Buying Health Insurance in India? Follow this 13 point checklist

POSTED BY Jagoinvestor ON February 23, 2015 COMMENTS (1,307)

A lot of changes has happened in health insurance industry over last 5 yrs. The overall health insurance industry to some level is standardized and new regulations are in place. A lot of investors have bought their mediclaim policies many years back when rules were raw and when few things were in favor of insurers, not investors.

buy health insurance in india

Given the changes, I thought, it’s the time to edit the whole article written long back and update all the points. So here you go.

Health Insurance products now have far fewer hidden bombs to surprise you now, For instance

  • All Health Insurance policies are now mandatorily issued for life-time.
  • Insurance companies cannot levy claim based loading once the policy is issued.
  • Insurers need to give a clear 3 months advance notification to existing customers before increasing premiums or terms in a policy.

What’s more, thanks to the competition brought in by specialized health insurance companies, there have been many interesting features added to the otherwise standard mediclaim products.

So now I am putting up 13 points every investor should read before they buy health insurance. These 13 points can act as the guide for someone who wishes to either buy a new health cover or wants to upgrade their health insurance cover. These points are not tips as such, but various dimensions revolving around the health insurance buying decision-making.

Point #1 – Don’t be too late in buying a health insurance policy

I have seen too many customers, especially the well-educated ones, literally trying to find a health insurance product which has all the “dream” features bundled into a single product. They want high cover, less premium, best claim settlement, no loading, OPD cover, extreme fast claim settlement, maternity and high-end benefits.

But sadly, such “dream” products do not exist in real-world. One has to understand that these health insurance products are highly complex and their premium pricing and features are linked to various parameters. You can’t get a product which has everything you wish.

At times, it happens that 8 out of 10 things required by the customer is present in the policy, but 2 out of 10 is not there, and what do customers do? They try to find some other policy which has all 10/10 things covered. This just leads to procrastination. There are millions of investors who are delaying taking health insurance from many years and this is the single biggest mistake one can make.

The risk of “No cover” in the future

The biggest problem with this approach is that, you might be denied a cover later in life, because you might have crossed that age limit, or you might have catched some illness which will not be covered now.

If there is one advice, just one advice, I would give anyone on Health Insurance. It would be this – “Never Delay. Set a deadline, buy that policy and get covered.”

Buying a good enough policy early is 10X better choice than buying “best health insurance policy” after 5 yrs. So the first thing you need to do is, be 100% clear that you are buying a health insurance product NOW. Focus on core big features which really matter, and don’t get too attached to tiny points which either do not match your requirement or are different than what you want.

Point #2 – Assess who do you want to cover and their health status

It is important to finalize the list of people you want to cover. Also, take an account their current health status. Make sure you cover most of your family members for whom you are responsible for. At times, people buy health insurance for self, spouse and kids and ignore parents.

  • If all are young and healthy, no hospitalization history, no chronic ailment detected, you are going to be spoilt for choice!
  • If you have members who are above 50 and/or have a medical history/condition then you should be prepared for some pain (more on this later) which will most probably include having certain time bound exclusions in your policy. Or you might have to pay higher premiums.

Point #3 – Assess your lifestyle

The greatest health insurance is taking care of your health. Keep a check on your own lifestyle, as well as your family’s. If you/your family is fit, following a healthy routine or regularly exercising, have healthy food habits, doesn’t smoke, has no history of excessive drinking, you’re in a good place with regards to risks and coverage required. If not, then you have a much higher risk to hedge. This, apart from inflation, needs to be taken into consideration, when deciding the sum insured.

If not, then you have a much higher risk to hedge. This, apart from inflation, needs to be taken into consideration, when deciding the sum insured. But be clear that just having good health or good lifestyle is not an excuse to ignore health insurance policy. Leading a good lifestyle just protects you from illnesses, you still don’t have much control on accidents, or some diseases which can still happen even though you have a good lifestyle.

Point #4 – Individual Covers or Family Floater?

You also need to be clear if you want to buy individual cover for each person, or a family floater policy?

Family Floaters seem to be a no-brainer, as they are very efficient. The idea is that not all family members will be hospitalized in the same year. You get a large cover shared amongst all family members for one of you to claim. The price is lower/efficient than buying individual covers.

But hold on! .

If one of your family members is older than 50, or has health issues, or lifestyle issues as discussed earlier, it would be sensible to look for an individual cover for such a member in addition to the family floater. You shouldn’t have a “high risk” member as part of your family floater, as if he/she has frequent claims, year-after-year, other members could be left without any cover, when they would need it.

individual vs family floater health insurance

If you don’t have the choice, and are getting a great deal with a family floater policies then go for a very high cover (in the range of 25-30 Lakhs). More on this in the next point for discussion.

Point #5 – Zero down on Sum Insured from Long Term perspective

The biggest mistake one makes when buying Health Insurance, is when one factors today’s costs and decides the insurance coverage, whereas in reality, you are likely to make claims around 25 years from now

Hospitalization costs today would be ranging from Rs. 50000 to Rs. 3 Lakhs. Assuming you are 30 today, at an modest average healthcare inflation of 7.5% for the next 20 years, single hospitalization bills will range (hold your breath!) at around Rs. 13 Lakhs when you are 50 years old.

What’s more, if you live even a mildly unhealthy lifestyle(as discussed earlier), you may have to bump the cover by another 25%, as you are at much higher risk, unless you take things in control and improve your lifestyle immediately. Think in terms of the long run, you may not need this policy right away, but in the future, you will most definitely benefit from having a higher cover.

OK, don’t sweat; we have smart ways on how to get a Rs. 16 Lakhs within your budget. Read on.

Point #6 – Compare Hospital Room Eligibility Capping

Now this is the big one. This single condition could depreciate the value of your health insurance with inflation. Something most agents/insurers won’t like you to know.

Many Health Insurance policies have room rent capping, which means you are eligible to claim expenses only up to a room costing below this capping. In case you opt for a room above this cap, you will have to bear the additional proportionate expenses on your own. Let me give you an example

Lets say, as per your policy you are room rent limit is Rs 4,000 per day . Now if you get hospitalized and you choose a room (for if you are forced to choose) which has room rent of Rs 10,000 . You might think that you will just get 4,000 per day for room rent from insurance company and other charges you will get as per the limit. But thats not true.

In reality, your room rent limit is 40% of the room rent chosen, hence all other expenses will be paid by 40% margin only. Means if your actual bill for ICU has been Rs 20,000 , and even if it’s in the limit, you will still be paid just 40% of 20,000 = Rs 8,000 .

If your doctors bill comes to Rs 50,000 and even if it’s in the limit , still you will be paid only 40% of that, which is Rs 20,000 . So overall you will be at a big loss only because of the room rent capping limit.

room rent capping

I hope you are now clear on the implications of the room chosen at the time of hospitalization.

Also factor in the inflation

One day rent for a Private room averages to around Rs. 4000 per day, today. At an inflation of 7.5% for next 20 years, the room rent would be in the range of Rs. 20000 per day.

Now, if you have a policy with room rent capping of Rs. 5000, and you opt for a private room with rent of Rs. 20000 per day. Insurance company is liable to pay you only 25% of all the costs claimed by you, in spite of your claim being within the sum insured limit.

Given a choice, your preference of health insurance should be in the following order:

  • Policies with Private Room eligibility.
  • Policies with No Room Rent capping.
  • Policies with Room Rent capping.

You must be surprised as to why have I suggested Private room eligibility policies above policies without room rent capping. The reason is simple, in my opinion; policies with no room rent capping have larger chances of being abused. Insurers could bear higher losses due to no control over the extravagance of a few customers. In the long run, it would be consumers who will pay for such extravagance of a few, through higher premiums or revision in the terms of the product, so that the Insurer can contain the overall losses.

As mentioned earlier, the above priority is to be kept in mind, in case you have a choice. In case you don’t (due to health conditions, age etc.) it is important to not give up and hedge your risks to the extent possible, by opting for a sum insured with the highest room rent limit. This way you will be able to contain some part of this ‘auto-depreciating’ cover!

Point #7 –  Check for any sublimit/co-pay

There are clauses like sub-limits and co-pay in most of the insurance policies. They put a sub limit on a particular expenses (like 2% of sum assured). Make sure you are very clear about them and are fine with it.

There are few Insurance products that have limits for specified surgeries also. So even if your sum assured is Rs 5 lacs, they might restrict a particular surgery expenses to 50% of your sum assured.

co-pay clause policy

Check with the products you have shortlisted. Also check for words like “limits”, “co-pay” or “deductible” in the policy. These are set deductions in claims. Ensure you have understood, and compared what these mean, before your decision to purchase is made.

Point #8 – Hospital Network is Important Parameter

While you compare the key features discussed above, you should also compare the hospital network of the shortlisted Insurance companies. You must compare these for areas you/your family is likely to be hospitalized. Though such lists are dynamic and can change anytime, it still gives you a good idea of the network that the Insurer has in place, in case you need to use it for a cashless treatment.

Check it out below to see the number of hospital and their names near your house (based on the pin code you provide them)

hospital network health insurance

While a good network of hospitals is something you should definitely look at, but it should not be your primary parameter to judge a health insurance company.

Point #9 – Finally, go through Policy Wordings

Ask your Insurance Broker/Agent to provide you with the policy wordings of the product you have liked. Ensure you go through the Customer Information Sheet yourself. This is a one-pager that summarizes all the key conditions you must be aware off. Every health insurance product needs to file this with the Government (IRDA). Ask questions till you are satisfied.

I would strongly suggest look at the policy document sheet yourself online. Just go to google and search for “<health insurance policy name here> + “brochure pdf” and you will surely get the PDF document online. go through it and read it. below you can see, how I searched for Appolo Munich Optima Plus brochure online

health insurance brochure

Point #10 – Go for Super-Topup

In order to get the 15-17 Lakhs health insurance cover that would inflation proof you for the next 20-25 years, it is very sensible to buy a Super Topup policy. Recommend, that you go with a Rs. 5 Lakhs base cover with a Super Topup cover of Rs. 15 Lakhs. This can save close to 25-30% of premium vis-a-vis buying a Rs. 20 Lakh base plan.

2 important things here

  • Ensure there is no room rent limit in your Super Topup policy.
  • Ensure you buy a Super Topup Health Insurance along with your Base health Insurance policy tenure and they have similarly timed renewal dates.

health insurance super top up

You can read how super top up works in this article .

Point #11 – What to ignore while buying a policy ?

Now that you know what you must compare and consider, you must also know what to avoid?

Features like Ambulance, Daily Hospital Cash, Domiciliary, and any other benefits that don’t get used often, have a low consequence in the overall scheme of things. Hence, in my opinion, these should be overlooked, so that you focus on the bigger covers.

So focus on the network of hospital, fees for doctor consultation, Room rent Limit, ICU charges, Check if they are paying for medicines or not and these kind of expenses which make the the major part of your overall bill.

Things like Ambulance charges are not more than Rs 2,000 , if you have to pay it from your own pocket, even that its totally fine. Why to choose a policy based on that parameter ? Its always a bonus advantage and nothing else. So learn what to ignore and what to look at.

Point #12 – Ensure you appoint a good advisor

By now, you may have realized Health Insurance is a complex product and a good amount of research has to happen (but do not over do it). It is therefore recommended that you appoint a health insurance expert to help you shortlist products, explain the terms, answer your queries etc.

You even need a post-sales services like claim assistance and helping you out in co-ordinating with the health insurance company if you are stuck. If you find yourself a policy through an Insurance Broker, if required, he/she may also be able to help you through dispute resolutions with Insurers, in the long run, if any.

Let me show you an example of a claim rejection case with Max Bupa (company was right in rejecting the claim) . One of the readers among you had bought a policy through Max Bupa (through some individual agent, not broker) and he bought two different policies for himself and wife . He wanted a maternity cover and the agent told him that its covered in the policy. It was even written in the policy document, but it was clearly written that both husband and wife have to be in a single policy (floater policy) . But agent and client both didnt pay much attention to it.

And after 4 yrs, company rejected the case based on their terms and conditions (the claim itself was not valid) . Below you can see the scanned letter which company had sent to the client. Here company was correct in rejection of claim because client wanted something which was never covered in the policy. However if had paid more attention or had a great advisor on his side, he might have been informed in a better way.

claim rejection example

Remember that unlike Life Insurance or many other policies, Health Insurance could have repeated claims through yours or your family’s lifetime. It is therefore important to have someone who can hand-hold you through the tedious paperwork and the otherwise time consuming processes of Insurance companies.

In the cases where you want to cover the family members who are above 50 and/or with pre-existing disease, it makes a lot of sense, to go through an insurance broker who deals in multiple insurance companies. Out of sheer experience, the broker will be able to help you zero down to few Insurance companies who are liberal. This will help you avoid the pain of doing medical tests with Insurance companies where chances of getting a policy are very low.

Point #13 – Review your existing policy and look at options to Port

If you have an existing policy which does meet the above mentioned 12 points, and you are still young and healthy, I would recommend you to look at porting your mediclaim policy to a better company around 2 months before your next renewal.

Unfortunately, if you have already made claims in your existing policy, or have any chronic ailment to declare for any family member, the chances of portability are very dim. I would then recommend you look at upping your cover with the same insurance company, and look for other options (like Super Topup) by which you can hedge the negatives in your existing coverage.

Buy your health insurance company NOW !

I recommend that you at least start looking at various options and take your decision quickly. That’s all folks. If you have any questions, comments, feel free scroll down to post your comments. Happy to help.

1,307 replies on this article “Buying Health Insurance in India? Follow this 13 point checklist”

  1. jagan says:

    hi,
    I m presently working in muscat and willing to move to india by july. My daughter met with accident in muscat and presently undergoing treatment in india. my present company is paying medical expenses after submitting the bill.

    As I m now planning to move back to india. how to plan the insurance? I already had a family floater policy which is opened after the accident, I cant claim due to 3 year lock in pre existing criteria? is there way to get rid of this 3 year exemption on pre-existing to get the medical claim paid.
    I need a suggestion so that I can resign my present job.

    1. Sorry ,but you cant bypass the pre existing illness thing .

  2. Abdul says:

    Hi,
    I want to buy a health policy for my parents(60 and 55). both have few medical issues.. what are the best options for me.

    thanks and regards

    1. Hi Abdul

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/pro

      We will call you back

      Manish

  3. Sana Mehra says:

    Sir,
    Thank you a lot for the detailed information.

    1. Thanks for your comment Sana Mehra

  4. Jithendra Vyas says:

    Dear Sir,

    First of all thanks a lot for the detailed analysis. I am looking for a good health insurance/media claim policy for myself ( DOB-21-08-1986) & my wife ( DOB-05-05-1989). We currently have a stable good health conditions & will be planning for a nuclear family soon & in this regard we are looking for a policy which covers the most possible health hazards/maternity & is hassle free for reclaim of the medical expenses. Since I am just a starter in this analysis I need your support in guiding me with the suggestions on the best policies in the market which suits to my pre-requisites. Thanks a lot in advance

    1. Hi Jithender

      There are many plans which might be suitable for you. Can we do further discussion on this . Just share your details on this form and our team will call and contact you (No charges) https://www.jagoinvestor.com/pro#schedule-call

    2. Ahamed says:

      Want to buy a health insurance for myself and my family. My Age 32, wife 22, kids 2 and 1, father 56, mother 54. Kindly advise.

      1. Hi Ahamed

        Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

        https://www.jagoinvestor.com/pro

        We will call you back

        Manish

  5. BABU says:

    Hi,

    My Father has Pre-Existing Disease as Urinary track infection and his age is 56. Since they are so many Health Insurance companies and i am totally Confused which one i can opt for.

    Can you please suggest me which Insurance is best in the Industry, looks like every one is provide me all the Benefits.

    Apollo Munich is providing restoring concept no idea abou that..

    Pls help me for taking a Best Insurance policy

    1. Hi , we can help you in this, but please fill up this form so that we can get back to you (no charges) http://www.jagoinvestor.com/pro#schedule-call

  6. Rajat Dholakia says:

    I would like my parents aged 65 and 61 respectively to buy a Floater for both of them. Single policy covering both of them. except for my father having a Hydrocele problem, they are fit with no sugar, BP issues etc. they stay in a rather remote area in Odisha and want them to have a cover of 10 lakhs or more. Vizag is the nearest city from their place. which one should they go for, keeping no room rent sub limit, and top up options for them. we are Jains so would the JIO plan be good. Jain international Organization …

    1. Hi Rajat Dholakia

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/pro

      We will call you back

      Manish

  7. Rahul says:

    Hi my name is rahul kumar and i am 24 year old. I want to take a critical health insurance of 50 lakh. Ple. Advise me a good insurance with less servival time and good company track record.
    I also have acidity proble for which i take medicine(sompraz 40 mg) daily. So is it a diseases?? does it comes under pre-existing diseases??

    1. Hi Rahul

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/pro

      We will call you back

      Manish

  8. Ravindra says:

    I (dob 26-10-1969) want to buy best mediclaim policy for me, wife (dob 06-10-1967), son (dob 18-08-2000) & father (dob- 30-01-1947). Father is quite healthy but I got knee arthroscopic surgery with an implant in knee in this august. I would consider the policy with better claim settlement record & low premium. I got proposals from Royal Sundaram (for me, wife & son – almost rs. 21000 premium for 10 lakh SI for life line supreme policy) & Religare (for me, wife & son – almost rs. 20000 premium for 10 lakh SI).

    1. Hi Ravindra

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/pro

      We will call you back

      Manish

  9. thirupathi says:

    at present wt are best health insurance polocies running in india?

    1. Hi thirupathi

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/pro

      We will call you back

      Manish

  10. Sudhir Bhatnagar says:

    Dear Sir, Myself 58 , Wife 56 & son 22 years old
    pl. suggest me for best option ( S.A. 4-5 lac) for floater & Individual
    suggest the Insurer ( Apolo Munich, Religare, Max Bupa…?)
    Which option of which insurer
    We have no pre-existing condition
    Any other Suggestion

    Thank N regds.
    Sudhir Bhatnagar

    1. Jagoinvestor Admin says:

      We think our pro membership will help you as it fits in your requirement. We have various benefits under it like life insurance, health insurance, mutual funds and your financial analysis too..

      Just check out our Pro membership once and schedule a FREE call with us to know more – https://www.jagoinvestor.com/pro

    2. Hi Sudhir Bhatnagar

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/pro

      We will call you back

      Manish

  11. Karan says:

    Hi,

    I am a smoker – 30 years age, would like a policy (family floater- Wife (32 yrs)+ 1 kid(1 yr) to save tax and covers any ailments that could come from smoking during my retirement age and should save me tax for now.

    Can you help me with a broker? I am based out of Navi Mumbai

    1. Hi Karan

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/pro

      We will call you back

      Manish

  12. CB says:

    First of all, thanks a lot Mr. Manish for this lucid and informative article. I am a 28 years old, healthy, unmarried man and looking for a Health Insurance policy just to provide me cover in case of any unforeseen circumstances. Could you please tell me if there are any policies which i can take today as an individual and would cover my wife and kids when they happen!! :)) i mean something like, individual cover for now and becomes family floater once i get married. If there ARE such plans then can you suggest me one which would cover for the maternity costs. I know it is like asking for 10/10 but just i was curious, if such plans exist!..

    1. Jagoinvestor Admin says:

      Hi CB

      Thanks for the query.

      Yes , there are policies available which come with individual cover initially but can be converted into family floater later.

      And though 10/10 may be possible but the cost factor for such a policy will also go high.

      So my suggestion would be instead of looking for a policy with 10/10 focus on your core needs while buying a health insurance policy.

      We offer detail guidance on health insurance policies under our pro membership .

      Just check out our Pro membership once and schedule a FREE call with us to know more – https://www.jagoinvestor.com/pro

      We have various other benefits under it as well like life insurance, mutual funds and your financial analysis too..

  13. Renjith says:

    It was an extremely useful article. Never knew there were so many hidden points to look when buying a health insurance. Thanks and appreciate the effort put to prepare this article.

  14. amit says:

    I am 51 years old and my wife is also 51 years old and my daughter is 22years old. Please guide me to take which company Health Insurance policy. My salary is Rs 6.60 lakhs per annum. I am waiting for your positive response.

  15. abhijit says:

    hi – can OCI card holders who have non indian passports buy health insurance in India?

    Thanks

  16. abhijit says:

    hi – i am an OCI card holder and have a Singapore passport. Is it possible for me to buy personal or family health insurance /hospitalization cover in India? I need coverage only within India and not outside.

    Thanks

  17. Anil says:

    My son is 28 years old. He is working in a MNC. Presently he is unmarried and he does not have any health issue. I want to buy a good medical insurance policy for him. I have got following queries:
    1) Which one is the best policy available in the market.
    2) Whether he should buy a policy only for self or he should go for a policy considering his family in future.
    3) We, his parents, are well covered in terms of medical insurance.
    Kindly advise.

  18. Animesh says:

    Awesome article. Very informative. I can feel much confident on choosing my insurance plan.

    1. Hi Animesh

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/solutions/buy-health-insurance-policy

      We will call you back

      Manish

  19. Rajendrakumar says:

    Dear Sir,
    Very important points you made clear. Thanks for your efforts.
    I want to buy policy for a members of 4 myself, wife and daughters. No illness background.
    Please advise to buy health insurance.

  20. Abhinav says:

    I am confused. DO i need an insurance?

  21. VINAY says:

    My brother is 26 years old without any health problem. Please suggest a suitable policy for him.

    1. Hi VINAY

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/solutions/buy-health-insurance-policy

      We will call you back

      Manish

  22. Prateek says:

    I am 28, without any illnesses. Please let me know which medical insurance I should go for asap.

    1. Hi Prateek

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/solutions/buy-health-insurance-policy

      We will call you back

      Manish

  23. Mayank says:

    This page is going to be a bookmark in my browser forever. I am in late 20’s and planing to get health insurance and this article made me pin out some really important points. Thanks for the article.

    1. Glad to know that Mayank

      Incase you need help in buying health insurance, our team can help in that.

      Just share your details – https://www.jagoinvestor.com/solutions/buy-health-insurance-policy

  24. Deepti says:

    HI,
    I am looking for an individual cover & wants to know the best possible option

    1. Hi Deepti

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/solutions/buy-health-insurance-policy

      We will call you back

      Manish

  25. SrinivasanK says:

    Am looking for expert advice and guidance in selecting an appropriate health insurance policy.

    1. Hi SrinivasanK

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/services/health-insurance

      We will call you back

      Manish

  26. Lakshminarayana says:

    Recently i got family health optima from star health. But i came to know ICR and CSR are around 67% for star health. Where govt companies are providing more and some private companies like ICICI Lombard and bharath axa giving 90% of ICR and CSR. Now i am planning to shift my policy to one of these companies. Pls suggest

    1. You need detailed discussion on this .

      Please fill up this if you want our trusted partner to call you on your health insurance query – https://www.jagoinvestor.com/solutions/buy-health-insurance-policy

  27. Chetan says:

    Brilliant article – I liked it very much. Thanks a lot for the effort!!

    1. Thanks for your comment Chetan

  28. Bhupi says:

    Hi Sir/Mam,
    I am living at Bangalore. My age is 23 and My Mother age is 49. My Father age is 53 He got Heart Surgery angioplasty on 2016. Kindly suggest me a Health Insurance Plan. Confuse which company I shall opt for and I shall go for individual or Family Floater Plan

    Regards,
    Bhupi

    1. Hi Bhupi

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/solutions/buy-health-insurance-policy

      We will call you back

      Manish

  29. Narayanan says:

    Dear Sir,

    I am a 31 yr old and I would like to take mediclaim policy for Self/Spouse and my son. I already have a mediclaim policy from my employer amounting to 5 Lakhs. I would like to choose additional health insurance plan. I am basically looking for plans amounting to 10 Lakhs, so there would be total coverage of 15 Lakhs.

    Kindly let me know the right policy that would suit my needs. I personally prefer to go with Star health Insurance as they have wide coverage of hospitals in my vicinity, but drawback being room charges are capped at 10000/- per day, will that be a problem in future? Would greatly appreciate youe help in this regard.

    1. Hi Narayanan

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/solutions/buy-health-insurance-policy

      We will call you back

      Manish

  30. kumar says:

    i want to buy a health insurance for my self.wife & 1 year daughter& my request you to kindly suggest best health insurance policy which helps in future also.

    1. Hi kumar

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/services/health-insurance

      We will call you back

      Manish

  31. Murugan says:

    Good & practical message was given in your article for selection of health insurance policy. All the points are like golden thumb rule. Especially room rent capping etc with example it is really true. I was stayed hospital room for ₹2500/day instead of my policy coverage limit ₹2000/day. I got only 55% claim settlement from star health insurance. I got only 50% of diagnotics, consulting fee, lab charge etc. Even their representative not inform regarding room rent when i was in hospital he promised you will get 100% claim amount. I lost considerable amount.

