for Treatments related to Cardiac, Renal Failure and Breakage of Bones. Rest Major Surgeries would have a limit of Rs. 1,20,000/-

You need to take a call now….

Reply

43 Kalinga Kumar Rout December 16, 2011 at 6:55 pm

The Star health- family Optima renewal age was extnded to 65 yrs. after that you can move to Mediclassic individual policy which Continue for 80yrs.with no Co-Pay ,after that you can move to Sr. Citizen policy for life time with co-pay structure.

Reply

44 Viraj May 27, 2011 at 12:22 pm

Hi Manish/ Mahavir,

I think that loading charges is a significant factor that should be taken into consideration. I had a policy with ICICI Lombard & was only informed about the loading charges after I had already taken the policy. Effectively if you take a claim of Rs 1-2 lakh your premium goes up by 50%. That’s pretty significant! So, I changed to Apollo who do not have a concept of loading charge. I think that IRDA should ban loading charges, as you are penalized for falling ill. The whole point of insurance is that the company should come to your rescue in the time of need and also should calculate premium based on calculations of average cost per insured.

Reply

45 Mahavir Chopra May 30, 2011 at 9:34 am

I agree Loading on an individual’s premium is unfair. These are nothing but an Insurance Company’s way to “correct” premiums, which have been calculated without any demography and health data made available by the Govt./IRDA.

Reply

46 AMIT DOSHI May 27, 2011 at 1:36 pm

Hi,
I have an individual Mediclaim Policy from Oriental Insurance of Rs 5 Lakh each for my spouse, myself and for my kid who is just 2 &1/2 yrs old. In the month of March, I applied for enhancement to Rs 10 Lakh each for myself, wife & kid but Oriental without assigning any reasons did not enhance my cover & asked me to go for their Floater Policy. I am 38 yrs old and have no claim history till now [ even no claims for any of my family member] but still they are not ready to enhance my individual claim to Rs 10 Lakhs. Even agent is not bothered to help me out whereas Oriental has a internal circular which states policy could be issued to Rs 10 Lakh individual cover by way of issue of separate policy of Rs 5 Lakh [ right now I have single policy with cover of Rs 5 Lakh].
Can You help me out in this regard? I have also gone through Max Bupa Family Floater Policy [ Family First]. Could you pls guide me on this though in the first instant I would like to enhance my individual cover to the extent of Rs 10 Lakh from Oriental .

Reply

47 Mahavir Chopra May 30, 2011 at 9:28 am

Hi Amit,

In my humble opinion, you should go for an additional 7-10 lakhs of family floater with Oriental. This will be enough cover for a long time. Ensure they give you continuity benefits.

The other option is to look for another company’s product. Try to see if they can offer you continuity. Apollo Munich provides continuity if you submit renewal notice and policy copies.

Reply

48 AMIT DOSHI May 30, 2011 at 11:54 am

Hi Mahavir,

Thanx for your valuable feedback. I have gone through the floater policy details of Oriental Insurance and in their product brougher they have mentioned that this policy is renewal till 65 Years of age and therefore I am worried what will happen after my attaining 65 yrs of age and at that point of time need for medical insurance becomes a much necessity. Though my first preference is with Oriental only as I do have my individual policy with them but this renewal age criteria has pulled me back to think about floater
policy of Oriental.

I have gone through MAX BUPA Family First Policy though premium charged by them is quite high as compared to others but since I do have individual cover of Rs 5 Lakh from Oriental then I am thinking to get floater cover from MAX BUPA as they provide lifetime cover without TPA [ though Oriental provides renewal till 65 yrs only] .

Could you pls share your valuable thoughts on this?

Reply

49 Mahavir May 31, 2011 at 10:03 am

PSU Insurance Companies, cannot deny renewals at any age. This is the biggest plus in the PSU companies. Maximum that they can do is migrate you to a standard individual policy with full continuity. You need to understand, that PSUs are already renewing policies of people as old as 90 and 95, whereas, we still need to wait and watch how Private Insurers behave when they have volume claims from such a senior population.

Max is a good product. Only note, that after 65 years, there is a copay of 20%. This is a point which most don’t know when they bought this product. The call center does not talk about this point, while selling.

Reply

50 AMIT DOSHI May 31, 2011 at 5:06 pm

Hi Mahavir,

Thanx a lot for the feedback and I think now I have made up my mind to go for Oriental as you have rightly pointed out about PSU’s Plus points.. Even as I mentioned earlier, since I am having individual Policy with Oriental, so its better to stick with one insurer only as they have all History with them .. Thanx a lot once again and Manish Thank a lot to you also for providing such a wonderful Platform to clear our doubts…

Keep it up…

Reply

51 AGB May 27, 2011 at 7:40 pm

Hi,
I am 29 years old and working in MNC. they are providing the health insurance to me. I have two dependents mother(51yrs) and brother(36yrs) (disabled – deaf and dump). I would like to take health insurance for each of them. what is the best one can i go for. I am looking for policy to help if any major need in life as they erode most of my savings.

Reply

52 Mahavir Chopra May 30, 2011 at 9:23 am

Hi AGB,

Spend time in shortlisting and recruiting a good mediclaim advisor. Ensure you compare features mentioned above. This should do the trick.

Reply

53 Abhishek K May 28, 2011 at 8:38 pm

Hi Manish,
I just want to share that fortunately the company in which I work provides very good health insurance option for my family and my parents.
For me, my wife and first two kids the premium is Rs6500, out of which 3000 is bore by the company.
For my parents and in laws the premium is Rs6300 each.
The highlights of this insurance scheme is:
1. There is noting like no coverage due to Preexisting condition
2. You can claim up to Rs5000 as domiciliary expenses.
3. claim processing time is very quick
4. Your HR will help you if you have any issues with the Insurance company
etc.
From this what I want to share is, don’t ignore the health insurance scheme your employer is providing you if you have an option.

Thanks,
Abhishek

Reply

54 Mahavir Chopra May 30, 2011 at 9:22 am

Hi Abhishek,

Health Insurance is usually bought for a long term. If you have immediate healthcare cost, then such policies are good. The flip side of such policies are they are active, till you are an employee of this organization and hence they are not long term.

Another bad news is most large and very large companies are discontinuing Parents Health Insurance.

Enough reasons to look for your own mediclaim for your parents.

Reply

55 Abhishek March 3, 2014 at 12:22 pm

I never heard that large and very large companies are discontinuing Parents Health Insurance.

Can you pls provide some link/url which says this?

Reply

56 Manish Chauhan March 3, 2014 at 12:39 pm

Yes, its happening these days and thats one of the huge disadvantages of group cover from employer – you can read about it here – http://www.jagoinvestor.com/2012/07/group-health-insurance-policy.html

Reply

57 anshuman May 31, 2011 at 5:53 pm

I need your inputs on my query on health insurance.
I am in 30 and i work for a PSU which provies medical failities to its employess. and its dependents in their own hospitals. My parents are listed as my dependants but they dont stay with me all the time. Dad (60) and Mom (54) are fit, healthy and fine. My dad recently had to undergo hernia operation..which we decided to get done at FORTIS , bangalore. company hospital was not preffred due to multiple reasons. total cost of arnd 70K was paid by me but the facilites offred at fortis was superb and the recovery has been excellent.This event has triggered the search for health insurance policy.
i was thinking of some family floater whcih can cover all of us i.e dad, mom, myself, wife(27yrs), son (2yrs).. i live in place called bhilai near raipur …while my parents are staying most of time at lucknow…pls suggest what are the options available and wich suits my needs the best.

Reply

58 Mahavir Chopra June 6, 2011 at 9:48 am

Hello Anshuman,

I think most Govt. employees depending on Govt. Healthcare, would face this issue. Govt. budgets and involvement in creating Healthcare infrastructure does not seem to be heading anywhere. Only a good health insurance policy can empower you, to get the best of healthcare facilities and treatment for your parents and you.

You must go for as large a coverage, as possible for you.

As mentioned earlier, you need to spend time finding the right Health Insurance advisor who will understand your requirement and detail, give you unbiased recommendations and also assist you at the time of claims.

You may go for Oriental Insurance’s Happy Family Floater for a cover above Rs. 6 Lakhs, provided you have a good long term health insurance service provider.

Reply

59 anshuman June 6, 2011 at 12:17 pm

Dear mahavir,
thanks for the advice. can u pls elaborate the benefits of choosing oriental insurance company happy family floater plan. This plan’s name has cropped up several time during this post , so i am interested in getting more details about it. plus what it means to have a LONG TERM HEALTH INSURANCE SERVICE PROVIDER?? are u referring to an agent or a person at this company who can get me a better say at the time of claims???

Reply

60 Manish Chauhan June 6, 2011 at 12:49 pm

Anshuman

By long term health insurance provider , it means that a policy which allows renewal till maximum age (like max bupa) .

You should enquire about the oriental from its websites and see if it fits your need or not .

Manish

Reply

61 Mahavir Chopra June 9, 2011 at 4:58 pm

Hello Anshuman,

By long term service provider, I meant the Insurance Company, as well as your advisor. Recruiting a good advisor with a background and long experience in managing Health Insurance and their claims, is very important in Mediclaim, especially in India.

Reply

62 mukul June 1, 2011 at 11:42 am

i got a doubt about spliting the health expenditure incurred.suppose due to some illness, a bill of 2 lakhs is incurred. now supposedly i have 2 different health policies of 1 lakh each, can i claim it as 1 lac + 1 lac for each policy, such that my total cost is recovered?

Reply

63 Mahavir Chopra June 4, 2011 at 7:31 pm

Hi Mukul,

Yes, you can claim from both policies and recover your actual costs.

Reply

64 Prashant June 2, 2011 at 11:18 am

Hi Manish,
I have just one question about any Family Floater health Insurance.
Currently I leave with my wife, and have no child.
Whether Family Floater health insurance will also applicable in our child in the future with the same-premium?

Regard,
Prashant

Reply

65 Mahavir Chopra June 4, 2011 at 7:29 pm

Hi Prashant,

You will be able to add your child in the same Family Floater. Most policies allow additions when your kid is 3 months old. However, there would be additional premium charged.

Reply

66 Prashant June 2, 2011 at 12:37 pm

Is any provision to change/move the Health-Insurance plan from Individual to Family-Floater?

Reply

67 Mahavir Chopra June 4, 2011 at 7:28 pm

Most Insurance Companies would help you in converting to Floater. Talk to your agent.

Reply

68 zubair June 3, 2011 at 12:32 pm

Hi Mahavir,
What’s your take on recently introduced LIC’s jeeven arogya?

Thanks
Zubair

Reply

69 Mahavir Chopra June 4, 2011 at 7:22 pm

LIC Jeevan Arogya is a Defined Benefit Product, which provide lumpsum benefit for no. of days hospitalized and type of surgery, irrespective of the actual expenditure. Such products are not comparable to the standard Health Insurance products from General Insurance Companies.

You can read my blogpost, in case you want to know more: http://bit.ly/jICjcJ

Reply

70 Prakash June 4, 2011 at 6:24 pm

How is Amsure health Insurance, product of Royal Sundarum run by AMWAY.
How is ICICI Health Saver policy.
I am 29 yr old and i want medical insurance for my family (me, wife, one child) and for my parents (50-55 yr old) separately. Please suggest good policy. Thank you.

Reply

71 Mahavir Chopra June 4, 2011 at 7:27 pm

Hi Prakash,
Have no idea about Amsure Health Insurance product, as it is sold only by Amway Business Owners. I would however, stay away from any financial product which is sold through MLM.

If you don’t have any insurance of your own (other than your Employer enabled one), you need to first look for a Standard Health Insurance product from a General Insurance company, and not a Return of Premium or Hospital Cash kind of product.

Please look for a good advisor/service provider to guide you through.

Reply

72 Atul June 6, 2011 at 6:39 pm

Hi,
I am 32 years and my wife is 31 years. My daughter is about 2 years. What do you think is better option for us? Individual policy or family floater? Can you please help me understand with pros and cons of each of them?

Thanks,
Atul

Reply

73 Mahavir Chopra June 9, 2011 at 4:55 pm

Hi Atul,

At your age a Family Floater with a coverage amount of more than 5 Lakhs should be good enough. If you can budget, go for a Rs. 10 Lakhs family floater cover.

Family Floater would provide a larger but shared coverage, the only big negative would be if there is a large claim from one of the family member, the other members would be left with the remaining low cover for the remaining period of the year. So in case there are more than or 2 very large claims in a year, there could be an issue.

Individual Plans work out to be expensive. Here, assuming you would buy lower coverage than what you would buy as a Family Floater, the limit offered to any individual would be restricted to his limit.

For instance, if you take 2 Lakhs Individual Policies vis-a-vis a 5 Lakh Floater. In case of one claim Rs. 2.50 Lakhs, you would pay min Rs. 0.50 Lakh from our pocket.

Reply

74 Shailesh June 9, 2011 at 7:54 pm

Refrain from MaxBupa -
Do NOT ever buy a policy from Max Bupa. I bough two policies for me and my wife this March. I filled up a form using their site and a customer care executive called me. I have clearly mentioned that I want a policy for myself and my wife. They have charged me for two policies and later I found out both the policies are in my wife’s name. I am writing mails to their customer care service but no solution yet. For everything they want me to talk to an executive and every time there is a new person over phone. I explain him/her the whole case but nothing has happened till date.
I would say better to go for any other insurance policy provider but not Max Bupa.

Reply

75 Manish Chauhan June 10, 2011 at 10:44 am

Shailesh

Bad to hear about your experience . Companies need to smoothen their processes so that customers can have good experience else slowly they will loose some good customers .

Manish

Reply

76 Dr Prashant Dahire June 12, 2011 at 7:08 pm

Hi Manish
Very bad experience with Medimanage.com
my elder brother had applied for health insurance policy through medimanage.com, they had given 4 different quotes so he had selected appolo standard and yesterday he had purchased online through their portal, on same day they called back and said to my brother that you had pre-existing disease (diabetes) and apollo will not consider your disease so you purchase oriental (another quote they had given) and whatever the difference will paid to you but my brother was upset with their service because he already mentioned the pre-existing disease (diabetes) he had to them and after that they had given 4 different quotes and after purchasing they are saying that you buy the different one, so he told them he do not want to purchase policy and return my money, they told him that money will directly deposited to your account after 8 days.
my elder brother had done this because i advised him to go through medimanage.com so i m feeling guilty with my advice
so i request all readers, this thing u should keep in mind while bying health insurance through the portal like medimanage
Dr Prashant Dahire

Reply

77 Manish Chauhan June 12, 2011 at 7:50 pm

Dr Prashant

Sorry to hear that , Let me ask Mahavir to explain .

Manish

Reply

78 Mahavir Chopra June 12, 2011 at 9:37 pm

Dear Dr. Prashant,

I just spoke to the team and understood the case.

Please accept my sincere apologies for this lapse.

Though the advisory team is experienced and rigorously trained on Policy Wordings and procedures to give our customers relevant and detailed comparison and recommendations, in this specific case, I accept, we failed, when we gave comparison of a product which was not suitable to your brother.

Our call within an hour of your order, and immediate processing of the refund by the team was a quick measure to recover the damage done and inconvenience caused to your Brother. The 8 days for refund is the usual time the bank and the PG service takes for a Refund.

However, as an online consumer myself, I completely understand the agony such a lapse can cause.

We are very committed at providing the most cutting edge advise to Health Insurance customers. Our articles, our blogs, our comments on this blog, all our an effort to help people buy the most suitable mediclaim products with full knowledge of the terms.

Your complaint has been very helpful for our team, and we promise to take detailed measures to ensure such an event never repeats. I would personally ensure your brother is delighted with our services.

Apologies again…
Mahavir
Head of eBusiness & Personal Lines

Reply

79 Dr. Prashant Dahire June 12, 2011 at 11:57 pm

To Manish

Thanks Manish for such a quick help
Definitely my brother will be delighted after reading this response.

To Mahavir

My brother was bying health insurance online first-time and he experienced such lapse, anyone can upset.
But after reading your quick follow up and reply my brother will definitely bye policy through medimanage.com but please suggest him the suitable one.

Thanks
Dr Prashant Dahire

Reply

80 zubair June 13, 2011 at 12:37 pm

Hi mahavir,
I am in the process of buying family floater from medimanage.
self – 39, wife-31, daughter-7, son-3. sum assured 5lac
Your team has proposed 3 provider, Oriental’s Happy family Floaters(silver), United’s Family Medicare and New India’s Family Floater.
For Oriental, there is 10% copay and loading is 5-20% but no sub limit on treatment.
For United, loading is 25-100%, no copay and sub limit on treatment.
For New India, loading “policy is wording is silent”, no copay and sublimit on treatment.
It is really confusing for me to decide as one isurance provider has something which others doesnt and vice versa.
I read the document of new india but couldnt understand on loading part, can you shed light on this. Also they have mention some ZONE which i couldnt understand.
I am planning to increase the sum assured, will the policy terms be same?
Please provide your insight and what will be a better deal?

Thanks
Zubair

Reply

81 Mahavir Chopra June 13, 2011 at 12:56 pm

Hi Zubair,

From what I understand your family is suffering from certain ailments, and hence we have recommended you PSU Insurance Companies.

In your case, Oriental’s Floater with a cover of Rs. 6 Lakhs would be suitable. There is no Copay in Oriental for Sum Insured of Rs. 6 Lakhs and above.

Reply

82 Zubair June 20, 2011 at 4:17 pm

Hi Mahavir,
Based on your suggestion i have decided to go for a 7lac oriental happy family floater and i have informed medimanage the same. One more thing that i would like to add as an extra protection which is personal accidental policy, can you name few product which provide a higher sum assurance in this category.

Thanks & Regards
Zubair

Reply

83 Mahavir Chopra June 24, 2011 at 5:26 pm

Hi Zubair,

Personal Accident Insurance is as important a cover as Term Insurance and Mediclaim, as it covers loss of earnings on account of disability. In the digital world that we live, if one loses just 2 fingers, he could lose substantial ability to earn.

You should go for a separate cover in Personal Accident. The plans which provide a comprehensive cover with some new age coverages are Bajaj Premium Personal Guard, Apollo’s and Tata AIG’s Personal Accident Policy.

Coverage on Personal Accident should be as high as Term Insurance coverage.

Thanks.

Reply

84 Zubair June 24, 2011 at 5:45 pm

Hi Mahavir,
I am looking around 1 cr policy, but bajaj is only upto 25lac. I will have a look at TATA and Apollo.

Thanks & Regards
Zubair

Reply

85 Mahavir Chopra June 24, 2011 at 5:59 pm

Bajaj does have a cover for 1 Crore in Personal Guard. There is no limit to the coverage in PA. Like Term Life, the limits are set as a multiple of your earnings.

Reply

86 zubair July 21, 2011 at 2:17 pm

Dear Mahavir,
Your team suggested Apollo Personal Accident. One short fall i see is terrorist attack is not covered. What’s your advice.

Thanks & Regards
Zubair

Reply

87 Mahavir Chopra July 25, 2011 at 11:20 am

Hello Zubair,

You can go for Tata AIG, which is also in the recommended products. Tata AIG covers Terrorism.

Reply

88 zubair July 30, 2011 at 6:57 pm

Dear Mr.Mahavir,
I have gone through both apollo and tata. Each has some good points which are not present in other. like tata has terrorist cover where as apollo has more defined coverage table for hand and leg disability. Is it advisable to take 50-50 cover? Sorry i am taking long on this but i am more confused then before and i need to be sure if i am taking the right policy.
Thanks for your time

Reply

89 Mahavir Chopra August 12, 2011 at 9:19 am

Hi Zubair,

Apologies for missing this.

Yes, you can go for 50:50 Cover and get both claims, you need to declare that you are applying in both the proposal forms.

Reply

90 vishal June 18, 2011 at 4:29 pm

Hello Manish/Mahavir,

Excellent work and excellent helpful advices..

I need your advice, I am 31, my wife is 28 and have a 1 month onld son. Am covered by company insurance policy. Do not have any individual policy.Am a resident of bangalore.

My brother (unmarried) and my parents Dad (66yrs) & Mom (57 yrs) are residents of Kolkata.Brother and mom does not have medi insurance. For my Dad I ahd taken Reliance Individual Policy in 2009 for 2,00,000 with premium of close to Rs.5000. In 2010 I made a claim for Dad for Hernia Rs.31000 cashless and 9000 post hospitalisation.

Now am about to renew my Dad’s Insurance (Due Date is 24th June) and am thinking for Insurance for my family as well as my Brother and Mom.

Am confused on how can I go about it which gives me maximum benefit and also is cost effective. Non of us have any ailment except me and my brother may be slight over-weight and Dad has gone thru Hernia operation last November, for Mom has the routine joint pains etc age related issues

You advise will be really helpful and appriciated.

Vishal

Reply

91 mahavir chopra June 18, 2011 at 5:13 pm

Thanks Vishal,
Its high time you get your entire family covered for mediclaim. If you are looking at a good floater you can go for a cover of more than 6 lakhs cover with Oriental Happy FLOATER plan for your brother +father +mother. You should buy a floater of atleast 4 lakhs for you, your wife and kids. This could be Apollo or Oriental. Apollo may charge aa loading for being overweight. Good luck.

Reply

92 vishal June 18, 2011 at 6:37 pm

Thanks for the quick response Mahavir.

If am not worng about 1.5 or 2 yrs ago I was looking for the Floter for my Dad+Mom+brother,at that time I think i saw Oriental Happy Family floater on their website and think that the terms were if the proposer is below 30 no medical test is requires and he can add even senior citizens in the policy like mom,dad,inlaws and no test will be required for them, also the renewal for each of them will be till the proposer is 75 or 80 years. However, now I don’t see these terms on their website. I may be wong but this is wha ti saw then I believe. Please could you help me clarify this.

Also if a test is required for my parents , I have heard the tests are many and chances are high of rejecting or excluding many conditions. For this reason I got my dad a Reliance Policy at the age of 64yrs in 2009 without any preexisting condition, this would not have been possile in PSU insurance company.

Many Thanks Again for the advise.

Reply

93 Mahavir Chopra June 24, 2011 at 5:54 pm

Hi

Oriental Family Floater allows a proposer upto the age of 55 years. You can cover dependants (Spouse/Parents/Kids/In-laws) upto 60 years without medical tests.

PSU Companies have an internal mandate to not deny renewal, they will either extend the cover or migrate you to another plan.

In my opinion, Govt. Insurance Companies are more liberal in covering Pre-existing ailments that Pvt. companies which simply apply a blanket permanent exclusion to every pre-existing declared/detected.

Reply

94 Hitesh June 25, 2011 at 5:41 pm

Hi Mahavir,

Currently i have an individual insurance of Rs 1 lac each for my spouse and me from Oriental. But after going through the article i have shortlisted two companies namely Apollo and Oriental and have planned to take a family floater of 3lacs or 4 lacs . My age is 30 yrs with no illness history . Family consists of spouse – 28yrs, son 1.5 yrs and self 30 yrs. I am confused between the two companies plan. Which plan should i go for ?
In Oriental there is co-pay, loading and 4yrs waiting period but the company is old and does the renewal after 65 also (correct me if i am wrong). In Apollo there is no co-pay, no loading, and the company slightly new and yet to be observed for renewals of senior citizens and increase of premiums.
Kindly guide me to finalize on the plan.

Thanks ,

Hitesh

Reply

95 Mahavir Chopra June 25, 2011 at 6:08 pm

Hello Hitesh,

If you have no illness history, you can go for Apollo Munich or even Max Bupa.

Oriental is not a bad choice either. You can go for a cover of Rs. 6 Lakhs and above and avoid Copay. Loading in Oriental is not bad, with maximum loading being 20%. If you have no current ailments, the 4 years clause is not applicable to you.

However, yes, in my personal opinion, we still have to wait and watch how private companies handle senior citizens, and how they will react to claims from a large population of senior citizens in their kitty, another 25-30 years from now.

Also, there is a concern which I see when further consolidation of Pvt. Insurance Companies happen through mergers and acquisitions (Royal Sundaram, Bharti Axa are already on the block).
The service philosophy (on the basis of which you signup) can completely change with a major change in management and/or ownership, of a private company. Royal Sundaram customers coming under the aegis of Reliance ADA group will now face Reliance Customer service.

So its actually a personal choice – You want to go for the tried and tested, but slow and conservative – PSUs or the new and innovative, but not tested Private players.

Mahavir.

Reply

96 Hitesh June 25, 2011 at 6:27 pm

Hi Mahavir,

Thanks for your detailed explanation and guidance. I am more tilted towards Oriental because at least they have defined the limitations like co-pay , loading waiting period etc but in pvt. companies at present its a rosy picture and then after some years they will start putting copay, loading etc and then since health insurance is a one year contract, then we will have to adhere to new rules.
Suppose i start with 4lacs of cover (with oriental)today and later maybe after 3-4 yrs increase it to 6 lacs , so at that time will the co-pay be effective or not?

Thanks,

Hitesh

Reply

97 Mahavir Chopra July 25, 2011 at 11:12 am

Sorry, I missed replying this one.

IMO, you should invest in the highest sum insured you can afford NOW. Increasing sum insured has a lot of dynamics in the future, specially if there is an ailment detected.

Reply

98 Hitesh August 27, 2011 at 4:46 pm

Dear Mahavir,

I had approached Medimanage for the medical insurance assistance with all my current policy details. I will just brief about it. I had individual policy of 1.5 lacs each for my mom and dad from Oriental. Even i had a individaul policy from oriental but i kept on changing the premium every year as i not knowing the importance then.The advisor with whom i have been taking these policies is also an employee of Oriental, so i decided to approach a agency where i wil can get some options
This year when i approached Medimanage, everthing went fine, right from giving my existing policy details to getting options to meeting the executive at your office to filling up the forms. Now my ploicies expire every year in July last week. With medimanage, i had decided to take a family floater of 4lacs for my spouse, son and me and continue the current 1.5lacs individual policy for my parents. I also got an option to increase my parents cover (senior citizens) with some additonal premium. With all these things, i decided to go family floater of 4 lacs for my family and 1.5 lacs each for parents. When i had filled up the forms and was just suppose to give the cheque for the premium, i got a call from my agent to inform me about the renewal my policy. This all happened around mid of july. So i told my agent that i have approached Medimanage and i am taking the policy through them. I was sure that since the Insurance company is same , then there will no mess in changing my current advisor.
But when i told him that i am switching over to new advisor, he told me that u have to take the policy through his branch of Oriental (TPA – MD India). What iwas offered at medimanage was Raksha TPA. At first i did not belive him as there can be no problem when we are taking the policy through same company. But than we all 3 (my advisor, medimanage representative and me)had a conference call and at that time he was 100% sure that if i take the policy through some different branch and different TPA , the policy will be treated as a fresh policy. Also my parents sum insured cannot be enhanced under any condition . I was shocked at this as i was just ten days away from renewing and done all the paperwork with Medimanage. Later after 2-3 days of thinking, decided to reneew through him. Following were the points i considered to renew through him at time.
1. I spoke with a guy working with Raksha TPA and he advised me to continue the policy with the same TPA (MD India) to avoid the problems in future during claims.
2. When i was renewing my policy with Oriental, why was i made to fill the forms once again, which according to me is done only at the time of taking a fresh policy. Still not able to digest it.
3. The advisor was himself from oriental and must be knowing the complexity which may arise in future due to this change in TPA and branch, so thats why he advised me to take through same branch and not compulsory through him.
4. He also told that the enhanced cover which u may get for ur parents will the implications of 4 years of waiting for the existing illness and thus may create a hurdle during the claim.

Regards,

Hitesh

Reply

99 Mahavir Chopra August 27, 2011 at 7:30 pm

Hitesh,

1. As mentioned by our representative, we maintain, that we were and are able to even now provide continuity in Oriental Insurance from another branch, with another TPA – from a policy issuance point of view, and a claims point of view.

2. As mentioned by our representative to you, we are also clear by knowledge and experience, that there would be no issues at the time of claims, as the main policy schedule issued from the new Oriental branch would clearly mention the continuous period from which the earlier policy has existed. We have got various claims cleared for such continuity cases.

3. In the teleconference, our representative was clear about the above points, after which you chose to submit proposal forms to us.

4. Proposal form is required as a part of the record of that branch of the Insurance Company, it has nothing to do with being a fresh case, whatsoever. The point is the Main Policy is issued clearly mentioning the continuity with [no. of years], [name of insurance company]. This is enough to get claims settled.

5. The Additional Sum Insured proposed will always attract fresh waiting periods which is absolutely fair from both parties, the insurer and the insured.

Our primary role as advisors is to manage complexities (with regard to choosing products, as well as claims) in the background, without any stress to our customers. Our team handles around more than 150 to 200 claims a day. If there was a complexity we could not manage, we would have clearly informed you of the same. Even today, we refuse many cases, which we feel we or the policy would not be able to do justice to.

Hope this clarifies.

Reply

100 Hitesh August 29, 2011 at 11:37 am

Dear Mahavir,

I agree that I was informed about all my queries and till then even my advisor was nowhere in the picture anywhere. And even I was rest assured that I have a done right thing by switching over to Medimanage. But then just 10 days before the renewal, at the moment of submitting forms, my advisor warned me about the consequences. And even he being from oriental was the point to make me believe him. Also health insurance for me is a very complex thing and varies from company to company and even a slight mistake during renewal can break the continuity. So during dat time I was not 100% sure about the change of branch and tpa thing and so thought of playing it safe and better change it in the next after making myself satisfied. So today I thought of bringing this to ur notice.

But still I don’t under stand the point of filling up a form for the same company , just because I am changing a branch and tpa and also is it not possible for u to get me the policy from existing branch and tpa (md india).
Anyways whatever little knowledge I have achieved for this medical insurance policies is because of ur article on jago investor.
It is because of this I realized the importance of mediclaim and was able to take family floater.
Hope to renew the policy with medimanage next year

Thanks,

Hitesh

Reply

101 Hitesh January 14, 2012 at 2:28 pm

Dear Mahavir,

My uncle has suffered a heart attack with one blockage detected.Also the remedy has been done.His age is @ 65 yrs. Now till last year he was insured for Rs. 1 lac for 8 continuous years. And last year he managed to get a upgrade it to 1.5lacs. He had beeen detected with diabetes some 4 yrs before. He has been renewing his policy with a trust called “Sanjivani” which gathers a large group of people and every year keeps onchanging insurance provider.This year its National Insurance.Now my query is

1. Will the policy provider object to release of new insurance amount of 50000 because of diabetes as its a first year for the extended amount.According to me , he should be considered for the whole SI of 1.5 lacs as heart attack is not caused due to diabetes. Correct me if wrong.
2. Now suppose he wants a renew his policy next year through a good service provider like your’s, then can he get the continuity benefit, as the current scheme is some what corporate sysytem type. ?’

Regards,

Hitesh

Reply

102 Mahavir Chopra January 14, 2012 at 2:40 pm

1. Did the upgrade happen before or after the heart attack. Also, was the group administrator informed about the attack. Was there a claim? Was it accepted and paid?
2. No Insurer will accept a Heart Attack case in Individual policies. You need to continue with the same cover, or max look for a large bank, which provides a group cover.

Reply

103 Hitesh January 14, 2012 at 4:09 pm

1. the upgrade happened in june 2011 and attack took place a week back. Also the group administrator has been informed and since the hospital does not have cashless facility, we shall claim after the discharge which may happen today. Now as per your experience how much claim will be settled including the upgraded amount ?
2. Do you provide the service for these banks or he needs to approach the bank independently and which r these banks?

Reply

104 Mahavir Chopra January 14, 2012 at 5:25 pm

1. The full sum insured can be used, if the policy does not have a waiting period for pre-existing ailments. If it does, then the case could get complicated for the 0.50 Lakhs part.
2. No, Medimanage does not provide service for bank mediclaim. Check this article, it may help: http://www.moneylife.in/article/cheapest-mediclaim/18841.html

105 Sanju July 22, 2011 at 3:09 pm

I have opted for Max Bupa Silver Plan for me and my wife. I wanted to include my parents also who are in early 60′s. They are charging a premium of 28000 for both together. Is it reasonable?? I didn’t go thru any other offers. Considering long term will this be a good choice?? Pls advise..

Reply

106 Manish Chauhan July 23, 2011 at 11:07 am

Sanju

Considering your parents are old enough now , ,the premiums are justifiable ..

