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Ramalingam

Ramalingam Kalirajan  |11064 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Apr 18, 2024

Ramalingam Kalirajan has over 23 years of experience in mutual funds and financial planning.
He has an MBA in finance from the University of Madras and is a certified financial planner.
He is the director and chief financial planner at Holistic Investment, a Chennai-based firm that offers financial planning and wealth management advice.... more
BR Question by BR on Nov 30, 2023Hindi
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Hi Sanjib..please suggest a few good term insurance options and what all needs to be kept in mind before selecting the right one?

Ans: Here are some factors to consider and popular term insurance options:

Factors to Consider:

Coverage Amount: Choose a coverage amount based on your financial needs and future obligations.
Policy Term: Align the policy term with your financial goals and retirement age.
Premium: Ensure the premium fits within your budget for the entire policy term.
Claim Settlement Ratio: Opt for insurers with a high claim settlement ratio for reliability.
Rider Options: Check for additional riders like accidental death benefit, critical illness, etc., to enhance coverage.
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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Ramalingam

Ramalingam Kalirajan  |11064 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Mar 16, 2026

Asked by Anonymous - Mar 15, 2026Hindi
Money
I have 12 lack Diamonds plain from orintal insurance company medicliam policy I want to know how much amount issue for lens for cataracts surgery
Ans: Your effort to maintain a high-value health insurance cover of Rs.12 lakh is very good. Many people realise the importance of medical insurance only during a hospitalisation. Because you already have a strong cover with The Oriental Insurance Company Limited, you have created an important financial protection layer for your family.

However, when it comes to cataract surgery and lens cost, health insurance policies usually have specific limits. It is important to understand these limits clearly.

» Understanding Cataract Surgery Coverage

– Cataract surgery is normally covered under mediclaim policies.
– The policy usually pays for hospitalisation, surgeon fee, OT charges, medicines, and intra-ocular lens (IOL).
– But most policies keep a limit on cataract treatment, even if the total sum insured is higher.

This means even if your policy cover is Rs.12 lakh, the cataract claim may be restricted to a smaller amount.

» Typical Cataract Limits in Health Insurance

In many mediclaim policies in India:

– Cataract surgery may be limited to around Rs.25,000 to Rs.40,000 per eye, depending on policy terms.
– Some upgraded plans allow up to Rs.50,000 or slightly higher per eye.
– Premium imported lenses, laser techniques, or advanced multifocal lenses may cost more and the extra amount has to be paid by the patient.

So the lens cost alone may range from Rs.8,000 to Rs.60,000 or more depending on the type selected. Insurance will usually reimburse only within the cataract limit mentioned in the policy

» How Lens Charges Are Treated

– Standard mono-focal lenses are generally covered within the cataract limit.
– Advanced lenses such as multifocal or toric lenses are treated as upgraded choices.
– The difference between the hospital bill and the policy limit becomes out-of-pocket payment.

Because hospitals sometimes suggest premium lenses, it is important to check the insurance approval amount before surgery.

» Practical Steps Before Surgery

– Ask the hospital to send a pre-authorisation request to the insurer.
– Confirm the maximum cataract limit per eye under your policy.
– Ask the hospital for a detailed estimate showing lens cost separately.
– Check whether the surgery will be cashless or reimbursement.

This small step avoids confusion during discharge.

» Financial Planning Perspective

From a Certified Financial Planner’s view, you have already taken a wise step by maintaining a large medical insurance cover. Cataract surgery is a common age-related treatment, and insurance helps reduce the financial burden.

Still, remember:

– Health insurance works with sub-limits for certain treatments.
– The sum insured does not always mean the entire bill will be paid.
– Understanding these limits in advance helps you plan your medical expenses calmly.

» Finally

Your Rs.12 lakh mediclaim cover is a strong safety net. For cataract surgery, the insurance company will normally pay only up to the cataract treatment limit mentioned in your policy, and any premium lens upgrade may need personal payment.

So the best action is to check the exact cataract limit in your policy schedule or call the insurer’s customer care before the surgery.

Best Regards,

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

https://www.linkedin.com/in/ramalingamcfp/

...Read more

DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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