Health insurance renewal: key points on sum insured and terms

As health insurance policy renewal season approaches, policyholders must review their sum insured, policy terms, and evolving healthcare needs before renewing. The sum insured should be sufficient to cover current medical costs,…

As health insurance policy renewal season approaches, policyholders must review their sum insured, policy terms, and evolving healthcare needs before renewing. The sum insured should be sufficient to cover current medical costs, which have risen due to inflation and new treatments. Experts suggest considering a top-up plan if the existing cover is inadequate.

Health insurance renewal: key points on sum insured and terms

Policy terms such as waiting periods, co-payment clauses, and sub-limits on room rent or specific treatments need careful examination. Changes in personal health, family size, or lifestyle may require adjustments to the policy. Policyholders should also check for any new features or discounts offered by insurers at renewal.

Renewing on time is crucial to avoid a break in coverage and the reapplication of waiting periods. Comparing plans from different insurers can help in finding better benefits or lower premiums. The decision should balance adequate coverage with affordable premiums.

Indian Opinion Analysis

The key driver for health insurance renewal is the widening gap between typical sum insured and actual hospitalisation costs in India. A 2023 IRDAI circular pushed for standardisation of policy wordings, but sub-limits on room rent and disease-specific caps remain common, often catching policyholders off guard. With medical inflation running above 10% annually, a Rs 5 lakh cover from five years ago may now cover only basic procedures. Policyholders should also watch the regulator's ongoing consultation on allowing smaller insurers to offer more flexible products, which could broaden choices at the next renewal cycle. The real decision hinges on whether the insurer's network hospitals and cashless process meet current needs.


Source: livemint.com

This brief was synthesised by AI from the source linked above.

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