I want to take medical insurance for my parents which1 is reliable ?

any1 plz suggest me whether should I go for below plan

Religare CARE:4 lac coverage : premium: Rs 18,000/year : 2 person covered

any real life experience with any of the health insurance plan or Company,

please do share

I am still looking for a decent health plan from last 2 months.I can pay 2-3 extra but need peace of mind during a claim. I read lots of reviews on mouthshut ,bankbaazaar,medimanage,coverfox etc but I see every company have some complaining customers whose claims got rejected due to some lame reason.

Medimanage suggest me to go for L&T classic plan with room rent waiver :premium: Rs 19,000:coverage: 3 lac : 2 person covered

I request you again to share your experience with the mediclaim products you have ,thank you

@punitdd wrote:

any1 plz suggest me whether should I go for below plan

Religare CARE:4 lac coverage : premium: Rs 18,000/year : 2 person covered

any real life experience with any of the health insurance plan or Company,

please do share

I am still looking for a decent health plan from last 2 months.I can pay 2-3 extra but need peace of mind during a claim. I read lots of reviews on mouthshut ,bankbaazaar,medimanage,coverfox etc but I see every company have some complaining customers whose claims got rejected due to some lame reason.

Medimanage suggest me to go for L&T classic plan with room rent waiver :premium: Rs 19,000:coverage: 3 lac : 2 person covered

I request you again to share your experience with the mediclaim products you have ,thank you

Open Account in Bank Of Baroda.

They are giving Cheapest Mediclaim Insurance.

Open BoB website, you will get premium details.

Dude considering ur dad’s existing ailment and age, 3 lac for 2 persons is a tad low. Atleast have them insured for 5 lacs. Also every insurance provider will have few rejections amounting their claim settled percentage to float between 90-95%. These rejections could be for a variety of reasons including(and not limited to) non disclosure of existing diseases during policy procurement.

Try comparing medical insurance policy in policybazaar and see what suits your requirement and fits in your budget.

@kaliyaa, do you ever made any claim yet with the BOB insurance ? who is the insuer ?

like in Canara bank they have appllo Munich as their partner for health policy for their employees and customer ,which is a group policy that covers entire employees and customers . and premiums are also low compared to appolo floater policy on their website(Same policy). Bank policy does not need pre medical tests ,only declarations and age of members covered .

My questions will the insurance company honour the claims made by a bank customers ?

Chances are very low to honor the claim because they are earning less due to group policy and no pre-medical test .

Can you port these bank policy to a Stand alone insuser after some years ?

having these bank policy may give only false sense of health coverage . please someone share some experience with any of these bank policy because they usually comes less premium and non medical test .so no more loading on premium

@prithvvi wrote:

Dude considering ur dad’s existing ailment and age, 3 lac for 2 persons is a tad low. Atleast have them insured for 5 lacs. Also every insurance provider will have few rejections amounting their claim settled percentage to float between 90-95%. These rejections could be for a variety of reasons including(and not limited to) non disclosure of existing diseases during policy procurement.

Try comparing medical insurance policy in policybazaar and see what suits your requirement and fits in your budget.

I have done that ,policybazzar suggest some products like religare L&t ,Oriental ,MaxBupa ,Bajaj,Tata Aig ,future generali .

I am really looking for a 5 lac policy only. Most of company have same or less premium . but question is what company to go for ?

I am looking for a product with no or very less capping ,specially room rent limit

do you have any experience with any of the company or heard good or bad about their settlement ?

Is it wise to go for government unit only ,becuase private companies are giving variety of excuses to reject claims . like" this disease did not need hospitalisation,your claim has been rejected "

Is not all the health insurance companies cover pre-existing diseases after 3-4 years only.

What’s the benefits of declaring diseases at the policy commencemt ? declared or not they are going to reject the claim on the pre-existing disease ground only.

I was being chased by medimanage few years back for taking up a medical insurance of Oriental. Don’t remember the features but it had an upper hand when it came to settling claims and was also within the reach of a common mans pocket.
But most insurers these days have minimal or no capping on room rent. Don’t have on ground experience with any insurer but settlement percentage and mouthshut reviews along with medimanage suggestions may help you in zeroing down on the policy you are looking for.

