FAQ Overview

Travel Insurance » General

Why do I need Travel Insurance?

One usually travels abroad for various reasons- a pleasure trip, a business trip, a study trip etc. You do not want anything to ruin your hard earned holiday, foreign study or your crucial business meeting. But there is a possibility of some unexpected occurrence no matter how perfect the planning is. Unfortunate events such as baggage loss, passport loss, a medical emergency or an accident can affect you. Having Overseas Travel Insurance protects you from all such perils. It ensures that in the unknown foreign land, you are not left stranded in any kind of an emergency.For detailed coverages you can visit our site.

http://www.insurancepandit.com/travel/travel_insurance.php

Author: InsurancePandit
Last update: 1970-01-01 01:00


Who can take travel insurance?

Author:
Last update: 1970-01-01 01:00


Is travel insurance mandatory for all countries?

Travel insurance is mandatory for Schengen visa countries. The Schengen visa basically allows the visa holder to travel to any (or all) member countries using one single visa, thus avoiding the hassle and expense of obtaining individual visas for each country. This is particularly beneficial for persons who wish to visit several European countries during the same trip.

Travelers obtain the visa from the Consulate of the country of their main destination. If your main destination cannot be determined, the country you first enter is responsible for granting your visa.

One thing many travelers may not know about the Schengen visa application process, however, is that they must provide proof of health insurance to obtain it. The insurance is designed to pay expenses that might arise in connection with repatriation for medical reasons, urgent medical attention, and/or emergency hospital treatment.

Since June 2004, travelers who are subject to the visa requirement to stay or transit in one or several Schengen countries must demonstrate, in support of their visa application that they are in possession of adequate and valid travel insurance. In other words, without travel insurance, the visa will not be issued.

Two different Schengen visas require travel insurance

The short stay visa (category C), is the most common Schengen visa, issued for purposes of tourism, business, family or private visit or to get married. The transit visa (category B) is issued to entitle travelers who are going from one outside State to another outside State to pass through the territories of the Schengen states. Category A, the airport transit visa, does not require travel insurance.

Though all Schengen countries are in Europe, travelers should not confuse Schengen countries with European Union (EU) countries. Schengen and EU demarcate two different agreements between European countries. The Schengen area consists of 15 countries within the Europe zone: Austria, Germany, Belgium, Denmark, Finland, France, Greece, Iceland, Italy, Luxemburg, Norway, Portugal, Spain, Sweden and The Netherlands.

Certain states, two of them being significant members of the European Union (the United Kingdom and Ireland), do not belong to the Schengen area. Two other countries, Norway and Iceland, while not members of the European Union, are nevertheless part of the Schengen area. In regards to France and the Netherlands, the Schengen Convention only applies to their European territories. The Principality of Monaco, for example, allows entry on its territory without any formality to the holder of a Schengen visa.

Schengen visa insurance requirements:

Medical insurance for the Schengen visa must meet the following requirements:

1. Medical coverage of at least Euro 30,000.

2. Medical evacuation/ repatriation must be covered.

Schengen visa insurance can be easily bought online from www.insurancepandit.com with medical coverage typically purchased in limits of $50,000; $100,000; $250,000 and $500,000. The policy document can then be shown to the Consulate from which you are applying for a visa and also carried with your throughout your trip to the Schengen countries.

It would be a wise idea to carry traveler’s insurance no matter what the destination, and this requirement for the Schengen visa should not be something travelers resist, but rather view as a welcome formality.

Even if you are travelling to countries where travel health insurance is not mandatory, it would be wise to carry traveler’s insurance as it protects the traveler in the event of emergencies or circumstances that create any type of interruption or disturbance in the trip plans. Travel insurance is basically a means to minimize the financial risks that can occur due to  Medical emergency , Trip Cancellation/Interruption , Passport loss and legal expenses , Events like delay or missed departure , loss or delay in arrival of baggage, Loss of cash, or valuables etc.

Click here to Calculate / Compare Travel Insurance Premium

Author:
Last update: 1970-01-01 01:00


What are the things to look for while choosing a travel insurance plan?

Given below are some factors you may consider while selecting an appropriate travel insurance plan.

1. Purpose of visit : Choose a plan according to your needs whether you are going for study, business, family visit, single trip or are a frequent flier, going for pilot training, professional sports etc.

