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Health Insurance -

Medical and surgical costs for an insured person are covered by health insurance. Depending on the conditions of the insurance policy, either the insured pays expenses out-of-pocket and then receives a reimbursement, or the insurance provider covers expenses directly.

What is Health Insurance Policy?

A health insurance policy refers to a type of insurance that pays for the insured person’s medical and surgical costs. It either pays the care provider for the covered person directly or pays back the costs incurred as a result of illness or injury.

Benefits of Health Insurance Policy -

Many factors make buying health insurance policies essential. Here are some of the most significant advantages of having health insurance:

1) Aids in Managing Increasing Medical Costs -

People buy health insurance plans from Policy21st to protect their cash from ever escalating medical expenses. You can end up spending more than a few thousand rupees as a result of an accident or medical emergency. A medical insurance plan makes it simpler for you to obtain the healthcare you need to recover by providing coverage for anything from ambulance fees to daycare procedures.

2) Covering critical illness -

Numerous health insurance plans will charge an additional fee and include coverage for severe conditions. This is another essential protection to carry in light of the increased prevalence of ailments linked to modern lifestyles. If you are identified with one of the critical illnesses that are covered, you will receive a lump sum payment. Critical illness coverage is another essential advantage of having health insurance because dealing with and managing these problems can frequently be highly expensive.

3) Efficient Cashless Claims -

Each health insurance company like Policy21st will have partnerships with a handful of network hospitals in which you can submit claims without paying cash. Receiving emergency medical assistance is now lot simpler as a result. You essentially don’t have to pay for any of the covered services at a network hospital. With the exception of non-covered fees and any required deductibles, the provider will cover the medical expenditures for all legitimate claims.

4) Additional Protection -

You might ask why you need to get your individual health insurance policy when you already have coverage through a group health insurance plan. Well, compared to group policies, personal health insurance policies offer greater and better coverage. Furthermore, you run the danger of losing the cover if you decide to leave the organization at any point, which might put your funds and you at risk.

5) Taxes saved -

The Income Tax Act of 1961’s Section 80D allows for tax deductions on premiums paid for maintaining health insurance coverage. You may deduct as much as INR 25,000 annually from your taxable income for a plan for you, your spouse, your kids, and parents under the age of 60. You may deduct an additional INR 50,000 if you’ve additionally bought an insurance for a parent who is older than 60.

Types of Health Insurance Policy -

Every person is unique and has their own set of requirements. The unique needs of each person cannot be met by a particular health insurance package. There are numerous sorts of health insurance policies accessible in this specific area. Here are some examples of what they are:

There are many options offered by Policy21st, however you must pick the kind of plan that suits your needs. You should first comprehend the many kinds of health insurance policies in order to do that

You can buy a personal health insurance plan to cover your parents, your spouse, your kids, and yourself. These insurance plans frequently pay for a wide range of medical costs, including hospital stays, daycare operations, hospital room rent, and more. Each member of an individual health insurance policy is assigned their own amounts insured.

With a family floater plan, you can insure all of your family members within one policy and split the total amount protected. Due to the shared sum covered, these plans are often more reasonable than individual insurance. Family floater policies typically work best for young nuclear families.

These health plans were created expressly with senior folks’ medical requirements and wants in mind. The majority of policies for senior citizens provide extra coverage, including some psychiatric benefits as well as domiciliary hospitalization. These policies could cost more than standard insurance policies and necessitate a comprehensive medical examination in advance because older people are more prone to have health problems.

Numerous disorders that are influenced by way of life are increasing. rise. Long-term care costs can be very high for conditions including heart disease, kidney failure, and stroke. This is the main motivation behind the development of critical sickness insurance coverage. They can be acquired either independently as their own policy or as an add-on or rider to your current health insurance policy. After a critical condition is diagnosed, these policies frequently pay claim payouts as a single lump sum payment. They provide coverage for extremely particular issues.

Group health insurance policies as opposed to individual and family floater policies, can be obtained by a group manager for a sizable number of people. For instance, a company may buy group insurance for all of its workers, or a building secretary could do the same for all of the building’s tenants. Although these plans are reasonably priced, they frequently only cover the most fundamental medical conditions. These policies are frequently bought by employers as an extra perk for workers

Why do I need to buy Health Insurance Policy?

Medical emergencies can happen at any time. Having health insurance will make you feel more prepared financially to deal with such circumstances. Here are some justifications for choosing health insurance:

An insurance policy for health care serves as a reliable source of funding in times of need. Your financial situation may suffer significantly as a result of the costs of serious illnesses. You may be able to receive substantial financial protection from a health insurance plan to cover the expenses of treatment. It offers the convenience of fast payouts for more flexible finances.

Health problems are welcomed by the way people live today. And these problems go beyond simple ailments like a cold, cough, or fever. These days, chronic illnesses like diabetes, heart disease, and renal ailments are equally prevalent. As a result, it is more crucial than ever to protect your health with a full health insurance coverage.