@prithvvi yes I contact medimanage advisor,coverfox advisors ,medimage advisor told me for L&T after considering the diabetes and ages of insureds . on there website when I put details they show oriental family floater only .premium is 14,000 which is lesser then L&T .But room capping is major drawback in oriental it is just 5,000.

coverfox advisor told me that they are not sure the acceptance of policy due to pre existing diabetes.they claim appollo like company will not cover diabetes .

@punitdd wrote:

@kaliyaa, do you ever made any claim yet with the BOB insurance ? who is the insuer ?

like in Canara bank they have appllo Munich as their partner for health policy for their employees and customer ,which is a group policy that covers entire employees and customers . and premiums are also low compared to appolo floater policy on their website(Same policy). Bank policy does not need pre medical tests ,only declarations and age of members covered .

My questions will the insurance company honour the claims made by a bank customers ?

Chances are very low to honor the claim because they are earning less due to group policy and no pre-medical test .

Can you port these bank policy to a Stand alone insuser after some years ?

having these bank policy may give only false sense of health coverage . please someone share some experience with any of these bank policy because they usually comes less premium and non medical test .so no more loading on premium

TPA is National Insurance Company

Read T&C on http://www.bankofbaroda.co.in/pfs/barodaheal...sp

Rs 7000/- premium for Rs 5 Lacs Medical Insurance.

I have obtained it last year, no claim generated yet.

Make ur family eat dalia and boiled veggies ONLY , never eat any spice/streetfood/garbage
daily 1-2 hour walk/running for rest of their life .
Best medicine
= no need for any insurance .

@kaliyaa ,did you get any document like cashless card and other insurance documents ?

If a case comes ,whome should we contact to?
bank or insurance company ?

Have you asked bank how your premiums are going to be paid ?
If we can renew the policy online on insurance website itself ?

National insurance is a govt. unit .5lac coverage for 7000 is good . is it for family ? Or for you only ?

@chaudharysaab wrote:

Make ur family eat dalia and boiled veggies ONLY , never eat any spice/streetfood/garbage
daily 1-2 hour walk/running for rest of their life .
Best medicine
= no need for any insurance .

good advice thanks

@punitdd wrote:

@chaudharysaab wrote:

Make ur family eat dalia and boiled veggies ONLY , never eat any spice/streetfood/garbage
daily 1-2 hour walk/running for rest of their life .
Best medicine
= no need for any insurance .

good advice thanks

There was another thread let me dig it out cc @cybertechie
http://www.desidime.com/forums/dost-and-dimes/t...

Also the latest irda annual report will have been issued download the same to check which is the best one

@PaytmKaPoojari wrote:

@punitdd wrote:

@chaudharysaab wrote:

Make ur family eat dalia and boiled veggies ONLY , never eat any spice/streetfood/garbage
daily 1-2 hour walk/running for rest of their life .
Best medicine
= no need for any insurance .

good advice thanks

There was another thread let me dig it out cc @cybertechie
http://www.desidime.com/forums/dost-and-dimes/t...

Also the latest irda annual report will have been issued download the same to check which is the best one

thank you bro very helpful

Hello,

I did my fare share of research to zero on to a insurance provider which provides great customer service with acceptable claim acceptance ratio . Unfortunately there is none that fulfilled all my criteria. Most of the private insurance providers such as Religare, Star etc are notorious for rejecting claims under some pretext or another. Getting a claim accepted during initial few years of policy commencement is a herculean task. Most insurance providers will reject the claim on basis of pre existing illness. ATM, Medical insurance is India is nothing like the one’s offered in west. Most of them out here in India are around to scam gullible customers like you & me.

If you really need an insurance policy, National insurance providers has better claim settlement ration. You can go ahead and see if their policies suits your needs. Try to avoid private insurance providers like a plague.