2. Sublimits if any .It is very important to see whether the plan has sublimits, because if plan has sublimits, then at the time of claim you will get claim for sublimits given in plan, for example if plan says room rent sublimit of $500 per day,it means for room rent, you will get $500 only, and if you have taken room with higher room rent then balance has to be borne by you.

3. If your stay is likely to be extended, choose a plan which is extendable and also see premium for total duration as some companies charge extension premium for your total stay i.e original period and extended period minus premium already paid.Plans for shorter duration are cheaper and as duration increases it becomes expensive.It is advisable to get from us extension premium if your stay is likely to be extended.

4. If your stay is likely to be cut short i.e you are not sure about travel duration , choose a plan where there is an option of refund on early return.As sometimes you know your parents has plans to stay for six months and somehow they have to come back early due to any reason whatsoever it may be,in that case if you have chosen plan with early refund option then you can save money.

5. If you have a pre existing condition, select a plan which covers the same in emergency situations to make the person stable.

6.Per illness limit if any.If a plan has such a condition, it means for any one illness you will get claim upto per illness limit given in plan.For example if plan chosen by you says per illness limit is $10000,then you will get only $10000 for any one illness, even if you have chosen plan for higher sum insured, so it is very important to see that plan has per illness clause or not ,as virtually you are taking higher sum insured but practically you will get claim for any one illness upto the limit mentioned in the policy.

7.Co pay if any. If your plan has co pay clause ,it means for every claim you have to pay co pay limit given in the plan.For example, your plan says co payment of 10% ,it means for every claim ,you have to pay 10% and balance 90% will be paid by insurer.

 

http://www.insurancepandit.com/travel/travel_insurance.php

Author:
Last update: 1970-01-01 01:00


How to buy insurance online?

Step 1

Select the type of insurance you want to buy on http://www.insurancepandit.com and then put your details such as date of birth, sum insured etc and press on instant quote button.

Step 2

You will see the various insurance plans/options available. You can see the benefits of plans and price and compare the plan benefits here.

Press buy button to proceed for buying or you can save details to buy later.

We have three types of policies

 Instant policy    You can pay and download immediately.

 E policy             You can pay and will get policy in 15 to 30 minutes of business hours

 Paper policy      1 to 3 days depending upon filled proposal form

Step 3

Now enter details in the buy form and make payment through options like credit card, debit card, Internet transfer, cash and cheque.

Step 4

You will get policy on your mail address and/or have it delivered at your postal address.

 http://www.insurancepandit.com/travel/travel_insurance.php

Author:
Last update: 1970-01-01 01:00


I have already left india and forgot to take travel health insurance,can I still buy?

No, since you have already left India, this is not possible. You can however look for insurance in the country you have travelled to.

Author:
Last update: 1970-01-01 01:00


I have to visit USA and Canada for a few days and then any place excluding USA and Canada ,what coverage area should I choose?

As travel health insurance is expensive for USA and Canada and cheaper for countries excluding USA and Canada and if a person has to visit both in one trip then you can contact us and we will provide you the solution.

Author:
Last update: 1970-01-01 01:00


My travel medical policy has expired and I forgot to extend same. Can I get it extended now?

Insurance companies generally provide three days grace period to get your travel medical insurance policy extended provided there is no claim in the expired policy. However it is at the sole discretion of the company and as per terms and conditions of individual companies.

Author:
Last update: 1970-01-01 01:00


Can I buy Overseas Travel Insurance If I am traveling on an immigrant visa?

Yes, you can buy Overseas Travel Insurance even if you are traveling on an immigrant visa (e.g. H1-B Visa, Work permit, Green Card or Permanent Residency(PR)) . However, the maximum duration of your policy can only be 180 days. After 180 Days, You need to purchase the Policy from the country you are immigrating to. Some insurers provide cover to immigrants for 90 days and some others for 180 days. So select a plan according to your requirement.

Author:
Last update: 1970-01-01 01:00


I have made payment for instant travel insurance policy and the amount has been deducted from my account but I have not received the policy. What should I do?