Manish

Reply

107 Mahavir Chopra July 25, 2011 at 11:06 am

Hello Sanju,

I agree with Manish, the premium is justifiable at that age. Looking at Max Bupa which has a 20% Copay after the age of 65 years, you can also look at Oriental’s Happy Family Floater, where you would have a max copay of 10%. In fact, in my opinion, Star Red Carpet is also a fair product.

Reply

108 BKM August 4, 2011 at 11:27 am

Hi Manish,
Yet another essensial topic.Thanks a lot. I got 2 lakh family cover from my employer. Getting claims is handled by corporate personel in my company (follow up with TPA etc.) so system is almost painless. As I am now planning for independent health cover and doing some research. By the process got some questions.Please reply.

Q1> One agent told me as I am insured under group policy for last 4 years under same insurence company he can arrange no exclusion policy from same insurence company. Is it possible and legal ?

Q2> Is it advisable to have TPA facility for cashless hospitalisation? I know the advantage. But being an individual dealing with TPA is not easy. There are lot of complain rasied in online consumer complaint site against almost every TPA. Will they settle claims. Or agents will be more able to settle claim (non cashless) in case of PSU ins. company.

Q3> I was shocked to view a complaint raised by an individual from Bangalore that Apollo Hospital Bangalore had refused his TPA issued photo ID card only because that was an independent policy and not a corporate group policy. Is it legal for a hospital to have such a policy? Can you comment on these?

Thanks
BKM

Reply

109 Mahavir Chopra August 12, 2011 at 9:32 am

A1: Yes, some insurance companies offer continuity benefits if you have a continuous coverage under a group policy. Its possible and legal.
A2: Yes, TPA is required in case you are going for a PSU Insurance Company’s policy. In Private Companies which dont have TPAs, since they have a separate team which manages TPA, it works more or less in the same fashion . You need to have a good health insurance advisor who is experienced in handling claims, so that you don’t have to break your head when there is a claim. There is a complaint against everyone on online consumer complaint sites. Some are reasonable, some are unreasonable. No one verifies their reasonability. If you have a claim on a treatment for which there was a clear waiting period specified, and your claim is rejected, you can still be dissatisfied and rant on a “free to rant” complaint site. Of course, Some Companies actually take pains to reply to such complaints on these sites. These are the good companies. You should always take time and shortlist a good mediclaim advisor.
3. Large Private Hospitals were for a year’s time out of network from the Individual Mediclaim list. Most large hospitals are now back in the list. Check this link: http://bit.ly/qsGW9b – Cashless is an arrangement/Contract between TPA and Hospital, and can change even in the next one hour, for ANY INSURANCE COMPANY. You should not completely depend on Cashless, ever.

Reply

110 BKM August 12, 2011 at 10:16 pm

Thanks a lot Mr. Chopra,
Some more clarification required regarding my Q1.

1. After having individual policy in continuation with my employer provided policy what if I changed the employer? My agent gave a hint that it may require some NOC and other type of declaration from my employer in order to keep the individual policy valid(or may be getting renewed). Can you please provide the actual procedure for this in case of National insurance company?

2. My only point of getting above type of continuation policy is to get the benefit of “NO EXCLUSION” from day one. Now one user is telling me United India offers similar benefit for individual customer (individual policy below 35 years of age). Then in my case are the two options are same? Later can help me get rid of employer clearance requirement in case of employer change or insurence provider change by my current employer. Seeking your advice.

Thanks
BKM

Reply

111 Mahavir Chopra August 17, 2011 at 3:36 pm

1. Once, the policy is issued with continuity, it does not matter, whether you change your job. No NOC is required. In fact, you can get continuity in companies other than National also.
2. Yes, United India, does have a policy which does not have Pre-existing exclusions and waiting periods for specified ailments. This will be similar to continuity. Only after 35 you would be moved to another plan, where there are surgery limits in the product. We would not advise United India, as an option.

As mentioned in our article: http://www.jagoinvestor.com/2011/08/health-insurance-myths-india.html – If you are young, you should look at all options, and not who is providing you waiver on exclusions. Exclusion waivers are short term benefits, maximum for 4 years, whereas you are buying a policy for 30-40 years.

I would suggest you take part in the Action Month at Jago Investor, http://www.jagoinvestor.com/2011/08/action-month.html – and ensure you take action on taking your own personal mediclaim.

Good luck.

Reply

112 zubair August 11, 2011 at 9:39 pm

Dear Mr. Mahavir,
I have posted question on #77, appreciate if you can answer.
In a claim situation, i will get summation of all benefits from both the provider. Is my assumption correct. Or it is not a good move to divide the SI.

Thanks & Regards
Zubair

Reply

113 Mahavir Chopra August 12, 2011 at 9:21 am

Hello Zubair,

I have answered #77 now. Yes, you will get both claims, you need to declare in both policies about such application. Its fine to divide SI into 2 insurers.

Reply

114 Vinay Joshi August 17, 2011 at 2:18 pm

Hi,

It’s a really really informative post. I need a suggestion. I want a medical cover for my family which include my father(56), mother(50) and me(26). I’m also planning to get married within 2-3 years.
Please suggest a product through which I can get a medical cover of around 6-10 lacs for my family and include my spouse once I’m married.

Reply

115 Mahavir Chopra August 17, 2011 at 3:26 pm

Thanks Vinay…

For covering your Parents and yourself, you have 2 good products you can go with. 1) Oriental Happy Family Floater 2) Max Bupa Family First. Both these products would provide you coverage in one floater for your entire family, and will allow inclusion of spouse on marriage.

Before you zero in on a product, you should shortlist a good mediclaim advisor, to compare, give unbiased advice, and provide full services including claims assistance.

Hope you are aware of Action Month on Jago Investor, and taking part in it. http://www.jagoinvestor.com/2011/08/action-month.html

Good luck.

Reply

116 Vinay Joshi September 1, 2011 at 12:15 pm

I need one more suggestion. For my parents, there are two types of policies. One which allows lifetime renewal but are expensive. The other, which allows renewal till a certain age (lets say 65 years) and are cheaper than the former one.. I have two options:
1) buying a policy which will allow lifetime renewal now. It will cost more than the other type of policy. And continue it forever.
2) buying a policy with renewal age upto 65-70 years now(which will be cheaper) and after the age limit is reached, buying a policy which allow age senior citizens to be included.

Reply

117 Manish Chauhan September 1, 2011 at 1:14 pm

Vinay

Option 1 is recommended , in option 1 you might pay more , but over long term it will pay off. . in option 2 , what if you dont get another cover later ?

Manish

Reply

118 thasleem August 24, 2011 at 3:39 pm

After reading all the wonderful advise put up here I have decided to buy the Oriental Happy Family Floater for a cover of abt 10 lacs. Please give me the contact details of some good mediclaim advisor

Reply

119 Mahavir Chopra August 24, 2011 at 5:18 pm

Hello Thasleem,

Its great to see that you are taking action on your Financial Life. Hope you have enrolled yourself for the Action Month.

If you would like, you can contact Medimanage.com – we are an Insurance Broker, who specialize in Health Insurance advisory and Services. Know more about Medimanage here: http://www.medimanage.com/why-medimanage.aspx

You can write to us through the following options
link: http://www.medimanage.com/inquiry.aspx or you can write an email to rep1 [at] medimanage.com

Good Luck.

Reply

120 Rajiv August 24, 2011 at 3:52 pm

Hi,

Extremely informative ! Thanks for all the inputs.

Even I am lost in this maze. I had a Reliance floater policy for 3 years. When it came for renewal this June, they informed me that premium will be an astronomical 26500…for which I had paid 5153. I refused to cough up such a money without any inrease in benefits.

Now I am looking for a family floater. for self (41), spouse (36) kids 12 & 8. I also want to include my mother (63).

Can you suggest an appropriate floater policy whereby all 5 of us are covered…and prefereably a lifetime period product.

Thanks

Rajiv

Reply

121 rajiv girhotra August 26, 2011 at 11:54 pm

Hi Mahavir,

Wondering if you my querry below. Hence resending and appreciate your earliest reply.

thanks

Rajiv Girhotra
===============

Hi,

Extremely informative ! Thanks for all the inputs.

Even I am lost in this maze. I had a Reliance floater policy for 3 years. When it came for renewal this June, they informed me that premium will be an astronomical 26500…for which I had paid 5153. I refused to cough up such a money without any inrease in benefits.

Now I am looking for a family floater. for self (41), spouse (36) kids 12 & 8. I also want to include my mother (63).

Can you suggest an appropriate floater policy whereby all 5 of us are covered…and prefereably a lifetime period product.

Thanks

Rajiv

Reply

122 Mahavir Chopra August 28, 2011 at 12:14 pm

Hello Rajiv,

There are thousands of customers who have been affected by the premium change.

You have not mentioned about health details or history of your family.

Option 1: To cover all the 5 members in one floater policy, you could go for Oriental Happy Family Floater or Max Bupa’s Family First.

Option 2: At your age, another school of thought is to buy a very large cover for 10 Lakhs or more for you+ spouse and kids, and look for a separate individual policy for your mother for around 4-5 lakhs. The higher cover for the young is important, as practically they will have to face an inflation for more living years, than the old.

If I were you, I would go for Option 2, it would be more cost on your pocket, but it is very sensible.

Reply

123 Hemant R August 24, 2011 at 4:34 pm

Hi,

It’s a very informative post. I need a suggestion. I an diabetic with age 36 and have wife (29 years ) and kid (6 years) need a helath insurance plan for long term for 10 lakhs. Should i take 2 health plan one individul(10 lakks) and one for family(5 lakhs). Pleas suggest. Appreciate your reply on this.

Reply

124 Mahavir Chopra August 24, 2011 at 5:22 pm

Hello Hemant,

Great to hear, that you have decided to buy a Mediclaim. We would suggest you go for a 10 Lakh Family Floater which includes you and your entire family PLUS go for Star Healths Diabetes Care Plan, which covers Diabetes M2 patients for Diabetes related surgeries.

Do spend good time in finalizing a good mediclaim advisor, who will provide you unbiased advise and full services on Claims & Renewals.

Let me know if you need any help.

Mahavir Chopra | http://www.medimanage.com

Reply

125 Dr. Prashant Dahire September 2, 2011 at 11:54 am

Hi Mahavir,
I am 33 yr old, i had icici lombard’s family foater policy of 4 lakhs covering myself, wife and my 6 yr son this is my 2nd year with this policy. I had preexisting disease diabetes but that i had not disclosed while taking health insurance policy. I want your suggestion regarding wheather i disclose fact during my 3rd renewal or discontinue and bye new one (that u have to suggest me) with all the facts disclosed.
regards
Dr Prashant Dahire

Reply

126 Manish Chauhan September 3, 2011 at 12:39 pm

Prashant

Why didnt you disclose it ? you should definately disclose it now and see what they say , the last option is to take a new one

Manish

Reply

127 Dr Prashant Dahire January 3, 2012 at 10:43 pm

Manish
After disclosing the preexisting disease to icici lombard they cancelled my policy and returned the premium back to me that i had paid during my 2nd renewal in month of Feb.11.

Reply

128 Manish Chauhan January 3, 2012 at 11:00 pm

Dr Prashant

You mean you paid the second premium and then you disclosed it and they returened your premium which you paid ? If thats true … then its for good , because things would have got rejected later

Manish

Reply

129 Dr Prashant Dahire January 5, 2012 at 1:02 am

Ya you r right manish….
but i m little bit upset that there is no policy in market that covers type 1 diabetes.

Reply

130 Manish Chauhan January 5, 2012 at 10:14 am

Dr Prashant

I am not a doctor .. you can tell how serious is that type 1 diabetes .. and what are hte chances of his health getting affected or death due to this .. Health insurance at the end is a business and nothing else .. so you also have to look at it from insurer point of view . what do you say ?

Reply

131 Dr Prashant Dahire January 5, 2012 at 7:12 pm

Not that much serious as companies thinking instead of oral tablets they are taking insulin or with tablet taking insulin but there are high chances of health getting affected due to this if medication not taken but if u take good care of yourself then u can live life as good as normal person but for this risk they can load premium accordingly why they r not accepting proposals? even term insurance companies giving insurance to type 1 diabetics….

Reply

132 JOE Manuel September 13, 2011 at 12:58 pm

Please suggest me a Health Insurance Policy for may Family and Parents:

My family:Self-30 years,Spouse-26 years,Son-3years,Daughter-8Months
Parents-Dad-63 Year(No illness)
Mom-60 Years (Diabetes Patient for more than 20 Years)

Reply

133 Mahavir Chopra September 13, 2011 at 7:43 pm

Hello Joe,

You have the following 3 choices:
1. Oriental Happy Family Floater covering the entire family under a shared coverage.
2. Max Bupa Family First providing a unique individual cum shared coverage in the plan. Ensure you take a Gold Plan, as else, you will have the eligibility of only shared rooms in Hospital.
3. Or go for combinations
3.a Take a Floater for You + Spouse + Kids from Apollo Munich, Bajaj Allianz or Max Bupa.
3.b Father and Mother Individual Star Health Red Carpet Cover of Rs. 2-3 Lakhs each.

If your mother has Diabetes Mellitus II, I would also recommend you go for Star’s Diabetes Safe policy, which covers Diabetes related surgeries.

Option 1 and 3 are low cost. Option 2 is expensive.

Reply

134 Gaurav Girdhar September 15, 2011 at 7:22 pm

Hi Manish/Mahavir,

Your post and explanation are worthy.

I am working professional 24 yrs age, I want to take health cover plan for my parents, Father (56) and mother (50), My father is diabetic(Sugar level under control without medicines) and my mother has blood pressure related problems, they are living healthy lifestyle and managing their health, I want to take a long term plan for both of them.

My query is –
* My company has provided me a individual health cover.
* Should I go for a family floater or COVER MY PARENTS or COVER BOTH OF THEM INDIVIDUALLY. What would be beneficial for long term.
* WHAT SHOULD BE COVER AMOUNT.
* What is renewal, and could it be possible to take a plan which cover can cover for life time.
* Are the insurer provide claims only for their registered hospitals or it is irrespective of that.

Regards
Gaurav Girdhar

Reply

135 Mahavir Chopra September 16, 2011 at 1:07 pm

Hello Gaurav,

1. Both Family Floater and Individual covers have their own advantages.
We would recommend you go for Family Floater for your Parents, and another for your family.

2. Coverage amount for your parents should be atleast 4-5 Lakhs. For you, you should look at the maximum coverage you can afford. IMO. You should effectively budget 30-35% of your one month’s salary on Health Insurance.

3. Health Insurance plans are renewed every year. Yes, there are Lifetime plans available in the market.

4. Insurance Cos. provide claims for all legitimate hospitals. It covers ones which are not under their network.

Regards,

Mahavir Chopra | http://www.medimanage.com

Reply

136 Gaurav Girdhar September 16, 2011 at 4:43 pm

Thank you Mahavir for your quick reply..

As you mentioned – We would recommend you go for Family Floater for your Parents, and another for your family.

I am single and no plans will 28(I am 24 right now) :-). What I mean to say is my parents are my family right now.

Could you please provide what are good family floater plans and any specific which you want to recommend for long term or better say lifetime.

Along with family floater I want to go for Star Diabetes Safe Insurance. Please provide your input on that.

Regards
Gaurav Girdhar

Reply

137 Mahavir Chopra September 19, 2011 at 10:15 am

Hello Gaurav,

1. Oriental Happy Family will be suitable for you. Go for that.
2. Diabetes Safe is a good policy to cover certain surgeries for Diabetics.

Regards,

Mahavir Chopra

Reply

138 Kartik September 16, 2011 at 10:55 am

Hi Mahavir,

Thanks for the excellent article. Recently I came across Jago Investor and I think it is going to change my life for better. To start with, I insured myself for 50L and will be buying another 50L term insurance next year.

Now I am in the market to buy health insurance and this article helped me clarify a lot of doubts regarding health insurance policies. Need your further advice to finalize the right one for me & my family.

I plan to cover myself (34), wife (30), daughter (4), father (60) and mother (57). We are expecting baby next month but maternity expenses will be covered by the policy provided by my employer (3L for me, my wife and daughter). So will enroll baby in the new policy during the renewal next year. So that for now we dont have to worry about it.

Medical history: Myself – no major illness, a bit overweight, drink and smoke occasionally. Wife, daughter and mother – no major illness. Father – diabetes and high BP, have stopped drinking, claims that he has stopped smoking but we know he smokes once in a while.

(1) I have looked at some policies and I like oriental happy family floater – Gold the most. Some things I liked about this policy- no medical check-up, no co-pay for 6L and above, reasonable price, fair loading and NCB terms etc. Please let me know your thoughts on this and compare it with Max Bupa and Apollo Munich (the other ones I like but are more expensive). I plan to take coverage for 6L for now – I think this is enough for next few years since me, my wife and daughter also have a cover of 3L from my employer.

(2) Now here is the complicated part – I plan to take coverage for 6L now and then increase it by 1 L each starting 5th year renewal so that by 8th renewal it will reach the max cover limit of 10L. I understand that I am making this little complicated by taking this route but it helps me with the affordable premium amounts. I am not even sure if oriental will entertain something like this. But if they allow, I am ready to take this path as long as only NEW disease is excluded from ONLY the upgraded amount.

(3) Also after 5th year, my father will be covered for his pre-existing diseases for at least 6L. Should I buy diabetes safe policy from Star health only for next 4 years? Do they cover diabetes related treatment from day one?

(4) Some assumptions – please let me know if they are wrong (a) I will be turning 35 on 2nd October, so would like to start the cover on or before 1st Oct, so that I am eligible to be considered below 35 category slab this year. (b) My father turned 60 in Feb. For this year at least, his premium will be charged for 51 to 60 category. (c) My daughter is american citizen and holds Person of Indian Origin (PIO) card. The insurance companies will be OK to cover her.

Sorry for the long post. Would really appreciate your advice.

Regards,
Kartik

Reply

139 Mahavir Chopra September 16, 2011 at 12:59 pm

Hi Kartik,

Thanks for the kind words.

Here are your answers.

1. To give you a suggestion between Max and Oriental would require a discussion to understand your needs and your budget. Both are good products. You can get detailed comparison and analysis on one phone call with our Experts at Medimanage.com. Request you to send us an email with your phone no. to email [at] medimanage [dot] com

2. 6 Lakhs is a good coverage to start with. There is a risk of factoring increase in coverage for your family, especially your Parents. Since the Insurance Company would require you to go for Medical Tests. God forbid, if there is a new ailment found, you may be denied coverage.
A better option is to split and buy 2 policies, one which covers your parents, which you keep at a constant of say Rs. 4-5 Lakhs, and another for yourself which could start with 6 Lakhs. The upgrade is required for your family, looking at the expected higher living years, and the healthcare inflation you would be exposed to. You should be able to get an upgrade, if you take care of your health.

3. You need to act quickly on your Father’s policy, as Insurance Companies have begun putting Permanent Exclusions for ailments like Diabetes.

4. Diabetes Safe is a good policy for Diabetics who want to cover surgeries directly related to Diabetes for the Eye, Kidney and Feet. Please read the brochure on their website, before taking a call, or speak to our representatives.

5. Yes, you would be considered under the 35 slab, if you get your proposal submitted atleast a week before your birthday. Your father’s premium will be in the 60 category. Oriental could still demand a Medical Test, since it is a borderline case.

6. Only Indian Residents can be covered under Health Insurance policy. If she is residing in India for more than 6 months, an exceptional approval can be taken for taking a cover in Health Insurance.

Advance Happy Birthday to you and your baby! :)

Regards,

Mahavir Chopra | http://www.medimanage.com

Reply

140 Kartik September 18, 2011 at 7:57 pm

Hi Mahavir,

Thanks for the advance birthday wishes! And many thanks for detailed response. Really appreciate.

OK – will contact the experts at medimanage. I think comparision of the policies with respect to benefits and premiums by experts will help me choose the right policy (although I am more inclined towards oriental at this point).

I am just a week or 10 days away from sending the proposal. Hopefully, insurance market will remain same in this period! Regarding Diabetes Safe – will have to explore the details of policy and consult father’s doctor before taking any decision.

(1) Highest risk in going for upgrade in future can be denial from the insurer. Will it happen only if new ailment is found or it can be denied on any ground? How does Oriental handle these cases GENERALLY?

(2) If my father is required to go for medical tests, who will bear the cost for medical tests? Also in future, when we decide to go for coverage upgrade and if both my parents are required to go for medical tests, who will bear the costs for medical tests? What is Oriental’s policy?

(3) I am looking at my employer’s policy as a second policy for myself, wife and kids (3L). So for now I will buy only one policy from market (6L). At any point in future, if I feel that the total coverage (9L) is not enough then I will start upgrading the Oriental floater policy (may be starting from 5th year of the policy). In the worst case, if they don’t allow upgrade, I will buy separate policy for myself, wife and kids. Although all of us would be covered under oriental policy (6L), we will use it exclusively for my parents since they will not be covered under any other policy than oriental. what is your opinion?

(4) My daughter is in India for past 3 years and will continue to stay till she is 18 at least. (After that its her choice). Will request the insurer to consider her case. Do you know if Oriental has taken any specific stance in these kinds of situation in the past?

(5) Regaring tax deduction under 80D, which has provision for 15K each for immediate family and parents, how does it differentiate premium amounts for both the parties isince the floater policy is combined for all?

(6) Have another question on 80D – consider this situation – Suppose I am paying 30K premium for my parents health insurance. I can claim only 15K deduction benefit (both parents below 65 years). The question is can my brother make part payment of 15K towards premium and claim this amount in his tax deductions. Remember I am the proposer in this policy and my brother is not related to this policy at all.

Thanks in advance for your help.

Regards,
Kartik

Reply

141 Mahavir Chopra September 19, 2011 at 10:26 am

1. Risk is only if you suffer an chronic ailment
2. Cost of Medical Test is on you.
3. That’s fair. Every idea is good, as far as you act quickly. You can go ahead with this.
4. Your daughter will get a cover with most Insurers including Oriental.
5. If you include one parent above 65 in your mediclaim, your limit is increased to 35K. No need to bifurcate if it is a floater.
6. No. Only the person paying (who is the proposer) can claim 80D benefit. Max, you can do is split the policy into 2 and have your brother make a payment for one part.

Mahavir Chopra | http://www.medimanage.com

Reply

142 gagan September 18, 2011 at 5:29 pm

hi Mahavir,

i am 27 years old and i had got heart attack recently ,the cause of heart attack was unknown,and nothing major came up during angiography,but from than i have been kept on few medicine for life long.Now i am in perfect health ,but i am looking for some medical insurance..I have asked to one of my agent from one of the govt companies,he told me not to mention the previous health problem and after 4 years of lock in period i will automatically become eligible for pre existing disease.Kindly advice for the same.

Reply

143 Mahavir Chopra September 19, 2011 at 10:19 am

Hello Gagan,

Its fraudulent and stupid not to mention a past medical history in your proposal form. Please stay away from this Agent.

You need to go clean and provide all information, when you buy the policy. This would require a trial and error with certain insurance companies to check what best cover you can get. We can help you if you want. You can write to email at medimanage dot com.

Reply

144 kamal September 18, 2011 at 8:30 pm

Hi Manish,
your article is very good indeed. Kindly advise a health plan for my parents looking into my details.
I am 24. my father & mother are 57 and 45 respectively. both of them don’t have any medical background till now. i need a lifetime health plan for them as they are growing old. and also I am looking for a higher sum assured.
tell me a policy that will cover every type of illness i.e. from minor to critical, from exp incurred in buying Disprin from chemist to exp incurred in hospitalization during a major surgery.

pls advise.
Thanks
Kamal

Reply

145 Mahavir Chopra September 19, 2011 at 10:31 am

Kamal,

You should buy Insurance for expenses which are unmanageable or very big burden on your savings, in case of a loss. You don’t need an Insurance, which covers smaller expenses like Pharmacy bills. Moreover, there is no worthwhile plan in the market, which provides such covers in a cost-effective manner. Most will take money for OPD from one pocket and pay you back in another pocket.

You should look at Max Bupa Family First or Oriental Happy Family Floater for your Family. This will cover your family for Hospitalization Expenses including expenses connected to Hospitalization like Doctor Consultations, Medical Tests, Medicines, Ambulance, Physiotherapy costs etc.

Do look for a good advisor who would be able to transparently provide information about plans, so that you know what you will get and most importantly not get.

Regards,
Mahavir Chopra | http://www.medimanage.com

Reply

146 kamal September 20, 2011 at 1:29 am

Dear Mr. Mahavir,

thanks for your valuable reply. pls clear my few queries looking into my case given above.
1/ should i go 4 a family floater plan keeping myself as the primary member and my parents as depended member OR should go for individual plans?
2/ which policy is of maximum renewal age?
3/ what much of sum assured is sufficient for my parents?

Thanks
Kamal

Reply

147 Mahavir Chopra September 20, 2011 at 9:40 am

Dear Kamal,

You can go for a Family Floater. An optimal coverage for your parents would be between 5-6 Lakhs. Both Oriental and Max Bupa are lifetime.

Mahavir Chopra | http://www.medimanage.com

Reply

148 Abhilasha September 22, 2011 at 4:49 pm

Hi Manish,

Iam looking for a Health Insurance, for Individual, of Rs. 6 Lacs annually.
Is there any Plans for that .
Pls. Help.

Thanks

Abhilasha

Reply

149 Manish Chauhan September 22, 2011 at 5:15 pm

Abhilasha

You have just given the amount … Health insurance is dependent on much more .. if you go through the comments , you will get the full idea on which policy you should buy

Manish

Reply

150 Gaurav September 28, 2011 at 10:28 am

Hi,

I am Gaurav, 31 years of age living in NCR. I am looking forward for a Medical insurance of around 5 lakhs (family floater). Please advice some good insurance policy.

I have one more query, is it possible to include my parents in the family floater plan. Dad (70 years) mother (63 years)

Looking forward to hear from you.

Thanks,
Gaurav

Reply

151 Manish Chauhan September 29, 2011 at 9:07 am

Gaurav

Oriental Happy floater plan is a good one . You can not add your parents into family floater . They need to go for seperate plans

Manish

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152 mukesh gupta November 21, 2011 at 6:06 pm

Dear Mr. Mahavir,

I have a few queries related to TERM insurance. I like to get a tern insurance worth 50 lakhs, but i dont know what details should i keep in mind while buying one. The premium varies from 5k to 25k from diff insurance comp.
Please guide.

Cheers
Mukesh

Reply

153 Manish Chauhan November 22, 2011 at 1:02 pm

Mukesh

All you need to do is be honest while filling up the details in the form , dont lie at all . thats all you need to do

Manish

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154 deepak November 25, 2011 at 8:22 pm

Hi Manish,
my age is 52 and my wifes age is 50.We have taken a health policy from icici lombard for 10 lakhs each 2 yrs back.I am a central govt employee and have taken these policies for an emergency and have made no claim so far .As lombard offers till age 75 only should i switch to somebody else if so whom do you advise.Because i want a polcy for not less than 10 lakhs keeping inflation in mind. thanks

Reply

155 Mahavir Chopra November 26, 2011 at 1:37 pm

From our information ICICI Lombard renews only till 70 years. We have checked again on their website, and they still show renewability upto 70 years only.

We generally recommend our users to go for Lifetime cover policies or atleast a cover till 80 years.

Finally ICICI Lombard has a cover only till Rs. 4 Lakhs.

You need to provide information about your health etc. to a good health insurance advisor and then take a call.

Apollo Munich, Bajaj Allianz, Max Bupa, Oriental have some good products with 10 Lakhs Coverage.

Reply

156 LICAgentJaved December 1, 2011 at 12:12 am

Hi Mr Deepak
If you wanted to go beyond 10 lacs Sum Insured you have only one option and cheapest too that is Max Bupa.
Javed

Reply

157 LICAgentJaved December 1, 2011 at 9:47 pm

Hi Mr Deepak
If you wanted to go beyond 10 lacs Sum Insured you have only one option and cheapest too that is Max Bupa.
Javed

Reply

158 deepak December 2, 2011 at 8:20 pm

Thanx Mr Mahavir Chopra and Mr Javed for your advice shall do the same.

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159 Chandra Sekhar Sharma December 12, 2011 at 12:41 am

Hi Mahavir,
Thanks for such a nice post. Also over the week end I left my name and number for medimanage team to contact me. But It will be great If you can help me to decide upon the selection of one Health Insurance suitable to my requirement.

Age and Health Detail:
Me: 30 years Wife’s Age: 26 , Kid :2 months Father : 56 years Mother : 53 years

No preexisting diseases as of now any one aware of , except my mother is having Hypertension.
Looking for a cover for a long term which includes my complete family including my parents.
Please let me know which one will best suits to my requirement.

#1 Should I go for one Family floater covering my parents/wife/id and me Or Individual policy , One for My parents and One for Me, my wife and Kid
#2 If I will go for Oriental Family floater (above 5L) or any other and once my parents reaches age 65 , are they will still remain covered under my family floater. And If yes, till what age Oriental or other Insurance company can cover them ?

Thanks in advance !!!

Manish,
Good Job buddy !!! I have been following Jagoinvestor forum since last couple of weeks (almost more then a month) and you can now add me in your fan list ;) ..
Spending an hours every day on browsing your post (old one too) and I believe like me lot many peoples are getting benefited. !!! Thank You !!!

Reply

160 Mahavir Chopra December 12, 2011 at 6:11 pm

Hello Mr. Sharma,

Thanks for your kind words.

How you want to cover your family depends on your personal choice, convenience, as well as your budget. There is no one-size-fits-all solution, that we at Medimanage.com recommend. It is recommended that you go through an expert health insurance advisor, explaining him your needs and requirements, and he will guide you to a suitable policy.

The options recommended you have is
1. Floater – You, Spouse, Kids, Parents
2. Floater – You, Spouse, Kids (+) Separate Floater/Individual – for Parents.

If a floater covering your parents, makes sense to you, go for the largest cover you can afford.
The other school of thought (Option 2) is to take a separate cover for your parents, and insulate your immediate family to a separate cover. This way, claims made by your parents (which is more likely, due to their age) would not affect the premium of the other members. This call is required to be taken with a detailed cost-benefit, which a good expert can help you take.

Look at both options, and take a call with an expert advisor.

Let me know if you still need any clarifications.

Reply

161 LICAgentJaved December 12, 2011 at 2:24 pm

Hi Mr Chandra Shekhar Sharma

You have asked the advice from Mr Mahavir but I am suggesting you Health Insurance Policy from Max Bupa Health Insurance Company you should keep in mind at the time of finalization of health Policy for your Family:
Total Mediclaim Cover for Family without Maternity Cover: Rs 55 lacs ( any member can use maximum 20 lacs, rest members 5 lacs each)
Total Mediclaim Cover for Family with Maternity Cover (in 3rd Policy year) : Rs 40 lacs ( any member can use maximum 20 lacs, rest member 5 lacs each)
Premium: in Silver Plan Rs 43264.00 (in Delhi NCR or Bengaluru)
Premium: in Gold Plan Rs 65349.00 (Delhi NCR or Bengaluru)

Benefits
Without illness:
Upto 10% of premium paid as loyalty discount coupon every year
Guaranteed lifelong renewal for each member
No- sub limits for treatment or room rent or Co-pay upto 65 years of age.
Covers all illness which requires in patient hospitalization except AIDS etc
Upto first 90 days it covers all Accidents and Medical Emergency (practically this policy covers all illness from day one except cataract, Piles, Hernia etc. Cover of these illnesses is available after 90 days.

Benefits after illness:
Covers all expenses for treatment including Operation Charges, Pre Operation Charges, Post Operation Charges, Doctors fee, ICU charges, Test Fees, Consumables, Prosthetic implants, etc without any sub limit upto Sum Insured.
30 days pre hospitalization and 60 days post hospitalization expenses
Rent of shared Hospital accommodation in Silver Plan and Single Hospital accommodation in Gold Plan.
Ambulance Charges – No limit for Network Hospital and upto Rs. 2000.00 per illness for Non- Network Hospital.
Cost of Organ Transplant
Maternity Benefit in third Policy year subject to certain limit and free child cover upto sum insured from day one and free vaccination in first year.
All available daycare procedure in India are covered.
.
Why big Sum Insured?
Health Insurance Policy is like Ladder of Fire Brigade, a ladder capable of fire fighting on 20th floor can be used for any floor below 20th floor but a ladder capable of fire fighting at 10th floor cannot be used for 20th floor.
Treatment Cost in good Hospital
Heart Attack Rs 5 lacs, Cancer Rs 10 lacs, Kidney Replacement 15 lacs aprox.
You can refer Product Brochure of the Max Bupa Health Insurance Company, available on request.

