Benefits of Health Insurance

Know the key benefits of health insurance, from medical expense coverage to financial security. find out why it is essential for you.
Check Health Insurance Plans
3 min
03-March-2025

A health insurance secures not only your health but also your financial well-being. With the current lifestyle and habits, diseases like diabetes, blood pressure, heart ailments and more are prevalent in all age groups. In addition to this, medical inflation has also been a major concern. Considering these factors, having a comprehensive health insurance policy becomes crucial. It comes as a saviour at the time of medical emergency.

A health insurance policy provides extensive coverage against medical-related expenses. The benefits of health insurance help you stay financially prepared. Health insurance benefits you in getting access to quality healthcare services without worrying about funds.

Top benefits of health insurance

Here are some key benefits of health insurance that you should know about.

Covers hospitalisation expenses

Health insurance policies cover all medical-related expenses incurred during hospitalisation. It covers expenses against medicines, doctor’s fees and nursing. It also covers expenses like room rent, ICU charges (if any) and diagnostic tests.

Covers pre-and post-hospitalisation expenses

Health insurance policies cover pre-and-post hospitalisation expenses. You get coverage for medical expenses incurred from 30-60 days before hospitalisation. You also get coverage for medical expenses incurred during the recovery stage. The insurers usually give coverage for 60-90 days after hospitalisation. However, the duration of coverage may differ from insurer to insurer.

Covers daycare procedures

Many modern treatment methods require you to get hospitalised for only 24 hours or even lesser time. Health insurance benefits include coverage for expenses of such daycare procedures that need less than 24 hours of hospitalisation. You can check the list of daycare procedures covered on the policy document when purchasing.

Covers domiciliary treatments

In many cases, the patient’s health condition may not permit to move the person to a hospital. Also, many a time, you may not find a bed available at the hospital. In such situations, doctors recommend home treatment under their supervision. Best health insurance policies cover treatments taken at home during these scenarios.

Covers alternative treatment

Insurers also recognise practices like Ayurveda, Yoga, Unani, Siddha and Homoeopathy (AYUSH). You can get coverage for AYUSH treatment up to the sum insured.

Covers annual health check-ups

Most health insurers offer the benefit of free annual health check-up with a health insurance policy. This helps you to keep a track of your health. It also enables you to take medical intervention on time if required.

Offers add-on cover for critical illnesses

Many health insurers offer critical illness cover as an add-on benefit on comprehensive health insurance plan. You get coverage for critical illnesses like stroke, kidney failure, heart attack, or cancer. You can check with the insurer on the list of critical illnesses covered when buying the health insurance policy.

Offers cashless treatment

You can avail the option of cashless claim settlement. This benefit of cashless health insurance helps you seek treatment at any network hospital without paying any cash directly to the hospital. You only need to inform the insurer 48 hours before planned admission or within 72 hours in case of emergency admission. The insurer will directly clear all the bills with the network hospital after completing the required formalities.

Reimburses ambulance charges

In case of an emergency, you may need to hire an ambulance and pay ambulance charges. Most health insurance policies provide coverage up to Rs. 3,000 per hospitalisation for road ambulance charges.

  • Family health insurance benefits
    Family health insurance offers comprehensive coverage for your entire family under a single policy. It ensures financial protection against medical emergencies for all members, including spouse, children, and dependent parents. The benefits of health insurance for families include cost-effective premiums, higher sum insured, and access to quality healthcare without financial strain. Many plans also offer maternity benefits and newborn coverage.

Additionally, health insurance policies also offer tax exemptions under the relevant sections of the Income Tax Act.

Tax benefits under Section 80D

One of the key benefits of health insurance is the tax advantage it provides under Section 80D of the Income Tax Act. You can claim deductions on the premium paid for health insurance policies covering yourself, your spouse, children, and parents. The deduction amount varies based on the insured individual’s age and policy type.

Below is a breakdown of tax benefits available under Section 80D:

Insured individuals

Maximum deduction (Rs.)

Self, spouse, and children (below 60 years)

Rs.25,000

Self, spouse, and children (above 60 years)

Rs.50,000

Parents (below 60 years)

Rs.25,000

Parents (above 60 years)

Rs.50,000

Self (below 60 years) + Parents (above 60 years)

Rs.75,000

Self & parents (both above 60 years)

Rs.1,00,000


These tax benefits help in reducing your taxable income while ensuring financial security for medical emergencies. Always check with your insurer for updated deductions and eligibility criteria.

