Good evening! I have gone through your answers on reading getahead. I have question for “AYUSH” for which I’m paying premium and the insurance company is not advising how to make claims for my Homeopathic treatments where I’m being charged special premium for “AYUSH”.

The insurance company is asking me minimum 24 hours of admission to claim. Unfortunately, there’s no facility for Homeopathy Treatment Hospitalisation. I request you to please share your knowledge on the same.

Ans: Hi Bhupesh, there is no ‘one size fits all’ concept with health insurance. Health insurance is based on preferences of the customer and then the premium quotes are generated based on those factors. You can use insurance broking websites to compare the offerings on the mentioned 5 factors and the premiums for various policies that will help you to compare their benefits and make an informed choice. Depending on your priorities, weigh out the factors and decide accordingly.

Since you have mentioned about your family, you can opt for Family Health Insurance policies with an appropriate sum insured to cover your entire family. Like I have mentioned before, premiums are unique to individuals depending on their preferences, the sum insured they deem suitable, the riders they choose, their medical history etc.

What you can do to ensure you buy the correct policy for yourself is to evaluate policies carefully, keeping in mind the 5 important parameters.

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Ans: Health check ups are not covered in medical insurance however check your policy if it offers free health check up

Ans: The coverage for OPD (Out-Patient Department) Ayurvedic/Homeopathic treatment under New India Assurance's Good Health Plan depends on the specific plan variant you have chosen. Here's how to find out:

Review your policy documents: The brochure or policy wording you received with your Good Health Plan will detail the inclusions and exclusions of the plan. Look for sections related to OPD benefits or Ayurvedic/Homeopathic treatment coverage.

Contact New India Assurance: Their customer service representatives can clarify your specific plan details. You can find their contact information on the company's website (https://www.newindia.co.in/) or on your policy documents.

Here's some general information based on publicly available details (it's crucial to confirm with your policy documents):

New India Premier Mediclaim Policy: This popular plan offers OPD coverage for Plan B after every block of two continuous claim-free years. This OPD benefit covers consultations, medicines, investigations, and dental treatment, but it likely excludes Ayurvedic/Homeopathic treatments.
Other Plans: New India Assurance offers various health insurance plans. Some might offer OPD coverage with Ayurvedic/Homeopathic treatment inclusion, but it depends on the specific plan variant.
Here's a recommendation:

Check your policy documents for the most accurate information.
If you're unsure, contact New India Assurance customer service for clarification.

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.