An Insurance Policy covers you against a wide range of medical expenses, which can vary between policies. Here are some of the most common inclusions of an Insurance Policy: 1. Hospitalization Costs: It includes all medical expenses incurred during the policyholder's hospitalization or the policy's beneficiaries. It covers costs related to diagnostic procedures, OT charges, medicines, blood, x-ray, oxygen, etc. 2. Pre and Post-Hospitalisation Expenses: Medical expenses arising before 30 days of hospitalization and up to 60 days post-discharge are covered under the Insurance Policy. However, you need to check with the insurer if this type of hospitalization is part of the policy. 3. Day-Care Expenses: Medical expenses arising out of advanced medical treatments that do not require the patient to be hospitalized for more than 24 hours are covered. 4. Hospital Room Expenses: Costs towards regular wards or Intensive Care Unit (ICU) are fully reimbursed or through the cashless facility. 5. Doctor’s or Medical Professionals’ Fee: Doctor's consultation fee or medical professionals' charges such as nurses' fee, etc., are covered. Every Insurance Policy has some exclusions and varies from one insurance company to another. Here are some of the standard exclusions in Insurance Policies: 1. Pre-existing illnesses. 2. Dental treatments. 3. Sexually transmitted diseases. 4. Birth control and hormonal therapies. 5. Vaccinations. 6. Plastic surgery. 7. Cosmetic surgery and obesity-related treatments. 8. Maternity expenses if not opted as an Add-on feature. 9. Non-medical expenses such as service charges, administrative charges, toiletries, etc. 10. Ailments and diseases contracted within a set period from the policy purchase date.
15 August 2020