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Introduction
Jamshedpur is the most prominent city in the state of Jharkhand. It was the first planned industrial city in the country and was founded by Mr Jamshetji Tata in the year 1900. The city was originally known as Sakchi but was renamed after Mr Tata in his honour in the year 1919. The city is consistently ranked as among the cleanest city in the country and eventually topping the list in the year 2020.
The health insurance sector in the city includes many private and public or Government hospitals. These hospitals provide good health care services to the residents of Jamshedpur and help them with their medical needs. The health industry however has a lot of scope for improvement so it can be effective and efficiently accessed by all the residents of the city.
Given below are a few details related to the health insurance plans and needs in the city of Jamshedpur.
What is health insurance?
Health insurance is one of the many types of insurances that are available for the residents of Jamshedpur. These plans help the residents by providing them with a safety net against any medical emergencies or any diseases or illnesses that may be difficult to treat or maybe too expensive for the insured person. These health insurance plans can be available for the individual and their family members. The list of family members includes the parents of the person, spouse and children.
Additional Reading: What-are-the-four-types-of-health-insurance
Health insurance plans can be of many types. Some of the basic health insurance plans available for the residents of Jamshedpur include,
Individual Health Insurance Plan
Individual health insurance plans are the most easily available health insurance plan. These plans are also commonly known as medical plans. The coverage for the plan includes the medical expenses for any treatment or hospitalization.
Family Floater Health Insurance Plan
This is one of the most common types of health insurance plans available to the residents of Jamshedpur. This insurance can provide cover for the entire family.
Disease-Specific Health Insurance Plan
This type of health insurance plan is available specifically to manage any specific diseases or illnesses. These plans are formulated especially for people who may be prone to specific diseases either directly or indirectly.
Critical Illness Health Insurance Plan
This type of health insurance plan is available to cover any life-threatening diseases like cancer, stroke, kidney-related ailments, etc. Every insurer has its own list of specific illnesses or diseases that are included under this type of plan.
Senior Citizen Health Insurance Plan
This type of health insurance plan is available specifically for senior citizens. This dedicated plan will help cover all the medical needs of the senior citizens specifically and without them being just an extended cover in a Family Floater Plan.
Group Insurance Plan
This plan is provided by the employer for their employees. It acts as a blanket medical cover for the employees and often includes their family members as per the guidelines of the insurer.
Additional Reading: Types-of-health-insurance-plans
What are the basic health insurance plans for Covid 19 treatment?
IRDAI has come out with a few basic health insurance plans that can be used to meet the treatment expenses for Covid 19. These plans are now provided by every insurer in the city. The basic details of these plans are provided below.
Corona Kavach Policy
This plan is an indemnity based health insurance plan. It covers the cost of hospitalization (provided the hospitalization is for a minimum period of 24 hours), home treatment for Covid 19, AYUSH treatment up to Rs. 5,00,000. The eligibility for these plans is from 18 years to 65 years and is available in individual and family floater plans. The minimum sum assured is Rs, 50,000 and the maximum sum assured is 5,00,000. The plan offers a discount of 5% on premium for the health care workers and doctors. The cost of PPE kits, gloves, masks, ventilators, oxygen cylinders is also compensated under this plan.
Corona Rakshak Policy
This is another form of health insurance policy that is available for the residents of Jamshedpur. Under this policy, the individual is paid the lump sum amount under the policy for hospitalization of minimum of 72 years. The period of the policy is usually between 3.5 months to 9.5 months. The sum assured ranges from Rs. 50,000 to Rs. 2,50,000. The plan offers a discount of 5% on premium for the health care workers and doctors.
FAQs – Health insurance in Jamshedpur
1. What are the conditions for settlement of claim related to Coronavirus?
A. Some of the conditions related to the settlement of the claim for Coronavirus are mentioned below.
- The claim will not be paid if the policy is being taken upon having a Covid diagnosis. The new policy will have a waiting period and subsequent infection will qualify for a claim.
- The claim will not be settled if the insured person has been diagnosed to is being treated for Covid 19 during the waiting period.
- The claim will also not be settled if the individual is infected by any family member who has recently travelled to a country that has been restricted for travel as per the current Covid 19 guidelines.
2. What are the various inclusions in a standard health insurance plan?
A. The standard inclusions in any health insurance plan are,
- In-patient hospitalization expenses
- Home treatment or at domiciliary hospital
- Ambulance charges
- Pre-existing illnesses or diseases
- Health check-ups
- Donor expenses in relation to any organ transplant
- Maternity or newborn benefits
- Daycare procedures
- Pre and post hospitalization
3. What are the standard exclusions from any health insurance policy?
A. The common exclusions from any health insurance policy include,
- No claim settlement, unless a case of accidental emergency, within the waiting period.
- No coverage for maternity or newborn unless a rider is in place for the same
- Dental surgery
- Eye surgery
- Cosmetic or plastic surgery, sex-change surgery, hormone replacement, etc.
- No coverage for any critical illnesses or pre-existing diseases prior to the waiting period of 2 to 4 years.
- Treatment that is taken abroad or through any underqualified doctor
- Non-allopathic treatment
4. Is the reputation of the insurer an important factor to be considered while taking a health insurance plan?
A. Yes. The reputation of the insurer is important as it will safeguard the insured person against any hassles in the claim settlement process or caution against the intention of the insurer to not honour settlement.
5. Can a person avail health insurance for their parents?
A. yes. There are special health insurance plans for senior citizens that can be bought for parents of any person if they are senior citizens. Alternatively, parents can also be incl8ded in the family floater plan.