    1. Thanks for sharing that Murugan

  32. renjith says:

    i would lik to know more about health insurance.

    1. What do you want to know ?

      Incase you are interested in buying a health insurance policy, here is a link where you can leave your details – http://bit.ly/1LLdyFc

  33. Vijay says:

    dear Sir,
    I am 33 years old suffering from IBD. I want to take a floater policy for self,wife and daughter. Which health insurance policy will cover IBD disease

    1. Hi Vijay

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/services/health-insurance

      We will call you back

      Manish

  34. Krishna says:

    Very informative.
    From couple of years i was postponing… after reading this, i filled my details and got call from Coverfox. Their executives are very knowledgeable, satisfied with their answers and taken my policy immediately.
    Thank you JagoInvestor.

    1. Glad to know that Krishna

      Would love to know which policy did you buy? Did you click on the link on jagoinvestor and went to coverfox?

      🙂

      1. Krishna says:

        Hi Manish,
        Yes through Jagoinvestor i went to coverfox.
        I have taken MaxBupa with 3L coverage & L&T extra cover policy for 7L.
        Thank you.

  35. JD says:

    Hi Guys, all the points are covered well. But the most important POINT is left out. Please…please …please people, once you have identified what you need in a policy, kindly REVIEW the image and policy claim reviews / compliants of customers online, for that particular Insurance company. You will be shocked with the reviews, complains and insights. Judge it yourself. Manish will agree with me on this Point. Wish you all the best of Health and Life.

    thanks and regards,
    JD

  36. naveen says:

    Please suggest me a health insurance plan for my parents.
    father age : 52
    mother age : 48
    Confused among the types and features of plans.

    1. Hi naveen

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/services/health-insurance

      We will call you back

      Manish

  37. Viswanath says:

    Hi, I am looking for a polciy which would cover expenses, income loss because of partial/complete disability. This can be because of some illness or accident.

    I am not able to find right policy to cover this risk. fyi i am a software employee.

    Thanks,
    Viswanath

    1. Viswanath says:

      @Manish – any suggestion?

      1. I think the best think you can do is right now is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

        You can then take the decision.

        Manish

    2. A good term plan along with some riders will solve the issue.

      Please fill up this form here and my team will get in touch with you to solve your issue

      https://www.jagoinvestor.com/solutions/buy-life-insurance-plan

  38. RAJIV says:

    Which option will be better;; A] To go for a indemnified health insurance with star health or opt for health plan of fixed benefit like JEEVAN AROGYA from LIC…
    Can you please guide.

    1. We suggest a proper health insurance plan. Dont go for Jeevan Arogya

      My team can help you on this and help you choose the right plan for you. Just fill your details on the form below

      http://bit.ly/1LLdyFc

      Manish

  39. reggio says:

    please let me know of a good mediclaim policy for family floater

    1. Hi reggio

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/services/health-insurance

      We will call you back

      Manish

  40. Sushil says:

    By seeing many recommendations I took Apollo Munich Optima Restore of 5L.
    I already have Oriental health insurance of 3.5L from my employer which covers my family.
    Now confused should i take top up plan or critical illness insurance.

    1. I think a top up is a good option. You can buy a religare or a L&T top up.

      Just fill up this form and you will get an expert from our trusted partner network

      http://bit.ly/1LLdyFc

      Manish

  41. Sushil says:

    Hi, I want to buy a family health insurance for Self(28.9yrs)+Wife(25.8yrs)+Son(93days) for Sum Assured 5L

    After filtering from https://www.coverfox.com
    (a) No CoPay (b) no room rent limit (c) No Claim bonus

    Confused between
    1) ApolloMunich Optima Restore
    2) Max Bupa Health Companion
    3) Religare Care

    Which one will be best out of these ?

    1. You can go with Religare . I suggest taking a top up policy too to enhance your cover.

      Can you share if you went to coverfox by clicking a link at jagoinvestor? Or you went directly to their website without clicking a link at Jagoinvestor?

      Manish

  42. sachin says:

    Currently covered under Oriental Family Floater Plan GOLD Myself (38), Wife (38), Children (10,11) and mother (60). Should i continue or change?

    1. What is the cover? You might want to enhance the cover?

  43. VikasDobhal says:

    Hi

    I wanted to take health insurance for my parents, me and my wife can you please suggest some plan and what to cover. Does breast cancer treatment covered under health insurance?

    Parents details:
    Mother – Age 55
    Father -Age 65 ( minor blood sugar which is normally under control and has prostrate surgery 2 years back)

    Me and wife:
    Wife – Age 31 (No medical history)
    Myself – Age 33 (medical history only had shoulder surgery 6 years back)

    Thankyou
    Vikas

    1. Hi VikasDobhal

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/services/health-insurance

      We will call you back

      Manish

  44. vatsal says:

    Hi Manish,

    Great post. It cleared many doubts. I would like to know your opinion on my requirement.

    I want to cover myself(age 24 yrs) and my mother(age 52 yrs). I have no other dependents as of now. My mom was used to suffer from asthama several years ago. However it is under control. Should I go with individual plans or I should buy a floater plan? Also is the any particular policy which you would suggest?

    Thanks,
    Vatsal

    1. I suggest go for separate plans because its always a good idea to seperate it with parents. Do one thing , fill up this form and my team will call you and help you take the policy in right manner

      http://bit.ly/1LLdyFc

  45. JayantiDwivedy says:

    Hi,
    Very informative article.
    One query: How the reimbursement will change if I have two concurrent policies. Two policies as company provides one and I have taken additional policy.
    Thanks

    1. What do you mean by ” How the reimbursement will change ?”

  46. SRIKANTH says:

    I wish to buy a suitable health insurance policy for my son for Rs 5 Lakhs, who is 23 years and working in software industry ( his employer has provide a health insurance of Rs 2 lakhs. My son is not married and has no dependents.

    1. Hi SRIKANTH

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/services/health-insurance

      We will call you back

      Manish

  47. Philip says:

    Hi Manish,
    Thanks very much for your help.

    Smruthi from Coverfox had called me and helped me in choosing the right plan.
    Many thanks for your help once again.

    God Bless You

    1. Glad to hear that!

      DId you click on the link provided at the blog and entered your details there? You got call from them after that?

      Or you went directly to their website and got it ?

  48. Umesh Pimpale says:

    Hi, I am 30yrs old & married with no child. I need to buy Health Insurance Policy which covers my entire family (myself, wife, my parents & future childs). My parents are above 60yrs old. I am very much confused about getting right decision. Can you suggest any good policy which covers my needs. Thanks in advance.

    1. Hi Umesh Pimpale

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

      1. Umesh says:

        Thanks Manish for your reply. I will surely follow your advice.

  49. Aseem says:

    Need help

    1. Hi Aseem

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/services/health-insurance

      We will call you back

      Manish

  50. Servendra says:

    R/S
    My father has been expired in 2007, after that my mother has gone through a treatment for depression, anxiety and hypertension. In 2012 , one of my friend’s mother gone through angioplasty treatment, fearing vulnerability of my mother and to assure her a better treatment, I bought a Apollo Munich easy health insurance policy of 2 Lac in May, 2012. In Oct, 2014 My mother caught Diabetes, Hypothyroidism and Hyperurecemia. There was a clause in Policy wording for pre-existing decease cover with a waiting period of 3 years. Today 4 years have been passed without any claim and policy renewal date is near. What should I do? Should I renew my policy or should discontinue it? had i committed any mistake in buying insurance policy?
    plz do reply…..

    Regards
    Servendra

    1. servendra says:

      her age was 45 years when i bought policy.

    2. No there is no mistake in buying the policy if you have revealed all the information correctly at the time of buying the policy. Better renew the policy !

      Manish

  51. Philip says:

    First of all a big thank you for the wonderful post.

    I would like to buy a health insurance cover (first time) for my family (family floater). I plan to take a base cover of 5 lakh and a top up cover of another 10 lakhs.

    Could you advise which are the options available.

    Many thanks
    Philip

    1. Hi Philip

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/services/health-insurance

      We will call you back

      Manish

      1. Philip says:

        Thank you very much for your call.

        Eagerly looking forward to your solution.

        1. Sure if you have filled up the form, we will help you to pick up the good plans

  52. Javed says:

    I am 28 from Mumbai and want to buy a health insurance for my families of 5 members can you please suggest me.

    1. Hi Javed

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/services/health-insurance

      We will call you back

      Manish

  53. Rishi says:

    I am 30 and my spouse is 29 both are healthy and pre existing disease. Just wanted to buy a good mediclaim policy of minimum of 5 Lakh with no room capping. Suggest if apolo Munich is fine???

    1. Hi Rishi

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/services/health-insurance

      We will call you back

      Manish

  54. radhey says:

    Hello,

    I am looking for family health insurance of 7 lacs.currently i have 7 lacs employer health plan.my age is 38 and currnetly have no health problem.Have wife and 4 yr kid.I need to choose in between religare care NCB primium and max bupa health companion. So unable to take decision which one is good plan for me.Please help.

    Thanks

    1. Hi radhey

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/services/health-insurance

      We will call you back

      Manish

  55. kksclt says:

    Even after informing the Agent all about the diseases they have not informed the company and provided me the insurance . Next year before renewal I revalided the same and norticed that the agent had fooled me and he hasnt provided any supporting document which could help Star in declining the claim. On top when I addressed this this is the reply given by the company . They tell al lthe mistakes are customers and agents dosent have any role in this . This is how they ash away . So never go with a company which is already predecided to be with fraud agent and cheat customers

    Dear Sir/Madam,

    RE:- Policy no P/* Policy. Senior Citizen Red Carpet Policy

    We acknowledge your representation regarding the issue in incorporating PED in the above mentioned policy.

    In this connection, we would like to inform you that it is the responsibility of every customer to disclose all the previous medical history in the proposal form and our intermediary assist only to fill up the form.

    Informing orally to the agent/SM is not sufficient and the declaration of the previous medical history has to be mentioned in the proposal. The proposer has to verify the proposal before signing.

    At the time of taking our policy which is on..20*, you have not disclosed the medical history in the proposal form which amounts to non-disclosure of material facts leads to the violation of principle of utmost good faith and making the insurance contract voidable.

    We, based on your request vide telecom, advising you to submit the entire medical documents regarding the ailment which is to be incorporate as PED

    By evaluating the risk element, we will communicate you. Be extra cautious when you are planning to go with Star. I suggest you to take insurance with other companies .

    1. Thanks for sharing that kksclt

  56. Kvj says:

    Hi , I am a 32yrs old married woman.my spouse is also of 32 years age. We don’t have kids yet. We both have health coverage from our current employers. My requirement are:

    1. Would like to buy health insurance which covers family (Spouse and my self as on date)
    2. Can I add my kid to the policy later?
    3. Looking for long term benefits

    It would be great if you can help me with these details.

    1. Hi Kvj

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  57. sunil says:

    Respected sir,
    I am Govt.employee .my age is 34.my wife is also 34 and my daughter is2yrs.completed.my mother is 54age now.so help me for right and perfect health policy.

    1. Hi sunil

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/services/health-insurance

      We will call you back

      Manish

  58. RAAKESH says:

    Hi…would like to know whether to upgrade the existing health policy or go for portability to a better health insurance company.? Have no claim bonus in the existing health insurance policy

    1. It depends on which policy you have as of now. Do you want us to connect us to our health insurance partner who can help you in this matter? Just pass on your phone to us

  59. raghu says:

    I want to take a health insurance policy for my parents, sister and myself.
    Father’s age: 57, Mother’s age: 53(undergone hernia surgery in the past), Sister’s age: 14, myself: 25. Please suggest a best health insurance for us.

    1. Hi raghu

      Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

      https://www.jagoinvestor.com/services/health-insurance

      We will call you back

      Manish

  60. Pradeep says:

    Hi Manish

    I am 32 years old
    I have a wife (30), 2 kids (daughter – 2 years, son – 7 months)

    I already have a company cover for 5 lakhs
    I was checking the preimums etc online for my category for family floater and I feel that it would be a rare case that I am going to run out of the company provided cover and the premium differenece between people of 32 and 40 seems negligible.

    I am thking of taking a health insurance when I am around 40.

    What do you suggest? Does it make sense to go for health isnurance right away?

    1. You can surely do that, But then you are taking the risk . I mean if something happens to you in between this, it will not covered later. Thats the main reason to taking it early !

  61. Haritha says:

    Hi Manish, am 32yrs female looking for health insurance for myself, my parents 62, 53 & my sisters 34, 36yrs unmarried, after reading your blog, am looking for more awareness before i purchase one. My mom is heart patient undergone angioplast, now should i go for family floater or individual or should i go for both??

  62. arunthayalan says:

    Hi.

    Some health insurance companies provide “At least Private Room” and “Private Room with no Limit” which one be preferred

    1. Private room with no limit !

  63. vivek says:

    need health insurance.

  64. Ravi says:

    Hello Manish,

    I Would like opt for best health family floater option,(around 5 to 10 lakhs)
    me 37 year and wife 30, 2 kids under 5 years
    Can you suggest best options as per current circumstance ,
    Thanks in advance.

    1. Hi Ravi

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  65. Romit says:

    Hi Manish,

    I am confused why I should consider the medical cost 20 years down the line right now. Can’t I simply increase the cover every 3-4 years by 1-2 lac and pay the increased premium. I am saying this because as far as I know the premium I am paying today for an amount is not locked for me for the life time. Insurance company can and generally does increase the premium every 2-3 years anyways. So why I should pay premium of 20 lacs cover when I need just 5 lacs cover today.

    1. Yes Romit

      You can do that, and infact its a very good point for discussion. The only issue in your approach, is that risk of not getting more cover in future because of you contacting illness or issues in between. Imagine you get 5 lacs of cover right now and in next 3-4 yrs, suppose you catch some illness like BP issue or Diabetis, or you get unhealthy or anything , now when you want to increase the cover, the premium you will pay will be with loading or the company might simply refuse the extra cover.

      So you can do that, but then you are taking that risk, which I think is ok

      Manish

      1. Romit says:

        Manish can’t the insurance company increase the premium by adding loading while renewing or refuse to renew the insurance incase insurer’s fitness has reduced even when the coverage amount is not being increased? In other words, is the risk you are talking about not there when we are not increasing the coverage amount?
        Is the insurance company legally bound to renew the insurance every year till the max age specified in policy if they have given the insurance once?

        1. Companies are bound to renew the same contract for lifetime provided you keep paying premiums on time. But if you want to increase the sum assured, its like you are taking the additional cover now and its like a new policy, so the underwriting (risk accessment) has to be done. Either they will increase the premium (if you are a bit more risky), or if your case is very severe (like you become obese suddenly beyond the limit, or suppose you had a case of diabetis, you something or that order) , then its a company decision on if they want to provide you extra cover or not.

          So thats the reason we say that in the start itself, take the highest cover which you can afford and it also takes into consideration next 1 decade atleast. If you anyways are going to have 10 lacs cover in 3-5 yrs, I strongly discourage taking 5 lacs now and increasing it after 3-4 yrs .

          I think the premiums these days are not that high to break our heads in this . Cover high, and focus on your life , focus on increasing your income 10X , many important things in life compared to how we can save 1-2k or 5-10k here and there, that too on yearly basis. This is how I think, please feel free to not follow it 🙂

          Manish

  66. Hitesh says:

    Hi ,

    I have health insurance from a group insurance policy with Iffco Tokio ( JIO- trust policy) for 10 lacs and personal policy for my parents for 3 lacs each from oriental. I have 2 queries as below
    1. When i claimed for my mother’s accidental fracture claim with Iffco tokio , there 30% deducted ( 20% co-pay and 10% non-partner hospital) . Now can this deducted 30% be claimed in personal policy of Oriental ?
    2. My father’s left foot below knee was amputated 4 months back and now we are going for prosthetic foot for him. Are expenses for this prosthetic foot eligible under helath insurance claims ?

    Thanks,

    Hitesh

    1. 1. No

      2. That will depend on your policy document, see if its covered or not!

  67. Rahul says:

    Hello i am 34 and my wife is 31
    My two daughters 3yrs and 2 yrs. I have taken hdfc ergo heath policy for my family. This policy is expiring on 24th march is this a good policy to continue or any other option.

    1. Its fine .. you can be with it !

  68. aashima kapoor says:

    Hi . i am 25 years old and have gone through 2 pilonidal sinus surgeries.I wanted to buy a health insurance which could cover doctor consultaaion as well as medical test.I can pay annual premium up to 7000.Kindly suggest a policy.Also if policy should not be bought on-line,how to find health insurance brokers?

    1. Hi aashima kapoor

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  69. Abhishek says:

    I have a helath insurance for my family 2 kids+spouse+mother+father from company where I am working. Limit for full family is 4 +4 lakh. Should I buy any personal plan too ? If yes what parameters I should look

  70. pritam says:

    Hi Manish,
    Thanks for the nice article. I am following your blog for many years now & opted for a newsletter and save all emails received. Honestly it helped me to be aware of investment strategies & acted on them too. Despite all this I don’t consider myself a great investor but I keep getting motivation from your articles!
    About health insurance, Me & my wife are covered by my employer but not my parents (65 & 67 yrs old respectively).
    Recently my mother had to undergo cataract surgery, although the expenses were not much but again it made me aware that there are much more expenses likely in the future, which might drain my investments. Hence need to buy health insurance to cover all the family members. (Or should I buy only for my parents, considering me & wife are already insured). I already checked coverfox.com/health-insurance but could find only “Happy Family Floater – Gold” with 6 lacs cover only, which contradicts to what you teach in this article about considering the inflation factor etc. Please guide me. Thank you

  71. Yatin says:

    Hello Ashal,

    Need your help in understanding the MAXGAIN Working.

    Last year my loan amount was 19.38 and i kept 19.58 as surplus equal to almost 1 EMI (18350/-), before each EMI day i transfer that 19K to Saving account and that transfer back to my OD on EMI day as 18350, During the entire year , i Saved all interest as per below calculation . However,its looks like some discrepancy.

    1) My Available Balance gets reduce from 19.58 to 19.41 (almost as that of Amortization schedule of Principal amount around 18K)
    2) What ever interest i saved since i always keep book balance positive so no interest at all in EMI must show in my Available balance ( in this case around 200K must get added to the original 19.41+ 200K intrest that i saved this year?
    3) The bank is not able to provide me the correct details? Is my understanding is correct?
    Description SBI H L MAXGAIN OD (OCT13)
    Book Balance 19,147.50
    Available Balance 19,41,551.50
    Limit 19,22,404.00
    Uncleared balance 0
    Drawing Power 19,22,404.00
    Currency INR
    Rate of Interest (% p.a.) 9.60%
    Lien Amount 0

    Thanks in advance!

    Regards

    1. Hi Yatin

      This was a guest post by someone else and I am not having a good understanding of the Maxgain.

      Manish

      1. ankit says:

        I want to take health insurance policy for my parents..father age is 54 and mother’s 51..which company should i go for private or government..sum assured should be in b/w 5-10 lacs..

        1. Hi ankit

          Thanks for asking your health insurance question. We will get on call with you and help you resolve your query. Please fill up your details at

          https://www.jagoinvestor.com/services/health-insurance

          We will call you back

          Manish

  72. Naresh Kumar says:

    I am working as SDE in BSNL and my wife is working as lecturer in DAV college. I have medical reimbursement facility for self and dependents from employer whereas my wife has no such facility from her employer.She has purchased health guard individual policy from Bajaj allianz having cover of 3 lacs and 2nd renewal of policy is due in March,2016.Now I want to
    1. convert this in family plan with cover of minimum 5 lacs.
    2. to consider other better available plans from other insurance companies.
    could you please suggest/
    Regards

    1. Hi Naresh Kumar

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  73. vinit says:

    Sir,

    I am 45 years old male and have pancreatitis and undergone for a surgery for that,Now I willing to take a term plan for Rs.2500000.00 for my kids and wife.Please suggest me any good plan,

    1. We suggest HDFC life insurance for this. Fill up this form http://www.jagoinvestor.com/services/life-insurance#fill-form if you want to arrange a call back!

      Manish

  74. Kiran says:

    Hi Manish, Thanks for your valuable post i still have a question in my mind we are four in my family 2 adults and 2 kids i am planning to take a policy for 4 to 5 Lakh as per your suggestions planning to go for a Family Floater but can you suggest me regarding the room rent (scenario is ‘if ever admitted into hospital i don’t want to make any payments from my end’ ) please suggest me on this ……

    1. Hi Kiran

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  75. CHINMAYA says:

    Hi Manish,

    Thanks for a very insightful article. Had few questions –

    * If I take two Family floater (2 adults + 2 children) policies from different insurers, policy “No-OPD” without OPD cover (say Rs. 4 lakh insured) and policy “YES-OPD” with OPD cover (say Rs. 1 lakh insured). Can I use “YES-OPD” to cover OPD expenses, And the “NO-OPD” policy for hospitalization expenses.

    * What will be the claim distribution in case OPD expenses in year are Rs. 50,000/- and hospitalization expenses are Rs. 3 Lakh ?

    * In this case should I take a super top up with threshold of Rs. 6 lakh ?

    * Is it better to buy Health Card instead of “YES-OPD” policy in above example ? (even though Health Card does not come under IRDA)

    – CHINMAYA D

    1. The health insurance does not cover OPD . Its only day care procedures which required hospitalization for few hours and you are discharged in few hours.

      1. CHINMAYA says:

        Manish, Thanks a lot for quick response. I was actually referring to the ICICI Lombard iHealth Family Floater Health Plan. Which has OPD option also available in it. Hence request your view in this context ? Thank you..

        – Chinmaya

        1. I will have to check that .

          1. CHINMAYA says:

            OK.. Thanks Manish. Will await your inputs

            – Chinmaya

  76. Raghuram says:

    Hi Manish,

    I appreciate the great job you are doing! I have a quick query on insurance is it advisable to buy all insurance from one company. I have iterm from Aegon is there any added advantage if I buy their health insurance and so forth. Is there such a thing brand loyalty?

    Raghuram

    1. Hi Raghuram

      There is nothing like that. YOu should buy the policy from a company which you trust and if the product is good

  77. Somesh says:

    Hi Manish,
    I am a regular reader of your blog and admire your work. Hers my query which is stopping me from getting a health insurance
    I read that ICICI ,reliance and other insurance companies increase the premium amount after some years when u are more towards age prone disease. Increase like 500% or 5 time the premium amount (Internet is full of such examples) and people generally don’t pay and their policies get lapsed. And they are made these things as one of their practice(corrupt practice). Since these type of acts are not caught in claim settlements or any other category this does not get showed up in statistics.
    In this scenario does a person should go for public sector health insurance products ? Or how to tackle these scenarios as I see there are lot of cases/complaints which are pending with IRDA in this matter.

    Please advice.

    1. Hi Somesh

      Health insurance was a very area for India 10 yrs back and there were no standard rules at that time. I agree that in past there have been few cases which will lower your trust with some companies, However from last 3-4 yrs, the regulations are changed and the rules and policies from the regulator IRDA is strong. Now things are much much better and you can safely go with any insurance companies.

      I suggest do not take your decisions out of few things you have read on net which were applicable many years back.

      I think the best think you can do is right now is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

      1. Somesh says:

        Thanks Manish….Always at rescue…..

        I want to learn more about personal financial planning(other than whats on your blog like how to switch mutual funds etc. ).
        1 Month back you had workshop in Hyderabad but unluckily I was not in town so cannot attend are there any plans in near future (Tentative date might help).

        Thanks Again

        1. YOu should then come over to our next workshop in that case.

  78. vishal says:

    hi sir

    sir can you guide me which health policy is better among ORIENTAL bank mediclaim policy vs PNB orienatal royal mediclaim policy
    thank you
    vishal

    1. If these are the policies which are from bank, then I would suggest dont take it. Rather take it directly from Oriental.

      I think the best think you can do is right now is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  79. SANJEEV says:

    I am a 45 Yr old self employed looking to buy mediclaim policy for my family of Are their any practical advantages of going with Government mediclaim companies?

    1. Hi SANJEEV

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  80. Alok says:

    I am 28 and engaged in govt. service and covered by company. I’ll be covered after my retirement by my company. So I am still confuse whether I should go for another health insurance plan or not. Could you please help me to resolve this confusion.

    1. The main thing you need to check is for what amount you are covered and for what ? I was at SBI and this was the same question of the employee there and the manager their asked them to take one insurance for themselves and not entirely rely on SBI for this.

