Things to Keep in Mind Before Buying Medical Insurance

DayToDay Team
October 28, 2021

Buying health insurance can be tricky and often confusing. While people talk about getting insurance, there is not much about how to buy the right insurance for you. To clear some doubts about how one should go about it, we have come up with a list of factors that should be kept in mind. Let’s begin with a simple question. What is health insurance?

Health insurance is coverage that pays for medical expenses that arise due to an illness, accident, or injury. Hospitalization costs, consultation fees, or medical bills can be taken care of by medical insurance. Health insurance also covers surgical bills, prescription medicines, and in some cases, dental care. The type of medical insurance policy determines the coverage.

One can connect with multiple insurance partners to understand the available policies and benefits. Some things to keep in mind before buying the right medical insurance for you include -

Age criteria

The cost of the policy depends on the age of the person. One knows that the older the person, the more are the possibilities of falling ill or having diseases. For medical insurance for family, one can prefer a floater policy. Floater policies often charge the premium based on the age of the eldest family member.

While buying an insurance policy, one should look at the minimum and maximum age limit criteria. Some policies accept the lowest age limit at 91 days, while the maximum age limit extends to 60 years. One can also discuss no age limit medical insurance policy with their insurance partners.

Waiting period for claiming

Many insurers do not allow claims for previous illnesses or certain medical ailments for a specific duration. This waiting period can be as long as 24 to 48 months. Once the waiting period is over, one can claim the benefits.

Waiting periods usually exist for pre-existing conditions like diabetes, hypertension, thyroid. It may also apply to illnesses like cataracts, arthritis, and ongoing pregnancy. One can discuss the waiting period with their insurance provider and choose medical insurance plans with shorter waiting periods.

Hospitalization Benefits

One advantage of medical insurance is the cashless hospitalization benefits. Many insurance companies have partnerships with hospitals for availing cashless treatments in case of an emergency. The insurance company may also include cashless payments for some planned surgeries.

The advantage of cashless service is that one doesn’t have to run around for finances and file for reimbursement during an emergency. The insurer is also able to pay the necessary amount directly to the hospital.

Premium and Coverage

Choosing the right policy with a comfortable premium and satisfying coverage is essential. One can be drawn to medical insurance plans with a low premium, but there can be hidden co-payments, sub-limits, or deductibles.

As the coverage for medical insurance increases, the premium also gets higher. Discussing premiums and coverage with the insurance provider can help one not have to compromise on the benefits.

Maternity benefits

The best maternity care and delivery can cost a lot nowadays. Getting medical insurance plans with maternity benefits can act as a boon. Usually, insurance plans have a two to three years waiting period before one can claim maternity benefits. If one is getting married or planning a family in two to three years, they can use such a policy.

Daycare and Post-Procedure Support

Connect with the insurance provider for information regarding coverage for daycare procedures and post-procedure care. Daycare procedures like dental care, cataract, tonsillitis surgery do not require hospitalization but may call for follow-up care. Some medical insurance plans include post-procedure care like medicines, ambulance requirements, follow-up consultations, and homecare services.

Co-payments

Many times, insurance providers add a clause of co-payment. This clause binds the policyholder to pay a certain amount of hospital bills, after which the insurance provider pays the rest. Medical insurance with a co-payment clause usually has low premiums but gives little coverage and benefits. One should read the documents correctly and ask about co-payments.

Preventive Health Check-ups

Some insurance providers cover the costs of preventive health check-ups. Such check-ups include a long list of diagnostic tests, multiple consultation fees, and medicines if needed.

Cancer screening, cardiac health check-ups, and medical checks with MRI and CT scans can be very costly and lead to heavy out-of-pocket expenditure. So, if one is looking to get preventive checks every year, they can communicate for a medical insurance policy with the said benefits.

Alternative and New age treatment

Alternative treatments like Ayurveda, Homeopathy, Yoga, Unani, and Siddha can be the choice of treatment for many disorders. One can look for coverage for non-allopathic treatments in their policies.

Some medical disorders also benefit from new-age technologies like CyberKnife and robotic surgeries. These treatment options come out to be very expensive for someone without insurance.

Conclusion

Medical insurance is a binding contract between the insurance provider and the policyholder. One should keep things transparent for the insurance company so that they can provide the best possible policy for one’s needs. Keeping the above points in mind can help one make an educated choice and utilize their health insurance to its fullest.

To know about medical insurance and DayToday Health, contact us at https://bit.ly/39YfFLw

Alexis den Boggende
Alexis den Boggende
Senior Content Writer
Olivia Casale
Olivia Casale
Senior Content Writer
Danny Biel
Danny Biel
Senior Cotent Writer
Driven Writer with a demonstrated history of working in the hospital & health care industry. Strong past in Applied Improvisation and Improvisation for entertainment. Skilled in Talent Management, Copywriting, Teaching, Curriculum Development, Editing, and Data Management. Strong media and communication professional with a Master of Education.
Prem Sharma
Prem Sharma
CEO
Christine Hsieh
Christine Hsieh
Chief of Strategy & Research
My vision is to help transformative, indispensable inventions come into markets to make a difference in people's lives. I see this occurring through a continuously evolving practice of working at the intersection of empathetic design, cutting-edge technology, and business.
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