What A Health Insurance Covers and What Not? – Amrit Adrino
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What A Health Insurance Covers and What Not?



What is covered by the Health Insurance Plan?

The majority of insurers of health insurance in India provide coverage for these medical costs as part of an insurance policy for health:

  • Hospitalization Costs for In-PatientsThe hospitalization costs incurred in the treatment of injury or illness are covered as long as the hospitalization lasts longer than 24 hours.
  • Pre-existing illnesses or diseases – Following the expiration of your waiting time, you are able to submit a claim to cover the costs incurred in the treatment of any disease or illness.
  • Pre and Post Hospitalization Costs The following are the costs. Medical expenses that are incurred as a result of blood tests, x-rays and other medical examinations which are necessary prior to hospitalization are covered through the insurer. The same goes for the cost of medications as well as preventive health checks which are performed to check your health following your discharge from the hospital are covered by an insurance program for health.
  • Ambulance Costs While the amount of coverage is different between insurers but most medical insurance plans will cover ambulance costs.
  • Maternity Cover Medical costs incurred during birth and pregnancy are covered, as well as the costs associated with a newborn baby.
  • Healthy Checkups for Preventive Care Regular health check-ups are also available through some health insurance plans across India.
  • Daycare ProceduresDaycare procedures in which hospitalization is not needed for longer than 24hrs are covered. It covers dialysis, eye surgery, and other daycare procedures according to your policy documents.
  • Home Treatment Coverage The policy also pays costs associated with getting healthcare at the home, on the recommendation of a doctor.
  • Ayush Benefit A medical insurance policy also covers medical expenses incurred during Ayurveda, Unani, Siddha or Homeopathy treatment, up to a certain amount.
  • Mental Health Insurance Coverage –Several insurance plans for health in India cover medical expenses associated with treating mental illnesses such as depression.

What is not covered in the Health Insurance Plan?

These medical costs and circumstances are not covered by an insurance policy for health:

  • If there is no accidental incident, claims made within the first 30 days following the purchase of the health insurance plan do not qualify for coverage.
  • Pre-existing illnesses are covered dependent on a wait time between 2 and 4 years
  • Critical illness coverage typically includes a 90-day waiting period
  • The effects of war, terrorism or nuclear activities
  • Suicide attempts or self-inflicted injuries
  • The terminal illness, AIDS, and other ailments of the same nature
  • Cosmetic or plastic surgery, replacing hormones surgery, etc.
  • Eye surgery or dental expenses
  • Rehabilitation, bed rest Common illnesses, bed rest, etc.
  • Post-care tests and diagnostic tests
  • The claims arising out of injuries sustained in adventure sports

Important Factors to Take into Account prior to purchasing the Health Insurance Plan

There are some aspects that you must take into consideration to make the best decision when you purchase health insurance:

  • Review the scope of CoverageThe policy coverage, as well as the amount of insurance, will determine the kind of ailments and surgeries you are able to claim within the term of your policy. Take a close look at the benefits provided such as hospitalization costs daily cash benefits COVID hospitalization coverage Critical illness coverage as well as maternity insurance. when choosing a health insurance plan.
  • Affordable Sum InsuredThe sum insured is an important deciding factor when selecting a health insurance plan. With regard to the rising inflation, it is recommended to purchase an insurance policy that has the minimum amount of 10 lakh, which could be increased to 1 crore. If it’s a family floater plan and senior citizen’s insurance the more the insurance premium is the greater the insurance coverage.
  • Policy Type Policy Type There are various types in medical insurance offered in India. According to your requirements, you may choose to purchase individual health insurance or seniors health insurance family floater, and critical health plans. Additionally, you can purchase top up and Super Top-up health insurance alongside your current health plan to expand the coverage. This can be advantageous in the event that the base amount insured is exhausted while you are undergoing treatment. This option can be selected when you make the purchase and renew.
  • waiting period cause your medical insurance plan comes into effect once the waiting period has been completed. If a claim is made during the initial waiting time with the exception of accident-related hospitalization claims the insurer may deny the claim. Additionally, the waiting time clause is also applicable to pre-existing illnesses like thyroid, diabetes, blood pressure, etc. The same applies to certain illnesses as well as treatments and pregnant cover. You can pick an option with a short waiting time.
  • Co-payment ClauseYour Medical insurance coverage might contain a copayment clause, that is, a specific portion of the amount claimed will be the responsibility of your (insured). The co-payment clause does not impact the amount of insurance. It permits you to lower the cost of insurance to an extent, but definitely will increase your out-of-pocket costs. Make sure to select this option in the event that you are able to pay off the majority of your hospital bills which can be between 10% and 10% without incurring a financial burden.
  • Room Rental Sub-limits A health insurance policy could have a variety of sub-limits, and the most commonly used one is the sub-limit for room rent. For example, if your medical insurance policy has an amount insured of Rs 3 lakh, with an additional limit of 1% the daily rent for your room, the cost of your room is covered up to Rs . 3,000 per day. Any additional sum for room rent has to be paid out of your personal account. Therefore, a health insurance plan that does not have any or very any sub-limits at all is recommended.
  • Network of Cashless Hospitals Network of Cashless Hospitals Look up the list of hospitals that are part of the network for an insurance company with cashless claims are accepted. The more network hospitals that are within your area, the better your chances of obtaining advantages of cashless hospitalization.
  • Lifelong Renewability OptionMedical policy insurance is typically renewed each year. When the period of coverage is nearing its expiration and the insured wishes to keep the insurance coverage, the insured must to pay the cost at time renewal. When purchasing an insurance policy for health selecting a policy with the option of a lifetime renewal will benefit you over the long term.
  • The Premium Loading Factor Premium Loading refers to the extra amount due to the risk-prone policyholder as a premium, particularly for seniors in medical insurance policies. Selecting a medical insurance policy that does not charge a loading fee will spare you from having to pay an extra cost. Certain insurers also charge claim load. While this aspect is often ignored at first, generally will increase your out-of-pocket costs during the time of a claims.
  • Verify the Claims Settlement Ratio This is an essential measure to evaluate the reputation of an insurance company. Always choose an insurer with a solid claim settlement track record. A ratio of claim settlement that is higher than 80 percent could be the best option.


