Tag: health insurance

How to Avoid Health Insurance Claim Delays: 50% of Patients Face Settlement Issues

How to Avoid Health Insurance Claim Delays: 5 Out of 10 Patients Face Settlement Issues

The latest report from Pristyn Care highlights that 5 out of 10 patients face hospital discharge delays due to the time taken by the cashless claim settlement process in a health insurance plan. The study also points out that 40% of the delays are attributed to the administrative process in the hospitals. The major challenges […]

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Union Ministry Launches National Health Claim Exchange Platform to Simplify Health Insurance Settlements

Union Ministry Launched National Health Claims Exchange Platform to Simplify Claims Settlement

Mrs Anuradha, aged 30, married with two kids, working at an MNC, was admitted to a hospital for nerve-related issues. Upon diagnosis, it was found that she had brain tumours that had to be operated on immediately. Anuradha has a personal health insurance plan for Rs.5 Lakhs from XYZ company and a group health insurance policy provided by her […]

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Group Health Insurance Mandatory

Is Group Health Insurance Mandatory for Employees in India?

Group health insurance compensates the employees in case of hospitalization due to illness or accident. Group health insurance would be given to a group for which the premium would be paid by the employer of the group. Group health insurance is usually taken by employers to cover their employees as a part of employee benefits. […]

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Vector Image Representation of Health Insurance for Smokers - Tobacco Users

Health Insurance for Smokers: Impact of Tobacco Consumption on your Health Insurance

It is widely believed that people who consume tobacco and other related products would not get any life and health insurance coverage from insurance companies. This was the case a few years ago where the insurance companies used to deny insurance cover for people consuming tobacco and other related products. Insurance companies do offer health […]

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Cashless claim denied? Here is how you should proceed with appeal.

Cashless Claim Denied? Here is How You Should Proceed With Appeal

What could be the worst situation other than getting your health insurance claim rejected when you are admitted to a hospital? Yes, such situations are not uncommon in the insurance industry and happen very frequently with policyholders. While the reasons for claim rejection could be many, some include wrong declarations made in the proposal form, pre-existing and other waiting […]

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Planning to Travel Abroad Here are The Countries That Mandate Travel Insurance

Planning to Travel Abroad? Here are The Countries That Mandate Travel Insurance

Travel is one of the ways of relieving stress and exploring different parts of the World. Many people turn to travel when they are stressed or when they need leisure, and some even travel to different places for work-related purposes. Recently, we have a new set of people who travel around the World, document their memories, and share […]

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Does it Make Sense for New Companies to Enter the Health Insurance Industry

Does it Make Sense for New Companies to Enter the Health Insurance Industry?

Most of us might have seen the recent news of TVS group foraying into the health insurance industry in India. Currently, there are 5 standalone health insurance companies in India offering only health insurance plans in addition to the nearly 33 general insurance companies offering health insurance plans as a part of their portfolio. On top of […]

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Here is a Guide on How to Handle a Health Insurance Claim Rejection

Here is a Guide on How to Handle a Health Insurance Claim Rejection

Most of us buy a health insurance policy to come in handy in case of hospitalization, as the policy would pay our expenses. We buy a health insurance policy thinking that we should not use it, but it might happen that we should sometimes use it. This is the moment of truth that you had been waiting […]

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Decoding IRDA's 65 Years Age Rule in Health Insurance

Decoding IRDA’s 65 Years Age Rule in Health Insurance

Many of you have seen IRDA’s recent circular stating that from April 1, 2024, insurance companies are not required to follow the entry age limit of 65 years for health insurance plans. This has created a buzz among the general public, especially senior citizens. Many news channels have published news that from now on, there would not be any upper […]

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IRDA's All-In-One Insurance Product Bima Vistaar Details Revealed: Starts From Rs.1500 Per Policy

IRDA’s All-In-One Insurance Product Bima Vistaar Details Revealed: Starts From Rs.1500 Per Policy

Insurance penetration in India decreased to 4% in FY-23 compared to 4.2% in FY-22, whereas the global insurance penetration stood at 6.8%. On the other hand, the insurance density, measured as the ratio of premiums collected to the total population, increased from $91 in FY22 to $92 in FY23. This could be attributed to various factors such as Covid-19, […]