Why is health insurance necessary?

Health insurance is a crucial financial tool that helps individuals manage medical expenses effectively. With rising healthcare costs, having a good health insurance policy ensures that you and your family receive the necessary medical care without financial strain. Below are some key medical insurance benefits that highlight its importance:

 

  • Financial security – One of the major benefits of health insurance is that it protects you from high medical expenses, reducing out-of-pocket costs during emergencies.
  • Access to quality healthcare – Health insurance provides access to the best hospitals, doctors, and treatments without worrying about expenses.
  • Hospitalisation coverage – It covers medical bills, including room rent, ICU charges, and doctor consultation fees.
  • Pre-and post-hospitalisation coverage – Covers medical expenses incurred before admission and during recovery after discharge.
  • Coverage for critical illnesses – Many health insurance plans include critical illness riders that cover severe medical conditions like cancer, stroke, or kidney failure.
  • Cashless treatment option – Most insurers provide a cashless facility at network hospitals, ensuring hassle-free treatment.
  • Ambulance and domiciliary expenses – Cover transportation and home treatment expenses if hospitalisation is not possible.
  • Tax benefits under Section 80D – Premiums paid for health insurance are eligible for tax deductions, reducing your taxable income.
  • Peace of mind – Knowing you are financially covered in case of medical emergencies helps reduce stress and allows you to focus on recovery.

 

Investing in a comprehensive health insurance plan is essential to securing your financial future and ensuring access to timely medical care

Pro Tip

Avail hospitalisation and treatment benefits with health insurance plans starting at just Rs. 15*/day.

Tips to select the right health insurance plan for you

Selecting the right health insurance plan is crucial to ensure financial security during medical emergencies. With the ever-increasing cost of healthcare, having a well-rounded policy helps cover medical expenses without financial strain. Understanding the benefits of health insurance and evaluating different plans can help you make an informed decision. Here are some essential factors to consider when choosing a health insurance plan:

  1.  Coverage requirement
    Assess your healthcare needs based on your age, medical history, and lifestyle. A good plan should cover hospitalisation expenses, pre-and post-hospitalisation costs, daycare procedures, and critical illnesses. The importance of health insurance lies in its ability to offer comprehensive protection against unforeseen medical expenses.
  2. Customization options
    Look for plans that allow customization through add-ons such as maternity coverage, personal accident coverage, and critical illness riders. Customization ensures the policy meets your specific healthcare needs.
  3. Maximum renewal age
    Some policies have an age limit for renewal, while others offer lifelong renewability. Opting for a plan with lifetime renewal ensures uninterrupted coverage, especially in old age when medical expenses are higher.
  4. Claim-settlement ratio (CSR)
    Check the insurer’s claim-settlement ratio, which indicates the percentage of claims settled. A high CSR ensures a smoother claim process, making your policy more reliable in times of need.
  5. Network hospitals and cashless treatment
    Ensure the insurer has a wide network of hospitals providing cashless treatment. This eliminates out-of-pocket expenses and ensures quick access to quality healthcare facilities.
  6. Waiting period for pre-existing conditions
    If you have pre-existing diseases, check the waiting period before the policy covers them. Choosing a plan with a shorter waiting period ensures quicker access to benefits.
  7. Co-payment and sub-limits
    Some policies include co-payment clauses and sub-limits on room rent or specific treatments. Opt for a plan with minimal restrictions to maximize your coverage benefits.
  8. No-claim bonus (NCB)
    Many insurers offer a no-claim bonus, increasing your sum insured for every claim-free year. This enhances your coverage over time at no extra cost.
  9. OPD and domiciliary treatment coverage
    Some policies cover outpatient department (OPD) expenses and home treatments when hospitalisation is not possible. This feature is beneficial for individuals who require frequent medical consultations.
  10. Tax benefits under Section 80D
    Premiums paid for health insurance qualify for tax deductions under Section 80D of the Income Tax Act, making it a financially beneficial investment.

By considering these factors, you can select a health insurance plan that provides comprehensive protection and long-term financial security.

Conclusion

A health insurance policy, in short, gives you the required financial backup at the time of need. By assessing these key health insurance benefits and comparing plans, you can make an informed decision that ensures you or your family have access to quality healthcare while protecting your finances. You can choose and buy the insurance policy as per your needs on Bajaj Finance Insurance Mall.

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Frequently asked questions

What are the advantages of buying health insurance?

