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Difference Between Mediclaim and Health Insurance Explained
Do you think you are healthy? Well, if yes, we are happy for you. But are you 100% sure you will be healthy in the future too? No, none of us are. It is better to plan for yourself and your loved ones and be stress-free in the future.
If you are confused about where to start, then don’t worry. We are here to help you😊
There are two ways to get the best benefits in case of medical emergencies: Mediclaim and a health insurance plan. In this article, we will explain you the major difference between the two i.e., Mediclaim vs Health insurance and help you evaluate what you must opt for.
Table of Contents
What is Mediclaim?
A Mediclaim insurance policy gives you specified financial protection at the time of a medical emergency. It takes care of all the following expenses when hospitalized:
- In case of an accident
- In case of sudden illness or surgery
- In case of any surgery during the policy tenure
It pays the policyholder's medical bills from the hospital stay, room charges, doctor’s visits, prescription drugs, and other inpatient hospital-related expenditures.
What is Health Insurance?
Health insurance is an insurance cover that gives you complete coverage for medical and surgical expenses in case of emergencies.
A health insurance policy provides coverage for various healthcare services, such as hospitalization, daycare treatments, pre and post-hospitalization expenditures, ambulance charges, medicines, preventative care, etc.
Both sounds similar right? But you will be surprised to know the differences between the two.
Difference Between Mediclaim and Health Insurance
Mediclaim and Health Insurance both provide financial support during medical emergencies but both are different in coverage and scope. Let’s understand the main difference between mediclaim and health insurance depending on certain factors:
Benefits of Mediclaim and Health Insurance
Mediclaim and Health Insurance are your financial superheroes in times of medical emergencies. They ensure that you are protected from unexpected medical expenses, but they provide different benefits when needed. Let’s find out:
Benefits of Mediclaim
- You can get immediate coverage for medical expenses when you are hospitalized.
- If you opt for a Cashless Mediclaim policy, your insurer directly pays for the expense.s
- If you opt for Reimbursement, your money will be reimbursed by the insurer.
- You can lower your tax deduction through a mediclaim policy under section 80D.
Benefits of Health insurance
- It gives you comprehensive coverage, including hospitalisation expenses, outpatient treatments, diagnostics, maternity benefits, etc.
- It provides you with numerous add-ons such as Critical Illness cover, pre-existing disease, etc.
- You can opt for a Family Floater Health Insurance plan to cover all family members under one collective health insurance policy.
- Pre and Post hospitalization expenses are covered
- You can opt for a specific senior citizen health plan for your parents
- Cashless claims and reimbursement claims are available
Mediclaim Insurance vs Health Insurance: Which One is Better?
Deciding what is better in Mediclaim vs Health Insurance can be tough but here are certain factors that will help you decide which one is better for you:
- Your financial condition
- Health issues you and your loved ones are dealing with
- Whether you believe in long-term or short-term planning
- Whether you need flexibility in your health plan or not
- Whether you would need add-on covers and benefits
- Willing to pay high or low premium
- Keep in mind your or your family members' age, life stage, medical condition
Choosing one out of the two is not difficult if you know what will be best for you and your loved ones, keeping all the factors mentioned above in mind.
If you need more information, get in touch with us! We are always ready to help you.
Things to Know Before Buying a Mediclaim and Health Insurance Plan in India
Now, you must be clear about the differences between health insurance and Mediclaim, but here are certain things you must know before buying either Mediclaim or health insurance:
- Coverage: The coverage provided under both differs widely. You can extend your coverage based on your health insurance needs.
- Sum Insured: Generally, both mediclaim and health insurance come with a predetermined sum insured that cannot be altered before renewal.
- Premium: The plan's premium is determined by the insured's age, gender, location, and chosen length of the policy coverage.
- Claim Settlement: The claim request is handled through cashless treatment and reimbursement.
- Tax Exemption: The plan provides tax benefits in health insurance on premiums paid under Section 80D of the Income Tax Act of 1961.
- Renewability: Typically, health insurance offers a No Claim Bonus benefit when the policy is renewed after each year without a claim. This benefit may lower renewal premiums.
- Co-payment: Certain plans may require a co-payment in which the insured pays a certain part of the treatment costs, and the insurance company pays the remaining sum. This helps lower the insurance premium.
In the battle between medical and health insurance, there is no perfect winner that suits everyone. Mediclaim is for hospitalization coverage, whereas health insurance is for wider coverage.
Assess your health risks and financial goals and choose the best that suits your needs.