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What is Personal Health Insurance?

Health can earn us wealth and, in our life, always health comes first. So, we must always ensure that we are taking good care of ourselves in all situations. Due to pollution and the increasing population, the number of diseases has increased tremendously. Also, as you are busy and hardworking every day, you somehow ignore your health. Sometimes people even skip their meals, giving work their major priority. This could lead to a huge mental and financial burden as you could suffer from some diseases.

Due to inflation, medicinal costs have also increased drastically. So even if you go to any medical store to purchase a few medicines, it could cost you a lot. Similarly, the cost of medical procedures has also increased tremendously. So, it is always suggested to purchase Health Insurance Plans for Individuals.

Health Insurance Plans for individuals even provides cashless facility to insured provided the treatment is done in the network hospital. Apart from this all diagnostic tests and ambulance cost all refunded up to a certain limit. As per few conditions' satisfaction, daycare facilities are also covered. However, for covering pre-existing diseases, there is a waiting period which could vary depending upon the Individual Health Plan you opt for. This could vary in years or months. After a waiting period, surgeries like cataracts or treatment of asthma, piles, etc. are also covered. There is some Individual Health Insurance that also covers maternity-related expenses.

Cover Your Medical Bills: Health Insurance Benefits

There are many benefits of Individual Health Insurance or Health Plan, a few of which is as mentioned below:
  • Health Insurance Plans for Individuals provides a bonus of 5 percent for each claim-free year.
  • You can say no to a medical test if your age is lesser than 45 years dependable upon the Individual Health Insurance policy clause. However, for people who are above 45 years of age, a health check-up is mandatory. This could be free or you will have to bear the cost which depends upon the policy purchased.
  • Can save tax under Section 80D of the Income Tax Act.
  • Reimbursement can be done within a few days.

Eligibility Criteria for Individual Health Insurance

The eligible criteria for Health Insurance Plans for Individuals are as below:

Entry Age:

The acceptable entry for a policyholder for Health Insurance Plans for Individuals is a minimum of 18 years with a maximum age of 65 years (which could be 70 or above, depending upon the policy). Dependable children can get coverage is from 90 days to 18 years. The premium cost is proportional to the age, as the age increases; the premium cost also increases simultaneously.

No Claim Bonus:

Individual Health Insurance policy offers a No Claim Bonus (or NCB) which is given by the health plan if you do not make a claim within a policy year. Here, you can avail 5 percent of the No Claim Bonus each claim-free policy year. On the other hand, if you make a claim, you won't get a No Claim Bonus benefit. This is provided if along with you one more family member is covered in the case of Health Insurance Plans for Individuals.

Family Discount:

This discount is offered if one of the other family members is covered along with you. This all depends upon the health plan.

Discount on cumulative premium payment:

There are few health insurance companies that offer discounts for Health Insurance Plans for Individuals on the criteria that you pay the premium of 2 years together.

Discount Voucher:

Depending upon the Individual Health Insurance Plan, a discount voucher is provided for purchasing medicines and for medical procedures, which would be in certain outlets.

Wellness Rewards:

Health Insurance Plans for Individuals offers Wellness rewards as well based on the condition that you remain healthy.

What Individual Health Insurance Plan Covers?

Health Insurance plans for individuals have various inclusions. Some of which are listed below:

Day Care treatment Expenses:

A daycare facility is one in which the patient doesn't need to be hospitalized for more than 24 hours. Individual Health Insurance ensures that it provides coverage for daycare as well. Examples of daycare could include Cataract operations.

In-patient hospitalization cost:

Health Insurance Plans for individuals covers for the medical expenses which are caused because of hospitalization which is considered as In-patient hospitalization cost.

Pre and Post-hospitalization Cost:

Individual Health Plan covers medical expenses which are caused before hospitalization which is pre-hospitalization cost. Examples include MRI, X-ray, sonography, blood test, urine test, etc.
Individual Health Plan also covers medical expenses caused after hospitalization which is post-hospitalization cost. The examples include medicines or any medical test performed

Ambulance Cost:

Individual Health Insurance covers ambulance cost as well for the patient. Thus, Health Insurance Plans for Individuals offers a certain amount thus giving relief from ambulance charges.

Hospital Charges:

Individual Health Plan provides a daily cash allowance of a certain amount. The amount is decided at the time of purchase of the policy. This cash could be used for transportation or some other use.

Refill Benefits:

Individual Health Insurance also provides restoring benefits in which can refill the coverage once it gets used up. This refilling is available for unrelated claims.

What individual Health Insurance Plan Does NOT Covers?

The Individual Health Insurance Plan does come with some of its exclusions as well. It is always recommended that you read all the terms and conditions properly, know if are excluded or included by the plan, this would help you avoid end moment surprises for the Individual health plan. Below are the pointers:

  • Pre-existing diseases for Individual Health Plan are covered only after a definite waiting period, which depends upon the carrier and its health plan.
  • Depending upon the disease, Health Insurance Plans for Individuals decides the cover amount varies. It could be 10 to 90 percent of the sum assured dependable upon the Individual health insurance plan
  • Non-allopathic treatments like Homeopathic, Ayurvedic treatments are not covered by the Health Insurance Plans for Individuals.
  • If the disease is caused due to bad lifestyles like smoking or alcohol consumption, then Individual Health insurance does not encourage them for providing coverage.
  • Cosmetic treatments such as plastic surgery (apart from the one caused due to an accident) and aesthetic treatments are not covered by the Individual Health Plan.

FAQs

Can I buy individual health insurance?
If you want to insure yourself and if you don't fall under the exclusions list, then you can surely buy an Individual Health Insurance plan for yourself. Exclusion category includes working for life-risky jobs, attempt suicides or self-injuries, involved in crime, etc.
How much is health insurance a month for a single person?
The cost of Individual Health Insurance plan varies for a different person. For an individual with 5 lakh sum assured, they will have to pay the premium ranging between 4000 to 9000 more or less.
What is individual health insurance?
If you want to purchase a Health Insurance plan separately for yourself or your spouse or your parents, then such comes under Individual Health Insurance plan.
How much is an individual health insurance plan?
Individual Health Insurance plan varies from person to person. It can cost around 4k to 9k per person for 5 lacs coverage. So an individual health plan provides us benefits at a lower cost. If top-up's and riders are added on top of the Individual Health plan, then the premium could increase.