Learn about Health Insurance: The Eklavya

Health Schemes

Mr. Roy, a 35-year-old man, lives in Kolkata with his wife, who is 32-years old. Recently, the Roys found themselves in a medical crisis where Mr. Roy fell critically ill and was hospitalized immediately for dengue treatment. He received treatment from the best of doctors for 5 days which means that the hospital bill was quite high as well. His health scheme came to the rescue as he could withdraw Rs. 25000 immediately for the overall expenses. After a couple of years, Mr. Roy suffered a cardiac arrest, and was admitted to the hospital again. After 2 days in the ICU, the doctors performed an angioplasty on him, and Mr. Roy was shifted to normal care, where he had to spend 6 more days. This time the total expenses including hospital care, critical care, and surgery came up to over Rs. 2.5Lacs, which was once again covered by his health insurance scheme that an insurance advisor from The Eklavya had suggested to him. At the age of 60-years, Mr. Roy undergoes a cataract operation which costs him another Rs. 35000 for the surgery. Before he died at the age of 86, Mr. Roy underwent two more surgeries at reputed hospitals, the cost of which was once again covered under his health scheme. Since he had invested in the best plan, Mr. Roy’s family also received a combined fund consisting of the death benefit of the same

This is an example showcasing the importance of selecting and investing in the correct health insurance scheme. It is a wake-up call to spend at the right place at an early age to ensure that health uncertainties and the rising cost of medical care do not take a toll on you mentally and emotionally.

Health Schemes

Mr. Roy, a 35-year-old man, lives in Kolkata with his wife, who is 32-years old. Recently, the Roys found themselves in a medical crisis where Mr. Roy fell critically ill and was hospitalized immediately for dengue treatment. He received treatment from the best of doctors for 5 days which means that the hospital bill was quite high as well.

His health scheme came to the rescue as he could withdraw Rs. 25000 immediately for the overall expenses. After a couple of years, Mr. Roy suffered a cardiac arrest, and was admitted to the hospital again. After 2 days in the ICU, the doctors performed an angioplasty on him, and Mr. Roy was shifted to normal care, where he had to spend 6 more days. This time the total expenses including hospital care, critical care, and surgery came up to over Rs. 2.5Lacs, which was once again covered by his health insurance scheme that an insurance advisor from The Eklavya had suggested to him. At the age of 60-years, Mr. Roy undergoes a cataract operation which costs him another Rs. 35000 for the surgery. Before he died at the age of 86, Mr. Roy underwent two more surgeries at reputed hospitals, the cost of which was once again covered under his health scheme. Since he had invested in the best plan, Mr. Roy’s family also received a combined fund consisting of the death benefit of the same.

This is an example showcasing the importance of selecting and investing in the correct health insurance scheme. It is a wake-up call to spend at the right place at an early age to ensure that health uncertainties and the rising cost of medical care do not take a toll on you mentally and emotionally.

What Is a Health Insurance Plan?

As the name suggests, a health insurance plan is an insurance product that offers help to cover various types of health-related and medical emergencies. It includes financial aid for critical illnesses, hospital charges, surgeries, minor issues, and sudden medical urgencies that require instant protection.

Choosing the correct health insurance policy is essential as it can protect you from unexpected medical costs resulting from the fast-paced, high-stress lifestyle that most people lead. Before choosing a specific plan, discuss the eligibility criteria and policy terms with an insurance agent. The goal is to invest in a health insurance scheme

What Is the Best-Rated Health Insurance Plan for You?

When you purchase a health scheme, it is important to opt for an all-inclusive plan that offers comprehensive health benefits, wealth creation opportunity, and maturity/death benefit as well. Whether it is for customers, distributors, insurers, or the society overall, investing in a suitable health scheme is a win-win situation for all. Even if you already have a Mediclaim, investing in another Health Scheme will offer you additional benefits.

