health

Health Insurance at SSR

Health insurance plans cover the insured for several healthcare expenses as per the sum the insured opted for and the premium paid. Popular health insurance companies with an impressive claim settlement ratio offer some of the best health plans in the market. In India, a number of popular insurance companies now offer health or medical insurance plans. Enumerated below is the list of some of these policies that offer maximum coverage benefits.

What Are Health Insurance Plans?

Health insurance plans often referred to as medical insurance, offer financial support to policyholders for various medical costs. These expenses can include surgeries, treatments, hospital stays, and bills resulting from illnesses, injuries, or accidents. When you need to use your medical health coverage, the insurance company will follow the rules outlined in the policy and provide the necessary benefits. In simple words, a medical insurance or health insurance plan is like an agreement. The insurance company promises to cover the expenses if you need medical care. This could be because you get sick or injured and need treatment. In many cases, health insurance companies work together with specific hospitals, often called network hospitals. This helps you because you can get treatment at these hospitals without having to pay right away and enjoy the best health cover.

Best Health Plan Network Hospitals Maximum Sum Insurance Entry Age Covid-19 Treatment
Aditya Birla Active Assure Diamond Plan 6,000+ Rs. 2 Crore 91 days and above Covered
Bajaj Allianz Health Guard Policy 6,500+ Rs. 50 Lakh 3 months to 65 years Covered
Care Freedom Policy 8,250+ Rs. 10 Lakh 91 days and above Covered
Care Health Insurance Policy 8,250+ Rs. 6 Crore 91 days and above Covered
HDFC ERGO my: Health Suraksha Plan 10,000+ Rs. 75 Lakh 91 days and above Covered
HDFC ERGO Optima Restore Plan 10,000+ Rs. 50 Lakh 91 days to 65 years Covered
Niva Bupa Health Recharge Policy 4,500+ Rs. 25 Lakh 3 months to 65 years Covered
Star Diabetes Safe Policy 9,900+ Rs. 10 Lakh 18 years to 65 years Covered
Star Family Health Optima Plan 9,900+ Rs. 25 Lakh 16 days to 65 years Covered
Star Young Star Insurance Policy 9,900+ Rs. 1 Crore 91 days to 40 years Covered

Disclaimer: The list is organized in alphabetical order based on the names of standalone insurers. InsuranceDekho neither endorses, rates nor recommends any specific insurer or insurance product of ered by any insurer. The insurance plans included herein represent products of ered by our partner insurers. For a comprehensive list of insurers operating in India, please refer to the of icial website of the Insurance Regulatory and Development Authority of India-IRDAI at www.irdai.gov.in.

Benefits of Health Insurance Plans

Health insurance plans protect your savings from getting ruined in case of serious health conditions that result in hospitalisation during the policy period. But most of the people believe that these plans only cover them for hospitalisation expenses, which is not true. The key purpose of medical insurance is to provide comprehensive coverage to the insured, which they do so by offering protection for various healthcare expenses. Some of these include cover for in-patient hospitalisation expenses, pre-hospitalisation and post- hospitalisation expenses, daycare expenses, domiciliary treatment expenses, organ donor expenses, etc. Apart from coverage benefits, health insurance plans also offer other benefits. To understand them in detail, read below:

  1. Cashless Treatment

    Health insurance companies, generally, have tie-ups with hospitals wherein the insured can avail the required treatment without paying anything except the non-medical expenses or the expenses that the policy does not cover. Network hospitals are present across India and you can avail treatment in any of them, provided the treatment availed is in accordance with the terms and conditions mentioned under your plan.

  2. Comprehensive Coverage

    Health insurance plans offer comprehensive coverage by protecting you from several healthcare expenses. These include the following:

    • In-Patient Hospitalisation Expenses: These include expenses incurred during hospitalisation for at least 24 hours. Under this benefit, these plans mostly cover you for room rent, nursing, boarding expenses, ICU/ICCU expenses, doctor's fee, etc.
    • Pre-Hospitalisation And Post-hospitalisation Expenses: These are the expenses incurred for a specific number of days before and after hospitalisation. These include doctor's consultation fee, x-rays, other tests, etc. Different insurance companies have different periods for which they cover these expenses.
    • Ambulance Expenses: These are the expenses incurred due to transportation of the patient to the nearest hospital in case of an emergency. Usually, insurance companies have a limit to these expenses, which varies from one insurance company to another.
    • Domiciliary Expenses: These are the expenses incurred due to treatment availed at home, mainly due to unavailability of beds in the hospital. Mostly, health insurance companies cover you for these expenses.
    • Daycare Treatments: Daycare treatments are those which can be availed in less than 24 hours. These include radiotherapy, dialysis, chemotherapy, cataract treatment, etc. The number of daycare treatments covered may vary from one insurance company to another.
    • Organ Donor Expenses: Most health insurance plans offer cover for expenses incurred on organ donors for harvesting. These include expenses related to surgery and storage of organs.
  3. Portability Benefits

    Another benefit of health insurance is that it offers flexibility to port from one health insurance policy to another in case you are not satisfied with the benefits offered under the existing one. Apart from giving the customers flexibility, it also saves them from being taken for granted by the insurance companies.

  4. Financial Security Even During Rising Healthcare Expenses

    Health insurance helps you combat financial stress in case of an emergency even during rising healthcare expenses. It offers you wide coverage even in times of inflation. Therefore, it is recommended to buy a suitable policy.

  5. Tax Benefits Under Section 80D of the Income Tax Act, 1961

    The government of India promotes health insurance by offering tax deductions on the premium paid for the plans, under Section 80D of the Income Tax Act, 1961. To understand the tax benefits in detail, refer to the table below:

Situations Premium Paid (Self, Family, Children) Premium Paid (Parents) Deduction under Section 80D of the Income Tax Act
When Policyholder and Parents are below 60 years Rs. 25,000 Rs. 25,000 Rs. 50,000
When Policyholder and family members are below 60 years with parents above 60 years Rs. 25,000 Rs. 50,000 Rs. 75,000
When Policyholder, family members and parents are above 60 years Rs. 50,000 Rs. 50,000 Rs. 1,00,000
Members of HUF Rs. 25,000 Rs. 25,000 Rs. 25,000
Non-resident Individuals Rs. 25,000 Rs. 25,000 Rs. 25,000

Health insurance benefits not only depends on the features and benefits offered under them but also on how the insured is able to make the most of it. So, if you don’t want your health insurance plan to be underused, you must thoroughly understand its benefits as well as the process to avail of them.