Health insurance provides financial assistance in the now in addition to being effective at paying bills in the future. Section 80D allows you to deduct up to Rs 25,000 in taxes from the premium you pay for insurance. You can deduct the cost of your own insurance as well as the policies of your spouse and children. This may enable you to lower your overall tax obligation.

It may be more advantageous than you think to purchase insurance from Policy21st when you are young. You can obtain a plan at a lower cost and are more likely to be healthy while you are young. The premium cost keeps rising as you become older. It would be wise to purchase health insurance as soon as possible because the longer you wait, the more costly the premiums become. Younger people can obtain insurance as well without having to undergo medical examinations.

It will always inflate. Although savings instruments offer tempting interest rates, they are insufficient to cover the price of medical care when inflation is included in. A practical instrument that can assist you in covering potential medical expenses is health insurance. Health insurance helps you combat the consequences of inflation by covering a wide range of costs, from the equipment costs to the expense of treatment, medications, and diagnosis.

Regardless of how much money you have saved, dealing with a serious illness can be challenging. You can wind up losing all of your life’s savings. On a fixed salary, it can be challenging to pay for the cost of the therapy, the necessary equipment, and the prescription. Your assurance in facing these costs and easing some of your burdens can be provided by health insurance.

Given its advantages, health insurance should be a crucial component of one’s financial plan. Health insurance comes in a variety of forms. The option that best meets your demands must be chosen.

How to Buy a Health Insurance Plan?

There are many different health insurance plans on the market. You must locate the policy that finest meets your specific wants if you want to benefit from coverage without any issues. Here are some crucial aspects to take into account while choosing a health insurance plan: 

Verify the Insured Amount :-

Many insurance companies put a cap on the highest sum insured that you can select. Finding a health insurance plan that meets your needs is necessary if you want a high insured amount. A decent general rule of thumb is to obtain coverage that is at least six times your annual wage. You ought to consider additional advantages. Make sure maternity fees are covered if you intend to start a family in the near future. Since maternity benefits are entitled to slightly lengthier waiting periods, you will obviously need to examine the waiting time.

Examine the Network of Hospitals :-

Different hospitals may be included in the networks of various insurance companies. Find a policy that, ideally, permits cashless claims at all of the best hospitals in your area. Additionally, you want to confirm that the list includes the hospital of your choice. This will simplify the entire process of receiving the care you desire.

Verify the Details :-

There are many limits and sub-limits in every health insurance policy. In order to determine the precise amount of coverage you will receive for any procedure or hospital stay, you must carefully review the policy documentation. Check the pre- and post-hospitalization spending caps as well. Only 30 days prior to hospitalization and 60 days following hospitalization are covered by some plans. Others provide, respectively, 60 and 90 days.

Keep an eye out for Extra Benefits :-

Since the insurance industry is fairly competitive, various policies provide different benefits. Some of the most well-liked ones include no-claim bonuses and the recovery of your insured amount. Always be sure your chosen insurance plan will offer these advantages. Always hunt for insurance products that provide you with extra perks.

Look over the Exclusions and other Provisions :-

Every insurance policy has specific medical treatments, conditions, and exclusions that it will not cover. Before you buy a plan, make sure to check what is and isn’t covered. Check to see if there is a co-pay provision, the amount of the co-pay, and any applicable waiting periods. The ideal scenario has shorter waiting times and voluntary co-pays.

Documents Required to Buy a Health Insurance Plan :-

You should first and foremost determine whether a health insurance plan will provide appropriate coverage. You can choose the preferred plan features according on your age, income, and health. Once you’ve chosen a policy, the insurer will request certain paperwork that is necessary for health insurance.

The paperwork needed for health insurance serves as proof of the policyholder’s identity, age, and means of support. It is crucial to exercise caution while turning in the paperwork needed for health insurance. You might not be eligible for the policy’s benefits if inaccurate information or a lack of information is discovered in the future.

When making a claim or purchasing health insurance coverage, you must provide the necessary paperwork. The following is a list of important health insurance documents to keep in mind while choosing an appropriate plan :

Document Description
Evidence of Identity
A policyholder has the opportunity to switch their policies between one specialty or general insurer to another specialty or general insurer.The insurer keeps records using the policyholder's identity evidence. The provided documents are used to confirm your identity and offer appropriate coverage when you need the plan's benefits. The following are valid identity-verification documents: a passport, an Aadhar card, a driver's licence, and a voter identification card.
Age Proof
The insured's age proof is among the crucial documents needed for health insurance. You may provide any of the following for this: a birth certificate, a Pan card, an Aadhaar card, a passport, and a voter ID card.
Evidence of Address
One of the crucial documents needed for health insurance purchasing is proof of address. In order to contact you, the insurance may use it as their postal address. You can use the following papers to prove your address: Ration card, PAN card, Aadhar card, utility bill (such as phone and energy bills), and passport.
Other significant documents
In addition to the ones above listed, the following crucial documents are also needed for health insurance: Passport-size photos, medical records, and a proposal form that has been properly completed and signed are all required by the insurance. If additional particular documents are needed for health insurance, the insurer may request them in addition to the items on this checklist.

