A health insurance plan is an essential part of financial planning in
this era of skyrocketing medical costs. Medical inflation has been
aggravating at its full spree which makes it all the more important to
buy a Health Insurance plan which could sponsor the hospitalization and
medical treatment bills or expenses.
It is important to evaluate and look for the following parameters to get a best health plan for you and your family.
1. Check for the Waiting Period Clause
You
must be feeling care free after taking an insurance, but your health
insurance comes with a waiting period clause for specific conditions.
There is an initial period clause which says that any hospitalization
claim will not be admissible in first 30 days of the policy commencement
apart from accidental hospitalization.The pre-existing diseases or
conditions are also not covered immediately after you purchase a
policy.There is a waiting period ranging from 2 years to 4 years as per
the plan conditions in the industry. Also, there are certain surgeries
and treatments like hernia, cataract, joint replacement, etc. which can
be treated after a specific waiting period of 1 or 2 years.
So,it is important to check the waiting period clause before you finalize the health plan.
2. Check for Sublimits
There
are certain capping or sublimits in your health plan which says that
the specific kind of expenses are paid by the insurance company upto a
specific limit and beyond that the insured or customer has to bear them
at his own. For example: Room rent charges are capped on per day basis
for different health plans. Some health plans also come with a mandatory
co-pay where the portion of the admissible claim is to be borne by the
insured and the remaining is paid by the insurance company.
Check for the sublimits in your health plan to avoid any last minute surprises at the time of claim.
3. Check for Network Hospitals
The
insurance companies offering health plans have certain empaneled
network hospitals with whom they have a tie up. Any hospitalization or
treatment taken in the mentioned or specified network hospital list is
done on the cashless basis subject to policy conditions.
Check for
the list of network hospitals of insurance company and ensure you have
network hospitals of the insurer near your place of residence in case of
any emergency hospitalization. Also, a treatment in non-network
hospital may not offer cashless treatment and some insurers have a
co-pay clause if you take a treatment in non-network hospital.
read more here / http://www.workersinsurance.blogspot.com
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