What is Health Insurance?

Health insurance is a type of insurance coverage that pays for medical and surgical expenses incurred
by the insured.

Choosing a health insurance plan can be tricky because of plan rules regarding in- and out-of-
network services, deductibles, co-pays, and more.

Since 2010, the Affordable Care Act has prohibited insurance companies from denying coverage to patients
with pre-existing conditions and has allowed children to remain on their parents' insurance plan until they
reached the age of 26.

Medicare and the Children's Health Insurance Program (CHIP) are two public health insurance plans that target
older individuals and children, respectively. Medicare also serves people with certain disabilities.
 Why Health Insurance?
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 WHY HEALTH INSURANCE

• Changing lifestyle:The tectonic shift in our lifestyle has made us more prone to a wide range of health disorders.
Commuting, hectic work schedules, wrong eating habits, quality of food, and rising levels of pollution have increased the
risk of developing health problems.

• Rising medical costs: The medical costs have dramatically risen lately. So, in case of a medical emergency, consumers end
up spending their savings, which takes a toll on their future plans. Reports highlight that Indians primarily depend on their
own savings when it comes to tackling health emergencies.

• Coverage of pre and post hospitalisation expenses: Not only mainstream medical costs, but also the cost of OPD (out-
patient department) expenses, diagnostic tests have also risen in recent times which have made it even more vital for one
to buy a health insurance policy.

• Income tax benefit: Payments made towards health insurance premiums are also eligible for tax deductions under section
80D of the Indian Income Tax Act.
 Why Health Insurance?

Coverage of pre and post

hospitalisation expenses: Not only
mainstream medical costs, but also the
cost of OPD (out-patient department)
expenses, diagnostic tests have also
risen in recent times which have made
it even more vital for one to buy a
health insurance policy. It is
noteworthy that the medical policies
not only cover the hospitalisation costs
but also the expenses incurred
towards OPD and diagnostic tests
before and after a stipulated time
period as prescribed by the policy.
Additional benefits: One also gets
benefits such as ambulance coverage,
coverage for day-care surgeries,
coverage for health check-up and
vaccination expenses under health
insurance. These days' insurance
companies also offer health
insurance for Ayush treatment.
Why Health Insurance?
Types of Health Insurance

Individual Health Insurance Plan:Individual Health Insurance Plan is a

type of health insurance that covers health expenses of an insured
individual. These policies pay for surgical and hospitalisation expenses of
an insured individual till the cover limit is reached.

Family Floater Health Insurance Plan:If a person wants to buy health

insurance for his entire family (spouse, children and parents) in a single
plan, then he should go for a Family Floater Policy. Any family member
covered under the policy can claim in case of hospitalisation and surgical
expenses.

Group Health Cover:Group Health Insurance plans are bought by an

employer for his employees. The premium in group insurance is lower
than individual health insurance policy. Group health plans are usually
standardized in nature and offer the same benefits to all employees.
Types of Health Insurance
Senior Citizen Health Insurance:At old age, health issues arise that
involve expensive treatments. In order to meet such high medical
cost, insurance companies have designed special health insurance
plans for senior citizens. These plans provide cover to anyone from
the age of 65 and above.

Critical Illness Health Cover :Critical Illness Policy covers the

expenses involved in treating the life-threatening diseases like a
tumour, permanent paralysis etc. These policies usually pay a lump
sum amount to insured person on the diagnosis of serious diseases
covered in the policy document. 

Super Top-Up Policy: Super Top-Up Plans offer an additional

coverage over the regular policy that can help to increase the
amount of sum insured. The Super Top-Up Policy can be used only
after the sum insured of one’s regular policy is exhausted.
GET RID OF YOUR MEDICAL BILLS !!

GREAT BENEFITS!!
 In-patient Benefit
 Day-care procedures
 Organ donor
 Pre and Post Hospitalisation
 Domiciliary Treatment
 Ambulance Cover
 Daily cash for choosing shared accommodation
 Emergency air ambulance cover
 Restore Benefit
 Free Health Check-up

IN JUST SMALL AMOUNT

PREMIUMS AT DIFFERENT AGE GROUP
Age (in years) Premium (Sum Insured : 50 Lakh)

25 13979

30 15087

35 17416

40 19681

45 22966

50 28514
GREAT CLAIM SETTLEMENT RATIO !!

COMPANY NAME CLAIM SETTLEMENT RATIO

ICICI LOMBARD 98.2%

HDFC ERGO 97.5%

MAX BUPA 91.2%

The early you buy the better it is!!
If you take a Mediclaim of
50 lakh at 25 years of age
your premium will be
Just Rs.13979.00.

If you take a Mediclaim of 50 lakh at

50 years of age your premium will be
Rs.29524.00
 WHAT IS TERM PLAN ?

Term insurance is a Other term policies

If the insured dies
type of life offer decreasing or
during the time Many term policies
insurance policy increasing benefits
period specified in offer level
that provides over time as well as
a term policy and premiums for the
coverage for a the option to
the policy is active, duration of the
certain period of convert from term
a death benefit will policy.
time or a specified to permanent
be paid.
"term" of years. insurance.
 WHY TERM INSURANCE?

