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Medical inflation has been on the rise for some years and is projected to be so for many coming years. The so called small medical procedures are not small anymore from an expense perspective. Having Health insurance saves money by covering for required medical expenses in case of an injury or a sickness. Without a Health insurance, managing an accident situation or for that matter medical need of an immediate family member will be very challenging. All are recommended to have Health insurance in India as it is not only affordable, but also provides the required peace of mind.

Health Insurance Comparison Benefits

Bimadirect works with leading health insurance companies in India and brings you specific quotes from them for your health insurance needs. You can view all information, do a side by side comparison of health insurance policies and then make your informed choice at your own convenience. Buying health policies was never so easy. We make buying health insurance in India easy, quick and cost-effective. Whether you are looking for a health policy that covers pre and post hospitalization expenses, expenses for day care procedures, critical illness, cashless claims, etc., we have health policies that cover all and also provide you with tax benefits per prevailing government norms.

Why Buy Health Insurance

The term ‘Health Insurance’ relates to a type of insurance that essentially covers your medical expenses. A health insurance policy like other policies is a contract between an insurer and an individual / group in which the insurer agrees to provide specified health insurance cover at a particular “premium” subject to terms and conditions specified in the policy.

What are the Types of Health Insurance

Group Health Insurance
Whenever a large group of people say over 20 who work, stay or are bonded by some nature of job are willing to get a Health insurance plan, they are eligible to obtain a Group Health Policy. Under a group health policy people who may have adverse health condition can also easily get health cover due to the greater negotiating power that a group contains versus an individual policy. This cover is usually provided by Employers as an employee benefit.

Individual Health Insurance
The term “individual” is used when the policy provides Health insurance coverage to a single individual. Individual Health Insurance plan offer more protection to a policyholder, as in such a policy the policyholder can consume the entire amount alone without have to worry about sharing it with other members of his family which is the case of a floater policy.

Family Floater Health Insurance
Family Floater Plans refer to those which cover the entire family under one plan. Under a family floater plan the people covered share the total health insurance available to them. The benefit under such a plan is that since a large group of people share the same insurance cover the premium to be paid is far lesser in case they all would have bought an individual plans for themselves.

Personal Accident
This policy provides financial compensation in the event of death or permanent physical disability caused solely & directly from an accident by any external, violent & visible means.

Cancer Insurance
Cancer Insurance Policy provides substantial financial support so that one can be adequately treated in time, allowing return to a normal life after cancer. Cancer Insurance relieves you of the crippling costs of curing cancer.

Critical Health Insurance
A critical health insurance policy helps cover major diseases which are either terminal or can reduce the human body to a vegetative state. Some of these would include, Alzheimer's disease, blindness, deafness, kidney failure, major organ transplant, multiple sclerosis, HIV/AIDS contracted by blood transfusion or during an operation, Parkinson's disease etc.

What Health Insurance to Buy

A Health Insurance Policy would normally cover expenses reasonably and necessarily incurred under the following heads in respect of each insured person subject to overall ceiling of sum insured (for all claims during one policy period).

  1. Room, Boarding expenses
  2. Nursing expenses
  3. Fees of surgeon, anesthetist, physician, consultants, specialists
  4. Anesthesia, blood, oxygen, operation theatre charges, surgical appliances, medicines, drugs, diagnostic materials, X-ray, Dialysis, chemotherapy, Radio therapy, cost of pace maker, Artificial limbs, cost or organs and similar expenses.

Sum Insured

The Sum Insured offered may be on an individual basis or on floater basis for the family as a whole.

Cumulative Bonus (CB)

Health Insurance policies may offer Cumulative Bonus wherein for every claim free year, the Sum Insured is increased by a certain percentage at the time of renewal subject to a maximum percentage (generally 50%). In case of a claim, CB will be reduced by 10% at the next renewal.

Cost of Health Check-up

Health policies may also contain a provision for reimbursement of cost of health check up. Read your policy carefully to understand what is allowed.

Minimum period of stay in Hospital

In order to become eligible to make a claim under the policy, minimum stay in the Hospital is necessary for a certain number of hours. Usually this is 24 hours. This time limit may not apply for treatment of accidental injuries and for certain specified treatments. Read the policy provision to understand the details.

Pre and post hospitalization expenses

Expenses incurred during a certain number of days prior to hospitalization and post hospitalization expenses for a specified period from the date of discharge may be considered as part of the claim provided the expenses relate to the disease / sickness. Go through the specific provision in this regard.

Cashless Facility

Insurance companies have tie-up arrangements with a network of hospitals in the country. If policyholder takes treatment in any of the network hospitals, there is no need for the insured person to pay hospital bills. The Insurance Company, through its Third Party Administrator (TPA) will arrange direct payment to the Hospital. Expenses beyond sub limits prescribed by the policy or items not covered under the policy have to be settled by the insured direct to the Hospital. The insured can take treatment in a non-listed hospital in which case he has to pay the bills first and then seek reimbursement from Insurance Co. There will be no cashless facility applicable here.

Additional Benefits and other standalone policies

Insurance companies offer various other benefits as “Add-ons” or riders. There are also stand alone policies that are designed to give benefits like “Hospital Cash”, “Critical Illness Benefits”, “Surgical Expense Benefits” etc. These policies can either be taken separately or in addition to the hospitalization policy.

A few companies have come out with products in the nature of Top Up policies to meet the actual expenses over and above the limit available in the basic health policy.


The following are generally excluded under health policies:

  1. All pre-existing diseases (the pre-existing disease exclusion is uniformly defined by all non-life and health insurance companies).
  2. Under first year policy, any claim during the first 30 days from date of cover, for sickness / disease. This is not applicable for accidental injury claims.
  3. During first year of cover – cataract, Benign prostatic hypertrophy, Hysterectomy for Menorrhagia or Fibromyoma, Hernia, Hydrocele, Congenital Internal diseases, Fistula in anus, piles, sinusitis and related disorders.
  4. Circumcision unless for treatment of a disease
  5. Cost of specs, contact lenses, hearing aids
  6. Dental treatment / surgery unless requiring hospitalization
  7. Convalescence, general debility, congenital external defects, V.D., intentional self-injury, use of intoxicating drugs / alcohol, AIDS, Expenses for Diagnosis, X-ray or lab tests not consistent with the disease requiring hospitalization.
  8. Treatment relating to pregnancy or child birth including cesarean section
  9. Naturopathy treatment.

The actual exclusions may vary from product to product and company to company. In group policies, it may be possible to waive / delete the exclusions on payment of extra premium.

Tax Benefits for Health Insurance

The government provides tax credit for buying health insurance policy under section 80(D) of income tax act. So with a health insurance policy, you not only get the required medical coverage, but are able to save money through tax benefits.

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