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AI Revolutionizing Healthcare Coverage: Unleashing Innovation's Potential

AI Revolutionising Healthcare Coverage: Unleashing Innovation’s Potential

The Current Landscape of Health Insurance The landscape of health insurance is undergoing significant transformation, shaped by evolving demographics, rising healthcare costs, and technological advances. With an ageing population and increasing prevalence of chronic diseases, there’s a growing demand for accessible and affordable healthcare coverage. Furthermore, regulatory changes and market factors push insurers to reinvent […]

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Health Insurance Claim rejected? Here are the Possible Reasons for Rejection.

Health Insurance Claim Rejected? Here are the Possible Reasons for Rejection.

Assume, you were admitted to the hospital due to an accident and at the time of admission you have submitted your health insurance card at the hospital. But, you were shocked to see a rejection mail from the insurance company regarding your claim. Now the entire burden of claim payment has fallen on you as […]

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Artificial Intelligence in Health Insurance

Artificial Intelligence in Health Insurance: The Final Frontier

AI’s impact on health insurance has been profound. From its beginnings as an automaton for repetitive tasks to its current use in personalised risk assessments and proactive healthcare efforts, AI has positioned itself as a key component in modern operations. Insurers can now offer customised insurance plans, more effectively detect fraud, and predict individual health […]

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image of HOW TO PICK AN AFFORDABLE GROUP HEALTH-PLAN FOR YOUR START-UP?

How to Pickup an Affordable Group Health Plan for your Startup?

It’s an acknowledged fact that hiring for a start-up is a challenge that every entrepreneur’s (especially first-time ones’) headache is centered around. Attracting a settled and performing individual to leave all behind and jump ship (more like jump ship to the boat) is hard enough. Fortunately, there are means and instruments, such as group health […]

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ATTACHMENT DETAILS Gift-yourself-and-family-with-a-health-insurance-on-this-World-Health-Day

Gift yourself and family with a health insurance on this World Health Day

The World is experiencing rapid changes in the medical field which is contributing to the increased life expectancy. On the other hand, modernization, changing lifestyle and industrialization is leading to new challenges which is increasing the chance of suffering from multiple conditions. Most of the conditions we have today were very common in our previous […]

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Best Cancer Health Insurance Plans in 2022

Best Cancer Health Insurance Plans in 2022

Aditya Birla Health Insurance- Activ Secure- Cancer Secure Plan: Key Highlights: All 3 stages of cancer are covered- Early, Major and Advanced stages. Coverage for up to 150% of the sum insured 10% cumulative bonus for every claim free year Sum Insured Options: Rs. 5 Lakhs to Rs. 1 Crore Cancer Care Cover: Early : […]

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Health Insurance Policies Which Cover Obesity

Health Insurance Policies Which Cover Obesity

Obesity is a condition characterized by an increase in the size and amount of fat in the body. The World Health Organization has recognized obesity as a disease and also by several other multinational organizations. According to WHO, obesity is a major risk factor for noncommunicable diseases such as heart disease, stroke, type 2 diabetes, […]

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Best Health Insurance Plans for Diabetic Patients in 2022

Best Health Insurance Plans for Diabetic Patients in 2022

Have you thought about the disease “Diabetes”? Do you know that there are separate and comprehensive health insurance for diabetic patients? The most common disease these days is diabetes in India which has become common after you cross 40 years of age. If we go back a decade or two, the common age of diabetes […]

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Claiming Tax Benefits in a Multi-year Health Insurance Policy

Health insurance is the most sought after insurance product in the Indian market and the demand for health insurance has increased after the Covid-19 pandemic. The ever rising hospitalization expenses have also made people think about taking a health insurance plan as one hospitalization can push a middle class family to poverty. Keeping the hospitalization […]

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Importance of Health Insurance on Holi

Holi is one of the major festivals celebrated in India which symbolizes the victory of good over evil. Holi is celebrated at the start of the spring after a long cold winter in all parts of the country. Holi is celebrated in various forms among various groups of people. There are many poems documenting the […]

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Your Comprehensive Guide: How to Successfully Claim Health Insurance Benefits?

