How much is it advisable to have a seperate health insurance apart from CGHS provided for government employee? Is it advisable to take one from outside to secure family members health or not required? I need to know about post retirement also. Will be CGHS card sufficient after post retirement?

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.

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: I am sorry for your loss. I understand this is a tough time financially and you're juggling multiple priorities. Here's why a mediclaim policy for your family might be a good idea:

• Peace of mind: Medical emergencies are unpredictable. A mediclaim policy would provide financial cover beyond your company insurance, especially if the hospitalisation costs exceed 10 lakh.
• Security for children's future: Medical bills can derail your savings plan for their education. A mediclaim would ensure their education funds remain untouched.

Finding the right mediclaim policy:

• Family floater plan: Consider a family floater plan where the sum insured is shared amongst you and your children. This is usually cheaper than individual plans.
• Start with a reasonable sum insured: You can start with a sum insured of 5-7 lakhs on the family floater plan. This can be increased later.
• Check for exclusions: Carefully review the policy document for exclusions pre-existing conditions, specific procedures etc.

Balancing cost and coverage:

• Compare quotes online: Use online insurance aggregators to compare quotes from different insurers. They can help you find plans that fit your budget.
• Company vs Individual plan: While your company plan offers some coverage, a personal mediclaim can provide wider coverage and may not be tied to your employment.

Don't forget:

• Disclose pre-existing conditions: Be upfront about any pre-existing conditions to avoid claim rejections.
• Renew on time: Timely renewal ensures uninterrupted coverage.

Remember, a mediclaim policy is an investment in your family's well-being. Weigh the cost of the premium against the potential financial burden of medical bills.

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.

Ans: Hello,
It's understandable that you're concerned about your wife's health insurance coverage during the transition period before you relocate to India permanently. Here are some insights and guidance to help you navigate this situation:
1. Health Insurance for Individuals: Yes, private individuals in India can purchase health insurance policies. Many insurance companies, including Tata AIG, HDFC, and ICICI, offer health insurance plans that cater to individual needs.
2. Coverage: Health insurance policies typically cover hospitalization expenses, including room rent, doctor's fees, medical tests, surgeries, and medication costs. However, coverage for pre-existing conditions such as diabetes, arthritis, and gluten issues may vary depending on the policy terms and conditions.
3. Policy Features: When selecting a health insurance policy, consider factors such as coverage for pre-existing conditions, waiting periods, network hospitals, claim settlement process, and premium costs. Look for policies that offer comprehensive coverage and benefits suited to your wife's specific health requirements.
4. Network Hospitals: Most health insurance providers have tie-ups with a network of hospitals where policyholders can avail of cashless treatment facilities. Before purchasing a policy, ensure that there are network hospitals available in Hyderabad and other cities where you may need medical assistance.
5. Customized Plans: Some insurance companies offer customized health insurance plans for individuals with pre-existing conditions. These plans may provide enhanced coverage for chronic illnesses like diabetes and arthritis. Consider exploring such options to meet your wife's healthcare needs.
6. Consultation with Insurance Advisor: To make an informed decision, consult with an insurance advisor or agent who can guide you through the process of selecting the right health insurance policy based on your wife's health condition, budget, and coverage requirements.
By researching various health insurance options, comparing policy features, and seeking expert advice, you can find a suitable health insurance solution to ensure your wife's medical needs are adequately covered during the transition period.

Best Regards,
K. Ramalingam, MBA, CFP,
Chief Financial Planner,
www.holisticinvestment.in