If you’re exploring health insurance options for yourself or your employees, it’s crucial to understand that most basic plans don’t cover many common medical expenses.
Comprehensive health insurance addresses these concerns by providing extensive coverage.
What Is Comprehensive Health Insurance?
This type of health insurance is an all-encompassing plan that covers everything from inpatient treatment to outpatient consultations, hospital stays, and medical tests.
While basic health insurance typically only covers inpatient care, comprehensive plans offer substantial coverage for medical emergencies.
What Does Comprehensive Medical Insurance Cover?
A comprehensive health insurance policy includes a broad range of medical expenses:
- In-patient and out-patient treatment: This covers both inpatient and outpatient expenses, such as room charges, nursing fees, and medical bills.
- Pre- and post-hospitalization costs: From diagnostic tests before admission to follow-up treatments afterward, this plan covers all associated expenses.
- Medical consultations/doctor visits: General consultations with physicians are also covered.
- Daycare procedures: Treatments requiring less than 24 hours of hospitalization, like radiotherapy or chemotherapy, are included.
- Alternative treatments: Coverage extends to alternative therapies under AYUSH.
- Daily hospital allowance: We reimburse additional costs like attendant expenses during hospital stays.
- Consumable expenses: We cover costs of medical items like syringes and gloves.
- Emergency ambulance: We include expenses for ambulance services during emergencies.
- Domiciliary procedures: We cover treatments conducted at home due to medical necessity.
- Treatment for severe illnesses: We include common critical illnesses like heart attacks and cancer.
- Personal accidental cover: We provide lump sum payment in case of fatal accidents.
- Health check-ups and medical tests: We reimburse costs of regular health check-ups.
- Childbirth delivery: We cover both normal and cesarean deliveries.
- Tax benefits: These insurance policies qualify for tax deductions under current laws.
What’s Excluded from Comprehensive Health Plans?
These health insurance plans, like all others, come with certain exclusions.
These exclusions are not covered by the plan and could result in the rejection of your claim:
- Cosmetic or aesthetic procedures and surgeries
- Injuries caused by self-infliction or self-harm
- Sexually Transmitted Diseases (STDs)
- Procedures and treatments conducted abroad, not in India
Interested in Comprehensive Health Insurance?
Key points to consider before purchase:
- Coverage range provided by the insurer
- Availability of add-ons and riders
- Maximum renewal age
- Waiting periods
- Policy exclusions and terms
Why Choose Comprehensive Health Insurance?
This type of health insurance offers extensive protection and benefits compared to regular plans, providing greater financial security for medical expenses.
Here’s why it’s a preferred choice:
- Extensive coverage, including add-ons like personal accident cover, critical illness cover, and maternity benefits
- Coverage for pre-existing illnesses with shorter waiting periods than individual plans
- Family coverage under a single policy
- Cashless treatment at network hospitals
- Coverage for outpatient expenses
- Cumulative bonus benefits for claim-free years
- like mental health sessions and stress management solutions
Content Writer, Insurance Insights
Over 6 years in the insurance industry
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