Mediclaim policies from Life Insurance Companies
General insurance companies have been the only ones offering expense reimbursement polices for hospitalization which are more popularly known as mediclaim policies.Harsh Roongta
08 Apr 2009
The general Insurance companies (National, New India, Oriental and United Insurance among the PSUs and ICICI Lombard, Bajaj Allainz General Insurance,Reliance General Insurance, Tata AIG, Star Health, Apollo DKV, etc. among the private sector) have been the only ones offering expense reimbursement polices for hospitalization which are more popularly known as mediclaim policies.
Life
Insurance companies offering health related policies (for some time
now) hitherto used to fall in three broad categories:
Daily Hospital Cash allowance essentially an allowance for every day of hospitalization (or recuperation after the hospitalization in some cases). This is basically meant to cover the expenses incidental to hospitalization and not really for actual expenses incurred on hospitalization
Critical Illness Lump sum amounts payable on diagnosis of certain covered diseases/surgeries/treatments. Again all these are payable on happening of the event and not really dependent on what expenses you actually incur on the treatment of the disease.
ULIP linked plans having the above two products bundled with a regular ULIP plan.
The table below summarizes the difference between the "health" polices offered by the Life Insurance companies so far and the regular "mediclaim" kind of policies offered by the General Insurance Companies.
|
Daily Hospitalization Cash benefit |
Critical Illness/ Specific Surgery or treatment |
"Mediclaim" kind of expenses reimbursement Policy |
Payable only if Hospitalized |
Yes |
Not necessary. Even if Critical Illness is diagnosed the amount is payable. Lump sum payable in some cases for specific kind of surgeries or treatment in a hospital. |
Some have small payments payable for treatment at home but otherwise hospitalization is a must. |
Place of Hospitalisation |
In some cases available for hospitalization outside India also. |
Wherever hospitalization is required, some policies do allow treatment/surgeries in foreign countries. |
Currently no policies offer this for hospitalization outside India |
Whether bills/vouchers for actual expenses required to be given for get claim |
No. Only proof of being hospitalized required. |
No. Only proof of diagnosis/getting a specific surgery/treatment required. |
Proof of expenses incurred is a must. |
Main purpose of the risk cover |
Meet the expenses incidental to hospitalization such as travel costs, loss of pay, companion's cost, etc. |
Lump sum payment to provide a source of income or to meet the expenses incurred on major surgeries |
Reimbursement of actual expenses incurred on treatment in a hospital. |
Offered by |
Both Life and General Insurance companies |
Both Life and General Insurance companies |
Was so far being offered only by General Insurance companies |
Now
the Life Insurance companies have also jumped in the fray to offer
mediclaim kind of polices with ICICI Prudential Life coming out with
its MediAssure and Health Saver Plans. These policies are very much
similar to the mediclaim policies offered by the general insurance
companies. These are pure reimbursement plans unlike the "Health
bhi, Wealth bhi" plan launched by Reliance Life and the Health plus
plan launched by LIC India. These are Unit Linked Health Plans where
a part of your premium goes towards investments.