{"id":1136,"date":"2022-01-28T17:36:28","date_gmt":"2022-01-28T12:06:28","guid":{"rendered":"https:\/\/www.insurancesamadhan.com\/blog\/?p=1136"},"modified":"2025-06-18T15:47:38","modified_gmt":"2025-06-18T10:17:38","slug":"pick-right-plan-for-health-insurance-claim","status":"publish","type":"post","link":"http:\/\/www.insurancesamadhan.com\/blog\/pick-right-plan-for-health-insurance-claim\/","title":{"rendered":"How to choose the right health insurance plan for your needs?"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_76 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"http:\/\/www.insurancesamadhan.com\/blog\/pick-right-plan-for-health-insurance-claim\/#Jot_down_your_needs\" >Jot down your needs<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"http:\/\/www.insurancesamadhan.com\/blog\/pick-right-plan-for-health-insurance-claim\/#Compare_all_the_Health_Insurance_Plans\" >Compare all the Health Insurance Plans<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"http:\/\/www.insurancesamadhan.com\/blog\/pick-right-plan-for-health-insurance-claim\/#Check_the_sub-limits_and_exclusions_in_Health_Insurance\" >Check the sub-limits and exclusions in Health Insurance<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"http:\/\/www.insurancesamadhan.com\/blog\/pick-right-plan-for-health-insurance-claim\/#Additional_Benefits\" >Additional Benefits<\/a><\/li><\/ul><\/nav><\/div>\n<p style=\"font-weight: 400;\">Anuj Verma is in serious trouble. He recently lost his job due to Covid-19 as his company downsized the employee strength to cut expenses. Anuj only had corporate health insurance that covered him and his family. With the job gone, he wishes to buy a family health insurance plan but is confused about the process. If you are in a similar situation, this quick guide may help you choose the right insurance for your needs:<\/p>\n<h3 style=\"font-weight: 400;\"><span class=\"ez-toc-section\" id=\"Jot_down_your_needs\"><\/span><strong>Jot down your needs<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p style=\"font-weight: 400;\">Know your needs first. Some of the questions that you must keep in mind while choosing a health insurance plan could be:<\/p>\n<ul>\n<li style=\"font-weight: 400;\">Whether you want a family or an individual health insurance plan?<\/li>\n<li style=\"font-weight: 400;\">How much coverage do you want?<\/li>\n<li style=\"font-weight: 400;\">What would be the amount of premium you can afford?<\/li>\n<li style=\"font-weight: 400;\">What kind of hospital network coverage do you wish for?<\/li>\n<li style=\"font-weight: 400;\">How much waiting period would be okay if there is a member with a pre-existing illness?<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><center><a href=\"https:\/\/www.insurancesamadhan.com\/register?utm_source=google&amp;utm_medium=organic&amp;utm_campaign=blog_banner&amp;utm_content=http%3A%2F%2Fbit.ly%2F2kuc159\"><img decoding=\"async\" src=\"https:\/\/www.insurancesamadhan.com\/assets\/img\/contact.png\" alt=\"Get Resolutions for Insurance Complaints\" \/><\/a><\/center><\/p>\n<p style=\"font-weight: 400;\">Answering these questions will help you look for the most suitable health insurance plan.<\/p>\n<h3 style=\"font-weight: 400;\"><span class=\"ez-toc-section\" id=\"Compare_all_the_Health_Insurance_Plans\"><\/span><strong>Compare all the Health Insurance Plans<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p style=\"font-weight: 400;\">Compare the shortlisted plans on features such as cashless facility, room-rent, hospitalisation charges, pre, and post-hospitalisation facilities, illness and injuries covered, the network of hospitals, physical therapy, loyalty bonus, mental health care, unlimited restoration for unrelated illnesses, cumulative bonus booster, rewards for healthy lifestyle and more.<\/p>\n<p style=\"font-weight: 400;\">You must also keep in mind the claims settlement ratio and the time taken to settle a claim by the insurance providers. A higher claim ratio indicates less time taken by the insurance company to settle a claim. You can make use of insurance aggregator websites to compare several plans to find an optimal plan for yourself.<\/p>\n<h3 style=\"font-weight: 400;\"><span class=\"ez-toc-section\" id=\"Check_the_sub-limits_and_exclusions_in_Health_Insurance\"><\/span><strong>Check the sub-limits and exclusions in Health Insurance<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p style=\"font-weight: 400;\">There are two major sub-limits that you should keep in mind \u2013 i) room-rent limit \u2013 Most health insurance policies come up with a limit on room rent that they can cover. For example, if the room rent limit is Rs 4,000 and you get admitted to a room charging Rs 6,000, then you will have to bear the remaining Rs 2,000 for each day that your hospitalised. Choose a policy without room-rent limit; ii) Disease-specific limits \u2013 Your health plan may not cover the treatment charges to its entirety. For example, cesarean delivery could be covered only up to Rs 50,000 even though the overall health cover could be of Rs 10 lakh. Enquire about such limits.<\/p>\n<p><center><a href=\"https:\/\/www.insurancesamadhan.com\/register?utm_source=google&amp;utm_medium=organic&amp;utm_campaign=blog_banner&amp;utm_content=http%3A%2F%2Fbit.ly%2F2kuc159\"><img decoding=\"async\" src=\"https:\/\/www.insurancesamadhan.com\/assets\/img\/contact.png\" alt=\"Get Resolutions for Insurance Complaints\" \/><\/a><\/center><\/p>\n<h3 style=\"font-weight: 400;\"><span class=\"ez-toc-section\" id=\"Additional_Benefits\"><\/span><strong>Additional Benefits<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p style=\"font-weight: 400;\">Apart from the basic health insurance benefits, you may look for a plan that offers you additional benefits such as buyback riders, outpatient department (OPD) cover and top-up plans that offer you higher coverage. A buyback rider helps you reduce waiting periods on certain diseases. Similarly, you may opt for OPD cover on extra premium. Besides, top-up and super top-up plans help you get higher coverage at affordable rates.<\/p>\n<p style=\"font-weight: 400;\">Make sure that you understand all features of your health plan, which should surely meet your medical needs and of your family.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Anuj Verma is in serious trouble. He recently lost his job due to Covid-19 as his company downsized the employee strength to cut expenses. Anuj only had corporate health insurance that covered him and his family. With the job gone,&hellip; <a href=\"http:\/\/www.insurancesamadhan.com\/blog\/pick-right-plan-for-health-insurance-claim\/\" class=\"more-link\">Continue Reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":1137,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","footnotes":""},"categories":[3],"tags":[],"class_list":["post-1136","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-insurance"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Pick Right Plan for Health Insurance Claim<\/title>\n<meta name=\"description\" content=\"Make better choices for a smooth health insurance claim process. 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