Health Insurance

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Cashless Mediclaim starting @780*/month

SUPER TOP-UP

Upgrade your existing policy cover by Rs. 10 Lakhs for premium as low as Rs. 2000!

Who is it for

Health Insurance Plans designed around your needs

INDIVIDUALS

A smart decision to face today’s fast-paced life with a lower premium & bigger coverage.

FAMILY

Health cover at affordable rates so that your loved ones are financially protected & secured.

SOON TO BE PARENT

At this important turning point in your life get the most possible comfort for you & your baby.

SENIOR CITIZENS

Excellent option to increase life expectancy with regular & advanced treatment.

SMOKERS

Tobacco usage is no reason to miss the wonderful benefits of a health insurance plan.

WITH PRE-EXISTING CONDITIONS

Get relief for a chronic or long-term ailment, injury or disease which requires continual attentiveness.

What is Covered

Everything Essential

HOSPITALIZATION

Expenses incurred throughout hospitalization for more than 24 hours, comprising room charges, doctor/surgeon’s fee, medicine bills, etc.

PRE & POST HOSPITALIZATION

Medical expenses incurred 30 days prior & 60 days post hospitalization.

CRITICAL ILLNESS

Full claim payout on the first diagnosis of 34 critical illnesses like cancer, heart attack & kidney failure.

ACCIDENT COVER

For medical & other out-of-pocket costs in case of an accidental injury. This cover will be active from the very first day of policy issuance.

How to Compare

Size up what matters for you

PREMIUM VS COVERAGE

Cover & sum assured should be appropriate against the premium paid. Cherry-pick add-ons as per your requirements.

NETWORK HOSPITALS

These are a group of hospitals associated with a particular insurer. It is prudent to consider an option which has a wide network of hospitals near your area of residence.

NO ROOM RENT CAPPING

Since hospital room rents differ, some Insurance plans pay only a part of the actual rent. Hence, it's always advisable to go for higher or no room-rent limit.

WHAT ARE
THE BENEFITS

Get the Maximum from your Policy

CASHLESS TREATMENT

In the case of hospitalization, the insurer will settle the expenses incurred directly with the network hospital management.

TAX BENEFITS

Avail tax deduction on premium paid as per applicable provisions of Section 80D of Income Tax Act, 1961 & amendments made there to.

RENEWABILITY & PORTABILITY

Ensures that the policy can be renewed for life without any restrictions or age bar & portability will enable you to switch to a new insurer without losing benefits accrued.

ALTERNATE TREATMENT COVERAGE

Coverage of alternate remedies such as Ayurveda, Unani, Siddha & Homeopathy (AYUSH).

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Health Insurance Buying Guide

Everything you need to know about Health Insurance

What is Health Insurance?

Health Insurance is a type of Insurance plan wherein an Insurance company promises to compensate the policyholder(s) for the expenses incurred on medical treatment subject to the sum insured mentioned in the policy.

Types of Health Insurance
Individual Insurance plans

Such a policy solely covers an individual policyholder. It takes care of medical expenditure in case a policyholder gets admitted into a hospital. The premium in such cases will depend on various factors such as your age, medical history etc.

Family Floater Insurance plan

This type of Health Insurance plan covers the entire family. It is similar to an individual policy except this is more cost effective & the sum insured is usually higher. It is shared between the family members without hassle of managing different policies.

Maternity Insurance plans

This plan provides coverage for prenatal & post-natal expenditures along with the delivery & applicable cost. The expenses related to the new-born baby are also covered up to a certain duration. Most maternity plans have a waiting period before they become active. These plans can also be purchased as an add on to a basic Health Insurance policy.

Senior Citizen Insurance plan

These Health Insurance policies are specially designed for senior citizens who are usually above the age of 60. These plans cover Health issues arising during old age. The premium to be paid is higher in such cases.

Critical illness Insurance plan

A critical illness Insurance plan insures you for fatal diseases such as kidney ailments, heart attacks, cancer, paralysis, etc. Such a plan is advisable for those who have a history of such illnesses in their family. In such cases, the policyholder receives a lump sum amount on the diagnosis of the covered illness. Unlike individual policies, no hospitalization is needed for claiming the money.

Personal Accident Insurance plan

A personal Accident Insurance covers the cost of medical treatment needed after an accident. Usually, such a policy offers benefits against 3 events – partial disability, total disability, & death due to accident.

