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Health Insurance is a financial protection plan that helps cover the cost of medical expenses whether it’s a minor check-up or a major surgery. You pay regular premiums to an insurance company, and in return, the insurer helps pay for your healthcare bills, reducing the financial burden of medical care.
A quick glance at how different types of health insurance plans differ from each other**.
PLAN TYPEs | Health and Wellness Plans | Top-up Plans |
---|---|---|
Best Suited For | Individuals seeking both medical cost coverage and rewards for maintaining a healthy lifestyle | Individuals with existing policies who want additional coverage |
Entry Age | Depends on the plan selected | Depends on the plan selected |
Ambulance Coverage | Included in some plans | Included |
Health Returnsᵀᴹ | Included | Included |
Cashless Hospitals | Included | Included |
Room Type | Any room category at the time of hospitalisation; varies from plan to plan | Restriction in some plans |
Wellness Coach | Included | --- |
Tax Benefits | Yes | Yes |
Day Care Treatments | Included | Included |
KNOW MORE | KNOW MORE |
Before you purchase Health and Wellness plan, ensure you qualify and have the necessary documents.
Pick a plan that fits your needs.
Share the required personal details.
Select sum assured, riders, payment cycle, etc.
Go through the coverage and exclusions.
Complete payment and submit documents.
Go through the coverage and exclusions.
Complete payment and submit documents.
Hear from our customers what they have to say about their experience.
As per the Income Tax Act, 1961, Section 80D provides for self, family, and parents
#Some plans may cover these. Please check the policy wording
With a few clicks on the ABCD app, you can get financial protection against medical emergencies with a health insurance plan.
Scan the QR code to download our Mobile App
You can rest easy knowing you will be covered in case of a medical emergency or accident.
You can avail of quality medical care, even if you are unable to afford it otherwise.
You can get cashless treatment at network hospitals with practically no expenses at all.
It encourages and helps you stay healthy with free annual check-ups and rewards for good health.
You can save tax on the premiums paid as specified in Section 80D of India's Income Tax Act1.
This is the ideal age to buy it because you are most likely healthy and thus your premiums are lower. Most plans also don’t require you to take a medical test.
You may have a family now and any medical costs can impact your finances significantly. It’s a good idea to invest in a plan that covers you as well as your family.
Consider a policy with a higher sum insured as you may start to develop certain health conditions now. Also, look for a plan with a refill benefit that will ensure you have enough coverage.
Consider a senior citizen health insurance policy with a critical illness rider. These policies typically have higher premiums, but they also offer more comprehensive coverage.
Only dental surgery or treatment that requires hospitalisation is covered under health insurance
These are health problems that are present at birth
These sexually transmitted diseases which are not covered
This is a general weakness or ill health and is not covered under health insurance.
Any injury that is intentionally caused by the insured person is not covered under health insurance
The cost of infertility treatment, such as in vitro fertilisation, is not covered under health insurance.
The cost of cosmetic surgeries, such as rhinoplasty and liposuction etc.
Health insurance plans typically have a waiting period of 12 to 48 months before they cover illnesses that were already present at the time of purchasing the policy.
The older you are, the higher the premiums are typically. It’s because, with age, your chances of falling sick also increase.
If you have any pre-existing health conditions, you may need to pay a higher premium or may not be eligible for coverage at all.
Your lifestyle choices, such as smoking, drinking, and being overweight can increase your risk of health problems, which can also affect your premiums.
The cost of healthcare varies from place to place, and the premiums in expensive areas are typically higher.
The type of policy you choose can also affect your premium. More comprehensive plans typically have higher premiums than basic plans.
It is the amount of money you have to pay out of pocket before your insurance company starts to pay. Higher deductibles typically lead to lower premiums.
In some cases, your gender may affect your premiums. For example, women may pay higher premiums for plans with maternity coverage.
The sum insured is the maximum amount your insurance policy will pay for your medical expenses. A higher sum insured will typically result in higher premiums.
Smoking and drinking alcohol can increase your risk of health problems and lead to higher premiums.
Having a family history of certain health conditions can increase your risk of developing those conditions yourself, which may lead to higher premiums.
This is the most common type of plan that provides coverage for a wide range of preventive and wellness services.
It provides financial assistance if diagnosed with cancer. They typically cover the cost of treatment and even the loss of income in some cases.
These are more specialised plans that provide coverage against more than 60 listed critical illnesses.
This plan provides coverage for accidental death, accidental permanent disability, and accidental hospitalisation.
These plans are designed for businesses that want to offer group health coverage to their employees.
This plan provides coverage for medical expenses incurred while travelling abroad. It also covers the cost of emergency evacuation and repatriation.
The time you have to wait before your health insurance coverage starts. Usually 30 days from the start date of the policy.
A type of health insurance claim where the insurance company reimburses the network hospital directly, so you don't have to pay out of pocket.
It is the share of the amount to be paid by you, in case of a claim.
It's a bonus offered in the form of increased sum insured if no claims were made during the previous policy term.
A health condition that you had before you got health insurance.
This refers to the medical expenses incurred before getting admitted to a hospital.
This refers to the cost of follow-up tests and consultation treatment charges incurred after getting discharged from the hospital.
It is a medical facility that has a tie-up with the health insurance provider where you can receive cashless treatment.
Medical costs are rising rapidly, and it can be difficult to keep up with the expense of medical care without health insurance. Health insurance can help protect your finances from the burden of medical inflation.
Health insurance can help you afford quality medical treatment, regardless of your income level. Without health insurance, you may be forced to delay or forgo necessary medical care, which could lead to serious health problems.
