Mediclaim and health insurance sometimes need clarification. They are not the same, though. Purchasing an insurance policy and buying a mediclaim are two different things. Making the right choice will be aided by understanding the distinctions between these two policies. This manual will assist you in understanding mediclaim vs health insurance.
1. Expenses Both Pre And Post Hospitalisation:
A mediclaim policy strictly takes care of the cost of hospitalisation. It might cover the treatment of specific illnesses up to a certain amount. A health insurance policy, however, offers a broader range of coverage. It includes costs for diagnostic tests, doctor consultation fees, and other costs incurred before and after being admitted to the network hospital. A standard mediclaim policy does not cover these expenses. Claims are subject to terms and conditions set forth under the health insurance policy. *
2. Ambulance Charges:
Ambulance costs cannot be reimbursed through a mediclaim. On the other hand, ambulance costs are typically covered by insurance up to a certain amount under most health insurance plans. Your insurance company will reimburse you for these expenses that you incur. Claims are subject to terms and conditions set forth under the health insurance policy. *
3. Maternity Benefits And Daycare Procedures:
Generally, a mediclaim pays for network hospital stays related only to specific diseases covered under mediclaim. They don’t account for any expenses related to maternity, such as caesarean sections or postpartum care. Since mediclaim necessitates hospitalisation, they inherently do not cover daycare procedures like cataract surgery, which do not require hospitalisation. These things could be included in a claim for health insurance. Claims are subject to terms and conditions set forth under the health insurance policy. *
4. Costs And Benefits
A mediclaim insurance policy is less expensive than a health insurance policy because its coverage is limited. A health insurance policy, on the other hand, is more inclusive and comprehensive. This results in a higher sum assured and an increased premium cost.
5. Number Of Claims
A mediclaim policy permits the filing of several claims over a year, provided that the sum assured limit is not reached. Generally, an insured person with a health insurance plan is limited to one yearly claim.
On the surface, there aren’t many differences between health insurance and mediclaim; however, an insurance policy offers more coverage and protection regarding getting claims paid. On the other hand, mediclaim is also very reasonably priced, so many people choose this option. Choose the health insurance or mediclaim plan that suits your and your family’s needs in terms of protection. When comparing mediclaim and Health Insurance, it’s essential to recognise that while they both serve the purpose of providing financial protection for healthcare expenses, they differ significantly in terms of coverage scope, benefits, premium costs, renewal options, and customisation. Understanding these differences is essential for making decisions that align with your healthcare needs and financial considerations. Whether you prioritise comprehensive coverage and are willing to pay higher premiums or seek more budget-friendly options with more limited coverage, your choice between mediclaim and health insurance should be based on carefully evaluating your specific circumstances and healthcare requirements.
*Standard T&C Apply
Insurance is the subject matter of solicitation. For more details on benefits, exclusions, limitations, terms, and conditions, please read the sales brochure/policy wording carefully before concluding a sale.