10 Questions to Ask Before Buying a Health Insurance Policy

Health insurance is one of the most critical investments for protecting yourself and your loved ones from unexpected medical expenses. However, with so many options available, choosing the right plan can feel overwhelming. Asking the right questions before purchasing a health insurance policy can help you make an informed decision and ensure you select a plan that meets your needs.

Here are the top 10 questions you should ask before buying a health insurance policy:

1. What Does the Policy Cover?

Understanding the coverage of a health insurance policy is crucial. Check if the policy includes:

• Hospitalization expenses
• Pre-and post-hospitalization costs
• Daycare treatments
• Ambulance charges
• Critical illness coverage

Ask for a detailed list of inclusions to ensure your medical needs are adequately covered.

2. What Are the Policy Exclusions?

Every policy comes with exclusions—medical conditions, treatments, or scenarios not covered by the plan. Common exclusions include cosmetic surgeries, pre-existing conditions for a specific period, and certain illnesses during the waiting period.

Tip: Always read the fine print to avoid surprises during a claim.

3. What Is the Waiting Period for Pre-Existing Conditions?

If you have pre-existing medical conditions, the waiting period is a crucial factor. This is the time you must wait before your policy begins covering those conditions.

Typical Waiting Period:
It can range from 2 to 4 years, depending on the insurer.

4. Does the Policy Offer Cashless Hospitalization?

Cashless hospitalization allows you to receive treatment without paying upfront at network hospitals. The insurance provider directly settles the bills with the hospital.

Key Question:
Ask for a list of network hospitals to ensure your preferred healthcare providers are included.

5. What Is the Claim Settlement Process?

A smooth and hassle-free claim process is essential during medical emergencies. Check:

• How to file a claim (cashless or reimbursement).
• The insurer's claim settlement ratio (higher is better).
• Average time taken to settle claims.

Pro Tip: Bhartiya Beema works with insurers known for their high claim settlement ratios.

6. What Is the Coverage Amount?

Your sum insured should be sufficient to cover medical expenses without straining your finances. Consider:

• The cost of healthcare in your city.
• Your family’s medical history.
• Any future health risks or lifestyle-related illnesses.

Ideal Coverage:
A sum insured of at least ?5–10 lakhs is recommended for individuals in urban areas.

7. Are There Any Sub-Limits or Co-Payment Clauses?

Sub-limits cap the maximum payout for specific treatments, such as room rent or surgeries. Co-payment requires you to share a percentage of the medical expenses.

Important:
Choose a plan with minimal sub-limits and co-payment to reduce out-of-pocket costs.

8. Does the Policy Offer Family Coverage?

If you’re buying health insurance for your family, look for a family floater plan that covers all members under a single sum insured.

Key Factors:

• Check the number of members covered.
• Ensure coverage for children and senior citizens.

9. Are Preventive Health Checkups Included?

Preventive health checkups help in early detection of illnesses. Many insurers now include free annual health checkups in their policies.

Added Benefit:
Ask if these checkups are offered and whether they impact your no-claim bonus.

10. Does the Policy Provide Additional Benefits?

Look for features that add extra value to your policy, such as:

• No-Claim Bonus (NCB): Rewards you with increased coverage for claim-free years.
• Maternity Coverage: Important for families planning children.
• Restoration Benefits: Reinstates the sum insured if exhausted during the policy year.

How Bhartiya Beema Helps You Choose the Right Health Insurance?

At Bhartiya Beema, we simplify the process of finding the perfect health insurance plan. Our team works with leading insurance providers to offer you a range of options tailored to your needs and budget. Whether you're looking for individual coverage, family plans, or senior citizen policies, we ensure you get the best value and comprehensive protection.

Why Choose Bhartiya Beema?

• Expert guidance to answer all your queries.
• Comparisons of policies from top insurers.
• Assistance with claim processes and renewals.

Conclusion

Buying the right health insurance policy requires careful consideration of your needs and thorough research. By asking these 10 critical questions, you can make an informed decision and secure the best coverage for your health and financial future. For personalized assistance and access to top insurance plans, contact Bhartiya Beema today!