The Truth About Health Literacy In India

Health literacy is more than just a persons ability to read- it is an empowerment that is made possible by improving access to health information so it can be used effectively. Where does India stand when it comes to health literacy? Find out in our white paper. You can also download the whitepaper in the end.

health insurance

6 Colossal Blunders To Avoid While Buying a Health Insurance

health insurance

Are you familiar with the “fast talk disclaimers” at the end of a health insurance advert on the tele or the radio? There’s probably not a soul on earth who can catch whatever, whoever says it. You may dismiss it as being trivial. But, you see, it’s there for a reason — why else would it hog a few seconds of playback?

Terms and conditions —  or T&C as most people like to call it —  apply to every service or product you purchase. It contains the nitty gritties of the purchased product. Your health insurance policy is no different.

Rush, and buy a policy without fully understanding the details of the policy, or without reading the T&Cs, and you may find yourself in a tight spot when a medical emergency presents itself. There’s no way around it; you have to know, and you have to be aware of rookie mistakes like the 6 mentioned below.

Not Reading Lines and More Between Them

Skipping the fine print doesn’t come as a surprise because most people find examining the policy terms extremely tedious. But these are crucial as they contain details about certain aspects of a health insurance, such as pre- and post-hospitalization expenses, exclusions, waiting period for certain diseases, and more.

You will be baffled at the time of claim settlement if your claim request is rejected. And there can be many of these baffling instances should you overlook policy details. For instance, you may have to pay from your own pockets for the hospital room you ultimately choose because your policy only covers a certain type of room.

You might also have to wait for a fixed period to raise a claim request after purchasing the policy. So, you see, the perusal of policy terms is extremely important.

Hiding Your Medical History

You can’t outsmart an insurer by hiding your existing medical conditions. The reasons why most people conceal their medical history are:

  • Fear of claims being rejected by the insurer and
  • Circumventing high premiums

There’s no point in doing this because the claim is bound for rejection at a later stage when the truth comes out. Dishonesty will only result in more financial losses and inconvenience — the premium you pay and the rejection of the claim when you needed all the financial help.

Disregarding Comparisons Between Different Policies

Every individual is different, and so are the needs. The same applies to health insurance policies. Every insurer promises benefits. It’s your responsibility to understand what your needs are. Is it the sum insured? Or the critical illness cover?…you must compare all policies.

And this doesn’t only apply when you’re buying a new health insurance plan. Comparing policies during the renewal period or when you think that you need to change your insurer can help you find better coverage and benefits at a better price.  

Glossing Over Place of Residence

The cost of treatment covered by your health insurance policy rests upon where you’re situated. The treatment in a metro or a tier I city is comparatively higher than the cost of treatment at tier II and tier III cities. This is due to the higher cost of treatment in metros and better medical facilities.

Insurers charge zone-based premiums, wherein the premium in a city is more than the premium you pay for health cover in a smaller city or town.

Going Gaga Over Premium

There are a great many things to consider while buying a health insurance plan; you must look beyond the premium and deductibles. They include limitations and exclusions, family’s medical needs, the insurer’s track record in closing claim settlements, provider network.

Cheap is not always the best in this regard as the policy might not cover all requirements and will not serve the purpose you planned from the get-go. That said, the premium mustn’t be overlooked, but should be in conjunction with your needs.

Shrugging-Off Sub-limits

Limits and sub-limits are integral components of health insurance coverage. When you exceed the sub-limits, you pay out of your own pocket and ultimately compromise your finances.

Find out which coverage benefits have limits and sub-limits. One of the most-common sub-limits is the one on room rent for inpatient hospitalization which affects the total permissible hospitalization claim. Always check what are the sub-limits when you’re purchasing a health insurance policy. And try to get one that has high coverage limits or no sub-limits at all.

As mentioned before, every individual is unique and so are their medical needs. You shouldn’t imitate whoever it is you know who has a certain plan. After all, the insurance kicks in for you, not for them. Nowadays, you can conveniently search, compare, and buy health insurance policies online. So, make the most of this advantage and choose a plan that is tailor-made for you and your family.

Book outpatient services, plan hospitalization, and view your policy’s terms and conditions and coverage on a single platform — MediBuddy.

health insurance

Tile-by-Tile: The MediBuddy Roadmap For Retail Health Insurance Policyholders

health insurance

Buying a health insurance is tricky. But that’s one stage you’re done with after much scrutiny. But, you see, the way forward is not all peaches and cream.

How are you going to manage your health benefits? Do you even know what your health insurance policy entails? We don’t want to overwhelm you with these doubts, but we must because you should know about the ins-and-outs of your health insurance.

And you will, eventually! However, having everything there is to know about your policy, and more importantly, managing them under one roof is the end goal.

If you’ve faced the trials and tribulations of the aforementioned ‘ins-and-outs’, you know that it’s not pretty. And if you haven’t, well, we’d say you’re lucky — for now! But, as always, we’ve come up with a workaround — MediBuddy.

We’ll be splitting-up each section as seen on MediBuddy — after logging in—  in this article. If you’d like to find out how to access MediBuddy, you can check this piece out.

Done?

Alrighty, then! Let’s begin!

Policy Coverage

Turning up at a health centre to treat an injury or an illness with your health insurance policy without knowing what it entails is a huge blunder on your part.

What if the sum insured isn’t enough to cover the expenditure? Or worse, what if your policy’s expiration date is up?

Keeping up with your policy details can be a hassle as you have plenty of responsibilities to shoulder. But with MediBuddy, you can view insurer details, sum insured, validity period balance sum insured and download your E-card.

