Max Bupa Health Insurance | The extended family health coverage

There are two types of health plans offered by Max Bupa Health Insurance under the heartbeat plan. One is family floater policy which aims on nuclear families and other is family first policy which is offered keeping in mind the joint family system prevailing in India.

Let us elaborate on the Heartbeat family first plan offered by Max Bupa Health Insurance Company Limited. The heartbeat family first plan is also called as extended family plan. This plan provides insurance up to 14 members of the family. The plan comes in 3 variants i.e. silver, gold and platinum.

Relationships covered include grandparents, self, spouse, children, parents, parents-in-law, siblings (brother and sister), daughter-in-law, sister-in-law, brother-in-law, niece, nephew.

Family members under this plan are covered for individual sum assured as well as floating sum assured.

Individual sum assured

The policy provides an individual sum assured to the members of the family. It is same for every member of the family.

Floater sum assured

It is a pool which can be used by any family member in case their individual sum assured gets exhausted during the year.

The health insurance cover starts from Rs.5 lacs and can go up to a maximum of Rs.1 crore. A health check-up might be required at the time of buying this plan.

Features of the plan:

• Over 3500 network hospitals
• Pre and post cost of hospitalization is covered
• Claims are processes directly and not via third party
• No restriction on age for the family members
• Tax exemption u/s 80D of the income tax act
• Renewability for life
• Costs incurred towards emergency ambulance is covered
• Organ transplant expense covered up to the sum assured
• Evacuation and hospitalization cost due to medical emergencies outside India (as per applicable terms and conditions)
• Expenses incurred for OPD and prescribed medicines covered as per terms and conditions
• Costs incurred for second opinion will be covered for platinum variants members

Benefits of Max Bupa Heartbeat Family First Plan:

• Maternity benefits

Maternity benefits can be availed for 2 deliveries. However, you will have to hold the policy for a period of 2 years before availing this benefit. The new born is covered from day 1 and the vaccinations of the new born are covered only for the first year.

• No capping on room rent

The insurance plans under the gold and platinum variant have no capping over the room rent (excluding suite and above for Gold plan). The room rent is covered up to the sum assured.

• Pre and post hospitalization period

The pre and post hospitalization duration is of 60 days and 90 days respectively.

• Loyalty benefits

Each policy year, you will get loyalty benefit of 10% on the expiring sum assured which will increase your sum assured. This will be applicable till the maximum increase in sum assured is up to 100% of the original sum assured (50% in case of silver variant).

• Discount on premium

If you take the policy for a period of 2 years, you can avail a discount of 12.5% on the premium of second year.

• Hospital expenses

Hospital expenses like transportation, cost of attendant, daily expenses can be provided under this policy.

• Co-payment

It is optional to take co-payment of 10% or 20% so that premium can fit best to your pocket.

• Medical treatment abroad

Platinum variant members can avail treatment for the below 9 diseases abroad:

• Myocardial Infarction i.e. Heart Attack
• Coronary heart disease
• Cancer
• Stroke
• Organ Transplant
• Brain surgery
• Aorta surgery
• Primary PAH (Pulmonary Arterial hypertension)
• Coronary angioplasty

Waiting period for pre-existing disease

• Waiting period of 24 months for gold and platinum variants
• Waiting period of 48 months for silver variants
• In the first 30 days of policy period, no medical expenses will be covered unless treatment is required due to accident. However, this is not applicable on renewal of policies.

Exclusions under this policy include the following disease:

• HIV/AIDS
• Robotic assisted surgery
• Non-medical expenses
• Sexually infected disease
• Drug abuse

This plan offered by Max Bupa, i.e. the Heartbeat Family First Plan is an excellent one for an extended family with comprehensive benefits. If you need a complete overall package for the extended family, this is the perfect solution to all your needs!

Source: Max Bupa Health Insurance | The extended family health coverage

Senior citizen health coverage benefits with Star Health Insurance

Mr. Jatin Trehan had recently retired. When out on a morning walk one day, he was hit by a scooter and fell on the road. The passersby rushed him to a nearby hospital where it was found that Mr. Trehan had fractured his ankle. With age not on his side, he was forced to go in for a surgery to fix his ankle. The real bolt came however when Mr. Trehan discovered he had no health insurance cover and had to pay the entire medical bill out of his own pocket. The helpless senior citizen had no option but to withdraw a large chunk of his life’s savings to clear the hospital bills.

Group insurance plans and retirement

A lot of people like Mr. Trehan are left uninsured overnight when they retire. The group health coverage ends as soon as the employee retires. While this is a given fact, many people don't realise the gravity of the situation. It is therefore very important for every senior civilian to have an individual health plan as well. So if a situation similar to Mr. Trehan’s takes place, you can be secured.

Health insurance for senior citizens

While it is a good idea for you to buy health insurance earlier in life, you can still opt for a senior citizen health plan after you enter the golden sixtieth decade of your life. Some of the best health insurance providers of the country, like Star Health Insurance, offer some wonderful products that cater to your exact requirements. You can buy high coverage policies and stay protected against a number of illnesses.

Features and benefits of senior citizen health coverage with Star Health Insurance

Let us first take a look at the features of the highly acclaimed Star Senior Citizens Red Carpet Health plan:

·         This policy can be bought by anyone in the age group of 60 and 74 years.

·         You won't have to go for any medical screening tests before you buy the policy. This saves you a lot of time and energy.

·         A whole lot of pre-existing illnesses are covered under this plan. There is, however, a waiting period of 2 years before the pre-conceived illness coverage begins.

·         You can renew the policy after the age of 75 years.

·         OPD expenses are covered under this plan.

·         You can opt for a very high sum assured of up to Rs 10 lakhs. This is beneficial as with your age rising, the risk of contracting bigger health problems also rise.

And here are some of the amazing benefits of the Star Senior Citizens Red Carpet Health Insurance:

1.     Pre hospitalisation, hospitalisation and post hospitalisation costs are covered under this plan.

2.     You can get a claim for the ICU expenses (up to 2% of the sum insured).

3.     You can also opt for certain diagnostic tests under this plan.

4.     Day care expenses are also covered.

5.     If you need to call an ambulance at the time of an emergency, you can reimburse the ambulance charges up to Rs 600 per hospitalisation.

Family floater plan options for senior citizens

There are other options for you as a senior civilian as well if you want to get a health plan. First and foremost, if your child is buying a health plan for the whole family, you can become a part of it as well, but most of these plans have a maximum entry age of 60 years. These plans are good for those people who promptly like to make a transformation from the group health plans to the individual plans immediately after they retire. You can get enrolled in such a plan a few years earlier as well and continue to stay protected for a long time after you retire. Star Health Insurance has some wonderful family health plans for you to consider.

The bottom line

The important thing to remember here is that you need health insurance coverage, more so if you are a senior resident. Your retirement days are wonderful and you must be able to relax and make the most of it, without having to worry about your health and finances. So buy a good senior citizen health plan from Star Health and stay protected against a long list of illnesses. The policy will take care of your medical requirements and you can live your life to the fullest. 

Source:  Senior citizen health coverage benefits with Star Health Insurance