In some companies like Bajaj and HDFC Ergo, when you make payment, a transaction number is generated. Kindly note that down and in case your payment is successful but you do not get the policy, mail us that reference no. Or if you have not noted down the transaction number, please mail us your account statement showing that the amount has been debited. In case of other companies where transaction number is not generated, please mail us your account statement showing the transaction. We will get your policy issued from the company. If you are in a hurry and you have to leave immediately or the next day is a holiday, you can buy a new policy and put in a mail as above and we will get your previous amount refunded to the credit card from which the payment has been made.

Another important thing, please do not close your browser till you have been redirected to our website from the payment gateway! Also do not refresh or press back button while your payment is being processed.

Author:
Last update: 1970-01-01 01:00


I want to take a travel insurance and want to know how will you deliver the policy?

If you opt for instant travel insurance plans, the policy will be e mailed to you instantly on making payment through your preferred mode of payment. In case of other plans also, once we receive your payment, the policy will be emailed to you within the time frame mentioned against each plan on our website. Also, if you require, a hard copy will be sent to you through courier or speed post.

Author:
Last update: 1970-01-01 01:00


I have taken a travel insurance policy but my travel dates have changed(postponed). Can I use the same policy?

If you wish, you can use the same policy if your travel start date is within 15 days of the policy start date. Or you can get the dates changed before your policy starts. It can be changed after policy start date too but then you have to give proof that the travel has not been undertaken i.e. your passport copy, tickets etc.

If the duration of your trip has reduced, you can save money also by getting dates changed. In any case, if your travel start date is postponed by more than 15 days, the current policy will be void, so better to get dates changed.

For this you can put in a service request at the link given below:

http://www.insurancepandit.com/support/service_request.php

Author:
Last update: 1970-01-01 01:00


I have taken an instant travel insurance policy but there are some mistakes like spelling, address, passport no., nominee name. What can I do?

You can put in a service request using the link given below:

http://www.insurancepandit.com/support/service_request.php

You will get the endorsement on the same day if your policy has not started. But if your policy has already started, endorsement can only be made after proper evidence for the required change is given.

If you are in a hurry and have to leave immediately, it is advisable to buy a new policy and put a request using the above link for cancellation of your earlier policy. The amount will be refunded to your account within 4-5 working days.

Author:
Last update: 1970-01-01 01:00


There are more than 90 days left for my travel start date but I need my travel insurance policy for visa. What should I do?

Some insurance companies like Bajaj Allianz and Iffco Tokio do not provide travel insurance if there are more than 90 days left for the travel to begin. However, you can opt for plans of other companies like Religare, Bharti Axa and Tata AIG.

Author:
Last update: 1970-01-01 01:00


I have purchased tickets for my overseas trip and my travel itinerary is final. When should I buy my travel insurance policy?

Once you have purchased the air tickets and/or made hotel and other bookings, you have already spent a large chunk of your trip budget. It is best to buy your travel insurance policy soon after you buy your tickets and make bookings as many policies offer trip cancellation and interruption benefit wherein the Company will pay this benefit up
to the Sum Insured as specified in the policy for trips that are canceled before the scheduled departure date due to certain specified reasons . The Company will reimburse for the forfeited, nonrefundable prepaid payments, made prior to the Insured Person’s departure date.

Before departure you can even cancel your policy by paying a minimal charge or even in some companies, no charge at all. So, there is no harm in buying your policy. Don't wait till the last minute to buy your travel insurance as sometimes, server issues or payment issues might also be there due to which you may have to buy a plan different from the one you have selected.

Note: Please check plan benefits while buying travel insurance whether trip cancellation is covered or not. Also refer policy wording to check the circumstances under which this benefit is payable.

Author:
Last update: 1970-01-01 01:00


Can a minor become assignee in travel insurance?

Yes, a minor can be assignee in travel insurance.

Author:
Last update: 1970-01-01 01:00


I am going on Kailash Mansarover yatra. Can I get travel health insurance for it? I have China visa.

No, Indian insurance companies do not provide travel health insurance for this yatra.

Author:
Last update: 1970-01-01 01:00


My parents are travelling to US. I need help on filling the right policy end date. They will fly back on 27th and reach delhi on 28th. Does it mean their policy end date is 27th or 28th?

Select 28th as your Travel end Date to get the coverage till 28th. Policy end date should be the date when you are reaching India.

Author:
Last update: 1970-01-01 01:00


I have cancelled my overseas trip due to medical reasons. Should I cancel my policy?