  81. Dave says:

    Really good article !! Comprehensive

    I am 45 years age and employed right now in private sector. I am covered well by company provided health insurance. Couple of agents/ broker tried to preach me about health insurance and it will be beneficial once I retire or leave the job.

    I am of a opinion that I can start health insurance whenever I retire (possibly earlier than the age of 60). Are there any downsides to this thought ? If so what are those ? Will it be too late to start something ?

    thanks.

    1. If you can answer these questions, then surely you are good to go for health insurance at retirement.

      – How do you guarantee that your company will not remove the health insurance in next few years?
      – What is your plan incase your company terminates your job or you leave the job and the next employer also has the health insurance for you?
      – Are you ready to take the risk of having the health insurance company decline your health insurance at later stage of life because of some illness which has developed?

      I think you need to rethink on the way you look at health insurance. I know you might be resisting taking it now because you already have a health insurance from employer and taking another one looks like a waste in premium. But thats a flawed way of looking at it. Think of it in a way that you are giving the control of your mediclaim to yourself which is independent of a 3rd party and you will also lock in the illness which will be covered later in life.

      I think the best think you can do is right now is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

      1. Dave says:

        Thanks Manish for quick response.

        Of the 3 questions, answer for first 2 questions is … I will buy a health insurance “then” However the whole uncertainty revolves around the third question. What if the “then insurance company” denies particular illness.

        As you’ve told in your another article, the whole insurance business revolves around probability of occurrence and we consumer dont know when its going to occur (BTW I read your another article on Business Model of Insurance companies .. a real good one !! ) The probability of occurrence of such an event will increase by age.

        But the question is do I pay for that right now just to build “history” with insurance company or parkit in an investment that yields me more than 10% (stocks?) This is the question I am not able to answer so far.

        1. I would have suggested to go for the separate health insurance policy right now, especially when your company cover is not as high as 10-15 lacs per year. If its a lower amount like 3-5 lacs, then what do you do when yours bills are in range of 10-12 lacs ? I know its a worst case scenario, but then its only you who has to decide if you want to transfer that risk or take it on yourself.

          I know its tough to visualize a scenario that there is a requirement of separate health insurance now, because you might be looking at distant future and health insurance now does not make absolute sense. However I also want you to look at the impact its going to make on your wallet . If you earn 100X and if your health insurance premium is going to be 1X per year, the way I see it is that you should take it. Its better to let 5X or 10X go in next 5/10 yrs and you be with a good policy . there are anyways waiting periods for many illness, which will be covered anyways after 3-4 yrs. So if you buy health insurance today, then for few things you will be covered anyways after 3-4 yrs.

          You take the call finally on this .

  82. ireadwhere says:

    I have been researching for an health insurance advice , went through many and found they all have an hidden benefits in giving advice to us , but https://www.jagoinvestor.com gives me bit confidence over choosing a health insurance policy . Great service . Thumps to all those who are behind this work. Definitely I would choose a health insurance on you recommendations. Kind regards

    1. Great. Incase you have any health insurance requirement, then I think the best think you can do is right now is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  83. Manoj says:

    I want to buy family floater with max. Benefits and compatible premium.

    1. Hi Manoj

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  84. Balasubramanian says:

    I am 58 years and my wife is 53 years. We live abroad but plan to move over to Chennai in a few months. Want to take a family Health Insurance Policy. Both of us are diabetic. Appreciate your advice. Thanks Balasubramanian

    1. Hi Balasubramanian

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

      1. Balasubramanian says:

        Dear Manish

        Thanks. I do not live in India at the moment. How could I get advice? Regards Balasubramanian

        1. IT will be over emails . A lot of NRI’s buy the policies even when they are out side india. Just leave your details for now

          Manish

  85. raji says:

    Please advice a health policy for a family of 3 members – 41, 39 & 9 years

    1. Hi raji

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  86. ksrao says:

    I am 53 and working in the government sector. My son has recently secured a job in an MNC company but he is planning to study MS in the USA next year. Do you advise him to take any health policy and if so which policy would be better? Please advise.

    1. Hi ksrao

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  87. anu says:

    Very informative article. I’m also looking for advice on which policy would suit me best. I am 55, husband is 59. Two children, 24 and 27.

    1. Hi anu

      Looking at your query, I think your case is complicated and you should discuss and consult a financial planner, because just a random answer will not help you at all.

      If you are interested, I suggest you look at our financial planning service also and fill up the form there to have initial discussions

      http://www.jagoinvestor.com/services/financial-planning#fill-form

      Manish

  88. Sharada says:

    We have a family floater of Rs 5 lakh with Cholamandalam ,taken in 2009.We have not had any claims.We r a family of 4-My husband 43,me 37 yrs and children 8 and 5 years.We have been worried that it might not be enough.Meanwhile an insurance agent has suggested Apollo Munich.They r asking us to take another 5 lakh with top up plan while retaining the old policy.Waht is ur advice

    1. Looks good to me.

      I think the best think you can do is right now is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  89. Kaushal says:

    Sir, please advise me a best health insurance only for my Me/Wise / Child Age(32/32/05) maximum 3 to 5 Lakhs, have no health Problem till date im fit and fine, I’m confused among all the private health insurance companies. Please help.

    1. Hi Kaushal

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  90. nitesh.jha23 says:

    Sir, please advise me a best health insurance only for my parents 5-10 Lakhs, it should has the less number of PED years. Or else, I want to take a insurance for 4 members (Me, my wife and my parents). Should I buy two individual insurance for me and my wife and another one for my parents? I am highly confused among all the private health insurance companies. Everyone has some bad review on mouthshut.com Please help.

    1. Yes, I think it makes sense to buy a family floater for yourself, wife and kids and separate plans for your parents.

      I think the best think you can do is right now is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  91. Jaykumar says:

    Hi Manishji,
    I used Coverfox for computing Health Insurance Plant.

    With respect to Room Rent Eligibility different Insurance Cos have different offerings.

    Room Rent Eligibility Mentioned Are:-

    1) XXXXX /-
    2) No Limit On Room Rent
    3) Single Private Room
    4) Single AC Room

    So out of 4 which one will fall Private Room eligibility & Room Rent capping.?

    1. Did you talk to them ? I suggest get on call with them for this.

      I think the best think you can do is right now is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  92. mk says:

    Sir , please suggest me a mediclaim that cover myself and my live in partner and her son .

    1. Hi mk

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  93. i am chandrashekhar i bought health insurance for my mom . she is 60yrs old with pre -existing disease of diabetes i already declared that to religare company & they shocked me with amount of 5000+ as a loading amount .when i asked them about it they said there are chance of revised premium only 1% . but when i gave them call they said since the sugar level is high this loading amount is attracted. sugar level in the medical report shows little higher but in excellent control as per their reports . my only concern is when the customer are so honest to declare every thing they must address it to customer that since the age is high & also have pre existing disease your premium will attract loading amount so the customer like me will not feel cheated.

    1. Hi Chandrashekhar

      I dont see any reason why you should react like that. Dont take me wrong . I know your premium increase has irritated you , but think like a business person. When you insure anyone , the premiums are bound to increase if there is any little chance of risk . When we are on the other side of the table (customer), we will always think of every action by insurance company as some kind of cheating. Its not like that.

      I suggest you take up the insurance because atleast it is available. Dont take emotional decision of letting it go because in future it might not be available at all. Think about it.

      Manish

      1. chandrashekhar says:

        HELLO Manish!
        I would like to thank you for your advisable comment . i am ready to buy an insurance i have no hesitation in buying with an additional amount its just if they would have said it while buying it that loading amount will be attracted it will be very beneficial for my mom to be mentally prepared. since she is 60, the generation at that age is still conservative regarding insurance concept . any how she has accepted it & she is only one who was insisting for this. i mean if an insurance company says it openly customer will be more open minded. any how kindly don’t take this as an argument or some rude expression i just keep this point since i have taken help of this website before choosing insurance plan & feel to post this on website so people like me who wish to take up an insurance at 60+ age with pre existing diseases will consider this point to their premium amount.
        Thank you.

  94. AjayBhutada says:

    Wanna purchase Health Insurance Policy for My Father (Age 58 years) and Mother (Age 55 Years).
    Wanna know best company policy for the same. Residence is at Dist: Nanded; State: Maharashtra

    1. Hi AjayBhutada

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  95. Damini says:

    My health inusrance plan through my employer starts from 1-apr and is upto 31-mar each year. What are the disadvantages if I buy a super top now say from 15-oct? the question is based on the article mentioning that renewal dates must timed for base and top-up.

    Should I wait for another 6 months before buying a top up? what do you advise? Thanks

    1. Yes, its advisible 🙂 .. its more managable that way !

  96. VIPUL says:

    I have Religare family floter paln. Is any other plan available with more benifit and less premium so that I can do portability?

    1. I think that will be too much optimization 🙂 . Be happy with this one which you already have

  97. Narsi says:

    Hi Manish,

    Any article on comparing the Govt health Insurance plans. I tried and did not find any comparing information on any websites. If you come up with an article it will be a great help for every one.

    1. Will try to do that soon

      1. Narsi says:

        Thanks Manish. Waiting for the article.. 🙂

  98. sachin says:

    Me and both my parents are currently covered with LIC Jeevan arogya. My question is portability allowed in health insurance policies?/
    I want to change my insurer to oriental.

    1. I think LIC Jeevan Arogya is not a proper health insurance plan like others..

      1. sachin says:

        Ya. I want to know about the ‘portability’. Just like mobile number portability in which we change the service provider, we can change the insurer. But I don know on how to do it

        1. You can do it , but you should do a detailed discussion with an expert on this . I suggest you leave your details on https://www.coverfox.com/jagoinvestor/

  99. Hemant says:

    Hello Manish ji,

    I am 31 and my wife is 29. I am confused whether family floater shall be beneficial over Individual plan.
    My wife has undergone for foot surgeries for Flat foot with Hallux Valgus (foot deformity) and is recovering now. Would this will be considered as pre existing disease/condition?
    I am looking for an insurance which should not have any room rent limit and co payment/ICU charges/doctor fees.
    Can you suggest a plan or insurance company to go with.

    Thanks in advance

    Hemant Chawla

    1. Hi Hemant

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  100. Sanju says:

    Hi, I am 40 years old and diabetic I am planning for a policy including my family mother of 58 years and wife 32 years and son 5 years. Which is the most suitable if individual and also if group policy? company and policy.

    1. Hi Sanju

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  101. Girish says:

    Dear Manish ji,

    I have a health insurance policy with star health for 3 Lacs. This year, I have renewed it for third time. At the time of renewal, I wanted to change my agent as it is not providing me services. But the company says that we can not change the agent during the policy. What options do I have? Please advise.
    Thanks in advance

    1. You can change the agent at the time of renewal . You need to provide a filled form along with renewal

      1. Girish says:

        Thank you Manish ji

  102. B K Murthy says:

    I am 53, my wife is 49. We have no ailments so far. What policy would be best for us?

    1. Religare would still be one of the good choice as your age has not crossed 60. If not religare , I think ORiental would would for you. You should first discuss things in details and then close your policy. Go to http://coverfox.com/jagoinvestor and leave your details first . YOu will get a call from them and they will help you with the policy

      Manish

      1. B K Murthy says:

        While comparing insurance companies reviews in mouthshut.com must not be overlooked.

        1. Thanks for your comment B K Murthy

  103. sampath says:

    Hi Sir,
    I am basically from normal family. My parents are illiterates, but they struggled to give me better education. Now i am working. I want to take care of my family. My company provides a coverage of 2lacs per anum(It is a floating plan).I am planning to take one more policy for my parents. I want to insure them with 4 lacs or more. They dont have any pre-existing deceases. recently we observed my father BP level is increasing up. Is BP comes under decease list. If yes, how do i choose the policy for my parents. I just inquired policy bazar representative, he is suggesting me MAX Bupa. I still have a doubt that these guys will help in claiming process as I dont interact with them directly. How can i approach a broker and buy a correct policy for my parents.

    My father age is 50yrs approximately
    My Mother age is 45 ys approximately.

    Awaiting for your reply.

    Thanks & Regards
    Sampath.K

    1. Hi sampath

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  104. rohansharma01 says:

    I have Apollo Munich Optima Restore Policy. The premium for renewal of policy has increased, I have not claimed last year. Does the premium of all the policy increases with age?

    1. Yes, for all policies, the premium increase with age in health insurance

  105. Sandeep says:

    I have individual policies for myself and family from NIC of around 3.5L each (room is capped at 10%). I want to add a Super-top cover of around 20L (2adults & 1child). In case of a claim for which the room rent was Rs.7000 per day will the Super-top pay the amount over and above the 50% (Rs.3500 room) that my base policy will cover after deductions? If not should I instead go for a new policy of 20L?
    Regards
    Sandeep

    1. Your policy of super top up will cover only if the hospital bill is more than your cut off .. means in this case 3.5 lacs, so hospital bill has to be more than 3.5 lacs

  106. Anilkumarsindhu says:

    I am Anil Kumar Sindhu 31 yrs old living with my wife 29 yrs old. My son 4 yrs old. Living in delhi. Want to cover my family via health insurance. We dont have any healh issues till date.

    1. Hi Anilkumarsindhu

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  107. kabi says:

    please let me know rumaitted is cover under helth policy? if yes can you give me company name.

    1. I didnt get your query . What is rumaitted ?

  108. sanket says:

    Hi Manish,
    I’m Sanket, from Pune and willing to buy a health Insurance for family as
    Mother: 55 years
    Self: 32 years
    Wife: 26 years
    Kid: 1.5 year old
    Could you suggest me a best policy which I should buy with super top-up and private room eligibility

    1. Hi sanket

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  109. Rahul says:

    I have New India Assurance 8 Lacs Family Floater (self 48 + Spouse 45+ Son 21) policy is running since 7 years without claim.
    Last year I purchased Top up of NIA 8 + 22 Lacs.
    Just gone through your advise, NIA has 1 % room capping. What should I do?
    Please advise.

    I have one more top up of ICICI Lombard for 4 lac deductable + 10 Lacs each of us.

    Thanks for your kind support in this noble cause.

    Best Regards,

    Rahul

    1. I am not clear when you ask “what should you do?” . Whats the problem you are facing with it ?

  110. Nayan says:

    Hi Manish

    I want to take 10laks medical sum assured under floater policy covering me, my spouse and my 3yr old kid. Shall I buy two different policy of 5laks each from two different company, secondly should it be combination of private co. & govt co. Please advice.

    1. Hi Nayan

      I suggest just keep one policy

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  111. pranit says:

    Dear sir,
    i need health insurance plan for me 27 yr male and my mother 59 yr age……pl suggest me plan which will have 2-3 lac coverage and good no claim bonus…..pl suggest affordable plan

    1. Hi pranit

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  112. varun says:

    An exceedingly nice & informative article. I have a query. I am planning health insurance for my dad(57yrs) and mom(53yrs). I am confused whether I should buy a Family floater or an individual policy for them. Family floaters have lesser premiums but what if the proposer dies? I have read the policy can be transferred in the other (surviving) person’s name. How difficult is it from a practical point of view to get this policy transferred? Also, will the new premium for the surviving person be renegotiated depending on the age of the person at that time?

    1. Hi varun

      Thanks for sharing your health insurance requirement.

      Its suggested to take individual plans for them.I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  113. RAJESH says:

    Hi Manish,

    Very good article. Thanks.

    Please help me decide. I want to ensure myself (36 yrs), my wife (30 yrs) and my daughter 4 yrs old.

    Regards,

    Rajesh

    1. Hi RAJESH

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  114. Anand says:

    Dear Manish,
    Very insightful articles on Life & Health Insurance. I wish I had read your article before I took the Term Plan for 75 years, but premium paying term is until 65 years. My question is regarding health insurance, where the bank I work for, provides family floater cover for Rs.5 lacs with an option to top-up Rs.5lacs by paying an additional premium. I am 41 and have 3 dependents(wife +2 kids aged 9 & 6). Should I take additional health insurance from external insurance firm.

    Thanking you in advance
    Best,
    Anand

    1. Hi Anand

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  115. Ravi says:

    Recently I ported my policy from a public sector Mediclaim insurance policy to MaxBupa Health Companion Insurance Plan. BEST policy with great feature and price point (cheapest) . Any one looking for a good heath insurance should check this policy before deciding: https://www.maxbupa.com/lists/product/attachments/7/healthcompanionhealthinsuranceplan-healthcompaniionbrochure.pdf

    1. Hi Ravi

      Thanks for your sharing your valuable comment on this topic. Please keep sharing your views in future also

      Manish

  116. shilpi says:

    Hi
    My company has provided me with medical insurance via E-Meditech worth 3lac for each (myself,my husband and my daughter). Do i need to take top up policy or what should i do.Please help.

    1. IDeally you should take your own policy yourself. As a second choice, a top up policy can be taken

  117. Jestine says:

    I am inclined towards Apollo Munich Optima restore – family floater plan
    myself 37 / 32 / 5/ 1

    however after reviewing the Claim settlement ratio, I am a bit concerned

    will you please recommend a policy for 10 L family floater

    1. I think you can go for it .

  118. ASHA says:

    I am totally confused i am not able to select the Health Polices…can you please suggest for me

    1. Hi ASHA

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  119. Dr.Nama says:

    Hi…I would like to know about a policy best suitable for my father,58 and me29….family or individual.

    1. Hi Dr.Nama

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  120. Shweta says:

    Hi,
    My question is that I want a health cover that takes care of the entire family and secondly also post September I will be in Japan so which policy can help me with it.

    Secondly can you comment on how is Cigna TTK? How convenient would be their claiming procedure…?
    Has anybody claimed in the past?

    Thanks in advance
    Shweta

    1. Hi Shweta

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  121. Bharat M says:

    Hi,
    Can u suggest family floater plan for husband & wife for sum assured 4-5lacs covering all d benefits,
    Have narrowed down my search to Cigna Ttk, Religare & Apollo Munich which is best

    1. Hi Bharat M

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  122. Bharat Manyal says:

    Hi,
    Can u suggest family floater plan for husband & wife for sum assured 4-5lacs covering all d benefits,
    Have narrowed down my search to Cigna Ttk, Religare & Apollo Munich

    1. Hi Bharat Manyal

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  123. Vaibhav says:

    Hi Manish. I am 33 years old, single and with no loans/liabilities so far. My dependent parents are 73 and 63 years old.
    The only hitch in buying a policy is that I’m moving abroad for between 1 to 5 years. Should I buy a policy now or when I return to India?

    Please answer separately for life and health cover if possible.

    1. Hi Vaibhav

      The more you delay, the more difficult it will be to get it. So I suggest just take it now .

      I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  124. Shweta says:

    Hi,

    I need a suggestion whether I can take the Star health insurance -Senior Citizen Red Carpet plan for my parents?

    But there is Co-payment criteria in this policy. Can you pls suggest

    1. You can get it . COpayment is not always bad .

      I suggest talk to http://coverfox.com/jagoinvestor once and see which is the best policy you can get

  125. jb says:

    Hi,
    Excellent article. I used this article as a reference to buy my family’s health insurance.
    One more point should be included health insurance that covers terrorist acts and natural disasters.
    Regards
    Jayashree

    1. Thanks for your comment Jayashree

  126. Mandar says:

    Hi,
    I am 32 year old, my wife 27 yrs and daughter 4 month old. My parents are 65 and 50 yrs old. Is it better to buy three policies ?:
    1. One for both parents
    2. One for for daughter
    3. One for for me and my spouse.

    Also suggest policies providing Super Top Up.

    1. I would suggest , buying 1 policy for yourself , wife and kid . And individual policies for parents.

      I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  127. Joseph says:

    Hi Manish

    Nicely compiled article about buying health insurance. I am looking to take a family floater for my self spouse and child. We have not health issues but as a precaution we are looking to take one. Can you suggest any of the current insurers who are good in the market having no cap on room rent, covering medicines + hospitalisation+ doctors with no copayment charges and all of the above you mentioned in your article?

    Joseph

    1. Hi Joseph

      Religare has a good policy and suits your requirement also , here is a detailed review – https://www.jagoinvestor.com/2015/06/religare-care-health-insurance-review.html

      Manish

  128. Dharmendra says:

    Hi Manish,
    Very good article. Very clear. Thanks.
    Please help me decide. I want to ensure myself (38 yrs), my wife (33 yes) and 4 years kid.
    I have zeroed town to Religare CARE with NCB, Apolo Munich Optima RESTORE and Star Family Health Optima.
    1. Which is the best policy (value comparison)?
    2. I could not see anything like “Super Topup”. Is it same is “restore”? Which policy provide that?
    3. Should I take critical illness cover additionally? Do these companies provide that? Should I buy it together with health policy?

    You may suggest other policies, if you feel that there are other policy which provide a better value proposition.

    Thanks.

    1. Dharmendra says:

      I want to go for sum insured 5-6 lacs.

    2. Religare I understand more at this point , so cant comment on others

  129. Deepu says:

    Hi Manish,

    We have a Citibank good health policy (New India Assurance) under which my husband, myself and my daughter have a cover of Rs.500000 each for over 14 years. What I need to know is this is under the Citibank group ( credit card) cover and if I want a Super Top up as mentioned in your article, can I get it from the same Insurance provider. Secondly if I need to break away from this group insurance and take it directly with New India Assurance would I still be eligible for the loyalty bonus. Finally do I need to take additional cover for critical ailments like cancer or would all policies cover that?

    Looking forward to your advise

    Best Regards
    Deepu

    1. Hi Deepu

      The policy you are talkign about is mainly a policy taken because of tie up . Its already 14 yrs, so we can assume that it will last longer. But I strongly suggest that you take a policy through company directly . Read https://www.jagoinvestor.com/2013/07/health-insurance-policies-from-banks-with-low-premiums.html

      Manish

  130. Rohit says:

    Hi Manish,

    I have read in other forums where customer said that after 7 years of claim free duration, insurer increased premium of health insurance.
    Can you please throw some light on this? Can they increase premium at a later stage?

    1. Hi Rohit

      Age bracket changes the premium anyways, Its true for all companies, however claim based loading is not allowed now . Can you share the exact comment which you read ?

      Manish

      1. Rohit says:

        Hello Manish,
        Here is one message posted on mouthshut:

        “I had purchased ICICI Lombard in 2008. Till 2015 I had not made any claims and therefore my sum insured grew to Rs.600000/- due to No Claim Bonus. In 2015, for my wife’s surgery I had to make a claim. The claim was for a cash less hospitalisation, which the company had settled in full without any hassles. For this service I give full 100 marks to the company.

        But it was a shock when I was asked to renew my policy and the premium came to Rs. 42, 237/- for two years. My last premium paid was Rs.23, 190/- in 2013. I am 54 years and my wife 53 years. Some how this jump in premium does not satisfy me. If the company had given me bonus then they should not calculate the premium on the bonus value. That’s what I feel. I hope ICICI Lombard will review their views. I can be contacted on 939003xxxx. ”

        Does it mean that they will keep on increasing premium with age?

      2. Rohit says:

        Here is another:

        “My ICICI Lombard Health Policy number is 4034i/CHI/716****/00/000. I have this health policy since 2008 and renewing it after every 2 year for amount Rs. 8800 around, as per the rules. Now suddenly these people are asking me to renew this policy for Rs. 20000 & saying that they have added new features and your old policy is now no more.

        I asked them to continue with existing feature but they are saying that, old policy does not exist now & I have to pay 20 K to renew this policy since my age has also increased. Right now I don’t want to pay premium more than double of what I was paying earlier.

        How can they change this product and charge me more than double? Is it valid to change the premium when age is increased? Right now I want to continue with this policy with same premium, since it is old one. Please help me on this.”

        1. Hi Rohit

          I think there is no issue with ICICI . Health insurance premium are not fixed like life insurance. it increases as the age band changes. Note that in start of age the change is very less, if someone moves from 25-30 yr age band to 30-40 , the change will be small . But in older age, when the bank changes the premium difference is very high . Its not ICICI , but with all the companies.

          In the example you have given, I think the old person didnt read his policy documents properly and was not aware about this fact. Read my article to understand this better

          https://www.jagoinvestor.com/2015/06/religare-care-health-insurance-review.html

          Manish

          1. Rohit says:

            Hi Manish,

            Actually after reading that article only I started finding about ICICI Lombard because I have taken that policy for 10 Lacs.
            I found that there is no sub-limit on room rent and no co-pay
            no-claim bonus is there
            I am not sure about “Restore of Sum insured”

            Should I port into Religare?

            1. Rohit

              Ideally if the policy is good enough, you should stay with it. A more detailed analysis is required to understand if you should port it or not .

              I suggest get in touch with coverfox team by clicking on https://www.coverfox.com/jagoinvestor/ and talking to them about this.