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Important Things To Know About Car Insurance in India



What are the reasons why Car Insurance is required in India?

However, when it comes to simple things, like car insurance, most people prefer to forget or not think about it, unless there’s an immediate consequence of not having it.

But it is true that a majority of the time these guidelines are designed to ensure the security of people such as us and you.

Let’s consider for instance; what would happen if Third-Party Car Insurance was not required under the law. In this situation, the majority of people would not even have it and, in the event there was an accident both parties would be drowning in nonsense arguments, and then huge amounts of money!

So, even though the main goal of insurance policy is to safeguard the person who is affected by an accident or mishap There is many reasons why the insurance of a car is now mandatory in India.

  • Numerous Road Accidents Road accidents are quite frequent throughout India which is one of the primary motives behind why the Motor Vehicle Act has made car insurance mandatory is due to this. In 2017 there more than 1200 injuries that were reported daily because of road accidents! Car insurance will ensure that no one is forced to shoulder the financial burden in the event of a crash.
  • Secures the Third-Party: If you happen to bump into someone’s car or a car crashes into your vehicle, having an insurance for cars belonging to third parties in place will guarantee that the third party affected is compensated any car damage or personal damage.
  • Helps with Legal Procedures In the event of an accident, it is not just the accident that occurs, it is more than just the damage, it’s the legal procedure that consumes the time and energy of those involved. But, if you have an insurance for your vehicle that is valid legal procedures are also handled.


What are the reasons why purchasing a Car Insurance online makes sense?

Have you ever paid the electricity bill through your central location or, when was the last time that you visited your Kirana shop to complete your mobile recharge? It’s been awhile, hasn’t it?

Due to the internet’s power, the majority of us make use of the internet to do the majority of our tasks completed. Pay your bills, recharge and even place orders for groceries! Technology has developed to the point where we no longer need to go to insurance companies or call our dealers to purchase insurance for our cars anymore.

Now you can buy your insurance policy online. All you need are the car’s basic information and a debit or credit card to pay for your insurance premium. Once you’ve done that Your car insurance policy will be sent to you within a matter of minutes.

    • The convenience of purchasing car insurance online can help you save a lot of time. There is no need to spend your time waiting around or calling anyone to get the job completed. You can complete the task from your couch with your laptop in hand and just five minutes left.
    • The purchase of a car insurance online allows you to modify your insurance policy for your car. Additionally, it is possible to do this with Digit’s Car Insurance; you can also modify the car’s IDV by yourself.
    • The purchase of car insurance is much more sensible since the process of purchasing one is transparent because you’re purchasing it yourself instead of relying upon a third-party person to take care of the job for you.
    • The most appealing aspect of purchasing an insurance policy for your car on the internet is there is no need for paperwork!
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Why Should You Renew Your Car Policy With Digit?



Over the years, the way we get our vehicle insurance has changed. Digit analyzed the whole car insurance process and found a way to make it more intuitive, seamless and hassle-free. If you are looking to renew your car policy but aren’t sure, then this post is for you.
Digit understands the challenges you go through, the complex jargon and non-transparent pricing. You can now decrease the number of steps you take to renew and buy your car policy.

Why should you pick Digit to handle Your Car Insurance Renewal?

It doesn’t matter if the previous car insurance policy has been with us before or after, selecting Digit to renew your Car Insurance renewal is simple and easy to do and can be done in few minutes on the internet.

Do you want to renew your car insurance by us the very first time? Here are some benefits you can be looking forward to:

  • Claims that are quickThe main reason for everyone of purchasing a car insurance policy is to claim quickly in times of need. With our procedures, everything from filing claims to assessing the car damages is done online.
  • Cashless repairs to cars It’s not something you’d like to do in the event in the event of an incident is pay unnecessary money from your wallet. This is why we provide the option of repair with cash which allows you to visit one of our garages to get your repairs made without having to pay any additional cost.
  • A Large Network of Garages– Cashless service is available exclusively in our garages that are part of our network, but fortunate for us we have over 5800 garages located across the nation which you can pick from.
  • Doorstep Pickup and Drop When the necessity arises, for example the car isn’t repaired by the time it is We offer pick-up and drop services so that you don’t need to fret about logistics.
  • 24/7 Support So, regardless of what the time or day we’ll have your support.
  • Modify your insurance Do not be fooled by anyone who claims to offer low rates and even lower IDVs, which can immediately affect the amount of money you’re likely to receive in claims. This is the reason why at Digit we are a firm believer in transparency and let you customize your IDV according to the requirements.


How do I purchase/renew a Car Insurance Policy with Digit?

    • 1. Complete your Vehicle’s Model, Make and Variant. Also, the Registration Date and the city in which you travel. Select ‘Get Quote’ and select the plan.
    • 2. Select between a Third-Party Liability only or Standard Pack (Comprehensive insurance).
    • 3: Provide us with information regarding your prior insurance policy – Date of expiry, the date of your claim in the past year, and no Claims Bonuses earned.
    • 4: You will receive a the price on your preferred. If you’ve chosen the Standard Plan you can customize the plan further by choosing add-ons including setting the IDV, and verifying if you own CNG-powered car. The final cost in the following page.
    • 5: Pay your bill then your insurance will be emailed to you electronically!
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