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Sanjib

Sanjib Jha  | Answer  |Ask -

Insurance Expert - Answered on Feb 02, 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
Asked by Anonymous - Feb 01, 2023Hindi
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Hi Sanjib, how would the tax on insurance/mediclaim premium affect taxpayers? Who is liable to pay tax on insurance premium What is the maximum limit beyond which mediclaim premium is taxable?

Ans: Hi, you can claim the tax for health insurance plans under section 80D. The tax exemption is of upto Rs.25000/-. Anybody who falls under the tax bracket can avail such tax benefit.
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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Sanjib

Sanjib Jha  | Answer  |Ask -

Insurance Expert - Answered on May 31, 2022

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I read your today's article about Mediclaim: What You Must Know. Thank you for some important information and points shared. I have some questions about the Mediclaim policy. I have been buying a Mediclaim policy since 2007 and I have not claimed it till last month. Last week I was hospitalized for gall bladder stone surgery. When I asked the hospital to use the cashless option on my Mediclaim policy for claims they gave an estimated cost of about 1 lakh. And same if I claim myself, they gave an estimated cost near about 55 thousand.  1. Why and what is the difference between these charges? How did the TPA approve cashless? Is there any guideline or standard process for hospitals that can claim more charges in cashless options? 2. Why do cashless charge more? Due to this type of charges for cashless claims the sum insured amount decreases after treatment. We can utilise the same difference charges amount for another treatment.
Ans: Hi Vilas, in order to understand the difference in the estimated costs, you should ask the hospital on what parameters they have estimated the two costs. Questions on treatment protocol, room charges and type, doctor’s fee etc., should be asked.

When choosing cashless treatment, the patients often opt for the best facilities that they may not have opted for otherwise. Sometimes hospitals may run some additional tests as well in order to avoid back and forth on your claim settlements, when it is a direct transaction between insurer and the hospital.

However, if you feel that you are being overcharged, then you should report any discrepancy in what you are being charged for, to the insurer. Insurance companies take such cases very seriously, which is why insurers have preferred network hospitals that agree on a certain pricing for various treatments and other tariffs.

In case it is observed that there is any abuse of cost or sum insured then there is a chance of being de-paneled and hence a check is in place.

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Sanjib

Sanjib Jha  | Answer  |Ask -

Insurance Expert - Answered on May 31, 2022

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This is Bobby here and have a few questions related to your article (enclosed), Mediclaim: What You Must Know Would like to know, with your experience in this field, as to: 1. Which mediclaim policy or policies, currently in INDIA and especially Mumbai has all the required coverage as mentioned in your article 2. We are a family of 3 with a school going child and both of us are aged 45 3. Have acquired diabetes a few months ago and have hepatitis B and kidney stones  4. What should be the approximate premium, per annum to cover all that is mentioned in your article and keep us safe from the issues arising out if and when we really require hospitalisation and save us from rejected claims.   5. Presently we are covered under Mediclaim policy from Star Health Would be highly obliged should you guide us on the above to make our lives easier.
Ans: Hi Bhupesh, there is no ‘one size fits all’ concept with health insurance. Health insurance is based on preferences of the customer and then the premium quotes are generated based on those factors. You can use insurance broking websites to compare the offerings on the mentioned 5 factors and the premiums for various policies that will help you to compare their benefits and make an informed choice. Depending on your priorities, weigh out the factors and decide accordingly.

Since you have mentioned about your family, you can opt for Family Health Insurance policies with an appropriate sum insured to cover your entire family. Like I have mentioned before, premiums are unique to individuals depending on their preferences, the sum insured they deem suitable, the riders they choose, their medical history etc.

What you can do to ensure you buy the correct policy for yourself is to evaluate policies carefully, keeping in mind the 5 important parameters.

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Kanchan

Kanchan Rai  |152 Answers  |Ask -

Relationships Expert, Mind Coach - Answered on Mar 28, 2024

Asked by Anonymous - Feb 19, 2024Hindi
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Hello Gurus, I am in trouble. I was living in Canada from last 10 years till last year when I had to come back to India - my father was not well. My father passed away in November last year - but my mother is alone and is not in best health. My wife feels that I have cheated her by getting her back from Canada and she wants to go back immediately. She feels that my elder brother (who is in Australia) should take care of my mother. Our relationship has soured over last few months as she is always using brutal language for my mother and for my brother - in fact, it has always been the case - but so far I was just ignoring her. But now every time she says something nasty, I strongly retaliate back. On top of it, my wife is pregnant too. I am in trouble - I don't know what to do - whether to go back to US and leave my mother alone or with my brother - or to stay back and fight with pregnant wife :(
Ans: I'm truly sorry to hear about the difficult situation you're facing. It's a challenging time with the loss of your father and the health concerns of your mother, compounded by tensions in your relationship with your wife. It's essential to have open and honest communication with your wife about your concerns, fears, and the challenges you're facing as a family. Express your feelings calmly and listen to her perspective as well. Consider seeking the help of a couples therapist who can assist you both in navigating the difficulties in your relationship. A therapist can provide a neutral space for you to address conflicts, improve communication, and find constructive solutions together.Reach out to other family members, such as siblings or extended family, for support with caring for your mother. Discuss the situation with them and explore potential options for providing care and assistance to your mother while also considering your wife's needs and concerns.Take some time to carefully evaluate your options and consider the potential consequences of each decision. Reflect on what is most important to you in terms of family, relationships, and your own well-being.Ensure that the health and safety of both your mother and your wife, especially given her pregnancy, are prioritized in any decision you make. Seek medical advice if necessary to address any health concerns.Remember to take care of yourself emotionally and seek support from friends, family, or a therapist if needed. It's essential to prioritize your own well-being as you navigate these challenging circumstances.
Ultimately, there may not be an easy solution to your current dilemma, but by approaching the situation with empathy, understanding, and a willingness to communicate and seek support, you can work towards finding a resolution that is best for you, your wife, your mother, and your growing family.
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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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