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Sanjib

Sanjib Jha  | Answer  |Ask -

Insurance Expert - Answered on Nov 28, 2022

Sanjib Jha is the CEO of Coverfox Insurance. His expertise includes health and auto insurance. He has over 22 years of experience in the financial sector. He has completed his post-graduation from the Institute of Company Secretaries of India.... more
Subhas Question by Subhas on Nov 28, 2022Hindi
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I am 72 yrs and my wife 62. We have Mediclaim from National Insurance for 5 lakh each for last >20 years. However, due to high premium, we reduced it (by step) to 3 lakh each and also losing bonus accrued. Now I am thinking to have another insurance from Star Insurance for Rs 2 lakh each.

Is it advisable and what are the pros & cons?

Ans: Hi Subhas, instead of buying a new policy for 2 lakh each to increase sum insured you can buy a super top up on your current policy which will cover more sum insured on a lesser premium.

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.

DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Users are advised to pursue the information provided by the rediffGURU only as a source of information to be as a point of reference and to rely on their own judgement when making a decision.
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Sanjib

Sanjib Jha  | Answer  |Ask -

Insurance Expert - Answered on Oct 12, 2022

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 I am an employee of central govt. PSU. My family consists of myself, spouse, two minor children and mother. I am covered by a corporate group medical insurance policy for Rs 2 lakh with an additional emergency coverage of Rs 4 lakh by the employer. I also have a personal Family Floater policy for Rs 3 lakh and a Sr. Ctzn. Policy for Rs 1 lakh. I have not used the personal policies till date for any hospitalisation claim. I am aware that a claim exceeding the corporate policy limit can be claimed in the personal policy. Recently I was made to know that any planned hospitalisation exceeding the corporate claim limit, cannot be done using the second policy. I also know that there is a product called as top up policy which can be used in such cases. I have 8 years of remaining service where there is a medical insurance cover during the period. After retirement, the employer provides a basic policy of 1.5 lakh for the family. The same feels to be insufficient in today’s times. What would be your advice with regards to the existing medical insurance policies and their amounts? Should I need to undertake any tweaking of the policy amounts or switch to a top up policy?
Ans: Hi Pradeep, yours is a legit concern. It would be best if you take advice from a professional person or company – having the necessary qualifications -- after discussing your issue with them.

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.

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Ramalingam

Ramalingam Kalirajan  |5367 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Apr 17, 2024

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Hi I have taken an insurance Policy : Click 2 Protect 3D policy. its a combi policy where Term Insurance is from HDFC Life and Health Insurance from ERGO (In first year it was Apollo Munich). Its been 5 years since I have been paying the premiums, every year the health premium increased. Recently I paid 32k as premium where initially it was 26k. here Term is around 12K odd, rest is for health. My first issue is like I feel I am being charged more for less benefits, the insurance covers my Wife and two kids (7 years) and me. By God Grace till date its no claim policy. The base cover is 3L and added benefits is 3L. I see , their counter parts offer more benefits for such an amount say 20K. i tried to shift to Star but portability denied saying it is not possible since it is combined policy. Here i want more cover or able to port to other service provider. plz suggest.
Ans: I understand your concerns about the Click 2 Protect 3D policy and your desire for either more coverage or the ability to switch providers. Here's what you can explore:

Increased Premiums and Coverage:

Review your Policy: Carefully examine your policy document to understand the breakdown of the premium between term insurance (HDFC Life) and health insurance (ERGO). This will help you assess if the health coverage benefits justify the increasing cost.
Contact HDFC Life and ERGO: Reach out to both HDFC Life (for term insurance) and ERGO (for health insurance) to inquire about possible options for increasing your sum assured (coverage amount) within the existing plan. This might lead to a higher premium, but it would also provide greater financial protection.
Portability Limitations:

Combined Policy Challenges: You're right; combined term and health insurance policies like Click 2 Protect 3D can be difficult to port due to their integrated nature. While individual term insurance plans are generally portable, porting health components often faces challenges.
Alternative Solutions:

Consider Separate Policies: Explore the possibility of purchasing separate term life insurance (potentially with a higher sum assured) and a new health insurance plan from another provider that better suits your needs and budget. This might involve surrendering the Click 2 Protect 3D policy, but it could offer more flexibility and potentially lower costs in the long run.
Negotiate with HDFC Life and ERGO: You could try negotiating with HDFC Life and ERGO to see if they can offer a more competitive premium or increased coverage within the existing plan.
Here are some additional tips:

Compare Online Quotes: Use online insurance comparison platforms to get quotes for separate term life and health insurance plans from different providers. This can help you compare coverage options and premiums.
Focus on Needs, Not Just Cost: While cost is important, prioritize getting adequate coverage for your term and health needs. Don't compromise on coverage just to get a lower premium.
Remember:

Carefully review the terms and conditions of any new policy before purchasing.
Consider factors like your age, health condition, and family needs when determining your required coverage amount.
By thoroughly evaluating your current plan, exploring alternatives, and comparing options, you can make an informed decision about whether to adjust your Click 2 Protect 3D policy or switch to separate plans for better coverage or affordability.

