Jha ji, between HDFC Optima, Niva Bupa and Care, which is the best mediclaim. I am 55 years old and taking health insurance for the first time. No pre-existing diseases problem so far.

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: I can guide you towards finding the best plan for your family based on your needs and medical history (thyroid). Here are some key factors to consider:

Family Needs:

Age: Consider your family's age and potential health risks associated with each age group.
Medical History: Disclose your thyroid condition to ensure the plan covers pre-existing conditions or offers add-on riders for specific illnesses.
Coverage Requirements: Think about the type of hospital you prefer (network vs. non-network), room type (single, double), and preferred treatments (Ayurvedic, homeopathy).
Policy Features:

Sum Insured: Choose a sufficient sum insured to cover hospitalization costs for everyone in your family. Consider factors like city tier (medical costs are higher in metros) and inflation.
Coverage Type: Consider a comprehensive plan that covers hospitalization expenses, pre and post-hospitalization costs, ambulance charges, and day care procedures.
Network Hospitals: Opt for a plan with a wide network of hospitals in your city to ensure easy access to quality healthcare.
Co-pay/Deductible: A co-pay or deductible involves sharing a portion of the hospitalization cost. This lowers premiums but increases your out-of-pocket expense.
Exclusions: Carefully review policy exclusions to understand what treatments or conditions are not covered.
Here's a roadmap to finding the best policy:

Compare Online: Use online insurance comparison platforms to get quotes from different insurers.
Shortlist Based on Needs: Shortlist plans that meet your family's coverage requirements and budget.
Read Policy Wording: Carefully read the policy wording (wording can differ between insurers) to understand inclusions, exclusions, claim settlement process, and renewal terms.
Customer Service Reviews: Research customer reviews to get an idea about claim settlement experiences with different insurers.
Agent vs. Direct Purchase: You can buy directly from the insurer's website or consult an insurance agent who can guide you through the process and recommend plans based on your needs.
Here are some additional tips:

Pre-existing Conditions: Disclose your thyroid condition clearly during the application process.
Some plans might have a waiting period for pre-existing conditions before coverage applies.
Some might offer coverage with exclusions or higher premiums.
Renewability: Choose a plan with guaranteed lifetime renewability to ensure coverage throughout your life.
Claim Settlement Ratio: Consider the insurer's claim settlement ratio to understand their record of settling claims efficiently.
Remember: The best health insurance policy is the one that caters to your specific needs and offers comprehensive coverage at an affordable premium.

Ans: PB advice should be taken with a pinch of salt.

I suggest you go for Niva Bupa Aspire Gold for your parents.

Ans: Hello;

You may evaluate the following before finalizing:
1. HDFC Ergo Optima Secure
2. ICICI Lombard Health AdvantEdge plus 2.0
3. Tata AIG Medicare premier

The premiums may range from 50 K to 80K presuming no pre-existing diseases.

Best wishes;