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Health insurance is a type of insurance coverage that covers the cost of an insured individual's medical and surgical expenses.
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COMMON TERMS IN HEALTH INSURANCE WWW.POLICIES365.COM
PRE-EXISTING ILLNESS Illnesses that existed prior to the date of purchase of the policy are known as pre-existing illnesses. By and large, providers refuse to cover illnesses that existed before the policy commencement. However, some insurers cover this with a waiting period or charge an additional premium or put terms and conditions for such coverage.
WAITING PERIOD There is waiting period for all health insurance policies. The usual waiting period is 30 to 90 days for most health plans. There will be no cover during the waiting period.
MINIMUM HOSPITALIZATION STAY A minimum hospitalization period of 24 hours (may vary based on the policy) is necessary to claim the benefits under hospitalization cover.
CASHLESS FACILITY Cashless hospitalization, if offered by the policy, will not require you to pay at the time of admission to a network hospital which has a tie-up with the provider. An Insurer or a Third Party Administrator on behalf of an insurer will be responsible for settling the bills. If admitted to a non-network hospital, the insured must settle the bills and claim a reimbursement from the insurer.
EXCLUSIONS Reading your policy document thoroughly and coming to grips with what’s not covered will go a long way towards being prepared for exclusions under the policy. There are some exclusions that are standard across policies such as dental treatment, venereal disease, AIDS, congenital diseases, intentional self-injury and so on.
GRACE PERIOD The additional period offered for the payment of premium post the due date is known as the grace period. General insurance companies offer a 15-day grace period but you would do well to check how many days your policy allows.
GRIEVANCE REDRESSAL Any grievance related to your health policy should first be taken up with the insurer. The complaint should be acknowledged by the insurer within 3 working days. In case you are unhappy with the resolution of your grievance, you can register a complaint with the Integrated Grievance Management System portal of IRDAI.
Navnit Insurance Broking Private Limited 172, Solitaire Corporate Park, Building No. 1, 7th Floor, Andheri-GhatkoparLink Road, Andheri (East), Mumbai, 400093, Maharashtra, India IRDAI Broker License No. CB/446/09 Product information is authentic and solely based on the information received from the insurer. Sales Assistant: (022) 42114211 Claims/Service: (022) 42114299 info@policies365.com Toll free number: 18001026234 WWW.POLICIES365.COM