Unit Linked Insurance plan

ULIPs are Insurance plans that double up as investments. When you pay the premium, a part of it is utilized for providing cover to you, as usual. The remaining amount of the premium is invested in a mix of equity & debt. ULIPs are a way to your Health & also build wealth for the future with the returns.

Who is Eligible for buying Health Insurance?
Individual

The minimum entry age varies between 18 years & 21 years, depending on the Insurance company. The maximum entry age varies between 60 years & 100 years, with the flexibility of renewal being extended to whole life.

Dependant

As an adult you can buy the Complete Health Insurance policy for yourself & your family members, children & parents.

Children

If you want your child to be covered under the family floater, your child should be more than 3 months of age & in case you are buying an individual policy for your child, he or she should be more than 6 years of age.

Required Documents
  • Proof of Age - Birth Certificate, PAN Card, Voter’s ID, Driving License, Passport, School or College Certificate, etc.
  • Photo Identity Proof- Aadhaar Card, PAN Card, Driving License, Passport, Voter’s ID, etc.
  • Proof of Address-Ration Card, Telephone Bill, Electricity Bill, Passport, Voter’s ID, Bank A/C Statement, etc.
  • Passport Size Photograph x 2
Cashless Hospitalization

Medical expenses incurred during hospitalisation for more than 24 hours, including room charges, doctor/surgeon’s fee, medicine bills, etc.

Pre & Post Hospitalization

Medical expenses incurred 30 days prior & 60 days post hospitalization

Day Care Procedures

Day-care expenses for advanced, technological medical surgeries & procedures requiring less than 24 hours of hospitalization like dialysis, angiography, radiotherapy, chemotherapy, appendectomy, colonoscopy, lithotripsy, hydrocele, eye surgical procedure, amongst others.

Critical Illness

Full claim payout on the first diagnosis of 34 Critical Illnesses like cancer, heart attack & kidney failure etc.

Hospital Cash

Daily expenses for food, Health centre stay, etc. which might be incurred by way of your caretaker in the course of your hospitalization may be provided on medical Health Insurance plans or can be available as a rider. Health Insurance plans also provide compensation for the loss of income because of Health issues.

Free Health Check-ups

General fitness check-ups are included with some Health Insurance plans.

Accident Cover

For medical & other out-of-pocket costs in case of an accidental injury. This cover will be active from the very first day of policy issuance.

Emergency Ambulance Cover

Health Insurance policies cover expenses for ambulance service.

Vaccinations

Certain Health Insurance plans cover vaccination fees.

Crisis Evacuation

Under emergency conditions whilst a patient needs to be transferred from one Health facility to another, Health Insurance plans cover prices involved inside the relocation process.

AYUSH Treatment

Alternative clinical remedies or AYUSH, which stands for Ayurveda, Yoga & Naturopathy, Unani, Siddha & Homeopathy.

Wellness Program

Wellness program means to promote, incentivize & reward you for your Healthy lifestyle through various wellness services.

Expenses for Organ Donation

Some Health Insurance plans cover medical charges incurred within the process of organ donation. If you're being donated an organ, your donor may be financially secured by way of your medical Health Insurance plan.

Tax Benefit

Tax deduction on premium paid under Health Insurance policy as per applicable provisions of Section 80D of Income Tax Act, 1961 & amendments made there to.

Health Insurance policy does not cover:

An illness that you contract within 30 days of the starting date of your policy, except those that are incurred as a result of an accident. This clause is not applicable on the subsequent renewals.

Exclusions for the first 2 years:

If the policy is renewed for two consecutive years, the below mentioned diseases / illness / ailments will be covered from the third year.

  • Cataract
  • Benign prostatic hypertrophy
  • Myomectomy, hysterectomy unless because of malignancy
  • Hernia & hydrocele
  • Fissures and/or fistula in anus, hemorrhoids/piles
  • Joint replacement, unless due to accident
  • Sinusitis & related disorders
  • Stone in the urinary & biliary systems
  • Dilatation & curettage, endometriosis
  • All types of skin & all internal tumours/cysts/nodules/polyps of any kind, including breast lumps, unless malignant
  • Dialysis required for chronic renal failure
  • Surgery on tonsils, adenoids & sinuses
  • Gastric & duodenal erosions & ulcers
  • Deviated nasal septum
  • Varicose veins/varicose ulcers

Pre-existing diseases, non-allopathic treatments & some other expenses are permanently excluded from being covered.

