Author: Vinod N

The Health Koti Suraksha policy by HDFC Ergo is a health insurance plan that offers both health insurance and comprehensive personal accident coverage. This policy is particularly suitable for those seeking to combine health insurance and personal accident coverage into one plan, allowing customization based on individual needs. The policy includes various features and optional covers that you can choose according to your requirements. However, personal accident cover is available only with individual sum insured, not as a floater option and Hospital Cash Benefit is the only add-on available with the floater sum insured option. Standout feature of Health Koti…

HDFC Ergo has announced the launch of cashless post-hospitalization claims, set to roll out in the third week of December 2024 through its app, Here. As the name suggests, post-hospitalization expenses cover costs incurred on doctor consultation, diagnostic, medicine etc after a person is discharged from the hospital, provided these expenses are directly linked to the illness or treatment for which the hospitalization took place. Until now, policyholders of HDFC Ergo had to bear these costs initially and then wait for reimbursement form HDFC Ergo, but this new feature aims to change that. Using the Here app, policyholders of HDFC…

You may have been diligently paying your health insurance premiums for years, feeling secure that your financial worries in case of an illness are covered. But one day, you fall sick, require hospitalization, and file a claim, only to face rejection. The reasons could be something like “hospitalization was not medically necessary” or some other technicality. This can be a deeply frustrating experience, and it’s natural to lose trust in your health insurance provider. Whether the company is Star Health or any other insurer, the process to raise a grievance or file a complaint is the same for all insurance…

A pacemaker battery generally lasts 5–6 years, but sometimes it might need replacement earlier. Now, the big question: does health insurance cover this cost? Let me explain in simple terms, so there’s no confusion. If you are still with the same insurance company that covered your pacemaker surgery, getting claim of of pacemaker battery replacement should not be a problem. It is usually covered as part of the treatment, so your claim should be approved without any hassle. This is one of the benefits of sticking with the same insurer—they already know your medical history. But what happens if you’ve…

When purchasing a health insurance policy, the first preference is often to look for plans that have no restrictions or limits in coverage. But is it truly possible to buy a health insurance policy without sub limits? With many insurers marketing ₹1 crore health insurance plans at so-called affordable premiums, one might assume these plans cover every hospitalization expense, even if it reaches ₹1 crore. However, this is not always the case. Hidden sub limits and restrictions often apply. In this article, we will discuss the various types of sub limit in health insurance, including those that are clearly written…

The health insurance sector in India is witnessing rapid growth, especially post-COVID, due to heightened awareness among the general populace and double-digit medical inflation. This expanding market has attracted new players seeking to capitalize on the rising demand. One such entrant is Galaxy Health Insurance, a new company licensed by IRDAI in March 2024. It is the 7th standalone health insurance company to become operational in India. Galaxy Health has launched its first product, Galaxy Promise, with significant buzz. The policy’s unique selling points (USPs) include the “Premium Promise” feature and unlimited restoration of the sum insured. In this article,…

HDFC Ergo’s flagship health insurance product, HDFC Optima Secure, is one of the most popular and best-selling policies in India. In this post, we’ll review key features of this policy, discuss potential areas of concern, and give a final verdict on whether it’s worth considering for your health insurance needs. Basic Features of HDFC Optima Secure Policy Before reviewing the policy conditions in details lets check the basic feature of this policy. Policy features worth highlighting 1.Home Healthcare Benefit – Optima Secure offers cashless home healthcare for illnesses that usually require hospital admission. After COVID, many health insurance policies have started…

Oriental Insurance, a public sector general insurance company, offers a cancer-specific health insurance policy named Oriental Cancer Protect Policy. This post reviews the key features and limitations of this policy. Despite its name, Oriental Cancer Protect Policy is not available to individuals already diagnosed with cancer. It is available for individuals who have no prior history of cancer or any other disease. Positive Features of Oriental Cancer Protect Policy Unattractive Features of the Policy Final Verdict There are two main types of cancer-specific products in India: Considering the low penetration of health insurance in India, such specialized products have limited…

MD India is a Third Party Administrator (TPA) that settles health insurance claims on behalf of insurance companies. Private insurance companies, however, typically have their own in-house claim settlement teams. As a result, for the majority of their health insurance business, they do not rely on TPAs. In some Group Mediclaim Policies, corporations which are buying health insurance for their employees may specifically request the services of a TPA instead of the insurance company for claims settlement. Therefore, in private insurance, TPAs are generally engaged mainly for corporate health insurance business. On the other hand, public sector general insurance companies,…

This article discusses in detail the insurance coverage for balloon sinuplasty. Is it considered a conventional or advanced treatment? Does your policy place any limits on its coverage? I have addressed all these issues here in this article. Balloon sinuplasty is used to treat chronic sinus problems that have persisted for some time and have not responded to conventional treatments. As the name suggests, an inflated balloon is used to keep the sinus passage open, allowing for better drainage and airflow. Is balloon sinuplasty covered by insurance? Balloon sinuplasty is considered an advanced treatment by the insurance regulator. The insurance…