Page 57 - Ebook health insurance IC27

Sashi Publications

Important Points to Remember

Hospitalisation Indemnity products

 This isthemost popularcategoryofhealth insurance
product available in India

 This product pays for all the expenses incurred for
the treatmentof thepolicyholdersubject to theterms
and conditions and hospitalisation of the insured.

 This cover is provided on an indemnity basis
 This product covers charges for hospital bed,

patients diet, professional fee of brokers, surgery
and operation theatre charges, medicines and
consumables.
 Coverage of disease under the policy may differ from policy to policy.
 In some products there are limitations on payment of particular expenses for example
room rent would be payable only up to 2% of the sum assured.
 New features are being introduced in indemnity products like daycare surgeries
which do not require hospitalisation, coverage of maternity etc
 The hospitalisation products differ in exclusions, waiting periods and cost-saving
provisions.
 Some exclusions like war and invasion, HIV, fertility, cosmetic procedure, self injury,
adventure sports are not covered in any policy.
 Most of the policy also provide for a waiting period of 30 days before the benefit
may commence for example no claim would be paid if the disease occurs within 30
days of taking the policy.

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