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Sanjib

Sanjib Jha  | Answer  |Ask -

Insurance Expert - Answered on Apr 13, 2023

Sanjib Jha is the CEO of Coverfox Insurance. His expertise includes health and auto insurance. He has over 22 years of experience in the financial sector. He has completed his post-graduation from the Institute of Company Secretaries of India.... more
Kumar Question by Kumar on Mar 13, 2023Hindi
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Hi Which family insurance is best for me My age 32, My wife age 32, My child age 6year's,

Ans: Hi Kumar, every insurance policy has its own benefits and one will have to pick according to their requirements. However, check for waiting period, any exclusions, network hospitals etc., while deciding.
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  |5367 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on May 12, 2024

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Hi, iam 40 years old working woman, My husband is a software employee age 42 years. We have a daughter of 7 years old. We like to take good health insurance plan for 3 of us. Can you suggest the best one please?
Ans: It's great that you're considering a health insurance plan to secure your family's well-being. When selecting a health insurance plan, several factors come into play, including coverage, premiums, network hospitals, and additional benefits. Here are some tips to help you choose the best one:

Assess your family's healthcare needs: Consider factors like existing medical conditions, expected healthcare expenses, and any specific requirements related to treatments or procedures.

Comprehensive coverage: Look for a health insurance plan that offers comprehensive coverage for a wide range of medical expenses, including hospitalization, daycare procedures, pre and post-hospitalization expenses, and critical illnesses.

Network hospitals: Check the list of network hospitals associated with the insurance provider to ensure accessibility to quality healthcare facilities in your area.

No claim bonus (NCB) and benefits: Evaluate if the plan offers incentives like no claim bonus for claim-free years, health check-up benefits, and wellness programs to promote preventive healthcare.

Claim settlement ratio: Review the insurer's claim settlement ratio, which reflects their track record of processing and settling claims efficiently.

Affordability: While opting for a comprehensive plan is essential, ensure that the premium fits within your budget and offers value for money in terms of coverage and benefits.

Based on these considerations, you can explore health insurance plans offered by reputed insurers like HDFC ERGO Health, ICICI Lombard, Apollo Munich, or Max Bupa. Compare their features, coverage limits, exclusions, and premiums to select the one that best meets your family's needs.

Before finalizing the plan, read the policy documents carefully, including terms and conditions, exclusions, and claim procedures, to have a clear understanding of what is covered and any limitations.

Additionally, consider consulting with a licensed insurance advisor or Certified Financial Planner to receive personalized recommendations based on your specific requirements and financial situation.

Best Regards,

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

..Read more

Ramalingam

Ramalingam Kalirajan  |5367 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jun 06, 2024

Money
I am 62 years retired. My wife 56 years daughter 25 son 20... We don't have any health insurance pl suggest a health insurance
Ans: Choosing the right health insurance for your family is a crucial decision. I understand that this process can be overwhelming, especially with the numerous options available in the market. Let’s explore this step-by-step to ensure that you select the best health insurance plan tailored to your family’s needs.

Understanding Health Insurance
Health insurance is essential to safeguard against unexpected medical expenses. It covers hospitalization, treatments, surgeries, and sometimes even preventive care.

Having health insurance gives you peace of mind, knowing that you won't have to bear the entire financial burden in case of medical emergencies.

Assessing Your Family’s Health Needs
To choose the right health insurance, you need to assess the specific health needs of your family.

Consider Your Age and Health Status
At 62 years old, your health needs may be different from those of your wife, who is 56, and your children, who are 25 and 20 years old. Older individuals typically require more frequent medical attention and might have pre-existing conditions.

Pre-existing Conditions
If any family member has pre-existing conditions, ensure the policy covers these after a waiting period. This is crucial for avoiding out-of-pocket expenses.

Coverage for Hospitalization and Surgeries
Ensure that the policy covers hospitalization and surgeries. Medical costs can be very high, and comprehensive coverage will protect you from significant financial strain.

