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Stuck paying for insufficient health insurance: Should I switch?

Milind

Milind Vadjikar  |887 Answers  |Ask -

Insurance, Stocks, MF, PF Expert - Answered on Nov 02, 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
ajaykumar Question by ajaykumar on Nov 02, 2024Hindi
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I have taken parents health insurance in office coverage is 1 lack base and top up is 3lacks and premium is 38.5k. Since im paying more for less coverage planning to take outside. Taken care supreme with rider for mother which doesn't have waiting period. Father has gone through heart surgery no insurnace is willing to give the insurnace except care heart with the waiting period 2 years and co pay 20% and consumables will not be covered and heart related will not be covered. For both mother and father i need to pay 5k per month for care insurnace. Its like a burden paying office insurnace 38.5k and outside 60k . What should i do, I'm really confused to take outside health insurance or not. Cannot stop office insurnace since it does take have waiting period for parents. Please help me

Ans: Hello;

What is the current age of your mother and father?

Based on your reply I may be able to guide you suitably.

Best wishes;
Asked on - Nov 02, 2024 | Answered on Nov 02, 2024
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Mother is 50 father is 58.
Ans: Okay.

Is it possible for you to enhance parental health insurance offered through office by paying additional 10-12 K?

Do not opt for plan offered by Care.

Instead do two things:

1. Start a monthly sip of 5 K into an equity mutual fund for long term meant to cater to medical emergency of parents. It will grow into 50 L in 20 years assuming modest return of 12%.

2. Keep a corpus of 6-8 L in Arbitrage or liquid fund which together with health insurance provided through office will meet any exigencies for father's ailments.

Best wishes;
Asked on - Nov 03, 2024 | Answered on Nov 03, 2024
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Should i keep mother care insurnace which i need to pay 2800/- per month and for father should i increase in office? Im not sure weather i can increase in mid of the year in office need to wait for next year. Paying 5k sip in equity, if there is any emergency after 2-3 years what should i do? I need to make 6-8l corpus again. Really confused Mother care supreme is 10l cover Father care heart provides 10l cover
Ans: Based on information provided in your earlier query, I had presumed that Care supreme plan will not cover heart related complications for your father.

If it is covering it, without any caveats, then it makes sense to sign it.

While we have been used to buying private companies health care online, govt owned health care insurance companies like New India Assurance, Oriental Insurance and United India Insurance also have cashless claim plans but we may need to visit their office or approach them through an insurance advisor since they are bit weak in online business.

I am sure their plans will be more cost competitive and once all disclosures/test results are recorded, chances of claim rejection are remote.

And most importantly if the Care healthcare plan is covering for your dad's possible health care complications related to heart,in future , then don't hesitate to sign up for it and don't carry a guilt feeling of spending more.

Ultimately if we spend a few thousands more on well-being of parents, it's a money well spent.
Asked on - Nov 03, 2024 | Answered on Nov 03, 2024
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So instead of taking care health insurnace for mother and father outside you are suggesting to pay extra 1k per month in ofc from next time and do sip 5k equity for parents and keep 6 lacks in debt fund. This would be helpful. Instead of paying office and outside both. Correct me if im wrong.
Ans: Yes, that is what I had proposed to you when you stated that Care healthcare won't cover heart related issues for your father.
Asked on - Nov 03, 2024 | Answered on Nov 03, 2024
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Thanks for the suggestion. Im planning to take for my self and spouse and kid 3 months old boy. Can I go with 1cr policy with hdfc erg, the premium 42k yearly or 50 lacks coverage is fine? With hdfc ergo 38k. Would you suggest any other best insurnace which i should not face any problems at the time of claim and 100% paid by the insurance.
Ans: Hello;

You may check out Niva Bupa Aspire Titanium and Bajaj Allianz offerings too before signing up.