Your Comprehensive Guide: How to Successfully Claim Health Insurance Benefits?

Health insurance is a comprehensive policy that carries many benefits that are to be utilized to their full potential to get the maximum benefits out of it. Gone are those days when health insurance plans used to cover only hospitalization expenses such as room rent, surgery costs, surgeon fees, anesthesia fees, etc. Earlier, there used […]

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Can a Preliminary Hospital Note Affect Your Health Insurance Claim

Can a Preliminary Hospital Note Affect Your Health Insurance Claim?

Being hospitalised can be a stressful experience, and navigating the complexities of health insurance claims can add to the burden. This blog post aims to address a common concern: can a preliminary note made during hospitalisation impact your health insurance claim settlement? Real-Life Insurance Case Study: Insightful Takeaways for Providers and Policyholders Understanding the Case: […]

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What is Preventive-Care Health Insurance

Preventive-care health insurance plans are gaining traction in the market as they encompass a wide range of services targeted at preventing illnesses or detecting them very early so that they can be acted upon effectively. As the saying goes, “Prevention is better than cure.” The adage not only suits health insurance plans but also has […]

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The Importance of EAP-Mental Health Counseling in Indian Workplaces

The Importance of EAP-Mental Health Counseling in Indian Workplaces

In the fast-paced and competitive work environment of India, where employees often spend extended hours at their workplace, the importance of mental health support cannot be overstated. Employee Assistance Programs (EAP) that include mental health counselling are essential for maintaining a healthy, productive, and harmonious workplace. Let’s explores the significance of EAP-Mental Health Counseling, backed […]

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Revolutionising Health Insurance in India, One AI Brick at a Time

India’s healthcare system, while vast, faces challenges like affordability, accessibility, and efficiency. Artificial intelligence (AI) emerges as a potential game-changer, transforming the health insurance landscape in exciting ways. From fraud detection to personalized medicine, let’s explore how AI is reshaping the industry: Smarter and Faster Underwriting Niva Bupa, one of the larger Stand Alone Health […]

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Cashless Everywhere: A Game Changer for Healthcare in India

Cashless Everywhere: A Game Changer for Healthcare in India

In a major reform for the healthcare industry in India, general and health insurance companies have come together to launch a revolutionary initiative called “Cashless Everywhere.” This initiative aims to transform the way medical claims are settled by allowing policyholders to get cashless treatment at any hospital they choose, regardless of whether the hospital is […]

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Group-Term-Insurance-Claim-Settlement-Process-Recovered

Group Term Insurance Claim Settlement Process

Group term insurance usually refers to the term life insurance plan offered to members. Companies take group term insurance plans to cover their employees under a single policy. The policy is designed to provide financial compensation to the family of the nominee of the insured employee in case of his/her untimely death. The group term […]

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How to Negotiate for Billing while in hospitalization without Insurance

How to Negotiate for Billing While in Hospitalization Without Insurance

The commercialisation of health care is a burning agenda today. There is no regulation on hospitals and hence we don’t have anything like MRP or say standard rates for hospital procedures. Negotiating with the art of negotiation under the assumption that there is no medical insurance.

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The Cost of Waiting: Understanding the Risks of Not Having Personal Health Insurance

Personal health insurance was seen as a product that should be purchased at the time of illness, and people used to wait for a certain period of time before taking a personal health insurance policy. It is detrimental to wait before taking the personal health insurance policy as it can have many mental and financial […]

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Understanding-Group-Health-Insurance-for-Large-Companies-Self-Funded-vs-Fully-Insured-Plans

Understanding Group Health Insurance for Large Companies: Self-Funded vs Employer-Funded Plans

Group Health Insurance Group health insurance for large companies can be an essential element of their employee benefits package and would benefit employees tremendously. Such policies cover hospitalization expenses incurred during an accident, illness or disease covered under their policy period – this ensures no surprise bills. Group health insurance premiums may be paid either […]

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Insurance Bill (Amendment) - 2023

Insurance Bill (Amendment) – 2023

Insurance in India was introduced by the establishment of the Oriental Life Insurance Company in Calcutta in the year 1818. The first insurance company was regulated by the British and was according to British laws. In the years following India’s independence, an insurance regulator and Development Authority for India (IRDAI) was set up to manage […]

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Considered These Things Before Making a Health Insurance Claim

Have You Considered These Things Before Making a Health Insurance Claim?