You must first check if your policy has trip cancellation clause. If the policy has this benefit, you can claim under the same. The Company will pay this benefit upto Sum Insured as specified in the Policy for trips that are canceled before the scheduled departure date due to the reasons mentioned in the policy wording. The Company will reimburse for the forfeited, nonrefundable prepaid payments, made prior to the Insured/Insured Person’s departure date.

This benefit is payable if the trip is cancelled due to unforeseen disease, illness, injury, or death of the Insured /
Insured Person’s family member. Disease, injury or illness must be so disabling as to reasonably cause a trip to be canceled or interrupted

Author:
Last update: 1970-01-01 01:00


I have purchased a family travel insurance policy for sum insured US$50000. Does this mean coverage of US$50000 for each member or is it US$50000 coverage for all of us together?

The coverage is for all of you together and not per person. This means that in any case, the total amount payable in case of a claim shall not exceed US$50000, subject to terms and conditions of the policy. Also, the  amount for each benefit is the total amount payable and not per person.

Author:
Last update: 1970-01-01 01:00


My overseas stay has been extended by 3 days. Is it covered under the 'automatic extension of the policy for 7 days' clause?

No, you will have to extend your policy for the required number of days by paying extra premium for the same. Automatic extension of the period of insurance is granted upto a period of 7 days, from the policy expiry date,only if the extension is necessary, due to delay by the Scheduled Airlines, which is beyond the control of the Insured, and no alternative air transportation is made available to the Insured.

Author:
Last update: 1970-01-01 01:00


Can I take two travel insurance policies for my trip abroad?

Yes, you can but in case of claim, each policy will pay its rateable proportion. As per policy wording:

'If at the time of any claim there is or, but for the existence of this Policy, would be any other policy of indemnity or insurance in favor of or effected by or on behalf of any Insured applicable to any claim, the Insurer will only be liable to pay its ratable proportion.'

Author:
Last update: 1970-01-01 01:00


I am a professional sportsperson going abroad for participating in a sports meet. Will my overseas travel insurance hold good?

Your normal overseas health insurance policy will be loaded by 100% if you are a professional , semi professional , amateur sportsperson and are participating in an activity considered to be high risk by the insurer. However, if you are participating in an activity such as chess, carrom and other such activities that do not require much physical exertion, your normal policy will hold good.

If you are participating,for leisure or otherwise, in dangerous sports such as parachuting, hang gliding, bungee jumping, polo, racing, mountaineering, diving, shipping and others in the dangerous sports category,then your normal overseas health insurance policy will be loaded by 200%.

In any such case, approval is required from the insurer.

Author:
Last update: 1970-01-01 01:00


Which is the best travel insurance in India?

There are many travel insurance options available on our website from leading Indian insurers. The best travel insurance is the one which meets your requirement.

Given below are some factors you may consider while selecting an appropriate travel insurance plan.

1. Purpose of visit : Choose a plan according to your needs whether you are going for study, business, family visit, single trip or are a frequent flier, going for pilot training, professional sports etc.

2. Sublimits if any .It is very important to see that plan has sublimits, because if plan has sublimits, then at the time of claim you will get claim for sublimits given in plan, for example if plan says room rent sublimit of $500 per day,it means for room rent, you will get $500 only, and if you have taken room with higher room rent then balance has to be borne by you.

3. If your stay is likely to be extended, choose a plan which is extendable and also see premium for total duration as some companies charge extension premium for your total stay i.e original period and extended period minus premium already paid.Plans for shorter duration are cheaper and as duration increases it becomes expensive.It is advisable to get from us extension premium if your stay is likely to be extended.

4. If your stay is likely to be cut short i.e you are not sure about travel duration , choose a plan where there is an option of refund on early return.As sometimes you know your parents has plans to stay for six months and somehow they have to come back early due to any reason whatsoever it may be.in that case if you have chosen plan with early refund option then you can save money.

5. If you have a pre existing condition, select a plan which covers the same in emergency situations to make person stable.

6.Per illness limit if any.If plan has such condition, it means for any one illness you will get claim upto per illness limit given in plan.For example if plan chosen by you says per illness limit is $10000,then you will get only $10000 for any one illness, even if you have chosen plan for higher sum insured, so it is very important to see that plan has per illness clause or not ,as virtually you are taking higher sum insured but practically you will get claim for one illness only the limit plan has.

