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Lesser Known Key Benefits of Health Insurance Schemes You Should Know Research Team | Posted On Friday, June 07,2019, 11:51 AM

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Lesser Known Key Benefits of Health Insurance Schemes You Should Know



Most of us don’t spend time, reading and understanding the key features and benefits of health insurance plans before availing them. We tend to rely on the explanation given by the insurance agent. If the health insurance plan suits our budget and requirements, we buy it. Health insurance schemes cover more than just the basics.

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Lesser Known Key Benefits of Health Insurance Schemes You Should Know

If you’re taking a health insurance plan for yourself or for your family, the following are a few lesser-known additional benefits you must consider:

Domiciliary Overheads

If an insured is unable to avail treatment at a hospital, he/she can take treatment at home under a doctor’s prescription and advice. The expenses that are incurred to treat an insured person at home are called domiciliary expenses. Some health insurance plans offer this facility, but you may not be aware of this. There are certain conditions to be met to enjoy the benefit. For example, the disease must require treatment for at least a period of 3 days. The expenses incurred after hospitalization are not covered. Insurance companies also set sub-limits for a home treatment.

See Also: Health Insurance Benefits

Donor Expenses

Health insurance policies cover both the expenses spent on the treatment of a policyholder and the medical expenses incurred by an organ donor. If someone donates you an organ, a few health insurance policies cover the hospitalization expenses of the donor. Policyholders must check if the health insurance policy you’re going to avail or the policy you have bought offers this facility.

Alternative Treatments

IRDA has stated that health insurance policies may also include optional treatment like Homeopathy, Siddha, Ayurveda and so on. Many insurers now include alternative treatment in health insurance plans. The coverage for alternative treatment is provided under the primary coverage scheme, while some insurers keep it below the sub-limit medical treatment.

Medical Checkups for Free

A health insurance plan gives you free medical checkups if the plan is within the prescribed limit. This facility is usually provided to those who have not made a claim for some years. So, check this facility and make use of it, if it is available in the plan. It’s usually 1% of sum assured under the health insurance plan.

No-Claim Bonus

No-Claim Bonus in health insurance is the bonus amount added to the sum assured, for each claim-free year. This is a reward the insurer offers, for not making a claim. You are entitled to a No-Claim Bonus, if there is no claim on your policy. The bonus may be offered in the form of a higher sum assured.

See Also: Family Health Insurance Plan

Outpatient Department Treatment or OPD Treatment

As some health insurers also cover OPD overheads like pathological overheads, consultation charges and so on, it is advisable to check if your health insurance plan offers this benefit.

Claims for Reimbursements 

If someone falls ill in your family, you may not be able to admit the patient at a hospital covered under the health insurance plan (This is a network hospital with which the insurer has a tie-up). In this case, you can still get the medical expenses reimbursed, by submitting the hospital and medical bills.

See Also: National Health Insurance Scheme in India

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