What is Difference Between Mediclaim and Health Insurance?
7 December, 2023
7 Shares
699 Reads
Share
You take numerous actions to improve your health, including eating right, working out frequently, getting adequate sleep, and lowering your stress levels. You also likely already know that even with a healthy lifestyle, costs for medical care, medication, and recovery from severe or minor illnesses can be relatively high.
The necessity for sufficient insurance, including life and health insurance for family, has been amplified by the COVID-19 pandemic. Additionally, post-COVID problems can result in serious illnesses that demand prolonged hospitalisation and rehabilitation, adding to the cost.
What is Health Insurance?
A health insurance plan offers coverage for both medical and surgical sickness treatment. When you receive medical treatment for a condition covered by your health insurance best plan, the insurer will take care of paying your expenditures as long as the following criteria are met:
- The policy includes sickness coverage.
- The treatments for which the claim has been lodged are covered by insurance.
- The insurance company is associated with the hospital and the treatment centre.
- The claim is correctly filled out and includes all required documentation.
The availability of health insurance is offered annually, and it must be renewed annually. A health insurance plan can now be purchased online as well.
What is Mediclaim?
Specific financial protection against medical expenses is offered by a type of insurance policy called "mediclaim insurance." It is a practical way to lessen any medical emergency. However, only hospitalisation is covered by the Mediclaim insurance policy; all other medical expenses must be paid for by the insured. A mediclaim policy covers any planned operation during the policy period as well as hospitalisation costs incurred as a result of an accident, an emergency surgery, or both. Therefore, it only pays for hospitalisation expenses. Policies covering medical expenses also provide cashless or reimbursement ways to resolve claims.
Mediclaim Vs Health insurance
Basic differences between health insurance and mediclaim are listed below:
Coverage:
Only hospitalisation, accident-related medical care, and pre-existing conditions are covered by mediclaim plans, up to a certain cap. While a health insurance plan provides all-inclusive medical protection against hospitalisation costs, ambulance costs, pre-hospitalization costs, post-hospitalization costs, etc. Additionally, it offers compensation if an accident results in a loss of income.
Flexibility:
Mediclaim provides no flexibility in terms of coverage. A family health insurance policy allows you to increase or decrease coverage. After a pre-determined amount of time, policyholders can lower their health insurance premium cost by extending the length of their policy. For instance, premium discounts are available with long-term plans.
Claims:
A policyholder may submit numerous claims under a Mediclaim insurance policy up until the total amount of insurance is used. In the case of health insurance, an insured may submit claims as long as the amount insured has not been used up. However, the promised value is paid in a lump sum when claims for accidental disability/Critical Illness Insurance coverage are made. Throughout the policy, only one of these claims may be made.
Hospitalisation:
The insured must be admitted to the hospital to receive benefits under the mediclaim policy. It is not essential for the insured to be hospitalised to receive benefits from their health insurance. Benefits, including daycare procedure coverage, can be obtained without hospital admission.
Things to Keep in Mind Before Buying a Mediclaim or Health Insurance
Your choice will be influenced by several elements, including:
- Your economic situation
- Health difficulties you and your family members have
- Whether your health plan needs to be flexible
- Whether you require supplemental insurance and benefits
- Ability to afford a high or cheap premium
- Considering the age, stage of life and physiological condition of the policyholder
If you know which option will be better for you and your loved ones while keeping all the reasons mentioned above in mind, picking one out of the two is not difficult.
Even though both mediclaim insurance policy and family health insurance policy are eligible for tax benefits, insurance pros suggest picking a health insurance plan. This is so because health insurance plans provide extensive insurance protection. However, look for the best health insurance company in india with the most excellent services before selecting the best health insurance plan. A single plan cannot satisfy everyone's medical needs because everyone has different insurance demands. Similar to how one insurance company may meet the needs of one client while not meeting those of another. The numerous health insurance plans offered by platforms like Niva Bupa can be a better option regarding their coverage, services, benefits, and premium.