7.Co pay if any. if your plan has co pay clause ,it means for every claim you have to pay co pay limit given in plan.For example, your plan says co payment of 10% ,it means for every claim ,you have to pay 10% and balance 90% will be paid by insurer.

 

http://www.insurancepandit.com/travel/travel_insurance.php

Author:
Last update: 1970-01-01 01:00


Is travel insurance available for an infant?

Author:
Last update: 1970-01-01 01:00


Is travel health insurance taken in India for a PIO or OCI card holder residing in India valid in USA?

Yes, provided the person has been living in India for more than six months.

Author:
Last update: 1970-01-01 01:00


Which are the Indian insurers whose overseas travel policies shall be considered valid for the Schengen countries visa procedure?

There are 18 Indian insurers whose Overseas Travel policies are considered valid for the Schengen countries visa procedure.


 APPROVED LIST OF INDIAN TRAVEL INSURANCE COMPANIES OF THE CONSULAR POSTS OF SCHENGEN STATES PROVIDING TRAVELMEDICAL INSURANCES FOR SCHENGEN VISA PROCEDURE EFFECTIVE OF 2018

COMPANY NAME

APPROVED FULL COVERAGE OF AGE GROUPS

Apollo Munich Health Insurance Company                                                                                 

6 months – 70 years

Bajaj Allianz General Insurance Company

 6 months – 70 years                                                                                                                                                 

Travel Prime Super Age Policy without age limit

Bharti AXA General Insurance Company

3 month – 85 years

Cholamandalam MS General Insurance Company

0 month – 70 years

Cigna TTK Health Insurance Limited

0 month – 75 years

Go Digit General Insurance Limited

0 months – 99years

Future Generali India Insurance Company

6 months – 70 years

HDFC ERGO General Insurance Company

3 months – 70 years

ICICI Lombard General Insurance Company

3 months – 50 years

Policies for Schengen Countries 51-85 years

IFFCO - Tokio General Insurance Company

3 months – 70 years

National Insurance Company

6 months – 60 years

Schengen Plan 61- 80 years

Reliance General Insurance Company

3 months – 70 years

Travel Care Policy - Schengen Plan up to 71-80years

Religare Health Insurance Company

All Plans without age limit

Royal Sundaram Alliance Insurance Company

3 months – 70 years

SBI General Insurance Company

6 months – 70 years

Shiram General Insurance Company

3 Month – 65 years

Star Health & Allied Insurance Company

6 months – 70 years

Tata AIG General Insurance Company

6 months – 55 years

Travel Guard (without Sub limits) 56-70 years

Travel Guard Senior (without Sublimits) 71years and above

The New India Assurance Company

6 months – 70 years

The Oriental Insurance Company

6 months – 60 years

United India Insurance Company  

without age limit

Universal Sompo General Insurance Company

0 month – 95 years


Minimum coverage amount is EUR 30 000, so plans with min coverage of US$ 50000 should be considered.

The policy should cover any expenses which might arise in connection with repatriation for medical reasons, urgent medical attention and/or emergency hospital treatment or death, during their stay(s) on the territory of the Schengen States.

Author:
Last update: 1970-01-01 01:00


I am going to Canada on permanent resident(PR) status and need insurance for 90 days. What are the options available?

For Immigrant travellers, travel health insurance options available are:

Reliance General               For maximum 60 days

Bharti Axa                         For maximum 90 days

Tata AIG                           Maximum 180 days extendable by further 90 days subject to good health and no claim 

Author:
Last update: 1970-01-01 01:00


Is the policy of IFFCO- TOKIO acceptable in Schengen visa requirement?

Yes, IFFCO Tokio travel insurance plans are acceptable for Schengen visa requirement. Given below is  the  approved list of Indian travel insurance companies for Schengen visa insurance.

