Insurance FAQs

What is Deductible amount?

A deductible is an amount that a policyholder has to pay before the insurance company starts paying up. In the case of base health policies deductible amount is generally nil. In the case of a Super top-up purchased over base health policy, the deductible amount is 1/2/3/5 Lakh as per base health insurance plan or customer choice.

What is Waiting period?

Waiting period is the time span during which you cannot claim some or all benefits of the health insurance from your insurance provider i.e. you must wait for a specified amount of time before you make a claim.

In the case of Super top-up

• Zero days waiting period for accidents and injuries hospitalization
• 24 months waiting period for named ailments and pre-existing diseases
• 30 days waiting period for all other treatments and hospitalization

Pre-existing Diseases

Any condition, ailment, injury or disease that   is  diagnosed   by   a   physician   within 2 years   prior   to   the date of the policy issued by the insurer

Initial wait period

Expenses related to the treatment of any illness within 30 days from the first policy issuance date are not covered.

Copay

Health insurance copay refers to an arrangement in which the policyholder will need to pay a portion of the medical expenses on their own and the insurance company will pay the remaining amount.

TAT in insurance

TAT means Turn Around Time. It is the amount of time insurers or TPAs take to acknowledge, revert and resolve your grievance or claims There are different TATs for different issues. You can check it out here