Things To Ask Before Buying A Health Insurance Plan


5 min read

If you don’t want to empty your pocket and lose all your savings on healthcare expenses, it is time to buy a health insurance plan. Let’s see the things to know before buying the best health insurance plan.

Preparing oneself to cope with future financial situations is important. One of the best things that you can do to  prepare for such situations is to buy healthcare coverage so that you can cover the rising healthcare costs during health emergencies.

However, since medical emergencies are a rare phenomena, many people feel reluctant to buy health coverage.  Many of them put the task of purchasing medical insurance to the last minute until it is very urgent.  It is important to realize that buying health insurance cover in advance ensures that you sail smoothly through difficult health situations in future. Hence, it is advised to get good healthcare coverage to avoid last minute hassles.

If you are planning to purchase a health plan, there are many things that you need to know and understand.  Generally, policy seekers have several queries to ask before buying a health plan. In this post we are discussing some such important questions that you must have the answers for before buying the best health insurance plan in India.

Top queries that people have before buying health insurance policies:

Q: What coverage will I receive under my plan?

Coverage is the list of diseases or conditions that you get protection against and you are eligible to raise claims under your health insurance plan. These are the features of your health plan and to know what precise coverage your plan offers, you must thoroughly read the policy papers given by your insurer.

What are the things to look for while choosing a health insurance plan?

Q: What Is Not Covered Under My Health Insurance Plan?

The conditions under which you cannot raise a claim for under your health insurance or you are not compensated by your insurer are called the exclusions of the policy. Exclusions are not covered under a health insurance plan.  However, exclusions under a policy vary as per the insurance provider and the policy you choose. While some exclusions may be later covered after a certain waiting period as per the terms and conditions of your health policy. So, being informed of the exclusions and restrictions under your health plan is important. You must read the offer documents carefully and clear any doubt with the insurer before purchasing a plan.

Q: Can I have my favorite physician assist me while I am hospitalized?

If you want treatment from a certain physician or a particular health facility, you have to see that the hospital of your favorite physician is included in the network hospitals of your insurance provider. If it is not included, you may check other insurers who have your preferred facility under their network hospital list.

Q: What if my requirements change? Will the same Health Insurance Policy suit me in that case?

It is very common that your health requirements might change as per your varying lifestyle and age etc. Whether you expect it or not, it is likely to happen. You may like to make certain changes in your coverage to make it useful for you and your family. For instance, you may like to shift from a regular health plan to the best health insurance plan for diabetes if you or your parents get the disease. So, in such conditions you would like to make alterations in your policy.

You can add or remove riders at the time of health insurance  renewal to make the plan suit your requirements. Or you can discuss with your insurer and make other changes as per requirement. Further, if you wish you can avail the Health insurance portability facility to port your best health insurance plan in India from one insurer to another without losing the benefits you have gained under your current plan.

Q: If I Stay Healthy Can I Expect my Healthcare Policy to Help me Save Funds?

If you stay in good health and do not use your health insurance plan during a policy year, you would be eligible for NCB or No Claim Bonus benefits. NCB is a monetary gain that is offered to the policyholders for every claim-free year under their health insurance. So, you can use this reward to lower your health policy premium and gain monetary benefit under your health plan. Further, you can use the health insurance plan calculator to calculate the premium you can save with your NCB discounts.

Q: How do the Claims Conflicts in Insurance Manage?

Every health insurance policy allows ways to the insured or policyholder to challenge the insurer in case their health insurance claim is denied. Many such methods require that the insured bring forth their disagreement with the insurer before an arbitrator who is a neutral third party person. This arbitrator would listen to the issues of both sides and will make a judgment. You may ask your insurance company to find out how much time it takes to resolve claim disputes.

Q: How much will my Healthcare Treatment cost me?

If you have undergone a particular treatment and applied for claims, you may have to pay the compulsory deductibles from your pocket. However, it depends on the policy terms and conditions as well as the insurer as to how much deductible you may be paying. You can discuss the same with your insurer prior to buying the health insurance cover. Try to seek more information regarding this and the proportion of cost that the insurance policy would pay at the time of buying the policy.

Read More: Choose Your Health Insurance Plan Wisely: Follow this Medical Insurance Guide

To Conclude

A health insurance plan allows monetary independence at the time of unforeseen incidents.  Thus, it requires careful thinking while purchasing a health plan. The policyholder must be aware of the benefits  that he/she is entitled to before buying the plan. You may also compare and research plans before choosing the best health insurance plan for your family.

When you decide to buy a health insurance policy, the questions mentioned above would guide you in taking the best decision.

Found this post informational? Browse PayBima Blogs to read interesting posts related to Health Insurance, Car Insurance, Bike Insurance, Term Life Insurance and Investment section. You can visit PayBima to Buy Insurance Online.


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Sep 06, 2022
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PayBima Team
PayBima is an Indian insurance aggregator on a mission to make insurance simple for people. PayBima is the Digital arm of the already established and trusted Mahindra Insurance Brokers Ltd., a reputed name in the insurance broking industry with 17 years of experience. PayBima promises you the easy-to-access online platform to buy insurance policies, and also extend their unrelented assistance with all your policy related queries and services.

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