Please buy that Health Insurance Plan which can afford all medical bills instead of buying affordable health insurance plan.
Thanks
Javed

Reply

162 Chandra Sekhar Sharma December 13, 2011 at 1:07 am

Many thanks to Mahavir and Javed to spend their time and respond back on my queries.

Mahavir,
I do agree that no one-size-fits-all solution and might be I need an expert health insurance advisor. But asking another question where I might look like a novice but certainly I have to ask keeping all my hesitation at one side.. Who all are Health Insurance advisor. Are they like financial planner who provides solution on Health insurance ? Any online website and how the are charging ?

Javed,
You said correctly “Why big sum insured :Heart Attack Rs 5 lacs, Cancer Rs 10 lacs, Kidney Replacement 15 lacs aprox.” .. and these thinks made us to think to get a big coverage.
Also I like the line where you have said “which can afford all medical bills instead of buying affordable health insurance plan.” But budget comes as a constraint and and 50K might not be affordable by all (or not me).

I am putting my analysis so far on two products: MAX BUPA and ORIENTAL.
(NOTE: Just to understand and for a discussion. I agree Mahavir and Javed already shared their views .)
I tried to compare Oriental and MAx Bupa (Health Companion) a

MAX Bupa –> CO Pay after 65 years
Oriental –> No Co Pay

Max Bupa -> Covering All Day Care
Oriental –> Limited (around 30 to 40)

MAX Bupa –> No Sublimit
Oriental –> Sublimit

When I am going for individual (example 4 Lc) Max Bupa is costing for my parents 17140 where as Oriental Happy Family Floter also coming around the same for 6 Lac SI icluding mY wife .. Kid and me. Any ways I am already covered by group term insurance by employed but what I felt after going through this forum is its good to have one personal health insurance .

Like I have mentioned above All Day care procedure covered under MAX Bupa where as a limited number of Day care treatment covered under Oriental. Do you guys think this factor need more attention and provide more weight on MAX bupa? Or No Copay by Oriental.

Manish,
Do we have any statistics like what is average health insurance SI taken by average people ( 10K .. 20 k , 40k ..) .We can do a POLL also .

Reply

163 LICAgentJaved December 13, 2011 at 11:06 am

Hi Mr Chandra Shekhar Sharma
refer to your reply
‘When I am going for individual (example 4 Lc) Max Bupa is costing for my parents 17140 where as Oriental Happy Family Floter also coming around the same for 6 Lac SI icluding mY wife .. Kid and me. Any ways I am already covered by group term insurance by employed but what I felt after going through this forum is its good to have one personal health insurance.”
Max Bupa is not issuing individual policy for 4 lacs SI if you go for 3 lacs which is silver plan for each of your family total cover will be 15 lacs for a premium of Rs 38063.
6 lacs family floater will cost you Rs 18552.
kindly use right information for decision making.

Javed

Reply

164 Chandra Sekhar Sharma December 13, 2011 at 11:11 pm

Hi Javed ,
I was talking about family floater . Max Bupa is having product called Health companion (silver) which is providing SI for 4 lacs as well.

Reply

165 Vinay Maithani December 17, 2011 at 10:33 am

Dear Mr. Mahavir,

I thank you for sharing the insight on the health insurance sector for INDIA. I found it very useful and impressive details to help me understand the intricacies involved.

I need help from you to suggest me a good medical insurance plan for my parents.
Father Aged 55
Mother aged 50

Maximum i can afford premium per annum would be 12,000 INR

I look forward to your advice to help me decide to choose the right insurance for my parents.

Warm regards
Vinay

Reply

166 Manish Chauhan December 17, 2011 at 11:20 am

Vinay

Its almost impossible to get health insurance for aged parents for low premium . As the age increases , the health insurance premiums go very very high and at times not available totally because of health issues if any .

Manish

Reply

167 Mahavir Chopra December 29, 2011 at 2:37 pm

Hello Vinay,

You will get Oriental Happy Family Floater in this premium. If you want to understand more, our representatives at Medimanage can help you, without any obligations to buy. Please write to expert@medimanage.com

Reply

168 Subhrajyoti Choudhury December 19, 2011 at 11:57 am

Dear Sir ,
I think your article is very informative for common people like me who find it really hard to zero in on a particular insurance product from a particular insurance company .

Actually I have a question regarding Parivar policy from National Insurance company .My father (age 63) and my mother (age 62) are insured under this policy since last 4 years . However I read here http://www.nationalinsuranceindia.com/nicWeb/nic/file_policy/4862.html#a_5
that the policy can be extended maximum upto 65 years of age . However , your blog mentions that National renew age for indidual/floaters is Life time . Has this changed recently ? I believe that all existing diseases are covered under this policy if it is renewed for four continuous claim free years . So I was inclined to stick to National Insurance for now.
Please let me know your thoughts and what should I do now ?

Reply

169 Mahavir Chopra December 29, 2011 at 2:47 pm

Subhra,

In all PSUs, renewals will not be denied. You may be asked to migrate to an individual policy.

Reply

170 vignesh December 29, 2011 at 2:28 pm

Hi

My mother s age is exactly forty five. she has no complications till now. which policy will u suggest? pls tell me best among the psu.individual policy is enough.

regards
Vignesh

Reply

171 Mahavir Chopra December 29, 2011 at 2:43 pm

Hello Vignesh,

At this age and with good health, you have a choice with all products available in India. You only need to speak to a good health insurance advisor, discuss your needs etc., and decide.

Among PSU, Oriental, United and New India Assurance have good products.

Reply

172 vignesh January 2, 2012 at 4:05 pm

Hi

I am taking a family floater with my name as proposer(21) along with my mother (no medical test for my mom reqd as i am the proposer). In future if i want to increase the cover will i be allowed to take an individual policy of higher cover or should i need to stick on to the family floater along with my mom?

Pls guide me

Reply

173 Pravin December 30, 2011 at 4:41 pm

Dear sir

i want to buy a medical policy for me 30 ,wife 28 and son 9 Mnth.old
give me difference between apollow munich standard and oriental Happy family Floater plz. explain.

Reply

174 Manish Chauhan December 30, 2011 at 6:01 pm

Pravin

Better contact medimanage.com on this

manish

Reply

175 Mahavir Chopra December 30, 2011 at 6:05 pm

Hello Pravin,

It would not be possible for anyone to compare products here, and do justice to it.
Also, there are many other plans which you can consider too.

You need to search for a good health insurance advisor, discuss your needs, and zero on your decision.

If you want, you can get obligation free unbiased advise from Medimanage.com. You can write to email@medimanage.com, and we will have an expert speak to you.

You are free to buy the product decided from anywhere, even after the advise.

Reply

176 LICAgentJaved December 30, 2011 at 9:34 pm

Hi Pravin
You have option to choose Apollo Munich “Optima Restore” besides “Standard Plan”.
Javed

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177 Dr Prashant Dahire January 3, 2012 at 4:28 pm

Hi

Is there any health insurance policy available in market for Type 1 Diabetes who are taking insulin injections daily and also having hypertension?

Reply

178 Subhrajyoti Choudhury January 3, 2012 at 4:46 pm

Yes Parivar policy from national insurance covers diabetes and hypertension on payment of additional premium.

Reply

179 Dr Prashant Dahire January 3, 2012 at 10:34 pm

Was National Insurance covers Type 1 Diabetes (who r taking insulin daily) ? because when I talked to Medimanage Experts they told me that at present there is no policy in market that covers Type 1 Diabetes because when they submit such policy to any insurance company the underwriter rejects such proposal because of insulin dependent diabetes.

Reply

180 Manish Chauhan January 3, 2012 at 10:59 pm

Dr Prashant

Might be .. If medimanage guys are saying that , then mostly its true

Manish

Reply

181 vidhi January 10, 2012 at 12:08 pm

I want to buy a mediclaim policy for my mother. her age is 55 and is suffering from BP and cholestrol. i was thinking of going for bajaj allianz or maz bupa. Kindly suggest what should I go for.
kindly also suggest if any other better mediclam providers.

Regards,
Vidhi

Reply

182 Mahavir Chopra January 10, 2012 at 2:19 pm

Vidhi,
Both Max Bupa, Bajaj Allianz are good options. Additional options is Oriental Happy Family Floater.
We would suggest you spend time in looking for a good health insurance advisor (who has experience in handling Health claims), who can give you neutral, unbiased advise across various products suggested. Explain your needs and health history in detail, and zero in on a plan.
Also, I would suggest you insure yourself, and your other members of the family too, with your own independent plan.
Please DON’T wait for an ailment to occur, and then look for Health Insurance, your choices get narrower and narrower, once you grow older.
Regards,
Mahavir Chopra

Reply

183 Mahavir Chopra January 10, 2012 at 2:10 pm

Hello Vidhi,

Both Max Bupa, Bajaj Allianz are good options. Additional options is Oriental Happy Family Floater.

We would suggest you spend time in looking for a good health insurance advisor (who has experience in handling Health claims), who can give you neutral, unbiased advise across various products suggested. Explain your needs and health history in detail, and zero in on a plan.

Also, I would suggest you insure yourself, and your other members of the family too, with your own independent plan.
Please DON’T wait for an ailment to occur, and then look for Health Insurance, your choices get narrower and narrower, once you grow older.

Regards,

Mahavir Chopra

Reply

184 vidhi January 11, 2012 at 10:11 am

Thanks Mahavir.

Reply

185 jagadish January 13, 2012 at 11:10 am

Hi Manish/Mahavir,
I looked at your answers and thoroughly convinced that I am going to the right persons for expertise and wish to state and place on record for the numerous persons who have sought advice and who shall do so from now. I am going to be 38 in a couple of days diabetic post pradinal 200, wife is 32 and son 6. I have a mother who is 66. Both of us are working and are covered by our companies respectively. I now wanted to go in for a policy where i intend to cover my mother seperately and balance 3 of us seperately so that I can go for maximum renewalbe age,option of upgrading the sum assured, covered for accident/terrorism and also get a good coverage presently to the tune of 5-8 lakhs annually. I want to now continue with this policy for lifetime and also look at covering my mother for a seperate policy for the next 10-15 years of her expected life. Please guide me. Many thanks in anticipation. Jagadish

Reply

186 Mahavir Chopra January 13, 2012 at 1:34 pm

Hello Jagadish,

Since you have Diabetes, other than Apollo Munich (which does not accept Diabetic customers), you can apply in lifetime products from Oriental Insurance, Max Bupa, L&T Insurance etc.

As mentioned in earlier comments, suggest you spend time in looking for a good health insurance advisor (who has experience in handling Health claims), who can give you neutral, unbiased advise across various products suggested. Explain your needs and health history in detail, and zero in on a plan.

Mahavir Chopra
http://www.medimanage.com

Reply

187 Shridhar February 1, 2012 at 7:43 pm

Dear Mahaveer Ji,

I have gone through your post as well as your answers of people’s queries and found them very informative.

I am 30 years old, wife 26 and daughter 4 years. I would like to know followings:-
1) At this age how much sum insured do you think is reasonable to take ? I understand it should be maximum possible but still a tentative figure. I can pay for premium anything between the sum insured of 3-10 lacs.
2) Presently I reside out of India and as far as I am out of India me and my family is covered from company. But i do want to take the policy which will take care whenever i come back to india. Do i need to disclose this while taking policy?
3) My wife suffered from Ovarian cyst and had undergone for two operations for removal of both ovaries and uterus. In recent case the cyst was malignant and she had to undergo for precautionary chemotherapy sessions. Do i need to disclose this fact to insurance co or will they not issue the policy after this.

Please let me know your suggestions and advice as I am complete clueless and dont have any good insurance advisor in India. I have decided to go for Appollo Munich family floater. will it be good looking to my specific case?

Thanks and Regards,
Siddharth

Reply

188 Mahavir Chopra February 2, 2012 at 1:49 pm

Hello Shridhar,

1. Ideal Sum Insured: Rs. 10 Lakhs. Looking at the healthcare inflation, a sum insured of less than Rs. 5 Lakhs is not practical.
2. As per rules of most Insurance Companies, you need to be in India when signing up for the policy. This does not hold practical in today’s digital age. You need to discuss detailed options over a call for this.
3. You need to disclose EVERYTHING in the proposal. Honestly, if the cyst is malignant, there are very rare chances of her getting through a policy. I would still suggest you try, and if not, ensure you buy a policy for the remaining members of the family. You need to create a self funded financial plan for your wife.

Product specific recommendations would require a detailed need analysis call with our advisory team. You can write to them here, if you are interested: expert@medimanage.com

Regards,

Mahavir Chopra
http://www.medimanage.com

Reply

189 arun chadda February 16, 2012 at 12:12 pm

Hi mahavir first of all great article.

Now the three important queries.

1. I am taking three indivudual policies, one for myself age 30 years of good health, only once hospitalised for typhoid for 4 days and nothing after that. I plan to go for either bajaj, apollo or max, what would be suggested?

2. My mother attained 60 years of age on jan 12 of this year, she is asthmatic from childhood, what could be a suggested policy for her and from where. What would be the exclusions for her

3. Wife is type 1 diabetes from age of 2, taking insulin injections, is there any product for her, i don’t mind extra or high premiums.

Please let me know.

Reply

190 Mahavir Chopra February 16, 2012 at 1:27 pm

- All the 3 options are great. The choice between them, would require detailed needs assessment. Also, please ensure you go for a good sum insured of minimum Rs. 5 Lakhs.
- For your mother you can opt for Max Bupa, Star Health, Oriental Happy Family
- For your wife, it is difficult to get a policy with most insurers reluctant. You can try Max Bupa here.

As mentioned in earlier comments, suggest you spend time in looking for a good health insurance advisor (who has experience in handling Health claims), who can give you neutral, unbiased advise across various products suggested. Explain your needs and health history in detail, and zero in on a plan.

Reply

191 arun chadda February 16, 2012 at 2:14 pm

Thank you Mr. Mahvir, finally one last query, I forgot to mention ICICI Lombard as one of my choices what is the opinion on that. The brochure does not fix limits on room rents, ambulance charges and treatments, no co-payment.

The maximum cover though is only 4.0 lacs. When I asked the agent who called me as to why only 4.0 lacs as other firms give cover upto 10.0 lacs. He replied stating that even though their covers are high, they fix caps on room rents, ICU charges and co-payments, but ICICI is a pure mediclaim policy without limits.

Lastly since you are associated with medi-manage please arrange for someone to contact my via email, i can give them my mobile number and i would like to have a chat with them preferably in person to decide, i reside at bangalore, if that is not possible, then phone would be fine.

Reply

192 Mahavir Chopra February 16, 2012 at 2:24 pm

Though ICICI Lombard is a good product, it has a maximum renewal age of 70 years, and therefore we do not recommend it as of now.
There are other products in the market like Apollo, Max, Bajaj which also do not have any limits, cappings, copayments.

Request you to write to expert@medimanage.com or post your inquiry at http://www.medimanage.com/health-insurance-inquiry.aspx

We do not have a advisory team on field anywhere in India. We can only help you through phone, emails and online.

Regards,
Mahavir Chopra

Reply

193 Sashidhar February 16, 2012 at 10:36 pm

Hi Mahavir,

Thanks for the wonderful article.

I would like to request you for your expert review on Apollo Munich Optima Restore family floater. I am planning to take a medical insurance for myself (35yrs), wife (33yrs) and daughter (4yrs) for a sum assured of 5lacs. I have undergone a surgery for Bilateral Pneumothorax 15yrs back and dont have any other problems since then. Apart from this none of us have any pre-existing ailments and all are healthy. I am thinking about going for either Apollo Munich Optima Restore or Max Bupa Heartbeat Family First, but not able to make a decision.

Please give your expert suggestion and review on these two products and help me.

Thanks & Regards,
Sashidhar

Reply

194 Manish Chauhan February 17, 2012 at 4:46 pm

Sashidhar

Both of the plans are good .. You can take Apollo one i guess , you can also talk to medimanage.com for your health insurance suggestions . they will help

Manish

Reply

195 Abhijeet February 21, 2012 at 1:53 pm

i have a query for Mahavir (very high regards for u and manish)

im 47 years old and my wife 42…i have been covered by bajaj allianz for 3 years now…im now thinking of porting my policy as bajaj is just not logical in terms of features and premium charged..iv researched and have two options confusing me..i would like a blunt answer from you as i have high regards for you as far as health insurance is concerned…i have contacted medimanage but i want your particular opinion on this one…

Option 1:
APOLLO OPTIMA RESTORE for 3 lakhs..factoring its restore and multiplier benefit,the sum insured for a 3 lac comes down to somewher around 6 lacs approx..
This is a great product from apollo..just a a bit higher on premiums and one problem..that is..the restore benifit can only be used by the same person but not for similar illness…the probabality of requiring money for same illness again is higher in case a claim occurs..

Option 2 :
APollo standard floater(3 lac) and SUPER TOP UP from united(threshold 3lac , SI 5lac)…which makes us insured for 8 lacs in total..premium wise this is a litl better too..

I just suppose tht co ordinating with two different companies would be tiresome in case of a claim…and also i suppose i will have to wait for 4 years for pre existing to be covered under united SUPER TOP UP , also in case of portability..am i right..???

ALL IN ALL which option should i go for……….??!!??

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196 Mahavir Chopra February 21, 2012 at 2:39 pm

Hello Abhijeet,

Here’s the blunt answer :) “Go for Apollo Optima Restore”

In case you feel, that claim for same ailment can recur and you would be short of cover, you need to buy a higher coverage.

United India’s Super Topup is a good product, but they are very reluctant to provide it. We have a case pending with them for more than 2 months for approval from their Regional Office. It seems, they have second thoughts on this product. We have stopped offering this product at Medimanage.com

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197 Abhijeet February 21, 2012 at 4:20 pm

appreciate that . . surprised tht u answered in such litl time . .keep up the good work. .

its sad to know united india having second thoughts on SUPER TOP UP..its one great product at the price they offer. . neways il try my luck with them once or else il go for optima restore
any other suggestions btw?? my research tels me apollo has the best features with a better price tag. . wat does the expert say ?

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198 Mahavir Chopra February 21, 2012 at 4:46 pm

Hi Abhijeet,

The speed of response is inspired from Manish Chauhan.

We dont offer United India, because it is difficult to purchase, but because it shows their attitude towards the product.

It would be difficult to recommend one product. It requires interaction, and detailed understanding of your needs.

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199 Abhijeet February 21, 2012 at 6:20 pm

i called my city united india office and they said il get the policy in 10-15 days…in that case should i go for apollo and united mix or stick with optima restore??

it may seem im more keen on united..its just because a mix of apollo standard and united super top up gives high coverage in lesser premium..i too am not keen on public insurers at all only because of the attitude u r talkin about but the SUPER TOP UP is unique and no other company offers it . .

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200 Abhijeet February 22, 2012 at 12:44 pm

it may seem im more keen on united..its just because a mix of apollo standard and united super top up gives high coverage in lesser premium..i too am not keen on public insurers at all only because of the attitude u r talkin about but the SUPER TOP UP is unique and no other company offers it . .

i called my city united india office and they said il get the policy in 10-15 days…in that case should i go for apollo and united mix or stick with optima restore??
???

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201 Mahavir Chopra February 22, 2012 at 5:48 pm

Both options are equally good. It is entirely a personal choice.

I would go for one high coverage policy, instead of a mix of standard and top-up.

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202 Abhijeet February 21, 2012 at 1:56 pm

IM OK WITH THE MEDICAL TESTS AS I DONT HAVE A PROBLEMATIC MEDICAL HISTORY AS SUCH . . .

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203 Abhi February 22, 2012 at 5:38 pm

waiting for a reply from you mahavir

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204 RAGHAVAN.M.S March 1, 2012 at 12:17 am

Dear Sir,
Dear Sir,
Appreciate your honest , simple and straight forward comments .So much impressed.
It is true that there “No real” health insurance for seniors from any company .
They feel they will cause more expense and so less profit.
I need some advise from you, Sir,
I am retired and 63 yrs old and my wife is 58 yrs .
We are generally maintaining good health without any major issues till today.
Please advise which company is better ( not many just two or three ) ( as you said not possible to compare )
I think we need full life cover for about Rs 6.0 L in total .
Will be very thankful if you reply for this request.
Regards
Raghavan.M.S

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205 Manish Chauhan March 1, 2012 at 11:40 am

Some options are Apollo & Max Bupa ! . Check out their plans and call the representatives to home and talk to them .

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206 Mahavir Chopra March 1, 2012 at 1:47 pm

Hello Mr. Raghavan,

Recommend you go for Oriental Insurance or Max Bupa for your Wife and you. Both will offer you a cover of Rs. 6 Lakhs .

Request you to please ensure you have a good adviser to do the running around, as well as help you in your renewals and claims.

Regards,

Mahavir Chopra – Medimanage.com

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207 Abhijeet March 1, 2012 at 5:54 pm

Mahavir ,
quite contrary to the sevice providing claims that the medimanage team makes on the web site,the real picture does not seem to b that rosy.iv been in contact with a couple of your executives and it seems tht ual hav good advisors but very bad and unprofessional sales people..its me who has to contact your people and tell them everytime to call me when they are free from their meetings and are in the mood or have the time to attend some serious clients..if not atleast tell the client that ual are not interested in servicing him..hope the team lives to the things they say on the website..iv been in touch with aniket gaikwad and Mr ” KALPESH ”
REGARDS

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208 Abhijeet March 1, 2012 at 5:58 pm

Im still interested in buying a policy with ual..will b good to know if ual are too

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209 Abhijeet March 1, 2012 at 6:41 pm

got a call late afternoon from medimanage..alls fine now..have high hopes from the medimanage team..hope they live upto it .. ;)

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210 Rajesh Pai March 9, 2012 at 1:18 pm

HI mahavir
Very nice aricle and detailed responses.
I am currently having health insurance by my employer. And i also want to have my own health insurance for me and my family . Which health insurance i can choose?
My age is 41, spouse: 35 ,kid1 : 10 and kid2 : 6 years

and do i need to by indivdual or family floater ?.

Thanks
Rajesh

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211 Mahavir Chopra March 9, 2012 at 3:11 pm

Hello Rajesh,

Thanks for the kind words.

If you are healthy, and have no health issues, we recommend Apollo Munich Restore, Bajaj Family Health Guard, Max Bupa and in Government – Oriental Happy Family.

It would be difficult to pinpoint one product, without a detailed need analysis.

Go for Family Floater, with a cover of more than Rs. 5 Lakhs. Ideally, if you can budget it, you should go for atleast 10 Lakhs floater coverage.

As mentioned time and again, please do recruit a good health insurance adviser, who provides unbiased advise, and has experience of servicing your claims and renewals. It is very important to have a good helping hand, in Health Insurance kind of service.

Regards,

Mahavir Chopra from http://www.Medimanage.com

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212 sumant March 11, 2012 at 6:52 pm

1.
In oriental floater,there is continuous renewal only till 65 for the proposer..after that he is given an individual policy right??
in such a case the individual policy given will have a huge premium at tht age plus any claim history if present..dont u thnk such a high premium may or may not be affordable during retirement??
isnt this a huge MINUS for oriental which i was suggested by medimanage??

2.
medimanage only offers RAKSHA as the TPA and iv heard sum not so good reviews about RAKSHA tht they donot entertain even a genuine claim if the docs are not submitted within 7days which is as per the policy wordings..but cant they extend 1-2 days on humanatarian grounds??
3.
plus they also dont have a large network as compared to other tpas in my city..Y DONT UAL AT MEDIMANAGE deal with some of the other credible TPAs out there..do u have any partnership with RAKSHA tpa??

4.
can I change the TPA in future if im not happy with RAKSHA??
in tht case will medimanage still continue to service my policy??

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213 Manish Chauhan March 11, 2012 at 9:56 pm

Sumant

Better ask it on http://www.jagoinvestor.com/forum

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214 Mahavir Chopra March 12, 2012 at 11:04 am

Sumant,

1. Oriental Happy Family Floater, is converted to Individual, when you cross 65. It is a product, and has been mentioned upfront. We look at multiple factors from the customers interest point of view, when recommending a product. Every product has a pluses and minuses, we weigh it and recommend. Final call is always yours.
1. We dont decide the TPA, unless, the TPA is very bad, and has no infrastructure.
2. Insurance Company decides the TPA.
3. TPAs are mandated with the policy wordings, No TPA has the right to go against the policy wordings. The rule of 7 days submission is from the Insurance Company, and has nothing to do with Raksha or any other TPA.
4. Please let us know, which city you belong, so that we can understand, how the network is not good. If you are in a GIPSA PPN city, then the list is common across all PSU Insurance Companies, and hence TPAs.
5. We ensure you get a good response, as well as service experience, irrespective of the TPA. That’s what Medimanage is built for….
6. Since, we ensure you get the best response possible, we dont suggest change of TPA, unless it is for a very exceptional service issue.

Regards,

Mahavir Chopra from http://www.medimanage.com

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215 sumant March 13, 2012 at 12:20 am

MAHAVIR,(first things first..i have a huge belief in the kinda work ual at medimanage are doing and hope ual continue atleast for a 50 years more ;)..tht will cover my life.. ;))

1.It was a collective call from me and the medimanage executives i talked to,to go with ORIENTAL HAPPY FAMILY FLOATER..its just tht im asking u this tht if u were in my place what option wud u go for..im currently 28 and plannin to cover my parents 54 and 49 respectively..and wat wud u do abt the 65 year clause as it concerns me in the future and not my parents..even if its too futuristic a question..i just wanted a poin of view from u

2.i live in nasik..and stay in mumbai for work..my mom dad primarily live in nasik..so nasik is wat makes me worry as RAKSHA does not have a large network here

3. and if in case i have uncomfort with the network tht they provide..wil u please and again i request please consider shifting me to a better ntworked TPA in nasik AS I DONOT WANT TO END MY RELATION WITH MEDIMANAGE due to some tpa..as i know ual are an asset to me. and many more.;)..not kidin ;)

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216 Mahavir Chopra March 13, 2012 at 10:39 am

1. If I were you, I would cover my Parents with the Happy Family Floater policy, and take an additional cover from a Private Insurer for my own self.
2. Every product has imperfections. We have no role in deciding the TPA. If you have a bad experience, we can try and talk to the insurer in coming years to move you to another TPA, but we cannot assure a change.
3. You are buying the Policy for more than a decade, I dont think you should solely rely on the network list today, as it is bound to evolve.

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217 sumant March 13, 2012 at 1:42 pm

ok so wat u say is i cover my parents under oriental with me being the proposer and then get a policy for my self..

1. just one doubt..if in future,i decide to port my policy before i becom45 say at40..would it be a slight problem…?
2. i suppose i cant port from a floater to an individual policy..nah?

3. and as far as my TPA issue goes…uv not understood it..when i take a policy directly from oriental i get MD INDIA and TTK as my options but when i take it thru medimanage , ual say tht u only deal with RAKSHA so il get RAKSHA if i buy thru medimanage..y is there a difference is wat im asking..y dont u deal with other TPAs..is it some technical issue or sumthng else??

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218 Mahavir Chopra March 13, 2012 at 3:28 pm

1. If you or any member of your family contract any ailment, then it will be difficult to port the policy.
2. You can port from floater to individual, depending on the Insurance Company’s internal policy.
3. TPAs are empaneled by the Division Office level at Oriental. The division/region we work with provides only Raksha TPA as the choice. As mentioned, we have had satisfactory experience with them.
4. We dont have any tie-up with the TPAs, they are empaneled by the Insurance Co. We have no issues dealing with any TPA, as we represent you, the customer.

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219 sumant March 14, 2012 at 10:00 pm

MAHAVIR,

so what do i do if i want medimanage to handle my policy and dont want RAKSHA as my tpa either…are both possible…??

plz clarify as i have my porting date due on the 16 march..so have to hurry

REGARDS

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220 Mahavir Chopra March 15, 2012 at 10:16 am

Dear Sumant,

Regret but, we would not be able to provide another TPA. We can only assure we will get them to work with the network they have.

Lastly portability requires 45 days to process, it cannot be done for a policy expiring tomorrow.

Regards,

Mahavir Chopra from Medimanage.com

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221 sumant March 11, 2012 at 10:36 pm

i will post it on the forum as well..i asked it here for mahavir to solve my query..waiting for mahavir to reply

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222 Rajesh Pai March 12, 2012 at 3:38 pm

Mahavir,
Thanks for the reply.

what is your thought on panjab natainal bank oriental insurance family floater policy.

To whom i can cantact for the best health insurance adviser.

Thanks
Rajesh

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223 Mahavir Chopra March 13, 2012 at 10:34 am

Hello Rajesh,

Please read my blog on Bank Policies here:

http://www.medimanage.com/health-insurance-experts-blog/post/2011/07/15/Bank-Mediclaim-with-extraordinarily-low-premium-should-you-buy-it.aspx

Let me know if you still have any questions after reading this.

Regards,

Mahavir Chopra | http://www.Medimanage.com

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224 Manish Chauhan March 14, 2012 at 11:23 am

Rajesh

Contact medimanage.com

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225 Rajesh Pai March 14, 2012 at 7:32 pm

Thanks for the clarification. so bank mediclaims are not good for long term.

I will go for the direct policy and i will approach medi manage for the new policy.

Thanks a lot mahavir.

Rajesh

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226 Rajesh Pai March 14, 2012 at 7:55 pm

thanks manish.

I will cantact medi manage for the same.

Rajesh

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227 Rajesh March 19, 2012 at 3:35 pm

A very basic doubt.

In term life insurance, the yearly premium and the coverage amount remain fixed for the entire policy period.

Is it otherwise in case of Health Insurance? i.e. After I buy health insurance, will I have to pay an increasing amount of premium every year?

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228 Mahavir Chopra March 19, 2012 at 4:39 pm

Hello Rajesh,

Premiums in Health Insurance can change, mostly in the following cases.
1. Change in Age Slab (as per the premium chart of the Insurance Co.) of the members covered.
2. Loading due to claims in the previous year.
3. Revision in the premium chart (required to be filed by Insurance Co. with IRDA)

So, the premium is not like a term life insurance, and does not remain same. It can change.

Mahavir Chopra from http://www.medimanage.com

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229 Rajesh March 25, 2012 at 8:33 am

Thanks Mahavir and Manish for your replies .

However I am still not able to decide on something . I am 40 and was contemplating to buy an independent health cover for the primary reason that my employer may not continue the current health cover policy (which is quite good and adequate) for ever.

However, if the premium are bound to increase with age , then what do I gain by buying the cover immediately? I can buy one as and when my employer withdraws the cover (say after 4 years from now-when I will be 44). The premium payable by me at the age of 44 will be the same whether I buy it now or at the age of 44. Right?

Pl let me know what you think.

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230 Rajesh March 25, 2012 at 8:35 am

ps. I am not planning to switch job in the near future.

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231 Manish Chauhan March 19, 2012 at 7:18 pm

Yes Rajesh

In Life Insurance , the premium and SA does not change each year

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232 Priyanka March 21, 2012 at 6:46 pm

Hi Mahavir,

Many Thanks for all your comments above.

I want to buy a medical insurance for my mother who is 62 years old. As I am a private sector worker, I cover her under my insurance (Insurance form my office) but that is only 1.5 lack. I want to purchase another medical insurance. Can you please suggest?

Many Thanks
Priya

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233 Mahavir Chopra March 21, 2012 at 7:02 pm

Hello Priyanka,

Please provide ailment history/condition, details of any medication she takes.

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234 Lakshmi March 27, 2012 at 5:27 pm

I would like to take mediclaim policy for my brother who is 53 and has BP borderline and diabetic. Pl suggest a policy without TPA business and claims are smoothly taken care of. Icici Lombard 2yr individual for 3lakhs or max bhupa if so which one in max bhupa.