Permanent exclusions
The most common exclusions under Health Insurance are:
  • Cosmetic treatments
  • Complications during Pregnancy & childbirth
  • Diagnostic expenses
  • Dental, hearing, & vision
  • Injuries caused due to suicide attempt
  • Injuries due to war, HIV, intentional injuries, congenital diseases, & others are permanent exclusions
  • Participation in military operations
  • Participation in extreme sports

Today most of the Health Claims Services of numerous insurers are hassle-free & they follow a customer-friendly process which ensures that all settlements are processed in a timely manner. Moneyedge dedicated Claim settlement team will guide you to settle your claims without any unwarranted hassles.

How to make a claim
A policyholder can make a claim under a Health Insurance policy in two ways:
  • Cashless basis
  • Reimbursement basis
The claim process involves 3 steps
  • Claim Intimation
  • Claim Processing
  • Claim Payment/Closure
Claim can be intimated through various modes:
  • Call Center
  • Walk-in
  • E-mail
  • Fax
  • Letter
  • SMS
For a Cashless Claim

For a claim on a cashless basis, your treatment must be only at a network hospital mentioned on the list of insurers. You have to seek authorisation for availing the treatment on a cashless basis as per procedures laid down & in the prescribed form.

Pre-authorization request to be made at least 48 hours before a planned hospitalisation & within 24 hours of emergency hospitalisation Steps involved

  • Admission in-network hospital
  • Fax the pre-authorisation form along with relevant documents (Investigation reports, Previous consultation papers if any, Cashless ID, Photo ID)
  • Insurer review your claim request (as per policy terms & conditions)
  • On approval, insurer settle your claim (as per policy terms & conditions) with the hospital after completion of all formalities
For a Reimbursement Claim

For a claim on a reimbursement basis. When a claim arises you should inform the Insurance company as per procedures required. After hospitalisation, you have to ensure that you obtain & keep ready documents such as claim form, discharge summary, prescriptions & bills that you should submit for a claim.

  • All the claims have to be intimated
  • 48 hours prior to hospitalisation & within 24 hours post admission in case of emergency
  • Send your duly filled (and signed by you as well as your treating doctor) claim form & required documents to the insurer.
  • The insurer will review your claim request (as per policy terms & conditions)
  • On approval, the insurer will settle your claim (as per policy terms & conditions) & reimburse the approved amount to the policyholder.
Rejection of Claim

If your claim is rejected, you can ask the reason for such rejection. If you’re not convinced, you can contest the decision. A claim can be rejected for several reasons like an incomplete waiting period, incorrect information provided & delay in making a claim.

What is Health Insurance?

Health Insurance is a type of Insurance plan wherein an Insurance company promises to compensate the policyholder(s) for the expenses incurred on medical treatment subject to the sum insured mentioned in the policy.

Types of Health Insurance
Individual Insurance plans

Such a policy solely covers an individual policyholder. It takes care of medical expenditure in case a policyholder gets admitted into a hospital. The premium in such cases will depend on various factors such as your age, medical history etc.

Family Floater Insurance plan

This type of Health Insurance plan covers the entire family. It is similar to an individual policy except this is more cost effective & the sum insured is usually higher. It is shared between the family members without hassle of managing different policies.

Maternity Insurance plans

This plan provides coverage for prenatal & post-natal expenditures along with the delivery & applicable cost. The expenses related to the new-born baby are also covered up to a certain duration. Most maternity plans have a waiting period before they become active. These plans can also be purchased as an add on to a basic Health Insurance policy.

Senior Citizen Insurance plan

These Health Insurance policies are specially designed for senior citizens who are usually above the age of 60. These plans cover Health issues arising during old age. The premium to be paid is higher in such cases.

Critical illness Insurance plan

A critical illness Insurance plan insures you for fatal diseases such as kidney ailments, heart attacks, cancer, paralysis, etc. Such a plan is advisable for those who have a history of such illnesses in their family. In such cases, the policyholder receives a lump sum amount on the diagnosis of the covered illness. Unlike individual policies, no hospitalization is needed for claiming the money.

Personal Accident Insurance plan

A personal Accident Insurance covers the cost of medical treatment needed after an accident. Usually, such a policy offers benefits against 3 events – partial disability, total disability, & death due to accident.

Unit Linked Insurance plan

ULIPs are Insurance plans that double up as investments. When you pay the premium, a part of it is utilized for providing cover to you, as usual. The remaining amount of the premium is invested in a mix of equity & debt. ULIPs are a way to your Health & also build wealth for the future with the returns.

Who is Eligible for buying Health Insurance?
Individual

The minimum entry age varies between 18 years & 21 years, depending on the Insurance company. The maximum entry age varies between 60 years & 100 years, with the flexibility of renewal being extended to whole life.