Some of the reasons why investing in a health scheme is the best solution for all:

Benefits available on top of other Mediclaim and health insurance minus any deductibles
Full life coverage and death benefit with Sum Assured and Premium Returns along with CI coverage for life
Save money for health emergencies without impacting current investments
Coverage available across 50+ countries
Comprehensive health scheme that includes reimbursement of surgery, hospital, and OPD expenses
Discount option is applicable irrespective of age, wellness and gender criteria
Future medical expenses covered under tax-free withdrawal option

A perfect health scheme is divided into three categories:

ULIP benefits

You can opt for a health scheme that is a simple ULIP offering dual benefit- wealth creation and health protection. Here, the policyholder is entitled to market-linked returns with options of over 15 top-rated funds and disability /death benefits as well. Every customer can opt for a premium top-up and also enjoy premium refund. There is an option for lifelong increase in policy term too. The best part about investing in this health scheme is the regular withdrawal benefit for health requirements.

Health Care

As an all-inclusive category, there are four significant benefits that the policyholder and their family are entitled to in this category:

Surgical care

Financial coverage in the case surgery is immediately required to be performed on the policyholder or any other dependent added to the policy.

Critical care

Some diseases and crises, such as cancer diagnosis and treatment, fall under the critical care category. Opting for a critical care rider/option means the expenses during the treatment, recovery, and post-surgery are all taken care of under the plan.

Hospital care

When the policyholder or other beneficiaries are admitted to a hospital for treatment, having a health insurance plan ensures that the majority of the expenses during the process are covered under the policy.

OPD

As the term suggests, the OPD option under your health scheme compensates the policyholder’s bills for outpatient medical facilities such as diagnostic scans, consultations with the doctors, chronic illness treatment, mental health counselling, physiotherapy sessions, emergency care, and other procedures.

What does a Health Insurance Plan offer you?

There are four significant benefits that the policyholder and their family are entitled to:

Surgical care

Financial coverage in the case surgery is immediately required to be performed on the policyholder or any other dependent added to the policy.

Critical care

Some diseases and crises, such as cancer diagnosis and treatment, fall under the critical care category. Opting for a critical care rider/option means the expenses during the treatment, recovery, and post-surgery are all taken care of under the plan.

Hospital care

When the policyholder or other beneficiaries are admitted to a hospital for treatment, having a health insurance plan ensures that the majority of the expenses during the process are covered under the policy.

Instant protection

If there is an urgent medical emergency or an accident, the cost of which can be considerably high, investing in the best health insurance plan will cover it, saving the patient and their families from all the additional stress.

What Does a Health Insurance Plan Offer You?

There are four significant benefits that the policyholder and their family are entitled to:

Surgical care

Financial coverage in the case surgery is immediately required to be performed on the policyholder or any other dependent added to the policy.

Hospital care

When the policyholder or other beneficiaries are admitted to a hospital for treatment, having a health insurance plan ensures that the majority of the expenses during the process are covered under the policy.

Critical care

Some diseases and crises, such as cancer diagnosis and treatment, fall under the critical care category. Opting for a critical care rider/option means the expenses during the treatment, recovery, and post-surgery are all taken care of under the plan.

Instant protection

If there is an urgent medical emergency or an accident, the cost of which can be considerably high, investing in the best health insurance plan will cover it, saving the patient and their families from all the additional stress.

Frequently Asked Questions

01. What is an NCB (No Claim Bonus) in a health insurance plan?

A No Claim Bonus is an additional sum of money that the policyholder is entitled to at the time of policy renewal in a case where they have not filed for any claims during the previous policy term.

02. How much health insurance do you need?

Your health coverage should be equal to your annual income, at least. Also, the amount should be enough for a coronary artery bypass graft procedure from a hospital you think is best.

03. Will your health insurance premium increase every year?

Yes, in most cases, the premium amount will increase yearly to match the cost of constant inflation in the healthcare sector.

Disclaimer :

The information provided here is for general informational purposes only. The names and terms of policies, as well as the rates and amounts of interests and premiums, are subject to change. It is advisable for customers to verify all details and consult with our advisors before making any investment decisions. The Eklavya shall not be held liable for any inaccuracies or discrepancies arising from changes in policy terms and conditions.