Regards

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235 Mahavir Chopra March 27, 2012 at 6:00 pm

Hello Lakshmi,

PSU Insurance Cos. would be a better bet, in case of people with Pre-existing ailments, since Private cos. are applying permanent exclusions or denying covers for Diabetes.

Both ICICI and Max are good. ICICI renewals stop at 70, hence Max Bupa Heartbeat would be a better option.

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236 Sushanta April 6, 2012 at 3:22 pm

Hi Manish/Mahaveer,

The post is very informative and appreciate you for that.

I am looking forward for your advice. I am looking for a policy for my parents and my family. Parents age are 60 and 50 and my age is 32, wife 28 and kid is 1 yr.

Could you advice for a family floater policy which can include all of us else anything for my parents alone.

Looking eagerly towards your response.

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237 Mahavir Chopra April 6, 2012 at 4:00 pm

Hello Sushanta,

You need to help with information about their medical history and current health condition. If you have to go for a floater for the entire family, you need to go for a sum insured above 6-7 Lakhs.
Good options for floater and parents floater are Max Bupa and Oriental Happy Family.

A better strategy would be to buy a separate policy for your parents, and another policy for your wife, your kid and yourself.
Good Options for separate policy for your immediate family are Apollo Munich, Bajaj Allianz, Max Bupa, Tata AIG MediPrime (Product Names are in alphabetical order)

Ensure you agent/broker is experienced to handle renewals and claims, at no extra costs.

Regards,

Mahavir Chopra from http://www.medimanage.com

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238 selva April 11, 2012 at 12:43 pm

Hi Manish/Mahaveer,

Your blog is amazing with a lot of insight. Appreciate your efforts

I am 35 and my wife is 32 and have a son at 6 yrs.
I have found HDFC Click2protect as term insurance & HDFC Life Protection for Critical illness. But HDFC Life protection offers protection against only 6 diseases.

I have found Apollo Munich – Optima Restore as very attractive family floater as it offers 50% no-claim addition and life long renewal and benefits

Request your kind advice on these policies

Thanks in advance, Selva

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239 Mahavir Chopra April 17, 2012 at 5:41 pm

Hello Selva,

Apollo Munich Optima Restore is a good product. Whether it suits you or not depends on your needs and requirements.

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240 Sam April 14, 2012 at 2:51 pm

Hi,

Thanks a lot for putting up this article and giving insights to laymen like many of us.
In fact I had been looking out for all these information since the last two weeks, and am happy to have found them here explained so legitimately and clear.

There are a few things I would be glad to have clarified.
1.
I am looking for a policy for my parents who are both 55 and 45 respectively, for ranges upto 4-5 lacks. I am confused on choosing in between Bupa Max and Bajaj.
I am in dilemma on the following conditions.
-maximum renewabale policy
-cashless programme
-which of these policies covers a nominal range of treatment
-is there a minimum waiting period.

Reply

241 Mahavir Chopra April 17, 2012 at 5:35 pm

Hello Sam,

You have various options from Apollo Munich to Max Bupa to Oriental that offer lifetime renewal to your parents. Bajaj’s policy cover only till 80.

A detailed understanding of your requirement will be required to understand which plan is suitable for you. Also, you have not provided details of their medical condition and history.

On a generic comparison, here are some positives negatives of the plans.

Positives of Apollo – Coverage in good large hospitals. No Copay. Waiting period of 2 Years.
Negatives of Apollo – Permanent exclusion for every existing ailment found on Medical Test. High premium in higher ages.

Positives of Max Bupa – Coverage in good large hospitals. No Waiting Period.
Negatives of Max Bupa – Expensive, elaborate medical tests, 20% Copay after age of 65.

Positives of Oriental – Affordable premium. No Copay. No Medical Tests.
Negatives of Oriental – No Cashless coverage in some good hospitals. 2 year waiting period.

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242 divya April 17, 2012 at 10:14 pm

Hi Manish
Firstly, I think your article is commendable!
I am hoping you can provide some guidance.

I am a housewife, aged 35 years and wish to take separate health insurance policies for my husband (aged 37 years), baby (10 months) and myself.

I had shortlisted Apollo Munich (Easy Health scheme) due to good features such as lifetime renewability.
I had disclosed that I have mild hypothyroidism and I find that they have refused to provide me health cover! Is this an acceptable trend? I thought it is best to disclose everything and am disappointed at being refused health cover.

Now, what other option would you suggest? Max Bupa has a good plan but premiums are quite high. Am sceptical about PSUs and while Bajaj Allianz has a good plan, they provide renewability only upto 80 years.
Please suggest a good plan for all three of us. I truly hope you can help.
Thanks and regards
Divya

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243 Manish Chauhan April 18, 2012 at 1:03 pm

Divya

Medimanage.com will guide you better on this ..

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244 Mahavir Chopra April 18, 2012 at 4:17 pm

Hello Divya,

1. You dont need to be skeptical about PSU Insurance Cos. if you have a strong advisor/representative/service provider.
2. There are other options like Tata AIG, Bharti Axa and others, which offer lifetime policies.

If you have more questions, and want a detailed advise/walk-through, our experts can help you decide – obligation free. Post your inquiry here: http://www.medimanage.com/health-insurance-inquiry.aspx or write to expert (at) medimanage (dot) com with your details, including contact details.

Regards,

Mahavir Chopra
http://www.medimanage.com

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245 divya April 18, 2012 at 10:32 pm

Thank you so much! Will do so.

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246 Imon April 23, 2012 at 12:21 am

Hi Manish,
Nice Article as usual.. :) . I was just curious to know if there is any record of claim settlement ratios of the health insurance companies like they have in life insurance..

I had come across this link once, but it is only for one year, and it also does not provide any reference.

http://knowledge.policybazaar.com/health-insurance/item/718-health-insurance-claim-settlement-ratio.html

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247 Manish Chauhan April 23, 2012 at 10:13 am

Imon

Its mentioned in the IRDA annual report .. go have a look at IRDA report on their website

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248 Minu April 30, 2012 at 12:39 pm

Hi Mahavir,
I want to purchse a personal accidental policy for myself and my husband. (50 lacks each). The more I am gathering information, the more I am confused.
1) Please suggest policy with maximum benefits including hospitalisation benefits as well.
2) Can I take 2 separate policies from 2 different companies and claim both of them ?

Thanks in advance

Reply

249 Mahavir Chopra May 31, 2012 at 11:13 am

Hello Minu

Apologies for the delayed response. Saw this message only now. Somehow, I didn’t get a notification for this one.

1. Firstly, I would not recommend you mix personal accident with hospitalization benefits. Let hospitalization benefits be taken care by a mediclaim/health insurance policy.
2. I would recommend Bajaj, Apollo as good options. Bajaj has a great track record. Apollo has added frill benefits, at the same cost.
3. Yes, you can take 2 separate policies and claim for both. Recommend you mention the coverage for the other policy, in both proposals.

Regards,

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250 Mansing Chavan April 30, 2012 at 2:39 pm

I have taken health insurance policies for my parents. Earlier my parents were covered in our corporate policy taken by my employer which ended on 30th Sep 2011. During renewal insurance compny refeused to cover parents and given option of covering parents in new individual policy but covering the existing dieses. Accordingly i have taken fresh policies from same company, due to documentation delays the new policy effected from 18th Nov 2011. Meantime my father had a brain stroke on 13th Nov 2011 and hospitalised on 17th Nov 2011. Now insurance company rejected my claim stating that hospitalisation taken place 1 day before of issuance of policy. Is it OK that my claim can not be settled though my parents are covered with same company for more than 5 years and that too with out any claim.
Also can i claim any hospitalisation due to brain Stroke in future ( as it has taken place before ( on 13th Nov 2011) issuance of the present policy ( on 18th Nov’11).

Mansing

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251 Mahavir Chopra May 31, 2012 at 11:21 am

Hello Mansingh,

Sorry to hear about this. Did the Insurance Company make you sign any portability form, if yes…then this is a case of portability, and hence there could be a chance to get this covered and payable.

If not, since the coverage starts from 18th, there was no coverage at all on 17th for the Insurance Company to pay for. Since

Apologies for using this as an example, but this is precisely the reason to go for an independent cover “atleast” for parents, and NOT DEPEND on the employers cover, completely. As seen in this case, your family’s cover is decided in a meeting you aren’t even part of.

Finally, post brain stroke, it would be difficult to get an open market retail individual policy for your father. Would recommend you try the mediclaim provided by PSU banks like Bank of Baroda/India etc.

Also, what about your mother, and the rest of the family, are they covered independently? If not, please do cover them with an independent policy.

Please spread the word within your family and friends, so that atleast others benefit from your experience and can be cautioned.

Regards,

Mahavir Chopra
http://www.medimanage.com

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252 Mansing May 31, 2012 at 5:08 pm

Thanks Mahavir.

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253 mahesh April 30, 2012 at 4:01 pm

Hi Manish, Hope all is well. As previously stated, am an NRI and am planning to take the health insurance (HI) for my whole family. Me at 36, wife at 31 and my child at 6. Is this possible to pucharse the HI online for my whole family and if yes, which is the best insur ance policy and company which i have to buy plz advice

R

Mahesh

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254 Manish Chauhan April 30, 2012 at 9:19 pm

Mahesh

I think its possible, because there are companies which have “declaration only” polcies and does not require “medicals” . I suggest contacting medimanage.com which is out trusted source.

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255 VIRENDER SINGH GUSAIN May 5, 2012 at 1:17 pm

Dear Sir,
My date of birth is 02.09.1966 and I want to take mediclaim policy of Sum Assured of 10 Lakhs. I am unmarried and residing at New Delhi.

Which insurance company is best for me, i.e. Individual.
Regards
Virender Singh Gusain

Reply

256 Manish Chauhan May 8, 2012 at 4:33 pm

Virendra

What else is your requirement ?

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257 Krishna Prasad May 15, 2012 at 4:51 pm

Hi Manish,

Thanks for doing a splendid job of demystifying Heath Insurance options available in India with this article and answering to individual queries posted.

I am also planning to buy Health Insurance coverage for my parents: mother aged 64 years and father aged 67 years with a floating cover of Rs 5,00,000 to Rs 8,00,000; and for my parents-in-laws: mother-in-law aged 48 years and father-in-law aged 55 years for floating cover of Rs 3,00,000 to Rs 5,00,000.

Only existing medical condition is that my mother is diabetic since more than 22 years now.

Even though my parents and in-laws can be convered by an optional group health insurance at my place of work, would still prefer a independent product to cover in between jobs (which is always a possibility).

I was planning to go for policies from either Star Health or Max Bupa but I am wary now after having read too many negative reviews about them. Can you please recommend health insurance products that suit my requirements?

Thanks,
Krishna

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258 Manish Chauhan May 15, 2012 at 9:15 pm

Krishna

Its suggested that you take the cover through your employer first, getting a stand alone policy would be tough with such age and medical conditions

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259 Krishna Prasad May 18, 2012 at 5:01 pm

Thanks for your quick reply. I have applied for optional parental health insurance at my workplace.

With best regards,
Krishna

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260 Mahavir Chopra May 31, 2012 at 11:24 am

Hello Krishna Prasad,

Would recommend you still go with a low cost independent insurance in some time. This would ensure that you have your own financial plan in place, instead of depending on what your employer is offering you. Such optional covers are known for discontinuance after some years, or premium shooting to double, due to unviable premiums compared to claims.

Regards,

Mahavir Chopra
http://www.medimanage.com

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261 Bharath May 22, 2012 at 2:26 am

hi,
i am planning to take health insurance for my father age 61 years, he is diabetic patient. kindly suggest me a good health insurance. heard Bajaj silver is my preferred one.

kindly suggest the best one.

Regards,
Bharath

Reply

262 Manish Chauhan May 22, 2012 at 7:13 pm

Oriental Family Floater is a good one !

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263 Mahavir Chopra May 31, 2012 at 11:26 am

Hello Bharath,

Additionally, Star Red Carpet is also a good plan. Ensure you have a good advisor in place for servicing and claims.

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264 Anil June 11, 2012 at 11:01 am

HI,
Nice article. Cleared few of my doubts but i am still confused with few.
Both for me and my wife, so far, the maximum expense involved for any treatment was well with in 2lakhs limits.
I am recently married and look forward to start a family.
Like for life insurance where you have a referral benchmark which say’s ideal insurance should be ideally be 10 times your salary, what would be an ideal coverage for us (Floater).
Would you suggest a basic floater health cover or something with Maternity coverage? I am from Mumbai.

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265 Manish Chauhan June 12, 2012 at 7:38 am

THis is not an easy question , but you can assume few answers here .. you can assume 100% of your take home salary as a good benchmark for health insurance or 20 lacs maximum . Like if a person is earning 6 lacs per year .. then he can take a health insurance of 6 lacs . But if a person is earning 1 crore , he can take upto 20 lacs (upper limit) . Not sure how much correct it is !

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266 Rasik Bapotra June 11, 2012 at 4:34 pm

My father had heart attack in the year 2008 and for this he was hospitalized for a week. After this incident happend I had added my parents as dependent under my company’s mediclaim(New india insurance). Till three year I did not require any hospitalization related claims. Now this I thought of changing my company and hence I did not add my parents under the company mediclaim policy. But last week my father was hospitalized not because of heart attack but typhoide, malaria and lever swelling and because of not having mediclaim policy this cost me very badly.

I heard about ICICI lombard Find your Fit new policy. It provide facility for OPD(medical expenses, lab charges, doctor charges etc.) claim also. It can also be renewable life long. Is there any other policy which allow claim for OPD.

I would like you to help me purchasing policy which is best suitable for me considering above case and also one which can be renewal life long.

Reply

267 Manish Chauhan June 12, 2012 at 6:57 am

Rasik

PLease get in touch with medimanage.com and give my reference . They are our trusted one;s

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268 balasubramanian.b June 12, 2012 at 11:52 pm

I am holder of star health insurance policy for myself, wife and my younger son. I have paid two years subscription. Now my wife undergone for diabetics treatment for which i have spent rupees eight hundred per month for the purchase of tablets. In which policy I am able t to claim this medical cast.

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269 Manish Chauhan June 13, 2012 at 8:43 am

Balasubramanian

I do not think you will be able to claim it in any policy especially when it has already happened !

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270 Lokesh June 22, 2012 at 1:15 am

Hi mahavir,

i am searching for a good family floater plan which can cover my entire family including me(28 Yrs.), spouse(27 Yrs.) and my parents(52 Yrs. and 47 Yrs.),
currently i have no children but will be planning in next 1-2 Yrs.
Please Guide me.

Reply

271 Sunil June 27, 2012 at 12:07 pm

Hi,

I am 30 yrs old. My wife is 29 yrs and daughter is 2 yrs old. I want to buy a decent health insurance for all with all necessary feature.

Would you suggest me an individual policy or a family floater, and which company should I go for?

Reply

272 Manish Chauhan June 27, 2012 at 12:41 pm

Contact medimanage.com !

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273 Monideepa June 27, 2012 at 2:39 pm

Hi, Mahavir.
I am searching for a Health insurance for the Parents. My Mother has pre existing ailments as below – Diabetes, High BP, Osteoporesis, Rheumatoid Arthrities, heart problems. My Father has high BP and heart ailments.
I was looking for a family plan but saw a quote above that Individual plan is better.
Can you please suggest some Health Insurance plans which is well fitted for my parents.
Would want cover for health checkup, medical bills, OPD and hospitalisation as well.

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274 Veer July 4, 2012 at 7:31 am

I would like to take best and affordable health insurance coverage for my parents: Mother – 52 yrs and Father 60 yrs. Could you please advice any policies, in terms of life time renewal, low copay, no capping, no/low loading, low/ fixed premiums, cashless facilities, fast TAT on claim processing, less waiting period, provide no claim benefits, no hidden charges and provides tax benefit to the proposer.

Would really appreciate your advice.

Thanks.

Reply

275 Manish Chauhan July 4, 2012 at 7:41 am

Veer

You are asking for too much in a single policy , do you really feel any policy can give all these things in a policy and make profit . You should look at some companies like Apollo , Max Bupa and Oriental Health Insurance

Reply

276 Rajul Dixit July 12, 2012 at 2:57 pm

Hi,

I want to buy a health insurance which covers myself (Age:30, slalaried, male) and my mother (age: 57). My mother suffers from hypertension. Please suggest a suitable health insurance plan. Thanks,

Rajul

Reply

277 Abhinav July 16, 2012 at 12:07 pm

Hi,

This is really informative. It took me approx 2 hours to go though this post and still I could not complete it fully :). Most of my doubts got cleared. While reading through this article I also went through http://www.jagoinvestor.com/2011/08/health-insurance-myths-india.html.

Now about myself
I am 33, married with a daughter 3.5 years old. My wife’s age is 32. My mother is a government servant 58 years old (diabetic, though its under control with medicine and fluctuating BP, sometimes high sometimes Low). She will retire from Govt. Service in next 1.5 years.
Till now I did not have a individual health insurance plan and thought that the group insurance provided by my employer (I got default 2L cover increased to 4L by paying 2k extra) was sufficient. But now after reading this article and also watching some expert opinions on TV, I know that I should go for an individual cover sooner than later.
I am looking for the following options:
1- Go for Oriental Happy family floater for 6L or more with all the four members (me,my wife,daughter and mother). Not sure whether my mother being diabetic can be insured or not.
2- Go for Oriental Happy family floater for 6L or more with three members (me,my wife,daughter) and take a separate cover for my mother which takes care of her being diabetic also.

Which of the above would you recommend. Or may be some third option which I would not have include above.

Thanks,
Abhinav

Reply

278 Manish Chauhan July 17, 2012 at 10:13 am

Abhinav

We recommened everyone to enquire with medimanage.com on their health insurance requirement , they wll take care of your needs

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279 Abhinav July 21, 2012 at 11:21 pm

Thanks Manish.
I am already in touch with them.

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280 VAIBHAV SARAF July 16, 2012 at 1:43 pm

HI,

Your article is really impressive, but would still require your advice on my renewal of mediclaim.

Currently i am having 2lacs SI for myself and wife each with New India Assurance Company limited. I would like to go for a family floater option, I am of the view that psu players have too many sub limits when it comes to claims. Do u feel i should go with private players for the same.

I dont mind paying little higher premium for the same. Which private company you feel gives the lowest or no sub limits irrespective of the premium amount if i am ready to pay. I would like to have a 5lac sum insured family floater policy.

Thanks

Reply

281 Manish Chauhan July 16, 2012 at 6:56 pm

Its not that simple as you are thinking , better talk to medimanage.com guys ! , they will talk care of you , give our reference !

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282 Devinder Kumar July 17, 2012 at 3:04 pm

I am 37 years old my wife is 36 years old and have two son 8 and 4 years old my annual income is 2 lac. I want a health insurance policy for my all family members life time renewal and critical illness coverage sum assured near about 3-4 lac. Kindly suggest me the best policy and company name.
Thanking you

Reply

283 Manish Chauhan July 18, 2012 at 6:29 am

A plan from Oriental is a good one , you should look at it !

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284 Devinder Kumar July 20, 2012 at 2:09 pm

Manish Ji
You suggested me Oriental health insurance policy Kindly tell the policy name if any.

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285 Manish Chauhan July 21, 2012 at 3:37 pm

Happy family floater policy

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286 Neelesh July 26, 2012 at 4:49 pm

Hello Manish/Mahivir,

I am a bachelor (aged 31) and planning to get married soon. My parents are Aged 61 and 62. Mother is a diabetic (initial stage), no other major complaints from my parents.

Please suggest me a good insurance policy, which will cover for lifeterm.

Thanks,
Neelesh.

Reply

287 Manish Chauhan July 31, 2012 at 11:04 am

Neelesh

There are new plans from MaxBupa and Apollo which fits your requirement .

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288 Neelesh August 3, 2012 at 3:55 pm

Hello Manish,

thanks for the response. I checked with Apollo, they don’t have a policy for my parents as they are diabetic.

After little research, I have planned to take below 2 ploicies, please let me know if i am on the right path

My Company Policy for Parents : 1 lac coverage ; Premium: 8250
Max-Bupa : High Deductible plan: 2 lac coverage, 1 lac deductible; Premium: 16906

So total for 3 lac coverage premium is 25156 – both the policies are Floater

The reason i am taking company policy is there are no waiting periods, and very less limits, less copay. Also choosing Max-Bupa because want to be with a Non-Company Policy, as in case if I leave my company, it would help them get coverage later on.

Max Bupa is lifetime renewable.

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289 Neelesh August 3, 2012 at 3:57 pm

My Company Policy is National Insurance

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290 Manish Chauhan August 4, 2012 at 1:17 pm

You can then go ahead with your company policy , also did you check with medimanage.com ?

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291 mahesh k pawar July 30, 2012 at 3:20 pm

dear manishji,my age is 43,my wife age is 40,my son age is 11 year,i m looking for family floater health plan,we have no illness history,i m looking for company who covered critical illness as well as typhoid ,malaria,dengue,viral fever deseses.i m staying in thane(w),near jupitor hospial,eastern express highway.which insurance company directly tie up with jupitor hospital,pl.suggest me proper insurance company which is most reliable and fast in services.

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292 Manish Chauhan July 31, 2012 at 11:04 am

Better contact medimanage.com for this !

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293 Vinayak August 16, 2012 at 12:04 pm

Hi, good Review.. Please help me to buy Health Insurance policy for my parents..
My dad is 58yr old and Mom is 49yr old, I am 28yr old guy… My parents dont have any pre existing diseases .. I am very confused as I am getting mix reviews about the companies… M thininking of Oriental Happy family floater plan : 6 Lac cover : premium around 17,000… But I heard Oriental is not great in service n Renewable till 75yrs only.. I am thinking of New India Assurance … PLEASE suggest good policy for my parents at earliest.. Regs,Vinayak More. Thane

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294 Manish Chauhan August 17, 2012 at 1:22 pm

You should get in touch with medimanage.com team on this

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295 Darsh August 22, 2012 at 4:09 am

Hi Manish,

Lovely blog and great to have people like you around.

My mother is 73 years old, with diabetes & blood pressure. Otherwise in good health.

I would like to get her health insurance.

Would be very grateful for your advise.

Regards.

Darsh.

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296 Manish Chauhan August 22, 2012 at 6:44 pm

It would be too tough to get her insurance now . Contact medimanage.com team on this

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297 deepesh rathi September 10, 2012 at 7:38 pm

I would like to cover me (Age: 26 years old) and my parents (Age: 51 & 55 years old). they are fit and fine. I live in Noida while they live in Ujjain (M.P.).
I want to buy a policy looking at my future as well. I’m going to married soon so just to continue the same policy for next 20-25 years, what should be your suggestions.

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298 Manish Chauhan September 12, 2012 at 11:25 am

Get a Oriental family floater policy for your self and family !

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299 Sanjeet September 12, 2012 at 4:54 pm

Hi Manish,

I have seen your site very informative for one who is not aware much pros & cons about Health Insurance. Firstly, I want a family floater health insurance. My Father age is 66 & mother is 62 yr old. My age is 36 & my wife is 32 yrs old with one child of 9 yrs & another of 1 yr. My father had gone through angioplasty & is having sugar (in control). My mother is having BP problem. Please suggest me any good Health Insurance policy for me which cover my both parents.

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300 Manish Chauhan September 13, 2012 at 10:47 pm

It will not be easy to get a health insurance plan for them, but you can try some companies like Oriental Family Floater, Optima Senior from Apollo

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301 thomas September 15, 2012 at 10:31 am

dear sir,
i am 35 years old and my wife is 31,i wanted to take a 5 lac family floater policy before this month end ,my major predicament is which plan to choose ,should i go for the private insurance company or rely on government owned
i know you have mentioned about it in your earlier comment ,but if you need to be specific what would you suggest?
secondly is it true that private insurance company do not in most of the cases reimburse your legitimate claim despite providing all the correct documentation in the right time ,as this companies are more interested in filling their coffers
So what should i do ????
thanks
regards
Thomas

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302 Manish Chauhan September 18, 2012 at 12:49 pm

There is no harm in private companies, you can look at Max Bupa or Apollo plans

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303 Ramesh September 22, 2012 at 2:53 pm

Please advise if HDFC Ergo Health Insurance can be opted?

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304 Manish Chauhan September 22, 2012 at 3:08 pm

Why not .. does it suit your requirement ? Did you read what it offers ?

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305 Manish Chauhan September 26, 2012 at 2:02 pm

Why not , if you are comfortable with its terms !

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306 pria September 23, 2012 at 2:25 am

Hi. I am 24 yrs old and I want to take a health insurance for my parents (mom 48, dad 57). Which is the best option. And how should I claim them? Like, if one gets admitted for some operation, should I immediately inform the insurance people about it?? please help.

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307 Manish Chauhan September 26, 2012 at 1:42 pm

Priya

Some good options are Oritental Family Floater Policy and Max Bupa . I think you should learn more and more about it

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308 srihari September 23, 2012 at 5:09 am

Hi,

As my father is a diabetic patient and my mother too. So can you please suggest
a best health insurance plan to them from any company

Reply

309 Manish Chauhan September 26, 2012 at 1:40 pm

There are policies from Max Bupa and Apollo which can be taken , but there will be enough restrictions now

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310 sandeep September 25, 2012 at 2:01 am

I want to cover both of my parent under medical insurance.
Medi Manage provides the medical insurance. But is there any other insurance policy covering Rs 3 lakh on a premium on Rs 10500.

Thanks
Sandeep

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311 Manish Chauhan September 26, 2012 at 11:58 am

Whatever they must have suggested would be a good option . As the parents age is high , it would be tough to get a better cover than suggested

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312 Ashok Gupta September 27, 2012 at 4:52 pm

Can’t believe Aviva’s health plan isn’t mentioned here. My wife got breast cancer and had to be operated. Aviva paid the entire fees for the operations. Aviva’s health care plan is definitely one of the safest and the best.

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313 Manish Chauhan September 29, 2012 at 10:55 am

Thanks for your experience !

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314 Bharath October 2, 2012 at 8:53 pm

Hi Manish..

Thank you for your efforts in making people aware of the policies and how to choose one.

I need your guidance in choosing a right policy for my parents.I an 24 , May dad is 46 and mom is 43 . My mom doesnt have any pre existing disease but my dad has recently ( August) diagnosed with Diabetes and started taking medication. I want to get a healthcare policy for them please suggest which one is best which has limited copay,and no sublimit and cashless claim with wide netwrk of hospitals and which is for long term or lifeterm i am from Hyderabad.

I have heard that Max bhupa doesnt have much network in south india as it has in north.

Please help me out in choosing the right policy whether to go for family floater or individual for my parents.

Regards,

Bharath

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315 Bharath October 4, 2012 at 1:20 am

Hi Manish..
Thank you for your efforts in making people aware of the policies and how to choose one.
I need your guidance in choosing a right policy for my parents.I an 24 , May dad is 46 and mom is 43 . My mom doesnt have any pre existing disease but my dad has recently ( August) diagnosed with Diabetes and started taking medication. I want to get a healthcare policy for them please suggest which one is best which has limited copay,and no sublimit and cashless claim with wide netwrk of hospitals and which is for long term or lifeterm i am from Hyderabad.
I have heard that Max bhupa doesnt have much network in south india as it has in north.
Please help me out in choosing the right policy whether to go for family floater or individual for my parents.
Regards,
Bharath

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316 Manish Chauhan October 4, 2012 at 5:56 pm

The other good options are Apollo Optima restore and Bharti Axa .. check with medimanage.com team

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317 Bharath October 5, 2012 at 3:15 pm

Hi Manish,

How about new india Assurance .. what is your opinion on it? will the be best to take for my parents they are dad -46 mom -43 and dad has diabetes.

Regards,

BHarath

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318 Manish Chauhan October 9, 2012 at 11:13 am

Bharath

Not heard much review about it

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319 rajath October 5, 2012 at 4:03 pm

Hi Manish,

Thanks for the information put up on the website ,I need a suggestion from you,myself(24)-fit n fine,dad(56)-diabetic,mom(45)-fine,Sis(21).Could you suggest some good insurance policy were it covers some major operations along with the pay of bills in international hospitals for yearly routine checkups.I am from Bangalore.

Thanks in advance.

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320 Manish Chauhan October 9, 2012 at 11:08 am

Rajath

You can look at Apollo policies

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321 Mahavir Chopra October 10, 2012 at 8:15 pm

Hello Rajath,

You have various options. You can buy (alphabetical order) ICICI Lombard Complete, Max Bupa Family First, Oriental Happy Family Floater.

Contact a good health insurance adviser.

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322 rajath October 11, 2012 at 11:23 am

Thanks for the suggestions ,it would be greatful if u guys are able to pin down exactly which will suit ma needs.

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323 Mahavir Chopra October 11, 2012 at 11:41 am

Hello Rajath,

Pinning down to a specific policy requires detailed understanding of your preferences, long term needs, your budget etc. It cannot be done on an online forum.

If you want, our advisory team can assist you with deciding a product. You can write to expert (at) medimanage (dot) com.

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324 Vikas Prasad October 10, 2012 at 11:27 am

Thank you for your efforts in making people aware of the policies and how to choose one.

I need your guidance to determine if myself and my family are adequately covered.
Myself (Healthy – 31), Wife (Healthy – 29), Daugther (Healthy – 2), Father (Diebetics – 66) and Mother (Diebetics – 65).

All of us have 3 Lakh health insurance cover from my company (Tech Mahindra).
Additionally all of us have 5 Lakh insurance from my wife’s company (Tata Consultancy services LTD). Total = 8 Lakhs coverage.

Other than that I have personally purchased HDFC Ergo 3 Lakh health insurance for myself, my wife and my daughther for around 8k annual premium.

I feel that myself, my wife and daugther are adequately covered. But not sure about my parents. Is it really required that I buy health insurance for my parents outside our company?
I was looking online and found health insurance premium for senior citizens very high.

Thanks in advance.

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325 Mahavir Chopra October 10, 2012 at 8:13 pm

Hello Vikas,

It is very very important in the long term, to have your own health insurance for your parents. Reasons are as follows:
1. Claim ratios or loss ratios being high in Corporate covers for parents, premiums for parents coverage are increasing by 30 to 40% every year in most companies.
2. Most employers finding it unfeasible, have started transferring (the proof of it being unfeasible) the cost to their employee.
3. Finally, you may join a company which may not have a parents optional cover. I am sure, you would not take your career decisions based on whether your employer covers your parents.
4. At later ages, it would be TOO LATE, and you will NOT GET A COVER, outside your company.
5. You should OWN the cover for your family, and not your employer. It is not sound financial planning.

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326 Vikas Prasad October 11, 2012 at 2:26 pm

Thanks Mahavir

Considering my parents old age I am planning to get individual health plans for my Mom and Dad.

And then a Family floater for myself, my wife and daugther.
Is that the right way to go?

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327 Mahavir Chopra October 11, 2012 at 2:50 pm

Yes, that is the right way to go. All the best.

Regards,

Mahavir Chopra

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328 Manish Chauhan October 12, 2012 at 1:06 pm

You should read this article and you will get your answer – http://www.jagoinvestor.com/2012/07/group-health-insurance-policy.html

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329 Ankit Sharma October 11, 2012 at 2:11 pm

Hi Manish,

Nice Atricle…. Keep up the good work….

As an expert I need your inputs on my query on health insurance.

I want to buy a medical policy for me (27) ,my wife(26) and my father (56) and mother (54).Our main concern is to cover my wife pregnancy expenses. Also my parents are both fit n fine.What kind of policy would best suit us.We reside in New Delhi.

Please advise

Regards
Ankit

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330 Manish Chauhan October 12, 2012 at 11:14 am

Is your wife pregnancy due in just few months ? if thats the case, then I am afraid no policy would cover it because generally tehre are waiting periods for that kind 2 or 3 yrs . You can contact medimanage.com to get a detailed list of good policies suited for you .

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331 Vikas Prasad October 11, 2012 at 3:39 pm

Hi Mahavir / Manish

Where can I find a good un-biased health advisor?
I prefer face-to-face interaction

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332 Manish Chauhan October 12, 2012 at 11:05 am

Vikas

I think it will be tough . I dont know many !

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333 Vikas Prasad October 12, 2012 at 10:34 am

Hi Mahavir / Manish

Based on your valuable feedbacks I am finally on track to buy right policy for my parents. Please let me know your feedback on my decision.