The most important part of the insurance utilization process is claim settlement. Claim settlement can be considered as the last stage in the process and is the core stage for which the policy is taken. Health insurance claim settlement arises once the patient is hospitalized due to an accident, disease, or illness. Health insurance claim […]

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Difference Between Life, Health and Personal Accident Insurance

Difference Between Life, Health and Personal Accident Insurance

Many people think of life insurance when they hear the word insurance. That was the kind of impact life insurance has created on people, but in reality, life insurance is not the only insurance available in the market. Insurance can be life or non-life. Life insurance covers the life of individuals against death, whereas general […]

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Comparing Group Health Insurance Plans: How to Choose the Right One for Your Business

Comparing Group Health Insurance Plans: How to Choose the Right One for Your Business

Group health insurance is a customized policy that can be designed per the insured customer’s needs and requirements. Still, the offerings vary from one insurance company to another. For instance, one insurance company might cover the robotic treatments, whereas the others might have it under exclusions. The basic covers such as sum insured, in-patient/out-patient/daycare hospitalization […]

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Pre-existing Condition in Travel Insurance

Pre-existing Condition in Travel Insurance

What is Travel Insurance? If you have a health insurance policy in India, you could claim for any hospitalization anywhere in India, but while travelling abroad, the same policy might not cover everything. Then, taking a travel insurance plan that could cover all your medical expenses in a foreign location would be advisable. The other […]

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Group Health Insurance vs. Individual Health Insurance: What's the Difference and Which is Best for Your Business?

Group Health Insurance vs. Individual Health Insurance: What’s the Difference and Which is Best for Your Business?

Businesses would often be confused when deciding the health insurance for their employees. It would be difficult to decide whether to go with group health insurance or individual health insurance. Group health insurance has certain benefits, such as customization of policy, one policy for all, no sub-limits, no co-payments, no restriction on the number of […]

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The Hidden Benefits of Personal Health Insurance

The Hidden Benefits of Personal Health Insurance

Customers should explore many hidden benefits in personal health insurance plans to avail of benefits during the policy period. These benefits would be hidden in plain sight for the customers, and most would not pay heed to these benefits in the first instance. Insurance intermediaries would also not explain these benefits to the customer while […]

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The Impact of Group Health Insurance on Employee Wellness and Productivity

The Impact of Group Health Insurance on Employee Wellness and Productivity

Group health insurance increases employee wellness and productivity to a certain extent while keeping the other factors constant. Employee productivity cannot be measured directly as it involves many factors contributing to an employee’s productivity. These factors could be organizational culture, perks and salary benefits, job role, team cohesion, reporting supervisor, and employee benefits such as […]

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Personal Health Insurance vs Employer-Sponsored: Which is Right for You?

Personal Health Insurance The personal health insurance policy, which is also referred to as retail health insurance or individual health insurance, pays for medical expenses of an insured client because of an accident, sickness, or illness in excess of the sum insured maximum in exchange of a small fee. The insured customer would completely own […]

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Insurance Agent and Insurance Broker Commission Structure in India

Insurance Agent and Insurance Broker Commission Structure in India

The Government of India’s Insurance Regulatory Development Authority decides the insurance agent’s and insurance broker’s commission structure in India. The maximum commission in the general insurance business is paid in the motor insurance segment, whereas the minimum is paid in the group health insurance segment. IRDAI has set a cap on the commission payable under […]

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Advantages of Having Personal Health Insurance in Retirement

The Advantages of Having Personal Health Insurance in Retirement

Retirement refers to when one leaves an active profession and working life behind, often after age 60 or when no longer capable of work. People generally retire due to various reasons, including health conditions, relaxation, or aging in general – such as retiring due to incapacity. People typically enjoy peaceful retirements to focus on maintaining […]

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Claim Settlement Ratio and Incurred Claims Ratio in Health Insurance

