Daycare Procedures

Treatments that require less than 24 hours of hospitalisation

Day care procedures are treatments or surgical procedures carried out under general or local anaesthesia in a hospital or a Day Care Centre. Nowadays, due to advancement in technology, certain treatments and surgeries does not require hospitalisation for more than 24 hours.

Such procedures are listed out by many insurers as Day Care Procedures and allowed coverage under their health insurance plans.

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Ambulance Charges

Benefits paid towards usage of ambulances

As per a limit specified in the policy, the insurer pays for the Ambulance Charges related to each and every emergency hospitalisation. Usually, the limit is Rs. 1000 to Rs. 1500 per emergency hospitalisation.

Automatic Restoration

Sum Insured exhausted? No issues! This add on automatically restores it..

When your health insurance Sum Insured gets exhausted due to hospitalisation treatments midway during the policy period of one year, the automatic restoration benefit restores an equivalent amount of the Sum Insured for the remainder of the policy period.

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Convalescence Expenses

Benefits that are paid towards the insured’s recovery expenses

Convalescence benefit is also known as recuperating/recovery benefit. Under this benefit, the health insurance company covers the incurred recovery expenses for the insured. This acts as a cushion for the insured, paying any costs that may arise during and after hospitalisation. See Post Hospitalisation.

Critical Illness

A critical illness insurance policy covers the insured against life-threatening critical illnesses such as cancer, heart attack, renal failure etc. Upon surviving a minimum number of days, the insured can avail the benefits as mentioned in the Policy

Cumulative Bonus or No Claim Bonus

The Sum Insured in your health insurance policy will add up if you don’t claim in a year

All health insurers offer ‘No Claim Bonus’ or ‘Cumulative Bonus’ in their health insurance plans. Cumulative bonus are no claim discounts which will reflect as increased Sum Insured for every claim free year for the same annual premium.

How does the bonus add up?

For every claim free year, the Sum Insured will progressively increase as a percentage of the initial SI year on year.

For example, you have not claimed for 3 consecutive years after purchasing your health insurance with a Sum Insured of Rs. 5 Lacs.

The Policy allows a No Claim Bonus of 10% every claim free year. Then, the Sum Insured in the 4th year will be 5 Lacs + (3 x 50,000) = 6.5 Lacs.

However, the cumulative bonus is usually subject to an amount that can never exceed 50% of the Sum Insured and provided the policy was renewed continuously at the end of every claim free year.

You have to note that the percentage of No Claim Bonus currently varies from Insurer to Insurer between 10% or 20% and the overall NCB limit 50% or 100%.

This is an essential benefit that you should look in to when you buy health insurance.

Daily Allowance

Certain health insurance policies offer daily cash benefits to meet your medical and non-medical expenses during your stay in a hospital. Insurers offer daily hospital allowances either as a part of the insurance policy or as an additional Rider.

Dependents

Usually a health insurance policy covers individuals that are dependent on the policyholder too

Dependants of a policy holder under a family floater policy include Spouse, unmarried children, usually of age less than 25, and/or parents of an insured, as chosen by the insured, to whom coverage is extended.