People are getting stressed financially, physically and emotionally because of the increasing costs of medicines and the treatments available today. So, buying an Individual health insurance has become a necessity of the hour. Your health and all the expensive medical treatments are taken care off by the Individual health insurance.

These include pre and post hospitalization due to accident and sudden medical emergencies during the policy term. People who are not financially fit or those who cannot afford good treatment due to unavailability of cash should opt for Individual Health Insurance.

What Does Individual Health Insurance Policy Cover

Whether you are a kid, a youngster or an adult, the benefits and coverages provided by an Individual Health Insurance could please anyone and everyone. It covers all pre and post hospitalization expenses that are incurred during 30 – 60 days prior to and 90 days post hospitalization.

Apart from which, you can avail cashless facility if you get yourself treated in a network hospital. If cashless treatment is not possible, you can get a reimbursement done after a formal approval process. Don’t be surprised because a cluster of other facilities are also covered if you opt for an Individual Health Insurance such as charges for ambulance and other diagnostic tests up to a certain limit. Other facilities like daycare are covered but don’t forget to read the terms and conditions that come along with.

Any injury due to accidents is covered. However, any pre-existing diseases would be covered only after a certain period of 2 to 4 years depending upon the Individual Health Insurance you opt for. If you get diagnosed by any illness that needs a surgery like Cataract, treatment of asthma, hernia and piles, any issues related to maternity or psychiatric disorders are covered after the waiting period.

Why Should You Opt For Individual Health Insurance

  • You qualify for a cumulative bonus of 5% for every claim free year.
  • If you opt for a family health insurance policy as well, you get qualified with some discount depending on the insurance company and the policy you hold.
  • You are free up to the age of 45, to not undergo ant medical test. But if you are above 45, you need to undergo the pre-policy checkup at the insurer’s empaneled diagnostic center.
  • You don’t have to wait for long for the reimbursement of treatment done in non-network hospitals.
  • You can avail tax benefits for the premium paid under section 80D of Income Tax Act,

What Does Individual Health Insurance Does Not Cover

  • You need to wait for at least 2 to 4 years from the policy issuance for the waiting period to get over to get the pre-existing diseases treated.
  • The cover amount may vary from 10 to 90% of the sum insured for few diseases.
  • Homeopathic, Ayurveda and non-allopathic treatments are not included under this policy.
  • Any cosmetic and aesthetic treatments are not covered.
  • Treatments related to intoxication like drugs, alcohol etc. are not covered.

Individual or a Family Floater Health Insurance plans are better?

It can be challenging as a first time buyer to opt between an Individual health insurance and family floater health insurance plans. Both the types of health plans has their own advantages and disadvantages.

So, it is better that you assess your individual needs, family income, age and medical history to jump on your final decision. Online portals like gives you an insight of different plans under one roof by giving you a chance to compare health insurance plans.

The Verdict

Opting for an individual health insurance plan for your family members or a family floater plan would be absolutely your choice. Whatever is your decision, analyzing your family’s requirement both medically as well as financially would make perfect sense before buying one. Apart from this, pre-post hospitalization cover, room rent, cashless treatments etc. should also be considered before opting for an Individual health insurance policy.

Author Bio

Name: Sandip
Qualification: Graduate
Company: N/A
Location: mumbai, Maharashtra, IN
Member Since: 08 Mar 2018 | Total Posts: 1

More Under Finance

Leave a Comment

Your email address will not be published. Required fields are marked *