              Manish

  131. pranav says:

    Hello,
    I want to take health insurance with coverage of maternity benefit. I am confused about the company which provide this benefits. Is there any public sector company available which cover this benefit?

    thanks

    1. Hi pranav

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  132. Satish says:

    Hello sir,

    At the outset, sorry about the long post…

    I am taking up a medical insurance plan provided by my employer through United India Insurance Co. Ltd with cover for my dependent parents (Mom 51 & Dad 61 yrs old) in addition to spouse and my child. The original coverage is for 3 lacs for which the company pays and for an additional cover of 1 lac I have to pay 10163 INR. Now, in addition to this, there is provision for an optional top-up cover. I am confused with the wordings that read as below.
    Optional Top Up Cover
    An optional top-up cover of additional sum insured is also available in addition to any of the abovementioned base plans. Coverage for you and your family members will be as per the base plan opted for. The additional premium payable for the same is as per details mentioned below:
    For 200000, premium is 4836 INR and for 300000, premium is 5481 INR and for 400000, premium is 5804 INR

    Features of the top up cover
    The terms and conditions are identical to those of the basic policy comprising of co-pay, disease/ailment wise capping, pre and post hospitalization benefits, etc.
    All sub-limits and capping will be applied as per sum insured of the base plan.
    Top-up cover will get activated when sum insured / disease / major surgery sub-limit is exhausted. Once the sub-limit is exhausted, the same sub-limit clause becomes applicable again in the top-up (Up to Maximum Top Up Sum Insured opted).
    Top-up cover utilization for hospitalization expenses will be covered under cashless benefit subject to policy admissibility.
    Expenses related to maternity benefits are excluded from the scope of the top-up cover.
    Items deducted under a claim processed under family floater (of the base plan) like excess room rent / ICU rent / non-payable items / co-payment amount cannot be claimed under top-up cover.
    I have the following questions
    What is your advice on the top up cover?
    Also how do I find out if I can carry forward with the same insurance in case I leave this company?
    I am not savvy with the wordings on the insurance policy / terms. Would you suggest that I take an additional plan separately?

    Thanks in advance for your support
    Satish

  133. Devendra says:

    Dear All

    I want a health policy for My self+wife+2 Children
    Sum assured 3 to 5 lacs

    Kindly suggest which policy company is better then any other & why

    Rgrds
    Devendra

    1. Hi Devendra

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  134. Sir /mamI want know about medical insurance which is cash less pls tell me about for the best medical insurance company

    1. Hi Jyoti

      Now a days, almost all the policies are cashless. YOu can do on thing . I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  135. Ashutosh says:

    Hello Manish,

    I am going to move abroad in couple of months . I don’t have a health insurance in India but i will have one in Germany because it is mandatory there . I am currently going there for an indefinite period of time . And there is a chance that i may or may not return to India for a long time .

    But in case even if return to India , let’s say for example after 3 years, should i go for a health policy right now and pay the premiums while i am working abroad ?

    Your suggestions would help me understand this situation better .

    Regards,
    Ashutosh

    1. Ashutosh

      If you are coming back in 3-4 yrs , then it makes sense to take the policy right now because these health insurance is for long term future and not immediate need. I would say YES . The best thing you can do is that you can go to https://www.coverfox.com/jagoinvestor/ and leave your details there. You will get an expert call on this and help !

  136. vips says:

    Hi Manish
    I’d like to buy health insurance covering me, my wife and my parents. Now, my father’s age is 61. So when I choose family floater, the premium take the highest aged person into account and it gets too expensive.
    How do I go about buying health insurance ensuring premium is not too much to bear? Should I buy multiple insurance, One for me, my wife and mother, and individual for father? Please advise.

    Thanks
    Vipul

    1. Hi Vips , you should take one single policy . Your premium will not be very high if your age is below 40. Try to check Religare care policy. I have already written about it here – https://www.jagoinvestor.com/2015/06/religare-care-health-insurance-review.html

      Also I suggest you leave your details at https://www.coverfox.com/jagoinvestor/ and you will get expert help on this

      Manish

      1. Vipul says:

        Thanks Manish.

        My age is 28. My wife’s 27, mother’s 54 and father’s 61. SIngle policy gives me a higher premium as it calculates on the basis of highest aged among the family.

        -Vipul

        1. Hi Vipul

          Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

          You can then take the decision.

          Manish

  137. Rahul says:

    Hi,

    Thanks a lot for the effort that you guys have put in. This article is really helpful and I have recommended it to a lot of people. I was going through the IRDA annual report and noticed that people pay a lot of attention to claim incurred ratio. But I have a different opinion.

    Claim incurred ratio should be high but not very high. I am perfectly fine if the health insurance company is making profits as long as they are able to provide the best of services at the time of need. And hence, in my personal opinion, private companies are mis-represented here because they are relatively new and have more expensive products. Hence, their ratio will be lower than the long-standing companies. I think a rati around 60-75% should be fine. Company is profitable, will not change terms and keep continuing the product.

    The right metric to look should be the claim settlement ratio. But I was not able to find that metric in IRDA report for Health Insurance products (not for life insurance products). Again, this will be little biased towards long standing companies but still a a better metric to see than claim incurred!!

    So, two questions:
    1. Am I missing anything in my interpretation? Please share your thoughts on claim incurred and claim settlement ratio?
    2. Is there a document I can access to compare the claim settlement ratio in Health insurance companies

    Thanks!!

    P.S. I am researching to buy health insurance for my parents worth 5 lacs. Hence, zeroed down to Apollo Munich Optima Restore (no rent limit). Open to suggestions based on people experience. Looking for a top-up / super top-up plan that goes well with it.

    1. Ravi says:

      Please check Max Bupa – Health Companion Health Insurance Plan – Health Companion Individual/Family. This is the cheapest and best value for money in the market based on my research on all the Health Insurance product in Indian market.

      1. Thanks for your comment Ravi

    2. Hi Rahul

      Thanks for your sharing your valuable comment on this topic. Please keep sharing your views in future also

      Manish

  138. pradeep says:

    pls snd me .

  139. Vipul says:

    Hi Manish
    I’d like to buy health insurance covering me, my wife and my parents. Now, my father’s age is 61. So when I choose family floater, the premium take the highest aged person into account and it gets too expensive.
    How do I go about buying health insurance ensuring premium is not too much to bear? Should I buy multiple insurance, One for me, my wife and mother, and individual for father? Please advise.

    Thanks
    Vipul

    1. In that case, you should buy a seperate cover for yourself + wife + kids and for your father take a seperate one .

      Another good option is to buy it from Oritenal and put your kid as primary one , that way the premium will come down a lot .

      I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  140. BSChauhan says:

    My father age 77 yrs kindly suggest for policy Mediclam

    1. Hi BSChauhan

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  141. aditya says:

    I am aged 30 and want a insurance for wife and 2 month baby.

    1. Hi aditya

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  142. satya says:

    Sir,
    M looking for a health insurance which can cover. …me my wife and my new born baby …
    1.my age 35 yr.healthy.no smoking abd no alcoholic
    2.my wife 25 year heathy
    3.baby ..new born
    Kindly provide suitable policy which can cover ….
    1.Critical illness
    2.No capping …city wise/diease wise etc
    3 . portability feature
    4.Waiting period suitable
    5 . chhattisgarh state wise better
    Can serve health issue of my newborn baby n future baby sufficiently
    6.good claim settlement.

    1. Hi satya

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  143. ANKIT says:

    hii manish,
    i want to know about medical policy.
    Actually we r four members in my family & we don’t have any previous medical problem. My father & motherage is 54 & 48 . Me & my sis age is 16 &15. So would u please suggest me “How much cover is sufficient for us & which company policy is better).

    with regards
    Ankit

    1. I suggest you take a separate plan for yourself and sister. And for your parents you take separate individual policies. Better take a minimum 5 lacs policy

      Also I suggest, that you go to https://www.coverfox.com/jagoinvestor/ and leave your details to get expert help !

  144. srinivas says:

    Sir,
    My wife applied for Synd Arogya Family Floater policy ( United India Insurance Co) in 2007 and the policy was issued with a period of validity from 05/02/2007 to 04/02/2008. It covers our 2 children, her parents besides myself. Since then, the policy was regularly renewed without a break up to 04/02/2012. But in the year 2012, the policy was renewed from 13/02/2012 (Valid from 13/02/2012 to 12/02/2013) i.e. Instead of renewing from 05/02/2012; it was renewed from 13/02/2012. In the subsequent year, it was renewed from 13/02/13 to 12/02/2014.
    I need clarification as to whether the policy is continuous from 2007? Or As the policy is renewed from 13/02/2012 instead of 05/02/2012, do you feel there is a break in the continuity of the policy?

    The policy is renewed without break and the current coverage is for Rs. 5 Lakhs. My present age is 40 yrs and my wife is 37, kids 7 and 10, her parents aged 60 and 55. My elder son was diagnosed with congenital heart problem after I took the policy and he is on daily medication. I did not make a single claim so far. But the policy stated that pre existing diseases will be after 3 consecutive claim free years without any hopsitalisation for the pre existing ailment. Presently the policy’s maximum coverage is Rs. 5 lakhs and there is no chance to increase it further,.

    Can my policy be transferred/ ported to another good company with out losing no claim benefits and coverage for pre existing diseases? Is there is any chance to increase the insurance coverage? Please suggest good alternatives.

    Thanking you sir

    Yours faithfully,

    (GS Reddy)
    sgayam78@gmail.com

    1. Yes, I think your policy is in force and it can also be ported . I suggest you reach out to https://www.coverfox.com/jagoinvestor/ and leave your details there and then they would help you on this

      Manish

  145. VICKYTHAKUR says:

    HI SIR
    I WANT TO SELECT FAMILY MEDICLAIM INSUARANCE SO PLZ SUGGEST WHICH PLAN IS BETTER SUM ASSURED 10LAKS TO 15 LKS COVERED MY ME , WIFE & SON & NEXT
    SECOND FOR MY PAPA & MUMMY WANT TO COVER DADS AGE IS 60 YRS MY MOM 55 YRS AROUND 10LKHS TO 15 LKHS SUM ASSURED FOR BOTH WHICH COMPANY WAS BETTER WHICH POINTS U TOLD &
    PLZ SUGGEST IM CONFUSED

    1. Hi Vicky

      Reliance has a good policy, but I think you should also check out Max Bupa , L&T and some other plans too . I suggest reach out to https://www.coverfox.com/jagoinvestor/ and leave your details there

      Manish

  146. Anshul says:

    Hi,

    I have taken a Mediclaim policy for my mother aged 57 years from New India Assurance for a SI of Rs 3 lakhs. She has hypertension and from the past 4 years we have been renewing this policy without any claim. I am presently looking out for extending her SI to Rs 5 lakhs along with that if possible go for a portability option.

    Need your help on below questions :

    1) Which insurance company is best in market to provide good health coverage with better claim settlement ratio.
    2) If I go for portability option and take up health insurance from any other insurance company, then the waiting period of 4 years will not applied by the new insurance company.

    Regards,
    Anshul

    1. Hi Anshul

      1. Best policy can be check only when other details, age, requirement is there.
      2. If you have not had any claims in the past then, portability is possible .

      I suggest checking out things from Coverfox on this. Go to https://www.coverfox.com/jagoinvestor/ and check out

      1. Anshul says:

        Hi Manish,

        Thanks for your reply. I have gone through your blog wherein you have given pointers about Religare Care Health insurance policy and found it good for my mother for a SI of 5 lakhs. I checked with Religare , but they are not agreeing to provide portability from my mother’s existing New India Assurance Mediclaim policy as she has BP and Thyroid problem.

        1) Is it right for a Health insurance company to decline health policy for portability if the person has existing disease like in my case ..mother has BP and Thyroid problem. We havn’t made any claims in our existing policy from the past 5 years. What is IRDA doing about this ? In such a case, portability is only valid for people who have no existing diseases.

        2) In almost all cases, no health insurance company is going to provide health cover considering my mother existing problem. What options do I have ?

        3) Shall I continue my mother’s New India Assurance policy of SI 3 lakhs and take a new health insurance policy for 5 lakhs from may be Religare and get fresh waiting period of 4 years.

        4) Religare Care doesn’t cover Critical illness, Could you please guide what all diseases come under Critical illness.I wasn’t able to find anything on their brochures.

        I am actually totally confused and need your expert advise.

        Regards,
        Anshul

        1. Hi Anshul

          1. Yes, a company can deny if there are health issues or if there were claims in past in old policy

          2. Have you tried for Oriental ?

          3. Yes, that seems to be the best option as of now

          4. Major illnesses like Stroke, Cancer etc comes under that. But thats a secondary thing .. right now focus on the pure health insurance only./

          I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

          You can then take the decision.

          Manish

  147. Rohini says:

    Hi Manish, greetings!!…I currently have a health insurance with my employer in chennai for my parents with a family floater of 5 lakes…however I may not continue in this job for long and for safer side I want to take a separate insurance for my parents – dad(61) and mom (52)…no pre existing disease except dad had a kidney stone removal surgery and was covered in the policy with my employer…now I am looking for some good cover outside that can covers most of the ailments and kind of reliable in market…I am kind of doing research and want to take the best for them….can you please suggest. 1) good insurance for parents age 61 and 52?
    2) whether to opt for individual or floater cover with super top up
    3) will a base cover of 5 lakes be a nominal cover
    4) what other factors should I consider?
    5)I have gone thro star health ,Apollo Munich and icici Lombard……yet to go thro oriental as I just got to know abt it from this wonderful forum…can u please suggest a good one for me
    6) I’m settling abroad with my hubby n dad in a couple of months and we have a insurance in that country…shud I take one in India too?

    Sorry for the long post …I had so many doubts in my mind and was excited to see this forum and immediately drafted them ….

    Thanks much
    Rohini

    1. 1. Oriental is one good option ..

      2. Super top up along with a base cover would surely be great !

      3. Yes

      4. Check this https://www.jagoinvestor.com/2015/02/buy-health-insurance-in-india.html

      5. Compare Oriental also and then take decision. Oriental in general is good

      6. If you are not coming to India, then it does not make much sense to take it in India

      Manish

  148. Sravanthi says:

    Hi Manish,

    Suppose, I take a basic cover of 2L as my employer offers me a health insurance now. Can I increase my cover after some years when I am not working. Will the premium be increased considering the existing policy or will it be considered as a new policy and waiting period will be imposed? What would be the consequences of this? Please suggest.

    Thanks,
    Sravanthi.

    1. It will again require your health checkups and the premium will be as per your new age. So its suggested that you take a good cover right now itself

      Manish

  149. Suresh Babu says:

    Hi,

    Nice article, greetings.

    I’m 55 yrs and under medication for diabetes, BP and cholesterol but all under control. My wife is 45 yrs and 2 sons aged 22 and 17 yrs. I am confused between Mediclaim and Health Insurance policy. Could you please suggest a suitable one for me and family.

    1. Mediclaim and health insurance are same thing

  150. Thiagarajan says:

    Dear Manish Chuhan, Greetings ! God speaks through you, your words changes the lives of many families. My Best Wishes for your selfless service.

    1. Thanks for your comment Thiagarajan

  151. Nikhil says:

    Hi Manish,

    Thanks for the article. I’m a regular follower of your articles.

    I’ve a query in terms of Health Insurance. I’ve a individual health insurance of 5 Lacs and employer insurance of 3 Lacs in which parents are also covered but only to a limit of 1.5 Lacs. Recently our company’s TPA has launched a top-up scheme where in one can go for 3 Lacs or 5 Lacs of additional cover for a small premium. So the total cover available is 6 Lacs and 8 Lacs out of which 1.5 Lacs is restricted for parents. Once the threshold of 1.5 Lacs is exhausted, the additional cover will be provided. I wanted to know if this is a good option to go for considering the benefits to parents.

    I would like to know your suggestions on it.

    Thanks
    Nikhil

    1. YEs, you should go for it .. Especially for parents ,because you will face difficulty for them

  152. Bobby John Lawrence says:

    Hi,

    Am 36 yrs old and do not have any Health Insurance till now from India. I am an NRI and to date i been covered under my Company’s health insurance. i am interested to go for a policy in india. my dad is 73 and my mom is 64. she is a breast cancer survivor. i would like to know the options of going for a family floater and individual policies. appreciate your help as i am ignorant of the policy systems in India

    1. Hi Bobby John Lawrence

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  153. Anil says:

    HI,

    My Age is 32 and I am diabetic, I have one daughter and expecting another one.

    Currently, I have Employer 3 lacs health insurance policy. I can pay preuimum of 10K per annumer,
    Please suggest me which Family floater plan should I take

    Regards,
    Anil

    1. Hi Anil

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  154. Sridharan says:

    Hi,
    I am planning to buy individual policy (sum insured = 3 lakhs) for my parents who are 50+. In that policy PDF file which I downloaded from internet, they have mentioned that we can enhance sum insured at the time of renewal but renewed amount do not covers the disease acquired during preceding policy periods. But when I contacted their customare care, they told me that enhanced sum insured would cover the disease acquired during preceding policy periods . I am confused. What should I Do next? Please suggest me good Individual policies

    1. Mahavir says:

      Hello Sridharan,

      The waiting period for pre-existing diseases will be applied on the enhanced sum insured for the diseases that occur before you have enhanced the sum insured.

      For instance, if X had no disease when he originally bought the policy for Rs. 2 Lakhs Sum Insured. Now he makes a claim in Year 3 for Heart Disease. Subsequent year he applies for upgrade to say Rs. 5 Lakhs. Now, Heart disease would be covered only for 2 Lakhs up to 4 years (PED waiting period) from when the sum insured was enhanced. . After these 4 years, Heart disease would be covered upto 5 Lakhs.

      Mahavir

      1. Sridharan says:

        Thanks Mahavir for clearing my doubts

    2. Hi Sridharan

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  155. Johny says:

    Hi, I want to purchase insurance for 65+ parents. Mother has donated one kidney to father 10 years ago. I’m primarily looking for covereage for non-kindey related illnesses. Is there any company who can cover for them?
    Johny

    1. Mahavir says:

      Hi Johny,

      Regret to say this, but it is very difficult to get cover for your mother. Would suggest you contact a Government bank (Bank of Baroda, PNB, IOB, Canara Bank etc. ) and get covered through their bank mediclaim policy. The services are not good, and you may have to follow up for claims, but you still have a cover, instead of none.

      Regards,
      Mahavir

  156. Sahil says:

    Hi,
    I am 30 and my wife is 31, we both have 3-5 lakh health insurance each from our employers. My mother is 56(housewife) and my father is 59(employed by central government). I have taken insurance of 2-3 lakh for my mother from my employer’s associated insurance provider(Bajaj Allianz).
    I am looking to top up the insurance for my mother to at least 10 lakhs and also include my father also. Please help with choosing the right policy for the same and also let me know if i should bu floater or individual or any outside policy at all for myself & my wife also?

    Thanks in advance.

  157. Sudharshan says:

    Hi Manish,

    First of all, thank you for this great article. Its really informative and an eye-opener. And you are doing a great job in pursuing your dream 🙂 Its really great to see such people still there in our modern country.

    Coming to my problem, i have taken a education loan on Sep 2009. Total amount i have taken is Rs.1,89,562 and with all the interest, it is now Rs.2,98,650. Repayment period started this January and i was able to pay only 10,000 till now. Since i was not able pay my EMI’s, my account went NPL. They have sent me a resolution letter. I went there and negotiated with the manager. He gave me two options, one is to settle a amount of Rs.2,80,000 within a period of 30 days or to pay Rs.1,30,000 and pay normal EMI’s for the course of 54 months with interest 14.10. I have agreed upon settling the loan which now i feel is a very bad idea after reading your article. So, i kindly request to give you a good solution to this problem or a suggestion. Please tell what should i do in this situation ? Shall i cancel the deal and go with repaying the EMI’s or someother option is there ? please enlighten me about this.

    Additionally, i also have a bike loan which i’m paying perfectly for the past year and its gonna get over soon. Hope this information helps.

    Thank you,
    Sudharshan

  158. Hariharan says:

    I would like to take a family floater policy for wife, myself and expected new born baby after 2 months.
    Is it possible to include the baby in the cover after taking the policy?

    1. Yes, its possible ..

      Hi Hariharan

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  159. Brij Mohan says:

    I bought a health insurance policy from ICIC Lombard around 3 years back for my sister, with cover of 2 lacs. Upto 3 years they kept their promise and provided no claim bonus and other incentives as promised.
    The premium was around 3000 pa, now in 2015 while trying to renew the policy they sent me the price just a week in advance and the premium was revised almost 3 fold, around 8000 pa. Forget about giving a 3 months notice in advance they have not given even a month notice in advance.
    After I tried to reach them through mails, they even crossed their turn around time of 72 hours and finally responded back when I reached their 3rd level of escalation with the following mail:
    ———————————————————
    Dear Customer,

    Greetings of the day!

    We deeply value your relationship with us and are committed to provide you with the highest level of service simply because our customers deserve the very best. Since the launch of the product, the health industry has seen various changes and developments in the health insurance domain.

    In addition to this, recent health insurance guidelines has brought in certain changes in the health insurance policies which are not present in our existing product and makes it imperative for us to provide you with an enhanced product that suits your requirements. Some mandatory changes, as applicable in all the health policies, are listed below:

    • Lifetime renewability

    • No Claims based loading on renewals

    • Additional Sum Insured of 10% of Annual Sum Insured provided on each renewal for every claim free year upto maximum of 50%. In case of a claim under the policy, the accumulated Additional Sum Insured will be reduced by 10% of the Annual Sum Insured the following year.

    In line with the regulatory changes and to provide you with the best available features, we have decided to withdraw the existing product w.e.f 1st October, 2013. We are pleased to confirm that our new product is compliant as per the health guidelines.

    You may visit our website http://www.icicilombard.com for a copy of the same. Our new Health Insurance proposition for you will continue to offer the same features as your current plan. Along with it, you will have additional benefits and coverage like:

    • Reduced PED waiting period of 2 years for Sum Insured Rs 3 lacs and above

    • Lifetime floater benefit (earlier it was restricted to 60 years of age)

    • Value-added services like free health check up coupons, online chat with doctor, Dietician and Nutrition e-consultations, discounts on offer with our health care partners etc Your current plan(s) will continue until, but not beyond, your next renewal date.

    You shall also be entitled to Continuity benefit on Pre existing diseases and other time bound exclusions and additional sum insured wherever applicable. Given the rising health care costs and the additional benefits mentioned above the new product will come with upward revision in the premium. Along with this, our new product will have some optional benefits which can be availed at an additional premium:

    • Sum Insured option upto Rs 50 lacs

    • Option to reduce Premium with Sublimit option

    • Critical Illness and Personal Accident covers for financial security during life’s exigencies

    • Option to choose from a wide range of coverage like Maternity Benefit ,Outpatient treatment with Wellness Services and Preventive Health Care, Nursing at Home cover, Compassionate Visit cover and Medical Evacuation cover for evacuation to the nearest hospital under a medical emergency condition.

    If you have any further questions or comments regarding this matter, please feel free to call us at 1800 2666 or email us at customersupport@icicilombard.com.

    Wishing you and your family a healthy living!

    Warm Regards,

    Priya Mhatre
    Customer Relationship Team
    ICICI Lombard GIC LTD.
    —————————————————————————-
    My question is
    1. What is that extra facility they have provided which shoots the premium 3 fold in just 3 years
    2. What is the gurantee that they will not increase the premium once again.

    Seems like they are openly cheating people, and problem is notice of 2 weeks wont left you with much option other than just accept their blackmailing.

    And moreover I am based in United States and my sister is in Jamshedpur, she can’t just keep fighting with these people all alone.

    I am planning to reach next level of escalation now, but who will take responsibility as she is uncovered by health insurance now, as I denied the charges and decided not to go ahead with these blackmailers.

    1. Hi Brij Mohan

      I am not sure on this . You can reach to the next level of escalation and see the reply. Also inform us about it

      Manish

    2. Mahavir says:

      Hello Brij Mohan,

      Please don’t discontinue the policy. You still have a grace period of 30 days after expiry. In case you have not crossed this grace period please renew it for now. Let me explain.

      The earlier product had certain conditions that were not exactly customer friendly. These conditions have been disallowed as per the new health insurance regulations.

      For instance, the earlier ICICI product had an maximum age of 70 years, which meant that after the age of 70 your sister would be without health insurance coverage. The new law forced Insurance companies to stop their existing products and introduce new products that complied with these regulations. Now, bringing in all these changes has resulted in increase in premium.

      Ofcourse, the premium hike looks very high, but if you look at it the other way round, a Rs. 2 Lakh cover for Rs. 8000 is still better than your sister being exposed to healthcare expenses of Rs. 2 Lakhs. Even if you end up making one claim of Rs. 1 Lakh in 10 years you will recover this money.

