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Should I buy personal health insurance at 37?

Milind

Milind Vadjikar  | Answer  |Ask -

Insurance, Stocks, MF, PF Expert - Answered on Nov 28, 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
Asked by Anonymous - Nov 28, 2024Hindi
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Hello, My query is regarding health insurance. I'm 37 and currently covered by my corporate health insurance of INR 15 lakhs. Should I buy a personal health insurance even though I might not use it till the time I reach my retirement age of 60. Do you suggest increasing this cover of 15L of my corporate health insurance? Or should I buy a personal health insurance? Thanks,

Ans: Hello;

It would be better to have a personal healthcare cover apart from the corporate health insurance.

Because you are nearing 40 when typically lifestyle diseases begin, may god forbid.

Also if you change your job, during the intermittent phase, before joining new responsibility the personal healthcare plan comes in handy, if required.

In case you or anyone in your family has a pre-existing disease the waiting period of 2-4 years need to be factored in, before these can be covered.

My suggestion is that buying a personal healthcare cover would be a better option rather then enhancing sum assured in the corporate health insurance.

Do a thorough study or seek help of an insurance advisor before you sign-up.

Best wishes;
Asked on - Dec 01, 2024 | Answered on Dec 01, 2024
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Thanks for your reply.
Ans: You are most welcome!
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 have a corporate mediclaim policy of Rs 15 lakh. Do I still need to buy personal insurance for my family and myself?
Ans: Having a corporate mediclaim policy is undoubtedly beneficial, but it may not cover all your needs adequately. Here are some reasons why you might still consider purchasing personal insurance for yourself and your family, despite having a corporate mediclaim policy:

1. Coverage Limitations: Corporate policies often come with coverage limits, and these may not be sufficient for your family's needs, especially in case of severe medical emergencies or prolonged treatments.

2. Job Change: If you change your job or your employer changes the insurance provider, there could be a gap in coverage, leaving you and your family uninsured temporarily.

3. Portability: Personal health insurance policies are usually portable, meaning you can carry them forward even if you switch jobs or companies, ensuring continuity of coverage.

4. Tailored Coverage: Personal insurance allows you to tailor coverage according to your specific needs, including adding riders for critical illness, maternity benefits, or other specialised treatments which may not be covered under a corporate policy.

5. Family Coverage: While corporate policies might extend coverage to your family, the coverage amount might be inadequate, and having a separate family floater policy ensures comprehensive coverage for all members.

6. Pre-existing Conditions: Corporate policies may have restrictions on coverage for pre-existing conditions, whereas personal policies often offer coverage after a waiting period.

7. Comprehensive Coverage: Personal policies often offer a broader range of coverage options, including outpatient expenses, alternative treatments, and more extensive network hospitals, which may not be available under corporate policies.

8. Continuity of Coverage: In case of job loss or retirement, personal insurance ensures continuity of coverage without any gaps.

9. Tax Benefits: Personal health insurance premiums are eligible for tax deductions under Section 80D of the Income Tax Act, providing additional financial benefits.

10. Control and Flexibility: Personal insurance policies offer greater control and flexibility in choosing coverage options, network hospitals, and policy terms compared to corporate policies, which are generally standardized for all employees.

While having a corporate mediclaim policy is undoubtedly advantageous, it's essential to assess your family's healthcare needs comprehensively and consider supplementing it with personal insurance to ensure adequate coverage and financial protection in the long term.

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I am 32 years old male, working in a government organisation (institute). Where i get free health check-up, medicines and consultation in our institute dispensary. If anything they cannot cure then dispensary will give referral to other hospitals in the city (expenses borne by our organisation) for health related issues and get treatment at CGHS rates for all health issues. After retirement i will get a CGHS card if we go to other hospitals without referral still I will get reimbursement at CGHS rates. Now please suggest me whether I should buy a health insurance apart from this? I already have a HDFC ergo optima restore for 5 lakh sum assured to cover my family (wife, child and myself) which i did not use so far in 4 years and feel it's waste. Yearly I pay 24k for this hdfc health insurance. Please clarify. It's premium is increasing @10% every year.
Ans: Given your existing health benefits from your government organisation and the HDFC Ergo health insurance you already hold, adding another health insurance might seem redundant at this point. The CGHS benefits you'll receive post-retirement also offer substantial coverage. However, consider these factors:

Cost Analysis: Evaluate the total premium paid for the HDFC Ergo policy against the benefits received. If you find it's not cost-effective, reconsider its value.
Future Needs: As you age, healthcare costs tend to rise. With the HDFC Ergo premium increasing at 10% annually, assess if it remains affordable in the long run.
Coverage Gaps: Identify any specific healthcare needs or treatments not covered by your current policies. If there are significant gaps, you might consider supplemental insurance.
Savings Alternative: Instead of buying another policy, you could divert the premium amount to a separate health savings account or invest it for future medical expenses.
In conclusion, while your current coverage seems comprehensive, review its cost-effectiveness and your future healthcare needs. Balancing affordability with adequate coverage is key to making an informed decision.

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