Anyone having experience with PSU Health Insurance?
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Hello Dimers!
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Seasons greetings and hope you all are doing well! 😄
I am considering buying health insurance for myself (24 yrs no PED).
Buying it now would be a wise option as per my understanding, since my age is low so no PED so easy to get one and changes of any non disclosure is less.
I have thoroughly researched everything and the entire thing is a mess -
- HDFC Ergo is good but extremely costly (around 11K for me) which exceeds my budget
- ICICI Elevate looks good on paper with many advantages like unlimited restoration, NCB however CSR isn't that impressive
- Niva Bupa also looks good on paper
- Aditya Birla is not that old or having that track record
- Care having too many complaints
- Avoiding Acko and Digit and other new age insurers absolutely
.
Saw some plans from New India Assurance (Yuva Bharat Health Insurance). Premium is affordable, apparently having good CSR (as per some recent newspaper article). A few restrictions like submit on cataract (not important for me), a few restrictions on modern treatments but overall looks good. Room is not bad either (single PVT AC Room).
Anyone having any experience with PSU Health Insurance or the others above?
Many recommended Ditto and Beshak however in my opinion they are biased and recommend HDFC or Care Supreme (they give good explanations of all terms of insurance for knowledge but when it comes to recommending the insurer they are biased)
Kindly share your views.
Also this is a recent newspaper report. Even though it does not have any bifurcation of retail and corporate claims still -
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Thanks in advance! 🙏
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I have Care Insurance via Ditto for past 3 years. I know that over the past year, Care has suffered a hit to its reputation but since Ditto is my TPA, I'll take their assistance if any claim arises. I went for Care because the other recommendation (ERGO) was too pricy. I might consider porting after 2 years if they suffer a further hit to their reputation.
What is your cover from care?
Have you opted for any riders?
Have you also choosen any topup or super topup?
Please shed some light on your experience.
I have taken term from icici via ditto, and the experience was good, but this health insurance has become a lot tricky as theyre aggresisbely promoting care, where as it is having loads of negativity.
Stay away from HDFC Ergo. When I purchased a policy in 2018 for ₹11,000, they assured me the premium would not increase for five years. However, when I renewed it in 2020, the premium had jumped to around ₹21,000. Always insist on getting such assurances in writing. To my knowledge, HDFC Ergo does not provide written guarantees on premium stability and may discontinue the policy at any time. Be cautious and thoroughly verify terms before buying.
I don't think any insurance provider would give you in writing that they won't increase the premium
Go for Niva bupa, contact me
Niva Bupa has excellent plans!
Opt for Reassure 2.0 with Platinum/Titanium versions.
There will be no yearly premium hike until a claim is made. It will be hiked in case of a claim or age slab change!
You can add a Safeguard rider for better coverage & consumables!
But Nivas premium is a few hundred rupees lesser than HDFC Ergo who is the leader.
Also, there are quite a few complaints about Niva's service
Why people are not talking about ACKO health insurance
Relatively new. Trust is a major issue
Took Niva Aspire with rider. I have 5yr+ insurance continued so far... Dont think i have to worry about rejections now. Also premium remains same, so peace of mind. 16k for 2 (10L base cover)
Go With
PSU
TATA AIG - Costly
ICICI Lombard - HDFC Ergo - Almost same on many terms - costly
Avoid
Care Health - high complaints - poor customer care - poor Incurred Claim Ratio
Star Health - high complaints - poor customer care - poor Incurred Claim Ratio
I have personally shifted from Care to Hdfc Ergo - if possible buy 3 years plan
Take this policy cheap and best policy and WITH OPD BENEFITS Bajaj Allianz Family health care with HPR
Key Features ✅ Covers hospitalisation expenses, with room rent, boarding & nursing expenses as per actuals
✅ Pre 60 days & Post 90 days hospitalisation expenses cover
✅ 130 Day Care procedures ⛑
✅ Road Ambulance expenses cover 🚑
✅ Organ Donor Expenses cover
✅ 100% Sum Insured Reinstatement Benefit cover💰💯
✅ Hospital Cash Benefit 💰
✅ Free health check up
✅ Ayurvedic/ Homeopathic hospitalisation expenses cover🍃
✅ Income Tax benefit under 80D of IT Act💰
✅ No medical upto 65 years of age,* subject to clean proposal
✅🌟Dr consultation & Lab tests covered.
✅🌟Non hospitalization benefits Up to 37,000/-
▶️ HPR ◀️ - Health Plan Rider
💱 Wellness Benefits 💱
⚕ Doctor Consultation✅ In person consultation
✅ Cashless Doctor Consultation benefits with network hospitals
🔬 Lab benefit
✅ Cashless benefit within network (3400+ centres)
✅ Reimbursement within 48 hours.
☎️ Tele Consultation
✅ Unlimited Video/ Audio Tele Consultation with 4500+ Active Doctors with 35+ specialities.
☂️ Prevention Health Checkup
✅ 45+ pre defined lab test package.
✅ 3400+ Hospitals and lab chains
💥💥💥💥💥*FHC ONL
The big advantage with 4 PSU health insurance companies is they have a separate rate structure with hospital called GIPSA (not sure of spelling). E.g. my brother underwent hernia surgery, the cost give was 1L, when we told about our policy with PSU, it was done in 87K, Same Doctor, same hospital same room type. These 4 companies with their sheer size have negotiated far better rates with the hospitals. So my 5L lasts longer compared to same 5L policy with non PSU health insurer.
New India Assurance is best. No claim denied till date.
Which policy are you having? How many times approximately have you claimed?
Bro I will give a ground reality to you best on my experience. Always remember when it comes to giving money, everyone is hesitant so are the insurance companies. No insurance company is best. But taking insurance is a must. I won't comment on which one is better but what I would suggest gathering a hefty emergency medical fund for unforeseen situations. Remember the insurance company will try their every bit to deny the claim by any means, any loopholes, policy wordings, hidden clauses etc that we normal people sometimes don't understand or not be conveyed to us. Best of luck 🤞
Not that they had as many hospitalisation, but on the few occasions which father claimed.. the TPA and processes were responsive.
(He has a habit of not disclosing to the hospital that he has a policy. He prefers to pay and later claim, with the assumption/logic that hospitals randomly put more consumables, charges if they realise that the customer Haa less out of pocket expenses.)
So NIA would be above average, in my view.
I took it personally and even sulked.. when Max and Bupa broke up the JV.
have no direct experience with Niva Bupa, but Bupa.. in general.. are very efficient and also ethical.
Others in my circle have taken Niva Bupa products.
have personally experienced Bupa's excellent service in even slightly remote areas.. in Africa though.
Hence the part where I tipped the scales for Niva too.