 

COMPANY NAME

APPROVED FULL COVERAGE OF AGE GROUPS

Apollo Munich Health Insurance Company                                                                                 

6 months – 70 years

Bajaj Allianz General Insurance Company

 6 months – 70 years                                                                                                                                                 

Travel Prime Super Age Policy without age limit

Bharti AXA General Insurance Company

3 month – 85 years

Cholamandalam MS General Insurance Company

0 month – 70 years

Cigna TTK Health Insurance Limited

0 month – 75 years

Go Digit General Insurance Limited

0 months – 99years

Future Generali India Insurance Company

6 months – 70 years

HDFC ERGO General Insurance Company

3 months – 70 years

ICICI Lombard General Insurance Company

3 months – 50 years

Policies for Schengen Countries 51-85 years

IFFCO - Tokio General Insurance Company

3 months – 70 years

National Insurance Company

6 months – 60 years

Schengen Plan 61- 80 years

Reliance General Insurance Company

3 months – 70 years

Travel Care Policy - Schengen Plan up to 71-80years

Religare Health Insurance Company

All Plans without age limit

Royal Sundaram Alliance Insurance Company

3 months – 70 years

SBI General Insurance Company

6 months – 70 years

Shiram General Insurance Company

3 Month – 65 years

Star Health & Allied Insurance Company

6 months – 70 years

Tata AIG General Insurance Company

6 months – 55 years

Travel Guard (without Sub limits) 56-70 years

Travel Guard Senior (without Sublimits) 71years and above

The New India Assurance Company

6 months – 70 years

The Oriental Insurance Company

6 months – 60 years

United India Insurance Company  

without age limit

Universal Sompo General Insurance Company

0 month – 95 years

 

Author: Admin
Last update: 1970-01-01 01:00


Can the travel dates be adjusted after the grant of visa?

Yes, you can get the dates changed before your policy start date by emailing us the request for the same.

After your policy start date, travel dates can be changed upon giving a proof of non travel like a copy of all the pages of the passport.

Author: Admin
Last update: 1970-01-01 01:00


My mom is travelling to the UK next month. Do the Schengen countries include UK?

Author: Admin
Last update: 1970-01-01 01:00


Can I discuss the basic travel insurance requirement on phone with your executive?

Yes. Our customer care executives are available from 9 a.m. to 9 p.m. IST to answer your insurance related queries. You may give us a call at 8010228899.

Author: Admin
Last update: 1970-01-01 01:00


I am diabetic since last 7 years, (on insulin since last one year), Have undergone angioplasty in Feb 2017. There are no medical illness options except only writing once.Why can’t you have additional illness options in your drop down option?

This is a general list of certain specified illnesses for which most of the insurers do not provide coverage.  So, just to show you suitable insurance plans, the list is provided at this step. You can select either one or when you fill the online insurance proposal form; you will have the option to mention both.

Author: Admin
Last update: 1970-01-01 01:00


I am getting the message that no plans are available. What should I do now?

You can change your search criteria like if you are selecting a family option for age above 60, you may not get any plans; then you should look for individual plans. In case of a certain pre existing condition declined by all companies, you may not get any option. There may be certain other scenarios; if it gets too confusing, please give us a call at 8010228899 from 9:00am to 9:00 pm IST or write to us at info@insurancepandit.com.

Author: Admin
Last update: 1970-01-01 01:00


Why is Schengen Visa sum insured given in $ and not in Euro?

Certain insurance companies have specific insurance plans valid only for Schengen areas and have the coverage in Euros. But most of the plans valid for the Schengen area from Indian insurers show coverage in USD. As a rough estimate, the USD 50000 plan would work for the Euro 30000 coverage condition of Schengen visa insurance.

Author: Admin
Last update: 1970-01-01 01:00


Is BP a pre existing medical condition?

Yes, high or low blood pressure is a pre existing medical condition.

Author: Admin
Last update: 1970-01-01 01:00


Is the premium for travel insurance to be paid periodically or is it just a one-time payment?

Premium for travel insurance is a onetime payment for the period of travel specified.

Author: Admin
Last update: 1970-01-01 01:00


Does this Travel Insurance cover the required Medical Insurance overseas too?

Yes, travel insurance plans available on our website cover medical insurance overseas too for the trip duration specified.

Author: Admin
Last update: 1970-01-01 01:00


I am travelling from India with my 21 year old son and my husband is joining from Dubai, can we go for a family policy (worldwide except US and Canada)? Or do we need to take three individual policies for our visit to Europe for 10 days.

You can take a family travel insurance policy for yourself and your son. Your husband will have to take an insurance cover from Dubai as Indian travel insurance plans require one to be in India at the time of start of their journey. Since he is already in Dubai, Indian insurance plans would not be available.