      Hence, I would suggest review this policy in the grace period, if possible. Next year, 2 months before renewal you can apply for portability through an multiple insurance brand adviser like Coverfox.

      Hope this helps.

      Regards,
      Mahavir

  160. SANJAY KISHORE says:

    Hi,

    I had taken Royal Sundaram Family Health Policy through CITI Bank in 2013. The details are as follows:-

    Sanjay Kishore
    SELF
    DOB-13.10.1973
    Sum Assured: 4 lac

    Shalini Yadav Kishore
    Wife
    DOB-30.12.1972
    Sum Assured: 4 lac

    Atulya Vaibhav Rai
    Son
    DOB-20.07.2002
    Sum Assured: 3 lac

    Advitiya Vaibhav Rai
    Son
    DOB-20.03.2008
    Sum Assured: 3 lac

    My renewal is due next month. I have received a letter to renew the policy but dramatically the premium amount had been increased. I have been asked to pay Rs. 16928. Earlier the premium amount was Rs 14406.

    can you suggest me better policy? Can I port?

    I am looking for rs 10 lac family floater policy

    1. Hi SANJAY KISHORE

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  161. Rishav Goel says:

    Star Health And Allied Insurance …. Senior Branch Manager of AD – 48 Branch Office, Saltlake Kolkata, MR.SABUJ KUMAR NAG, HARASSED and used SEVERE ABUSIVE LANGUAGE when I went to him regarding policy claim issues. He also candidly claims that he is just interested in selling policy and doesn’t care whether the claims are justified or not.
    Mr Panda, the Sales Agent, before the treatment assured me with all background checkup and consultation that the certain medical ailment is totally covered under the policy but after undergoing treatment, I got a letter stating denial of claims for the same. I highly urge Senior Executives to look into atrocious matter and take severe actions against such poor inefficient Manager who uses power of the chair and indulges in filthy vernacular to get rid of problems. I request other people to SHARE this and to shift their policies to reliable companies.
    Policy Number – P/191119/01/2011/000050

    1. Hello Rishav,

      You must complaint. Please check this link: http://www.starhealth.in/grievance_coordinator_contact.php

      The entire process is out here: http://www.starhealth.in/writeus.php

      Once you have tried a couple of steps let us know, we can guide you further.

      Regards,
      Mahavir from Coverfox.com

    2. Hey Rishav Goel

      Thanks for sharing your experience with all of us. It was a great learning.

      Manish

  162. Simanta says:

    Hi Mahavir,
    First of all, thanks for sharing this excellent post.
    Can you kindly advise for me- I am in doubt which will be better for me and my family. Want to do 5 lacs policy for 4 persons.(40 years me & wife, one son : 5 yrs & another son 5 month.

    1. Hello Simanta,

      Advise on suitable health insurance depends on various factors (Health condition/Medical History/Location etc.) as mentioned in the article above.

      Would recommend you to leave your number here, and we will have an expert guide you through. Note, you have no obligation to buy from us – you can stop our calls at anytime.

      Leave your details at: http://www.coverfox.com/jagoinvestor

    2. Hi Simanta

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  163. srikamth says:

    Excellent Post. Very Useful.

    1. Thanks for your comment srikamth

  164. Ankita says:

    My friend had contacted Coverfox for a policy. He shared all the information with the executive who assured that Policy will be issued without any concerns. He was happy. But later he got a loading intimation & when he asked coverfox executive, he was told they cannot do anything as this is a per Insurance company’s terms & conditions. They said if he is not happy he can refund the policy.

    Is this the way Coverfox functions? I am surprised with this careless attitude & would not recommend anyone buying from them as their focus is only on sales & not on service or understanding the customer’s details & keeping him informed about possible outcomes.

    Just having a fancy website & funny blogs wont keep coverfox up there. There is no seriousness about business.

    1. Hi Ankita,

      Apologies for not being able to meet your/your friend’s expectations.

      I understand from your comment, that the prime issue you are raising is with respect to the tonality used by our advisor when communicating that the Insurer has applied certain additional premium loading on your friend’s policy.

      Would like delve deeper into this to understand what exactly happened. Request you to please share details of your friend here, or you can email me on my email address: mahavir (at) coverfox (dot) com for us to look into the matter, and respond with resolutions and next steps.

      Please be assured that beyond the look of our portal, we are a bunch of committed professionals working towards making Insurance transparent and convenient for its customers both before and after sale.

      I will personally ensure that this problem is resolved to the best of your satisfaction.

      Regards,
      Mahavir Chopra
      Director – Health Insurance, Coverfox.com

    2. Hello Ankita,

      Following up here.

      We have investigated the matter deeper. Your friend was in touch with 2 of our team members – 1) our Advisory team member and 2) our Client servicing team leader.

      There have been multiple discussions where our client servicing team has advised/explained your friend on how the loading system works. Since both the parents have diabetes, loading applied by the Insurance company was not invalid.

      We will however still take your feedback positively, and ensure we better our communication, give proactive communication about possible loading, and become more conscious/sensitive/empathetic in such scenarios like cancellation/loading.

      Apologies again,

      Mahavir
      Director – Health Insurance, Coverfox.com

      1. Ankita says:

        How does it matter Mr. Chopra both the teams are with Coverfox. Are you saying your teams work in silo & do not know the regulations?

        I would not recommend anyone to buy from you if this is the state of things.

        Anyways. Thanks

        1. Dear Ankita,

          Premium loading are not as per any “Regulations”. These are decisions taken by the Insurance company on unique case-to-case basis. Hence, as an advisor to the customer, we do not give any assurance on how the Insurance company will underwrite (assess risk) on your declarations.

          At Coverfox, we have made best efforts in multiple calls to educate the client on why these premium loading have been applied by the Insurance company. We also offered assistance to the client to get his proposal submitted to another Insurance company.

          All said and done, and as mentioned earlier, we will still take your feedback positively, and ensure we are more sensitive to meet expectations of our customers.

          Thanks

          Mahavir

  165. Piyush Kothari says:

    Hi Manish/ Mahavir

    Thanks alot for this informative article on Health insurance. I learned a lot things from it.

    I have some questions about insurance companies.

    # PSU or private insurance company (I live in a small town Neemuch in MP where only PSU insurance companies offices available)

    # Local office of insurance companies are matter or not for health insurance.

    # Is there insurance company matters or we have to look for insurance plan in first place.

    Which company we have to choose, if you don’t want say any specific company name than how we can choose it. Please provide some filters to choose right company. I have three concerns in my mind for long term (imperishable company, good service & premium increment in future.

    # Do i buy online or buy from any local insurance agent.

    Piyush

    1. Hi Piyush Kothari

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

      1. Piyush Kothari says:

        Dont bother to just copy paste & reply. You are not bound to reply any of us. If you dont want to.

      2. Hi Piyush

        I would have talked to coverfox to get a reply on your case, because it requires a deeper understanding which I don’t have. Hence I had redirected you to them directly , so that you could get your answers in the fastest way possible .

        Its not that I dont want to answer your query, but it was a simple query and I had to anyways coordinate with more expert in this area.

        Incase you felt bad for that, I apologize !

        Manish

    2. Hello Piyush,

      # It does not matter whether you buy a PSU plan or a Private Insurance co. plan. You can always make reimbursement claims. In case Cashless hospitalization is key for you to make a decision I would recommend you to check our portal where you can compare Network Hospital coverage for your pin-code Insurance company wise.
      I looked up for one of the pincodes of Neechum (458441) and did see decent number of hospitals covered. However I am unable to place how far these are from this location.

      #Local offices will provide you comfort to submit your claims physically. But you will limit your choices. Also, in case of disputes, exceptions, local offices do have a drawback that they would be able to manage only upto a certain extent
      Local offices do not matter for Cashless claims, as these are processed from a single location, on a national level

      #Insurance company credibility does matter. You will need to do thorough research to find out whether a company is really good at their service. It is better to depend on a professional intermediary and their experience with Insurers when they recommend products – to understand credibility. Intermediaries like brokers have massive experience managing claims from their customers to be able to guide you correctly. All Insurance companies pay the same brokerage to Brokers like Coverfox, and hence there is no room for bias.

      #Online provides you neutral comparison. Agents communication over calls/online is recorded, hence tends to be cleaner. Agents deal with local offices, whereas a good online insurance broker will deal with direct head offices, and hence the influence to get quick resolution is much higher.

      Trust this resolves your queries.

      Mahavir Chopra from Coverfox

  166. RAMESH CHANDRA says:

    hi, I am year 41 old and looking for health insurance policy for my entire family(2+3). having 3 kid, 2 , 7 & 12 years respectively. Looking for sum assured 3-5 Lac

    Pls suggest good one. I am also getting call fm Apollo Munich as well. Pls advise if this is good company( health optima restore )

    Pls advise.

    1. Hi RAMESH CHANDRA

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  167. Amit says:

    Hi, Could you please let me abut the waiting period.
    I have a group medical insurance cover from my existing employer and if i want to buy medical policy from e.g Religare or Max Bupa will waiting period condition is applicable if i share the existing policy number (employer).

    I heard from someone if we share the existing policy number then we can ask for no waiting period.

    Thanks
    Amit

    1. No Amit

      Its not so straight forward. But if you have not made any claims till now, then I think something can be done. I suggest you go to http://coverfox.com/jagoinvestor and leave your details there, They will guide you. Also let me connect you to them directly

      Manish

  168. Saurabh Darshan says:

    Hi! How about ICICI Health Saver ? Been investing since last 5 years. My Aim was health insurance for family + tax savings in Sec 80D + equity linked return in invested money. Rgds

    1. Hi Saurabh Darshan

      I think its a ULHP , right ?

      I do not recommend it as such. Why not take a proper health cover for 80D and invest seperately for 80C

  169. Krishna says:

    Hi,
    I have taken a L&T my: health medisure super top policy. However, policy is given only for a year and it looks like I have to renew every year. Does it mean that insurance company can deny any time for the renewal? this is as good as not having any policy. Please comment.

    1. NO

      Yearly thing means that you paying for a year. and then will pay it again. Renewals are all life. But you can always stop it if you want

  170. gayathriiyer says:

    Hi, A very good and descriptive article! We have been looking for buying health insurance for myself (34 yrs) and my wife(30 yrs) for sometime but faced with below 2 questions:

    1) For now, my work covers all medical expenses (including hospitalization expenses) for both – me and my wife. Hence, we have been putting off buying as we have not been able to reach a conclusion on whether it is required now at all. Our take was to buy health insurance – if in future I change my job or if any changes in terms of reimbursements at work. Please advice.

    2) Is there any advantage in taking insurance now – in terms of freezing the future premiums? (like- in case of life insurance where premium is same for the entire payment tenor – and makes sense to buy early) – is the logic same for health insurance also- as in if I get good premium today at current age- will it be same every year/ every time I renew?

    Thanks in advance!

    1. You definitely need a health cover even if you have company covers. Tell me 4 things

      1. What will happen if you move to some new company and they don’t provide you health cover and over the years when you were in first company, you developed an illness?

      2. What is the guarantee that your current employer will not remove the benefits in coming times?

      3. What after retirement ? Do you think after many years you will get the cover easily ?

      I strongly suggest that you buy a policy for yourself

      I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  171. pavan says:

    hi,

    I am physically handicapped like my right is blind please tell that i am eligible to buy health insurance or not

  172. Amit Patil says:

    Dear Manish/Mahavir,

    first i want to say Big Thank you, for great efforts.

    I am 31 yrs, i have parents, my wife and two daughters (1.5 yes) dependent on me. I am looking for good family floater with sizable term. for which i should go.

    I have purchased health cover from L&T for my mom and dad is that one is good. if not should i continue investing or stop it (investing since last 2 yrs).

    Best Regards,
    Amit Patil

    1. Yes L&T is a good one .. you can continue that

  173. J vijayalakshmi says:

    Which insurance companies offer super top up health insurance without capping on room rent.

    1. Hi J vijayalakshmi

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  174. Manasi Gopalakrishnan says:

    Hello,

    You have mentioned about claim based loading in your article.. can u please explain what it is?

    Thanks
    Manasi

    1. Earlier (Before 2013) Insurance companies used to charge additional premium over and above the standard renewal premium in case of adverse claims experience in the past year.

      This is now not allowed as per Health Insurance Regulations laid down by IRDAI.

    2. It means that company cant raise the premiums because of the reason that you made a claim in your health insurance policy. The premiums can increase, but it will happen because you moved from one age bracket to another. Not other wise

      Manish

  175. m.nithyanandam says:

    it was very usefull information before buying health insurance policy.

    1. Welcome .. Glad to know that m.nithyanandam ..

  176. ashit kumar basu says:

    Sir
    Myself got retired my spouse is 50 yes old.I like to have a health insurance plan only rs three lacks.for any emergency I can opt.pl suggest me which co I should prefer.I contacted religate.maxbupa.cignattk.bhartiaxalife.
    May may I get yr suggestion in my prescribed email I’d before finalisation the matter.I don’t have any other insurance in my life.
    Thanks with regards
    Ashit kumarbasu

    1. Hello Mr. Basu,

      One will need more details before objectively recommending the best insurance plan for you. Details that would be required are like medical history, and current health condition. You need to get through an unbiased adviser who is an expert with all products.

      I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.
      You can then take the decision.

    2. Hi ashit kumar basu

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  177. Sachin M says:

    I want to take Health Insurance Policy (Family Floater) for 2 Adult (Age – 34 & 30) and 1 Kid (2.11 Years).

    I have zeroed down on New India Assurance , Apollo Munich & Oriental.

    Kindly help me picking up one.

    PN – There are no pre-existing disease.

    Regards,
    Sachin M

    1. Hi Sachin M

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  178. C Naik says:

    Dear Sir,
    Kindly suggest best health plan with family floater with below requirement….
    1) family members-2 adut(40 years and 36 yeras) and two children ( 7 year and 8 months). Have no history of prior hospitalisation for atleast last five years beside wife preganancy 8 months back.
    2)super top up with private room eligibilty or no room rent capping.
    3)No claim bonus/high claim settle ment ratio with cashless hospital network in Goa.
    4)With critical illness rider
    5) permanent disabilty cover.
    6) minimum exclusion and maximun inclusion with regards to critical illness
    7) with minimum sublimit.
    Also sugest one good Term policy for 50 lacks. My age is 40 years ( running). No smokin/No tobacco use/No history of existing illness.
    Policy should include maximum nos of critical illnesses and also permanemet disability due to accident or illness./ good claim settlement ratio.

    1. Hi C Naik

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  179. arun gupta says:

    Excellent Article I ever have read. Everything explained in a perfect manner. Honest Guide.

    1. Thanks for your comment arun gupta

  180. Hariharan says:

    Dear Sir,

    Thank you for sharing great info.
    Here is my scenario. I am 37, not married yet. My father is 67 an mother is 62. They have been diagnosed and found that father is diabetic. They have covered under an Insurance policy which is bought my brother who is working in a corporate. He had paid 20,000 for covering 1 lakh policies for each of my parents. Now i want to cover 5 Lakh policy for three of us with yearly medical checkup, free surgery(including minor one) and cashless room rent etc. I don’t mind paying high premium however i need to make sure that i won’t be paying any money in case of emergencies. Also need your suggestion on accidental insurance policy as well. I have zeroed in on ICICI earlier however many of acquaintance are suggesting starhealth. I am confused and i heard very bad about MAXBoopa especially on claim part.

    Thanks
    Hariharan

    1. Hi Hariharan

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  181. Milind says:

    I am 53 years and my wife 49 years. This is the first time we are buying medical policy , so far we have been covered by our employer. Pl suggest best options in PSU and Private for basic cover of 5 lakh and top up of 15 lakh

    1. Hi Milind

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  182. rajpal singh says:

    my age is 47 would like to know is there any long term health policy for my family of 4 for single premium,long term means how many years

    1. Hi rajpal singh

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  183. karan says:

    Dear expert

    suggest me a best & clear mediclaim policy.. for my family..we are live in new delhi.
    in family( me-30 yrs, wife-25 yrs, child- 2 mnth)

    Thnks
    Karan

    1. Hello Karan,

      There is no a single policy that can be suggested. You need to contact an expert who can help understanding your needs and suggest the most suitable plan for you.

      You can talk to Coverfox representatives, without any obligation to buy from us. It is a free service. You can stop the calls when you want them.

      Request a call back through the following link: http://www.coverfox.com/jagoinvestor

  184. Abhi says:

    Hey Mahavir,

    I have an Oriental Happy Floater for myself (25) and my parents (51, 46) after consultation from a leading broker in mumbai. I was planning a hospitalization when it struck me that the PPN list of these public sectors companies in pune has disempanelled most renowned hospitals in pune, after the recent fiasco regarding the rates been given to these hospitals. The Hospitals that remain on the PPN list, in most metros too, are mostly tier 2.

    This defeats the very purpose of taking a bigger sum assured when I cannot avail cashless facilities from better hospitals in the city when in need. Its kinda frustrating too.

    I was thinking of porting to a private insurer like Apollo which has a extensive number of hospitals on its network, plus without the hassel of a TPA too.

    But then as you say most times, these insurers havent been tested with claims from older people as much as the public insurers.

    This is a classic insurance buyers dilemma I guess 🙂

    What would you suggest, me sticking with Oriental and having a strongly service oriented broker or porting off to an Apollo or a Religare? I need to take this decision before renewal as postponing this will create porting issues as my parents age would be considerably high in a couple of years.

  185. ravi says:

    hi..myself ravi… i wanted to know the difference between the appollo munich health insurance & the same appollo munich health insurance offered by canara bank..there is a lot of difference in the premium, canara bank premium is too less compared to the regular appolp munich.. i am in a confused state which one to opt…are there any hidden conditions in canara bank appollo munich health insurance. kindly help me out and thanks in advance

    1. The main difference is that the control of the policy is with you in case you buy it directly from Apollo, whereas in case of bank policy the control is with bank. It comes cheaper (with almost same benefits) , because its mainly a short term plan. What if in 2-3 yrs the bank and appolo relation ceases to exist for some reason. Then you dont have any thing in hand, and you have lost 2 yrs. Then gain you restart the process.

      Its a short term temptation with no long term benefits and I suggest you dont do that. You should mainly buy a health insurance policy on your own. I say that you go to https://www.coverfox.com/jagoinvestor and leave your details there. They will give you a call and help you understand everything about it

      Manish

      1. ravi says:

        thank you..

  186. Melvin Varghese says:

    I want to buy a family floter for me and my parents. My dad is 60 and he recently got a heart attack and a angioplasty done , mom is 50 with no major problems . Should a i look for seprate policy from my dad. which policy do you suggest ?

    1. Hi Melvin

      Its tough for your dad to get health insurance policy now, because the event has occured and now its not going to make any business sense from company point of view. I suggest you talk to our health insurance partner coverfox on this . Go to https://www.coverfox.com/jagoinvestor and leave your details there

  187. AMIT JOSHI says:

    I WANT TO BUY FAMILY FLOTER POLICY FOR WIFE CHILDREN WITH MY PARENTS WHO HAVE DEASEAS OF DIABITES AND B.P. IS IT POSSIBLE

    1. Hi AMIT JOSHI

      We will have to find out more on this . It requires discussion, do one thing

      You can visit https://www.coverfox.com/jagoinvestor and fill up your details there, you will get an expert call

      Manish

  188. Ashish Gupta says:

    Very useful post. And very eye-opening info on room rent. Bought policies twice in past. Wasn’t aware of it, while I consider myself having gone through wording. Seems like have to go through like lawyer with fine tooth comb!

    1. Hi Ashish Gupta

      You should have done that !

  189. sujai says:

    Hi
    i have taken health insurance policy (max bupa -sliver ,coverage of 2 lakhs ) for my
    father Age =60,
    policy taken on Feb-2014 ( under grace period now)
    The premium (Rs:13561) seems to be costly, No claming done it now
    can i go for insurance portability ?
    if so which is one is good to adopt?
    please suggest

    1. Sujai

      You can go to https://www.coverfox.com/jagoinvestor and leave your details. They will help you on portability !

  190. mahesh says:

    please visit ;www.shravakarogyam.com and tell me this policy is genuine or bogus……???????

    1. Looks Fake to me

    2. Hello Mahesh,

      This is not a fake policy. It is a group health insurance policy for Jain Community.

      Imagine you are the Insurance company, can you take a premium of Rs. 7000 and provide a 60 year old with a heart problem with a sum insured of Rs. 5 Lakhs with no waiting period for existing diseases? How will the Insurance company ever make money? Where will the money come from once the collected sum is exhausted? At Rs. 7000 cover, even if 1000 people enroll – the premium collected is Rs. 70 Lakhs for a cover of 50 Crores – with no limits, no waiting periods.

      It is not sustainable as a cover, at all.

      Such policies start with a great intent, to serve the community, get a lot of fanfare from ignorant population looking for “sure lottery” type of health insurance.

      In my career I have seen too many such policies dying out leaving members/customers high and dry after a couple of years.

      Please avoid.

  191. Girish says:

    Respected Sir,

    1. My name is Girish and I am 39 years old (Wife 35)I would like to take health insurance for us (no children yet).

    2. I would like to take health insurance for my parents, Father (70+) mother (60) and I have one elder sister (age 41-deaf)

    Could you advice me on the good reliable health insurance which can help me.

    Thanks & Regards

    1. Hi girish

      I will connect you with our health insurance partners .You can also visit https://www.coverfox.com/jagoinvestor and leave your details

  192. Gaurav Doshi says:

    Hi Manish,

    This is a fantastic Article.

    Even inspired by you and other articles I have complied my list. Just sharing if helps the audience. Not as informative as yours but an attempt. But they are 25 points.

    http://blankandwild.blogspot.in/2015/03/how-to-choose-health-insurance-plan-in.html

    Thanks,
    Gaurav

    1. Hi Gaurav Doshi

      Thanks for your sharing your valuable comment on this topic. Please keep sharing your views in future also

      Manish

  193. anuj kumar says:

    Hi,
    Manish,
    I m 30 yr old married having single newly born baby.
    Father-53yr old
    Mother-48 yr
    Which policy suited me best with regards yours 13 point suggetions

    1. Hi Anuj

      Relgiare Care is one good option . I think you can explore that. I suggest leave your details at https://www.coverfox.com/jagoinvestor and you will get all the help

  194. raman mehta says:

    Hi i am 46 year old and till now was using group health insurance policy of the organisation which i used to work for. now i want to purchase an individual health policy for myself. Is it too late to do that ? what can be the repurcussions of buying health cover at this age ? i am 98 kg though i dont suffer from any disease.

    please guide me

    1. Hi Raman

      I think at this stage, your premium might go up because of the weight. We cant say anything anyways. I think you need to talk to experts on this . Do one thing, go to https://www.coverfox.com/jagoinvestor and leave your details , you will get a call from our health insurance partners and they will help you

      Manish

  195. Sushil Kumar Pandey says:

    Hi,
    i want to take health insurence policy for myself & my parent.
    my age – 28 year
    father – 60
    mother – 56
    please advice best option to choose.

    1. Hi Sushil

      Just leave your details on https://www.coverfox.com/jagoinvestor and you will get a call with expert .

  196. shaz says:

    Hi
    I always wonder if I need to take a health insurance for my parents as my DAD works in Central Govt.-Postal Department and as far as I’m aware Govt. will bear their hospitalization costs but could not find the details of it anywhere! What do you suggest?

    1. Shaz

      Ask your father to have clarity about it with the govt office. How to claim that etc

  197. Rushit Doshi says:

    Hi Manish,

    Excellent article on Health Insurances. However just like all the above, i too have some doubts.
    I am 28years old, single , working in the middle-east. I am looking forward to take a policy that will cover medical as well as cover the same for my Mother (58 years old diabetic) and Father (60years old).
    What sort of policy can i opt for. Moreover should i go with the tried and tested, govt. backed companies or private sectors? which one is more reliable?
    I would be really obliged if you can help me figure out the right policy

    Regards,
    Rushit.

    1. Hi Rushit

      I think mix of Oriental + Religare might fit in your requirement. But a good discussion on this topic is required. I suggest you do one thing . Leave your details at https://www.coverfox.com/jagoinvestor and the team will connect with you on this matter and assist you

      Manish

  198. Vijayakumaran says:

    My date of birth is 10-01-1964 and Spouse below 50 years which policy is better if I reside at Palakkad Kerala. Presently I am at UAE and have a medical cover for me 10 LAC Dhirham

    Please advice a best policy for my family prefer from LIC

    1. Hi Vijayakumaran

      Please leave your details at https://www.coverfox.com/jagoinvestor and you will get the help on this topic

      Manish

  199. Madhumita Das says:

    Hi! I’m a Central Govt. officer. I’m 43 years old. Annual income approx. Rs 14 lacs. I have a daughter aged 11+ years. We are both covered under the CGHS. Neither have hospitalisation record. No critical illnesses. Do I need Health insurance cover, if so how much? My service is transferable. Do health insurance policies cover hospitalisation in any of the Metro, Tier I and Tier II cities in India?