Dependant

As an adult you can buy the Complete Health Insurance policy for yourself & your family members, children & parents.

Children

If you want your child to be covered under the family floater, your child should be more than 3 months of age & in case you are buying an individual policy for your child, he or she should be more than 6 years of age.

Required Documents
  • Proof of Age - Birth Certificate, PAN Card, Voter’s ID, Driving License, Passport, School or College Certificate, etc.
  • Photo Identity Proof- Aadhaar Card, PAN Card, Driving License, Passport, Voter’s ID, etc.
  • Proof of Address-Ration Card, Telephone Bill, Electricity Bill, Passport, Voter’s ID, Bank A/C Statement, etc.
  • Passport Size Photograph x 2
Cashless Hospitalization

Medical expenses incurred during hospitalisation for more than 24 hours, including room charges, doctor/surgeon’s fee, medicine bills, etc.

Pre & Post Hospitalization

Medical expenses incurred 30 days prior & 60 days post hospitalization

Day Care Procedures

Day-care expenses for advanced, technological medical surgeries & procedures requiring less than 24 hours of hospitalization like dialysis, angiography, radiotherapy, chemotherapy, appendectomy, colonoscopy, lithotripsy, hydrocele, eye surgical procedure, amongst others.

Critical Illness

Full claim payout on the first diagnosis of 34 Critical Illnesses like cancer, heart attack & kidney failure etc.

Hospital Cash

Daily expenses for food, Health centre stay, etc. which might be incurred by way of your caretaker in the course of your hospitalization may be provided on medical Health Insurance plans or can be available as a rider. Health Insurance plans also provide compensation for the loss of income because of Health issues.

Free Health Check-ups

General fitness check-ups are included with some Health Insurance plans.

Accident Cover

For medical & other out-of-pocket costs in case of an accidental injury. This cover will be active from the very first day of policy issuance.

Emergency Ambulance Cover

Health Insurance policies cover expenses for ambulance service.

Vaccinations

Certain Health Insurance plans cover vaccination fees.

Crisis Evacuation

Under emergency conditions whilst a patient needs to be transferred from one Health facility to another, Health Insurance plans cover prices involved inside the relocation process.

AYUSH Treatment

Alternative clinical remedies or AYUSH, which stands for Ayurveda, Yoga & Naturopathy, Unani, Siddha & Homeopathy.

Wellness Program

Wellness program means to promote, incentivize & reward you for your Healthy lifestyle through various wellness services.

Expenses for Organ Donation

Some Health Insurance plans cover medical charges incurred within the process of organ donation. If you're being donated an organ, your donor may be financially secured by way of your medical Health Insurance plan.

Tax Benefit

Tax deduction on premium paid under Health Insurance policy as per applicable provisions of Section 80D of Income Tax Act, 1961 & amendments made there to.

Today most of the Health Claims Services of numerous insurers are hassle-free & they follow a customer-friendly process which ensures that all settlements are processed in a timely manner. Moneyedge dedicated Claim settlement team will guide you to settle your claims without any unwarranted hassles.

How to make a claim
A policyholder can make a claim under a Health Insurance policy in two ways:
  • Cashless basis
  • Reimbursement basis
The claim process involves 3 steps
  • Claim Intimation
  • Claim Processing
  • Claim Payment/Closure
Claim can be intimated through various modes:
  • Call Center
  • Walk-in
  • E-mail
  • Fax
  • Letter
  • SMS
For a Cashless Claim

For a claim on a cashless basis, your treatment must be only at a network hospital mentioned on the list of insurers. You have to seek authorisation for availing the treatment on a cashless basis as per procedures laid down & in the prescribed form.

Pre-authorization request to be made at least 48 hours before a planned hospitalisation & within 24 hours of emergency hospitalisation Steps involved

  • Admission in-network hospital
  • Fax the pre-authorisation form along with relevant documents (Investigation reports, Previous consultation papers if any, Cashless ID, Photo ID)
  • Insurer review your claim request (as per policy terms & conditions)
  • On approval, insurer settle your claim (as per policy terms & conditions) with the hospital after completion of all formalities
For a Reimbursement Claim

For a claim on a reimbursement basis. When a claim arises you should inform the Insurance company as per procedures required. After hospitalisation, you have to ensure that you obtain & keep ready documents such as claim form, discharge summary, prescriptions & bills that you should submit for a claim.