Term insurance is the minimum required to provide financial security for your dependents in case
of your untimely demise. It is the cheapest way to protect your future income from the risk of your
dying before you have earned it.

Tax benefit:

It is often argued that if you buy endowment type of insurance, as the premium is more you get
more benefit u/s 80C of the Income Tax Act while investing. Additionally, it also yields tax-free
income when the maturity claim is paid. However, it needs to be pointed out that while premium
paid for term insurance is much less it is also eligible for tax benefit u/s 80C.
DEATH RATE EXPECTATIONS OF INDIA
 TYPES OF TERM PLAN

Level Term Plans: This is the simplest

form of a term insurance plan where
the sum assured does not change
during the tenure and benefits are
paid out to the nominee on the
death of the policy holder.

Term Plans with Riders: This is a unique plan

whereby you can buy riders like, critical illness
cover, accidental death cover or disability cover Return of Premium Plans: Unlike level term plans,
etc. by paying a small additional premium. If you here the plans have maturity benefit, wherein the
take a rider and opt for premium waiver benefit, premiums are returned to the policy holder if he or
then you need not pay the future premiums in she survives till maturity of the policy.
case of any eventualities for which you have
taken the rider.
 TYPES OF TERM PLAN
Increasing Term Plans: In this plan, one can
opt to increase the sum assured at annual
frequency during the plan period while
keeping the premiums same. Of course, the
premiums of this plan will be different than
that of level term plans.

Decreasing Term Plans: Here the sum

Convertible Term Plans :This is a plan
offered by some of the Insurance
companies wherein a term insurance
plan can be taken with an option to
convert it into some other plan of your
choice at a future date.
assured decreases year after year so as to
match the decreasing insurance needs of
the policy holders. These plans are mostly
taken when someone has taken a large
home loan or personal loan and paying an
equated monthly installment, or EMI.
Common Exclusions in Term Insurance

Death happens under the influence of alcohol

Not disclosing the habit of smoking
Death by participating in hazardous activities
Suicidal death
Death due to natural disaster
SECURE YOUR FAMILY AFTER YOUR
DEATH WITH JUST A SMALL AMOUNT!!!

Age Premium for Sum Insured of 1cr.

25 11,210
30 12,620
35 13,216
40 17,582
45 25,134
50 36,226
 The earlier you buy life insurance, the better it
is!!
If you buy a Life Insurance of ADVANTAGES of Buying
1Cr. at the age of 25 years
your premium is It in Early Age
just Rs.11,210.
• Best tax-saving instrument.
• Dealing with your loans.
. • Most recommended
If you buy a same Life Insurance
financial product.
of 1Cr. at the age of 50 years • It is quite flexible.
your premium is going to be • Younger is Cheaper.
36,226.
CLAIM SETTLEMENT RATIO OF
DIFFERENT COMPANIES

COMPANY NAME CLAIM SETTLEMENT RATIO

TATA 99.07%

ICICI 98.2%

HDFC 95%
What is Critical Illness Insurance?

Critical illness insurance provides additional coverage for medical

emergencies like heart attack, stroke, or cancer.

Because these emergencies or illnesses often incur greater than

average medical costs, these policies pay out cash to help cover
those overruns where traditional health insurance may fall short.

These policies come with relatively low cost, however the

instances that they will cover are generally limited to a few
illnesses or emergencies.
 Why Critical Illness?

To pay for critical medical services that might otherwise be unavailable.

To pay for treatments not covered by a traditional policy.

To pay for daily living expenses, enabling the critically ill to focus their time and energy on getting well instead
of working to pay their bills.

Transportation expenses, such as getting to and from treatment centers, retrofitting vehicles to carry scooters
or wheelchairs, and installing lifts in homes for critically ill patients who can no longer navigate staircases.

Terminally ill patients, or those simply in need of a restful place to recuperate, can use the funds to take a
vacation with friends or family.
Why Critical Illness?
BENEFITS OF CRITICAL ILLNESS
PLAN?
PREMIUMS AT DIFFERENT AGE
GROUPS

Age Group Premium (Sum Insured : 10 Lakh)

18-25 2,250
26-30 3,250
31-35 3,750
36-40 5,750
41-45 9,500
46-50 17,500

THE EARLIER YOU BUY THE

BETTER IT IS !!
WHAT IS CANCER CARE?
Cancer insurance is a type of
health insurance designed to
manage risks associated with
cancer. It helps mitigate the
costs of cancer treatment
and provides policyholders
with financial support.
Cancer care insurance policie
s
 are launched with this very
objective. They offer
comprehensive cover against
cancer.This leaves the patient
and the family financially and
mentally secure to deal with
the trauma that comes with
cancer.
 WHY CANCER CARE?
A recent study conducted in Britain
by the British Journal of Cancer finds
that the lifetime risk of getting
diagnosed with cancer has increased
over time - from 38.5% for men born
in 1930 to 53.5% for men born in
1960. The study concluded that the
lifetime risk of cancer for people
born since 1960 is greater than 50
per cent now.
In India alone, about 10 lakh people
are diagnosed with cancer every
year and another six to seven lakh
die of it. By 2035, these numbers
may almost double to 17 lakh new
patients and 12 lakh deaths per
annum, according to a special
research paper on cancer in India
published in Lancet Oncology
journal sometime ago.
The probability of getting cancer has
increased substantially, the cost of
treatment has also gone up many-
fold in recent years. In fact,
treatment costs now have the
potential to wipe out a common
man's entire life saving.
BENEFITS OF CANCER INSURANCE?