    1. I will reply you on this very soon .

  200. Suresh says:

    Hi Manish
    This was an excellent informative read !!!. Thanks for sharing
    I stay in Pune and would like to for a family floater plan @5lks for now.
    Few of my colleagues recommended me “Bajaj Allianz” but am also reading abt ReliGare. Upon comparison of the 2, if I dont see a considerable or any significant differences in policy, which one should I opt for ? Can you plz advice.
    Am looking at network hospitals and long term sustainability of insurance companies as criteria for selection. Kindly advice

    Regards,
    Suresh

    1. SUresh

      Religare is good policy. I think all you need to do is leave your details on https://www.coverfox.com/jagoinvestor . You will get call from our health insurance partners who will help you on this .

      Manish

  201. Nilesh Mahajan says:

    Hello Sir,

    I am 40 yr old and my family includes 37 yrs wife, 11 yr son and 6 yr old daughter. I am looking for best health insurance options. I am ok for family or individual cover.

    Which companies are better, PSU or private one. I dont have any advisor.

    Is it OK to buy full plan like 50lacs or start with base plan like for 15lacs and then add top up.

    Pl advice.
    Nilesh

    1. Hi Nilesh Mahajan

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  202. Hiii Manish. Thanks a lot for this useful information article. I wanted to know more information about health insurance plan for complete family. Some my friends says that Bajaj Allianz and Oriental Insurance are better in today’s date. Can you help me ????

    1. Hi Siddharth Singh

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  203. Hiii Manish. Thanks a lot for this useful information article. I wanted to know more information about health insurance plan for complete family. Some my friends says that Bajaj Allianz and Oriental Insurance are better in today’s date. Can you help me ????

    1. Hello Anupam,

      Oriental and Bajaj Allianz definitely have some good plans that you can explore.
      Most suitable plan for you completely depends on your age, health condition, people you want to cover. There is no one-size-fits-all “best” plan.

      In case you want customized recommendations without any obligation to buy, you can leave your details at the following link: http://www.coverfox.com/jagoinvestor

    2. Hi Anupam Rastogi

      Thanks for sharing your health insurance requirement. I think the best think you can do is leave your details at https://www.coverfox.com/jagoinvestor . And you will get a expert assistance on selecting and buying the right policy for you.

      You can then take the decision.

      Manish

  204. Raghav says:

    Hi,
    I follow your blog regularly. I see now that coverfox is the health insurance partner for jagoinvestor. Previously it used to be Medimanage, right?

    Previously Mahavir Chopra used to post on behalf of medimanage. Now he is in coverfox.

    Are you recommending coverfox or medimanage or Mahavir Chopra???

    1. Hi Raghav

      Great that you asked that question.

      Medimanage is still associated with us in some of the other way, we recently directed all our action month participants in the month of december to Medimanage and a lot of our clients and readers who are comfortable with them still buy with them. They are a great company with huge experience. I have my own policy with Medimanage only.

      Coverfox is superior in terms of presentation and overall UI and has a freshness that medimanage lacks. Also Coverfox has a superior line of products like Travel Insurance, Auto Insurance, Health Insurance and Life Insurance is also coming up very soon. Their integration with companies is really amazing . You get your policy in 2 hours at times. So if I keep my reader in front, Coverfox seems to be a better recommendation.

      Mahavir is a great friend and super knowledgeable in the area of health insurance. He was with another company for 2 years (not in medimanage nor coverfox), when I came in touch with Coverfox Founder and helped with some of my inputs in the area of health insurance, its a coincidence that Mahavir is now with Coverfox) . I there will be some other company which is best for my readers, I will start recommending that company later .

      So to answer your questions , I am recommending anything which gives a better experience to my readers and then with any company or person 🙂 . Thanks for raising this, I am sure many others had this question, so glad you brought this point forward 🙂

      Have you visited coverfox ? What are your inputs ?

      Manish

      1. Raghav says:

        Yes I agree with you in terms of UI and freshness is concerned. Their site looks very refreshing and seems to be more concerned about the customer.
        But this all is front end.
        How are they going to provide the service? How long are they going to sustain in business? I think these things matter most, right?
        Unfortunely this information is very hard to get.

        One more question.
        I have narrowed down to religare care for my health insurance.
        But I am thinking about the solvency a private company Vs PSU company.
        I will claim insurance may be after 20 years. what is the guarantee that either Religare or coverfox is going to be in business by that time?
        If coverfox is not there who is going to support me?
        If Religare is out of business, what should I do?

        Yet another question.
        What is your take on a seperate critical illness policy?

        1. Hi Raghav

          Thanks for your compliments with respect to of our portal. You can visit our portal – http://www.coverfox.com and scroll down on the home page to check out the services we offer.

          You are completely right when you say that all this is front end, and service is finally what matters. Every company starts small, what matters is the foundation on which it is built. As an organization Coverfox is founded by seasoned technology professionals from IIT Mumbai and other celebrated institutions. Our investors are funded by marquee funds that have invested into renowned businesses like Justdial, Makemytrip, Flipkart, Bookmyshow, and many more. We are committed to make buying and managing Insurance policies as simple, clean and convenient as possible.

          You are again absolutely bang on that you should have a 20 year outlook with respect to your purchase. In this matter, please be informed that Insurance companies are regulated for liquidity, compliance (like banks) in India by IRDAI. We, as a country have one of the most stringent norms, that ensure that Insurance companies cannot go bankrupt leaving customers high and dry.

          You will have to take bet on an Insurance company and an intermediary to offer you support. No one, even big brands cannot guarantee they will survive for 20 years.

          Lastly, IMO Critical Illness is an important policy that one should buy in today’s day and age. With fast advancing medical science, I believe more and more people will not die, but live with a Critical Illness.

          Regards,
          Mahavir Chopra
          http://www.coverfox.com/jagoinvestor

  205. NMP says:

    Sir, My age is 61. I have a floater health plan of 5 Lakh with National Insurance . I want to have Top up plan but they refuse saying they do not have such provision. Can I have topup plan with other insurance company. If yes plz. Suggest one. Thanks, Narendra.

    1. Yes, you can have a Super Topup plan from another Insurance company. There is no requirement of having Topup from the same insurance company.

      Some of the good super top up plans are L&T, New India, HDFC, Religare etc. –

      In case you need help in comparison or shortlisting plans, you can submit your details here: http://www.coverfox.com/jagoinvestor

    2. Hi Narendra

      Yes you can take it from any other company . Do one thing, fill up the form here – https://www.coverfox.com/jagoinvestor and you will get a personalised help on this

  206. Prabha Bhalla says:

    My husband , my daughter and I hold a Apollomunich cover Optima Restore policy.
    My daughter has been covered for 15 lacs. She recently had to be admitted for an autoimmune induced optic neuritis and was in the hospital from 9 pm to the evening of next day . Since the hospital has its timing of 12 noon check in /check out. We paid for 2 days hospitalization. Apollo now regrets the claim we put in stating that the number of hours spent was less than 24 hrs. How does this matter. Do they underatdn the admission process itself takes time and in an emergency you have to rush instead of following the non existent fine print interpretation !!Apollo is more of a marketeer . My husband and I wna t to move from it

    1. Hello Prabha,

      If you need an opinion on the way forward with respect to the rejected claims. Request you to email the claim papers and the rejection letter to mahavir@coverfox.com – We will go through the papers and let you know our interpretation, and also suggest you the way forward.

      Regards,
      Mahavir Chopra
      http://www.coverfox.com/jagoinvestor

  207. Shaji says:

    Very good article.Its an eye opener.
    My Q is,I am an NRI(Age 41)and having Medical coverage by my company and its valid world wide.I am planning to settle in India after 10 years.Is their a need to buy a Health insurance in India now,or should I wait till I go back to India.Thank you in advance.

    1. Hello Shaji,

      Its better you buy a health insurance now. In case any of your family members suffer from any ailment in the next 10 years, it will become difficult to get a good health insurance policy later. Your choice reduces drastically once you have a health issue.

      Regards.
      Mahavir

      1. Shaji says:

        Thank you so much.Really appreciate.

        1. Shaji

          I suggest you leave your details with http://www.coverfox.com/jagoinvestor , so that they can assist you in the process

  208. vijayakumar r yadav says:

    Hi,

    Is it advisable to take a Super Top up Health Insurance in addition to the one provieded by the Employer. Say a L&T Medisure Super top up with threshold of Rs. 5.00 lacs. What is the optimum amount to be insured in super top up. I am 45 yrs and plan to take a super top up family floater.

    Any suggestions / advice.

    Regards,

    1. Hi Vijay

      Supertopup can be taken, but your base policy might go away if employer just removes your benefit . Then what will you do in future ?

  209. Parambir Singh says:

    One more that can I do portability with other company in case bank and insurance company break their contract?

  210. Parambir Singh says:

    Dear Manish,

    I always consider your feedback on various things while financial planning. THANKS:-).
    I have taken Religare Health policy in which premium was due in this month. But I did not pay the premium ,because I planning to take group insurance of oriental family floater through PNB which is provided to the bank account holder only. Can you help me that is there any drawback to take group insurance through PNB? I quit to continue the Religare policy because they are charging high as compare to PNB policy.
    Looking forward to hear from you.

    1. Parambir

      I think it was not a right decision . JUst not continuing the policy because of premium is not right . The policies from bamnk are of short term nature and not great for long term .

  211. Thank yo so much Manish for your immediate response. Basically I am looking for a specific health insurance plan which covers my entire family and the policy has almost all features.

    1. Ok In that case I think Religare is a good option for you , but lets discuss once with coverfox and only then take the final call. Can you please pass on your phone to me on email I have sent you !

      Manish

  212. anupam says:

    Good day,
    Thanks for the insight regarding the Health Insurance. I have taken a Apollo Munich Optima Restore family Floater of 10L. After reading this article not sure if I have done the right decision.

    It says daily cash for choosing shared accommodation is INR 800 and does not give detail about the other cappings

    PLease advise
    Anupam

    1. Hi Anupam

      Did you check the full brochure, It would surely have other details of cappings , if there are any ! . Overall that policy is good enough !

      Manish

  213. Ayush says:

    Hi Manish,

    Religare care health insurance states that the sum assured would be topped up (upto a maximum of the sum assured) in case it is exhausted in a year.
    Does this mean that if I buy a policy of 5 Lakhs sum assured, I am actually buying a policy of 10 Lakhs? Kindly clarify.

    Ayush

    1. In a way YES . But its when you exhaust the limit, but when you use it for the first time, so if you have 5 lacs policy and if you use 1 lac, then it will again be restored back to 5 lacs.

      On the other hand if you use it for 3 lacs, then again it will be restored to 5 lacs. But the restored amount cant be claimed for the same problem for which you claimed in that year. I mean if you were hospitalized for issue XYZ , then only the remaining money is available for that same issue and not the full restored amount

      Manish

      1. Ayush says:

        Thanks for the clarification Manish

  214. Vippan Raj Dutt says:

    Hi Manish/Mahavir,

    Thanks for a very informative article.

    I have following queries :

    a) My organization has fairly good medical policy for serving / retired employees and their dependents. Do you still advise me going for Health Insurance ?

    b) After few years (5 – 8 years) my two children will cross age of 21 and will hopefully not be dependent on me for medical support. How should I plan ?

    Regards, Vippan

    1. Vippan

      1. IF you are assured that those policies will not change and are written on stone , then its fine you can not buy the health insurance provided the features it provides you are good, but if you are talking about generic facility, then please know that most of the employer are slowing moving away from the benefit. I will do a story on this very soon

      2. I think in that case you can get their individual policies.

      I think you should talk to an expert for the planning part . Let me know if you want some one to give you a call and explain you on this .

      Manish

  215. Sandeep Wagh says:

    Hi Manish,

    Thank you for Nice article.
    Currently I am 35 years old
    I have regular Individual Health Insurance for my family ( self, wife and daughter) each covered Rs 1 Lakh. I have taken the same from New India Insurance co.
    I have covered my family for health Insurance since last six years or more and so single claim so far.
    However, as i could see there is more advantage to go for floater and i asked New India to convert from Individual to Floater but every time they refused such transfer from Individual to Floater. they told me that in that case all your benefits acquired in previous years and NCB will be lost. rather they can’t convert to Floater.

    Please advise is this true? or can i switch to another Insurance company for floater option?

    Regards,
    Sandeep Wagh

    1. Yes, thats correct. They cant just convert it like any policy. There are lots of things involved in that.

      What you should do is try to see another option in family floater and then discard your individual policy after few years. Let me arrange for a call back with an expert on this matter

      Manish

      1. Sandeep Wagh says:

        Hi Manish,

        Thanks,
        I will wait for further information on this matter.

        as I am out of country so if there is anything i can see portal from here.

        regards

  216. Hiii Manish. Thanks a lot for this great article. I wanted to know more information about best health insurance plan for complete family. I heard little bit about Apollo Munich Insurance for family. Is is best or is there any better insurance plan better than Apollo Munich Insurance

    1. Anupam

      There is no “best” policy or company in health insurance. It all depends what all is important for you and what are your needs. You need to compare and decide. What I will do is help you in that through our health insurance partner. Let me email you

      Manish

  217. RAHUL KUMAR says:

    Hello, I want a health insurance (family floater)policy for my family which included me32yrs, spouse30yrs two kids 1 is 2yrs and 2nd is 1 yrs and mother56yrs. Which company policy I would go for. Iwant 3-5 lakhs cover for all.. Pls help me

    1. Hi RAHUL KUMAR

      Just go to https://www.coverfox.com/jagoinvestor and fill in your details, you will get a call to help you in choosing the best policy for your situation

      Manish

  218. anuj gupta says:

    Hi mahavir n manish
    I want to take health insurence for my father(53) n mother(47). my father has bp and diabetes and mother is fit but as preexisting condition on most insurance has 4 years and some change to 3 yr on extra premium it is quite heavy to pocket..i was comparing and went to oriental pnb group mediclaim policy and found its premium is low for 5lac(only 7k as compared to other 17-18k) and constant till 80 yr and too pre existing term is only 3 yr ,most of features are similar to oriental happy family plan( silver one).Kindly suggest me whether i should go with it and if not then suggest other policy please

    1. Hi anuj gupta

      Those policies are special arrangement between banks and insurance company and they are suited for short term because the moment the agreement between insurance company and bank goes for a toss, you are again left with no policy . So take it only as the last option .

      I have already explained this in detail here in this article – https://www.jagoinvestor.com/2013/07/health-insurance-policies-from-banks-with-low-premiums.html

      As of now I suggest that you leave your details at https://www.coverfox.com/jagoinvestor/ and get a call from coverfox to discuss on your issue at length !

      Manish

  219. Romit Chhabra says:

    Hi,

    In the updated article you have suggested that we should keep 20 years of inflation in mind while deciding the insurance amount. Won’t it be better if we take cover according to current prices and keep it increasing every year or two? And I must tell you that your article came right in time. Only yesterday I had started looking for health insurance.

    1. Romit

      The problem with increasing it year after year is that you might not get it year after year, because each year you will have to go through health checkup and if you develop some illness in between, you will not get the policy at all . So the best thing you can do is , right now take the best cover you can get and afford like 10 lacs to 15 lacs . If your age is low then the premiums are really not that high .

      And if you cant do that, then take the lower cover right now but still take it from a 5 yr point of view and top up the cover later using a super top up cover.

      I suggest you leave your details at https://www.coverfox.com/jagoinvestor/ and discuss more on your required on call

      Manish

  220. kumaraswamy says:

    sir
    MY NAME IS KUMARASWAMY AD MY AGE IS 31 AND MY WIFE AGE IS 26
    I HAVE TWO CHILDREN OF 6 AND 4 YEARS .PLEASE SUGGEST A GOOD HEALTH POLICY

    1. Hi kumaraswamy

      At this stage , I think Religare Care is one good option, but just one policy cant be choosen, you need to also look at some more options . Just go to https://www.coverfox.com/jagoinvestor and leave your details. you will get a call with personalised assistance !

  221. Nilesh Shroff says:

    Hi, I am Nilesh first of all thanks for such wonderful article, secondly I want you to pls suggest me a sutaible Health insurance plan which can full fill above all parameters.

    1. Hello Nilesh,

      There is one-size-fits-all Health Insurance plan available in the market. You need to contact an unbiased advisor/broker who would understand your requirements and help you shortlist/choose the most suitable product fitting your requirements/budgets etc.

      We have partnered with Jagoinvestor to provide premium advisory services free of cost or any obligation (to buy from us). You can get recommendations from our experts. You can submit your details here: http://www.coverfox.com/jagoinvestor

      Mahavir Chopra from Coverfox.com

  222. Raju says:

    My self Raju, looking for family floater Health Insurance.My age is 32 years and spouse age is 30 years.We having two kids (male)First one is 3.5 years and second one is 1.5 years.I am diabetic person.Please suggest me which policy better.

    1. Hello Raju,

      There is one-size-fits-all Health Insurance plan available in the market. You need to contact an unbiased advisor/broker who would understand your requirements and help you shortlist/choose the most suitable product fitting your requirements/budgets etc.

      We have partnered with Jagoinvestor to provide premium advisory services free of cost or any obligation (to buy from us). You can get recommendations from our experts. You can submit your details here: http://www.coverfox.com/jagoinvestor

      Mahavir Chopra from Coverfox.com

  223. Saket says:

    There aren’t any “Fee-only” Health insurance advisors. I belive that The Health-insurance consultants (mostly web portals charging no fee for consultation) will definitely try to steer the insurance seeker towards products of their own preference rather than the insurance seeker. This is inevitable- that’s only how a o-consulation-fee system can survive.

    I know a few ‘Fee-only’ personal financial advisors but haven’t come across and fee charging Health Insurance Consultant (individual or website).

    All the health-insurance consultting website charge no money for providing advice. And that’s why I am cynical about these.

    1. Hi Saket

      Its a good point you have raised. I think if we do a bit of discussion on these, it would help everyone. Let me put my points on the issues you raised.

      – Health Insurance commissions are mostly standardized. The commission an agent/broker get is very much same from all insurance company (but can differ slightly), so there can be a bit of chance of biasness , but I think it would be very less.

      – You need to understand difference between broker and agent. An agent represents INSURER, the agent sells only that company insurance. So its risky to ask him which company is best, because he will come up with all the reasons justifying that his company is best. On the other hand brokers represent customers and they can help a customer buy any policy they wish for. A broker can only list down all the policies for you, and give you options suitable as per your requirement. I guess if you ask right questions, then you can get right answers . If you give your requirement like “I want X, Y and Z” , then anyways they cant give you an option which does not have it . Also I think customers today have that thing in them, that they can instantly find out the intention of the other person.

      I think customers need to move out of “suspicision zone” and start trusting (atleast try) some companies. Final decision is on customer only.

      – If you dont trust the brokers, still research everything on your own and then finally buy the same policy through brokers only , because they will help you with long term support (they keep getting commissions so they are liable to help you) . Note that you cant bypass agent/broker and get it cheaper anyways.

      – Not charging for advice – I think its part of the business model , big brokers as their business model decide not to charge customer because they make profit with that itself . If they decide to charge, I am sure some customers will be ready to pay for it, but its a small percentage.

      Let me know your thoughts on this. Thanks for asking this great question and initiating the discussion

      Manish

    2. Hello Saket,

      Great question. Thanks for bringing this issue out.

      Almost online insurance advisory portals, they will not force you to buy from us. Its not possible to force someone to buy over phone anyways. Beyond a point you can always block numbers, avoid calls you receive.

      At Coverfox, we follow a simple philosophy.
      a) We do not take differential commission from anyone – though most Insurance companies want us to take such additional money.
      b) We don’t take targets from Insurance companies. Our positioning is clear we are in the business of helping Customers “self discover” the product most suitable for them.
      c) Our Tele-advisors are only given one brief for recommending a product. “Recommend 2 best product yous would buy, if you were the customer.”

      While all of the above may look “hard-to-believe” – We would invite you to come over and experience us.

      PS: By the way we were also willing to experiment on fee-based advisory model, where you are free to buy from anywhere, but the problem as Manish writely pointed out is the “post sales service”. Health Insurance can have frequent claims and hence service is a priority with most customers we have interacted with so far.

      Regards,
      Mahavir Chopra from Coverfox.com

      1. A.Sundaram says:

        Dear Mahavir Chopra,

        Have sent you a msg in Whatsapp- could you please have a look at it and respond?Thanks.

        1. Hi Mr. Sundaram

          I thin you should ask your question here itself. Asking on whatsapp or phone directly might not be reverted back . Also from where did you get the number ?

          1. A.Sundaram says:

            Dear Manish,

            There was no query.I wanted to engage with Coverfox for my personal insurance (I felt Mahavir and his team are worthy of our support and hence this was a very small gesture).I got the Mobile No. from Mahavir himself (not yesterday but on 5/4/2011-Tuesday @ 3.58 p.m.)

  224. ASHISH GUPTA says:

    HI,

    I have an Medical insurance for my parents from RELIGARE (CARE) and its premium comes to Rs. 23900. I want to know if i can get better from other company compare to this premium. Previous, i paid Rs. 19200 for two years and now i have to pay Rs. 23900 as my father age is now 56 and that change the age bands.

    Please advice if i can get better than this.

    1. Hi Ashish,

      Would nor recommend any changes to the existing cover. Religare Care is a good policy.

    2. No Ashish

      Health Insurance works in this manner only. Any insurance company you go to , its going to work the same way . Also Religare Care is a high quality policy. Dont move from it !

  225. Ravi says:

    Dear Sir

    Can anyone tell me the extra premium charged for term insurance on a Type 2 Diabetic person of 35 years old and no other health issues at all.

    As one of the insurer charging the exoborant 125% on the base premium after medicals

    Any other life insurers with lower premium loading rates? please let me know

    1. Hi Ravi

      Its not a fixed number. Only after your medicals or when you apply for it, they can tell you how much will be the loading. It can be different for different insurers !

      1. Ravi says:

        Yes, but what is the min-max range for a normal Type 2 diabetic person?

        1. I cant say that Ravi ! , Its something the health insurance company will share with you !

  226. ashish says:

    Hi Manish,

    My mother is 58 and father is 68. They both never had any health insurance.
    My mom had cataract operation for one eye 3 months back.
    Now am planning to buy a health insurance.
    My father has normal knee problems.

    Can you please suggest which plan I should go with & also is it good time to buy them an insurance?

    Please help.

    Thanks

    1. Yes, its surely a great time . You can go to https://www.coverfox.com/jagoinvestor and buy the policies after comparing them !

  227. akshay says:

    hi,

    my father got angioplasty done in May 2014, he is 74 yrs old and now good in health.
    can i opt Nation insurance’s VARISHTHA HEALTH INSURANCE policy for him with critical illness option.
    or please share few more options with me.

    thanks
    akshay

    1. I am not sure if at this stage he can get any insurance or not. However let me connect you with our health insurance partner for this.

      Manish

  228. sagrika says:

    hi manish
    i had purchased reliance life care for u plan two years back. i am 33yrs and my husband 36yrs and child 2 yrs for 5 lac. now they send me renewal of your heal
    th plan form as my policy reliance life care for you plan has been withdrawn by IRDA. they advise me to continue with us with another plan reliance care for you advantage plan.
    what i should do? should i continue? or change plan with other company by portability. as public sector company oriental providing portability?
    your expert advise please.
    thanks in advance

    1. I think a better idea is to get a new health insurance now . You need a quality product for long term for your health insurance needs . I suggest leave your details on https://www.coverfox.com/jagoinvestor/ and you will get a proper guidance to choose the right product

      Manish

  229. Arun says:

    Hi Manish & Mahavir,

    First of all Thanks for your detailed information on each and every insurance policy. Your R&D helps many including me.
    I want you to throw some light on a thing which I heard. Some of my friends and relatives have had very bad experiences with the insurance companies, they concluded that whatever the claim is, the settlement received is very very less than the sum insured. My aunt who had her pace maker placed spent around 12L but was told that she will be receiving only 1L as claim settlement. But her Sum Insured is 3L. It has been around 1.5yrs after claiming she has not got her settlement. She is insured for about 6 years in the same company. This is her first claim. Is there any cap(which is not specified in their policy wordings) among the insurance companies to avoid their loss? If they are not following their own policies, how and to whom can we report to?
    Please provide your thoughts.

