Our Proud Partners - Beemawala
Health insurance is a financial arrangement that provides coverage for medical expenses and healthcare-related costs. It offers individuals and families a way to manage the financial burden that can arise from unexpected medical treatments, hospitalizations, surgeries, prescription medications, and other healthcare services. Health insurance plans can vary widely in terms of coverage, benefits, and costs. Generally, policyholders pay regular premiums to the insurance provider, and in return, the insurer covers or reimburses the insured for eligible medical expenses as per the terms of the policy. Health insurance helps individuals access timely medical care without worrying about the full financial impact of healthcare services.
Example Scenario: Accident took place on project Site Scenario: Mr. Rajesh runs a marketing company, and one day, while one of his employees was traveling for a business meeting, an accident took place on the road. The employee sustained serious injuries in the accident. How the Health Insurance Policy will help Mr. Rajesh:
1. Medical Expenses Coverage: The health insurance policy will cover the medical expenses incurred for the treatment of his injured employee. This includes hospitalization costs, doctor’s fees, diagnostic tests, surgeries, and prescribed medications.
2.Hospitalization Benefits: If the injured employee requires hospitalization, the insurance policy will cover the hospital room charges, nursing care, and other related expenses.
3.Cashless Treatment: With a cashless facility, Mr. Rajesh can ensure his employee receives immediate medical attention without worrying about arranging funds upfront. The insurance provider directly settles the medical bills with the hospital.
4. Reimbursement: If Mr. Rajesh pays for the medical expenses himself, the health insurance policy allows him to file for reimbursement, ensuring he doesn’t bear the entire financial burden.
5. Emergency Medical Services: In case the accident requires immediate medical attention or ambulance services, the health insurance policy might cover these emergency expenses.
6.Post-Hospitalization Care: The policy could also cover post-hospitalization expenses, which might include follow-up consultations, medications, and rehabilitation if necessary.
7. Financial Relief: By covering the medical expenses, the health insurance policy provides financial relief to Mr. Rajesh and his company. It prevents the unexpected medical costs from impacting his company’s financial stability.
8. Peace of Mind: Knowing that his employee’s medical needs are being taken care of, Mr. Rajesh can focus on his employee’s recovery and well-being without being overly concerned about the financial aspects.
Health insurance ensures that individuals and businesses are protected from the financial strains of medical emergencies. In this case, it helps Mr. Rajesh’s company fulfill its duty of care towards its employees while safeguarding its financial interests.
Coverages of Health Insurance policy
Day Care Procedures
Pre and Post Hospitalization
Emergency Medical Care
No Claim Bonus (NCB)
Additional Add-ons of Health Insurance Policy
Critical Illness Cover
Personal Accident Cover
Hospital Cash Benefit
Top-up or Super Top-up Cover
Outpatient Department (OPD) Cover
Alternative Treatment Cover
Second Opinion Cover
Daily Hospital Cash
Organ Donor Cover
Accidental Death and Disability Benefit
Riders for Family Members
Factors Determining the Premium of Health Insurance Policy
Age of Members
Major Differences Between Health insurance policy and Critical Illness Insurance
|Aspect||Health Insurance||Critical Illness Insurance|
Provides coverage for a range of medical expenses and treatments.
Offers coverage for specific critical illnesses mentioned in the policy.
General healthcare and medical expenses.
Financial protection against high treatment costs of critical illnesses.
Covers various medical treatments and hospitalization expenses.
Pays a lump sum amount upon diagnosis of a covered critical illness.
Broader coverage for medical procedures, hospitalization, etc.
Specific coverage for critical illnesses like cancer, heart attack, etc.
Typically offers annual or multi-year coverage options.
Usually renewable annually or as per policy terms.
Premiums vary based on factors like age, health, coverage amount.
Premiums can be higher due to the specialized coverage provided.
Can be used for various healthcare needs, not just critical illnesses.
Intended to cover financial impact of specific critical illnesses.
Requires medical bills and documentation for reimbursement.
Requires medical diagnosis confirming critical illness for payout.
Offers riders for added coverage like maternity, dental, etc.
Limited additional riders as the focus is on critical illness coverage.
Survival Period Requirement
No survival period requirement, benefits can be claimed for medical treatments.
Requires survival for a defined period (usually 30 days) after diagnosis.
Flexible usage for various medical expenses and treatments.
Intended to cover costs that arise due to the critical illness.
How to Settle Health Insurance Policy
Notify the Insurer
Cashless or Reimbursement
Approval & Payment
Claim Settlement Time
Claim Rejection or Dispute
Exclusions of Health Insurance Policy
Injuries from Hazardous Activities
Pregnancy and Fertility Treatments
Mental Health and Substance Abuse
War or Terrorism
Routine Health Check-ups
Illnesses by Birth
Documents Required for Claim Settlement under Health Insurance Policy
Bills and Invoices
Insured's Address Proof
Insured's PAN Card
Insured's KYC Form
Claimant's Bank Details
Authorization of Assigned Doctor
Any Other Relevant Documents
Contact Information for Claim Settlement: related to Health Insurance Policy
If Policy Obtained through Agent/Broker
Claims are the reason we get a car insurance in the first place! Therefore, ensure the claim process of your desired car insurance is smooth and doesn’t take too long. When you’re in trouble, the last thing you want is, to spend all your time and energy in just filing a claim!
If Policy Obtained Directly from Insurance Company
Claim Settlements are basically getting your compensations done right. Claims being such an important part of a car insurance, check for your desired insurer’s claim settlement ratio so that you’re assured that no matter what, your claims will be settled!
Claim Contact Information for Policy from Beemawala.com
If you have taken the policy from Beemawala.com, please use the following contact details to register your claim.
- Phone: +91-9654259715
- Email: firstname.lastname@example.org