Claim Settlement Ratio and Incurred Claims Ratio in Health Insurance

Words like Claim settlement ratio and incurred claims ratio are frequently used in the health insurance industry. Claim settlement ratio is considered as a sign of trust on the insurance company when it comes to settling the claims, claim settlement ratio was used as a USP until recently to sell the insurance. Claim settlement ratio […]

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Employee Retention, Attraction, and Satisfaction: The Benefits of Group Health Insurance

Employee Retention, Attraction, and Satisfaction: The Benefits of Group Health Insurance

Group health insurance has several benefits, such as health insurance coverage in case of accidents, illness or diseases, daily cash benefits, coverage of organ donor expenses etc. In addition to these basic benefits, a group health insurance policy would also provide an additional advantage to the employers in the form of increased employee retention, new […]

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Best Health Insurance Companies in India 2023

Best Health Insurance Companies in India 2023

The most trusted health insurance company in India by 2023 will be the one that can offer top health insurance plans with more hospitals in the network, the highest rate of settlement for claims, the most efficient customer services, and an easy claim settlement. The best health insurance is the policy that provides the best […]

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How to Save Money on Personal Health Insurance Coverage

How to Save Money on Personal Health Insurance Coverage

Today, any minor surgery can cost you anywhere between 2-5 Lakh Rupees. Health inflation in India is rising at about 14% per annum. If you are a white-collar worker, your salary hike might have been lower than 14% per annum, especially over the last few years. Without basic health insurance, it is increasingly difficult for […]

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Creative Employee Recognition Ideas for 2023 - The Ultimate List

Creative Employee Recognition Ideas for 2023 – The Ultimate List

Employee recognition is the appropriate cognisance of an employee’s contributions that improve an organisation’s business. Recognising employees is an important part of human resources development as it would improve the performance and productivity of the employees. Employees are usually recognised when they achieve their goals or over-achieve the goals set by their organisation. Employee recognition […]

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5 Super Useful Work from Home Exercises for Employees

5 Super Useful Work From Home Exercises for Employees in 2023

Exercise should be part of our everyday lives and should never be overlooked. The impactful presence of regular physical exercise must be considered. There have been negligible moments in our daily life due to the work-from-home scenarios, leading to several non-communicable diseases. To avoid this, employees working from home or office can practice these simple […]

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Common Misconceptions About Personal Health Insurance

Common Misconceptions About Personal Health Insurance

Personal health insurance misconceptions are common among people intending to purchase health insurance. Misconceptions about personal health insurance could be due to various reasons like the influence of past events or bad experiences with the insurance provider. Such events create a strong negative feeling towards personal health insurance and prevent you from buying a policy. […]

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How Group Health Insurance Can Boost Your Business's Financial Health

A Healthy Bottom Line: How Group Health Insurance Can Boost Your Business’s Financial Health

Group Health Insurance The group health insurance policy is intended to pay for the medical costs of the insured in cases that they require hospitalization because of injuries, illness, or ailment within the period of the policy. You are covered up to your sum insured mentioned under the policy. Group health insurance is usually taken […]

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The Impact of Blacklisted Hospitals in Insurance Industry

The Impact of Blacklisted Hospitals in Insurance Industry

What is Blacklisting of Hospitals in the Insurance Industry? Blacklisting is placing a hospital in a position where there would be no further dealing with it in any case. Once blacklisted, Insurers do not empanel or engage with such hospitals. Customers should consult their insurance companies before making a claim. They should ensure their preferred […]

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How to Maximize Your Personal Health Insurance Benefits?

How to Maximize Your Personal Health Insurance Benefits?

A personal health insurance policy is typically used to pay for the costs of medical treatment for the insured if they are hospitalized due to illnesses or accidents. But other benefits can be derived from personal health insurance plans that are unknown to many users. Health insurance plans come with many benefits, some of which […]

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The Cost of Doing Business: How Group Health Insurance Can Help You Save

The Cost of Doing Business: How Group Health Insurance Can Help You Save

There are numerous costs involved in conducting business in India. These include startup costs, sunk costs, and employee expenditures such as salaries, employee benefits etc. The major costs apart from the initial investment would be the operational and employee benefits costs. Any business would like to reduce its costs in one way or the other […]