    1. ARun

      Truly speaking , most of the disappointment happens because of not understanding the policy rules. There are surely caps applied and its communicated before hand, if you read the policy 🙂 . Also it depends which company policy it is. Companies do not cover certain kind of expenses and illness and surely some charges like registration charges etc.

      Do your relatives have policies taken from banks with special tieups ?

      Manish

      1. Arun says:

        Thanks for your response. No. My relative has taken that policy during her employment. She is a government teacher(HM).

        It is totally acceptable that they(insurance companies) adhere to their policies. If they blame our medical condition to be experimental or say that its a preexisting disease(like the situations depicted in the documentary Sicko), to whom shall we report this? Definitely people suffering from health conditions cannot afford or practically take up the test to sue the companies legally.
        How helpful will be IRDA for people in those situations? Especially for delayed claim settlements… as the whole point of getting health cover is to handle the emergency situations when we are financially at stake…

        1. Its very helpful , but delayed help at times. If you feel that for any reason you are cheated or given bad service, you can surely claim your case against insurance ombudsman !

          Manish

        2. Hello Arun,

          We are willing to go through your papers and help guide you through the complaints process.

          You can send the scanned papers to me at mahavir@coverfox.com

          There are no charges for this. Free service for awesome Jago readers!

          Regards,
          Mahavir Chopra

  230. sameermadhok says:

    Dear admin/advisor
    Kindly suggest
    I am 28 male want to select health insurance plan for myself only of sa of 4-5lac kindly suggest me which company I should go for.
    Below r my few choices after go through the plans
    Apolo munich
    Oriental
    United insurance
    PS.. also email me the reply
    Regards
    Sameermadhok Dehradun

    1. Hi Sameer, you can look at Religare Care as the best option … But its a generalised suggestion and not customised to you . Its suggested that you study more on this . You can also take our professional help on this with a basic fees – http://www.jagoinvestor.com/services/health-insurance

  231. Aarti says:

    Hi Manish

    I want to buy family floater health insurance plan (Me+ spouse+ 1 child). It is the very first time I am going for any health insurance. Also I cannot pay mush premium, so please suggest me best health insurance plan for my family.

    Secondly, can I buy an individual health insurance for one of my family member, she is a diabetic and has very good control on this. Please suggest ..
    Regards

    1. Hi Aarti

      Just fill up this form , and you will get all the help from us on health insurance ! https://www.jagoinvestor.com/services/health-insurance#fill-form

      Manish

  232. Abdul says:

    Hi ,

    This Abdul from Hyderabad , before posted , which is best insurance company In Shaa Allah my city. More cashless hospital and faster claim sletalment

    Please as soon as replealy
    Thanking u

    1. You can go with Religare Care – If you need our professional support ,you can visit – https://www.jagoinvestor.com/services/health-insurance

  233. Subhajit Bhunia says:

    Hi, I am from Kolkata. My B-date is 26/04/1969. My wife’s is 02/12/1982. I want to buy a family floater of sum assured Rs. 5 Lac. There are some policies, renewable till life long & there are some till 65. Premium amount also varies from policy to policy & company to company without reasons much to my understanding. Kindly suggest 2-3 options, keeping in mind the benefits & premium amounts as well. I want to have us & our offspring (will arrive soon) covered for a maximum period of time without much hustle for a possibly low premium. Don’t have any significant diseases & don’t have plans for any operations in near future. Already have a group medi-claim plan of Rs. 1 Lac in office.

    1. You can look at policies like Religare , Max bupa , Oriental as options .. I am sending you a mail ..

  234. Abdul says:

    Hi,
    My mother age 47, she has already policy icici Lombard last 4 yrs. next month is renewal, that sum assure 2 lakhs , she is a diabetic and BP patient. I want increase the sum assure up to 10 lakhs, I go with super top up OR new policy . Which is way good suggest to me. If I go new policy which is best.

    Thanking you

    1. it would be tough to buy a new policy at this point of it. Its better to ask for the higher sum assured with the current health insurance company itself !

    2. I believe you should take a fresh new policy . Having a comprehensive health cover is more important

      You can take our professional help – http://www.jagoinvestor.com/services/health-insurance

  235. Abdul says:

    I am age 31. Sum assure 5 lakhs. I looking for heath insurance with my family, wife26, daughter. 3 , son 1.3yr. Best companies when claim settlement and easy cashless. I heard so many co. In which I confuse 1. Religare 2. Apollo Munich 3. Max pupa 4. Stare heath and united India , which co. is best. I go individual , 1+1, 1+ 2, which type policy choose. And 2+2 (sum assure 5 lakh) with super top up 10 lakhs. For super to up which is co. best. Like L & T. Will take two policy other co. in future will be get diabetic, doctor Told to me. Please be suggestion to me sir.

    Thanking u

    1. Hi Abdul

      YOu should just take one cover of 10 lacs, which would be a good choice !

  236. Puneet says:

    Hi,

    I’ve bought a cover of 5 Lacs with HDFC Ergo recently.

    Please advise if it is a good decision.

    Thanks

    1. Yea , 5 lacs is a good enough number . Atleast you are covered for some amount

      1. Puneet says:

        Thank you sir.

        Please advise if going with HDFC Ergo was a good decision as I hardly could find reviews on them.

  237. Anand says:

    Hi,

    I am looking to take a medical insurance policy for me and my family. Request you to share your mail id so that I can mail you my requirements. Any support would be appreciated.

    Thanks,

    Anand

  238. manasa mishra says:

    pl. don’t do such policy through any advisor.

  239. manasa mishra says:

    I have purchased a max buppa family floater plan on Feb 2014. where as undergone treatment for my son surgery at Chennai appollo and spend rs. 2lakh .though my son also cover rs. 3.0lakhs under that policy max buppa rejects completely my request through sms and I have paid all money. the statement was it was a born problem ,so policy won’t covers it.

  240. shashikanth says:

    Dear Manish,

    Firstly i wanna thanks for the valueable information shared on health insurance.
    Please need your suggestion immediately.
    I am searching forward to buying family floater newly.I am 31 years and my wife is 27 years.My daughter is about 3.3 years.
    Please suggest me good family floater Insurance for 4 to 5 lakhs.
    I am in urgent of buy the health insurance for my family.

    Thanks for good info about the Health Insurance.

    Thanks and Regards,
    Shashi

    1. Hi Sashikanth

      There are various options like Religare , Maxbupa etc , but you cant just pinpoint on one and say that its best . One needs to understand your personal requirement.

      Let me mail you on this to help you more

      Manish

  241. Anshul says:

    Hi,

    I’m 25 years old single and looking for a health insurance for myself for a cover of Rs.500000/-

    I already have a group mediclaim of Rs.300000/- from my employer.

    Any suggestions would be appreciated.

    Thanks!

  242. Krish says:

    Hi Manish,

    Can you help me … Currently I am having family floater from Oriental insurance for SA 10 lakhs…Now I am thinking of purchasing individual policy for 5 lakhs each for me and my wife. Which plan I should go for ?

    1. Hi Krish

      You can look at Religare or Max Bupa .. let me know if you plan to purchase it and we can help you on this .

  243. Shankar says:

    Hi ,

    I want to take medical insurance for my father who is 59 years old. While I worked in India, the company that I used to work provided insurance for my parents. Now I work overseas and I have to take medical insurance for my parents. They do not have any medical insurance till now apart from the one that has been provided by Company and it will expire this month.

    In addition to that I would like to mention that my father has history of hospitalization every year and he is diabetic, has rheumatoid arthritis. So I am mainly looking for policy which will cover preexisting ailments and provides good coverage as well.

    I would request to provide / suggest some policy on this.

    Thanks,
    Shankar

    1. Hi Shankar

      Mainly the policies which cover pre-existing illness does not exist, but lets see what best we can do . I am mailing you to schedule a call with you

      Manish

  244. Anurag says:

    Hello Manish,

    I am 28 & my Wife is 26 & my mother is 49, we don’t have any sickness as of date but as a preventive measure and also for Maternity or a policy which covers pregnancy hospitalization cost, which health care policy we can opt for future prospective,

    Thank You

    1. Hi Anurag

      Let me know more about this and we will help you

  245. Shailesh says:

    Hi

    We are a Family of 4- My wife & me are 49 years of age and two kids aged 22 & 20. I had the following policies.

    New India – 100000 each for my wife & me.
    Bajaj – 200000 each for my wife & me.
    Bajaj – 315000 each for my wife, me and 1 kid
    HDFC Ergo – 315000 each for my wife, me and the other kid.

    I made a blunder and missed renewal of HDFC Ergo and New India as I was very busy. I had a bad advisor and did not remind me once. Now I cannot renew. I need to take additional cover and want to take max cover possible for my Wife & me as well some cover for the kids.

    Please advise whether

    1. It would be a good idea to have just one main policy and 1 top up policy as someone advised or
    2. I can have two or 3 companies providing the cover and 1 top up cover. Please also advise which companies I should consider. I read some very informative comments and have shortlisted companies with Lifetime cover only.

    1. Have you completed this ? I would like to help you on this

  246. Roshan says:

    Hi Sir,

    I need to know if any Health Insurance Policy reimburses for Viral diseases and other general Hospitalizations. And if Appendicitis is covered in first year of Policy operation. I went through various Health Insurance Plans, so far could not find a better one where in General Surgeries are covered during the First Year.I dont think its of any use going for A Health Plan.I am exhausted reading Policy Wordings.

    1. No , there cant be any policy like that . I think you first need to understand the concept of insurance in general and what it is exactly . It will only cover the unexpected expenses and not the expected one’s !

  247. Sijo says:

    Hi,

    I would like to buy a family helath insurance policy (Looks like Appolo munich Easy health insurance plan almost matching). My question is, how do we ensure the approavl of from the insurance company in case of a hospitalization, which avoid the claime rejection later with a reason “Hospitalization was not required for the case”? Is there any simialr mechanism with any insurance company now?

    Your response will be greatly appreciated

    Thanks
    Sijo

    1. Hi Sijo

      If you are hospitalized as per the terms and conditions , then you can avoid the issues later, Let me email you on this

  248. Ketaki R says:

    Hi Manish,

    Like I read in above document, no pre-existing diseases are covered. My daughter is born with cardiac issue, so will she not be covered if I opt to add her in my existing health insurance policy? Or taking individual for her?
    Her treatment for cardiac is already done and she has recovered completely.

    Please pour in your thoughts.

    Regards,
    Ketaki

    1. Hi Ketaki

      The problem is that even if the illness is recovered , health insurance company might not include it in the list of things covered for the child, however anyways you should take the policy .

      1. Ketaki R says:

        Manish,

        then what would be best suitable? Oriental Happy Family floater? or Apollo Munich Easy health Family?
        Oriental does not cover existing illiness, while Apollo covers it

  249. Abhishek says:

    Hi Manish,

    My mother is 64 years old we bought a policy from MAX BUPA with a coverage of 5 and 4 lacs extra cover however the premium is very expensive do you think if it is possible for me to switch another company where the services will be good at the time of emergencies.

    Thanks & Regards
    Abhishek Ghai

  250. manohar says:

    Hi Manish,
    I am Ram, last year my son has under gone Intussusception surgery. If i take a health policy now howmuch time will it take for any insurer to cover for a surgery. Is there any insurer who will cover immediately or which insurer covers at the earliest for a surgery.

    1. I dont think they will ever cover it . Once a major illness has occurred, its never covered !

  251. Ankur Singla says:

    Hi Manish,

    Mys Self Ankur (Age: 39 DOB:july 1975) had my wife dob (may 1978 ) and two children of 10 and 4 year. I want to buy family floater policy. i had annual income of 5 lacs. From our family no body is suffering from any disease. but my and my wife fathers are suffering from High BP, diabetes , Cardiac problem. Please suggest a policy keeping these points in views. You can mail me also at: ankursingla29@gmail.com . Urgently waiting for response

    1. You can look at Oriental as an option !

  252. eyadram says:

    Hi Manish,

    Please suggest a health insurance for me (single,27years and in healthy condition).

    Thanks and Regards//
    Ramesh

    1. You can look at Max Bupa , Religare Care !

  253. Achin Agrawal says:

    Hi Manish,
    My Father is 61 and my mother is 58.
    My co. is providing an insurance of 5L (1L per person and 4L from family buffer) to parents on 9k per person Vidal Health TPA…formerly TTK Healthcare TPA Pvt. Ltd.
    Is this a good or should I opt for an external co?
    Which external company would you suggest?

    1. You can check for Oriental or Religare Care !

  254. Avdhut Nbandhe says:

    Hi Manish,

    I have Group medical insurance for 1.5 lakhs from my company for dependents & spouse. I don’t think this is enough in today’s world, should i go for a new health insurance or add topup? So which insurance would you suggest as my current insurance provider is ttk healthcare.
    My mother is 60 & father is 69.I also want insurance which should cover all maternity related charges & new born baby expenses.

    Moreever please suggest are OPD charges are covered under any health insurance & if covered what are they.

  255. Anup says:

    Dear Sir,

    My father age is 58 & mother age is 52, please suggest me best mediclain policy .

    Thanks

    1. Oriental would be a good choice !

  256. Arun says:

    Hi. I have taken health insurance policy for my mother from NIC. She has been suffering from Hepatitis C (HCV). Policy has bee taken from corporate so it covers pre-existing diseases as well. For HCV treatment, no hospitalisation is required. Treatment will go on for 48 weeks with weekly injection which costs around Rs. 8000/injection. Could you please suggest if insurance companies cover such treatments?

    1. Yes they will cover these treatments , but they should be happening later after taking the policy .. they should not be already happening ,else they will not be covered !

  257. Manmohan singh says:

    hi sir
    My name is manmohan singh.My Eye sight is very week so any company which cover laser or other treatment for the same.
    Thanks

    1. I dont think it will be covered at all . Note that insurance is all about covering unexpected, not the known things !

  258. Rameshkumar says:

    Hi,
    This is Kumar. I have New India Mediclaim 2007 policy for last seven years. Sum assure of 1.5L each in 4 of my family (spouse and 2 kids) and 1.5L for my mother. Next month is my renewal, I wish to increase the sum assured, and hence can I go for family floater policy (or) convert in to Mediclaim 2012 policy.
    I knew that in family floater mother can’t be included. Hence mother can be continuing the same policy.
    I am expecting your valuable suggestion.

    thanks.

    1. Have you talked to company on this .. is it possible to increase it ?

      1. Rameshkumar says:

        Hi Manish,
        Yes it’s possible. pl. suggest which is best option ?

        Rameshkumar

  259. Srinivas says:

    Hello Manish,

    Oriental hiked their price. See below. Now for 3L coverage premium is Rs.11852.
    Earlier it was Rs 6597. My dad’s age is now 57. do you think this is still a good bet ?

    This is to inform you that Oriental has revised the premium for Happy Family Floater. Now the premium will get calculated according to Senior Most Member’s age. Hence there is a difference in the premium as compared to last year

    1. Yes I know ..

      Even I have that for my father and myself and even I have gone for the revised premium .. go for it ! . Nothing wrong !

      Manish

  260. Krishna says:

    Hi Manish,
    I have Group medical insurance for 2.5 lakhs from my company for self+spouse+1child. I don’t think this is enough in today’s world, should i go for a new topup insurance or new group medical insurance? If either of one, which insurance would you suggest as my current TPA is medimanage and planning to go for another 3 lakhs.

  261. Balaji says:

    Hi Manish,
    please suggest good policy for my father 59 years 11 months old, suffering from diabetis

    Thanks .

  262. goru.ravindra says:

    Hi Mahavir,

    Very useful article to work on health insurance. I have confusion like which company should i opt for if i want to cover for my parents and me (father age 49 , mother age 45 my age 26). Now i can invest upto 15000/- per year approxmately.

    Kindly suggest good plan. Thank you

    1. Oriental is a good one !

  263. Sushil says:

    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?

    1. 1. Yes, that looks a good idea

      2. There is nothing like best, its all about which company you trust more than other and features you like, Dont over think on this .. go take action !

  264. Sushil says:

    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

    1. Sushil

      First, do you know difference between a health insurance plan and a critical illness plan ?

  265. poonam says:

    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

    1. It a great thought .. You can take a plan from any good health insurance company like Religare Health Insurance or Oriental or Max bupa ! ..

  266. ks2410 says:

    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.

  267. vian says:

    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

    1. 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 ?

  268. Simran says:

    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.

    1. I can suggest you Oriental Health INsurance … its a good company with good plan , reasonable premium !

  269. mani says:

    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.

    1. You can go for Oriental , you dont need medical upto 60 yrs in that !

  270. Deepak says:

    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.

    1. 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

  271. 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/-

    1. Yes, you can get a better deal from other companies like BANKS, but features and service will not be that great !

  272. Satts says:

    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

    1. IHO is not a health insurance company, better go with a proper health insurance company only

  273. PRAMOD KUMAR says:

    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

    1. Oriental is one good bet !

  274. kumar says:

    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

    1. YOu should go for Religare Care

  275. Asheesh says:

    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

  276. Nilesh says:

    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.

    1. You can go with Religare Care !

  277. sarayu says:

    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?

  278. somashekar says:

    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

  279. Daxesh says:

    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.

  280. Ajay says:

    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

  281. Jagadeep vudatha says:

    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

    1. Hi Jagadeep

      I think you should go for Oriental Happy Family Floater Policy !

  282. Sushil says:

    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.

    1. 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

  283. ANNAMALAI says:

    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?

  284. Amol says:

    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

    1. I think a good option for your feature and premium wise would be Oriental Happy Family Floater policy !

  285. vikram says:

    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

    1. Religare , Maxbupa , Appolo , all are good options !

  286. Hariharan says:

    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

    1. Yes, they will have to take up the medical exam ! as directed by company

  287. Anil says:

    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 .

    1. Better take a single policy from any good company like Oriental , Max Bupa or Religare for 6 lacs . Rather than multiple !

  288. Hariharan says:

    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

    1. I suggest Oriental health insurance to you !

      Manish

  289. Guru says:

    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.

    1. I suggest you look at Oriental Health Insurance Family Floater plan for 6 lacs covereage

  290. Sourabh says:

    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)

  291. praveen says:

    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

  292. Sayan says:

    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?

    1. You can choose anyone and other will not affect . You should first choose the group cover !

  293. sanjay_k_shah says:

    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

    1. 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 !

      1. Sanjay says:

        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

        1. 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

  294. R Sen says:

    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…

    1. What was the reason for refusal ?

  295. Prem says:

    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

  296. Divya Goswami says:

    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.

    1. a) yes, you can continue the policy

      b) Dont take action only thinking tax exemption point of view ..

  297. manjunath.hugar says:

    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

  298. Balamurugan says:

    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?

    1. No , its not possible and you should not even aim for it . Because its not for returns , its for protection only

  299. Macbeth says:

    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.

  300. Sahil Doshi says:

    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?

  301. sudheep says:

    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

    1. You can also try with Oriental

  302. Abhimanyu M.P. says:

    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

  303. Abhimanyu says:

    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

    1. 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

  304. KR says:

    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.

  305. S Zainvi says:

    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.

  306. deepak says:

    Dear Sir,

    Thanks for providing precious information regarding health insurance.

    Thanks & Regards,
    Deepak Singhal

  307. Milind says:

    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.

    1. Thanks for sharing that !

  308. sudheep says:

    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

    1. Hi Sudheep

      Please open a thread on our forum to discuss this – http://www.jagoinvestor.com/forum

  309. Dev Mehra says:

    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 🙂

    1. You can look at Oriental Happy Family Flaoter

  310. Rahul says:

    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

    1. I generally suggest Oriental Family Floater for old people .

  311. Deepak Jain says:

    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

    1. 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

  312. Prakash Dhabadi says:

    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

    1. Religare Care is a very good option . ANother good one is Oriental Happly Family Floater

      1. Prakash Dhabadi says:

        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

        1. You need to look at both and decide after looking at features !

  313. SHANU says:

    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

    1. 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 !

  314. Himanshu Sood says:

    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

    1. You should then check out Religare Care or Oriental Happy Family floater !

  315. Vinay says:

    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

  316. Manjunath says:

    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

    1. Yes, its a good decision .

      Please check Religare Care for your self or Oriental Family Floater

  317. Hanumanth says:

    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.

    1. Oriental is a better one

  318. Sindu says:

    must add to it. i suppose,so far we are free from any known disease

  319. Sindu says:

    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 !!!

    1. You should take a proper health insurance policy ! like Religare care !

  320. adarsh says:

    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 .

  321. Shankar R says:

    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.

    1. You should take a Religare Care family floater for yourself and wife/children and for your parents take from Oriental

      1. Sam says:

        Hi Manish , Self (39), Wif6e (37), Kids: 6 yrs and 3 yrs old. Father (71) diabetic, Mother (63) BP issues…. can you suggestsome health insurance policy ? Also for personal accident bajaj doesnt cover the kid below 5 yrs, is it ok to go for apollo ? how is their track record ? thanks, Sameer

  322. Nirav says:

    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

    1. 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

      1. Nirav says:

        Thanks Manish,

        Any idea about the recent update by New India Assurance regarding standardizing the premium?

        Thanks
        Nirav

        1. Can you share more about it ?

          1. Nirav says:

            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

            1. Thanks for the link , Will have a look

  323. Prasenjit says:

    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)

      1. Prasenjit says:

        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..

        1. Dont look at mouthshut. Its so easy for a competitor to create a fake id and put all negative things ! .

          1. Prasenjit says:

            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?

            1. Just go for 1 term plan and 1 health insurance plan . That should be good enough

  324. jb says:

    I am a single mother aged 42 with a son aged 7.5 years. which medical insurance will be good for us?

    1. I think you should opt for Religare Care or Oriental !

  325. Ajju Sridhar says:

    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

    1. Yes, in that case you can go ahead with Max Bupa .

      1. Ajju Sridhar says:

        THANKS A LOT SIR 🙂

  326. ajju sridhar says:

    Dear Sir,

    Sorry i forgot to mentioned my mom & dad ages

    My mom : 52

    My dad :60

    So, please awaiting for your quick response

  327. ajju sridhar says:

    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

  328. Ritesh says:

    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.

    1. Did you try Oriental Happy Family Floater ?

      1. Ritesh says:

        Hi Manish,

        No, I have not tried Oriental. I have only tried Religare Health insurance and it has been rejected.

        1. Then go for oriental , being a PSU, it might give you with higher probability

          1. Ritesh says:

            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?

            1. Its a lifetime policy !

  329. Rajesh says:

    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.

    1. I would recommend you to look at Oriental and Religare Care once !

  330. Sundeep Rai says:

    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

    1. Mahavir Chopra says:

      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

    2. I think Religare Care would be a very good option for you

  331. Shyam says:

    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,

  332. SUDHAKAR says:

    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

    1. You can go with Oriental in that case

  333. Sreejith says:

    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). 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.

    1. What is this standard plan , what is its definition ?

      1. Sreejith says:

        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

        1. Mahavir Chopra says:

          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

  334. Amee says:

    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

    1. 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

  335. sandeep says:

    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

    1. Oriental is a good option to try !

  336. Bhagwant says:

    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

    1. Try out some options like Religare Care and MaxBupa !

  337. Jayanthi says:

    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

    1. I would say try for Oriental !

  338. Vicky Panchal says:

    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

  339. Ajay says:

    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.

  340. sameer says:

    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.

  341. Damandeep Thakur says:

    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?

    1. We dont have enough information on the claim process for new companies, however I can say you can go with Aviva, HDFC , kotak !

      1. Damandeep Thakur says:

        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?”

        1. 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 .

  342. suria unnikrishnan says:

    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?

    1. Oriental is a good one !

  343. Vijay says:

    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

    1. I think you should still go with Religare . What if you cant switch later ?

  344. Ankit Bansal says:

    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

    1. You can look at Religare Care or Max Bupa

  345. rakesh says:

    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…

    1. Check with Max Bupa or Reliance Care !

  346. Pingback: 7 Great Tips for Smart Savings
  347. Malyadri says:

    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

    1. Oriental is a good one

  348. Amit says:

    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..

    1. Hi Amit

      Nice website I must say .. are you guys building this ?

  349. Madhusudan says:

    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

    1. 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 .

  350. Hemanth says:

    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.

    1. 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 !

  351. Ashutosh says:

    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.

    1. 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

      1. Ashutosh says:

        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 .

        1. 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

  352. Mothiram says:

    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

    1. Mothi

      It wont be covered if its already planned and expected

  353. Senthil says:

    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

  354. anshu says:

    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

    1. 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 !

  355. vivek says:

    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 🙂

    1. Good idea to cover them at a younger age. I would say go for Religare Care !

  356. maryanto simon says:

    Moreover I’m in trivandrum and I’ll be needing a family coverage.Thanks

  357. maryanto simon says:

    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

    1. Go for Oriental !

  358. rahul kothari says:

    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

    1. Oriental and Religare care is a good option

  359. Prashant says:

    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

    1. Oriental is a good option .

      1. Prashant says:

        Thanks, so for how many years should I take the coverage ? is 2 lakh each per person fine or less ?

