Mediclaim Vs. Health Insurance: 5 Differences You Need To Know

A lot of individuals have the misconception that a mediclaim policy is just a basic hospitalization policy and doesn’t cover pre-hospitalization or post-hospitalization charges, but a health insurance plan will cover any costs associated with one’s health care. On the other hand, this is not the case. Coverage for particular costs is provided by both mediclaim and health insurance policies, even though the two are very different. Let’s get a better understanding of the specifics of these costs.

  1. Coverage Offered

Complete medical coverage is typically included with a health insurance plan. This type of coverage will pay for hospitalization charges, as well as pre-hospitalization and post-hospitalization costs, as well as ambulance fees, and so on. In addition to this, a health insurance plan will compensate the policyholder for any lost income that was the direct result of an accident.

Up to a certain extent, the benefits of mediclaim policieswill pay for hospitalization, treatment received as the result of an accident, and medical care for pre-existing conditions.

  1. A look at the advantages of daycare.

The use of Mediclaim policies will often be restricted to hospitalization as well as specific ailments. Surgical treatments that can be performed in a daycare setting, such as cataract removal, typically do not necessitate an overnight hospital stay. In this particular scenario, your health insurance will not cover the payments that have been incurred. Your regular health insurance, on the other hand, will pay for the costs that you incur as a result of these kinds of medical operations.

  1. Guaranteed protection for the entirety of something

When purchasing Mediclaim policies, the coverage is often capped at 5 Lakhs of Indian Rupees. The cost of Mediclaim policies is typically lower than the expenditure of a health insurance policy. This is because the amount of coverage provided by Mediclaim is restricted. However, depending on circumstances like age, region, and other considerations, a person can purchase a health insurance plan with a Sum Insured of up to fifty lakhs of rupees. The monthly payment for a health insurance policy will go up as a result of this change, but the insured population will benefit from expanded protection.

  1. Benefits for new mothers and policies governing daycare settings

Generally speaking, a medical insurance policy will pay for the expenses incurred by hospitalization in the event of certain illnesses. They are devoid of any expenditures made about charges associated with maternity, be they associated with a cesarean section or any other form of medical treatment for the child. Because receiving medical insurance requires the patient to be hospitalized, many operations that do not require the patient to be hospitalized, like cataract surgery, are not covered by medical insurance policies. These are some of the things that could be included in a claim for health insurance.

  1. Expenses incurred after discharge from a healthcare facility

Your insurance policy will pay for post-hospitalization costs such as follow-up visits to your primary care physician or the hospital, diagnostic procedures, rehabilitation and physiotherapy sessions, and other similar costs after you are discharged from the medical facility. These costs are covered by your category of post-hospitalization expenses. The majority of health insurance policies provide post-hospitalization coverage for a period ranging from sixty to one hundred and eighty days.

Conclusion 

Your needs are the most important factor to consider when choosing which option is preferable. If you have just begun earning money and are unable to spend very much at the moment, it is recommended that you sign up for a medical insurance policy. Having a health insurance plan, on the other hand, is the better choice if you are in a position to pay for the monthly premiums.