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Beyond the Basics: Uncovering the Hidden Advantages of Group Health Insurance

Beyond the Basics: Uncovering the Hidden Advantages of Group Health Insurance

Group health insurance covers the hospitalization expenses of the insured members in case of illness, disease or an accident up to the sum insured limit mentioned under the plan. In addition to basic hospitalization, the policy also covers daycare expenses, expenses incurred on alternative treatments, organ donor expenses, outpatient expenses etc. These benefits are advertised […]

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Navigating the World of Group Health Insurance: Tips for Choosing the Right Plan

Navigating the World of Group Health Insurance: Tips for Choosing the Right Plan

Group Health Insurance covers the medical expenses of the insured members up to the sum insured mentioned under the plan in return for a premium amount that the insured customer pays. Group health insurance can be classified as employee-employer and non-employee-employer. Most group health insurance plans belong to the employee-employer segment, where the employer would […]

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5 Benefits of Investing in Personal Health Insurance

5 Benefits of Investing in Personal Health Insurance

When a person is hospitalised as a result of an accident or illness, personal health insurance can be helpful. Personal health insurance policy can be purchased for oneself as well as someone you have an insurable interest in. Insurable interest in simple terms is your interest in the person you are insuring. You can therefore […]

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Understanding the Important Cost Considerations of Personal Health Insurance

Understanding the Important Cost Considerations of Personal Health Insurance

Ever wondered how Insurers cost their Persona Health Insurance Products? While many statistics and related sciences are used. Let us Understand Some Factors Behind Deciding Premiums. Age: Age is an important factor in deciding the health insurance premium. All insurance corporations base their top rate calculations on the age of the eldest member within the […]

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The Importance of Personal Health Insurance A Guide for Young Persons

The Importance of Personal Health Insurance: A Guide for Young Persons

Personal Health Insurance Covid -19 has accentuated the need to have health insurance. Health insurance not only gives financial stability to the policyholder by safeguarding their hard-earned money, but also protects the policyholder’s monies, which she would have otherwise had to bear due to hospitalization. Personal health insurance also known as retail health insurance can […]

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Things Must Ask from Insurance Broker about group health insurance plan

Things You Must Ask from Your Insurance Broker before taking a Group Health Insurance Plan

A group health insurance policy covers a group of people under a single policy removing the need to take individual policies, in simple words group health insurance policy is a master policy which has the details of all the insured members. It is beneficial for customers to take group health insurance from an insurance broker […]

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Group Health Insurance

Personal Health Insurance Glossary

Insurance involves a lot of technical terms that a layperson may not be aware of. However, it is important to be familiar with these terms as it helps you to understand the terms and conditions of a health insurance policy. Further, it helps to choose the right insurance policy for your needs. We’ve covered some […]

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organ-donors

Organ Transplants and Health Insurance

The past few centuries have witnessed great strides in medical science with revolutionary medical breakthroughs. Be it the invention of vaccines and antibiotics or the more recent developments in artificial intelligence, advancements in the field of medicine have not only increased life expectancy but also helped improve the overall quality of human life. Organ transplantation […]

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Cover out Patient Benefit

Health Insurance Policies Which Cover out-Patient (OPD) Benefit

1. Aditya Birla – Activ Health Platinum Enriched Insurance Plan: i) Coverage: The policy will cover the costs incurred for medically necessary consultations, diagnostic tests, and pharmacy expenses on an outpatient basis up to the amount specified under the policy. The appointments can be scheduled through the website or through the mobile application or call […]

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self regulation

The Art of Self-Regulation for the Insurance Sector

Time and again IRDA, the Regulator of the Insurance sector, has had to come down with a heavy hand to protect the Consumer (Insured) from getting entangled in a web of complexities that the consumer should ideally not have to contend with. Some time back, it had to intervene, to ask insurers to review claims […]

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health people insurance

Health Insurance Premium for Healthy people should cost zero!!!

Imagine you are a healthy adult of forty. You exercise regularly, and work hard towards maintaining a healthy lifestyle, despite your demanding work schedule. Do you ever wonder why you have to bear the same premium as someone who smokes, leads a sedentary lifestyle and doesn’t believe in the idea of exercising? Well, the good […]

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