Bajaj Allianz Help and Support

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Tips for choosing the right Health Insurance plan

When it comes to health insurance, there’s no one-size-fits-all plan that you can rely on. Of the numerous plans in the market, you will find that each is unique in some way, with its own benefits and limits. This makes purchasing health insurance a difficult task where painstaking research is sometimes required, before you find the right plan for you.

 

Before you go plan-hunting, there are some questions you need to ask yourself:

 

 

  • What is my financial ceiling?
  • What do I have to cover? Am I responsible only for myself? Do I have dependents? Am I planning for retirement yet? Am I already retired?
  • How often do I need to visit the doctor?
  • How much premium can I afford?
  • Do I have any pre-existing medical conditions?
  • How comprehensive a plan do I want?
  • Do I need regular dental and/or vision check-ups?
  • Do I use many prescription medicines?
  • How much preventive care do I want?
  • Am I constantly exposed to hazards such as the possibility of an accident, exposure to toxins, a weak immune system, etc.?
  • Am I at risk of any hereditary diseases?

Knowing the answer to these questions will help you recognise which slot you fall into, and what your insurance needs are. It’ll narrow down your search and give you an estimate of how much you should be spending – and what benefits you ought to get for your money.

Once you know your healthcare requirements, it’s time to go shopping. Even with the field narrowed down, it’s easy to lose sight of what you need. Here are some tips you should keep in mind to ensure that you aren’t buying the wrong plan:

  • Know how much the average cost of your healthcare should be. For example, it is generally accepted that a Rs.5 lakh cover is sufficient for a single adult.
  • Individual covers are usually more comprehensive than family plans, and also cheaper on your wallet in the long run. Moreover, individual health plans cover most, if not all your checkups, pre- and post-hospitalisation expenses, and other domiciliary costs, which are usually somewhat limited in an umbrella cover.
  • Check your policy to see if it provides cover for atypical expenses, like maternity, vision, dental, etc. If it doesn’t, find out if such covers can be added to your policy, or if they will be covered after a certain number of years have elapsed.
  • Never select a policy based on premium alone. Find out what your insurer’s claim settlement history is. If they have a reputation for speedy claim resolution and better payouts, go for it. If, however, the claim settlement takes ages and too much paperwork or other hassles, search for another provider.
  • Assess your risk-taking ability before you choose to opt for a floater plan. Though these are comparatively cheaper than individual plans, and provide cover for your entire family, they also mean that you have to assume a higher amount of risk in exchange for a smaller premium.
  • If you are employed and your employer pays for your insurance cover, it would be wise to get a separate cover privately, as well. The main reason being – though workplace insurance covers are usually very beneficial, they may be terminated when you leave your organisation. Today, most people are mobile when it comes to changing jobs, so you might not always have a cover when you’re transitioning from one job to the next.
  • Consider getting additional covers, like critical illness cover, accident cover, hospital cash, surgical cover, etc. These can be added to your existing policy as riders, for an added sum to your premium.

Keep to the above list of considerations, and you should be able to find the right cover with little trouble!

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20 Comments

  1. Hi I am 26 year old male
    my father is 61 yrs old
    my mother is 51 yrs old
    I may get married in 1 yr of time

    Please tell me a family policy which cover major disease and can regular medication eg tablet, tonic etc on monthly basis can be purchased using these policy .

    if i choose a policy for 3 lakh amount
    My doubt is if i claim This year for health problem say 2 lakh
    same year another health problem then will it cover??

    • Dear Mr. Jagadish,
      Our representative will get in touch with you and provide you with the requested details. Please provide us with your contact details in response to the email sent by us so that we can arrange for a call back.

      Best Regards,
      Help & Support Team

  2. Having a basic health insurance floater policy for Rs 200000
    Require a top up policy of 1000000.Self 39 yrs, spouse 36 yrs
    son 6 yrs

    • Dear Mr. Iyer,

      Thank you for writing to us. We shall mail across the required details on your id for your reference.

      Request you to go through the same and let us know in case of any query.
      Best Regards,
      Help & Support Team

  3. Dear Sir,

    I require a policy that will cover me(32), my wife (28) an my son(1.5 months).
    Plz give the details of a policy that will cover Critical illness, Dental treatment, Accident cover etc may be as a policy cover or rider.
    Cover required is around 2-3 Lakhs.

    Thank You,
    Regards,

    • Dear Mr. Basu,

      Thank you for writing to us. We shall mail across the required details on your id for you reference.

      Request you to go through the same and let us know in case of any query.
      Best Regards,
      Help & Support Team

  4. dear bajaj allianz team,
    we are 5 member in my family,me(25),wife(25),mother(45),brother(18),sister(15)…if u have any suitable plan for us…kindy rply

    • Dear Mr. Sampat,

      Thank you for writing to us. We have mailed across the required details on your id for your reference.

      Request you to go through the same and let us know in case of any query.
      Best Regards,
      Help & Support Team

  5. Dear Bajaj Allianz team

    We are 4 members in my family .. me (29) , father (76) , mother(52) and a sister (27).. Is there any suitable plan for us.. If no , pls let me know the other option .. Also i want to know whether the calculated premium amount is for a month or year..?

    • Dear Mr. Prasanth,

      Thank you for writing to us. We shall mail across the require details on your id for you reference. Request you to go through the same and let us know in case of any query.

  6. Sir,

    I need a family coverage policy for health insurance with Rs. 30k coverage, pl advice which policy will better for me.

  7. Dear Sir,
    I want family health plan including critical illness like cancer, heart problem etc. pls suggest which plan is suitable for me.

  8. Dear sir
    i am 26 years old
    i need a family insurance policy kindly suggest me the best one.

  9. Dear sir

    I am 34 years M living in MP

    I have a disease called Hemophiliya.

    Can i take Health Insurance of Bajaj health gaurd.

    Pls reply

    • Dear Mr. Bhupendra,

      Thank you for writing to us. The concerned team will let you know about your eligibility on your id.
      Best Regards,
      Help & Support Team

  10. Want to know–
    (1) Upper age Limit to enter a Health Insurance Plan.
    (2)Up to what age Policy can be renewed?
    (3)Names of Hospitals in Jaipur for Cash Less Policy.

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