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5 Key Features to Check Before You Buy Individual Health Insurance

Synergy

Selecting the right or the best individual health insurance policy is not only about getting coverage for emergencies anymore. The policy should secure your health and finances in the future due to the rising medical costs, changing lifestyles, and constantly changing healthcare needs. If you are looking at individual health insurance plans, here are five essential features that you must examine thoroughly before coming to a conclusion.

1. Adequate Insurance Coverage Amount

One of the most frequent errors buyers commit is opting for a low sum insured just to save on premium. Even though this might look like a money-saving tactic at the very beginning, it can ultimately cause you to be underinsured when a serious medical emergency occurs.

While choosing an individual health insurance policy, take into account:

  • Current healthcare costs in your area
  • Increasing hospital and other treatment costs
  • Your age, health status, and habits

Having adequate insurance coverage means that you will not have to use your savings if hospitalization is necessary. The perfect individual health insurance policy is one that offers financial protection of a good amount while being easy on the pocket at the same time.

2. Cashless Hospital Network

Having a strong cashless hospital network is very important when it comes to emergencies. Cashless treatment is when the insurer pays the hospital directly, leaving the patient with less financial burden at the time of admission.

Before you buy the insurance policy of your choice, make sure to check:

  • Number of network hospitals located in your city
  • Reputed hospitals near your house or office that accept cashless treatment
  • Reliability on the cashless claim approval

The majority of the best health insurance companies for individuals provide broad networks, but still one should check if the hospitals they trust are within the network.

3. Waiting Periods and Pre-Existing Conditions

Waiting periods which are especially for pre-existing conditions and some treatments are a common feature of every individual health insurance plan. The waiting periods are between insurers are huge. 

Key points to review:

  • Waiting period for pre-existing conditions
  • Disease-specific waiting periods
  • Waiting period for maternity or planned treatments

Understanding these timelines from the beginning helps to set realistic expectations and so none of the claiming would be the unpleasant surprise.

4. Coverage for Daycare and Modern Treatments

The medical advances have cut short the duration of hospital stays for many procedures. The treatments that are not requiring 24-hour hospitalization any longer are cataract surgery, chemotherapy, dialysis, and minor surgeries.

Check that your policy covers:

  • Coverage for daycare procedures
  • Benefits for modern treatments and advanced medical procedures
  • Coverage for diagnostic tests and follow-up care

This attribute is very important when it comes to comparing individual health insurance plans since it guarantees wider and more relevant protection.

5. Add-Ons and Policy Flexibility

A quality health insurance policy should be in accordance with the customer’s needs. The riders and add-ons enable you to increase the coverage area without getting a new policy. 

The most common add-ons are:

  • Critical illness cover
  • OPD benefits
  • Maternity and newborn cover
  • Room rent waiver or restoration benefits

The ability to adapt your policy guarantees sufficient insurance coverage at various life stages.

Final Thoughts

Acquiring a single health insurance is a decision for the long run that will affect not only your health coverage but also your money stability. Focusing on factors like the amount of coverage, availability of hospitals, time for waiting, the kind of treatments included, and the ability to change your mind, will let you select the most appropriate plan that fits your needs with certainty.Synergy Insurance helps clients to understand insurance characteristics, review policies from different insurers, and choose the one that really satisfies their needs — not just what looks good on the surface.

What do you think?

Contributor

Written by Kamalishiv

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