Best wishes;
Asked on - Nov 03, 2024 | Answered on Nov 04, 2024
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May i know why not hdfc or star or care? Whats the coverage needed for our family I'm 34 my wife is 28 kid is 3 months old.
Ans: Star health insurance reputation has taken a severe beating due to high claim rejection offlate. Similar thing with Care.
I am just asking you to evaluate their (Niva Bupa/Bajaj Allianz) plans before you sign up for HDFC ergo.
Asked on - Nov 04, 2024 | Answered on Nov 04, 2024
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Ok my office is providing 4 lacks cover for mine and spouse and kid, similarly my wife office has provided another 4 lacks. Whats the cover amount needed for our family . Ik from Hyderabad city.
Ans: 25 L should be okay.
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  |7621 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on May 28, 2024

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I have a question could you please help me with this? As im 33 years old, recently took a 2cr term insurance for family protection. As im a corporate employee current company provides a health insurance for me and spouse. Im paying extra amount for parents health insurance in the same company beacuse it will be applicable from day 1. Should i take separate health insurance for me and spouse and parents as well. Note: parents are dependent on me Thanks
Ans: It's great that you've taken a term insurance policy for family protection. As a corporate employee, your company-provided health insurance for you and your spouse is a good benefit. However, relying solely on employer-provided health insurance may not be sufficient for several reasons.

First, employer-provided health insurance is contingent on your employment. If you switch jobs or face job loss, you may lose coverage, which can be risky. It's wise to have a separate health insurance policy for yourself and your spouse to ensure continuous coverage, regardless of employment status.

Second, company health insurance policies often have coverage limits that may not be adequate for severe or prolonged illnesses. A separate health insurance policy can provide higher coverage and more comprehensive benefits, ensuring better financial protection during medical emergencies.

Moreover, it's advantageous to take separate health insurance while you are still healthy. Securing a policy now means you'll likely get better coverage and lower premiums, which will benefit you significantly during retirement when health issues are more common.

Regarding your parents, since they are dependent on you, it's prudent to have a dedicated health insurance policy for them. Employer-provided health insurance might have limitations on the coverage for dependents, especially for senior citizens, and could be insufficient for their healthcare needs.

In summary, having separate health insurance for yourself, your spouse, and your parents ensures continuous, comprehensive coverage and financial protection against medical expenses, both now and in retirement.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

..Read more

Milind

Milind Vadjikar  |887 Answers  |Ask -

Insurance, Stocks, MF, PF Expert - Answered on Nov 03, 2024

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Nitin

Nitin Narkhede  |59 Answers  |Ask -

MF, PF Expert - Answered on Jan 23, 2025

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Hi Sir, I am retired and 63 years old. Having 50 lacs in equity.1.5 cr MF, 25 lacs in SCSS.expected landproperty sale of 4.5 cr also having own house and no education or marriage expenses of children. Medical insurance of 10 lack for me and wife. However intended to buy a residential property of 3 cr to get relax from capital gain post selling the land. And same will be given to daughter later. Need monthly expenses of 1.25 lack. Since market is too volatile. Kindly suggest way forward.
Ans: Dear Pralhad,
To manage your finances post-retirement and handle market volatility, allocate the ?4.5 crore from your land sale strategically. Use ?3 crore to purchase a residential property to save on capital gains tax and gift it to your daughter later. Allocate the remaining ?1.5 crore into ?50 lakh in SCSS for secure returns (~?16,000/month), ?50 lakh in RBI Floating Rate Bonds or POMIS (~?30,000/month), and ?50 lakh in balanced mutual funds for moderate growth. For your existing assets, keep ?25 lakh in SCSS and divide the ?1.5 crore mutual funds portfolio into 60% balanced advantage or hybrid funds for stability and 40% debt funds for steady income. Maintain 20-25% equity exposure (?50 lakh) in large-cap or dividend-yield funds for growth. Combined with a ?20-30 lakh emergency fund, this ensures a stable monthly income of ?1.25 lakh while safeguarding against market risks and providing for your family's future. Consult a certified financial advisor for personalized tax-efficient strategy
Regards, Nitin Narkhede -Founder Prosperity Lifestyle Hub,
Free webinar https://bit.ly/PLH-Webinar

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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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