Introduction to surgery and critical illness plan

No one could accurately predict about his condition of health in future. When we talk about health
problems, those do not include seasonal flu, minor hurt, and injuries. Illness could come in serious forms
threatening life and the future of victims entire family. The insurance companies in India have now
come up with health policies to bail out the diseased and his family from the drastic consequences of a
serious and terminal illness. The surgery and critical illness plans have ample scope in them to
compensate the sufferers family in event of his death. Besides this, such plans also cover the cost of
heavy medical expenses incurred during treatment.
How do the expenses for critical illnesses get covered?
Direct reimbursement- After the patient spends for the treatment in the hospital he could submit all the
bills with the insurance company and get reimbursement of the bills.
Cashless facility- In this, the insurance company directly pays for the expenses as the surgery or
treatment take place at the place, which is in the network of insurance provider.
Diseases covered by Critical illness plans in health insurance
Cancer, initial artery hypertension, stroke, first heart attack, paralysis, and paralysis are some of the fatal
illnesses covered under the health insurance schemes.
Lets have glances at the insurance policies available in India for the coverage of surgery and critical
illness. All such schemes in insurance have different provisions to take care of the terminally ill patients.
Types of plans

Cashless or
reimbursement
after surgery or
treatment

Types of
coverage
available under
a single plan

Medical
Insurance plans

Under this, the

person gets the
reimbursement of
medical expenses.

Such policy could

either come in
the category of
overseas medical
insurance and
group or
individual
medical
insurance.

Group Mediclaim

This mediclaim
plan is popular in
the organizations,
which want to

Such plans give

financial
coverage of
medical

Limit in
reimbursement
of expenses

Any special attraction in the

scheme of health insurance

Such plans do
not go by any
fixed limit.

Such plans are most common

among the categories of plans
available.

There is no
prescribed limit
under this for

This is very popular in the small

and medium- sized enterprises.

provide healthcare
to its employees
for fatal diseases.
The expenses get
reimbursed by the
company.

treatment. No
fixed sum is
available under
such plans.

Mediclaim for
single individual

This is the simplest

policy available in
policy bazaar. The
patient gets
compensation up
to the sum assured
in the policy. The
patient receives
reimbursement up
to a fixed limit.

This policy is
available under a
single category.

For instance, if
the sum assured
in the policy is Rs
1 lakh the
patient could get
reimbursement
up to this limit

This is a low premium policy,

which is affordable by common
people.

Family floater
plans

This is a family
health policy and
under this
members of a
family could claim
reimbursement of
expenses for a
fixed sum in a
particular year.

This policy is
available for the
health of a
family.

Suppose, in a
year if the
prescribed limit
is 10 lakh rupees
and once a
member claims
Rs 3 lakh, he
could claim the
rest 7 lakh only
for that year.

This is the most popular policy

available in the market with
relatively less premium.

Unit linked health

plans

This is a health
insurance plan as
well as an
investment. This
gives
reimbursement of
expenses plus
return in the end of
the policy.

This investment
based health
plan comes in
single category.

The limit of
reimbursement
goes as per the
policy.

It is not only a good health care

plan but an investment that gives
good return to the policy holder
in the end of the policy period.

coverage.