I called Medimanage and was suggested Star Red Carpet for my parents
(Father – 66 & Mother – 65, Both Diebetic, Otherwise healthy, Both already covered under health insurance from my company for 3 Lakhs)
However on reading one of blogs from Mahavir I researched Star Red Carpet a little bit more and found it of not much use. It has too much negative
Loading -> 20-50%
Sub Limit-> 60-70% of sum assured
High co-pay -> 50% on existing, 30% for other than pre-existing.
Star Red Carpet -> 3 Lakh coverage -> Rs 14,495
Therefore star red carpet ruled out.

Now since they are diebetic Appolo Optima Senior is declined. ICICI Lombard is too expensive and has upto 200% loading. Bajaj is renewal only upto 75 years age.
So all these uled out.

Finally I am left with MaxBupa which also has several schemes (listed below). It is life time renewable, no loading and no sub-limit. Though copay above Age 65 is 20%.
Out of these I have selected MaxBupa (heartbeat – Family Floater Plan).
Other option is to select Heartbeat Individual for both of them.
Should I select Heartbeat Individual? Let me know.

Max Bupa -> Heartbeat – Family Floater Plan -> 3 Lakhs = Rs 32,701
Max Bupa -> Heartbeat – Individual -> 2 Lakhs = Rs 18,354
Max Bupa -> Family First -> 1 Lakh individual and 3 Lakh Floater = Rs 45, 434

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334 Sumit October 12, 2012 at 1:57 pm

I want to buy a medical insurance policy ,covering myself (43), my wife (39) . I would like to have lifetime renewal and premium somewhere between 20,000/- and 30,000/-. Please suggest the policies which give maximum coverage of various sort of medical needs.
Thanks.

Reply

335 Manish Chauhan October 12, 2012 at 2:33 pm

You can then look at Apollo Optima Restore policies

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336 deepak vasudeva October 12, 2012 at 5:31 pm

dear sir,
i am 37 years old and my wife is 31,i wanted to take a family floater policy, which cover all the diseases for life time; my major predicament is which plan to choose ,should i go for the private insurance company or rely on government owned
i know you have mentioned about it in your earlier comment ,but if you need to be specific what would you suggest?
secondly is it true that private insurance company do not in most of the cases reimburse your legitimate claim despite providing all the correct documentation in the right time ,as this companies are more interested in filling their coffers
So what should i do ????
thanks
regards
deepak

Reply

337 Manish Chauhan October 16, 2012 at 2:57 pm

Deepak

Start a thread on our forum for this – http://www.jagoinvestor.com/forum/

Reply

338 P Nagarao October 15, 2012 at 6:40 pm

Sir,
Please advise me((25 years) for free on a mediclaim policy on my hand towards my family consisting of DAD-56 having blood pressure , Mom-53 having Sugar & blood pressure, Sis-27 having totally recovered from tuberculosis.

benefits required by me:
Lowest premium annualy
best coverage of surgeries
cashless hospital pays
income tax
maximum years for renewals

Reply

339 Manish Chauhan October 16, 2012 at 1:49 pm
340 Rahul Bhoyar October 23, 2012 at 10:02 pm

Hi Manish,

Thanks for this informative article. I would like to have some advice on which insurance policy is best suited for my below listed requirements.

1) I would like to cover me , my parents, my to be wife.
2) Sum assured of 5-6 lakhs.
3) Must cover major things such as Angioplasty, Heart surgeries such as Bypass surgery, Chemotherapies,etc
4) If possible must also accept Domiciliary claims (Non-Hospitalization).
5) Regular health checkups,etc.

Please suggest,

Regards,
Rahul

Reply

341 Manish Chauhan October 24, 2012 at 8:26 pm

Apart from regular health checkups , policies from Apollo and Maxbupa should be a good fit for you . Note that the final investigation of what all is covered has to be done by you , no escape from that and better dont escape !

Reply

342 chandra bhooshan jaiswal November 8, 2012 at 11:42 pm

i am 47, my wife is 43, my son is 5. plz recommend us for health insurance

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343 Manish Chauhan November 12, 2012 at 8:28 am

go for Maxbupa or Apollo

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344 Karan Tanwar November 12, 2012 at 11:56 am

Hello, I need a health Insurance for family and im confused. family has 4 person The maximum age of a member in family is 54 and minimum age of a person in family is 20 .My basic requirements are policy covering Diabetes , check ups and critical illness + fast and cashless service.

Which Policy would be a better option ?
Please Guide .

Thanks.

Reply

345 Manish Chauhan November 15, 2012 at 7:56 pm

Better talk to medimanage.com on this !

Reply

346 Narendra Pratap November 19, 2012 at 2:55 pm

Hi ,

I want health insurance for my parents.

Father – 61 yrs
Mother – 55 yrs

Which Policy would be a better option ?
Please Guide .
Thanks.

Reply

347 Manish Chauhan November 20, 2012 at 3:22 pm

You can look at Apollo Health insurance policies !

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348 Parikh November 20, 2012 at 5:44 pm

Hello Manish/Mahavir,
Excellent analysis provided to people.
I need your advice, I am 32, my wife is 29 and have a month old son.
I Am covered by my / insurance policy. Do not have any individual policy. I am a resident of Gujarat /AMD.
My parents Dad (65yrs) & Mom (58 yrs) are having insurance (United Insurance) of 2 lacs till now.
Now I am thinking to have insurance for me & my entire family.
I went through insurance policies of different companies and I am confused badly.
Please suggest me 3 best options (2 Private & 1 Government Option) which can give me maximum benefit ,cost effective and reliability. Till now no one is operated in my family. But by considering age factors, I would like to buy insurance.
Please provide me your valuable advice and obliged.

Reply

349 Manish Chauhan November 25, 2012 at 12:36 pm

You can look at Maxbupa , Apollo and options like Bharti Axa !

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350 Mahavir Chopra November 21, 2012 at 11:16 am

Hello Parikh,

Assuming all the family members are healthy. You can go for 2 options:
Option 1: Take one consolidated floater policy for all the family members, with a sum insured of atleast 7-10 Lakhs. Products: Max Bupa Family First, Oriental Happy Family Floater.
Option 2: Take a separate floater policy for your immediate family, and another for your parents. These could be 3 and 5 Lakhs respectively. Products for Self + Family: Apollo Munich Restore, Max Bupa Family First, Oriental Happy Family, Religare Care. Products for Parents: Max Bupa Family First, Oriental Happy Family, Religare Care, Star Red Carpet (for Father)

For specific recommendations, you can contact medimanage.com at expert@medimanage.com, with your contact details. This is a free service.

Reply

351 chirag November 25, 2012 at 12:51 pm

Manish, Mahavir,
Thanks a lot for your valuable time to advice me. These options have definitely helped me to choose the better option. Also requested medimanage to further help me finalize.

Appreciate your valuable help.

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352 Manish Chauhan November 30, 2012 at 3:35 pm

Better talk to them directly , I am not sure if they are watching comments section now :)

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353 Amritsingh November 26, 2012 at 11:06 pm

Respected sir,

Thanks for providing the Medical Insurance Guidance. I am 24 year old, my mom no major or minor illness, my sister 20 years no illness and my father is 52 years old having Blood Pressure, Diabetes Type-2, Glucoma in the eye and Seizure problem. Since last two years i had done more expenses on my father illness coz due to infection in the left leg done plastic surgery, than kidney treatment coz the creatinine increase 2.0, than cataract problem with glucoma in the eyes and seizure problem.

Please guide me which will be the best insurance plan to cover the my family with mainly to my father.

Thanks & Regards,

Amritsingh Khalsa

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354 Manish Chauhan November 30, 2012 at 1:45 pm

You should talk to medimanage.com

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355 Mahavir Chopra December 5, 2012 at 5:26 pm

Hello Amritsingh,

It would be next to impossible to cover your father in any open market policy. You could check with exclusive mediclaim policies provided by Government Banks, and enroll him in the same. The service is below average, but if you follow up, you will get the money. Note, Pre-existing ailments will have waiting periods.

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356 Deepak November 28, 2012 at 3:02 pm

Hello Mahavir Ji,

Excellent article!!! thanks for the article.

Although I read the entire article but unable to read all the question/queries raised by other persons and your answer to almost every question(must appreciate !!). So i want to raise some of my question/queries(though you already answered above).

I am looking for a family floater for me(age 30) & my wife(age 27). till now by God grace we don’t have any existing illness.
after reading article I want to go with ‘Happy Family Floater’ by Oriental.

My queries :-

1. I want to have insurance of 3L. so if after some year (let say after 5 years) I want to increased the SI upto 7-10 L then will all the benefits which we earned previously will carry forward or it will be considered as new policy?

2. as SI is 3L then will all the members in Family Floater policy have the equal benefits or primary member will get the max benefit and rest member will get less benefit?

3. will loading be continue or it will be levied off after continuous renewal of policy for some specific period?

4. will co-pay be continue in case of SI is between 1-5 L over the years or it will be levied off after continuous renewal of policy for some specific period?

5. will it cover if one is admitted to hospital for less than 24 hr.

Please suggest if you have another option other that Oriental. One more thing i will prefer PSU.

Thanks,
Deepak

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357 Mahavir Chopra December 5, 2012 at 5:23 pm

1. The upgraded sum insured will attract the waiting periods from the year of upgrade.
2. Floater is a shared pool cover. Anyone in the plan can use any amount, till the entire amount exhausts for that year.
3. Loading will reduce again, as you have continous no claims.
4. Co-pay will remain, as long as the sum insured is less than 5 Lakhs.
5. The policy covers every hospitalization which is required as per the medical practitioner. Go through clause 2.3 here: http://www.medimanage.com/insurance/oreintal/wording/happy-family-floater-policy.aspx

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358 Mukesh beri December 1, 2012 at 1:04 pm

Dear Mahavir Sir,

My name is Mukesh beri..I am 32 years old…My father is 59 years old and my mother is 54 years old….I am a government employee.My parents are dependent on me. I need a health insurance plan which covers Me, My mother and Father jointly (family floater type plan)…Someone suggested me to take Oriental- Family floater plan. He told that It is good in account of benefits as well as premium. Please suggest me Should I take this plan for me and my family Or not ? Please suggest If there any better option than this in other company. Me and my parents have not any pre – existing disease.

Sir, I am waiting for your valuable suggestion.

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359 Mahavir Chopra December 5, 2012 at 5:14 pm

Hello Mukesh,

Yes, Oriental Happy Family Floater is a good plan, you can go for it. Since you are including your parents, ensure you go for a good coverage of Rs. 6 Lakhs and above.

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360 Manish Chauhan December 11, 2012 at 4:53 pm

Yes Oriental is a good one !

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361 Abeon Augustine December 1, 2012 at 6:18 pm

Dear Sir,
I would like to take a health insurance for my family.My father is at65(he have diabetic). Mother is at 61 .I am at 26 .and sister are at 27 and 21.We are in kerala.Could you suggest a better policy for my family .

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362 Mahavir Chopra December 5, 2012 at 5:08 pm

Hello Abeon,

Since you all of you are adults, you would have to go as follows:
1. Floater policy for your parents. You can try with Max Bupa Family First, Oriental Happy Family, Religare Care (mentioned in alphabetic order)
2. And individual policies for you, your sisters. This could be from Apollo, Max Bupa, Oriental, Religare etc.

Get in touch with a good health insurance advisory, who can provide you unbiased advice and claims services, and take a call.

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363 Manish Chauhan December 11, 2012 at 4:52 pm

You can look at Bharti Axa and Apollo .

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364 rajesh December 3, 2012 at 5:41 pm

Sir,

I would like to take a health insurance for my family for me age 34 my wife 26 my son 2 years, can u suggest me a better policy for me.

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365 Mahavir Chopra December 5, 2012 at 4:59 pm

Hello Rajesh,

You need to compare between various health insurance products and choose one.

Ensure you compare the features mentioned in the article above.

Some of the good products in the market are Apollo Optima Restore, Max Bupa Family First, Religare Care, Star Comprehensive (in alphabetical order)

Get in touch with a good health insurance advisory, who can provide you unbiased advice and claims services, and take a call.

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366 Manish Chauhan December 11, 2012 at 4:34 pm

Bharti Axa is a good option I would say !

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367 Kaushal Bhandankar December 4, 2012 at 2:23 pm

Hi,
I want to take Family Health Insurance for my Parents. Age – 59 and 50 years.
I analyzed various plans and wanted to clear a few corner cases regarding Group Policy. I am comparing Apollo Munich and Oriental Insurance Family plans below.

1) Apollo Munich Easy Health Family –
a) Premium paid for renewing the policy is not constant. It will increase as the age of the members in the policy increases as per age-slabs fixed by Apollo Munich.
b) 61+ age Individual Easy Health Policy maximum SA is 2 lacs. So in the Family Insurance policy when a member reaches 61 years and onwards, he/she can claim a maximum amount = 2 lacs per year.
c) Renewable till life
d) Increase in SA during renewal is not possible.
e) No sub-limits and co-pay.
f) Entry age less than 65 years and Medical test above 45 years mandatory.

2) Happy Family Floater Policy
a) Premium paid for renewing the policy is not constant. It will increase as the age of the members in the policy increases as per age-slabs fixed by Oriental.
b) Till age of 80 years members will be part of the Family policy and each member can claim full SA.
c) Renewable till member reaches 80 years, after which he/she will be removed from the Group Policy. Other members will continue.
d) Increase in SA during renewal is possible.
e) Sub-limits apply. No co-pay for Gold plan. 10% co-pay for Silver plan.
f) Age of Proposer < 55 years. No medical test required for add-on family members whose age < 60 years.

3) Max Bupa Family Floater Silver Plan
Did not like it much.

4) Star Family Health Optima
When a member reaches 61+, he is moved to Red Carpet Individual policy, which has 30% co-pay.

After comparing the Premium (with increasing age) and T&C of the Family Health Policies, I see that Oriental Gold Plan is very much suitable.

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368 Manish Chauhan December 5, 2012 at 12:11 am

I would recommend medimanage.com to get full idea on this

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369 Srikanth December 9, 2012 at 1:02 pm

Hi Manish,

Hope you are doing well. I need you suggestion to take health insurance for my parents. Currently I am working in software industry so they are covering 2.5 lakhs up to 3 dependents. Currently my parents are covered under this. My parents’ age is in between 45-55. Currently I am single but planning to marriage in a year.
So is this is right time to go for insurance for my parents. Or do you want me wait another 2-3 years.
If you say , this is the right time, please suggest me best insurance to cover 3-4 lakhs.

Thanks,
Srikanth

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370 Manish Chauhan December 10, 2012 at 1:47 pm

The best time is NOW . Go for it ! ..

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371 Mahavir Chopra December 12, 2012 at 5:49 pm

Hello Srikanth,

As Manish said, the best time is NOW.

Once an ailment or claim crops out for any of your parents, it will become next to impossible to get good plans which you can get now.

Also remember, you need to clear waiting periods before you get a full cover under health insurance. The faster you cover, the quicker your cover opens up.

It makes full sense to cover yourself now.

Ensure you do the comparisons mentioned above, and you should be fine.

Regards,

Mahavir Chopra from medimanage.com

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372 Srikanth December 13, 2012 at 10:33 am

Thats great. Thanks a lot for your suggestions.

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373 Nitesh Kumar December 18, 2012 at 12:20 am

Hello Mahavir,

Thank you for very detailed information regarding Health Insurance.
Actually, i am planning to buy a Floating Health Insurance for my parents (Father – 1/9/1954 & Mother – 11/10/1960) for Sum assured between 3-5 Lac.
Can you please suggest me some good health insurance policy , which should not have any age limit as per your recommendation.

Thanks
Nitesh

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374 M.s Singh December 18, 2012 at 4:57 pm

hello Manish/Mahavir
i am searching for a maximum protection cover health policy for my parents (father+ mother). They are fit and fine. Please suggest me the best policy.
Thank you !

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375 Manish Chauhan December 19, 2012 at 12:52 pm

Better contact the medimanage.com directly on this

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376 Vishal Sharma December 24, 2012 at 5:00 pm

Dear sir,

I am 30years of age and i want a health policy for me(30years),My wife(28years),My son(2Years) & My mother (62 years). I want a cover of Rs 7-8 lacs so could you please advise which plan would be best for me?Can i go with LIC Health Plus..

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377 Manish Chauhan December 25, 2012 at 6:07 pm

I think you should talk to medimanage.com and get a right policy out of their suggestions. LIC Wealth plus is not a great policy to go for !

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378 Malagouda December 26, 2012 at 2:24 pm

Hi Manish & Mahaveer,

It was a nice explaination on health insurance.

Previously my company use to cover my parents insurance but now in my current company they dont. Now If I want to buy policy for my DAD who is 62 years and mom 55 years, Is there any insurance available in the market for them for long term or life time?

Thanks
Malagouda Patil

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379 Manish Chauhan December 29, 2012 at 8:54 pm

YEs there are, but the problem is now the premium will be very high , especially for your father as he has crossed 60 .

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380 nivas December 26, 2012 at 6:23 pm

Hi Manish & Mahaveer,
Happy that we have good website which will provide good information on health insurance.
‘m having Maxbupa heart beat 3lacs flaoter with 1 lac each for my wife&child and would like to renew this year also..including me. though my corporate policy is there.
is it ok to continue with bupa or could you please suggest any other policy with long term view.

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381 Manish Chauhan December 29, 2012 at 8:33 pm

What you have is good enough !

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382 Bal Kishan December 27, 2012 at 5:44 pm

Hi,

First of all thank you very much for your expert advise on such an important topic. This is excellen work and I appreciate that you guys take out time for this.

My questions:-
1) My son had a kidney transplant in 1998 & he is currently on medications (Immunosuppresants and HBP) since then. His Kidney functions and other tests have been perfect for last 14-15 years and he has no other issues.

He is married (age 32) & works with an MNC which covers him currently. His wife (32) & kid (age 8) is also covered.

If we would like to take a family health policy ….which one will provide cover for pre-existing disease as in our case. We will not avail the cover immeidately as my son is currenty working but in case he decides to leave the job in next 4-5 years then it is better to plan from today. Please suggest.

My age: 54 yrs + (No health Issues)
Son: 32 yrs (Kid. Transplant in1998)
Daugher in law: 32 (no health issues)
grand-daughter : 9 (no health issues)
Son: 32 (no healh issues)

Looking forward for your expert advise.

Thanks,
BK

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383 Manish Chauhan December 29, 2012 at 8:05 pm

Almost all the companies cover preexisting illness , but with waiting period of 3-4 yrs, but then it depends on the severity and class of the illness. If your son has soemthing which is really serious and has high chances of happeneing again , companies might not cover him at all .

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384 Triveni Ganta December 31, 2012 at 12:47 pm

Hi
I am Planning to take a Health insurance for my Mother she is @48 now , can you guys , please help me in finding a good insurance plan for her .

Thanks
triveni

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385 Manish Chauhan January 3, 2013 at 6:32 pm

There are some good one from Apollo or Oriental

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386 pankaj January 2, 2013 at 4:59 pm

Hi,

I am planning to buy a HI for my dad and mom (50 and 45).
Please can you suggest best lifelong HI for them.

Thanks in Advance.

Regards,
Pankaj

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387 Manish Chauhan January 3, 2013 at 11:17 am

There are good options like Apollo Munich, Oriental etc

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388 Pankaj January 3, 2013 at 8:28 pm

Hi Manish,

Please can you share the exact name of 1 or 2 recommended policies.
I have decided to buy the policy before next friday.

Regards,
Pankaj

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389 Deepika January 4, 2013 at 10:51 am

Hi Manish,
I am 41 years old and only have health coverage from the office (floater of 4 lacs thru Bajaj for my daughter (11 years) and myself.
I have understood that this isnt enough and want to buy a separate policy. I will need it to cover my daughter, my dad (70) and my mom (64) and myself. So a floater is a good option i guess.
Do you have any recommendation of policies?
Thanks in advance
Deepika

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390 Manish Chauhan January 8, 2013 at 1:08 pm

I am not sure if your parents will also be covered in the same policy , as some policies only consider your immediate family as your “Family” . Parents might require some other policy . I suggest get in contact with Medimanage.com for recommendations

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391 Deepika January 8, 2013 at 3:35 pm

Thanks Manish

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392 ANIMESH January 13, 2013 at 10:15 pm

Dear Mrs. Deepika,
LIC’s JEEVAN AROGYA the only plan which can solve your problem, you not only include your father and mother also can include your inlaws within coverage.
The best Health Insurance plan In India, with more flexibilities. The main important thing is if you have already any health insurance no matter, you also can have a Jeevan Arogya Plan, if any health insergencies you can claim for the same cause its the only health plan which doesn’t need the original documents at the time of claim. My suggession is for you plz contact a Proffessional LIC advisor immidiately for futher guidance.
Thanks

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393 Manish Chauhan January 14, 2013 at 2:05 pm

Animesh

Is it a pure health insurance plan or more of a cash hospitalization plan ?

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394 Sibin January 6, 2013 at 6:18 pm

Hi Manish,
I am 22 years old and would like to start a medical cover plan for myself.I have read that claim settlement ratio is a good indicator of the effectiveness of an Insurance provider,however i am finding it difficult to come across such data.Could you please then help me to select a good plan

Regards
Sibin

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395 Manish Chauhan January 7, 2013 at 6:54 pm
396 Amit January 7, 2013 at 12:27 am

Hi Mahavir,

First of all i would like to Thank you for providing such a nice and detailed info for a very essential topic “Health Insurance”.

My Father went through Angioplasty + Pacemaker implantation for which the bill costed – 4.10 lacs.I have covered my parents in my companies mediclaim policy so that 2.7 lacs have been paid by the National Insurance company.My father is a retired Govt employee hence when we tried to claim the remaining 1.4 lacs from the Govt than we came to know from them that we can’t claim 1.4 lacs as same illness can’t be claimed by two policies.

Can you please suggest what should i do now.

Thanks,
-Amit

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397 Manish Chauhan January 7, 2013 at 6:33 pm

I am bringing medimanage.com guys to respond to you .. wait for it !

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398 Mahavir Chopra January 7, 2013 at 7:23 pm

Hello Amit,

We are not aware of the details of how a Govt. Health scheme works. Let me still attempt at solving your problem through some suggestions.

- Have you received in writing why your claim is denied? Can you let us know the written reason.
- CGHS requires treatment in recognized network of hospitals. Was the treatment done in such a hospital?

Also, why don’t you speak to someone more senior and check? Maybe you can try using the helpline numbers on their website: Tel 011-66667777 e-mail helpline-cghs@nic.in

It would have worked better, if you claimed first from the Govt. scheme.

Let me know these, while we do some more research.

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399 amitava das January 8, 2013 at 1:55 am

Dear Sir,

Thanx for this blog…pretty exhaustively informative,,,i have a few questions,,,

a, what about Top Up Health Policies? Does claim under one such policy require the submission of documents like discharge certificates and bills in original?
b, i intend to take the Oriental Insurance Family floater policy Silver for myself aged 38, my dad aged 71 and mom aged 62 for 3 lakh coverage and follow it up with Optima Plus from Apollo Munich with a 3 lakh deductible. Can that be done? How can i make a claim in both if my expenses exceed 3 lakh?

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400 Manish Chauhan January 8, 2013 at 9:10 am

1. Yes the claim would require you to submit all the proofs , however not always the originals , but even xerox should be ok , because you might be giving the originals to the first company , there will be a work around , dont worry on this.

2. If the policy is for 3 lacs only, then how can you claim more than 3 lacs ?

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401 Bhushan January 10, 2013 at 9:01 pm

Thanks for great article and right answer to the queries…

I do have one question regarding my recent case.

I had admitted my father for angioplasty and total bill was 2.6 lakhs. We have heath insurance of NIC from my employer. They had mentioned in the policy that parents will have heath coverage of 2 Lakhs only. Also it will have copay of 30 percent. Company will pay only 70 percent of the claim.

So for my fathers hospitalization, I was expecting company will pay 70 percent of the total bill amount (2.6 lakhs) that is 1.8 lakhs. But company said that they will pay only 1.4 lakhs. They said they will pay 70 percent of heath coverage (2 Lakhs).

I am not able to understand their explanation. With their explanation, there will not be single case, in which any one can claim 2 Lakhs. Actual cover turns out to be 1.4 lakhs. But still they say 2 Lakhs.

I am not able to understand what should I do ?

Thanks,
Bhushan

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402 Mahavir Chopra January 12, 2013 at 1:55 pm

Hello Bhushan,

The Rs. 1.40 Lakhs is the right amount payable for the claim.

You have a balance of Rs. 0.60 Lakhs as sum insured, which can be claimed in the remaining part of the year. If you have another claim of say Rs. 75000 next time, you can again claim 42000 (Rs. 60000 less 30%)

All claims would be subject to 30% copay.

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403 Bhushan January 19, 2013 at 3:23 pm

Thanks for the reply Sir.

I got what you are saying. But there is very little chances that anyone can have multiple claims in the same financial year. So the benefit goes to company.

-Bhushna

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404 Mahavir Chopra January 21, 2013 at 1:33 pm

Hello Bhushan,

Copay is always on the admissible amount of claim, and never on billed amount, anywhere across the world. Its not question of benefit to Insurance Company, it is a standard practice.

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405 premanand January 14, 2013 at 11:26 am

Hi,
I am planning to take a medical insurance policy for my Uncle, Aunt and their age is 60, 55.. My requirements are,
1)Life time coverage.
2) Coverage upto 5 Lakhs.
3)No co-pay.
4) End of the day, the money which i am gonna from spend from my pocket in hospital should be very less.

Please suggest me some Insurance policies which satisfies the above requiurements.

Thanks in advance,
Prem

Reply

406 Manish Chauhan January 14, 2013 at 2:00 pm

There are lots of policies which fit your requirement like Max Bupa , Oriental , Bharti AXa

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407 K Ashok January 14, 2013 at 2:48 pm

Hi and hello,
Obviously i was searching for some to advice me to choose the best health insurance plan to my daughter who just finished her PG and got in to the new job and i thought this is the right time for her to go for a best health insurance. As I am an ex serviceman I have ECHS for me and my family members who are dependent to me. May be in couple of years my daughter may loose this privilege as soon she gets married. Wel i saw your very wonderful and easy to understand the information in your website and i read the anxious questions of so many people, i am thrilled and happy.
So Can you please advice me in this regard the BEST PLAN AND FOR HER FUTURE LIFE. Of course with the cost effective. She lives in Bangalore. Looking forward to her from you. And wishing you the beat of luck and thanks for the help and assistance which you are rendering to the needy citizens.

Ashok

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408 Manish Chauhan January 14, 2013 at 4:49 pm

She can get some plans like from Apollo ! or Max Bupa !

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409 Amartya Ghosal January 15, 2013 at 4:27 pm

Hi Manish,

Thanks for this great piece. Very informative.
I have one query, me and my wife have a cover of 2 lakhs from my employer and my parents have a cover of 1.5 lakhs under the same policy.

Now I want to increase my parents cover to 4-5 lakhs (so additional 2.5 – 3.5 lakhs policy) and also want to buy a cover of around 3-4 lakhs for my in-laws.
Parents are 65 and 60 and in-laws 60 and 56.
Can that be done under same policy or I need to purchase separate policies?
An can you suggest a good policy for my purpose ?

Regards,
Amartya

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410 Manish Chauhan January 18, 2013 at 2:26 pm
411 Arjun January 17, 2013 at 1:22 am

HI Mahvir / Manish
This is Arjun ,firstly i would like to appreciate the Excellent post and Very detailed explanation. I would like to get good suggestion and best suitable plan for my Parents . My Father age is 55 and my mother 50 (she is a diabetic ) .So please kindly suggest the best plan which covers the major illness for both of them.

Regards,
Arjun

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412 Manish Chauhan January 18, 2013 at 10:11 am

Oriental Family floater would be a good choice !

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413 Kannan January 19, 2013 at 9:33 pm

Hi Manish,

What is your opinion about HDFC – Suraksha in comparison with other health insurance products. Any idea whether it provides the lifetime renewal or any any limit is applicable.

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414 Manish Chauhan January 22, 2013 at 5:07 pm

Havent looked at it for now …

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415 yashvardhan January 30, 2013 at 5:53 pm

Hi Manish,

You should go for maxbupa health because i belive this is the best plan

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416 Javed January 18, 2013 at 11:37 am

Hello Manish/Mahavir,
First i would really appreciate the way you are helping peoples by providing them best consultancy.
I want to opt a health insurance plan for my father,mother and sister. I have already a health insurance plan from my employer of Rs .5 Lakh. Do you recommend to have another health insurance plan?
Please suggest me best HIP for me and my family.

Regards
Javed

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417 Manish Chauhan January 18, 2013 at 12:04 pm
418 Tushar January 22, 2013 at 5:46 pm

Hi Manish,

Nice explanation. I need a Health Insurance Plan for my Sister. She is 24. Can you please suggest a good , reliable company and the plan for the cover of around 3 lakh.

Thanks,
Tushar

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419 Manish Chauhan January 22, 2013 at 5:56 pm

Hi Tushar

There are tons of health insurance plans these days .. why not go for Apollo or Religare !

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420 Deepak January 22, 2013 at 9:48 pm

Dear Manish / Mahavir,

I am 37 years old and married with 2 kids – 8 and 3 years. Currently I have a Company family floater plan and am looking for a personal Family floater plan. One of my colleagues suggested me PNB – Oriental Royal Mediclaim family floater policy which is available only for PNB account holders.

I will highly appreciate your feedback regarding the same and how does this compare with Appollo Munich Restore policy?

Regards,
Deepak

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421 Manish Chauhan January 23, 2013 at 8:37 am

Deepak

There are other plans as well like Oriental Family Floater or from Religare . Did you look at it

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422 TD January 23, 2013 at 12:03 pm

Hi,
I wanna take policy for my father (diabetic, smoker, 62) and mother (healthy, 51).
Which policy to go for? Apollo not give policy for diabetics, Max Bupa saying they will cover from fourth year…I am not sure…Please suggest any good HI plan.

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423 Manish Chauhan January 24, 2013 at 5:19 pm

Yes.. any health policy which covers them only cover illness from 3-4th year. Its a standard practice !

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424 Harsh Singh January 23, 2013 at 2:50 pm

I want opinion on a policy for myself(35 yrs.), my wife (31) and one year old son. I had bajaj allianz health insurance policy for the last two years. My policy has expired and i want to shift to some other company. Kindly, suggest the best policy.

thanking you.

sincerely,

harsh singh

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425 Manish Chauhan January 24, 2013 at 2:30 pm

You have to check the portability possibility for your policy !

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426 Prashant January 23, 2013 at 10:58 pm

Hello Manishji/Mahaveerji,
I (39) have a small family which consists of my parents(70 & 58), my spouse(32) and kids(6 & 3) – all healthy without any ailments. I am an employee in a private firm and have a annual salary of 2lakhs. Kindly suggest me a family floater health policy which covers my family and howmuch should I opt for to be on the safer side.Also let me know the pros and cons of the best policy you suggest. Health policy are greek and latin to me. Kindly help.

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427 Manish Chauhan January 24, 2013 at 1:54 pm

You can opt for a minimum cover of Rs 5 lacs through oriental happy floater policy . It will suit your situation

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428 Rajendra January 25, 2013 at 12:15 pm

I want to buy a health insurance policy for me aged-31 yrs,spous,kid,parents aged 58 yrs. I want a family floter as well a super top-up plan. is it good?
I want a family floter of 2 lakh and a super top-up of 5 lakh. What is the best option?
Can i claim for my parents from the super top -up plan,then how much?
Thanks in advance.

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429 Manish Chauhan January 30, 2013 at 5:41 pm

Yes, this is possible .. If you take a super top up of 5 lacs, then you can claim upto 7 lacs !

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430 amit kumar January 26, 2013 at 2:11 pm

dear person
I am Interested in medic lam policy for my Father 53 and my mother 58.Please Tell which is the best Private or Public Insurance company?
1.What about LIC.?
2. What about Oriental..?
3.My parents Dont have Any disease right now…

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431 Manish Chauhan January 30, 2013 at 5:03 pm

You can go with oriental !

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432 Sujay January 26, 2013 at 9:00 pm

hi. iam 39 years old. my wife is 34 yrs old and have a 7 year old daughter. i have family insurance with star health for 3 lakh. i wanted to know if i should continue with same or u suggest a better one

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433 SGupta January 28, 2013 at 12:01 am

Hello Manish/Mahavir,

Thank you for a nice article. Just learnt some important points.

