VALUE FOR MONEY HEALTH INSURANCE SOLUTIONS

UNDERSTAND INDIAN MIND SET

Health insurance is important part of financial planning of every person. Unfortunately, it is most ignored due to reactive attitude of the person. We should be pro-active in buying health insurance because when we want it we may not get it.

We are very good at solving the problem when it occurs but we are not ready to become proactive and buy health insurance. We are very good at analysis and comparison but too much analysis of cost of premium leads to decision paralysis. When our nearest friend is hospitalized we carry fruits and coconut water for him but we NEVER carry cash. When we see our nearest friend/relative is struggling to meet health care treatment expenses in hospital we never visit him. This is hard fact of life.

Importance of having your Own Health Insurance Policy

1. Private jobs these days are most unsecured. Do not depend on Company provided Health Insurance.
2. There may be long gap in 2 jobs
3. 98% people do not get time to exercise due to heavy work schedule
4. Stress level are ever increasing.
5. Your medical emergency should not result in financial emergency.
6. Friends and relatives are for parties and not for financial calamities.
7. Cost of health treatment is going up 20% CAGR
8. Your medical emergency should not result in your financial emergency.
9. One single incidence of health expenses can wipe off your entire life savings.
10. We only think of health insurance when we go through worst health care expense or when we see others trauma what happens when one does not have health insurance.
11. Last but not least you can get tax exemption under section 80 D

Above Annual Premium is inclusive of 18% GST

Guaranteed Renewal for Life Time

Benefits

1. No Disease Sub-limit except Pregnancy
2. Pregnancy cover after 2 Years
3. Private AC Room
4. Yearly Health Check Up
5. Built in Accidental Death / Total Permanent Disability Cover
6. OPD Expenses reimbursement in Channel Hospital
7. Organ Donor Expenses covered
8. Hospital Cash Expenses of caretaker covered
9. Cost of Specs and Dental Exp of Rs.15000 per block of 3 years
10. Pre and Post Hospitalization 60 and 90 Days
11. PED Cover after 4 Years
12. PED Cover waiting period can be reduced to 1 year after one-time extra payment
13. Dependent Child covered up-to age 25
14. Life Long Renewal
15. Sum Insured Rebound
16. Smooth Cash Less Settlement through more than 10000 hospital across India.

EXCLUSIONS APPLICABLE TO STANDARD HEALTH INSURANCE POLICY ISSUED BY ALL INSURANCE COMPANIES IN INDIA

Exclusions

1) Pre-existing Diseases at the time of obtaining policy. (However pre-existing diseases are covered after 4 consecutive renewals with the company)However PED can be reduced to 1 year after making one-time extra premium.

2) Any Disease contracted during first 30 days

3) First 2 year

•  Benign prostate hypertrophy
• Hernia, Hydrocele, Fistula in Anus, Piles
• Sinusitis
• congenital internal disease/defect
• Renal stone and Gall stone removal
• Cataract
• hysterectomy following menorrhea or fibromyoma
• Knee Replacement Surgery
• Joint Replacement Surgery
• Prolapse of intervertebral
• Varicose veins/ulcers 

These are the standard exclusions stated in all Health Insurance Policies offered by all insurance companies. Except these exclusions you can claim any medical expenditure. After 2 years all above diseases can be claimed which please note.

Other Terms and Conditions

OPD is not covered in health insurance policy.

After admission in the hospital any medical management which is diagnostic in nature the result of which is negative (means medical reports are normal after performing medical tests) are not payable. 

24 Hours hospitalization is necessary to claim under policy.

In case hospitalization arising out of accident can be claimed anytime from date of issue of policy.

Dental treatment is not covered however dental treatment arising out accident is covered. This policy gives complementary dental expenses and cost of specs amounting to Rs.15000 per block of 3 years.

Cosmetic surgeries of all kinds are not covered. Lasik Surgery / Psychological treatment/ aids treatment is not payable.

Please note cashless claim means not 100% of bill amount. You are required to pay 5% to 10% of total bill amount depending on case-to-case basis as cost of consumables, admin charges not payable by insurance company. 

To buy the policy please mail following details to vijay.afc@gmail.com

1. Complete Name, Gender, Date of Birth, Height in CMS, Weight in Kgs, of each member.
2. Medical History of each family member if any.
3. PAN number of proposers.
4. Complete postal address with Pin code
5. Email address, Cell number