Health Insurance in Karnataka

Medical emergencies do not inform you of their arrival and those who are unprepared will either drain their savings or will not be able to access quality healthcare services due to budget constraints.

To prevent such a scenario, health insurance companies in Karnataka designed affordable and inclusive medical insurance plans. Here is why it is essential to find the best medical insurance in Karnataka for yourself:

Increase in lifestyle diseases owing to a sedentary lifestyle, unhealthy eating habits, and rising stress levels.

As healthcare technology improves, so does medical inflation. The cost of hospitalisation, diagnostic tests, doctor consultation fees, surgeon charges, etc., have reached soaring heights.

To secure the well-being of your family.

To manage unforeseeable medical emergencies.

Insurance seekers in Karnataka must note that health insurance costs vary from city to city. As the cost of healthcare in metropolitan cities is higher, insurance purchases in these cities are also comparatively more expensive. Insurance companies have segregated Indian cities into three zones: A, B, and C.

Bangalore is in Zone B, and Mangalore is Zone C. So, a health insurance plan in Mangalore will be cheaper than one in Bangalore. This classification is called zone-based health insurance.

If you are looking for the best mediclaim policy in Karnataka, you must acquaint yourself with the different types of medical insurance plans that are available in the market such as:

Individual Health Insurance: This insurance offers coverage against medical emergencies to a single individual. The premium for this policy is determined by factors such as age, medical history, smoking habits, type of coverage, etc.

Family Floater Health Insurance: This policy covers the entire family and the sum insured is shared equally among the members. If you are looking for the best mediclaim policy for a family in Karnataka, ensure that it acknowledges the healthcare needs of every member.

Senior Citizens Health Insurance: This policy is curated for individuals above the age of 60. As older individuals are more susceptible to illnesses, the premium for this policy is higher.

Critical Illness Insurance: This policy covers life-threatening illnesses right from cancer to paralysis, stroke, etc. The insured member receives a lump sum upon diagnosis to help with the cost of treatment.

As a health insurance plan is an important financial investment that comes to your aid during medical contingencies, it is essential to be aware of what the policy would cover and not cover.

Inclusions:

In-patient hospitalisation: Coverage for in-patient treatments such as tests, treatments, or medical procedures. This includes the cost of room, nursing, ICU, consultation, etc.

Pre- and post-hospitalisation: Coverage for pre- and post-surgery expenses including medical bills, doctor's fees and treatment, follow-up appointments, and more

Preventive health check-ups: Your medical insurance should offer an annual physical examination to check your blood sugar, renal function, ECG, etc.

No claim bonus (NCB): This bonus is offered to policyholders for not raising a claim during one policy year. It can come in the form of discounted premiums or a higher sum assured for the same premium.

Daycare services: These are healthcare services that don’t require the patient to be admitted to a facility for longer than 24 hours such as cataract removal, dialysis, etc.

Exclusions:

Pre-existing ailments: Your medical insurance will typically not cover pre-existing ailments until a waiting period of two to five years. Before this time passes, the patient will have to pay for the treatment from their own pockets.

Cosmetic surgery: Hygiene therapies and cosmetic surgeries such as Botox, implants, rhinoplasty, etc., are not covered by a health insurance plan.

OPD treatment: OPD treatments that do not need hospitalisation such as eye or dental procedures have to be paid from your pocket.

Self-injury or attempted suicide: If the insured member has intentionally tried to hurt themselves or has attempted to commit suicide, the insurance claim will be rejected.

Specific diseases: Certain health conditions such as genetic diseases, hernia, STDs, etc., are not covered by health insurance.

When buying the best medical insurance in Karnataka, here are the factors you must consider:

Wide coverage: It is advised to compare different policies so you can opt for one that offers coverage against a wide range of health concerns. If you are looking for the best mediclaim policy for a family in Karnataka you should check the scope of coverage offered to ensure that the healthcare needs of every member are met.

Added benefits: Check the list of add-on covers and benefits offered by your insurance provider that can help you strengthen a basic policy.

Sum insured: When choosing a health insurance plan, it is advised to go for a higher sum insured to account for the medical inflation.

Waiting period: Insurance providers typically impose a waiting period to raise a claim against pre-existing ailments, specific diseases, maternity, etc., that ranges between two to five years. Look for a policy with a lower waiting period.

Coverage flexibility: The best health insurance in Karnataka will enable you to add new members to your policy such as a newly married spouse or a newborn baby.

Are you tired of asking, “Where can I find health insurance near me?” and getting unsatisfactory answers? Then you are asking in the wrong places.

What you need to do is look for a medical insurance policy online. In addition to helping you find “health insurance near me,” there are several additional benefits of online insurance purchase. These include:

Easy comparison: Before investing in a health insurance plan, it is important to check the benefits, premiums, coverage, etc. It is easy to compare various plans online and make an informed decision. You can use a health insurance premium calculator to check how much your policy would cost you.

Lower premiums: The premiums for online plans are typically lower because you buy a plan directly from the insurer which saves you from paying the commission charges to the agents.

Transparent: When you buy medical insurance online, all information about the policy is disclosed openly so you know exactly what you are signing up for. This can help you pick the best health insurance for yourself and efficiently plan your healthcare.

