I am Bharti Senior Citizen 75yr Old from Gujarat. I am having Care Health Insurance CARE Policy. Kindly let me Guide:

Accident Hospitalisation case Under Health/Mediclaim Policy covers Physiotherapy Charges in Post Hospitalisation Recommended by Doctors? 

GOD Bless You.

Ans: Many insurance companies offer both features either in a single plan or under separate plans. Amongst the two features, the most preferred and essential feature is the one covering hospitalisation expenses.

The non-hospitalisation or out-patient expense cover usually comes at a high premium with a lower limit. However, the hospitalisation plan usually covers non-hospitalisation bills related to pre-hospitalisation & post-hospitalisation period.

There are multiple advanced health insurance plans available offering limit up to 1 crore that cover hospitalisation and pre/post hospitalisation expenses and bundled with other prominent features such as ‘Daily  cash allowance’ to count on in case of hospitalisation – to cover expenses that are not usually covered in hospitalisation only linked plans.

Under section 80D of the Income Tax Act, 1961, the premium paid is eligible for tax deduction up to an amount of Rs. 50,000 for senior citizens.

Ans: Hi, the coverage amount should be an estimate of the treatment you may be expecting in the near future in case you have any pre existing diseases. Else, due to the age being on higher end, you may have to pay higher premiums. Do not delay and purchase as soon as possible.

Ans: Health insurance covers medical expenses. It includes hospital stays, surgeries, and treatments. You need to check the policy details.

Coverage for Pre-existing Conditions
Pre-existing conditions are medical issues you had before getting insurance. These conditions often have a waiting period before coverage starts.

Your Specific Case
You mentioned a leg fracture. Since it's now two years old, check if the policy covers it. Most policies cover pre-existing conditions after a specific waiting period. Since your policy is now in its fourth year, it's likely the surgery will be covered.

Action Steps
Review Your Policy: Check the terms for pre-existing conditions and waiting periods.

Contact Your Insurer: Confirm coverage for your surgery.

Plan for Surgery: Ensure all paperwork and approvals are in order.

Future Considerations
Stay Informed: Keep updated on your policy's terms and conditions.

Regular Health Check-ups: This helps in early detection of health issues.

Emergency Fund: Always have some savings for medical emergencies.

Final Insights
Your health insurance is crucial. Ensure you understand its terms and use it wisely. Stay proactive about your health and insurance details.

Best Regards,

K. Ramalingam, MBA, CFP

Chief Financial Planner,

www.holisticinvestment.in

Ans: Based on my personal experience, I would recommend HDFC ergo, Star health insurance & Govt health insurance companies. Apart from Claim settlement ratio, look at other features like coverage throughout India, some have restriction based on where you stay, minimum waiting time for pre existing illnesses, extent of no claim bonus and preventive tests, reinstating full cover despite usage at one instance, etc. This is not to say that Care health insurance is not OK but do your due diligence on above points and seek help from your insurance advisor if needed.