        1. 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 !

  360. Varaprasad says:

    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.

    1. Oriental is a good option !

  361. Ashis says:

    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,

    1. Oriental seems to be better !

  362. tarun says:

    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

    1. You can look at oriental !

  363. prakash says:

    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

    1. I think you can get it from Oriental !

  364. Vishal Jain says:

    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.

    1. Mahavir Chopra says:

      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.

  365. Arijit says:

    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

    1. Religare is good . however for aged people , Oriental is suggested

      1. Arijit says:

        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.

  366. sandip says:

    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??

    1. 1. it will depend on the company , if they agree to this .

      2. It can be told by company only , not us !

      1. Sandip says:

        Thanks Manish for the reply. But I don’t understand what you want to Conway. Kindly explain me in more detail.

  367. sree raj says:

    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.

    1. You mean health insurance policy ?

  368. manoj says:

    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…

    1. YOu can take from other insurer , if you do not feel comfortable with them , but I dont see much issue

  369. Sandeep Kumar Bhadra says:

    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.

    1. Religare Care is a good option

  370. Chanchal says:

    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.

    1. Yes almost all the policies cover maternity , but after 3-4 yrs

      1. Chanchal says:

        What will the best option with hassle free claim

  371. Minnu says:

    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

  372. Gaurav Beniwal says:

    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.

    1. Mahavir Chopra says:

      Hello Gaurav,

      Consider ICICI Complete Health, Max Bupa Family First, Oriental Happy Family Floater, Religare Care.

  373. janardhan says:

    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

    1. I am not sure what are you talking about ?

  374. janardhan says:

    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 .

    1. No policy will cover it

  375. Raj says:

    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.

  376. karthik says:

    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

    1. Thanks for that info

  377. Debyuti Bhadra says:

    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.

    1. Oriental is a good one

  378. Sameer says:

    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?

    1. Sameer

      We wrote a detailed article on multiple claims in health insurance, read it here – https://www.jagoinvestor.com/2013/04/getting-claim-from-multiple-health-insurance-policies-rules-and-process.html

  379. Mrinalini says:

    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

  380. abhishek says:

    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?

    1. there are policies like that, but there are restrictions also

  381. SJA Rizvi says:

    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)

    1. I think you can take Religare Care for your family

  382. Vikas Gupta says:

    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

    1. Vikas

      You can also look at Religare care

  383. Kevin says:

    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

    1. You can get her covered, but I dont think her already existing illnesses are going to be covered !

  384. Abhishek says:

    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

  385. Binnu says:

    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

    1. Binnu

      Dont you have options like Max Bupa or Oriental at your place ?

      1. Binnu says:

        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?

        1. That you will have to enquire with each companies and check their wordings and see if you are ok with them

          1. Binnu says:

            okay that would be very helpful for me. plz check and inform me the policy name also.

  386. praveen says:

    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

  387. lokesh chandrakar says:

    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

  388. sonali says:

    I want health insurance for my parents. please suggest which will be good.
    1. Mother : 52 years
    2. Father: 59 years (cardiac patient)

    1. Check with Oritental

  389. riyaz says:

    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

    1. Riyaz

      You can check out plans from Religare Care , Apollo

  390. Riyaz says:

    My age 55 wife 45 suffering from thyroid, bp, diabities which policy if good for both of us

    1. Check with Oriental , if they want to give it to you !

  391. Deepankar says:

    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.

    1. Oriental would be a good choice !

  392. Syed Rizvi says:

    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.

    1. You can look at Religare Care as an option !

    2. Imran khan says:

      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

  393. vinayagamoorthi says:

    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.

    1. Some good options are Religare Care and Apollo Optima Restore !

  394. mitesh says:

    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…..

    1. U can get a 10 lacs cover from Religare Cover !

  395. Raghu says:

    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

    1. WHy dont you take a pure health cover seperatly and an accidental cover sepertely !

      1. Raghu says:

        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

        1. What is confusing you in the policy document ?

  396. Navneet says:

    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 .

    1. Navneet

      If its not a health insurance plan, then you better get a proper health insurance plan !

      1. Navneet Sehgal says:

        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

    2. Mahavir Chopra says:

      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.

  397. Priyanka says:

    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.

  398. Dr Madhusudhan says:

    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?

    1. There is no need to include them in your policy , their seperate plan is fine !

    2. Bhavani says:

      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.

      1. 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 !

  399. RITESH says:

    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.

    1. Mahavir Chopra says:

      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.

      1. RITESH says:

        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…

        1. Yes, all the things will happen as per terms and conditions

    2. Its a group health cover and has lots of issues. Better do not go with it !

  400. jayatheertha says:

    hi,

    i wanted to take a health policy for my mother who is 60 yrs,,,which is the best poicy to take?

    1. Mahavir Chopra says:

      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.

  401. Raj says:

    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.

  402. Priya says:

    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.

    1. 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.

      1. Priya says:

        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.

        1. Mahavir Chopra says:

          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,

  403. Kailash Dhyani says:

    Hi
    i want health policy. Please suggest which plan should i buy apollo munich, LIC jeewan arogya of religare health care for family.

    thanx

    1. Religare is a good one

    2. Mahavir Chopra says:

      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.

  404. Anand says:

    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.

    1. Anand

      If its a major illnesss, there will be no health insurance company which will cover it .

    2. Mahavir Chopra says:

      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

  405. Pratik says:

    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…….

  406. Dr. Surbhi Sharma says:

    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

    1. Mahavir Chopra says:

      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

      1. Dr. Surbhi Sharma says:

        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

        1. You can look at Oriental Happy Family Floater

    2. Dr. Surbhi Sharma says:

      Thanks. i will check it out.

  407. Raj says:

    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.

    1. It will depend on a lot of things .. however oriental is a great option I must say!

  408. Anup says:

    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.

    1. 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 !

    2. Mahavir Chopra says:

      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 .

  409. Vikash says:

    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.

    1. You can look at 3 options ‘

      Oriental , Religare or Apollo !

  410. Chandra says:

    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.

    1. 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 .

  411. SANJAY says:

    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

  412. Dushyant says:

    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

    1. Mahavir Chopra says:

      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

    2. You can look at options like Religare Care or Appolo Optima Restore !

  413. Raj says:

    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..

  414. Krishnan Unni says:

    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

    1. Why dont you ask wife to take it on her name !

  415. SGupta says:

    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.

    1. A good policy can be from oriental happy family floater !

  416. Sujay says:

    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

  417. amit kumar says:

    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…

    1. You can go with oriental !

  418. Rajendra says:

    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.

    1. Yes, this is possible .. If you take a super top up of 5 lacs, then you can claim upto 7 lacs !

  419. Prashant says:

    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.

    1. You can opt for a minimum cover of Rs 5 lacs through oriental happy floater policy . It will suit your situation

  420. Harsh Singh says:

    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

    1. You have to check the portability possibility for your policy !

  421. TD says:

    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.

    1. Yes.. any health policy which covers them only cover illness from 3-4th year. Its a standard practice !

  422. Deepak says:

    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

    1. Deepak

      There are other plans as well like Oriental Family Floater or from Religare . Did you look at it

  423. Tushar says:

    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

    1. Hi Tushar

      There are tons of health insurance plans these days .. why not go for Apollo or Religare !

  424. Javed says:

    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

  425. Arjun says:

    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

    1. Oriental Family floater would be a good choice !

      1. Kannan says:

        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.

        1. Havent looked at it for now …

        2. yashvardhan says:

          Hi Manish,

          You should go for maxbupa health because i belive this is the best plan

  426. Amartya Ghosal says:

    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

  427. K Ashok says:

    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

    1. She can get some plans like from Apollo ! or Max Bupa !

  428. premanand says:

    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

    1. There are lots of policies which fit your requirement like Max Bupa , Oriental , Bharti AXa

  429. Bhushan says:

    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

    1. Mahavir Chopra says:

      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.

      1. Bhushan says:

        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

        1. Mahavir Chopra says:

          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.

  430. amitava das says:

    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?

    1. 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 ?

  431. Amit says:

    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

    1. Mahavir Chopra says:

      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.

  432. Sibin says:

    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

  433. Deepika says:

    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

    1. Deepika says:

      Thanks Manish

    2. ANIMESH says:

      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

      1. Animesh

        Is it a pure health insurance plan or more of a cash hospitalization plan ?

  434. pankaj says:

    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

    1. There are good options like Apollo Munich, Oriental etc

      1. Pankaj says:

        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

  435. Triveni Ganta says:

    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

    1. There are some good one from Apollo or Oriental

  436. Bal Kishan says:

    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

    1. 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 .

  437. nivas says:

    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.

    1. What you have is good enough !

  438. Malagouda says:

    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

    1. YEs there are, but the problem is now the premium will be very high , especially for your father as he has crossed 60 .

  439. Vishal Sharma says:

    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..

  440. M.s Singh says:

    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 !

  441. Nitesh Kumar says:

    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

  442. Srikanth says:

    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

    1. The best time is NOW . Go for it ! ..

    2. Mahavir Chopra says:

      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,

      1. Srikanth says:

        Thats great. Thanks a lot for your suggestions.

  443. Kaushal Bhandankar says:

    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.

  444. rajesh says:

    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.

    1. Mahavir Chopra says:

      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.

    2. Bharti Axa is a good option I would say !

  445. Abeon Augustine says:

    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 .

    1. Mahavir Chopra says:

      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.

    2. You can look at Bharti Axa and Apollo .

  446. Mukesh beri says:

    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.

    1. Mahavir Chopra says:

      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.

    2. Yes Oriental is a good one !

  447. Deepak says:

    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

    1. Mahavir Chopra says:

      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.

  448. Amritsingh says:

    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

    1. Mahavir Chopra says:

      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.

  449. chirag says:

    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.

    1. Better talk to them directly , I am not sure if they are watching comments section now 🙂

  450. Parikh says:

    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.

    1. You can look at Maxbupa , Apollo and options like Bharti Axa !

  451. Narendra Pratap says:

    Hi ,

    I want health insurance for my parents.

    Father – 61 yrs
    Mother – 55 yrs

    Which Policy would be a better option ?
    Please Guide .
    Thanks.

    1. You can look at Apollo Health insurance policies !

  452. Karan Tanwar says:

    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.

  453. chandra bhooshan jaiswal says:

    i am 47, my wife is 43, my son is 5. plz recommend us for health insurance

    1. go for Maxbupa or Apollo

  454. Rahul Bhoyar says:

    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

    1. 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 !

  455. P Nagarao says:

    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

  456. deepak vasudeva says:

    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

    1. Deepak

      Start a thread on our forum for this – https://www.jagoinvestor.com/forum/

  457. Sumit says:

    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.

    1. You can then look at Apollo Optima Restore policies

  458. Vikas Prasad says:

    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

  459. Vikas Prasad says:

    Hi Mahavir / Manish

    Where can I find a good un-biased health advisor?
    I prefer face-to-face interaction

    1. Vikas

      I think it will be tough . I dont know many !

  460. Ankit Sharma says:

    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

  461. Vikas Prasad says:

    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.

    1. Mahavir Chopra says:

      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.

      1. Vikas Prasad says:

        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?

        1. Mahavir Chopra says:

          Yes, that is the right way to go. All the best.

          Regards,

          Mahavir Chopra

  462. rajath says:

    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.

    1. Rajath

      You can look at Apollo policies

    2. Mahavir Chopra says:

      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.

      1. rajath says:

        Thanks for the suggestions ,it would be greatful if u guys are able to pin down exactly which will suit ma needs.

        1. Mahavir Chopra says:

          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.

  463. Bharath says:

    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

    1. Bharath says:

      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

      1. Bharath says:

        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

        1. Bharath

          Not heard much review about it

  464. Ashok Gupta says:

    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.

    1. Thanks for your experience !

  465. sandeep says:

    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

    1. 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

  466. srihari says:

    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

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

  467. pria says:

    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.

    1. Priya

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

  468. Ramesh says:

    Please advise if HDFC Ergo Health Insurance can be opted?

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

    2. Why not , if you are comfortable with its terms !

  469. thomas says:

    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

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

  470. Sanjeet says:

    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.

    1. 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

  471. 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.

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

  472. Darsh says:

    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.

  473. Vinayak says:

    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

  474. mahesh k pawar says:

    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.

  475. Neelesh says:

    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.

    1. Neelesh

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

      1. Neelesh says:

        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.

        1. Neelesh says:

          My Company Policy is National Insurance

  476. Devinder Kumar says:

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

    1. Happy family floater policy

  477. Devinder Kumar says:

    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

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

  478. VAIBHAV SARAF says:

    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

  479. Abhinav says:

    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 https://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

    1. Abhinav says:

      Thanks Manish.
      I am already in touch with them.

  480. Rajul Dixit says:

    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

  481. Veer says:

    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.

    1. 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

  482. Monideepa says:

    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.

  483. Sunil says:

    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?

  484. Lokesh says:

    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.

  485. balasubramanian.b says:

    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.

    1. Balasubramanian

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

  486. Rasik Bapotra says:

    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.

  487. Anil says:

    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.

    1. 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 !

  488. Bharath says:

    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

    1. Oriental Family Floater is a good one !

    2. Mahavir Chopra says:

      Hello Bharath,

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

  489. Krishna Prasad says:

    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

    1. 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

      1. Krishna Prasad says:

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

        With best regards,
        Krishna

        1. Mahavir Chopra says:

          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

  490. VIRENDER SINGH GUSAIN says:

    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

    1. Virendra

      What else is your requirement ?

  491. mahesh says:

    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

  492. Mansing Chavan says:

    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

    1. Mahavir Chopra says:

      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

      1. Mansing says:

        Thanks Mahavir.

  493. Minu says:

    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

    1. Mahavir Chopra says:

      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,

      1. Sameer says:

        Dear Mahavir, Bajaj’s accident policy doesnt cover kids below 5 years of age. I have two kids one is 6 and the other is 3. How is the record of Apollo Munich ? Shall i buy Bajaj for 3 of us and Apollo for the youngest kid ?

  494. Imon says:

    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

    1. Imon

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

  495. divya says:

    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

    1. divya says:

      Thank you so much! Will do so.

  496. Sam says:

    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.

    1. Mahavir Chopra says:

      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.

  497. selva says:

    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

    1. Mahavir Chopra says:

      Hello Selva,

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

  498. Sushanta says:

    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.

    1. Mahavir Chopra says:

      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)

  499. Lakshmi says:

    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

    1. Mahavir Chopra says:

      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.

  500. Priyanka says:

    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

    1. Mahavir Chopra says:

      Hello Priyanka,

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

  501. Rajesh says:

    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?

    1. Mahavir Chopra says:

      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.

      1. Rajesh says:

        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.

        1. Rajesh says:

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

    2. Yes Rajesh

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

  502. Rajesh Pai says:

    thanks manish.

    I will cantact medi manage for the same.

    Rajesh

  503. Rajesh Pai says:

    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

  504. Rajesh Pai says:

    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

  505. Mahavir Chopra says:

    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.
    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,

    1. Mahavir Chopra says:

      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.

      1. Mahavir Chopra says:

        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.

        1. Mahavir Chopra says:

          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,

  506. sumant says:

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

  507. Rajesh Pai says:

    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

    1. Mahavir Chopra says:

      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,

  508. Abhijeet says:

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

  509. RAGHAVAN.M.S says:

    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

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

    2. Mahavir Chopra says:

      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,

      1. Abhijeet says:

        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

        1. Abhijeet says:

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

  510. Abhi says:

    waiting for a reply from you mahavir

  511. Abhijeet says:

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

  512. Abhijeet says:

    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……….??!!??

    1. Mahavir Chopra says:

      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.

      1. Abhijeet says:

        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 ?

        1. Mahavir Chopra says:

          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.

          1. Abhijeet says:

            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 . .

            1. Abhijeet says:

              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??
              ???

            2. Mahavir Chopra says:

              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.

  513. Sashidhar says:

    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

    1. 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

  514. arun chadda says:

    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.

  515. arun chadda says:

    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.

    1. Mahavir Chopra says:

      – 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.

  516. Shridhar says:

    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

  517. jagadish says:

    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

    1. Mahavir Chopra says:

      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.

  518. vidhi says:

    Thanks Mahavir.

  519. Mahavir Chopra says:

    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

  520. vidhi says:

    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

    1. Mahavir Chopra says:

      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

  521. Dr Prashant Dahire says:

    Hi

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

    1. Subhrajyoti Choudhury says:

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

      1. Dr Prashant Dahire says:

        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.

        1. Dr Prashant

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

          Manish

  522. LICAgentJaved says:

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

  523. Pravin says:

    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.

    1. Pravin

      Better contact medimanage.com on this

      manish

    2. Mahavir Chopra says:

      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.

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

  524. Mahavir Chopra says:

    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.

    1. vignesh says:

      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

  525. vignesh says:

    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

  526. Subhrajyoti Choudhury says:

    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 ?

    1. Mahavir Chopra says:

      Subhra,

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

  527. Vinay Maithani says:

    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

    1. 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

  528. Chandra Sekhar Sharma says:

    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 .

    1. LICAgentJaved says:

      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

      1. Chandra Sekhar Sharma says:

        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.

  529. LICAgentJaved says:

    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

  530. Chandra Sekhar Sharma says:

    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 !!!

    1. Mahavir Chopra says:

      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. 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.

  531. deepak says:

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

  532. Mahavir Chopra says:

    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.

    1. LICAgentJaved says:

      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

      1. LICAgentJaved says:

        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

  533. deepak says:

    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

  534. mukesh gupta says:

    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

    1. 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

  535. Gaurav says:

    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

    1. 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

  536. Abhilasha says:

    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

    1. 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

  537. kamal says:

    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

  538. Mahavir Chopra says:

    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,

  539. kamal says:

    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

  540. gagan says:

    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.

    1. Mahavir Chopra says:

      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.

  541. Mahavir Chopra says:

    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.

    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,

    1. Kartik says:

      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

      1. Mahavir Chopra says:

        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.

  542. Kartik says:

    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

  543. Gaurav Girdhar says:

    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

    1. Mahavir Chopra says:

      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,

      1. Gaurav Girdhar says:

        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

        1. Mahavir Chopra says:

          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

  544. Mahavir Chopra says:

    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.

  545. JOE Manuel says:

    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)

  546. Dr. Prashant Dahire says:

    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

    1. 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

      1. Dr Prashant Dahire says:

        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.

        1. 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

          1. Dr Prashant Dahire says:

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

            1. 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 ?

            2. Dr Prashant Dahire says:

              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….

  547. Hemant R says:

    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.

    1. Mahavir Chopra says:

      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.

  548. Rajiv says:

    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

    1. rajiv girhotra says:

      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

      1. Mahavir Chopra says:

        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.

  549. thasleem says:

    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

  550. Vinay Joshi says:

    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.

    1. Vinay Joshi says:

      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.

      1. 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

  551. zubair says:

    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

  552. BKM says:

    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

    1. BKM says:

      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

      1. Mahavir Chopra says:

        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: https://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, https://www.jagoinvestor.com/2011/08/action-month.html – and ensure you take action on taking your own personal mediclaim.

        Good luck.

  553. Sanju says:

    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..

    1. Sanju

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

      Manish

  554. Mahavir Chopra says:

    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.

    1. Hitesh says:

      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

      1. Hitesh says:

        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

        1. Mahavir Chopra says:

          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.

          1. Hitesh says:

            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

            1. Hitesh says:

              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

            2. Mahavir Chopra says:

              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.

            3. Hitesh says:

              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?

  555. Hitesh says:

    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

  556. Mahavir Chopra says:

    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.

  557. vishal says:

    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.

  558. mahavir chopra says:

    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.

  559. vishal says:

    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

  560. Mahavir Chopra says:

    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.

    1. Zubair says:

      Hi Mahavir,
      Based on your suggestion i have decided to go for a 7lac oriental happy family floater. 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

      1. Mahavir Chopra says:

        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.

        1. Zubair says:

          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

          1. Mahavir Chopra says:

            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.

            1. zubair says:

              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

            2. zubair says:

              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

  561. zubair says:

    Hi mahavir,
    I am in the process of buying family floater
    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

  562. Dr Prashant Dahire says:

    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

    1. Dr Prashant

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

      Manish

    2. Mahavir Chopra says:

      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

      1. Dr. Prashant Dahire says:

        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

  563. Shailesh says:

    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.

    1. 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

  564. Atul says:

    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

    1. Mahavir Chopra says:

      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.

  565. Prakash says:

    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.

  566. zubair says:

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

    Thanks
    Zubair

    1. Mahavir Chopra says:

      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

  567. Prashant says:

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

    1. Mahavir Chopra says:

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

  568. Prashant says:

    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

    1. Mahavir Chopra says:

      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.

  569. mukul says:

    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?

    1. Mahavir Chopra says:

      Hi Mukul,

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

  570. anshuman says:

    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.

    1. Mahavir Chopra says:

      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.

      1. anshuman says:

        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???

        1. 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

        2. Mahavir Chopra says:

          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.

  571. Abhishek K says:

    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

    1. Abhishek says:

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

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

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

  572. AGB says:

    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.

    1. Mahavir Chopra says:

      Hi AGB,

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

  573. AMIT DOSHI says:

    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 .

    1. Mahavir Chopra says:

      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.

      1. AMIT DOSHI says:

        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?

        1. Mahavir says:

          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.

          1. AMIT DOSHI says:

            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…

  574. Viraj says:

    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.

    1. Mahavir Chopra says:

      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.

  575. Sujit Singasane says:

    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

    1. Mahavir Chopra says:

      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….

      1. Kalinga Kumar Rout says:

        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.

  576. deepak says:

    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

    1. Mahavir Chopra says:

      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.

      1. Jig says:

        What I know and inquired, NRI are not eligible to take health insurance in india. These are offered to only Resident Indians as per MediManage.

        Let me know if i misunderstood the requirement.

        Thanks

        JD

        1. I dont think its correct

        2. Hello @Jig

          A look at the Policy terms of most Insurance companies do not restrict NRIs from buying Health Insurance in India. They only restrict that the treatments are carried out in India, and the jurisdiction in case of a dispute is India.

          I have still asked certain Insurance companies to provide their official stand. Will update in a few days.

          Regards,
          Mahavir / http://www.coverfox.com/jagoinvestor

          1. jd_dahe says:

            Well,
            I have rechecked as it create doubt in our mind. It is giving same response on website. How i can attach if i need to post it here? Manish can you help me in that?
            Or Simply try to get quote on MediManage with Non Resident option.

            Thanks Mr.Mahavir for taking it to get clarified directly from the insurance and i think that will be the best way to get confirmation on NRIs.

            Thanks & Regards
            Jig

  577. raj says:

    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

  578. raj says:

    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

    1. Mahavir Chopra says:

      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.

  579. Kishore says:

    Nice article! Very informative!

    1. Mahavir Chopra says:

      Thanks Kishore.

  580. SHAKIL SHAIKH says:

    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….

    1. PARKASH CHAWLA says:

      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

    2. Shakil Shaikh says:

      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

      1. Mahavir Chopra says:

        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.

      2. Ravi says:

        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.

        1. Ravi

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

  581. Rakesh says:

    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

    1. Mahavir Chopra says:

      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.

      1. rah80 says:

        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

        1. Mahavir Chopra says:

          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,

          1. rahchand says:

            Ok so middle men here also.

          2. Shashs says:

            I have a medical insurance and have completed 4.5 years. Before taking this policy I didn’t have any serious medical issues other than common cold and cough, but never made a claim. But now I have been diagnosed for high BP and prescribed medicine. Do I need to inform this to my current insurer?. If yes what should be the procedure?

            1. There is no compulsion as such to inform them about the medical issue

  582. Radhey says:

    Very informative. Keep up the good work.

  583. Atul says:

    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

    1. Vinod Dutt says:

      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

  584. Marshal says:

    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.?

    1. Mahavir Chopra says:

      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.

  585. 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.

    1. Mahavir Chopra says:

      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.

  586. Manu says:

    Thanks for the detail explanation on Health Insurance policy..

    1. Manu

      Many thanks for your appreciation 🙂

      Manish

  587. Hitesh says:

    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

    1. Hitesh says:

      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

      1. Mahavir Chopra says:

        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.

        1. Hitesh says:

          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

          1. Mahavir Chopra says:

            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.

  588. Rakesh says:

    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

    1. vilas shinde says:

      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.

Comments are closed.

FREE Financial Health Checkup

Take up a detailed 25 questions financial health checkup to find out how much you score out of 100?

Archives