Convenient: When buying insurance online, you can buy a policy anytime, anywhere. This is particularly advantageous for those who have packed routines.

Instant policy issuance: With online insurance purchase, your policy is issued in an instant.

When you buy a health insurance plan with Tata AIG you can rest assured knowing that your healthcare is in good hands. Here’s what makes us special:

Consumables cover: We look after the expenses for surgical and medical supplies beyond the cost of hospitalisation.

Global coverage: With worldwide coverage, you can receive treatment for your ailment overseas.

Maternity cover: The maternity cover (that comes with a four-year waiting period) compensates for maternity expenses up to ₹50,000 per policy year. If the newborn is a baby girl, this coverage is extended by an additional ₹10,000.

Newborn cover: In the case of complications during delivery, insurance holders will receive an additional ₹10,000 for necessary treatment.

OPD cover: Medical consultation and medication costs of up to ₹5,000 can be offset after a two-year waiting period.

Seamless process: With more than 650 claim experts we ensure a seamless claim settlement process.

Automatic restoration: Under this, you receive automatic restoration of the sum assured to tackle medical emergencies. Your coverage is replenished if exhausted in a year.

Cumulative bonus: Policyholders can earn up to 50% cumulative bonus for claim-free years. You can avail of cashless treatments, tax benefits, and more, all designed to meet your healthcare requirements.

Here are the key features and benefits of Tata AIG’s medical insurance plans to ensure you get the best Mediclaim policy in Karnataka:

• The liberty to remove the cap on hospital room rent expenses (as long as it falls under your sum insured) to ensure quality treatment without the worry of out-of-pocket expense.

• Financial support during pregnancy with reimbursement up to ₹50,000 (extendable by an additional ₹10,000 for newborn girls).

• Coverage for pre-hospitalisation expenses 30-60 days before admission and post-hospitalisation expenses 60-90 days after discharge.

• Coverage for pre-existing health conditions after a waiting period of two to five years.

• Cashless claim settlement at any authorised hospitals across India.

• Tax benefits under section 80D of the Income Tax Act, 1961.

• Coverage for the cost of an ambulance.

• NCB for not raising a claim during one whole policy year.

• Coverage for AYUSH treatments.

• Coverage for daycare processes that take less than 24 hours.

• COVID-19 coverage

To make it easy for insurance seekers to buy and renew their health insurance plans, insurance companies have enabled the seamless and hassle-free online method.

Documents Required to Buy Health Insurance

A correctly filled out application form

Age proof (birth certificate, 10th or 12th mark sheet, Aadhar card, etc.)

Address proof (passport, utility bills, driver’s licence, etc.)

ID proof (PAN card, Aadhar card, Voter ID, etc.)

Medical reports

Passport-size photographs

A cancelled cheque

Process to Buy Medical Insurance Online

Visit the official Tata AIG website and select “Health Insurance”

In the next step, select how many members you are going to buy insurance for and their respective ages

Enter your contact details, medical history, and pre-existing illness (if applicable)

Choose an appropriate health insurance policy

Pay for the policy online and your coverage will be issued instantaneously

Process to Renew Medical Insurance Online

Visit the Tata AIG website, click on “Renew” and then select “Health”

Share your contact information along with your policy number and other essential details

Select the policy you wish to renew. You can even strengthen your policy with add-ons, however, this will slightly increase your premium

Once you successfully clear the premium payment, your policy will be renewed

There are two ways to raise a claim against your health insurance: cashless and reimbursement. Let’s take a look at the claim settlement process for both.

Documents Required for a Health Insurance Claim

In-patient hospitalisation bills attested by the insured under the medical insurance

The discharge card signed by the authority at the hospital/network hospital.

Claim form containing the insured’s signature

A valid medical investigation report

The medical store receipts and the doctor’s prescription

List of hospital consumables prescribed by the doctor with all details

The present year’s copy of the third-party administrator’s (TPA) ID card

Copies of the health insurance policy from the previous year

Any other document as required by TPA

Bills and receipts of doctor’s consultation

Process for Cashless Claim Settlement:

To avail of cashless claims, inform us 48 hours in advance in case of elective procedures and within 48 hours of admission in the case for emergency treatments.

Visit our Claims page to initiate a cashless claim or notify us over a call.

Carry the policy details of the patient before going to the hospital and present it at the insurance desk along with an ID.

Submit the pre-authorisation form that will be reviewed.

Once your application is approved, you can receive cashless service at the hospital.

Process for Reimbursement Claim Settlement:

Visit our Claims page to initiate a reimbursement claim.

Inform us about when and where you intend to receive your medical treatment.

After you are discharged from the hospital, pay for the medical treatment costs upfront.

File for a reimbursement claim by filling out the form and submitting all invoices, medical bills, prescriptions, and other important documents.

Once the claim and the documents are verified, the process for reimbursement is initiated.

Under the “Cashless Everywhere” initiative by the General Insurance Council (GIC) and the Insurance Regulatory and Development Authority of India (IRDAI), medical insurance holders can seek treatment at any network or authorised hospital of their preference.

With Tata AIG medical insurance, you can visit any authorised hospital where you wish to get treatment in Maharashtra or anywhere across the country and get cashless treatment. Our cashless claim settlement process is hassle-free and straightforward to help our policyholder focus on getting the best treatment while we take care of the expenses for them.