Health insurance in India typically pays for only inpatient hospitalization and for treatment at hospitals in India. Outpatient services were not payable under health policies in India. The first health policies in India were Mediclaim Policies. In 2000 government of India liberalized insurance and allowed private players into the insurance sector. The advent of private insurers in India saw the introduction of many innovative products like family floater plans, top-up plans, critical illness plans, hospital cash and top up policies. Broadly we can divide the health insurance plans in India today can be classified into two categories :
Hospitalization plans :
Hospitalization plans are indemnity plans that pay cost of hospitalization and medical costs of the insured subject to the sum insured. The sum insured can be applied on a per member basis in case of individual health policies or on a floater basis in case of family floater policies. In case of floater policies the sum insured can be utilized by any of the members insured under the plan. These policies do not normally pay any cash benefit. In addition to hospitalization benefits, specific policies may offer a number of additional benefits like maternity and newborn coverate, day care procedures for specific procedures, pre- and post-hospitalization care, domiciliary benefits where patients cannot be moved to a hospital, daily cash, and convalescence.
There is another type of hospitalization policy called a top-up policy. Top up policies have a high deductible typically set a level of existing cover. This policy is targeted at people who have some amount of insurance from their employer. If the employer provided cover is not enough people can supplement their cover with the top-up policy.
Hospital daily cash benefit plans :
Daily cash benefits is a defined benefit policy that pays a defined sum of money for every day of hospitalization. The payments for a defined number of days in the policy year and may be subject to a deductible of few days.
Critical illness plans :
These policies pay out a lump sum in event that the insured is a diagnosed with one of the illnesses specified in the policy. Some of the policies require a survival period for the payout to take affect.
We are empanelled to the following TPA's
- RELIANCE GENERAL INSURANCE
- PARAMOUNT TPA
- APPOLO MUNICH
- ICICI HEALTH CARE
- TTK HEALTHCARE
- MEDICARE TPA
- RAKSHA TPA
- MD INDIA
- GENINS INDIA TPA
- FUTURE GENERALLI
- MAX BUPA
- HDFC ERGO
- EAST WEST ASSIST
- INDIA HEALTH CARD
- BRIDGES HEALTHCARE
- ANMOL MEDICARE
- STAR HEALTH & ALLIED INSURANCE
- IFFCO TOKYO
- ROTHSHIELD HEALTHCARE
- SPURTHI MEDITECH TPA
- RSBY
- HANDLOOM WEAVERS HEALTH INS SCHEME