I am planning a policy for my parents. Father (55yrs and no pre-existing conditions) and Mother (53yrs and diagnosed recently with Thyroid). Knowing there is no best policy out there, I would appreciate if you recommend a better one.

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434 Manish Chauhan January 30, 2013 at 3:02 pm

A good policy can be from oriental happy family floater !

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435 Krishnan Unni January 28, 2013 at 7:54 pm

Dear Mahavir,

Presently I am working in Africa and I can’t take my family over here and my company doesnt give a family cover for my family as they are not at present with me.
Company agreed to pay the insurance premium ($ 1000/- – $ 1500/- pa) and I have a wife (aged 37 yrs) and two children (12 & 7 yrs) and I would like to insure them.

Kindly advise me which is the best plan I can go forward?

Regards
Unni

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436 Manish Chauhan January 30, 2013 at 2:22 pm

Why dont you ask wife to take it on her name !

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437 Raj January 28, 2013 at 10:19 pm

Hi Mahavir,

This is the best post I found regarding health insurance in internet. I have taken maxbupa family first policy for my father,mother and myself (59 yrs, 47 yrs,26 yrs).The premium for silver came around 32800/-. I came to know about the copay option for claims of the persons above 65 years through your post only. When I asked the same to the maxbupa executive he is saying that copay rule will be applicable for persons who will take the policy after 65 years. I think that he is trying to mislead me by giving wrong info or is he saying correct? Do you think that is there any other best policy available for my criteria? Thanks once more for the nice post..

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438 Dushyant January 31, 2013 at 2:38 pm

Dear Manish /Mahavir

I want to take family floater health policy, But I m so confused which is best.
Icici Health saver plan or Bharti Axa health.
Give me some advise on it or your suggestion

Dushyant singh

Reply

439 Mahavir Chopra February 7, 2013 at 4:12 pm

Hello Dushyant,

There are some more good health insurance plans you can consider like Apollo Munich Optima Restore, Max Bupa Family First, Religare Care, Oriental Happy Family Floater.

It is better you go through a professional health insurance adviser, who can understand your small and big needs and provide you reviews, recommendations, on the basis of which you can choose a mediclaim policy.
Also, ensure he owns the recommendation, and services your claims.

Regards,,

Mahavir Chopra
http://www.medimanage.com

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440 Manish Chauhan February 7, 2013 at 5:46 pm

You can look at options like Religare Care or Appolo Optima Restore !

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441 SANJAY February 2, 2013 at 12:58 pm

Dear Mahavir
I work in the Gulf… And am not familiar with the insurance industry in India. Live in Mumbai
Want to take a health Insurance policy for myself,48 yrs,wife 42 years, two sons 16 and 10 yrs
Mavavir what is the best policy to take? what amount should it be…Can I include my Mother in law…?
Really appreciate your column and would be highly obliged if you could advise me on this

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442 Manish Chauhan February 6, 2013 at 3:06 pm

Hi Sanjay

There are various policies which can suit you, its better to contact medimanage.com on this

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443 Chandra February 3, 2013 at 12:56 pm

Hi Manish,
I am 41 yrs old and looking for a good coverage for my wife and 1 kid for life time, and which can also keep up with inflation over a long time.
Say for example today i take a policy for 10lakhs, what will be its value after 10-20 yrs and whther it will serve my needs , we don’t know, so is there any way to catch up with inflation apart from other things. Please suggest a good company that has these features …
And also, is taking a policy from an MNC advisable if one is looking for a lifetime policy, as we don’t know how long they will be here or when they will wind up and land us is in a mess later, when we are least prepared for it.

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444 Manish Chauhan February 6, 2013 at 11:25 am

You should not worry much about their existence for now, because IRDA takes care of that..

You can take a fixed sum assured for now, and increase later. No plan as of now comes with bundled inflation linked plan .

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445 Vikash February 3, 2013 at 1:37 pm

Hi Manish,

I would like to take a family floater plan for me (age 35), my wife(age 32) and my daughter (age 6). Kindly suggest me a plan for the same.

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446 Manish Chauhan February 6, 2013 at 11:23 am

You can look at 3 options ‘

Oriental , Religare or Apollo !

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447 Anup February 3, 2013 at 4:34 pm

Dear Sir,
First of all let me congratulate you not for an exhaustive, yet simple post for almost all the audience, but taking the pains of answering the queries raised by individuals and guiding them through.
I am single, aged 30, and am willing to buy a health cover for myself (and my prospective family in future). I am currently working in a a company that covers my and my family’s health requirements quite well. I need to buy this cover so that i can live a hassle free life after my retirement. This policy should ideally give me cashless facility after approx 25-30 years (with inflation taken into account) and should continue to give till i live (not keeping a barrier of 75 or 80 years).

I request you to kindly guide me through.

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448 Manish Chauhan February 6, 2013 at 11:14 am

There are policies which are giving lifetime renewals , but the Sum assured will be fixed as of now, you can increase them later.. look at oriental , religare or apollo as options !

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449 Mahavir Chopra February 7, 2013 at 4:07 pm

Hello Anup,

For covering Healthcare Inflation.
- Buy a Rs. 10 Lakhs Sum Insured Plan.
- Buy a Rs. 5 Lakhs Critical Illness Plan
- Sit with your financial planner and create a retirement healthcare contingency fund .

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450 Raj February 4, 2013 at 12:32 pm

Hi

I have health insurance from New India. Mine (39) is 1.5 lac, wife (35) is 1.5 lac, son (9yrs) is 1 lac. These are all individual policies. I want to go to a higher insurance protection. Please suggest if i should take up another Family floater Policy and should i prefer Star or Oriental.

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451 Manish Chauhan February 6, 2013 at 10:52 am

It will depend on a lot of things .. however oriental is a great option I must say!

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452 Dr. Surbhi Sharma February 4, 2013 at 12:44 pm

i want to take health plan in a week’s time. i read your instructions, find them very useful and noteworthy .i want to take health insurance for myself,my husband and my son. i find max bupa very useful with respect to
lifetime coverage,renewal policy, previous illness and senior citizens as well, no co-pay and yearly increase in premium and coverage of most of the diseases(maternity and cataract as well). should i opt for that. .we both are 39 and our son,3yrs .pls advice ..
regards

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453 Mahavir Chopra February 4, 2013 at 9:54 pm

Hello Dr. Surbhi,

Max Bupa is a good plan. Note, it does have a copay of 20% when you cross the age of 65 years. Also consider Apollo Restore, Religare Care, ICICI Complete Health, Star COmprehensive, which also have very good features.

Ensure you have a good health insurance claims support through a good health insurance adviser.

Regards,

Mahavir Chopra

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454 Dr. Surbhi Sharma February 12, 2013 at 12:47 pm

Hello you both,
Iam considering you both as my advisors, so pls, tell me to zeroin on which plan-i want to include my mom-in-law also she is 69 yrs of age.
what iam thinking right is to opt either for Star Comprehensive or ICICI Complete Health
people whom we talk are working for for some specific product, so there is no unbaised advice.
regards
Dr. Surbhi

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455 Manish Chauhan February 18, 2013 at 3:01 pm

You can look at Oriental Happy Family Floater

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456 Manish Chauhan February 6, 2013 at 10:50 am

Yes thats a good plan .. another very good option is Religare Care .. Check with medimanage.com on this

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457 Dr. Surbhi Sharma February 12, 2013 at 12:51 pm

Thanks. i will check it out.

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458 Pratik February 5, 2013 at 9:12 am

Hello,

Can any one suggest that which is the best suitable product from Religare Care and Appollo restore for 2A(32 &30 yrs)+1C(1 yr.). for 5 lakhs . is auto recharge and restore is the one and same feature or different ? please suggest.
thank you…….

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459 Manish Chauhan February 5, 2013 at 10:37 am

Pratik

Both the policies are very good, but there are few differences there … Which you need to look only then you will be able to understand which one suits you. Why dont you take help of medimanage.com on this.

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460 Anand February 5, 2013 at 11:26 am

Dear Manish,

I am suffering with gall stones, doctors are suggesting that operation is necessary, could you pls. explain which insurance is suitable for this decease? what is the time limit for cover this decease in such plan?

Pl. give your valuable suggestion.

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461 Manish Chauhan February 6, 2013 at 10:39 am

Anand

If its a major illnesss, there will be no health insurance company which will cover it .

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462 Mahavir Chopra February 6, 2013 at 1:14 pm

Hello Anand,

No Health Insurance in the world will cover an existing disease. The time limit to cover in a plan is 3-4 years.

Health Insurance is a long term financial planning product. It will not work in the short term

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463 Kailash Dhyani February 5, 2013 at 5:22 pm

Hi
i want health policy. Please suggest which plan should i buy apollo munich, LIC jeewan arogya of religare health care for family.

thanx

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464 Manish Chauhan February 6, 2013 at 10:24 am

Religare is a good one

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465 Mahavir Chopra February 7, 2013 at 4:02 pm

Hello Kailash,

Please don’t confuse/mix LIC Jeevan Arogya with Apollo Munich and Religare Care. LIC Jeevan Arogya is a fixed defined benefit policy, which is a supplementary cover, whereas Apollo and Religare Care are indemnity mediclaim policies, which pay actual expenses of hospitalization as per the terms and conditions.

Ensure you choose your adviser well. As he/she is the most important at the time of buying the policy, and at the time of claims.

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466 Priya February 6, 2013 at 1:11 pm

I tried to put query on mediclaim but after lot of typing website had problem submissions. I have 2 questions:
a. Are we any policies which cover general expenses and not just hospitalization benefits?
b. What’s maximum cover that someone can get? Do we have policies with > 1 Cr for family.

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467 Manish Chauhan February 6, 2013 at 3:07 pm

Priya

1. they cover most of the expenses like medicine costs, doctors fees, oxygen etc etc
2. Not such a big one, but upto 50 lacs is possible in some of the policies.

Reply

468 Priya February 6, 2013 at 3:13 pm

Thanks for quick response. Can you recommed one or two:
a. Hassle free service, easy claim procedure. Happy to bit excessive premium.
b. Provide cover of 50 lacs
c. Cover day to day medical expenses like general physician checks, dentists, eye test in addition to critical illness whcih requires hospitals.

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469 Mahavir Chopra February 7, 2013 at 3:10 pm

Hello Priya,

There are no good cost effective health insurance policies which cover routine expenses you have mentioned. Most of them take additional premium for OPD, which is equal to the coverage they provide on OPD.

Currently only 2 companies provide Rs. 50 Lacs cover – Max Bupa and Religare.

Regarding service, I would recommend you go through a good health insurance adviser who guides you on products, and also provides professional service at the times of claims.

Regards,

Mahavir Chopra from http://www.medimanage.com

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470 Raj February 7, 2013 at 10:21 am

If I have two policies New India Individual and Oriental family floater, Is it mandatory that i need to give intimation to either companies or TPA or can keep them separate (private). While making claims i will take from any one depending on the sum.

In case I have to claim a sum that is beyond the cover of any one policy but can be covered by both policies, then what is the procedure.

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471 Mahavir Chopra February 9, 2013 at 6:01 pm

Hello Raj,

It is always safe to intimate both Insurance Cos. In case your claim is rejected due to some condition you can always claim in the other. Note, an intimated claim has no impact on No Claims Bonus/Discount/Loadings.

Read this for your Q2. http://www.medimanage.com/forum/Topic321.aspx

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472 jayatheertha February 7, 2013 at 4:39 pm

hi,

i wanted to take a health policy for my mother who is 60 yrs,,,which is the best poicy to take?

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473 Mahavir Chopra February 9, 2013 at 5:53 pm

hello Jayatheertha,

Consider the following policies: Apollo Munich Easy Standard, Religare Care, Star Red Carpet, Oriental Happy Family Floater and Max Bupa.

Ensure you take reviews from an experience health insurance adviser/broker, who also helps you through claims.

Mahavir Chopra | http://www.medimanage.com

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474 RITESH February 8, 2013 at 1:45 pm

SIR, I WISH TO BUY ORIENTAL HAPPY FAMILY FLOATER PLAN. BUT I CAME TO KNOW THAT SAME POLICY PNB ORIENTAL IS PROVIDED BY PNB-ORIENTAL TIE UP UNDER VERY LESS PREMIUM. KINDLY SUGGEST SHOULD I GO FOR PNB-ORIENTAL OR DIRECT OICL FAMILY FLOATER PLAN? ALSO TELL PROS & CONS OF PNB-ORIENTAL PLAN.

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475 Mahavir Chopra February 9, 2013 at 5:15 pm

Hello Ritesh,

PNB Oriental policy is a Group Mediclaim policy provided to account holders of PNB Bank. There are many drawbacks of such policies, the biggest being bad claims service.

Given a choice, you should go for open market policies more than bank mediclaim.

Note, even in case of Oriental Happy Family Floater, ensure you buy through an experienced health insurance adviser/broker, as you will be on your own at the time of claims.

Read more about pros and cons here: http://www.medimanage.com/health-insurance-experts-blog/post/2011/07/15/Bank-Mediclaim-with-extraordinarily-low-premium-should-you-buy-it.aspx

Regards

Mahavir Chopra | http://www.medimanage.com

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476 RITESH February 12, 2013 at 11:02 am

Thanks, for your guidance. Finally please make me sure, should I go for Oriental happy family floater plan? Would I be able to claim cashless facilities properly at the required time? One more problem is of TPA’s. For Ex. OICL is providing TPA (e-meditek pvt.ltd.) In Hyderabad & chhattisgarh hospitals agree for cashless treatment but in mumbai Hospitals refuse to provide cashless under E-meditek as it has not cleared hospital’s dues.In this situation what I do? Should I buy it or not & will it provide benefit in long run & cover pre-existing disease after 4 years. Kindly reply…

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477 Mahavir Chopra February 13, 2013 at 6:22 pm

Hello Ritesh

You yourself said you want to choose between Oriental Happy Family Floater and the PNB Oriental plan.

There are other plans which could be suitable to your requirement too.

If you need help, you can write to expert@medimanage.com with your contact number, and one of our advisers can get in touch with you to explain you which product is suitable for you, with regard to your preferences. You don’t have any obligation to buy from us. The advisory service is free of cost and obligation.

Regards,

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478 Manish Chauhan February 18, 2013 at 3:25 pm

Yes, all the things will happen as per terms and conditions

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479 Manish Chauhan February 11, 2013 at 7:56 pm

Its a group health cover and has lots of issues. Better do not go with it !

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480 Dr Madhusudhan February 14, 2013 at 11:17 pm

Really very informative

Sir,
I am aged 34 and my wife with 33.I have a kid of age 5 years.I want to take a happy family floter from oriental.Is it o.k.? I have parents whose ages are 63 & 56.They are covered under a separate group insurance policy.You want me to include them also under this policy ? Please suggest in this regard.?Waiting for your reply?

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481 Manish Chauhan February 18, 2013 at 1:49 pm

There is no need to include them in your policy , their seperate plan is fine !

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482 Bhavani February 18, 2013 at 4:08 pm

i want to take a Health insurance police. For my family can u please suggest me which companies policy is good. Will it really work when its really needed. There are few policies which does not work in time.

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483 Manish Chauhan February 21, 2013 at 10:23 am

There is nothing like that .. the policies which “do not work” are just taken in wrong manner, the data is hidden and critical information was not given . You can go for religare care or apollo optima restore !

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484 Priyanka February 15, 2013 at 3:44 pm

Hi,
Please provide details related to mediclaim policy portability. We presently have a floater policy with Bajaj but I am not very happy. Would like to change service provider as well as increase the sum insured. Please suggest best options available.

Reply

485 Manish Chauhan February 18, 2013 at 1:39 pm

Please check at our forum – http://www.jagoinvestor.com/forum/

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486 Navneet February 18, 2013 at 1:09 pm

I had taken ICICI Pru Health Saver in 2010 in my name @ premium 15k pa. I am paying premium for 2 consecutive years and now its due on 22nd Feb. My advisor is suggesting me to discontinue the policy and take new one from Apollo Munich Optima Restore and I can include family members as well.
Reason sighted -ICICI Pru Health Saver is not an health insurance but life insurance policy. Not able to decide what to do. Kindly advise should I continue with the existing one .

Reply

487 Manish Chauhan February 18, 2013 at 1:13 pm

Navneet

If its not a health insurance plan, then you better get a proper health insurance plan !

Reply

488 Navneet Sehgal February 18, 2013 at 2:54 pm

Is ICICI Pru health not an Health Insurance? As I understand they are providing medical cover on pre and post hospitalization, including medical checkup every 2 years for me and family members empanelled. Plus I can also add other family members as well.
Apprecaite if someone can provide a detailed comparison.. Thnx

Reply

489 Manish Chauhan February 18, 2013 at 3:02 pm

Better start a thread at http://www.jagoinvestor.com/forum/

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490 Mahavir Chopra February 20, 2013 at 5:02 pm

Hello Navneet,

ICICI Pru Health Saver is a bundled health insurance + investment product. Similar to a ULIP which covers term life insurance + investments.

As advised by Manish, I would also recommend you to go for a health insurance policy which is not a mix of investment and risk planning. Go for a product from a health insurance company like Star, Apollo, Max, Religare etc.

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491 Raghu February 20, 2013 at 7:39 pm

Thank you for the guidance on the finacial matters.

I have a query. In many posts there ar suggestions on Max bupa family first policy. I thought of going for this with 5Lac individual + 15 Lac floater for my family of 2+2. But then after reading the policy details somehow I felt its not really helps in case of accident issues. permanant/temp deisbality times.

Now I want to go for pure health insurance (Appolo Munich Optima Restore) + Accidental Policy + Critical Illness policy….

But the later one costs me more than the Maxbupa.. Please suggest me… which is the best Idea.

Thanks

Reply

492 Manish Chauhan February 21, 2013 at 8:57 am

WHy dont you take a pure health cover seperatly and an accidental cover sepertely !

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493 Raghu February 22, 2013 at 11:43 am

Hi Manish,

Thank you for the reply. I am confused at that point. Which is the better option here.

Going with ONLY MaxBupa Family first with 5 Lac Individual & 15Lac Floating at the premium of 20k/yr.
(OR)
Should I go for pure health insurance (1 Policy), Accidental ( 1 Policy) & Critical Illness (1 Policy) … (almost double the premium around 35K per yr)

I am confused because many suggested that Maxbupa will cover all these 3 types, but when I read the policy details of Maxbupa I don’t feel like this will take of these 3 types. I need help here to understand this.

Thanks

Reply

494 Manish Chauhan February 25, 2013 at 6:04 pm

What is confusing you in the policy document ?

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495 mitesh February 21, 2013 at 4:50 pm

Hello,

I wana buy a Health Insurance for my sister she is 25 now.

I want ot buy the best one and one that will cover most oof the things.

and what should be the coverage amount for the same.

PLZ HEALP…..

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496 Manish Chauhan February 25, 2013 at 6:28 pm

U can get a 10 lacs cover from Religare Cover !

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497 vinayagamoorthi February 21, 2013 at 7:28 pm

Dear sir, my name is Vinayagamoorthi(age 46) i’m currently working one of the gulf country, my wife age 37, and my three children is they are (age f15,m13.m11 ) in India, i like to take for them best health insurance policy, please suggest for me witch policy good for them and please give me more information about health insurance company in India thanks.

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498 Manish Chauhan February 25, 2013 at 6:24 pm

Some good options are Religare Care and Apollo Optima Restore !

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499 Syed Rizvi February 23, 2013 at 7:58 pm

Dear Mr.Chopra,

I want to cover myself 43, my wife 43 and my son 11 yrs old.Kindly suggest which insurance company should I go with.Also pl let me know is this policy cover accidental injuries/disability also.

Rgds.

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500 Manish Chauhan February 25, 2013 at 5:10 pm

You can look at Religare Care as an option !

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501 Imran khan March 5, 2014 at 12:26 am

All insurance companies cover accidental injuries but only for hospitalization and for disability you have take separate accidental policy which premium will be very low.

Regards
Imran khan

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502 Deepankar February 26, 2013 at 8:57 pm

Hi Manish,

I know it’s odd but here is my situation.
I want to take a medical insurance policy for my dad(60 yrs) ans mom(55 years).

Please help me in deciding which policy should I go for.

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503 Manish Chauhan February 27, 2013 at 9:56 am

Oriental would be a good choice !

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504 Riyaz February 27, 2013 at 10:36 am

My age 55 wife 45 suffering from thyroid, bp, diabities which policy if good for both of us

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505 Manish Chauhan March 1, 2013 at 9:03 pm

Check with Oriental , if they want to give it to you !

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506 riyaz March 5, 2013 at 9:32 pm

Hi Manish

I am 55 suffering from Diabetes and wife age os 45 and suffering from Thyriod, Hypertension kindly tell me which insurance company is best for daily medical expenses.

Thanks

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507 Manish Chauhan March 13, 2013 at 1:13 pm

Riyaz

You can check out plans from Religare Care , Apollo

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508 sonali March 7, 2013 at 10:40 am

I want health insurance for my parents. please suggest which will be good.
1. Mother : 52 years
2. Father: 59 years (cardiac patient)

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509 Manish Chauhan March 8, 2013 at 7:37 pm

Check with Oritental

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510 lokesh chandrakar March 8, 2013 at 9:41 am

hello sir,
I want health insurance for my parents and me. please suggest which will be good.
1. Mother : 48 years (diabeties)
2. Father: 60 years (cardiac patient)
3. me 27 years

Reply

511 Manish Chauhan March 8, 2013 at 7:11 pm

You can try with Oriental through medimanage.com .. But I am not sure if they will be able to provide you or not depending on the health ailments info provided by you ..

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512 Mahavir Chopra March 8, 2013 at 7:34 pm

Hello Lokesh,

We may be able to try providing you a policy with Oriental or another Insurance Company. Please send your contact number to us on expert@medimanage.com and we will connect you to an adviser who can help you out.

Note, you can talk and understand from us. There are no fees, neither, you have any obligation to buy from us.

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513 praveen March 9, 2013 at 8:52 am

Sir, Iam from Mysore,karnataka……I need a health insurance for my parents….my father is a retired government engineer(pension 3.2L) 60 yrs of age.and has diabetis……and my mother is a housewife 51yrs. and she had few operations like hystrectomy(2003),gall blader stone removal(2005),.but now she is healthy…i want the best suitable health insurance……plz advice me what to do? also keep in mind the hospitals covered in mysore……if possible provide me an unbiased advisor…..
ur advice is golden to me….plz reply

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514 Manish Chauhan March 13, 2013 at 12:43 pm

You can contact medimanage.com for this .. they will help you on this

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515 Binnu March 13, 2013 at 7:53 am

Hai,
I am 30 years old(10-03-1983) spouse-25yrs. recently married so we are looking for a family health insurance. i m located in a rural area in kerala calicut district. can u plz suggest me for a good health insurance company and policy. i m looking for the cash less facility and 5 lack Sum assured.
Thank you for your consideration and I look forward to hearing from you soon,

Yours faithfully,
binnu

Reply

516 Manish Chauhan March 13, 2013 at 10:23 am

Binnu

Dont you have options like Max Bupa or Oriental at your place ?

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517 Binnu March 13, 2013 at 1:19 pm

Hai Manish,
Max Bupa or Oriental is there in my native. can u suggest any particular plan in that company suits for me ? how abt Max Bupa?

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518 Manish Chauhan March 13, 2013 at 1:37 pm

That you will have to enquire with each companies and check their wordings and see if you are ok with them

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519 Binnu March 13, 2013 at 1:49 pm

okay that would be very helpful for me. plz check and inform me the policy name also.

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520 Abhishek March 14, 2013 at 4:03 pm

Hi Manish & Mahavir,
Let me start with a big Thank you for the post. Even though i tried to go through the comments,there were a few comments unanswered which almost mimic my requirement.
So, i just wanted advice regarding the same. I’ve a health insurance plan for max 5 lacs(new india) from my employer which only covers only me. My father’s health insurance(from his employer) currently covers both my mom and him.

Each article on personal finance management suggests to enrol for an additional health insurance plan apart from the one provided by the employer.

So, i would like to find out best plans currently available for my requirement :
I’m 26 (single); my dad is 58 yrs old,my mom 49 and my sister is 10 yrs old. A policy which would cover them as well as my spouse and children in future.
I’m not aware if such a policy exists…but your invaluable advice would be very appreciated.

Thanks
Abhishek

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521 Kevin March 30, 2013 at 2:25 pm

Hi Manish,
My mother is 72 year old and has cataract. Can I get her covered with any private or government insurance? If yes kindly let me know the options?

Thanks in advance
Kevin Wilson.
Bangalore-India

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522 Manish Chauhan April 3, 2013 at 10:40 am

You can get her covered, but I dont think her already existing illnesses are going to be covered !

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523 Vikas Gupta April 7, 2013 at 3:37 pm

Hi Manish,
I am 27 yrs old and living in Ludhiana. I am looking for a health insurance policy that covers me and my spouse and considering to buy oriental/apollo munich. Apollo munich has no room rent limits on shared room. I am considering a policy that has high room rent limits for private rooms or no cappings. Is apollo munich a good buy or shall I go for oriental since it is likely that policies with no room rent limits increase their premiums a lot later on. Please guide me.

Thankyou
Vikas

Reply

524 Manish Chauhan April 12, 2013 at 12:29 pm

Vikas

You can also look at Religare care

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525 SJA Rizvi April 8, 2013 at 5:29 pm

I am assistant professor in a central government university. Me and my family is covered under my universities health scheme. But I am interested to have a family floater plan of about Rs. 3.0 lakhs as a second option. I am looking for a policy on which I can bank upon and have piece of mind. The details are as under;
1. Myself (36 years)
2. Spouse (30 years)
3. Daughter (7 years)
4. Son (2 years)

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526 Manish Chauhan April 12, 2013 at 12:17 pm

I think you can take Religare Care for your family

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527 abhishek April 9, 2013 at 9:19 pm

hi
i would like to insure my newborn daughter, my wife and myself with some plan that would also provide maternity benefit for our second child. we’re both in our early 30′s and are self-employed. please suggest something appropriate.
and, is it wise to take a plan which provides maternity benefit right now and switch plans 3-4 years later?

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528 Manish Chauhan April 12, 2013 at 11:40 am

there are policies like that, but there are restrictions also

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529 Mrinalini April 12, 2013 at 3:32 am

Hi Mahavir,

Your article is such a saving grace. We live in the United States and purchasing an insurance for our parents has been long due. My parents are aged Father(68) and mother (66) with some pre-existing conditions.
My in-laws are aged FIL(66) and MIL (57) with some pre-existing conditions. Both my parents and in-laws have conditions like (put together) Diabetes, High BP, Thyroid, Glucoma and a back surgery in the past.
I would highly appreciate if you can recommend a health insurance company that would provide insurance to my parents and in-laws.

Best-
Mrinalini

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530 Sameer April 17, 2013 at 4:05 pm

Assuming I have two Health Insurance plans, when making a claim do I have to approach both the insurance companies for the settlement or can I file a claim with either one of the company for the full amount of the claim?
For example considering I have Health Insurance for Rs. 2 lac from both ICICI and Religare respectively. If I undergo hospitalisation amounting to Rs. 1.5 lacs then do I have to file a claim with both the companies and get a settlement equal to their share or can I file a claim with either of the companies that I may choose and claim the entire amount?

Reply

531 Manish Chauhan April 19, 2013 at 10:47 am

Sameer

We wrote a detailed article on multiple claims in health insurance, read it here – http://www.jagoinvestor.com/2013/04/getting-claim-from-multiple-health-insurance-policies-rules-and-process.html

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532 Debyuti Bhadra April 21, 2013 at 10:19 pm

Hi,
This is Debyuti from Kolkata, Please suggest me (age 26) a plan for me and my mother (age 56) of sum assure of 2Lakh.

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533 Manish Chauhan April 26, 2013 at 2:02 pm

Oriental is a good one

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534 karthik April 22, 2013 at 9:49 am

Anybody at any age with any(most) pre-existing condition can buy health insurance
but should digest co-payments and sub-limits. buy it from inter-mediators for comparisons the best mediators would be policy bazaar and eindiainsurance.com .
eindiainsurace BPO is doing a better job for claims or settlements
or finding a non network hospital.
please try both

Reply

535 Manish Chauhan April 26, 2013 at 1:55 pm

Thanks for that info

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536 Raj April 25, 2013 at 12:20 pm

Hi Manish,

I currently have 3 memebers in my family myself,spouse and younger brother. Age for all is between 23 -27. Can you please suggest good Health Insurence for us which covers all three members.

Also, if you know any good advisor for this in Pune city, it’ll be great.

Thanks.

Reply

537 Manish Chauhan April 25, 2013 at 4:05 pm

I think you should contact medimanage.com for this . They are advisors/distributors

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538 janardhan April 26, 2013 at 3:07 pm

now i want to take health insurance ,my wife is pregnanet carrying 7 month,whether i will cover amt at the delivery ,which is best ploicy .

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539 Manish Chauhan May 6, 2013 at 7:31 pm

No policy will cover it

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540 janardhan April 26, 2013 at 3:10 pm

in march my father had undegone operation tht amt is 3lac .before i donot have insurance . i f i take ploicy if i can claim or not is there any solution

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541 Manish Chauhan May 6, 2013 at 7:30 pm

I am not sure what are you talking about ?

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542 Gaurav Beniwal May 2, 2013 at 4:50 pm

Mr. Chopra

Great article!!

Can you help me in choosing right policy for me & my parents ( 54 & 49 years respectively ). Moreover, I am already covered by my employer.
SI = 5 lacs
Max renewable age – no limit
No co-pay

Looking forward for your reply.

Reply

543 Mahavir Chopra May 5, 2013 at 10:15 pm

Hello Gaurav,

Consider ICICI Complete Health, Max Bupa Family First, Oriental Happy Family Floater, Religare Care.

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544 Minnu May 3, 2013 at 11:58 am

Hi Manish/Mahavir,

I am 33 years of old.
I am looking for a Family Floater Plan for me,spouse and one year old daughter.
Please suggest the one among the following

Oriental Happy Family Floater
Religare Care
Apollo Optima Restore
Maxbupa Family Floater GOLD

Thanks in advance

Reply

545 Chanchal May 10, 2013 at 1:04 pm

I am looking for a Policy for my family(Self,wife& child)ages are 32,25 & 3. is there any policy that covers maternity as well as we are planning for the Second.

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546 Manish Chauhan May 10, 2013 at 2:47 pm

Yes almost all the policies cover maternity , but after 3-4 yrs

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547 Chanchal May 10, 2013 at 3:36 pm

What will the best option with hassle free claim

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548 Sandeep Kumar Bhadra May 14, 2013 at 10:55 pm

i want to do mediclaim for self, wife & son. i am 42 yrs , my wife 41 yrs & son 13 yrs. I want a cover of Rs.1000000 to Rs.1500000. should i go for private or plubic sector. pls do suggest which is the best company.

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549 Manish Chauhan May 18, 2013 at 1:08 pm

Religare Care is a good option

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550 manoj May 20, 2013 at 11:50 am

Hi manish,
This is manoj, i took health insurance from royal sundaram life insurance for my father,mother and my self..after seeing reviews about royal sundaram many are saying its fraud and service is bad…..now i am in confusion wether to continue or to cancel it,in this month only i had taken that insurance………..can u help me out wether to continue with royal sundaram or to switch to some other insurance……please provide one best insurance company which suits for my family….
father(age 55), mother(age 51) myself(age 25)….all are medically good at present…

Reply

551 Manish Chauhan May 25, 2013 at 6:35 pm

YOu can take from other insurer , if you do not feel comfortable with them , but I dont see much issue

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552 sree raj May 22, 2013 at 3:59 pm

am 39yrs old and my wife 36yrs and my 3 kids 9yrs,8yrs,7mnths,which policy is gud for my family.. i am very much convienced wit ur information regards the policy , and iam much confused with many policy company in the market ..pl guide me and help me to take a right policy for my fly
thanks sree raj.

Reply

553 Manish Chauhan May 25, 2013 at 5:23 pm

You mean health insurance policy ?

