Need Expert Advice?Our Gurus Can Help

For example, if you have a base policy with sum assured of 5 lakh and a top-up policy over it with a sum assured of 10 lakh and you raise a claim for 7 lakh, the 2 lakh difference will be covered by the top-up plan. However, if you don't have a top-up plan you will have to pay it from your pocket.

Top-up plan can be subscribed to when you feel the sum assured value of your base policy will not provide enough coverage. There are no cons of buying a top-up policy; it is advisable that with age one increases their coverage amount to be on a safer side.

No PED will make the case stronger, however it will mostly be a co-payment policy, that is, the policyholder will have to bear a fixed percentage amount of the claim value at the time of claim settlement.

Also, the treatment in this case needs to be done in an AYUSH recognised hospital to avoid failure of claims.

If you purchase a new policy, it will not cover your pre-existing diseases. Moreover, waiting period associated with the new policy will be there because of which you will not be able to claim your sum insured.

The policy will continue even after your daughter returns. However, the premiums of Global Health Insurance Plans are higher and hence it is advisable to port it to any other local plan where you can get lower premiums as per Indian insurance policy market rates.

Request to check your policy document to know the period covered by your insurer for post hospitalisation claim.

I suggest you approach your insurance company and inquire about the same and if you still fail to get a response from them then you can approach insurer ombudsman for this issue.

However, if your sum insured was not completely exhausted, you would have got the claim for post hospitalisation even if the bills were dated in Jan 2022, i.e. within 60 days of discharge.

People with a learning license can drive a vehicle in a supervision of a co-driver, who should hold an effective valid permanent driving license.

In your case, since you were not driving the car in the supervision of any co-driver holding an effective valid permanent driving license, the insurer will not entertain the said claim.

Insurance is each to its own. Depending on your concerns and requirements a professional service provider will be able to give you the best advice, whether to tweak policy amount or switch to top up.

This period of 8 years is called Moratorium Period.

Except for proven fraud and permanent exclusions specified in the policy contract, no health insurance claim shall be contestable after the Moratorium Period expires.

The policies, however, would be subject to all policy limits, sublimits, co-payments, and deductibles.

As you have mentioned that you ported the policy after 4 years, it will not be an issue as porting is also considered continuous renewal.

Persons of Indian origin can also produce an Indian passport with other documents to purchase health insurance in India. However, while making the purchase read the policy document very thoroughly as it may have terms and conditions that are different from policies issued to non-NRI policy holders.

As far as the top up plan is considered, given your age and pre-existing diseases, your risk profile is high and most insurers may not be able to offer Super top up plans.

The best option is to apply for a new base plan with a higher sum insured, however the premium will be on the higher side.

I suggest that you buy an Individual Health Policy over and above the one provided by your employer.

In case you wish to resign, you will have another policy protecting you and while you are working you can claim your Corporate Policy, in case required.

However, in your case you can raise a request to your insurance company to add the said add-on.

If insurer is unable to do so, you can purchase an alternate fresh policy with the zero-depreciation add-on (bumper to bumper) & get the first policy cancelled.

It is best to keep the name in your Aadhar card and Passport and PAN same as that of your policy document.

Once your name has been updated on PAN Card, speak with your insurer requesting for endorsement.

However, the premiums of both may differ depending on the underwriting process as per the insurer.

I suggest you speak with your insurer on why only Rs 500,000 was settled against your bills.

Also as a rule, do read all the terms and conditions on your policy document and the claim settlement process followed by your insurer.

If Critical illness is in policy coverage then it will be covered but if the same is included in the policy as a ‘Rider’ then in this case it cannot be ported.

As far as insurer denying renewal due to number of claims, the answer is no, insurer will not deny your renewal. However, there is a possibility that the insurer will increase your yearly premium based on the re-evaluated risk.