1. What all is covered in a comprehensive health insurance policy?

Ans:

Certain conditions are not covered by health insurance policies. These conditions will land in an ‘Exclusion' in your health insurance policy.

The exclusion list includes unless specifically mentioned in your policy document:

1. Pre-existing health conditions which are not declared from the time of policy inception

2. Lifestyle-related conditions

3. Maternity related complications, including treatments and childbirth, etc,

4. Cosmetic Treatments unless necessary for survival

5. Suicide Attempt Injuries

6. Congenital Diseases

7. War Injuries

8. Dental and eye expenses, unless specifically covered under OPD

9. Diagnostic tests without any proper line of treatment which needs hospitalisation

10. Therapies such as naturopathy, magnetic or acupressure, etc.

11. Waiting Period Illnesses

The insurance provider will not accept any claims in these instances. However, you can purchase add-on coverage to include any exclusion to your base coverage.

Ans: Determining the ideal coverage amount for health insurance depends on various factors, including your financial situation, lifestyle, and specific needs. Here are some general guidelines:

• Medical Costs: Consider the potential medical expenses you might incur, including hospitalisation, surgeries, and treatments. The coverage amount should be sufficient to cover these costs.

• Family Size: If you are purchasing a family health insurance plan, ensure that the coverage amount is adequate for all family members.

• Preventive Care: Look for policies that cover preventive care, vaccinations, and health check-ups.

• Network Hospitals: Consider the availability and quality of network hospitals covered by the insurance policy.

• Deductibles and Co-payments: Be aware of any deductibles and co-payments that may apply and assess how they impact your out-of-pocket expenses.

• Renewal Age: Opt for policies with a higher renewal age to ensure coverage into your senior years.

Exclusions:
Insurance policies typically have exclusions, which are specific situations or conditions not covered by the policy. While the exclusions can vary between insurers and policies, here are some common exclusions you must know:

• Pre-existing Conditions: Many health insurance policies have a waiting period for pre-existing conditions. Treatment for these conditions may not be covered during the waiting period.

• Specific Treatments: Some policies may exclude coverage for certain treatments or procedures, such as cosmetic surgery or alternative therapies.

• Hazardous Activities: Life insurance policies may exclude coverage for deaths resulting from hazardous activities, like extreme sports or certain occupations.

• Suicide Clause: Life insurance policies often have a suicide clause, typically excluding coverage for suicides within the first two years of the policy.

• Misrepresentation: If you provide inaccurate information during the application process, it could lead to policy cancellation or denial of claims.

• War or Acts of Terrorism: Some policies may exclude coverage for deaths or injuries resulting from war or acts of terrorism.

It's crucial to carefully read the policy documents, including the terms and conditions, to understand the specific exclusions that apply to your insurance coverage. If you have any doubts or concerns, consider consulting with an insurance professional or agent for clarification.

Ans: A comprehensive auto insurance policy in India offers the most extensive coverage for your car and any third-parties involved in an accident. It's like a two-wheeler for your car's security, providing protection for both your vehicle and your wallet.

Benefits of a Comprehensive Policy:

1. Peace of mind: Covers a wide range of situations, so you'll be financially protected in case of many unforeseen events.

2. Own Damage Cover: Pays for repairs or replacement of your car if it's damaged in an accident, by fire, theft, natural calamities, riots, or even falls victim to vandalism.

3. Third-Party Liability Cover: Takes care of any legal or financial liabilities you incur if your car causes injury, disability or death to a third party, or damages their property.

4. Personal Accident Cover (Optional): Provides financial assistance to you or your family in case of injury or death due to a car accident (depending on the policy terms).

What to Consider Before Buying:

Inclusions:

a. Most accidents (collision, hit and run)

b. Theft (partial or complete)

c. Fire damage

d. Natural disasters (floods, earthquakes, etc.)

e. Riots, strikes, and other man-made calamities

g. Third-party property damage and bodily injury

h. Personal accident cover (if opted for)

Non-inclusions:

a. Damages due to wear and tear

b. Driving under the influence of alcohol or drugs

c. Mechanical or electrical breakdown

d. Depreciation on parts replaced during repairs

e. Using the car for illegal purposes

Additional Tips:

1. Add-on Covers: Enhance your policy with optional extras like engine protection or zero depreciation cover for a more comprehensive safety net.

2. Compare Quotes: Get quotes from different insurance companies to find the best coverage and price for your needs.

Remember, a comprehensive policy offers superior protection compared to third-party only insurance, which is mandatory by law but only covers your liability towards third parties. For a secure ride on Indian roads, a comprehensive policy is the way to go.

Ans: Let's delve into the importance of health insurance and term insurance policies in securing your financial well-being:

Health Insurance:

Health insurance is a crucial aspect of financial planning, providing coverage for medical expenses arising from illness or injury.
It safeguards you and your family against the financial burden of healthcare costs, ensuring access to quality medical treatment without depleting your savings.
Choose a comprehensive health insurance policy that offers coverage for hospitalization, pre and post-hospitalization expenses, outpatient treatments, and critical illnesses.
Consider factors such as coverage limit, network hospitals, co-payment clauses, and waiting periods before selecting a policy.
Regularly review your health insurance coverage to ensure it remains adequate for your evolving healthcare needs, especially as you age.
Additionally, consider purchasing a health insurance policy with lifelong renewability to secure coverage in the long term.
Term Insurance:

Term insurance provides financial protection to your family in the event of your untimely demise, ensuring they can maintain their standard of living even in your absence.
It offers a high sum assured at an affordable premium, making it a cost-effective way to secure your loved ones' financial future.
Opt for a term insurance policy with a sum assured that adequately covers your family's financial needs, including outstanding debts, future expenses like education and marriage, and income replacement.
Choose a policy with a flexible tenure that aligns with your financial obligations and life stage. Consider opting for a longer tenure if you have dependents or financial liabilities that may extend into the future.
Regularly review your term insurance coverage to ensure it remains sufficient, especially during significant life events such as marriage, childbirth, or career advancements.
By investing in both health insurance and term insurance policies, you can protect yourself and your loved ones from unforeseen financial setbacks and secure a peaceful future.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in