There are several advantages to buying health insurance, including protection against unexpected medical expenses, access to quality healthcare services, tax benefits, peace of mind, and incentives for maintaining a healthy lifestyle. By investing in health insurance, you can safeguard your finances and ensure that you and your family are covered in case of a medical emergency. With a variety of health insurance policies available in the market, you can choose a plan that meets your specific needs and budget.

What is a ‘waiting period’ in a health insurance policy?

A waiting period is a duration during which the policyholder cannot make any claims on the health insurance policy. Generally, health insurance policies have a waiting period in the range of 30 days to four years. The duration depends on the policy and coverage chosen, also based on the insurer’s terms and conditions.

How can I buy an affordable health insurance policy?

Most health insurers today provide insurance policies online. The availability of digital insurance has made choosing the best health insurance that suits your requirements easy and convenient. You simply need to look for health insurance policies online and compare the coverages and benefits offered on the policies. Choose the one that fits your budget and offers extensive coverage. You can directly buy the health insurance policy online through any of your preferred payment modes.

Can I add my family members to the health insurance policy to get the benefits?

Yes, you can add your spouse and up to four children to the health insurance policy. You can also add your parents and parent-in-laws to the health insurance policy.

What are the features of health insurance?

Some key health insurance features include coverage for hospitalisation expenses, pre-and post-hospitalisation expenses, and the cost of treatments and surgeries. Health insurance benefits also include cashless hospitalisation, daycare procedures, and coverage for pre-existing illnesses after a waiting period. In addition, some health insurance policies offer coverage for critical illnesses, maternity expenses, and OPD expenses. You must choose a health insurance policy that suits your unique healthcare needs and offers comprehensive coverage within your budget.

What are 5 disadvantages of insurance?

While insurance provides financial security, it has some drawbacks. High premium costs can strain finances, claims may be rejected due to policy exclusions, and long waiting periods apply for pre-existing conditions. Some policies have co-payment clauses, requiring partial payments, and complex terms can make it difficult to understand coverage and benefits.

Is Rs.20 lakh health insurance enough?

A Rs.20 lakh health insurance policy is generally sufficient for most individuals and families, covering hospitalization and major treatments. However, in metro cities with higher medical costs or for critical illnesses, a higher sum insured is advisable for comprehensive protection.

Is it worth buying health insurance?

Yes, buying health insurance is highly beneficial. It provides financial protection against rising medical costs, ensures access to quality healthcare, reduces out-of-pocket expenses, and offers tax benefits under Section 80D, making it a wise investment for financial security.

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Disclaimer

*T&C Apply - Bajaj Finance Limited (‘BFL’) is a registered corporate agent of third party insurance products of Bajaj Allianz Life Insurance Company Limited, HDFC Life Insurance Company Limited, Future Generali Life Insurance Company Limited, Bajaj Allianz General Insurance Company Limited, SBI General Insurance Company Limited, ACKO General Insurance Limited, ICICI Lombard General Insurance Company Limited, HDFC ERGO General Insurance Company Limited, Tata AIG General Insurance Company Limited, The New India Assurance Company Limited, Cholamandalam MS General Insurance Company Limited, Niva Bupa Health Insurance Company Limited , Aditya Birla Health Insurance Company Limited, Manipal Cigna Health Insurance Company Limited and Care Health Insurance Company Limited under the IRDAI composite CA registration number CA0101. Please note that, BFL does not underwrite the risk or act as an insurer. Your purchase of an insurance product is purely on a voluntary basis after your exercise of an independent due diligence on the suitability, viability of any insurance product. Any decision to purchase insurance product is solely at your own risk and responsibility and BFL shall not be liable for any loss or damage that any person may suffer, whether directly or indirectly. Please refer insurer's website for Policy Wordings. For more details on risk factors, terms and conditions and exclusions please read the product sales brochure carefully before concluding a sale. Tax benefits applicable if any, will be as per the prevailing tax laws. Tax laws are subject to change. Tax laws are subject to change. BFL does NOT provide Tax/Investment advisory services.  Please consult your advisors before proceeding to purchase an insurance product. Visitors are hereby informed that their information submitted on the website may also be shared with insurers. BFL is also a distributor of other third party products from Assistance Services providers such as CPP Assistance Services Pvt. Ltd., Bajaj Finserv Health Ltd. etc. All product information such as premium, benefits, exclusions, sum insured, value added services, etc. are authentic and solely based on the information received from the respective insurance company or the respective Assistance service provider company.

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