3 Important Ways to Safeguard Basic Sum Insured


Joseph is a happy man today. He invested in an affordable health insurance plan some time ago; a health insurance for himself and his dependents should things go awry. Great move Joseph, really commendable.

His father, Joseph Sr. is 89-years-old. A few days ago he tripped over the hose while giving his prized 1960 Volkswagen Beetle a thorough washdown. He now has a broken hip that requires surgery. The chances of him driving the Beetle are slim, but yes, Joseph’s father did ride in it on his way to the hospital, and will probably be backseat driving for some time.

Joseph is content because he realizes that a hip-replacement surgery for his old man will be covered by his insurance policy. He is also in a pickle because he doesn’t know why he should conserve his sum insured when all the costs are already covered under his policy.

What Joseph, and you, don’t realize is that there are other dependents covered under the same policy, including the policyholder. They too need money for any medical emergencies or hospitalization in the future.

That said, here are 3 important ways that can help you and Joseph conserve the sum insured.

The ‘Cashless’ Health Insurance Coverage

Joseph understands why his friend got a better deal. Since the hip surgery could be planned in advance and he had ample time to scour for the best deal, he went from hospital-to-hospital, wheelbarrowing his dependent…No! He didn’t do that; he’d break his own hip if he had.

So, how did he conserve the sum insured?

He just contacted MediBuddy and opted for a cashless insurance claim. MediBuddy provided all the network hospitals where a hip surgery could be done, offering more price transparency in the process.

He also narrowed down his choices and picked one hospital that offered the best care at the best price with the added advantage of package pricing available for cashless hospitalization.

Explained: Preserving Basic Sum Insured with Pre and Post Hospitalization

The hip surgery for Joseph Sr. is just a few days away. The health insurance coverage will definitely cover the expenses, but there is a lot to be done ahead of an inpatient procedure: doctor consultations, lab tests, and more. There’s also a lot to be done after hospitalization, where you need to monitor your health with lab tests, ensure you stick to your medicine schedule and get all the rest you need.

Joseph can opt for cashless pre and post hospitalization to maintain the sum insured.

How?

Well, the procedures before and after the surgery are offered by multiple healthcare providers that run offers and promotions. For instance, MediBuddy garners and lists all offers and discounts on their website and app so that a user can avail the best healthcare services at better prices.

Joseph can carefully weigh the pros and cons of every service he wants to avail for this father, before and after surgery. Reasonably priced treatment with additional offers and discounts shaves off very little from the kitty, thus preserving the sum insured.

Hospital Room Charges Nibble Away at the Sum Insured

Joseph always wants the best for his father. He’s looking at hospital accommodation of the highest quality—good food, entertainment, AC, squeaky clean bathroom, a comfy attendant’s bed, and housekeeping at constant beck and call.

But he doesn’t understand sub-limits. Well, this is basically a stipulation within the sum insured of a medical insurance which covers treatment or accommodation upto a certain amount. Anything over and above the maximum threshold is paid from the policyholder’s pockets.

The cap on room rent is one of the sub limits in health insurance. If Joseph admits his father into a private room, the charges for, say, an X-ray or Doctor’s visit will be more in comparison to the same for a semi-private room. In short, treatment charges (excluding medicines which are charged at MRP and other consumables) will depend on the room rent—higher the room rent, higher will be the charges and vice versa.

Anything above the daily sub-limit will be charged out of Joseph’s pockets, which won’t be reimbursed resulting in the sum insured taking a hit.

To final call to preserve the sum insured is all upto Joseph now. He can use up most of the sum insured and then pay from his own pockets for future emergencies, or conserve both the sum insured and personal savings. The first option is not viable unless, of course, Joseph has deep pockets or his father doesn’t object to pawning his beloved VW Beetle. He went with the second option because he got his father patched up, preserved his sum insured, secured his dependants’ health, and never tinkered with the idea of pawning the Beetle.

 

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