Author: Admin
Last update: 1970-01-01 01:00


I am a Dutch national (The Netherlands passport holder) with an OCI card currently living in India for more than 11 months. I want to visit the Netherlands for nearly two months. Will the quoted insurance policy cover me? Please suggest.

Overseas travel insurance does not provide coverage for the country you are a resident of.

Author: Admin
Last update: 1970-01-01 01:00


We need to buy 10 travel insurance policies, but offline. Can someone come to the office and help us with the purchase?

You can give us a call at 8010228899 and our customer care executive will be happy to assist you. It is an easy online process and a visit to your office will not be required.

Author: Admin
Last update: 1970-01-01 01:00


My parents are visiting me in USA. They plan to stay for 5 months but may have to go back earlier. In this case, will I get a refund of the money I paid for travel insurance for the remaining period?

You must select a plan with ‘refund on early return’ benefit. Then, if your parents have to return early and there has been no claim in the policy, a proportional amount of money will be refunded as per the policy’s terms and conditions.

Author: Admin
Last update: 1970-01-01 01:00


What comes under life threatening conditions?

Any medical emergency that may threaten the life of the insured would be considered a life threatening condition.

Life Threatening Medical Condition means a medical condition suffered by the Insured person which has the following characteristics:

-Markedly unstable vital parameters (blood pressure, pulse, temperature and respiratory rate:or

-Acute impairment of one or more vital organ systems (involving brain, heart, lungs, liver, kidneys and pancreas); or

-Critical care being provided, which involves high complexity decision making to assess, manipulate and support vital system functions to treat single or multiple vital organ failures and requires interpretation of multiple physiological parameters and application of advanced technology; or

-Critical care being provided in critical care area such as coronary care unit, intensive care unit, respiratory care unit, or the emergency department; and certified by the attending Medical Practitioner as a Life Threatening Medical Condition.

Author: Admin
Last update: 1970-01-01 01:00


What are the extra charges for including baggage in the travel insurance?

Loss and delay of Baggage is included in almost all of the travel insurance plans up to the specified limits. Please click on the Check your quote,compare & buy plan link and check view plan benefits to know the details of the coverage.

Author: Admin
Last update: 1970-01-01 01:00


How is the premium to be paid? If we pay by credit card, do you accept payment via a USA credit card?

The premium can be paid through credit card, debit card or netbanking. Some of the payment gateways accept international cards while others do not. You may try your USA card first. If you have an Indian credit/debit card, It is advisable to use that.

Author: Admin
Last update: 1970-01-01 01:00


Who is the “Medical Advisor” who has to approve all medical expenses before coverage is approved for each event?

That would be the TPA (third Party Administrator) for the insurer. The contact details of the TPA would be printed on the policy document. In case of a claim, TPA has to be intimated asap and then they advise you on what documents are required and general procedure.

Author: Admin
Last update: 1970-01-01 01:00


Policy summary lists coverage as $50,000 (deductible US$100). How is the deductible calculated? For the whole policy duration? For each illness/event? Or for each individual expense?

Deductible is for each individual claim/illness/event and not for the entire policy duration. 

Author: Admin
Last update: 1970-01-01 01:00


Does Hypertension or diabetes come under pre existing diseases? The list in all policies shows critical illnesses and not hypertension or diabetes mellitus?

This is a general list of certain specified illnesses for which most of the insurers do not provide coverage.  So, just to show you suitable insurance plans, the list is provided at this step. You can select others in the list and when you fill the online insurance proposal form; you will have the option to mention these.

Author: Admin
Last update: 1970-01-01 01:00


Can we purchase insurance policy for more than 182 days in the first instance (instead of extension) as the VISA and Passport are valid upto 2022?

No, single trip travel insurance is available for 180/182 days only and can be further extended 7-10 days before expiry of the policy.

Author: Admin
Last update: 1970-01-01 01:00


Is there any tax benefit like 80D available on overseas mediclaim policies?

No, overseas mediclaim policies do not have 80D tax benefits.

Author: Admin
Last update: 1970-01-01 01:00


Travel Insurance » Benefits and Coverages

When does the travel insurance cover begin?

The travel insurance cover commences on the date specified in the Policy Schedule or the time you board the conveyance to leave for onward overseas journey or the Departure Date as per the policy, whichever is later.

