Looking for suggestions to buy a good health insurance plan? After careful curation, we have compiled our very own list of three good health insurance plans. Designed for today’s health insurance customer with unique needs, these plans are well-suited to meet your demands. Packed with good features, and coming from trusted brands, these best health insurance policies should be given their due consideration. Read on to know about them.
Best Health Insurance Plans in 2018
1) Apollo Optima Restore
This innovative health insurance is a family floater plan, which is designed to cover your family (maximum six people) which includes your spouse and dependent children, parents, parents-in-law.
The policy covers someone from the age of five years onwards with the maximum entry age of 65 years. A dependent child can be covered from the 91st day (if either parents are covered under this policy).
The plan includes unique benefits such as Restore, Multiplier and Stay Active.
With the Restore benefit even if anyone in your family uses the sum insured partially or fully, the company will instantly add 100% of the sum insured to your policy. This would be available to everyone covered under the plan. The Restore benefit is applicable only once during a policy year and is not carried forward to the next year.
In addition, the Apollo Optima Restore policy also comes with a Multiplier benefit. This rewards you with a 100% increase in your sum insured after two claim free years.
The Stay Active benefit rewards customers who lead an active lifestyle. The benefit allows a customer to enjoy premium discounts simply by walking.
Premium starts from Rs 6947 a year.
All treatments within the first 30 days of cover (except any accidental injury) are not covered. Any pre-existing condition will be covered after a waiting period of three years. There is two years waiting period for specific diseases like cataract, hernia, joint replacement surgeries, surgery of hydrocele etc. Expenses arising from HIV or AIDS and related diseases are not covered. Congenital diseases, mental disorder or insanity, cosmetic surgery and weight control treatments are excluded from coverage. Pregnancy, dental treatment, external aids and appliances are not covered; experimental, investigative and unproven treatment devices and pharmacological regimens are not covered too.
2) Star Health Senior Citizens Red Carpet
This Star Health has built its own reputation. This policy is designed for senior citizens aged between 60 to 75 years. The policy has no pre-insurance medical test requirement. It covers pre-existing diseases from the second year onwards, which is a boon given that senior citizens suffer from some or the other ailment due to age. It gives higher sum insured coverage of up to Rs 10 lakh.
The policy has added some new features like two additional sum insured options namely Rs 7.5 lakh and Rs 10 lakh. The cataract limits have been revised.
Its hospitalisation coverage includes expenses for room rent, nursing and boarding charges, surgeon, anesthetist, medical practitioner, consultants, specialist fees, cost of medicines and drugs up to the limits specified. Ambulance charges for emergency transportation to the hospital as per specified limits are allowed. Also, specific day-care procedures are covered. You should pay attention to any sub-limits applicable for specified illness.
Do note that the policy has co-payment requirement. This means 50% of each and every claim relating to pre-existing diseases and 30% of each and every claim for all other claims have to be paid by the policyholder.
A Rs 5 lakh cover for one person costs Rs 21,240 including taxes. The same for Rs 7.5 lakh is Rs 24,780 and for Rs 10 lakh is Rs 26,550.
During the first two years of continuous operation of the Senior Citizens Red Carpet Health Insurance Policy, expenses on the following are not covered. These include Cataract, Glaucoma, all diseases related to ENT, diseases related to thyroid, prolapse of intervertebral disc (other than caused by accident), varicose veins and varicose ulcers, all diseases of prostate, stricture urethra, all types of hernia, varicocele, hydrocele, fistula / fissure in ano, hemorrhoids, pilonidal sinus and fistula, rectal prolapse, stress incontinence and congenital internal disease / defect etc. Gallbladder and pancreatic diseases and all treatments (conservative, interventional, laparoscopic and open) related to hepato-pancreato-biliary disease including gallbladder and pancreatic calculi are also not covered. Any expense transplant and related surgery is also excluded.
This waiting period will however not apply in the case of the insured person/s having been covered under any Individual health insurance scheme with any of the Indian insurer for a continuous period of preceding 24 months without any break.
Royal Sundaram Lifeline – Elite
Lifeline policy from Royal Sundaram covers the health insurance needs of you and your family. Any individual above 18 years of age can purchase Lifeline. Lifeline is offered as an Individual plan and as a Family Floater plan for yourself, your spouse and children. The policy will cover the applicant, spouse and up to four dependent children aged between 91 days and 25 years. There is no restriction on the maximum entry age, which is a positive.
Lifeline has three versions – classic, supreme and elite. We think ‘Elite’ is packed with good features and is ideal for customers who would like the comfort of higher sum insured and global coverage benefits.
Elite comes with sum insured options starting from Rs 25 lakh, 30 lakh, 50 lakh, 100 lakh and, 150 lakh. Its baseline cover benefits include inpatient care, pre (60 days) and post hospitalization (180 days), all day care procedures, ambulance cover (up to Rs 10,000) and organ donor expenses coverage.
The Elite plan gives a no claim bonus of 20% of base sum insured up to a max 100% of sum insured. It also provides the re-load of sum insured. The reload of sum insured is triggered when the claim amount exceeds the available sum insured including the NCB for a different illness or different person. In Optima Restore, the sum insured is restored only when the entire sum insured is exhausted (for eg, if the SI is Rs 3 lakh, and initial claim was of Rs 2.5 lakh, Restore will not be triggered for second claim (of different illness or different person) of Rs 1 lakh and only Rs 50,000 will be paid. In this case, ‘Reload’ will be triggered and entire Rs 1 lakh will be paid.
Further, Ayush treatment, vaccination (up to Rs 75,00) in case of an animal bite, emergency domestic evacuation up to Rs 3 lakh is covered. You can also get worldwide emergency hospitalization (excluding in the US and Canada) of maximum Rs 20 lakh with a deductible of $1000 per hospitalization. Additionally, international treatment abroad for specified 11 critical illnesses (excluding in the US and Canada) is covered up to sum insured with return airfare covered up to Rs 3 lakh.
In health & wellness benefits, Lifeline – Elite plan covers OPD treatment of up to Rs 10,000, provides health check-up facility annually, and the second opinion for 11 specified critical illnesses.
There are certain conditions for which customer can wait for treatment and does not need immediate medical treatment. Lifeline has two years waiting period for 17 conditions like Cataract, Stones in biliary and urinary systems, Hernia / Hydrocele, Hysterectomy for any benign disorder, Lumps/cysts/ nodules/polyps internal tumours, Gastric and Duodenal Ulcers, Surgery on tonsils / adenoids, Osteoarthrosis / Arthritis / Gout / Rheumatism / Spondylosis / Spondylitis / Intervertebral Disc Prolapse, Knee/Hip Joint replacement, Varicose veins, Dysfunctional Uterine Bleeding / Fibroids / Prolapse Uterus / Endometriosis, Diabetes and related complications and Chronic Renal Failure or end-stage Renal Failure and so on