Comparing Different Policies
When comparing health insurance policies, consider the following factors:

Sum Insured
Choose a sum insured that is sufficient to cover the potential medical expenses for the entire family. In metropolitan cities, medical costs can be higher, so opt for a higher sum insured if you reside in such areas.

Network Hospitals
Check if the insurance provider has a wide network of hospitals. Cashless hospitalization in network hospitals simplifies the process and reduces financial stress during emergencies.

Sub-limits and Co-payments
Some policies have sub-limits on room rent or specific treatments and co-payment clauses. Understand these limitations to avoid unexpected expenses.

Waiting Periods
Understand the waiting periods for pre-existing diseases, maternity benefits, and other specific treatments. Shorter waiting periods are more advantageous.

Family Floater Plans vs. Individual Plans
A family floater plan covers all family members under a single sum insured, while individual plans provide separate coverage for each member.

Family Floater Plans
Family floater plans are usually more cost-effective and simpler to manage. The sum insured is shared among all members, which is beneficial if no major health issues are anticipated simultaneously.

Individual Plans
Individual plans can be more suitable if family members have varying health needs or if older members need higher coverage. Separate policies ensure that one member’s high medical expenses do not exhaust the entire sum insured.

Critical Illness Coverage
Consider adding critical illness coverage to your health insurance. This provides a lump sum payment upon diagnosis of severe illnesses such as cancer, heart attack, or stroke.

Maternity Benefits and Newborn Coverage
If there’s a possibility of expanding your family, check if the policy includes maternity benefits and coverage for newborns.

Premiums and Affordability
While choosing a policy, balance between comprehensive coverage and affordability. Higher premiums usually mean better coverage, but ensure it fits within your budget.

Additional Benefits and Riders
Explore additional benefits like wellness programs, free health check-ups, and disease-specific riders. These add value to your policy.

Evaluating Insurance Providers
Choosing a reliable insurance provider is as important as selecting the right policy.

Claim Settlement Ratio
The claim settlement ratio indicates the percentage of claims settled by the insurer. A higher ratio reflects reliability.

Customer Service
Evaluate the insurer’s customer service. Prompt and efficient service is crucial during medical emergencies.

Reviews and Recommendations
Read reviews and seek recommendations from friends, family, or a Certified Financial Planner to make an informed decision.

Portability Options
If you’re not satisfied with your current insurance provider, check the portability options. This allows you to switch insurers without losing benefits.

Government Schemes and Tax Benefits
Explore government health schemes for additional coverage. Also, health insurance premiums offer tax benefits under Section 80D of the Income Tax Act.

Conclusion
Choosing the right health insurance involves thorough research and understanding your family’s specific needs. Consider the factors mentioned above to make an informed decision.

Remember, investing time in selecting the right policy can save you from financial stress during medical emergencies.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

..Read more

Ramalingam

Ramalingam Kalirajan  |5367 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jul 12, 2024

Asked by Anonymous - Jul 02, 2024Hindi
Money
Hello sir.I am 38 years, married and 1 child.Please help me with a good and wide coverage family health insurance policy.Also, shall I take a family or individual health insurance policy?? Kindly guide me on the same.I don't have any term insurance also.
Ans: Health and term insurance are crucial for financial security. Let's explore your options.

Understanding Health Insurance
Health insurance is vital for protecting your family's finances. It covers medical expenses and ensures you don't dip into savings. For a family of three, wide coverage is essential.

Family vs. Individual Health Insurance
Family Floater Policy
A family floater policy covers all members under one sum insured. This means if one member uses the coverage, the remaining sum is available for others. It’s cost-effective and easy to manage.

Individual Health Policy
An individual policy covers each family member separately. This ensures each person has a dedicated sum insured. While it can be more expensive, it guarantees full coverage for everyone.

Choosing the Right Health Insurance
Coverage Amount
For a family of three, consider a sum insured of at least Rs 10 lakhs. This covers hospitalisation, surgeries, and other medical expenses.

Comprehensive Coverage
Look for policies that cover pre and post-hospitalisation, ambulance charges, daycare treatments, and critical illnesses. Comprehensive policies provide peace of mind.