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554 sandip May 26, 2013 at 2:55 am

Dear Sir,
At present I am working in UAE and settled here with my family since last 4 years. I am fully covered for the health insurance provided by my company. When I was in India, at that time I have taken ICICI Lombard family floater plan of 3 lakhs for me & my wife, 6 years back and in last 6 years I have never claim. My wife is diabetic patient and looking to the complications to the diabetic patient in the later age, I want to increase the insurance amount by another 7 lakhs. Is it possible?
(1) If I take new insurance with any company and at the time of purchasing insurance disclose her diabetes and don’t claim for the next 4 years. In that case any claim after the 4th year will be approved by the insurance company??
(2) Her age at present is 40 years. (13/12/1972) and my age is 45 years (06/09/1968) my son’s age 14 years (02/07/1998)
If I disclose the diabetes that what will be approximate premium for the insurance of 7 lakhs??

Reply

555 Manish Chauhan May 26, 2013 at 5:39 pm

1. it will depend on the company , if they agree to this .

2. It can be told by company only , not us !

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556 Sandip May 26, 2013 at 5:49 pm

Thanks Manish for the reply. But I don’t understand what you want to Conway. Kindly explain me in more detail.

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557 Arijit May 30, 2013 at 7:34 pm

Hi Mr.Manish,

Great to read all your advice.

I want to buy a Health Policy for my Mother age 59.As per my limited knowledge I found Religare as the one but i need your advice.I will take a cover for 5 lks for her.She don’t have any pre-existing illness.

I also want to buy a health cover for my daughter (1 year) and my wife (27 years).What will be the best choice and what limit i should take to avoid any extra charges to increase the limit.

Thanks
Arijit

Reply

558 Manish Chauhan May 31, 2013 at 4:13 pm

Religare is good . however for aged people , Oriental is suggested

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559 Arijit June 1, 2013 at 9:53 am

I also want to buy a health cover for my daughter (1 year) and my wife (27 years).What will be the best choice and what limit i should take to avoid any extra charges to increase the limit in future or addition of Co-Payment policy.

Reply

560 Vishal Jain June 1, 2013 at 1:43 pm

Hi Manish / Mahavir,

This article is very informative. I have been following jagoinvestor for more tha a year now. I have understood the importance of term plan and sip. I have read both your books, now reading the 3rd one. Also I have enrolled for 100moneyactions last week.
Somehow the concept and working of health insurance is not clear to me yet after reading so much about it. My family members include me, my wife and my parents. All of us are working. Currently we have a family floater insurance with some psu. I feel that it is not good enough and i should buy a new insurance.

1. Can i get a family floater insurance for all my family members? Also, in future when we have kids , can they be included in it?

2. My parents are aged 52 and 45. So, should i take a separate policy for them or combined?

3. Also if you could suggest some good options to choose from.

I really appreciate the work you guys are doing, because of which people like us are no longer ignorant about personal finance matters.

Thanks a lot.

Reply

561 Mahavir Chopra June 7, 2013 at 7:50 pm

Hello Vishal,

1. Yes, you can get a family floater for all your family members, but we recommend you have a separate floater for parents and another for your immediate family.
2. You can take a floater between your parents of around 6-8 Lakhs SI.
3. We cannot recommend products here, as each product is good, and depends on your requirements.

Mahavir Chopra from http://www.medimanage.com

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562 prakash June 10, 2013 at 5:19 pm

Hi Manish,

Thanks for such a nice post and explained way of all the policies.

I have a query regarding health policy. I want to cover my parents in a health policy-age is right now 69-70yrs. is that possible? if yes then which is the best polcy in term and services. I also want to include my family(me+wife+my child) along with same policy.

waiting for your expert reply.
Thanks and Regards
Prakash

Reply

563 Manish Chauhan June 14, 2013 at 11:26 am

I think you can get it from Oriental !

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564 tarun June 15, 2013 at 7:01 pm

I have a query regarding health policy. I want to cover my family(me+wife+my childrens) in a health policy-age is right now 42 yrs. then which is the best polcy in term and services. could your help out this

Thanks and regards

Tarun

Reply

565 Mahavir Chopra June 20, 2013 at 12:45 pm

Hello Tarun,

There is no one size-fits-all-product available. It will depend upon your needs, preferences, budget, location, medical history. The article above helps you filter the good plans.

Take help of a professional advisor who provides unbiased advice + is experienced in claims service.

Mahavir Chopra from http://www.medimanage.com

Reply

566 Manish Chauhan June 22, 2013 at 9:57 am

You can look at oriental !

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567 Ashis June 24, 2013 at 2:43 pm

Hi,
My parents health insurance from start health is going to complete by end of this month. My father is also about to complete 60yrs after another 3 months. My Mom is 55yrs.
I dont like star health as they do have lots of hidden costs. Please suggest a health insurance to switch from star health, which I can continue for lifetime for my parents.

Thanks,

Reply

568 Manish Chauhan July 1, 2013 at 5:06 pm

Oriental seems to be better !

Reply

569 Varaprasad June 25, 2013 at 10:58 pm

Hi Mainsh,

I need to take health insurance policy to my brothers family he is at the age of 35 yrs self employed and having 2 child (total 4 members) and they are from AndhraPradesh. Can you please suggest me which is the best policy suited for their family.

Waiting for your reply.

Thanks,
Vara.

Reply

570 Manish Chauhan July 1, 2013 at 4:47 pm

Oriental is a good option !

Reply

571 Prashant June 29, 2013 at 2:20 pm

Hi Manish, I am 29 years old and is looking to buy a health policy for myself as well as for my parents (61 and 54 years old and my brother who is 25 years old), can you suggest me which is the best option for me ? I need coverage of 4 lakh per person

Thanks

Reply

572 Manish Chauhan July 1, 2013 at 2:14 pm

Oriental is a good option .

Reply

573 Prashant July 1, 2013 at 7:32 pm

Thanks, so for how many years should I take the coverage ? is 2 lakh each per person fine or less ?

Reply

574 Manish Chauhan July 5, 2013 at 10:49 am

You tell me . What is the maximum bill you can imagine in worst case . I would prefer a minimum of 5 lacs for myself. if you are fine with 2 lacs , then go ahead !

Reply

575 rahul kothari July 1, 2013 at 9:56 pm

Sir,

I am 28 & My wife 26, we are newly married..
My parents are between 50-55 age…

Which health insurance should i select, to cover all of us?

thanks,
rahul

Reply

576 Manish Chauhan July 5, 2013 at 10:44 am

Oriental and Religare care is a good option

Reply

577 maryanto simon July 4, 2013 at 9:40 am

I’m 57 years old and in good health I suppose…….I had a little cholesterol lately and now after food control…its OK….yet still I wish to join an insurance(health)….kindly advise me the best in India.Thanks….expecting your reply at the earliest

Reply

578 Manish Chauhan July 5, 2013 at 9:58 am

Go for Oriental !

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579 maryanto simon July 4, 2013 at 9:45 am

Moreover I’m in trivandrum and I’ll be needing a family coverage.Thanks

Reply

580 vivek July 17, 2013 at 2:11 pm

I am 24 year old and in my family there are only one younger Brother (18) and my mom (45) i need a health care policy which can cover my entire family.
please suggest to get good one :)

Reply

581 Manish Chauhan July 18, 2013 at 2:48 pm

Good idea to cover them at a younger age. I would say go for Religare Care !

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582 anshu July 18, 2013 at 3:37 pm

hi.. i want you to pls help me out with one question. if i am having / applying for any insurance policy but i consume alcohol also, not on daily basis but once or twice a month. will i be eligible to get claims for the diseases , i mean any disease say cancer??
is there any law which says that the person who consumes alcohol is not liable to get claim and if so, then what is the use of that policy? because 80 percent ppl consume that. Pls clear me out with this concept of alcohol and health claims . thanks in advance… regards anshu

Reply

583 Manish Chauhan July 18, 2013 at 3:46 pm

Hi Anshu

The first thing is CANCER is never covered in any policy for anyone . Now when you declare with them that you take alcohal , then they might increase your premium, but then you will be covered for everything else mentioned in the brochure !

Reply

584 Senthil July 20, 2013 at 10:32 pm

Hi,
Iam staying in south africa, I dont the real fact which company is providing good health insurance in India.

I want to take medical policy for my mother (51 age) who residents in Chennai , India.

She have a shoulder pain due to some bones have slightly aged.
She also have investigated last year and doctor advise to take some medicine for
cardiac disease at initial state, Doctor said it not big problem for her at this stage, if she continues one drug continuously.

She also have to consult with neurology very often monthly once.

Which scheme should be benefit for her

Reply

585 Manish Chauhan July 29, 2013 at 6:07 pm

Its not so easy to comment on . Check with medimanage.com on this .

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586 Mothiram July 25, 2013 at 12:32 pm

Hi Manish,

I would like to enrol a medical policy for my Father-in-law as he needs to undergo a Knee replacement Surgery. Can you advice which insurance will be the best for this treatment. Also I heard that we are eligible to claim only after 1 year of premium paid.

Kindly clarify.

Thanks

Regards,
Mothi

Reply

587 Manish Chauhan July 29, 2013 at 5:56 pm

Mothi

It wont be covered if its already planned and expected

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588 Ashutosh July 28, 2013 at 7:36 pm

Hi Manish,

I saw the conversation and was happy to see the positive comments where people got their answers. Thanks for good job !
I have a concert, my 1 year old child is diagnosed with undescended testis and now needs to go for surgery. Is there a mediclaim plan I can buy which will cover the expenses, I can wait for couple of months if required.

Reply

589 Manish Chauhan July 29, 2013 at 5:17 pm

Ashutosh

Sorry to hear that, but Ashutosh , your comment clearly shows that you do not understand what insurance is all about. Insurance will not cover “known” expenses . Its only to cover the unexpected and unknown things.

So there will not be any policy in this whole universe which will cover it

Manish

Reply

590 Ashutosh July 30, 2013 at 4:16 pm

Thank you for your reply Manish.
I spoke to an agent from Religare and he said this is a daycare procedure and is covered. I will check with him in detail.
Please suggest me a good mediclaim plan. I want to buy one for future. I am 29 .

Reply

591 Manish Chauhan July 31, 2013 at 5:21 pm

Its covered , but only for future , Not for known issues and known and planned one ! .. Read the terms and conditions and only then go for the plan

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592 Hemanth July 30, 2013 at 3:10 am

Hi Manish,
Thanks for the wonderful eye opening article.
I own a Health insurance provided by my office for 2lacs. During emergency, it wont be enough. So need to go for a family floater medical insurance for 5lacs covering Myself (27 yrs) and my mother is (52yrs).
I am planning to get married next year. Whether is it possible to add a new member in the existing plan?
I wish to go for a health insurance which has 1) lifetime renewal 2) zero copay and moreover 3) cash settlement in time.
Can you pl suggest me a good product.

Reply

593 Manish Chauhan July 31, 2013 at 5:47 pm

Yes, it should be possible to add new member, but better check with the policy on this aspect once ! . You can look at Religare Care !

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594 Madhusudan July 30, 2013 at 10:27 am

Hi
Please suggest a good medical policy for self 50 yrs, wife 46 yrs and son 15 yrs.

Is there any policy which covers aged parents aged 86 and 81 respectively.
I prefer family floater. By HIS grace, all in good health. I had a mediclaim policy and had a claim free period for almost 12 yrs.
Regards

Reply

595 Manish Chauhan July 31, 2013 at 5:34 pm

Hi Madhusudan

I am not sure if there will be any policy which will cover your parents at this stage even if they are well . You can try Oriental Happy Family Floater plan at this moment .

Reply

596 Amit July 31, 2013 at 12:28 pm

Hi Madhusdhan,

You can look for health polices at http://www.policylitmus.com. You can compare over 30 plans not just on price but various factors like payment speed, complaints, cashless hospitals etc..

Reply

597 Manish Chauhan July 31, 2013 at 5:10 pm

Hi Amit

Nice website I must say .. are you guys building this ?

Reply

598 Malyadri August 3, 2013 at 6:24 pm

Hi,
I am looking health insurance for my family (My self:42 yrs, wife:37;Son:12, Dau: 7; Dad:61; Mom:56. and sum insured is 3 lacks. Please suggest me.
Regards,
Kaku

Reply

599 Manish Chauhan August 5, 2013 at 11:40 am

Oriental is a good one

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600 rakesh August 12, 2013 at 12:33 am

Dear manish,

i want to take one health policy for may family..
my self.36yrs,my wife27,my daughter 1.6y..
critical illness should cover more… which is best policy…

Reply

601 Manish Chauhan August 12, 2013 at 2:22 pm

Check with Max Bupa or Reliance Care !

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602 Ankit Bansal August 12, 2013 at 5:46 pm

hello sir

sir mare pass phale se united india ke policy ha 2007 se ragular Rs.2,25,000/- ke abhi tak mane koi claim nahi liya ha per mare abhi marriage hui ha abhi mare age 30 year ha aur mari wife ke age 23 year ha ab ma us ke policy karana chata hu family floater me per jo aaj ke best policy ho wo aur hamare new born baby hone per after delivery cover ho aur sab critical illness cover ho ap kis company ko rafer kare ge aur policy portability ke liya kya karna chiye plz help me

Reply

603 Manish Chauhan August 21, 2013 at 3:10 pm

You can look at Religare Care or Max Bupa

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604 Vijay August 14, 2013 at 12:11 pm

Manish,
I am considering going with Religare for now and down the road switch to Apollo Munich. The primary reason being the co-pay of 20% that comes with Religare when you hit 61. However, I am not yet well informed on details of health insurance portability. If there are any clauses or restrictions. Wondering if you’ve covered the portability details in another post? I’ll soon be scouring the net for more information on that aspect.
Vijay

Reply

605 Manish Chauhan August 21, 2013 at 2:25 pm

I think you should still go with Religare . What if you cant switch later ?

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606 suria unnikrishnan August 14, 2013 at 3:01 pm

Hi..I would like to take a health insurance policy for my parents (father aged 59yrs and mother aged 50 years). They do not have any history of ailments. I would like to take an insurance cover in the range 5 to 7.5 lakhs. Could you please suggest me some good products?

Reply

607 Manish Chauhan August 21, 2013 at 2:24 pm

Oriental is a good one !

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608 Damandeep Thakur August 16, 2013 at 1:43 pm

Hi Manish,
I am looking for medical insurance for myself and family. Even my brother is also planning to take one.
Myself:31, wife:30, son: 6 months, father: 59(diabtic+cardiac patient), mother: 42 (BP patient, but its high just smtime). Brother 29 (yet to get married).
Should we go for some family floater / both separate and include parents in one of them/both separate and include parents in both?
Also, which provider do you suggest considering proper coverage, easy process and long term?

Reply

609 Manish Chauhan August 21, 2013 at 1:57 pm

We dont have enough information on the claim process for new companies, however I can say you can go with Aviva, HDFC , kotak !

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610 Damandeep Thakur August 21, 2013 at 9:41 pm

Thank Manish!
Could you please reply to first question as well
“Should we go for some family floater / both separate and include parents in one of them/both separate and include parents in both?”

Reply

611 Manish Chauhan August 29, 2013 at 3:18 pm

It will not be allowed by insurance company if parents are older . Also adding them in one policy will make premium less, but then restrict things .

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612 sameer August 16, 2013 at 7:13 pm

hi mahavir,
appreciate your article…
kindly advice options for a health insurance policy for my family…
me and my spouse aged 28 yrs each..
my father aged 63 yrs diabetic, mother 57 yrs no morbidities..
my father in law aged 65 yrs diabetic, mother in law 55 yrs no morbidities..
i like max bupa but i’m not sure of the coverage for my parents and in laws even after going through their web site. whether to include them in a family floater or get a separate policy for all of them… i’m also unsure how reliable the company would be over the next 40 yrs… your guidance would be of great help.

Reply

613 Manish Chauhan August 21, 2013 at 1:40 pm

Hi Sameer

I suggest get in touch with medimanage.com !

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614 Ajay August 19, 2013 at 10:52 am

Hi Mahavir/Manish,

Appreciate your work guys..

I am looking for your advice for a health insurance for my family
family member’s are
father age 61 has BP
mother age 58 has diabetic, thyroid
elder brother age 31 his wife age 25
sister age 21
me 29

I am covered through my company. what will be good for us. do we go for a single policy like family floater or we get split into groups, as my brother does not earn much enough now(to get benefit as some private company provide almost fixed premium throughout life except health inflation and cover maternity ) and i and parents will go for one policy. please advice me for long run.

kindly reply soon as i am from a very small town where i didn’t find any adviser who can advice me unbiased.

Reply

615 Manish Chauhan August 21, 2013 at 1:02 pm

Ajay

I suggest get in touch with medimanage.com for this. THey will give you a plan !

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616 Vicky Panchal August 21, 2013 at 6:38 pm

Hello,

I’m looking for Health isurance for my family
Self – 28
Wife – 27
Father – 60
Mother – 55

Planing sum assured of around 6 to 7 lakhs. Checked on net & found Max Bupa Family first & oriental Happy Family floter good options. But there is a huge difference in premium wihch basic covers are standard in both (in my understanding). I’m confused here & request you guidance which one to choose.

Best Regards,

Vicky Panchal
+91-8698142323

Reply

617 Manish Chauhan August 29, 2013 at 3:21 pm

Go with medimanage.com and take their suggestion on this

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618 Jayanthi August 27, 2013 at 5:55 pm

Hi Manish,

It was nice article, I am following all the articles in jagon… Kudos to you.

I have problem I m not sure which health insurance policy I can choose. Most of the agents suggesting different health insurance policies but I am somewhat skeptical and confused.

I am looking for insurance which can be hassale free and better in claim process, entire family coverage for lifetime of 70 yrs for all of us.

Can you please suggest me which policy holds good.

Below are dependents details:

1. Father – 55 yrs – Diabetic
2. Mother – 50 yrs – Gone through 2 surgeries
3. Myself – 31 yrs – None
4. Wife – 29 yrs – None
5. Son – below 1 yrs – None.
Thanks
Jayanthi

Reply

619 Manish Chauhan August 28, 2013 at 9:23 pm

I would say try for Oriental !

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620 Bhagwant August 28, 2013 at 12:41 pm

Hi Manish,
I want to buy good health insurance policy.
I am 29 year old and single person as of now. will married next one year.working in MNC.
I want to purchase policy for me as of now. Please advise me which company health insurance would be best. I have no medical histroy as of now

Reply

621 Manish Chauhan August 28, 2013 at 9:06 pm

Try out some options like Religare Care and MaxBupa !

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622 sandeep September 1, 2013 at 7:05 pm

Hi Mr Manish,

your article was really helpful and enlightening.You have mentioned that Religare and Oriental are better for older people. I wanted to take insurance for my parents.I am already having company sponsored insurance.My father is 59 yrs with diabetes and hypertension, mother (55) is having coronary artery disease and diabetes. Between Religare and oriental, which would be better? or is there any other which is better.
Regards

Reply

623 Manish Chauhan September 3, 2013 at 2:03 pm

Oriental is a good option to try !

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624 Amee September 2, 2013 at 1:51 pm

Dear Manish,

Really liked your article and want your suggestion on taking up a new Insurance policy for my family. Currently we have a floater from max Bupa which covers all 3 of us. However, I want to change the policy now and have recived quotes from ICICI Lombard however, upon asking questions their representative said very clearly that first you need to take policy and make payment and then we can discuss what will be covered and what wont be covered. I find this extremely hilarious.
Anyways, my husband is 39, I am 34 and we have 2 sons 8.5 yrs and 5.5 yrs respectively. However, my older son is a Thalassemia patient and I am aware that this is not covered under any Insurance at all. He is due for his Bone Marrow Transplant the next year and will be Thalassemia free in a years time.
We are not suffering from any kind of diseases and are in good health. What kind of Insurance and cover would you suggest. may I also ask you which company I should be selecting as I am very clear on customer service and follow up. I also want to know if Individual policies would be more beneficila to us rather than the family floater? Also we would like to go with a company which will have no age caps. Kindly suggest.
Thanks in advance for your help!

Warm Regards,
Amee

Reply

625 Manish Chauhan September 3, 2013 at 1:54 pm

Dont go with that agent for sure .

You can look at companies like Oriental , Max Bupa or Reliagare ! for 5 lacs of cover to start with

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626 Sreejith September 4, 2013 at 5:59 pm

Dear Manish,

Thanks for the article. I was checking the Oriental happy family floater policy for my family. Although the renewal says Lifetime, it highlights the policy will be converted to standard plan after 65 years. (I found this during comparison at medimanage website). Is this true and if so, is this still a good policy? If converted to standard plan, will I get the same coverage if I opted for 8 lakhs now? How often the premium increases in health insurance? I am currently 32, wife 28 and kid 2 years old.

Reply

627 Manish Chauhan September 7, 2013 at 5:16 pm

What is this standard plan , what is its definition ?

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628 Sreejith September 10, 2013 at 9:33 pm

Hi Manish,

I am unaware of what is the standard plan. The same was found when checking proposals in medimamage.com in the Renewal column. It says “Lifetime” in the Renewal with a highlight of “Converted to Standard Plan after Proposer age is 65Yrs.” I cannot attach a screen shot here otherwise could have. Is it something that is saying it will be converted to Individual plan?
If so, will this mean I lose all the cumulative bonus, pre-existing illness coverages etc. I would get on the Family floater till I attain 65 years old?
May be you can check with Mahavir please.

Thanks
Sreejith

Reply

629 Mahavir Chopra September 16, 2013 at 12:20 pm

Hello Sreejith,

As per the new IRDA regulations, all health insurance policies are required to be refiled and converted into lifetime renewable policies, from 1st October 2013. Eventually, all health insurance policies would be converted into Lifetime policies.

You have 2 options, book your policy now at the current premium rates, and terms, and by the time of your renewal, you would have a lifetime policy.

Or you wait till the revised policy is launched by Oriental. Should be out in this year itself.

Regards,

Mahavir

Reply

630 Manish Chauhan September 18, 2013 at 8:44 am

Hi Sreejith

Please give a call to medimanage.com on this. They will clarify you !

Reply

631 SUDHAKAR September 8, 2013 at 4:27 pm

Dear sir,
My mother’s age is 59 I want to make a health insurance for her plz suggest me a good insurance policy which has a good claim history in both PSU and private insurer also and plz mention pros & cons of both

Reply

632 Manish Chauhan September 18, 2013 at 9:12 am

You can go with Oriental in that case

Reply

633 Shyam September 9, 2013 at 11:41 pm

Dear Manish Sir,

As worried I was while going through different websites and insurance plans, I happened to visit this forum where you’ve answered so patiently to advise seekers like me, felt a spur of relief that I will get my answers here. Really appreciate the efforts you’ve put in here.
I tried to go through all the queries here trying to find if i can find my answers, but the thread is so long that I decided to ask finally. Please help me with your subject expertise.

I am a 27yrs old bachelor. My 68 years old mother is my whole family. A patient of diabetes (though under regular check up hence under control) & low BP apart from having old age related problems like arthritis and body pain. Realized very late that I should’ve taken up a health insurance policy for her and me as well.

Having a long term perspective in mind that more family members (spouse, kids etc) will be added in future, could you please advise on some suitable options. Can afford a total premium up to 15-20k max for a cover for me and my mother.

Since you’ve recommended to many people above to go for a plan that has life time renewal benefit, would really want that criteria covered. Also would want minimum waiting period for inclusion of preexisting condition coverage. Any more advice will be really helpful.

Thanks a million.

Regards,

Reply

634 Manish Chauhan September 18, 2013 at 9:03 am

You will find it tough to get a cover for your mother. try to contact medimanage.com and get a policy from oriental for your mother. For yourself, you can go with Religare Care

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635 Sundeep Rai September 10, 2013 at 7:44 pm

Dear Manish,
I am 35 years, my wife 33 years and my son 6.5 years old. Now, which health insurance policy I have to purchase. As I am looking cashless policies in which most of major as well as minor diseases is cover

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636 Mahavir Chopra September 16, 2013 at 12:15 pm

Hello Sundeep,

Health Insurance will cover you for Long term hospitalization costs, which is the large risk you should look at covering. Small medical costs can be covered through your regular income. For your retirement, you should create a reserve for such expenses.

Note, there is no one “Best Health Insurance policy” which you can buy. It all depends on your needs, preferences, location etc.

Contact a good health insurance broker like http://www.medimanage.com who could help you with unbiased need based advice.

Regards,

Mahavir

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637 Manish Chauhan September 18, 2013 at 8:46 am

I think Religare Care would be a very good option for you

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638 Rajesh September 16, 2013 at 4:42 pm

Great article providing real insight into lot of aspects.

I am presently 46, my spouse 45 and two daughters 16 & 13 yrs. I was diagnosed with Ulcerative colitis and hospitalized 3 years back. I am in a confused state unable to decide which is the best policy for me and company for me. I am looking to have a cover of 10lac for my family preferably on a floater. Could you kindly recommend a good policy for me and oblige. I am presently covered by my company through a corporate policy.

Regards,
Rajesh.

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639 Manish Chauhan September 17, 2013 at 6:50 pm

I would recommend you to look at Oriental and Religare Care once !

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640 Ritesh September 22, 2013 at 1:39 pm

Really nice article and great information.

I need help in selecting the good Health Policy for my Parents (Age: Dad 57 years and Mom 52 years). My dad is suffering from Hypertension (high blood pressure). In 2010 he got hospitalized for the same.

I tried Religare health insurance plan. However, it got rejected based on the Hospitalization report (Conclusion on MRI report mentioned is “Multiple small fresh non-homorragic infarcts in right cerebral hemisphere in right MCA Territory”)

Can you please recommend any other policy which I can try for my parents.

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641 Manish Chauhan September 25, 2013 at 1:50 pm

Did you try Oriental Happy Family Floater ?

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642 Ritesh September 28, 2013 at 2:10 pm

Hi Manish,

No, I have not tried Oriental. I have only tried Religare Health insurance and it has been rejected.

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643 Manish Chauhan September 29, 2013 at 9:35 am

Then go for oriental , being a PSU, it might give you with higher probability

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644 Ritesh September 29, 2013 at 8:23 pm

Thanks for the suggestion. I will try for the Oriental Family floater policy.

Just wanted to confirm on the maximum renewal age for Oriental Family float policy. Is it a lifetime policy or is there any maximum age limit on this policy?

Reply

645 Manish Chauhan September 30, 2013 at 8:38 am

Its a lifetime policy !

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646 ajju sridhar September 25, 2013 at 1:20 am

Dear sir,

Actually im 30 yrs old next year april im working in muscat-oman …And most important thing iam planninig from last 2 yeras to take the health plan to my mom & dad but, still iam unable to take it due to the policy agents because they all are confusing me..
My concern is my mother she is having a knee pain problem which was recently started and my dad is having a some blodder stone problem which was now cleared but, my mom & dad they both were diabetic patients that is also controlled and it is in a normal condition now..

But, still my fear from my heart is not going because iam far away from parents so, they should not get any financial in the case of medical urgency…. My parents are every thing for me and moreover iam not worried about premimums only iam expecting a good cashless services which cover almost any major surgeries so, please according to your kind support i want to do somethings to my parents which they will live to be happy untill their last day of their life so, please help to come out from this confusion please guide me promptly….

God will bless you & Your family members…
Serving to human is serving to god ..

So please awaiting for your replay

Reply

647 Manish Chauhan September 25, 2013 at 12:05 pm

Hi Ajju

THe only problem now is getting the health insurance, because with such medical history, there will be problem getting the cover. Here is what I suggest. Contact medimanage.com and give my reference. They will take care of everything.

Manish

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648 ajju sridhar September 25, 2013 at 1:25 am

Dear Sir,

Sorry i forgot to mentioned my mom & dad ages

My mom : 52

My dad :60

So, please awaiting for your quick response

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649 Ajju Sridhar September 25, 2013 at 1:29 pm

Dear Sir,

Thanks for kind support i will contact with them and apart from that just before I found my child hood friend through other friends of mine… And my friend he is working in a (MAX-BUPA HEALTH INSURANCE), like, It will also covered all major diseses with day one care facilities & medical reimbursement…

He given me assurance that if earlier any medical history like diabetic, BP if it is in controlled and no other any major problems then he will take care about this issue..

So, If my parents were pass in health examination test then shall i go with max bupa ????

If not thenplease let me advise another option ??????

Please its my humble request ..

Eagerly waiting for your response

Reply

650 Manish Chauhan September 25, 2013 at 1:41 pm

Yes, in that case you can go ahead with Max Bupa .

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651 Ajju Sridhar September 25, 2013 at 5:42 pm

THANKS A LOT SIR :)

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652 jb September 26, 2013 at 7:37 pm

I am a single mother aged 42 with a son aged 7.5 years. which medical insurance will be good for us?

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653 Manish Chauhan September 30, 2013 at 9:21 am

I think you should opt for Religare Care or Oriental !

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654 Prasenjit September 29, 2013 at 1:15 pm

Hi,

I am 22 years old living in Kolkata (Self-employed)..I am looking for my individual health poilcy with cover of around 1 lac-2 lacs…Right now,I am 100% fit with no previous hospitalization record..Can anyone suggest me the best health insurance policy? (I am confused looking so many companies)

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655 Manish Chauhan September 30, 2013 at 8:44 am

Go for Oriental

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656 Prasenjit September 30, 2013 at 9:48 am

Thanks a lot for your reply…

I was planned to go with Apollo Munich Easy health individual plan,after your recommendation I am looking carefully on Oriental..

I am worrying about another fact,in mouthshut.com all user’s review regarding all health insurance companies are very negative..So,I am thinking about whether it will be a good plan to buy any health insurance…Kindly put your comments on that..

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657 Manish Chauhan September 30, 2013 at 9:51 am

Dont look at mouthshut. Its so easy for a competitor to create a fake id and put all negative things ! .

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658 Prasenjit October 4, 2013 at 11:10 pm

Thanks a lot for your prompt reply..

After comparing every insurance plan,now I will go for any one of the following Religare Care(medimanage reco), Oriental(your reco),apollo munich(my initial choice)..I will choose a cover of 2 lacs for my own only,22 yrs old,100% fit,no previous hospitalization record..

Can you put your final comment on that,what would be the most suitable for me?

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659 Manish Chauhan October 7, 2013 at 7:47 am

Just go for 1 term plan and 1 health insurance plan . That should be good enough

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660 Nirav September 29, 2013 at 8:05 pm

Hi,
I am 29 yrs old type-1 diabetic and wanted to know the best possible options currently available.
Also, I heard that recently New India Assurance has stopped charging extra premium from diabetics, although the waiting period still persists. Can you throw more light on the same?
Thanks
Nirav

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661 Manish Chauhan September 30, 2013 at 8:39 am

Nirav

You have all the options available because you are still so young . Just talk to all companies and they will quote you the premium

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662 Nirav September 30, 2013 at 11:23 am

Thanks Manish,

Any idea about the recent update by New India Assurance regarding standardizing the premium?

Thanks
Nirav

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663 Manish Chauhan October 7, 2013 at 8:45 am

Can you share more about it ?

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664 Nirav October 7, 2013 at 9:52 am

Sure Manish,

There was an article in Times Of India, Aug 1st 2013, that New India Assurance has decided to stop charging aditional premiums from diabetes and hypertension patients.
Below is the link:
http://timesofindia.indiatimes.com/business/india-business/A-premium-relief-for-diabetes-hypertension-patients/articleshow/21519129.cms

Thanks
Nirav

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665 Manish Chauhan October 19, 2013 at 8:41 am

Thanks for the link , Will have a look

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666 Shankar R September 30, 2013 at 12:50 am

Hi,

I had a Mediclaim policy earlier, because my company was covering all i left continuing the policy. But for the past 2 years my company is not covering. Hence Iwould like to take a medical insurance.

My age- 39, Wife-34, Kid -5 years.
Dad-74, Mom-67. (Dad has diabetes, Mom has BP.

Can you suggest me a good policy to cover all, How much cover should i do.
Do i need to go for a separate policy for my immediate family and my parents, in that case which policy.

I live in Bangalore and if you know any good agents also pls let me know.

Need your kind advise and help.