Documents Necessary for Health Insurance Claims :-

To receive the advantages of your health insurance, you must submit specific documentation when filing a claim. The paperwork needed for a health insurance claim, though, can be different. The terms and circumstances of your plan also have a role.

For instance, you might not need to provide the numerous documentation needed for health insurance if you are receiving cashless treatment. The medical bills may be settled directly between the insurance and the network hospital.

Coverage of Health Insurance Plan :-

  • Regular health insurance plans provide protection against a variety of problems. These policies cover everything, including accidents, surgeries, and treatments received at home.
  • On the other hand, critical illness plans only offer a lump sum payment for a small number of critical illnesses.
  • Health insurance plans and critical illness policies provide significantly different benefits when you compare the two options. It’s a good idea to acquire normal insurance and add on additional critical illness coverage if you’re thinking about getting a policy. To protect your finances for the future in the event that something unfortunate were to happen to you, you need both.

What's not covered under Health Insurance Plan :-

In order to lessen the financial burden which results from a medical emergency, surgery, or serious disease, health insurance is crucial. Numerous health insurance plans with various add-on advantages and add-on covers are offered by various insurance firms. Choose the insurance that best meets your needs and provides you with relief during trying times, such as when you or a loved one requires to be hospitalized due to an unexpected injury or sickness. Nevertheless, it’s critical to understand what medical conditions and treatments your insurance policy does not cover. Some of them include:

Document Description
Cosmetic Procedures
Botox, liposuction, and other such treatments are not covered by health insurance because they are neither life-threatening nor harmful.
Existing Conditions
Now, this differs from insurance company to insurance company. While some insurance companies do not cover diabetes and high blood pressure, others do. If the insured keeps the coverage for a long time, say 12 to 48 months, certain insurance companies will cover pre-existing conditions.
Pregnancy & Abortion
Pregnancy and abortion-related medical costs are not covered by health insurance. Insurance companies do not view pregnancy as a condition that should be covered under a health insurance plan, even if it results in a cesarean section or a pregnancy-related complication. Most insurance companies do provide financial protection for abortions, unless they are absolutely necessary to save the mother's life. In this regrettable situation, the case must be submitted to the insurance provider after a doctor has verified it.
Charges for diagnostics
A health insurance coverage does not cover the costs associated with doing pathological surveillance on your body at a hospital or nursing home.
Miscellaneous Charges
Medical insurance plans do not consider registration fees, admission fees, or service costs as claims.

Does Health Insurance Cover COVID-19?

Yes. An insurance plan specifically designed to cover the costs of hospitalization and treatment for the covid-19 is known as coronavirus health insurance. There are numerous Covid-19 health insurance options available online. You could even just purchase a complete health insurance which provides coverage for the coronavirus in addition to other illnesses, conditions, and medical expenses.

Why Choose Policy 21st To Get The Best Health Insurance Plan?

Family-run Insurance Agency Policy21st has been providing people with practical insurance solutions for many years.

They can assist you in finding a policy that meets your needs with the support of their staff of Certified Insurance Professionals. In order to provide an experience that is hard to find in the market today, Policy21st focuses on offering individualized attention and customer service. Serving clients across India with insurance solutions, Policy21st strives to protect you and your loved ones.

FAQs :-

Health insurance is a type of insurance that, in the event of a medical emergency, pays for the insured person’s medical and surgical costs. Nevertheless, in order to obtain a health insurance policy, you must pay a premium.

If you choose the cashless facility, your health insurance can either fund your hospital fees directly or reimburse you for any payments you make toward medical costs related to an illness or injury.

Although the minimum age for purchasing health insurance varies, the usual minimum age for people is 18 and the maximum is 65. Children must be between 90 days and 18 years old to qualify.

Yes! If your plan permits, you can add coverage for yourself, your spouse, your kids, your dependent parents, and a variety of additional relationships including your in-laws, siblings, as well as others.

You are free to purchase a different plan based on your unique medical requirements, yes.

Typically, the annual health insurance premium payment is made. But you also have the option of paying your premium in installments.

When your insurance policy is renewed, you have the option to increase your coverage if you currently have one.

Making informed judgments while purchasing health insurance coverage is essential given the rising prevalence of diseases and rising healthcare expenditures. Choose Policy21st to get the appropriate health insurance plan and make your claim settlement procedure go more smoothly for you.


As a family-owned Insurance Agency Policy21st has delivered valuable insurance solutions to individuals for years, specializing in Health, Motor & Travel Insurance along with the Insurance Portability Plans.

Contact Details


  • +91-8791202121

  • info@policy21st.com