Just click on the ‘Policy Coverage’ tile, choose a scheme (policy), enter policy number and MA ID (Medi Assist Id), hit ‘Search’, and voilà, feast your eyes on everything there is to know about your policy.

Policy List

The ‘Policy List’ tile allows you to look into all the health insurance policies you ever purchased. List all policies on a single page by selecting scheme (policy) and filling details in any of the following fields: policy number, policyholder name, or agent number.

Search Hospitals

You probably know by now that a health insurance policy provides cover at certain network hospitals they’re associated with. But if you were to get treated, finding a hospital by location, alliance, and speciality can be tormenting.

However, MediBuddy can come to your rescue by letting you filter hospitals by:

  • Location
  • Distance (Radius)
  • Hospital Name
  • Speciality
  • Insurer  

You’ll also see a ‘GIPSA’ (public sector insurance companies) button on the extreme right which populates all network hospitals on the map when clicked.

View Claims

Track claim status including details under this tile. Select scheme, and enter policy number, Medi Assist ID (MA ID), or claim number.

Then hit ‘search’ and view patient name, date when claim was received, claim amount and type (reimbursement or cashless), status (denied or settled), and insurer name.

‘View’ drags you deeper into the specifics of the claim such as :

  • Ailment details
  • Deductions
  • Bills
  • History of claim settlement ( from submission to processing, and final settlement or denial)
  • Bank details of the patient
  • Date of admission and discharge

 

Your Profile

You can always visit this tile to alter personal details: your name, phone number, email ID, date of birth, profile picture, and address.

Health Bites

This tile houses visuals on health and wellness tips you can adopt or take lessons from. It imparts knowledge with visually appealing caricatures.

Self-Help

Need clarification on health insurance lingo or any of MediBuddy inpatient and outpatient services? We’ve put this tile here so that get all the answers you want.

However, if you can’t find any, you can always ask the MediBuddy chatbot or leave a comment in the dialog box. Alternatively, you can reach us via email, call our helpline.

With MediBuddy, you can completely change the way you go for cashless
hospitalization. Try MediBuddy today and gain control over all your health
benefits and wellness!

Cashless

You Need To Know: What Happens When You Choose ‘Cashless’ For Outpatient Services

Cashless

62%. This figure is the out-of-pocket expenses’ share, according to a study, of healthcare costs of an individual. Medical inflation which is to the tune of 15-20% per annum bumps up the cost of medicines, health checkups, lab tests, dental consultation etc.  Outpatient services, when stockpiled over a period of time draws a major chunk of your finances. Therefore, an insurance policy with OPD cover acts as the safety net for your fortune.

It’s true that hospitalization expenses, when pitted against an outpatient service, overshadows the latter. But outpatient services, when stockpiled over a period of time draws a major chunk of your finances. Therefore, an insurance policy with OPD cover acts as the safety net for your fortune.

How Does The ‘Cashless’ Feature Work?

In the case of cashless, the insured must first approach the provider that falls under the insurer’s provider network. In other words, the insurer must have a tie-up with the provider where outpatient services are sought. When a cashless request is raised, the TPA gets the estimated cost, applies your policy’s terms and conditions, and gives you the expected cost.

Once you get the green signal, you can go ahead and avail service(s),  while the hospital sends all documents — related to your treatment — to the TPA for final settlement.    

Why Should You Choose Cashless for Outpatient Services?

As mentioned earlier, reimbursements have been around and will continue to show its presence in the years to come. Cashless, however, has recently become a favourite due to multiple benefits it has to offer. Here are 4:

  • The “Digital” Edge of Cashless

There can be times when you might have a medical emergency away from home. Medical checks, lab tests, consultations and more (as advised by the doctor) may be required; and the costs for these is something you can’t estimate, which ultimately strains your finite travel budget.

You may not have acquaintances in the unfamiliar area which adds to the strain. But you need medical attention. And you need it at the earliest. The ‘cashless’ contingency can be your way out, where you get the care you require without having to run around.

Take MediBuddy as a prime exhibit. With a few taps on the MediBuddy app, you can book health checks in 100 cities, lab tests in 58 cities, order medicines in 343 cities and more. They also possess a provider network which has over 17,000 hospitals and diagnostic centres.

  • Be Gone Financial Burden

Cashless OPD cover does handle the costs incurred from consultations, health checks, tests etc., but it also provides breathing room for families and individuals who are burdened with pharmacy-related expenses; especially those who carry chronic illnesses.

Moreover, cashless OPD cover opens the door to offers and discounts on services which actually help in conserving the sum insured. Also, some insurers offer a discount on the OPD premium upon renewal of the policy.

  • When You Get More Than You Expect

The premium for a policy with in-built — or add-on — OPD coverage may be higher but it actually offers value for money in the long run. The insured can file multiple cashless claims as long as the policy is active.

So long as we’re on the topic of the ‘extra’ you have to pay on your premium for OPD, you should know that OPD plans offer more tax benefits as compared to a basic health insurance policy. As per Section 80D of the Income Tax Act, 1961 cashless OPD claims are eligible for tax benefits.

  • And Finally, Peace of Mind

Perhaps the biggest advantage of cashless benefits is the time you get. Time to focus on the right treatment, time to recover from your ailment, and time to break away from the headaches of paying medical bills.

Cashless also enables online claims submission, tracking, document upload and settlement reconciliation. In other words, the paperless utilization of health insurance customer wait time at the medical facility.

Cashless OP cover offers much respite to an insured, even though the premium may attract an extra cost. You can get the care you want without worrying about crippling your finances or using up your savings.

Outpatient services on MediBuddy are rendered by a wide network of
hospitals, medical and diagnostic centres that you trust. The country-
wide spread of this network allows you the assurance of quality health-
care, wherever you are.