Pay out of a lumpsum amount on diagnosis of cancer

Waiver of premium under certain conditions like early stage cancer

Sum assured increases by a specific percentage annually (e.g. 10%) in case of no claims

Monthly income upto a specific number of years (e.g. five years) under certain conditions like
diagnosis of major cancers

Discounts on premiums for sum assured above a certain amount (e.g. Rs 10 lakhs)
 GREAT BENEFITS!!
Proton beam therapy

Immunotherapy including immunology agents e.g. Interferon, TNF etc.

Personalised & Targeted therapy
Hormonal Therapy or Endocrine manipulation
Stem cell transplantation
Pre-Post Hospitalization
Emergency Ambulance
Follow Up care Post treatment

IN JUST Rs.2,518.00
PREMIUMS AT DIFFERENT AGE GROUP
Age Group Premium(Sum Insured : 50 Lakh)
18-25 2,518
26-30 3,365
31-35 4,187
36-40 5,830
41-45 8,996
46-50 15,432
51-55 27,321

THE EARLIER YOU BUY THE BETTER IT

IS!!
What is Hospital Cash?

The daily hospital cash benefit

offers a fixed amount for each day
that you are hospitalized. The
amount paid is fixed at the time
of taking the policy and would
remain fixed. This benefit cover
can be taken as a rider to your
regular health insurance policy or
also as a standalone cover.
 Benefits of the Plan

Taking care of Extra

Preserving your No Claim
hospital bills : Even though
Blanket Cover for those Bonus(NCB):If you are
your health plan cover
additional expenses: A hospitalized for a minor
your hospital bills, in case
daily hospital cash plan complication, the bill for
of a huge claim, your
provides a lump sum which is not very high, you
health plan might fall short
amount in case of can utilize your daily cash
in meeting the entire
hospitalisation and this plan to pay for the hospital
claim. A daily hospital cash
amount can be used as per bills instead instead of
plan would help in
the liberty of insured. raising a claim in your
covering up any extra claim
health plan.
you might face.
BE STRESS FREE WHILE YOU ARE
HOSPITALISED!!

Earn Rs.5000 each day while you

hospitalised and get stress free,
by giving just Rs.2264.00 annually.

Cover your extra expenses with

hospital cash and preserve your
No Claim Bonus of your
Mediclaim!!
CONCLUSION

Do not consider a DHC plan as a

replacement of a Mediclaim policy. It
should always be used as an add-on to
supplement your medical insurance
needs. The first ring of defence is always
your Mediclaim (individual or Family
Floater kind of plans) policy as it is a
more comprehensive plan. Post that, buy
a critical illness plan especially if you are
around 40. Thereafter, consider buying a
DHC plan to cover the incidental out-of-
pocket costs incurred during
hospitalization.
PERSONAL ACCIDENT

In case there is an injury due to an accident

that requires immediate treatment, the policy
will ensure coverage for the costs in this case.
These reimbursement amounts are very useful
in such situations. Several policies have risk
coverage against accidental death of the person
insured. There is coverage for disability caused
by an accident.
Why

Personal
Accident?
GENERAL INCLUSIONS

Accidental Death Cover: Death due to an accident can be one of the most devastating things for
a family. In the event of death, the entire sum assured is paid to the nominee.

Permanent/Total Disability Cover: In some cases, accidents can result in permanent disabilities
or lifelong total impairment. These impairments could be in the nature of loss of both the limbs
and hands. In case total disability, a specified sum insured is paid to the insured.

Permanent Partial Disability Cover: It is also possible that the injuries sustained during an
accident result in permanent partial disabilities. In such cases, a certain amount of the benefit is
paid to the insured.

Temporary Total Disability: Disabilities can also be temporary. If the insured sustains temporary
disabilities, a different type of benefit is provided. Typically, the insurer will provide a weekly
allowance to recompense the loss of income. This cover is helpful for the loss of income
sustained by the insured.
 NO FINANCIAL WORRY AFTer
ACCIDENT!!

BENEFITS
Accidental Death
Cost of Crutches/wheelchair
Coma Benefit
Cost of Artificial Limbs
Fracture/Burns
Air Ambulance
Funeral Benefits
Loan Shield
Child Tution Benefit
Hospital Daily Cash
Permanent Total Disability
Permanent Partial Disability
Accidental Hospitalization Expenses
Temporary Total Disability
Accidental Dismemberment
Ambulance Cost

IN JUST Rs.11,780.00