Best & Top Hospitals: Best Hospitals in Chennai | Top Hospitals in Delhi | Best Hospitals in Gurgaon | Best Hospitals in India | Top 10 Hospitals in India | Best Hospitals in Hyderabad | Top 10 Cancer Hospitals in India | Best Hospitals in Kolkata | Top 10 Cancer Hospitals in Delhi
Cancer Hospitals: Best cancer hospitals in Bangalore | Best cancer hospitals in Hyderabad | Best cancer hospitals in Mumbai | Top 10 cancer hospital in Delhi
Multi Speciality Hospitals: Multi Speciality Hospitals in Mumbai | Multi Speciality Hospitals in Chennai | Multi Speciality Hospitals in Hyderabad | Super Speciality Hospitals in Delhi
Lever Hospitals: Best Lever Hospitals in Delhi | Best Lever Hospitals in India
Kidney Hospitals: Best Kidney Hospitals in India
Heart Hospitals: Best Heart hospitals in Bangalore | Best Heart hospitals in India | Best Heart hospitals in Kolkata | Best Heart hospitals in Delhi
Secure your Health with comprehensive insurance plans from Niva Bupa
You may also like
Health Insurance - Health Insurance | Medical Insurance | Best Health Insurance Plans | Health Insurance Plans | Health Insurance Policy | Best Health Insurance Plans | Best Family Health Insurance | Best Mediclaim Policy | Best Health Insurance In India | Best Medical Insurance In India | Best Health Insurance Plans In India | Best Health Insurance Policy In India | Mediclaim | Best Health Insurance For Senior Citizens In India | Best Health Insurance | Health Insurance With Opd Cover | Mediclaim Insurance | Medical Insurance Plans | Best Health Insurance Company in India | Critical Illness Insurance | Personal Accident Insurance | Mediclaim Policy | Individual Health Insurance | Pregnancy Insurance | Maternity Insurance | Best Family Health Insurance plans in India | Best Health Insurance company | Family Health Insurance | Best Health Insurance plans for Senior Citizens | Mediclaim Policy for Family
Health Insurance Schemes - Chief Ministers Comprehensive Health Insurance Scheme | Employee State Insurance Scheme | Swasthya Sathi Scheme | Pradhan Mantri Matru Vandana Yojna | Government Health Insurance Scheme | Dr. YSR Aarogyasri Scheme | Pradhan Mantri Suraksha Bima Yojna | Health Insurance Deductible | West Bengal Hcovealth Scheme | Third Party Administrator | Rashtriya Swasthya Bima Yojana | In Patient Vs Out Patient Hospitalization | Mukhyamantri Chiranjeevi Yojna | Arogya Sanjeevani Health Insurance | Copay Health Insurance | Cashless Health Insurance Scheme | Mukhyamantri Amrutum Yojna
Travel Insurance - Travel Insurance | International Travel Insurance | Student Travel Insurance | Travel Insurance USA | Travel Insurance Canada | Travel Insurance Thailand | Travel Insurance Germany | Travel Insurance Dubai | Travel Insurance Bali | Travel Insurance Australia | Travel Insurance Schengen | Travel Insurance Singapore | Travel Insurance UK | Travel Insurance Vietnam | Malaysia Tourist Places | Thailand Visa for Indians | Canada Visa for Indians | Bali Visa for Indians | ECR and Non ECR Passport | Qatar Visa Status | USA Visa | Vietnam Visa | USA H1B Work Visa
Become an agent - Insurance Agent | Insurance Advisor | Licensed Insurance Agent | Health Insurance Consultant | POSP Insurance Agent
Group Health Insurance - Startup Health Insurance | Commercial Health Insurance | Corporate insurance vs personal insurance | Group Personal Accident Insurance
Top Hospitals - Best Hospitals in Chennai | Top Hospitals in Delhi | Best Hospitals in Gurgaon | Best Hospitals in India | Top 10 Hospitals in India | Best Hospitals in Hyderabad | Best Hospitals in Kolkata | Best cancer hospitals in Bangalore | Best cancer hospitals in Hyderabad | Best cancer hospitals in Mumbai | Best cancer hospitals in India | Top 10 cancer hospitals in India | Top 10 cancer hospital in Delhi | Multi Speciality Hospitals in Mumbai | Multi Speciality Hospitals in Chennai | Multi Speciality Hospitals in Hyderabad | Super Speciality Hospitals in Delhi | Best Liver Hospitals in Delhi | Best Liver Hospitals in India | Best Kidney Hospitals in India | Best Heart hospitals in Bangalore | Best Heart hospitals in India | Best Heart hospitals in Kolkata | Best Heart hospitals in Delhi
