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Should I continue my daughter's health insurance with Ewing's sarcoma treatment?

Milind

Milind Vadjikar  |868 Answers  |Ask -

Insurance, Stocks, MF, PF Expert - Answered on Oct 16, 2024

Milind Vadjikar is an independent MF distributor registered with Association of Mutual Funds in India (AMFI) and a retirement financial planning advisor registered with Pension Fund Regulatory and Development Authority (PFRDA).
He has a mechanical engineering degree from Government Engineering College, Sambhajinagar, and an MBA in international business from the Symbiosis Institute of Business Management, Pune.
With over 16 years of experience in stock investments, and over six year experience in investment guidance and support, he believes that balanced asset allocation and goal-focused disciplined investing is the key to achieving investor goals.... more
Gouri Question by Gouri on Oct 16, 2024Hindi
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My daughter is suffering from Ewings Sarcoma. Treatment is being carried out under Government Health scheme. We also had a Star Health mediclaim worth Rs 5 lakh on floater basis for a 4 member family includive of my daughter and son. After the discivery of disease i tried for a Top up but could not do it for 4 of us. Rather the 10 lakh top up was taken for 3 of us sans my daughter. The annual premium falls Rs 17000/- for Rs 5 lakh plan and 4000/- for top up for the Rs 10 lakh plan for a year. Since the health scheme is there should i continue any further with the Star Health policy. In Government health scheme the coverage is unlimited but cashless is Rs 2 lakh only. Kjndly guide Regards Gouri Sankar Bhattacharyya

Ans: Hello;

It is recommended to have separate health care insurance apart from that offered by the Govt health schemes.

If you are using old regime for income tax filing then you are eligible to claim deduction upto 25 K under Section 80 D.

Here's wishing your daughter a speedy recovery.

Best wishes!!
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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 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

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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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Insurance, Stocks, MF, PF Expert - Answered on Sep 09, 2024

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