@punitdd

I finally decided not to take health insurance from any health insurance company. what is the point of having a 15 lac coverage by paying 20-25k premium each year. If they simply rejects due to some absurd reasons like

1.“the disease did not required hospitalization”,"
2.it is a pre-exsting disease .
3.you had not disclosed the disease at time of policy proposal
4.this ailment we don’t cover
5.this ailment is only covered after 4th year
6. this day care treatment is not covered before 2 years
7. this or that document is must to accept this claim.
8. 9.10. 11. 12.s..o on..list is very long

more-over they put sub limits to 20-50k on cataract,kidney stone and other such common treatments .
Room-limit is major disadvantage they all have for lower coverage 1 lac to 4 lac even 5 lac.

i.e only 1% of sum insured and 2% for ICU.some other insurer are very clever they put room type restrictions like twin-shared room only ,single AC room only.

we are not sure at the time of admission to hospital ,if that particular type of room is available or not,if single AC room is not available we definitely go for a next higher room at a case of emergency.your claim settled would become less by 50% -80%.

Daily cash allowance like things are less valuable . one of the representative of religare told if during the hospitalization ,your relative come to see patient ,toh aapka chai paani ka kharcha toh hoga esiliye aap ko hamare company se 500 rupee ki daily allowance dia jaata he.

So rather I would build a fund by saving money specially for medical purposes.this fund would become 5 lac -10 lac coverage in few years like 10 year or so. that is more beneficial. just to beat the inflation we need to keep it in a some good instrument,not saving bank account.

if any suggestion plz post

@cybertechie thank you very much for your valuable suggestion

@cybertechie wrote:

Hello,

I did my fare share of research to zero on to a insurance provider which provides great customer service with acceptable claim acceptance ratio . Unfortunately there is none that fulfilled all my criteria. Most of the private insurance providers such as Religare, Star etc are notorious for rejecting claims under some pretext or another. Getting a claim accepted during initial few years of policy commencement is a herculean task. Most insurance providers will reject the claim on basis of pre existing illness. ATM, Medical insurance is India is nothing like the one’s offered in west. Most of them out here in India are around to scam gullible customers like you & me.

If you really need an insurance policy, National insurance providers has better claim settlement ration. You can go ahead and see if their policies suits your needs. Try to avoid private insurance providers like a plague.

@punitdd

sir ji, which TPA or TPAs have you dealt with?
.
Also, was it that the hosp./facility where admitted is/was notorious for rigging numbers based on who is paying?

I may be inclined to back you, kaliaa and Punit up that up to an extent, some of NIA’s TPA’s are more accomodating.

Also, i must say, some of the TPAs we have had to deal with, were/are horrible.

But I guess it is also geography specific. Till a while back i remember the pricing too was based on zones or Tier I Tier II type factors.

Munich and Bupa are really great companies to deal with. But off late i haven’t got experience of them. Bupa while launching, i know it, came with their European ethos. Very systematic.

If @punitdd is himself biased against private guys so much, then doesn’t make sense to ask to eval. pvt. as peace of mind wont be there. Otherwise Bupa, Cigna TTK and now even Aegon are good ventures.
Disclaimer: I’ve no interest or relationship in any names discussed. Bupa corporate negotiations was way back and the guy i knew who was with Aegon during their launch has left the organisation.

@punitdd

Looking at your post, you did lot of research for sure. Indeed, it is really a shame how health insurance companies are running business in India. All they care ]for is premiums without an iota of care/empathy towards the customers. Seems like regularity agency such as IRDA is only around for name sake.

Your idea of exigency fund is good.

Do check with National insurance companies once before ruling out health insurance completely. If their premium is not as high as their private counterparts, do give it a thought.

which TPA or TPAs have you dealt with?

Personally I have only dealt with FHPL TPA appointed by National insurance. My experience with them as been decent since my insurance was a part of group insurance policy by employer without any strings attached. I know level of treatment meted out to customers differs with the kind of insurance one holds. For example, Group insurance customers are treated well & claims are processed without any hiccup compared to a individual policy holder who may be subjected to various levels of harassment before his funds are released.

Also, was it that the hosp./facility where admitted is/was notorious for rigging numbers based on who is paying?

I may be inclined to back you, kaliaa and Punit up that up to an extent, some of NIA’s TPA’s are more accomodating.

Also, i must say, some of the TPAs we have had to deal with, were/are horrible

Most of the observations I made in this thread or any thread related to health insurance are after going through countless reviews, blogs etc. Common consensus among masses is that, Health insurance plans are scams.