Others - Top Up Health Insurance Policy | Corporate Health Insurance | Health Card | Section 80d of Income Tax Act | Ayushman Bharat | Health Insurance Portability | GoActive Family Floater Plan | Health Companion Family Floater Plan | Health Premia Family Floater Plan | Health Pulse Family Floater Plan | Health Recharge Family Floater Plan | Heartbeat Family Floater Plan | Money Saver Family Floater Plan | Saral Suraksha Bima Family Floater Plan | Senior Citizen Family Floater Plan | Super Saver Family Floater Plan | Corona Kavach Family Floater Plan | Hospital Cash Insurance | Cashless Health Insurance | Health Companion Price revision | Heartbeat Price revision | ReAssure Price revision
Health & Wellness - PCOD | PCOD Problems Symptoms | Stomach Infection | Stomach Infection symptoms | Home remedies for Stomach Infection | Hypertension definition | How to Control Sugar | Typhoid in Hindi | Blood sugar symptoms | Typhoid symptoms in hindi | Low sugar symptoms | ब्लड शुगर के लक्षण | pregnancy me kya kare | Open heart surgery cost | Blood infection symptoms in hindi | BP badhne ke karan | Khansi ka gharelu upay | Omicron | Coronavirus Health Insurance | Covid XE Variant | Norovirus
www.nivabupa.com
+91 11 41743397
1860-500-8888
3rd Floor, Capital Cyberscape, Sector 59, Gurgaon
- Insurance is a subject matter of solicitation. Niva Bupa Health Insurance Company Limited (formerly known as Max Bupa Health Insurance Company Limited) (IRDAI Registration Number 145, Category:Health), 'Bupa' and 'HEARTBEAT' logo are registered trademarks of their respective owners and are being used by Niva Bupa Health Insurance Company Limited (formerly known as Max Bupa Health Insurance Company Limited) under license. CIN: U66000DL2008PLC182918
- 1 Niva Bupa processes pre-authorisation requests within 30 minutes for all active policies, subject to receiving all documents and information(s) up to Niva Bupa’s satisfaction. The above commitment does not include pre-authorisation settlement at the time of discharge or system outage.
- 2 Since Inception refers to claim data from 2010 till December 2023.
- 3 ReAssure 2.0 Premium: The premium is including taxes and for Bronze Variant, for a 25-year-old individual living in Delhi.
- 4 Aspire Premium: The premium is including taxes and for Gold+ Variant, for a 25-year-old individual living in Delhi.
- 5 Senior First Premium: The premium is including taxes and for Gold Variant, for a 65-year-old individual living in Delhi.
- 6 Health Premia Premium: The premium is including taxes and for Silver Variant, for a 25-year-old individual living in Delhi.
- 7 SmartHealth + Disease Management Premium: The premium is including taxes and for Disease Management Gold Variant rider when bought with ReAssure 2.0 Bronze variant with Base Sum Insured of 5 lacs, for a 25-year-old individual living in Delhi.
- Beware of spurious / fraud phone calls! Do not share your confidential information like Debit / credit card number, Internet Banking User ID/Password, Pin, CVV, OTP, etc. with anyone. Avoid clicking on attachments / payment link received in mails / message from unknown sources. IRDAI is not involved in activities like selling insurance policies, announcing bonus or investment or premium. Public receiving such phone calls are requested to lodge a police complaint. Do not respond to unsolicited and attractive offers received through unidentified calls, emails, SMSs, and other social media platforms. Beware of misleading telephone calls from people posing as Niva Bupa officials, agents, IRDAI Officials, Officials from ECI (Office of the Executive Council of Insurers) etc. and offering alluring benefits or sharing false information on your policy or on Niva Bupa. Niva Bupa shall not be responsible for any loss or damages whatsoever for any acts or omissions arising out of such spurious calls, and all customers are advised to contact our customer care at 1860-500-8888 and verify any representations or promises made by any such spurious callers before acting upon the same.