Health insurance: insurance against vector-borne diseases


Some insurers offer coverage for day care, coverage for medical expenses incurred for up to 30 days during the pre and post hospitalization period, and even automatic recharge of the sum insured if it is exhausted due to multiple claims.

During the monsoon, it is important to take stock of the health risks you face from various vector-borne diseases that are very common across the country. Such diseases can become fatal if proper care is not taken. If an individual does not have a comprehensive health insurance policy, they should ideally purchase specific vector insurance for themselves and their family, which can take care of any financial setbacks that may arise due to medical treatment for them. vector-borne diseases such as dengue, malaria, etc.

For example, the cost of treating dengue can vary between Rs 30,000 and Rs 2 lakh. In addition, if one has full health insurance coverage with a low insurance sum, then he can purchase the specific vector policy as additional coverage, especially if he lives in an area where the spread of such diseases. disease is common.

In addition to the specific vector-borne coverages, commonly known as dengue policies offered by general insurers and health insurers, the insurance regulator has asked all general insurance companies to launch a standard health policy against vector-borne diseases. to cover dengue, malaria, filariasis, kalaazar, chikungunya, Japanese encephalitis and zika virus.

Specific vector care insurance
In vector care policies, insurers pay a lump sum payment in the event that the insured is diagnosed and hospitalized for a minimum period of 24 hours due to disease caused by vectors. To subscribe to the guarantee, insurers do not require any pre-insurance medical examination, regardless of the sum insured and the age of the insured. The sum insured can range from Rs 10,000 to Rs 1 lakh and is offered on both individual and floating sum insured. The insurers pay a lump sum indemnity corresponding to 100% of the sum insured if the policyholder is hospitalized due to a particular disease with vector transmission. There will be no charge on premiums for adverse claims experience.

The minimum policy term is one year for all insurers, and some insurers offer the policy for a three-year period. For long-term policies, the insurer offers discounts of up to 10% on the premium. Typically, the premium for policy coverage of Rs 10,000 sum insured would be Rs 150-250 per person per year depending on the inclusion and exclusions made by the insurance company. Likewise, for an insured sum of Rs 1 lakh, the premium would be between Rs 1,200 and Rs 1,500 per person per year. The maximum entry age is generally 65 and can be renewed for life. These policies have an initial waiting period of 15 days from the date the risk begins.

Some insurers offer coverage for day care, coverage for medical expenses incurred for up to 30 days during the pre and post hospitalization period, and even automatic recharge of the sum insured if it is exhausted due to multiple claims.

Standard vector-borne disease policy
Standard vector-borne health coverage called Mashak Rakshak is a fixed benefit health insurance policy, which pays a lump sum compensation equal to 100% of the sum insured when a claim is made to require hospitalization of a minimum continuous duration. 72 hours. The standard policy is offered on both an individual and face amount basis, where the minimum is Rs 10,000 and the maximum is Rs 2 lakh. The duration of the contract is fixed at one year and can be renewed each year.

The policy has diagnostic coverage where 2% of the sum insured is paid on a positive diagnosis of vector-borne disease covered by a laboratory test and confirmed by a doctor. An insured person is only paid for diagnostic coverage for each illness once per insurance year. The price is set by the insurer and no deductibles are allowed in this product. Although the Indian Insurance Regulatory and Development Authority mandated all general and health insurance companies to offer this use and classification product by April 1, insurers have been slow to launch it. .

What should you do
While comprehensive health insurance coverage with an adequate sum of insurance combined with a cost-effective supplemental policy is ideal for covering almost any type of medical eventuality one may face, disease-specific coverage such as a policy vector transmission can be useful in the event that one does not have comprehensive coverage with sufficient insurance sum.

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