Health Insurance - PowerPoint PPT Presentation

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Health Insurance

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Health insurance plans reimburse insured customers for their medical expenses, including treatments, surgeries, hospitalization and the like which arise from injuries/illnesses, or directly pay out a certain pre-determined sum to the customer. A health insurance policy offers coverage for any future medical expenses of the customer. – PowerPoint PPT presentation

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Title: Health Insurance


1
Understand Health Insurance
2
Health Insurance Basics
  • Health insurance acts as a financial shield and
    covers your medical expenditure in case you fall
    ill. Pay your premiums on time and the policy
    gives coverage to the policyholder subject to
    fulfillment of other terms and conditions. Fixed
    benefit health insurance policies pay a fixed
    amount of money following a claim and without any
    submission of bills from the policyholder, while
    traditional policies provide reimbursement for
    the money spent on actual medical treatment.
    Health insurance in India is offered by general
    insurance companies and life insurance companies.

3
Difference between Mediclaim Insurance and Fixed
benefit health insurance plans
  • Mediclaim Insurance policies are
    indemnity-oriented plans. They reimburse the
    policyholder the cost of medical expenses up to
    the sum assured. The policyholder is required to
    submit hospital bills detailing the actual
    expenses incurred, and a successful claim can be
    either cashless i.e. directly to the healthcare
    provider, or to the policyholder as a repayment.
    These policies may have some limitations while
    providing cover for critical illnesses, heart and
    cancer disease which may require special health
    insurance cover or fixed benefit cover plan.
  • In comparison, fixed benefit health insurance
    plans give you cover against specific diseases or
    conditions including heart ailments and cancer.
    These new-age policies give you the claim amount
    on first diagnosis irrespective of the actual
    medical costs. You dont need to find a network
    hospital or file for reimbursement claims. This
    is because fixed benefit health insurance plans
    send you the cover amount as soon as a diagnosis
    is made. So, you can get treated at a hospital of
    your choice.

4
Why do you need a health insurance plan?
  • Medical emergencies - They can cause huge
    financial burden to people if they do not have
    health insurance. The cost of medical treatment
    rises each year and there are several disease
    which need extremely expensive treatment. Health
    insurance can cover your treatment expenses in
    such cases.
  • Increase in medical costs - Healthcare treatment
    costs are rising. Total cost of cancer treatment
    can be 23 lakh if you include chemotherapy,
    targeted therapy and PET scans. Heart ailments
    can cost 20 lakh including surgeries and post
    hospitalization follow-up. You need an
    alternative way to get treated. This is where
    regular health insurance helps.
  • A necessity - In todays economy, one cannot rely
    solely on traditional avenues like family support
    and emergency savings. The high cost of medical
    treatment has made health insurance a necessity
    for your health and financial security.

5
Why do you need a fixed benefit health insurance
plan?
  • Extra protection - Regular health insurance plans
    can provide you with financial relief when you
    have incurred treatment charges. Fixed benefit
    health plan works as a filler to pay for any
    possible expense that is not covered by the
    regular health insurance plan.
  • Timely treatment - Early intervention is more
    likely when you have fixed benefit health
    insurance. With a regular insurance plan, a high
    medical expenditure most often prompts people to
    delay their treatment. This wait can lead to the
    condition becoming more serious, and even
    life-threatening.
  • Complete freedom - Since the payment is based on
    diagnostic report, you are 100 free to choose
    the place, time and medium of treatment.
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