Network Hospitals
Check if the insurer has a wide network of hospitals, especially near your residence. Cashless treatment facilities make hospitalisation less stressful.

No Claim Bonus
Choose a policy that offers a No Claim Bonus. This increases your sum insured without additional premiums if you don't make any claims.

Additional Benefits to Consider
Maternity Coverage
If you plan to expand your family, consider a policy with maternity coverage. It should cover prenatal and postnatal expenses, delivery charges, and newborn care.

Preventive Health Check-ups
Some policies offer free annual health check-ups. This helps in early detection and prevention of diseases.

Critical Illness Rider
Critical illnesses can drain finances quickly. A rider covers diseases like cancer, heart attack, and stroke. It provides a lump sum amount on diagnosis, helping with treatment costs.

Term Insurance: Protecting Your Family’s Future
Importance of Term Insurance
Term insurance provides financial security to your family in your absence. It pays a lump sum to your beneficiaries if something happens to you. It's essential for safeguarding your family's future.

Choosing the Right Term Insurance
Sum Assured
Choose a sum assured that covers your family's expenses, outstanding loans, and future goals. Typically, 10-15 times your annual income is recommended.

Policy Tenure
Select a tenure that covers you until your major financial obligations are met. Ideally, this should be until your child's education or marriage is complete.

Riders for Enhanced Protection
Consider adding riders like accidental death, disability, and critical illness. These enhance the coverage and provide additional security.

Benefits of Mutual Funds
Mutual funds are excellent for wealth creation. They offer diversification, professional management, and potential for high returns.

Types of Mutual Funds
Equity Funds
Invest primarily in stocks. They offer high returns but come with higher risk. Suitable for long-term goals.

Debt Funds
Invest in fixed income securities like bonds. They are less risky and provide stable returns. Ideal for short to medium-term goals.

Hybrid Funds
Invest in both equity and debt. They balance risk and return, making them suitable for moderate risk-takers.

Power of Compounding
Investing in mutual funds harnesses the power of compounding. Reinvesting returns over time leads to exponential growth. Starting early maximises this benefit.

Disadvantages of Index Funds
Passive Management
Index funds are passively managed. They replicate a market index and do not attempt to outperform it. This limits potential returns.

No Active Strategy
Index funds lack active management strategies. They cannot adjust to market changes, potentially missing opportunities to maximise returns.

Benefits of Actively Managed Funds
Professional Management
Actively managed funds have experienced managers who make investment decisions. They aim to outperform the market by selecting high-potential stocks.

Flexibility
Managers can adjust portfolios based on market conditions. This flexibility can enhance returns and reduce risk.

Disadvantages of Direct Funds
Lack of Guidance
Direct funds require investors to manage their investments. Without professional guidance, making informed decisions can be challenging.

Limited Support
Direct investors may not have access to the same level of support as those using a Certified Financial Planner. This can impact portfolio performance.

Benefits of Investing Through a CFP
Expert Advice
CFPs provide expert advice tailored to your financial goals. They help you choose the right funds and create a diversified portfolio.

Regular Monitoring
CFPs monitor your investments regularly. They make adjustments based on market conditions and your changing needs.

Comprehensive Financial Planning
CFPs offer comprehensive financial planning. They consider your entire financial situation and create a plan to achieve your goals.

Final Insights
Choosing the right health and term insurance is crucial for your family's financial security. A family floater health policy is cost-effective and provides wide coverage. Ensure it has a sufficient sum insured and comprehensive coverage.

Term insurance safeguards your family's future. Choose a sum assured that covers your expenses and future goals. Adding riders enhances protection.

Investing in mutual funds is an excellent way to grow your wealth. Consider equity, debt, and hybrid funds based on your risk tolerance and goals. Actively managed funds offer professional management and flexibility.

Investing through a Certified Financial Planner provides expert advice and regular monitoring. They help you create a diversified portfolio and achieve your financial goals.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

..Read more

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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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