@Spock who say I am biased towards any sector.be pub or private . I was looking for a value for money product in health insurance products .because the premium Pvt companies quoted also almost same to public players due to the age factor of the elder member covered in the floater .individual policy more or less same premium. We have some good pvt hospitals in our locality where we usually go for any check up or treatment . TPA associated with hospital changing during the year .they are not with same hospital always . irda reports says so . so I can choose a product based on the TPA but again at the time of admit to hospital TPA would have changed . I have do deal with a bad TPA then.Insurance companies do also change their TPA at times. Max Bupa have only 3 cashless hospital in my area that too are not very good in service .Religare or Appolo has 13 networked hospitals in my area includes some best ones. Cashless is much preferred than imbursement .we have to wait normally 3 months-2 year for getting the claim imbursed according data shown on Irda report .

ahh okay. death by cybermedia / hearsay.

to each their own, but i’d say poor judgement and/or choice, to you, to @punitdd .

And if as a family guy @cybertechie bhai, you let the thought of health insurance pass over other things (pm’s we shared) . Or may be that God’s grace your contingency corpus is good, and may be the corporate policies too.

but seriously, even an eternal sceptic, fault finding person like me too finds this ‘trend’ (if it can be called thus) : scary. I mean, insurance is insurance. One can’t just let it pass due to the evils in the system.
.
hey by the way, i am a staunch ANTI insurance person myself. Anti Indian style Insurance that is. Never bought anything but term plans.
Even excuse myself away every time the ‘grand’ ‘mediclaim kis sei renew karana hai’ discussion starts at home. Infact, since 3 years i asked Maa Paa To only renew their own (NIA) .

@cybertechie will look @ the national insurance products .you says group police’s are better .even they are way cheaper too . what’s your opinion on bank COrporate agent policies ? These are also group policy for their bank customer .I will look for a PSU insurance associated bank and take their policy . they normally need no pre medical tests .

I still prefer a medical insurance of minimal coverage . obviously they have more benefits if only honoured at requirement.

Better you go for national insurance. Or lic.. .i feel they dnt reject much claims as they come under control of gov who want welfare of ppl to some extent..
Going 4 lic will have higest chance of claim getting honoured.

While the pvt insurance create extreme pressure on employs to not to honour claims

i too want family insurance for my family.

I have family insurance done by company, national insurance and TPA is vipul. Taken wife’s maternity claim and father’s gall stone operation no problem in taking claim. Although its a coperate plan

National insurance plans have room cap limit. is there any national insurance plan comes with no room rent capping ?

I think to take a 3 lac base coverage with 12 lac LnT Super Topup

@Spock wrote:
.
after what seemed like a fairly long hold, when the agent returned; i was almost in splits when I was told:
“yes sir, ___ (name of the company) covers suicide under ____ policy after it has been in force for N months, thereafter even if you commit suicide, don’t worry, we will pay the …”

it sounded really hilarious as the conversation was primarily in Hindi.
but i had NEVER spoken of the scenario as a first person account.
[i had been asking: agar ‘koi’ suicide kar le ….but when the agent replied, it was more like: ‘..Sir aap suicide kar logey tab bhi ____ Insu. Co. aapke blah blah blah..’ ]

Blame poor training for it. I have noticed that most Indian companies hardly spend any money on customer service however, they have all the money in the world to hire celebrities spending big money for marketing. At a fraction of marketing expense, one can hire and train decent support staff but unfortunately, nobody seems to think that way.

Anyways, i did go through my policy document( HDFC term insurance) once, document had clearly mentioned that suicide is covered after 1 year of policy being in force.

Seems like you are still advocating in favor of health insurance policy. Although i’m not too happy with the way how health insurance guys are running their business in India but after going through some of your posts i have to admit i’m giving serious thoughts about taking the plunge. I might as well get a basic health policy to see how it works out.

@chaudharysaab wrote:

Make ur family eat dalia and boiled veggies ONLY , never eat any spice/streetfood/garbage
daily 1-2 hour walk/running for rest of their life .
Best medicine
= no need for any insurance .

then why to live itself
better to go up and meet the idiot called god than eating dalia and boiled veggies ONLY