Health Insurance in Pune

Consumables

Consumables are one-time use items whose cost is not usually covered under health insurance plans. Common examples include bandages, masks, gloves, etc.

Preferred Provider Network

Preferred provider network is the network of selected hospitals with which the insurance company has a tie-up. If you get admitted in any hospital within the network, you will get a cashless treatment.

Pre-existing illness/disease

A pre-existing illness/ disease is a medical condition that you already suffer from when you are buying a fresh health insurance policy. Common examples include diabetes, hypertension, asthma, etc.

Pre-policy medical check-up

A pre-policy medical check-up is a health check-up conducted before the health insurance policy is issued. Insurance companies ask for such check-ups if the insured’s age exceeds a preferred limit and/or you choose a higher sum insured.

Co-payment

Co-payment is a mandatory contribution; you pay a percentage of the claim (e.g., 20%) while the insurance covers the remainder. It's commonly used for seniors or treatments in higher-cost zones.

Sum insured restoration/recharge/ reinstatement

Certain health insurance policies offer a restoration feature, which reallocates the sum insured when it's exhausted by previous claims in a policy year. This is beneficial if you face multiple claims, ensuring coverage is restored for subsequent incidents.

Individual vs family floater policy

In an individual policy, each family member has an independent sum insured, unaffected by others' claims. In contrast, a family floater policy offers a shared sum insured for all members, but once one member claims, the coverage for others decreases accordingly.