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Moneywize

Moneywize   |125 Answers  |Ask -

Financial Planner - Answered on Jan 31, 2024

Asked by Anonymous - Jan 30, 2024Hindi
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Hi I have taken an insurance Policy : Click 2 Protect 3D policy. its a combi policy where Term Insurance is from HDFC Life and Health Insurance from ERGO (In first year it was Apollo Munich). Its been 5 years since I have been paying the premiums, every year the health premium increased. Recently I paid 60k as premium where initially it was 54k. here Term is around 18K odd, rest is for health. I feel I am being charged more for lesser benefits, the insurance covers my wife and two kids (9 years) and me. By God's Grace till date its no claim policy. The base cover is 4L and added benefits is 4L. I see , their counter parties offer more benefits for such an amount say 40K. i tried to shift to Star Health but portability denied saying it is not possible since it is combined policy. Here i want more cover or able to port to other service provider. What shall I do?
Ans: It's understandable that you're concerned about the increasing premiums and the perceived lack of benefits in your current insurance policy. Here are some steps you can consider:

• Review Your Policy Documents: Make sure to thoroughly review your insurance policy documents. Understand the terms and conditions, coverage details, and any clauses related to premium increases. It's essential to be aware of the specifics of your current policy before making any decisions.
• Compare Policies: Compare the benefits and premiums of your current policy with those offered by other insurance providers in the market. Look for policies that provide similar or better coverage at a more reasonable cost. Take into account the coverage for both term insurance and health insurance.
• Contact Your Current Provider: Reach out to HDFC Life and ERGO to discuss your concerns. Inquire about the reasons for the premium increase and whether there are any options to customise your policy to better suit your needs without compromising coverage. Sometimes, providers may have different plans or options that could better fit your requirements.
• Explore Portability Again: Since you mentioned that Star Health denied portability, consider reaching out to other insurance providers to explore portability options. Different providers may have different policies on porting combined policies, and it's worth checking with multiple companies.
• Seek Professional Advice: Consult with a financial advisor or insurance expert to get personalised advice based on your specific situation. They can help you understand the nuances of your policy, assess your needs, and guide you on the best course of action.
• Consider Separate Policies: If portability remains challenging, you may explore the option of having separate term insurance and health insurance policies from different providers. This way, you can tailor each policy to your specific needs and potentially save on costs.
• Stay Informed About Regulatory Changes: Keep yourself informed about any regulatory changes in the insurance industry that may impact your policy. Sometimes, regulatory changes can affect premium calculations or portability options.

Remember that making changes to insurance policies requires careful consideration, and it's crucial to ensure that you maintain adequate coverage for your family's needs. Always read the terms and conditions of any new policy thoroughly before making a decision. If needed, seek legal or financial advice to make an informed decision.

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Ramalingam

Ramalingam Kalirajan  |5367 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jul 26, 2024

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Sir, My mother is aged 72 years. I have taken "Care Supreme Health Policy" for her last year. I recently received a call regarding health policy portability from Star Health Insurance about a policy "Star Health Assure Policy." One of my friend informed me to avoid Star Health for the reason that Star Health Insurance has poor claim settlement ratio recently. Can you please advise if I should opt for Star Health Assure Policy or continue with Care Supreme Policy. Best Regards Krishna
Ans: Porting a health policy means transferring your existing health insurance to a new insurer without losing benefits. It can offer advantages if the new policy is superior. However, porting should be carefully evaluated.

Evaluate the Existing Policy
Coverage and Benefits: Review your current Care Supreme Health Policy. Assess the coverage, sum insured, and benefits.

Claim Settlement: Check the claim settlement ratio of your current insurer. A higher ratio suggests better reliability.

Assessing Star Health Assure Policy
Benefits Comparison: Compare the benefits of the Star Health Assure Policy with your current policy. Look for coverage, sum insured, waiting periods, and exclusions.

Claim Settlement Ratio: Investigate recent claim settlement ratios for Star Health. Your friend mentioned a poor ratio. Confirm this with reliable sources.

Additional Features: Check if Star Health offers any additional features or benefits not present in your current policy.

Importance of Claim Settlement Ratio
Reliability: A poor claim settlement ratio can indicate potential issues in claim processing.

Customer Feedback: Look for reviews and feedback from existing customers of Star Health. This can provide insights into their service quality.

Considerations for Porting
Waiting Periods: Porting may involve new waiting periods for pre-existing conditions. Ensure you understand these before making a decision.

Premiums: Compare the premiums of both policies. Ensure that the new policy offers value for money.

Policy Terms: Read the terms and conditions of the new policy thoroughly. Ensure there are no hidden clauses.

Seek Professional Advice
Certified Financial Planner: Consult a Certified Financial Planner. They can provide a 360-degree assessment of your needs.

Healthcare Needs: Ensure the policy meets your mother's healthcare needs adequately.

Final Insights
Health insurance is crucial, especially for senior citizens. Porting should enhance benefits and reliability. Carefully evaluate both policies, considering coverage, claim settlement ratios, and overall value.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

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Krishna Kumar  |358 Answers  |Ask -

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DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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