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667 Manish Chauhan September 30, 2013 at 8:36 am

You should take a Religare Care family floater for yourself and wife/children and for your parents take from Oriental

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668 adarsh September 30, 2013 at 1:26 pm

Dear Manish
After reading your article on company group health insurance cover ,i have decided to buy health insurance cover for my family.
I am confused on which policy to take for my family. Details given below:

1. Self-23yrs , mother-67yrs(senior citizen).
2.At present i have health insurance cover of my employer company for myself and my mother?
3. I live in Delhi, mother stay in Indore.
I would highly appreciate if you can recommend a health insurance company plan that would provide cover to me and my mother .

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669 Sindu October 7, 2013 at 7:02 pm

Quite an informative article i should say….after having so much if information i am still confused as to which one i should choose.Mine is a small family,myelf 41 yrs,my husband who is abroad 44 yrs and a 16 yr old son.which policy i should take up? recently i had a discussion with one of the LIC insurance advisors about jeevan arogya.but the problem was that they did not cover common ailments like cataract surgery,hernial repair,prosate surgery,hysterectomy ( these are the most common complaint which we can expect in old age.).So please suggest an insurance policy sutable for my family.
Thanks in advance !!!

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670 Manish Chauhan October 18, 2013 at 11:22 pm

You should take a proper health insurance policy ! like Religare care !

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671 Sindu October 7, 2013 at 7:11 pm

must add to it. i suppose,so far we are free from any known disease

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672 Hanumanth October 7, 2013 at 7:16 pm

Hi Manish,

I am planning to take health insurance for my mother and father they are 45 to 50 yrs old. Can you please suggest which insurance company is better.

Thanks in advance for your answer.

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673 Manish Chauhan October 18, 2013 at 11:22 pm

Oriental is a better one

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674 Manjunath October 8, 2013 at 6:06 pm

Hi Manish,
Very informative and well explained. Thanks for this article.

I would also like to post a question to you, Please suggest best medical insurance for my self and my family
I am 40 years old and my wife 34 years and my kids are 8 and 5 years, currently i have medical insurance from my company, but i would also like to have one on my own.
-Thanks in advance,
Manjunath S

Reply

675 Manish Chauhan October 18, 2013 at 11:11 pm

Yes, its a good decision .

Please check Religare Care for your self or Oriental Family Floater

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676 Vinay October 9, 2013 at 6:42 pm

Hi Manish,

Thanks for the very informative article as always !!!

I am 28 years old and my wife is 25. I want to go for family floater health insurance policy but I am confused with how much Sum insured I should go with?Can you please tell me how do we arrive on it?
Also can you please tell me how is Star family floater optima?

Thanks,
Vinay

Reply

677 Manish Chauhan October 18, 2013 at 11:00 pm
678 Himanshu Sood October 13, 2013 at 5:13 pm

Hello Manish/Mahavir,

Excellent work and excellent helpful advices.. Your advice has always helped me in past ….

Looking for your advice again. Please suggest best medical insurance for my self (28 years)and my family (Father , 57 years and Mother, 53 years.) .

FYI…I am already holding Tata AIG wellness executive policy but not all happy with their service . I am looking for some policy which also provide general hospitalisation facility and best in market.

Thanks,
Himanshu Sood

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679 Manish Chauhan October 18, 2013 at 9:54 pm

You should then check out Religare Care or Oriental Happy Family floater !

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680 SHANU October 15, 2013 at 11:05 am

Dear Manish Chauhan, I am living with my spouse in India. I need your help in choosing a Health insurance policy which covers both me and my spouse (family) with life time renewal option and maternity coverage we r planning for child now Send me your valuable opinion to select a good one wisely from a wide range of policies available in the market which doesn’t includes loading, copay and daily cash limit

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681 Manish Chauhan October 18, 2013 at 9:13 pm

You cant get all the things in one policy . Religare care is a good option, but with some limits and features will be available after couple of years !

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682 Prakash Dhabadi October 16, 2013 at 10:25 am

Hello Manish,

I am trying to buy an insurance plan here in India. My family members include my wife, and two kids (Aged 11 and 8). Which insurance company would you suggest to go for me. I am trying for @ 3 – 5 lacs per annum.

Appreciate your help on this.

Prakash Dhabadi

Reply

683 Manish Chauhan October 18, 2013 at 9:04 pm

Religare Care is a very good option . ANother good one is Oriental Happly Family Floater

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684 Prakash Dhabadi October 19, 2013 at 12:06 pm

Thank you so much Manish. I forgotten to mention one more thing. My current age is 46 yrs. So I hope Religare care or Oriental Happy Family floater is a good option. Let me know if you think otherwise .

Thanks Once again.

Prakash Dhabadi

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685 Manish Chauhan October 26, 2013 at 2:14 pm

You need to look at both and decide after looking at features !

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686 Deepak Jain October 16, 2013 at 12:58 pm

Hi Mr. Mahaveer & Mr. Manish,
I am looking for a Health insurance, i want to insure myself-53, my spouse-52, son-19, daughter 29 and son in law 29.
This is long term policy which i need, what is difference between falily floater and individual policy, which policy should i take.
your help in requested.
Regards
Deepak Jain

Reply

687 Manish Chauhan October 18, 2013 at 9:02 pm

Please look at Religare Care or Max Bupa .

Family floater means your whole family is covered under one single cover and can use from a big cover, Individual cover is for single person

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688 Rahul October 18, 2013 at 12:55 pm

Hi Manish,

Thanks for the very informative article. I am looking to buy a family floater policy for parents. They are aged 64 and 62 years. I was thinking of an cover of Rs. 5 lacs. Could you kindly suggest a good policy.

Thanks in advance.

Regards,
Rahul

Reply

689 Manish Chauhan October 18, 2013 at 8:37 pm

I generally suggest Oriental Family Floater for old people .

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690 Dev Mehra October 21, 2013 at 5:52 pm

Hello Sir… Great article i must say… very thanks for all this information… but as layman i still could not fully understand some terms. i simply want to ask you, that i need to insured my parents for their health, they both r going to be 56 years old. which health insurance should i buy for them. please help me out… thanks :)

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691 Manish Chauhan October 26, 2013 at 10:56 am

You can look at Oriental Happy Family Flaoter

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692 sudheep October 22, 2013 at 12:26 pm

Manish / Mahavir,
following are my details
me sudheep -30 yrs
spouse-27 yrs
mother-61 yrs(diabetic)
father-65 yrs
i did not have any health insurance policies yet.
please suggest me a good policy which will also cover maternity expences.
i read thgat SBI group mediclaim will cover maternity and preexisting conditions without waiting period.
does i go for the same or does i i need to take an individual policy.
is there any drawbacks for the SBI ploicy than an individual one.
thanks in advance
SUDHEEP

Reply

693 Manish Chauhan October 26, 2013 at 10:28 am

Hi Sudheep

Please open a thread on our forum to discuss this – http://www.jagoinvestor.com/forum

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694 Milind October 27, 2013 at 11:43 am

Few words of praise :
MediManage is superb..They are give biased free advice and they promise to help you in claims too..ONE of the best things I liked is their genuine advice and not pushing people towards private sector and high premium insurance companies.I myself have purchased Oriental Health Insurance through MediManage.

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695 Manish Chauhan November 4, 2013 at 11:45 am

Thanks for sharing that !

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696 deepak October 29, 2013 at 1:26 pm

Dear Sir,

Thanks for providing precious information regarding health insurance.

Thanks & Regards,
Deepak Singhal

Reply

697 Manish Chauhan November 4, 2013 at 11:10 am

Welcome Deepak !

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698 S Zainvi November 12, 2013 at 9:59 pm

Dear Sir,

I want a mediclaim policy for self and family. Myself 37 years, wife 32 years, son 11 years (who is type 1 diabetic) and another son 1 year old. Please suggest best policy for a total cover of 10 lacs, considering the fact that one son is diabetic.

Reply

699 KR November 14, 2013 at 1:01 am

Hi Manish,

I am 23 female and bro 29 yrs. (we both work)

Mom 48 and dad 57 yrs and looking to take a policy and are confused on which policy to go with individual or family one.

Should I and bro take a separate policy for 3-5 lakhs each and another one for parents (5-10 lakhs) or any other way?

Thanks in advance.

Reply

700 Manish Chauhan November 14, 2013 at 2:18 pm

Yes, thats a good idea . I suggest you taking a policy from Oriental for all 4 of you and keep yourself as PRIMARY . I suggest you get in touch with medimanage.com on this .

Manish

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701 Abhimanyu November 14, 2013 at 11:20 am

Dear Mr Manish,
First of all I could like to thank you from my heart for the advice you provide along with the guidance to people for the past many years . Really appreciate it.

I am 44 years old , presently unmarried and single, from north kerala.I have a policy by the company I work for having sum assured for Rs.3.00 lacs.I was recently thinking of buying a health insurance- cashless for myself, and in doing so registered myself in a website, did some analysis in terms of policy cover say 5 lacs, free annual whole body check up,no of disease being covered etc.

Now in the process I am being daily bombarded by phone calls and e mail after I registered my number in the website , redulting in confusion and chaos. I have selected Religare/Apollo/Star/Cholamandalam for a sum assured for Rs.5.00 lacs.Kindly advice and suggest.Some companies offer doubling the claim in the event on no claim in the first claim, , some giving claim for a fixed amount etc …all this leaving me pretty confused. ..and I ask your advice…Should I go in for National/United insurance health or the private ones mentioned above….

Thanks and keep up the good work…

Regards
Abhimanyu

Reply

702 Manish Chauhan November 14, 2013 at 2:11 pm

I think you are trying to get to the “best” product. which is adding to confusion, I think just pick one good company which gives you a sense – “I can trust these guys” and just move forward, I would say go ahead with Max Bupa or Oriental

Manish

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703 Abhimanyu M.P. November 15, 2013 at 8:46 pm

Dear Mr. Manish,
Taking your advice into consideration I have zeroed in on two companies (am looking at a 5 lac annual cover).

I am a diabetic (TYPE-II), diagnosed three months back,now most of the companies say that the pre existing disease will be covered after a period of FOUR Years.Are there any which cover for a shorter period and in the event pls advise and oblige.

Thanks and regards,

Abhimanyu

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704 sudheep November 21, 2013 at 4:50 pm

Hi Mahavir/Manish,

I applied for oriental insurance through medimanage for my father(64) and mother(62) .The medical tests were conducted and the reports were sent.Nothing was specified by the doctors as need treatment or immediate attention.
But they reject the application sapecifying the following preexixsting condition

1.Cortical Cyst.
2. Bladder Deposits.
3. Enlarged Prostate Gland.
4.Residual Urine Volume
what i can do further.
Please advice me if i go for another insurer (with premedical tests)or i have to go with star redcarpet(i think this is the only one with no premedical tests)
regards
SUDHEEP V

Reply

705 Manish Chauhan November 23, 2013 at 6:07 pm

You can also try with Oriental

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706 Sahil Doshi November 25, 2013 at 6:09 pm

Hello Sir, I am looking for heath insurance policy for my father, he is now 61 year old. My colleague refer me for HDFC ERGO health insurance policies, he told me that he taken HDFC ERGO insurance two months ago & he is paying low premium as compare to other policy holders. Please suggest me about this?

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707 Macbeth November 25, 2013 at 6:20 pm

hi Manish , thanks for such a detailed blog. It was indeed an eye-opener. I would like your advise on two doubts that still runs in my mind. One, can a diabetic take health insurance plan? If yes, which company do u suggest. Second, if we are living out of india, should we buy health insurance after we return back or advisable to buy as early as we could in our life? Thanks in advance.

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708 Balamurugan November 29, 2013 at 12:30 pm

I am in Chennai age 35 married having 2 children. wife 30 years, 1st child 6 years and 2nd 8 months. My father have diabetes and heart problems. So far thank god i didn’t have any. I want to safeguard myself and my family in all sort of health problems whether serious or chronic etc. I am earning 2.5 lach per annum. As well as i want to get some solid returns if we have not underwent any health problems. Is it possible to get returns in terms of money from family health insurance?

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709 Manish Chauhan December 12, 2013 at 4:33 pm

No , its not possible and you should not even aim for it . Because its not for returns , its for protection only

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710 manjunath.hugar November 30, 2013 at 11:15 am

sir
i have want to purchase family health insurance policy which covers most of the illnesses and which can cover most of the hospitals in bangalore ,hubli(karnataka). i am married . my wife age is 33,daughter age is 7 ,father age is 72,mother age is62.kindly suggest me family health insurance for life time which suits my above requirements

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711 Manish Chauhan December 12, 2013 at 4:21 pm

I suggest you get in touch with medimanage.com for health insurance suggestions

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712 Divya Goswami December 2, 2013 at 1:53 pm

Hi Manish ,

Good afternoon.

I have a gold family floater from oriental health insurance with sum assured for 10 lacs.
Following ppl are insured under this policy:
a) Me (30)
b) My spouse (30)
c) My father-in-law (58)
d) My mother-in-law (55) – High blood pressure

As per the recent circular from Oriental health insurance, the person who is the eldest in the policy would be considered as primary. Hence the premium calculated for this year is 46000 which is on the higher side as compared to the last year’s premium – 29000.

I am not sure whether I should continue with this policy or not.

Also, with this policy only I am able to claim the deduction of 15000 under 80(D), not my husband.

Please let us know
a) If we should continue with this policy or not?
b) Shall we buy 2 seperate policies of 5 lacs each so that we both can get the tax exemption.

Thanks and Regards,
Divya Nirupam Goswami.

Reply

713 Manish Chauhan December 12, 2013 at 3:36 pm

a) yes, you can continue the policy

b) Dont take action only thinking tax exemption point of view ..

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714 Prem December 3, 2013 at 11:21 am

Dear Manish Chauhan, I am living with my spouse in India. I need your help in choosing a Health insurance policy which covers both me and my spouse and my parents (family) with life time renewal option and maternity coverage we r planning for child now Send me your valuable opinion to select a good one wisely from a wide range of policies available in the market which doesn’t includes loading, copay and daily cash limit

Reply

715 Manish Chauhan December 12, 2013 at 3:23 pm

Prem

You should contact medimanage.com on this , they will help you in choosing the right policy for you !

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716 R Sen December 19, 2013 at 11:38 pm

I’m presently insured with United India’s Health Insurance 2010 for 1.25L each * 3 members of family (me 44y, wife 37y & child 9y) and applied to Apollo Munich for Port’ to OptimaRestore of 5L Family Floater – but they refused. What should I opt for now…Should I remain with the existing one or should I opt for a change…Pls advice via email…Thanks…R Sen…

Reply

717 Manish Chauhan December 25, 2013 at 10:27 am

What was the reason for refusal ?

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718 sanjay_k_shah December 20, 2013 at 1:06 am

Hi Manish,

I am 57 yrs old. My wife is 52 yrs and two sons of 21 yrs and 18 yrs. Till few month back me & my family were covered by Company. Now I have started my own company and hence will like to take health cover. What is suitable policy – Family Floater? Or Individual? Will my children also will be covered in floater scheme? Between all I will like to take a policy to the tune of Rs. 10 to 15 Lakhs.

Which is the best insurance provided in my case?

One more question, in India do we have “domiciliary ” coverage? Who provides that?

Regards

Sanjay

Reply

719 Manish Chauhan December 25, 2013 at 10:26 am

Sanjay

YOu can opt from options like Religare Care, Max Bupa, Oriental etc . They are all good options . A lot of policies provide domicilliary but you need to check if the policy document mentions it or not ! . Children will be covered in family floater !

Reply

720 Sanjay January 26, 2014 at 4:55 pm

Dear Manish,

Thanks. two questions.
1) Is it preferable to have adult children in family floater or should I have individual policy for them?
2) I will prefer to have private room (not suit) during hospitalization, but your articles mentions very high premium in later part of life in such a case. ( I am already 57). Should I incorporate room rent limit? In future can I change this clause?
3) Which policy has best / easiest claim settlement?
4) What is your comment on ICICI Lombard and L& T?

Regards

Reply

721 Manish Chauhan January 30, 2014 at 6:24 pm

1. Any ways you cant have adult children in family floater, its not allowed

2. When you take the plan, its mentioned in the policy document what kind of rooms are covered in the plan

3. Claim settlement is not something which has a fixed formula, every company has good and bad experience.

4. I personally have not read a lot about them .. so I will not be able to comment anything on that

Manish

Reply

722 Sayan December 20, 2013 at 11:10 am

Hi Manish

Suppose you have a mediclaim policy provided by your employers covering the parents and you also have an invidual family floater. In case of claim can we use both the policies? Will any of them respond to cover any loopholes present in other?

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723 Manish Chauhan December 25, 2013 at 10:23 am

You can choose anyone and other will not affect . You should first choose the group cover !

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724 praveen December 23, 2013 at 8:51 pm

Hello sir
I want an policy for me 33yr,spouse 31yr,child 4yr,my father 58 ,mother52
i am confused with many policy companies,pls suggest better one for 6 lk above with combined for all or other,now my spouse is carrying 8th month and not needed maternity benfit

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725 Manish Chauhan December 25, 2013 at 9:35 am

Praveen

You should look at options like Religare, Max Bupa and oriental . I suggest contact medimanage.com for help on this , they will guide you

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726 Sourabh January 5, 2014 at 1:44 pm

Dear Manish

I am looking for a family floater for my family and in-laws (me 32, wife 32, son 4 and son 1, mother in law 65)
me my wife and children are covered for 3 lacs medical insurance by my company.
We all do not have any past alignments or major surgeries.
I am looking for policy which covers major operations, illness, pre and post hospitalization, and also domiciliary treatments..
Can you suggest suitable policies from reputed companies (companies with whom we dont have to followup a lot when family member is in hospital)

Reply

727 Manish Chauhan January 9, 2014 at 1:14 pm

Max Bupa has some good options on this . Try to connect with medimanage.com team and give our reference . they will suggest you best options !

Manish

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728 Guru January 5, 2014 at 2:12 pm

I am 47 years old and would like to take a health insurance for self, wife and two children. Budget per year is 15k to 20 k. Coverage around 6 / 8 lacs. Please suggest the policy name / insurance company. Also advise whether to get the policy through agent or online.

Reply

729 Manish Chauhan January 9, 2014 at 1:14 pm

I suggest you look at Oriental Health Insurance Family Floater plan for 6 lacs covereage

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730 Hariharan January 6, 2014 at 3:22 pm

Hi Mr. Mahaveer & Mr. Manish,

I’m writing to you from Chennai, and i’m looking for a plan that covers self and parents!

Age details of my parents :

Dad is 55 and Mom is 50.
Both with good health with no medical problems in the past.

I’m 26 and i don’t have a plan either. Please suggest a plan to have them covered for a min of 5 lacs. Or even a plan for all three of us. Whichever is the best!

Please Note : My dad is 55 now and does he need to take up a medical test for a new health insurance?

Thanks so much for your wonderful insights and service.

Regards,
Hariharan R

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731 Manish Chauhan January 9, 2014 at 12:44 pm

I suggest Oriental health insurance to you !

Manish

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732 Anil January 7, 2014 at 1:47 pm

First of all thanks for replying to your site visitors.

I am 32 and my wife 28. We are planning for baby by the end of this year. Please suggest the best health insurance policies of about 6 lac cover. I am even OK with multiple policies like Nagrik Suraksha Policy + XYZ .

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733 Manish Chauhan January 9, 2014 at 12:24 pm

Better take a single policy from any good company like Oriental , Max Bupa or Religare for 6 lacs . Rather than multiple !

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734 Hariharan January 9, 2014 at 1:25 pm

Thanks for replying Manish! Please also answer the previous question.

Does my dad who is 55 now, need to take up a medical examination to get into this policy? and should we go with Family Floater ‘SILVER” or ‘GOLD’

Thanks for you much needed help,
Hariharan

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735 Manish Chauhan January 14, 2014 at 1:21 pm

Yes, they will have to take up the medical exam ! as directed by company

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736 vikram January 9, 2014 at 3:41 pm

I am vikram aged 28 years old. I want to purchase Health floater insurance Plan. Which company would be BEST as per cash less and customer satisfaction.

vikram

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737 Manish Chauhan January 14, 2014 at 1:20 pm

Religare , Maxbupa , Appolo , all are good options !

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738 Amol January 10, 2014 at 6:11 pm

Hi Manish,
Thanks for the great post. Can you please guide me to decide which health insurance best for my family considering following
1) father – 65 years, mother – 59 years, myself =32, wife=28, child=2 years
2) i have 2 lakh sum insured as floater for my family , provided by my organization
3) I need additional 5 lakh sum insured
4) parents have history of high blood pressure.
please guide

Thanks
Amol

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739 Manish Chauhan January 14, 2014 at 12:51 pm

I think a good option for your feature and premium wise would be Oriental Happy Family Floater policy !

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740 ANNAMALAI January 15, 2014 at 12:30 pm

SIR, I (age 47),my wife(age 47) and my daughter (age 20) live in south tamilnadu.
I have family floater from New India assurance for 2 lakhs.Now it seems premium rates increased.
suggest me a suitable plan .
Also kindly inform individual policy for my family members or family floater which is better?

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741 Manish Chauhan January 20, 2014 at 8:09 pm

I suggest you contact with medimanage.com on this. They will give you proper suggestion on this matter !

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742 Sushil January 15, 2014 at 1:24 pm

Hello Mr Manish,

My Parents are aged 54 & 61. For them I am looking for insurance of min 3 Lkh and max 5 Lkh. In my company premium for adding parents to my policy is very high. For 3 Lkh its 22K and for 5Lkh its 27K.
Can you please suggest any policies which will either cover both of them together or as an individual for my father (since he is 60+) any best policy with reasonable premium for expected coverage?

Thank You.

Dear Friends,
If you have any experience on above query please respond on same.

Thank You.

Reply

743 Manish Chauhan January 20, 2014 at 8:01 pm

Sushil

You will get what you will pay for. If you need cheaper premiums, you will get lesser benefits . So my suggestion is that first get it very clear .

Next, Oriental is once policy I can suggest you. It has decent plan and pricing !

Manish

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744 Jagadeep vudatha January 18, 2014 at 11:38 pm

Hi Mahavir,

Firstly I would like to thank you for the wonderful article you posted, I feel many people raised many questions which you clarified.

I would like to take a long term health policy for my mother (age -56) and myself ( age-32) can you suggest which policy is better, which may cover almost everything

I will be waiting for your advise.

Jagadeep

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745 Manish Chauhan January 20, 2014 at 6:48 pm

Hi Jagadeep

I think you should go for Oriental Happy Family Floater Policy !

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746 Ajay January 21, 2014 at 12:24 pm

Hi,

My wife is having diabetese since last 4 year and taking medicine(under control).I need floater health insurance for me(age 35), my wife and 2 children(age 6,15).I already have 5Lac innsurance from my company.But i want additional personal insurance also for safer side.Kindly suggest which policy should i purchase.

Regards
Ajay

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747 Manish Chauhan January 31, 2014 at 11:49 am

You can look at health insurance from Oriental . Kindly contact http://www.medimanage.com on this and they will guide you !

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748 Daxesh January 28, 2014 at 2:59 am

Hi Manish,

Thanks you for sharing such a nice article regarding Mediclaim policy.

I am 26 years old and I am covered by health insurance from my company. But My parents does not have any health insurance. My father age is 54 and mother is 48 years old and they don’t have any other disease. I have inquired about mediclaim for all family but all broker so called adviser advised me to buy individual policy for me alone and another for my parents.

So I have inquired about the same and find that Appolo Munich is covering all the benefits without any cap on room charges and other terms like 80:20 expense. But many person told me about claim settlement ratio which is better in PSUs than private. So I request you to suggest me suitable policy for me and parents.

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749 Manish Chauhan January 30, 2014 at 5:26 pm

I think first priority is to get them a good cover as fast as possible . Do not get late on this. I think Appolo should be good enough, if you give all info correctly there should not be any issue at the time of claim . You can surely go with PSU , but thats not because they are better then private. I suggest talk to http://www.medimanage.com on this . let me actually connect you to a guy in medimanage.com who will take care of this issue of yours

Manish

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750 somashekar January 29, 2014 at 11:30 am

Hi,

Nice blog, Very informative..
I’m purchasing a health nsurance for my dad..He is aged 59..he is covered under his department policy..
now when is to retire at 60 I got to get an insurance plan for hi,,
Last year had one from my company..But how good are the offereing from companies which terminate when we quit the company.

Can you please guide me to get the perfect policy..
His age is 59 years
He has had a bypass surgery last year.
No other ailments.

Please please suggest

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751 Manish Chauhan January 30, 2014 at 4:54 pm

I suggest you get in touch with Oriental through medimanage.com , But better get it done asap before he turns 60 at any cost !

Manish

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752 sarayu February 3, 2014 at 12:26 pm

Hi, I am 52 years old and my husband is 48 and a half years old. His Employer covers the family for a sum of 3 lacs per annum. We do not have any pre existing illnesses and would like to start a medical insurance aside from what is provided by the Company. What would your advise be for us?

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753 Manish Chauhan February 3, 2014 at 5:23 pm

You should reach to medimanage.com and share with them about your needs , They will guide you properly on this !

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754 Nilesh February 5, 2014 at 11:56 am

I am 25 years old. I want to have any health plan. but i confused b/w HDFC’health Suraksha, Star health, NIC. I can pay 5000 annual Premium.
pleaase suggest me best avalble plan.

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755 Manish Chauhan February 14, 2014 at 8:11 pm

You can go with Religare Care !

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756 Asheesh February 13, 2014 at 10:16 am

Hi Manish / Mahavir,
Thanks for the good article.
I have some different situation. I have family floater of 3 lac from Apollo from last 3 year but thinking to either increase the coverage amount or taking additional floater plan of 2-3 lac from other good company (this time preferably from Govt company) . My age (34 yr), wife (28 yr), daughter(3 yr).

My questions are :
(1)Will the insurance from 2 different company help at the time of claim settlement ? How it will work at the time of hospitalization / claim settlement ?

(2) One company or two company is good at the time of hospitalization / claim settlement ?

(3) Which company should I go this time considering good claim settlement and long term / life term renewal and good customer service .

(4)I am planning to take family floater plan for my uncle family of 5 member ( uncle age – 43) with no existing health issue . Which will be the best on claim settlement and long term / life term renewal and also considering the small city where lot of private companies are not there.
Thanks,
Asheesh

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757 Manish Chauhan February 14, 2014 at 4:30 pm
758 kumar February 14, 2014 at 9:16 pm

hi like to take a policy i am 46 yrs my wife is 41 yrs have 3 children below 15 years. have got quotes from ICICI and bharathi Axa, kindly advice i am looking at a premium of around 15,ooo/- .
kindly advice

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759 Manish Chauhan February 15, 2014 at 9:15 am

YOu should go for Religare Care

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760 PRAMOD KUMAR February 17, 2014 at 10:52 pm

Dear
I am a Bank Officer have medical reimbursement facilities from Employer subject at certain terms & conditions .
In our family we are Four members i.e. My self (41 Years) Wife (37 Years) Daughter (15 Years) Son (12 Years).

I have annual Income of Rs 6.50 Lacs from salary.

Please guide regarding to best health insurance plan for us preferably from Govt. Sector Insurance Provider companies .

Thanks

Pramod

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761 Manish Chauhan February 21, 2014 at 10:56 am

Oriental is one good bet !

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762 Satts March 4, 2014 at 5:04 pm

Hi,

I am planning to take a health insurance for my aunts, they are 66 years old, no much major complication other than BP. I heard that IHO is offering the best policy for a coverage of 2-3L for annum. Can you please let me know if this is good or something else wich suits my requirements.

Thanks
Satts

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763 Manish Chauhan March 12, 2014 at 9:17 pm

IHO is not a health insurance company, better go with a proper health insurance company only

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764 Tapan Kumar Sarkar March 6, 2014 at 4:38 pm

I have a Medi Classic policy of Star Health Ins. for Rs.3 lacs and my age is 61 years. Is there any other Insurance Co who is giving better deal than this as compare to the premium of Star which is Rs.15,732/-

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765 Manish Chauhan March 12, 2014 at 6:05 pm

Yes, you can get a better deal from other companies like BANKS, but features and service will not be that great !

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766 Deepak March 7, 2014 at 12:11 am

Hi Manish: I am 32 and my wife is 29 is a 55% physically challenged person. Can you please suggest us the best policy for Physically challenged person. Most of the companies are not covering her due to her disability. i personally tried 2-3 insurers.

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767 Manish Chauhan March 12, 2014 at 6:02 pm

Hmm .. actually yes , this can be an issue . A company might not want to cover her for the situation . Not sure what can be done here, please discuss is over here – http://www.jagoinvestor.com/forum

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768 mani March 10, 2014 at 9:29 pm

Hi

Hope you are doing well!Need your expert advise …….I am 44(have hypothyroid) my husband is 46 working abroad,two children age15&10…..need to pick up a policy ,please suggest one in which all four can be included or else one in which me and the children can be covered(as I guess my husband needs to be present in person for the medical as he is above 45)

what is your view on Reliance health gain?

thank you.

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769 Manish Chauhan March 12, 2014 at 4:44 pm

You can go for Oriental , you dont need medical upto 60 yrs in that !

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770 Simran March 13, 2014 at 1:31 pm

Hi Manish,
I want to gift a good health insurance to my parents this month.(56 yrs and 54 yrs respectively.)My mom has minor BP problem and with God’s grace my dad is fine. Please suggest me something.I am looking for an insurance which would cover them for major as well as minor aliments.
Thanks.

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771 Manish Chauhan March 26, 2014 at 7:52 pm

I can suggest you Oriental Health INsurance … its a good company with good plan , reasonable premium !

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772 vian March 25, 2014 at 2:59 pm

Hi,

I am a working professional. I am paying heavy taxes due to lack of financial planning and investing. I can save upto 20K/M. Please suggest me how can I reduce my tax and increase savings.
Thanks

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773 Manish Chauhan March 26, 2014 at 12:06 pm

With this much of information , one cant give you any suggestions, are you taking benefits of 80C to its full , claiming all things like HRA, LTA or not ?

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774 ks2410 April 1, 2014 at 3:11 pm

Hi,
This is an interesting article. I turn 39 this year. I am looking to buy a Health policy that covers my family (Spouse + 2 children (5 and 2 years old). Along with that I am also looking to include my mother (66) in this. She does have a independant coverage currently but would like to be covered along with the family.
I work in the corporate world and do have a coverage for myself, spouse and children. However this may not be sufficient going ahead and hence looking for a health insurance (family floater?) for the entire family. It wouldn’t be a very large insurance amount though since I already have some coverage.
Would appreciate if you could share your views.

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775 Manish Chauhan April 10, 2014 at 3:28 pm
776 poonam April 5, 2014 at 4:18 pm

hello
i wanted to gift a health insurance policy to my brother, his wife and his son..he is 51 year old, his wife and son are 44 and 16 respectively..they are not suffering from any disease right now.
suggest me some good health insurance cover policy for them.
thanks
poonam

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777 Manish Chauhan April 10, 2014 at 2:00 pm

It a great thought .. You can take a plan from any good health insurance company like Religare Health Insurance or Oriental or Max bupa ! ..

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778 Sushil April 7, 2014 at 8:23 pm

Dear Manish,

You are doing a fabulous service to all us and I feel each one of us can give back to society the way you do. Hats off to you!!

Had a small query:
I have an Family floater United India Insurance policy of 5 lakhs via my company

I want an additional Medical Insurance which covers critical illnesses. I am 30, my wife 26 and Dad and Mom 70 and 63 respectively.

Should I go for a separate family floater or shall I cover my wife and me with the additional insurance and save the company insurance in case parents need it?

Also, in your view, considering our age which critical illness insurance is the best? Is Max Bupa good?

Would really appreciate your help in this

Thanks again
Sushil

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779 Manish Chauhan April 10, 2014 at 1:04 pm

Sushil

First, do you know difference between a health insurance plan and a critical illness plan ?

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780 Sushil April 10, 2014 at 6:03 pm

Hey Manish,

Apologies for confusing you. actually there are 2 questions above

Question 1: I have a company family floater of 5 lakhs from United Insurance. Should I go for additional insurance of 5 lakhs for me n my spouse only as the premium is low or should I add my sr citizen parents also to it. I feel I can have one plan for 5 lakhs for my spouse and me and reserve the company insurance for my parents (God forbid) if need arises

Question2: Which according to you is the best critical illness plan for the age mentioned above of my wife and me. My research shows Max Bupa critical illness is good – your suggestions?

Reply

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