  • All the claims have to be intimated
  • 48 hours prior to hospitalisation & within 24 hours post admission in case of emergency
  • Send your duly filled (and signed by you as well as your treating doctor) claim form & required documents to the insurer.
  • The insurer will review your claim request (as per policy terms & conditions)
  • On approval, the insurer will settle your claim (as per policy terms & conditions) & reimburse the approved amount to the policyholder.
Rejection of Claim

If your claim is rejected, you can ask the reason for such rejection. If you’re not convinced, you can contest the decision. A claim can be rejected for several reasons like an incomplete waiting period, incorrect information provided & delay in making a claim.

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Health Insurance FAQs

We know that you would have quite a lot of queries before buying a health insurance plan. So, here we have a list of FAQs to help you understand what you need to do to make the most out of it.

Health insurance pays for future illnesses/medical treatments without draining your savings or adversely impacting your financial future. Medical costs are skyrocketing & for those with inadequate savings, affording medical care becomes a problem during crises. Health insurance keeps you & your family worry-free; you only have to pay a small premium for the same.

  • Step 1: Fill in your details including Name, Mobile no. and Gender in the above form.
  • Step 2: Wait and soon our health insurance manager will get in contact with you.
  • Reputation of the insurer
  • Product portfolio
  • Financial stability
  • Hassle-free claim settlement process
  • Claim settlement ratios of the respective company
  • Customer support
  • Feedback reviews

Purchase another Health Plan along with your Existing Plan, this way, the total coverage is the total of both sums assured. For example, if the sum assured by your current health policy is Rs. 3 lakhs, you can take another health plan for Rs. 3 lakhs.This way, the total sum assured is Rs. 6 lakhs, thereby increasing your overall coverage.

Coverage for maternity expenses is one of the additional features offered by some of the health insurance plans at a higher premium and waiting period. To learn more about maternity health insurance, fill out the above forms and we will assist you with the way forward.

A pre-existing disease is any condition, ailment, injury or related condition(s), for which one has signs or symptoms and/or was diagnosed and/or received medical advice/treatment within 48 months prior to the first policy with the insurance company.

The duration only after which a claim can be made is called the waiting period.

Based on personal requirements, one can avail of multiple health insurance policies to get added benefits and more coverage.

Lifelong renewability is a feature promised to the policyholder to enjoy the lifelong shield of a health insurance cover without any restrictions or age bar.

Today the insurance regulator protects the policyholder by giving the individual the right to port his or her health insurance policy to another insurer, keeping the benefits intact. The regulator has stated that the new insurer “shall allow for credit gained by the insured for pre-existing condition(s) in terms of waiting period”.

Co-payment refers to the share of the claim amount borne by the policyholder/insured at the time of claim settlement. However, a co-payment does not reduce the sum insured.

All the expenses including room rent, pre/post hospitalization, etc. related to treatment are capped up to the amount mentioned in the sub-limit bracket.

A claim settlement ratio refers to the percentage of claims settled by a health insurance company out of the total claims received by it during a financial year. The higher the claim settlement ratio, the better it is.

Based on the plan cover, individuals below 60 years of age can claim a tax deduction of up to Rs. 25,000 and individuals above 60 years can claim a tax deduction of up to Rs. 50,000 under Section 80D of the Income Tax Act on their Health Insurance premium.

Customer Reviews

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Going through each & every feature of various health insurance policy was really easy. Within no time I could get a Family floater health insurance policy from you. Undeniably the best Insurance buying experience.

Ronnie D'Souza

Exceptionally brilliant

I have gone to many sites to know about various health insurance policies. I found moneyedge portal more comprehensive than others. As a matter of fact, even better than insurance companies. Highly recommended.

Prajakta Padlkar

Best Health Insurance buying guide

A step-by-step hand-holding approach solves a challenging task of comparing various policies & their features. Just by reading your health insurance buying guide one can comprehend everything about health insurance.

Tushar Gavande

Best support I had ever experienced

The fast & prompt support from the contact Centre person & wealth manager helped me to understand what’s new & which Top-up policy I should buy. Also, regular interactions with the wealth manager helps me to know about the insights of the financial world. It’s an added advantage.

Lakhwindar kaur

Simply superb!

"Remarkable service! Great communication, easy to navigate portal, even superior pricing. Absolutely satisfying experience "

Rajesh Shah

Big fan of buying guide concept

The buying guide makes the process of getting Health insurance effortless & easy to understand. Also had a Great experience with a great team. Thank you for your help to upgrade my previous policy.

Swati Patil

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