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Understanding Inclusions: Health Insurance Policy

Life can be unpredictable, and with rising healthcare costs, it is best to be prepared by investing in health insurance. In the last year alone, India has witnessed a hike of 14% in healthcare inflation, almost double from previous figures. With the coverage provided by a health insurance policy, one could avoid the unexpected expenses incurred by hospitalisation, doctor’s fees and other medical costs. However, within a health insurance plan, a few things are covered (Inclusions) while a few are not (Exclusions). 

Let’s familiarise ourselves with a health plan's typical ‘inclusions’.

  • Pre- and Post-Hospitalisation Expenses

All medical costs before hospitalisation and post-discharge like doctor’s fees, medical expenses, and follow-up tests are covered.

  • In-Patient Hospitalisation

You are responsible for any expenses incurred during hospitalisation, such as room charges, nursing care, ICU, and doctor’s fees. 

  • Annual Health Check-ups

Policyholders get annual health check-ups once a year, including tests for blood sugar, kidney function, ECG, etc. 

  • No Claim Bonus (NCB)

NCB is a reward for the claim-free year, and the bonus is accumulated for each claim-free year. 

  • Day Care Treatment

This treatment does not require hospitalisation for 24 hours and can cover cataract surgery, chemotherapy, dialysis, etc.

  • Cashless Admission Facility

To avail of the cashless admission facility, the policyholder just needs to carry an identity card issued by the insurance company. This does not require any advance payment for the admission procedure.

Health insurance is crucial for your peace of mind, so it’s equally important to know all the facts. Before taking a health insurance policy, read the exclusions and inclusions carefully of your insurance provider. Know your inclusions and benefit from them in your time of need.

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