Children Health Insurance

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It is the dream of every parent to secure the future of his or her children but with the gradually rising expenses nowadays it has become a tough dream to fulfill properly.

With children health insurance plans it is possible for people to at least make sure that all the medical expenses of their wards are properly taken care of in the future.

In these plans the eligible children are provided medical care through well planned health plans and they can visit doctors and hospitals that are part of their service provider's network for any and every medical requirement.

In certain children's health insurance plans, a retroactive coverage of an already specified period is provided if the child is found to be eligible for the said benefit.

In India these plans also cover boarding, diagnostic, and nursing costs and include nursing home or hospital rental expenses and fees of surgeon, doctor, or anesthetist.

Benefits of children health insurance
Some of the various expenses covered by the children health insurance plans may be mentioned as below:
  • Checkups on a regular basis
  • Dental care
  • Immunizations
  • Eye care
  • Hospital care
  • Specialty care
  • Emergency care
  • Medical equipment
  • Prescribed medicines
Things to do before buying a children's health insurance policy
The guardian or parent availing the plan needs to fill a detailed form that contains the total medical history of the child, and if the need arises, of the parents or guardians as well. This history is normally used by the service providers to determine the following issues:

  • Whether they will be providing the policy or not
  • Even if it is provided, how much will the premium be?
Parents and guardians need to remember the fact that not every ailment is covered by each insurance provider in India. Normally, these organizations have a previously specified list of diseases that they cater to.

The coverage amount provided in certain cases may not also be to the liking of the people availing the policies. So they need to do ample research especially if their wards are suffering from a critical disease and try and make his future a little more secure.

However, the following conditions are normally covered by majority of the children's health insurance providers:
  • Heart attacks
  • Loss of bodily organs owing to accidents
  • Strokes
  • Injuries
  • Continued illness
  • Medicines
The parents/guardians also need to be aware of the following aspects of health insurance for their children:

  • Limitations
  • Riders
  • Exclusions
There are certain children's health plans that offer a specified cash amount on a daily basis for every day that an insured child spends at the hospital to get treated.

However, if the child has a history of continued ill health and consequently long stays at hospital then it may not be covered. In certain policies, if the child gets admitted to the hospital within 30 days of availing the policy, then that expense will not be reimbursed. However, an exception may be made in case of injuries or accidents.

Ideal age for getting children health insurance plans
As far as the parents are concerned, it is better to avail a health policy for children when they are still working. It is always better if both the parents are working so that they can get different plans for their children and ensure an even greater and better coverage for them.

With regards to the children, the 3rd year is the ideal time as most kids start going out of their houses on a regular basis from that point onwards and the chances of mishap are greater.

Children health insurance plans
MAX LIFE Insurance: The Max Life LifeLine Healthy Family Plan is a good option for those looking to secure their wards' health. Even though this policy is primarily for all the family members of a policyholder the sum can be used for the kids as well. Some of its benefits may be mentioned as below:

  • Yearly automatic increase of 5% in surgical cash benefits
  • Coverage against 38 major ailments
  • Coverage can be extended till 75 years - renewal is guaranteed
  • Benefits related to congenital surgery
  • Hospital cash benefits and cashless hospitalization
  • More than 430 surgeries covered
  • Premium rate is guaranteed for blocks of 5 years
Apollo Munich Health Insurance: With the Easy Health Family Insurance Plan policyholders can secure their children health wise and better still, all this can be done at economic rates.

The coverage provided in this family is between INR 2 lakh and INR 10 lakh. It provides the following benefits:
  • Evaluation of health risk
  • Primary discussion with experts
  • Health advices
  • Information on health, diet, and nutrition
Children from the age of 5 years are covered under this program. However, if both parents have availed the program then the child can be insured when he or she turns 91 days old. The cover, though, will be applicable only for a 1 year period.

Bajaj ALLIANZ: With the Family Floater Health Insurance policy of Bajaj ALLIANZ the policyholders can insure their children against the following expenses:

  • Hospitalization
  • Medicines
  • Doctor's fees
  • Ambulance
  • Diagnostic tests
ICICI Lombard: The Family Protect Premier health insurance of ICICI Lombard helps the policyholders in the following ways:

  • Detailed coverage
  • Zero co payments for hospitalization costs or disease related expenditure
  • Cashless facility at more than 4 thousand hospitals across the country
  • Since there is an option for free health check up coupons it can be availed for the insured children
  • Top class claims settlement processes
  • Convalescence benefit
  • Zero sub limits for room rent, hospital expenses, and fees of doctors
  • Daily cash benefits
IFFCO-TOKIO GENERAL INSURANCE: The Swasthya Kavach (Family Health Insurance Policy) is a good option for people who are looking to ensure a safe future for their wards. Following are some of its benefits:

  • Pre hospitalization costs
  • Local ambulance service
  • Hospitalization expenses
  • General health check-up
  • Day care surgeries covered
  • Cumulative benefits
  • Daily allowance to meet hospitalization expenses
  • Benefits as per Section 80D of Indian Income Tax Act
  • Emergency assistance service
The following table lists some other health insurance plans that can be used for children:

MetLifeMet Health Care Met Health Cash
National Insurance CompanyStar National Swasthya Bima Policy UCO Medi + Care Bima Policy BOI National Swasthya Bima Baroda Health Policy
Reliance General InsuranceReliance HealthWise
Royal Sundaram General InsuranceFamily Good Health
Star Health InsuranceFamily Health Optima
New India AssuranceFamily Floater Mediclaim Policy
Oriental InsuranceHappy Family Floater
Cholamandalam MS General InsuranceFamily Healthline Family Health
FUTURE GENERALIFuture Health Suraksha Family
Universal Sompo General InsuranceGroup Health Insurance Policy
Bharti AXA General InsuranceSmart Health Insurance Smart Health Essential Insurance
L&T Insurancemy:health Medisure Prime Insurance
RELIGARE Health InsuranceCare

Last Updated on 03/08/2011

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