5 Things Your Medical Insurance Plan Should Cover
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5 Things Your Medical Insurance Plan Should Cover

5 Things Your Medical Insurance Plan Should Cover

Covid-19 has alarmed everyone against the possibility of unexpected situations occurring without a knock on the door. It has given rise to a sense and need of having a security cover that provides financial assistance during health emergencies. Medical insurance plans are the safety nets that enable you to secure self and family. But it is wise to ensure that the plan offers suitable coverage against uncertain situations and helps maintain our financial health.

Thorough research is essential before buying medical insurance plans. Here are a few crucial things your medical insurance plan should cover for comprehensive coverage.

1. Pre and Post Hospitalization Expense Cover

Many medical insurance plans not only entail medical expenditure during emergencies but also encompass pre and post-hospitalization charges.

The pre-hospitalization charges include multiple expenses related to medical tests before hospitalizationlike blood tests, X-rays, and urine tests.Insurers provide coverage for costs incurred during 30 days before admission to the hospital.

Post-hospitalization costs include all the charges incurred after discharge from the hospital. Usually, insurance companies cover the expenses for 60 days from the discharge date. It encompasses diagnostic charges, medicine costs, and consulting fees.

You can claim both the charges upon the submission of original bill receipts.

2. Coverage for Pre-existing Diseases

Some insurance companies offer coverage for pre-existing diseases that you might be facing prior to the purchase of your medical insurance plan.Certainpre-existing ailments include high blood pressure, thyroid, diabetes, asthma, liver ailments, and heart diseases.

To avail the benefits for such illnesses, there is a specific waiting period which depends upon your insurance policy.The IRDAI states that the waiting period cannotexceed four years.

Recently, IRDAIhas changed the definition of pre-existing illnesses. Now, any disease that is diagnosed within six months of the policy insurance will not be treated as a pre-existing condition. It will help reduce the medical insurance plans’ rate of rejection in the future.

3. Coverage for Domiciliary Treatment

Domiciliary treatment offered by medical insurance plans is often a misunderstood term. This hospitalization is a situation where your treatment at home will be considered as hospital treatment.The circumstances which permit domiciliary hospitalization are:

 If your medical state is such that you cannot be shifted to a hospital
 Non-availability of a room in the hospital

All the expenses incurred w5 Things Your Medical Insurance Plan Should Coverill be covered by the insurer. Usually, the conditions for which the coverages are availableincludebronchitis, asthma, epilepsy, hypertension, arthritis, and influenza.
It is crucial to know that not all plans offer domiciliary treatment. You should check the terms and conditions of the policy which you plan on choosing.

4. Coverage for In-Patient Treatmentand Transport Fee

Most medical insurance plans offer coverage for room rent, ICU, nursing charges, and medicalexpenses directly relatable to hospitalization. Sometimes, the room rent is considered as a sub-limit clause in the coverage provided by the insurer. This sub-limit on room rent coverage is applicable on a per-day basis.

The transportation fee includes ambulance charges. The insurance company bears its expenses.

5. Coverage for Daycare Procedures

With the advancement in technology, many surgeries and procedures can now be completed in less than 24 hours. Some insurance companies offer daycare treatment coverage under medical insurance plans. Usually, these procedures include cataract, radiotherapy, chemotherapy, and dialysis. The list of the daycare processes covered will be included in the scheme’s documents and on the website of your insurer.

The coverages provided vary for different medical insurance plans. You should research and analyze each plan to find a suitable policy. Reputable insurance companies like Tata AIG offer health insurance plan with various benefits. You can reach theirexcellent customer support 24*7 to learn about them in detail.

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