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Wellness Benefit vs OPD Benefit in Health Insurance: The Difference

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Health insurance in India provides comprehensive benefits to the policyholder. Features like wellness and OPD benefits go beyond just financial protection and focus on offering quality health care.

While the wellness benefits cover preventative care, the OPD benefits cover routine...

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How Policy Tenure Helps Reduce Waiting Period for Joint Replacement?

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In India, health insurers impose a waiting period as a check against opting for coverage on the onset of a high-cost claim. A policy tenure is the continuous length of time you have held a health insurance policy.

It helps reduce...

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Can I Get Coverage for Myocarditis?

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Myocarditis is a heart condition that involves inflammation of the heart muscle and can range from mild to severe. In some cases, it may require hospitalisation, medications, and ongoing monitoring. Since treatment costs can be high, many individuals wonder whether...

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Can I Get Health Insurance for Celiac Disease?

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Celiac disease is a type of chronic autoimmune condition that affects how the body reacts to gluten. You need lifelong dietary control to manage it, and in certain cases, medical treatment is also required. This raises the question, "Can you...

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Can Employees Opt Out of Group Health Insurance?

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Employer-provided health insurance is a benefit most people automatically rely on. It is convenient and simple to manage because the company handles most of the work. Nonetheless, it might not be applicable to the needs of everyone.

In most instances, employees...

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Can an ESIC Employee Also Buy Private Health Insurance?

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ESIC (Employees’ State Insurance Corporation) employees have access to medical benefits through a government-sponsored program. The ESIC system restricts medical treatment options because it does not allow patients to select their preferred hospitals and their additional medical services.

This is why...

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How is Ayushman Bharat Different from Private Health Insurance?

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Making a decision between Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) and personal health insurance may be confusing. Everyone wants good healthcare for their family, but also wants to keep costs under control.

Ayushman Bharat is a government initiative to...

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Can a Health Insurer Charge an Extra Premium for Pre-existing Diseases in India?

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Although health insurance is an important form of financial coverage, people with medical conditions often pay higher premiums. In India, insurers may charge an additional premium for pre-existing conditions, but this is tightly regulated to maintain transparency, fairness, and informed...

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Are Congenital Kidney Diseases Covered Under Insurance?

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Congenital kidney disease is a condition that is present at birth and affects the functioning of the kidney. It often requires long-term treatment, proper dialysis, and even a transplant. One of the major concerns of families is whether health insurance...

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Are Hormonal Imbalance Treatments Covered by Health Insurance?

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Hormonal imbalance can affect metabolism, mood, and reproductive health as well. But when it comes to treatment costs, one common question is “Does health insurance actually cover hormonal imbalance treatment?” Well, the answer is not a simple yes or no.

The...

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