Lifestyle diseases, such as heart disease, stroke, and diabetes, are on the rise. These diseases can be expensive to treat, and health insurance can help you manage the costs.
A major medical expense can wipe out your savings, leaving you in financial hardship. Health insurance can help protect your savings by paying for covered medical expenses.
Many health insurance plans offer cashless hospitalisation, which means you don't have to pay upfront for your hospital stay. This can be a huge relief, especially if you're not prepared for a large medical expense.
The premiums you pay for health insurance are tax-deductible, which can reduce your taxable income and save you money on taxes.
Health insurance can provide you with peace of mind, knowing that you are protected from the financial burden of unexpected medical expenses.
Health insurance is a type of insurance coverage that provides financial protection against medical expenses incurred due to illness, injury, or hospitalisation. It helps individuals and families pay for medical treatments, hospital stays, prescription medications, and other healthcare services.
Aditya Birla's health insurance plans give you good coverage for quality healthcare. They have different options, so pick the one that fits your needs the best.
• Health & Wellness Plans: These plans provide coverage for a wide range of preventive and wellness services, such as doctor's consultations, annual health check-ups, diagnostic tests, and vaccinations. They also offer discounts on gym memberships and other health-related expenses.
• Cancer Secure Plans: These plans provide financial assistance if you are diagnosed with cancer. They typically cover the cost of treatment, including surgery, chemotherapy, and radiation therapy.
• Critical Illness Plans: These plans provide financial assistance if you are diagnosed with any of the 60+ critical illnesses covered in the plan, including heart attack, stroke, or kidney failure. They can help cover the cost of treatment as well as lost income and other expenses.
• Personal Accident Plan: This plan provides coverage for accidental death, accidental permanent disability, and accidental hospitalisation. It also covers the cost of ambulance charges, surgery, and ICU stays.
• Corporate Plans: These plans are designed for businesses and organisations, to protect their employees' health and well-being. They typically offer group discounts and other benefits, such as access to a wider network of hospitals and doctors.
• International Cover: This plan provides coverage for medical expenses incurred while travelling abroad. It also covers the cost of emergency evacuation and repatriation.
There are many benefits to having health insurance, including:
• Peace of mind knowing that you will be covered in case of a medical emergency.
• Access to quality medical care.
• Financial protection from high medical costs.
Most health insurance plans provide optional add-ons or riders or optional benefits to enhance your coverage. These may include maternity cover, critical illness cover, personal accident cover, and more. It is advisable to check with the insurance provider about the availability of customisation options.
Health insurance is vital for a variety of reasons, the most important ones are mentioned below:
• Peace of mind: Medical insurance gives you peace of mind knowing that you will be covered in case of a medical emergency. This can be especially important if you have a chronic illness or a family history of medical problems.
• Access to quality medical care: A good health insurance plan can give you access to quality medical care, even if you are unable to afford it otherwise. This includes access to hospitals, doctors, and other healthcare providers.
• Financial protection from high medical costs: Medical expenses can be very expensive, even for a minor illness or injury. Medical insurance can help to protect you from these costs, so you don't have to worry about going into debt to pay for your medical care.
• Access to a network of healthcare providers: A good medical insurance plan will give you access to a wide network of healthcare providers, which means you can go to any doctor or hospital in the network without having to worry about whether your insurance will cover it.
• Tax benefits: You can avail of tax benefits*, as specified in Section 80D* of India's Income Tax Act, subject to the fulfilment of the criteria mentioned in it.
A health insurance wellness programme is a type of health insurance plan that rewards members for taking steps to improve their health. These programmes typically offer incentives such as premium discounts, cash back, or gift cards for completing certain health activities, such as exercising regularly, eating healthy foods, and getting preventive care screenings.
To participate in a health insurance wellness programme, you must typically enrol in the programme through your health insurance provider. Once you are enrolled, you will need to complete certain health activities to earn rewards. The specific activities that are covered by the programme will vary depending on the provider, but they may include things like:
• Tracking your daily steps or exercise minutes
• Eating healthy foods and logging your meals in a food diary
• Getting preventive care screenings, such as annual checkups and flu shots.
• Completing health assessments
There are many benefits to opting for health insurance wellness programs. Some of the key benefits include:
• Improved health: Wellness programmes can help you to improve your overall health and well-being by motivating you to make healthy choices.
• Reduced healthcare costs: By helping you to stay healthy, wellness programmes can help reduce your healthcare costs in the long run.
• Lower premiums: Many health insurance providers offer premium discounts to members who participate in wellness programmes.
• Other rewards: In addition to premium discounts, some wellness programmes also offer other rewards, such as cash back, gift cards, or access to exclusive discounts and promotions.
The specific services and activities that are covered by health insurance wellness programmes will vary depending on the plan and the provider. However, some common examples include:
• Fitness classes and gym memberships
• Weight loss programmes
• Expert health coach
• Stress management programmes
• Mental health programmes
• Annual health assessments
The Insurance Regulatory and Development Authority of India (IRDAI) has issued guidelines for health insurance wellness programs. These guidelines are aimed at ensuring that wellness programmes are fair and transparent and that they do not discriminate against members with pre-existing health conditions.
The IRDAI guidelines require health insurance providers to:
• Disclose all of the terms and conditions of the wellness programme to members before they enrol.
• Make it easy for members to participate in the programme and earn rewards.
• Offer a variety of health activities that are accessible to all members.
• Not to discriminate against members with pre-existing health conditions.