If you are starting your journey after 15 days from the travel start date mentioned on your policy then your policy becomes invalid, so get your policy revalidated and travel start date  on it changed. if your travel start date has not begun ,you can simply put request for change of travel date and if travel start date has begun then you need to send us the passport copy as proof that you have not travelled and date needs to be changed.

 

 http://www.insurancepandit.com/travel/travel_insurance.php

Author:
Last update: 1970-01-01 01:00


Till when is the travel insurance policy valid?

Overseas travel insurance cover shall terminate

i) With the end of Insurance Period i.e. the period for which the premium has been paid or

ii) When the insured person first disembarks on return to India

although insurance companies provide the benefit of Automatic Extension of the Policy if the completion of the insured journey is delayed solely because of a failure of public transportation or other services upon which the insured was reliant.

If you want to extend your policy further due to reason your stay has extended,you can get same extended by contacting us.Norrmally it is done before the expiry of policy.Some insurers provide three days grace after the expiry of policy.

http://www.insurancepandit.com/travel/travel_insurance.php

Author:
Last update: 1970-01-01 01:00


Do I need to carry the policy along with me?

You are advised to carry the policy along with you when traveling. This would be helpful in case of a claim.  But most important the policy details ,like policy number, should be known to the insured when traveling .

Author:
Last update: 1970-01-01 01:00


How much of the hospital expenses are covered by the policy? Is it 100%?

Author:
Last update: 1970-01-01 01:00


Is there a cap on the hospital amount per day?

Yes, in certain policies there is a cap on the hospital amount per day. Please refer to our limits of liability benefit for further details or refer to the policy wordings given against each plan.

 

Author:
Last update: 1970-01-01 01:00


Is medical examination necessary for travel insurance policy? When and where are medical tests to be done?

You will find plans on insurancepandit.com which offer cover without medical tests for all ages.

But,medical tests are required for certain age groups and sum insured, depending upon the plan and insurance company. When you search plans on our portal, you will be shown whether tests are required or not and if yes, which tests are required, against each plan.

Medical tests have to be done within 30 days(15 days in some comapnies) before travel start date.Travel health policy where medical tests are required can be issued within 30/15  days of travel start date ,for example  if you are planning to travel on 15th dec 2015 then  medical tests have to be done after 15 th Nov2015 and policy can be issued after 15th Nov 2015.

Medical tests can be done in any pathology lab and reports need to be certified by MD doctor and MER(medical examination report) form is also required to be signed by MD doctor.

Author:
Last update: 1970-01-01 01:00


I am over 70 years old. Do I need to take medical tests?

Author:
Last update: 1970-01-01 01:00


What are the Medical tests required?

Normally the insurance companies require three tests: E.C.G., Urine and Blood Sugar test but the required tests may vary from insurance company to insurance company depending upon the type of case. These tests are mentioned in our portal against each plan.

http://www.insurancepandit.com/travel/travel_insurance.php

Author:
Last update: 1970-01-01 01:00


Are the expenses for the test a part of the overseas travel insurance policy or additional?

The cost of the medical tests(wherever required) has to be borne by the insured.

 

Author:
Last update: 1970-01-01 01:00


Do I need to go to the doctors specified by travel insurance policy?

Although there is no specified list of Doctors/Clinics/Hospitals/Labs to get the medical exam done for most of the companies, these tests are to be verified by M.D. Doctor only for all the companies.

Author:
Last update: 1970-01-01 01:00


How can I make any change (addition/deletion/change in name or address etc) in my present overseas travel insurance policy?

Author:
Last update: 1970-01-01 01:00


Are there any sub limits like room rent, etc?

Yes in some policies there are sub limits as given below.

ICICI Lombard

1. For policies with sum insured over US$ 100,000, the limit of liability of the company will be restricted to US$ 100,000 per sickness, disease or accident.

 

2. For persons aged 56 years and above, the maximum eligible medical expenses per sickness, disease or accident that may lead to one or more medical expenses and/or hospitalization expenses are as follows, irrespective of the plan / option purchased. These limits are further restricted to the maximum sum insured specified in part 1 of the schedule.

  1. Hospital Room and board, and hospital misc. expenses -maximum US$ 1,600 per day up to 30 days 
  2. Intensive care unit - maximum US$ 3,000 per day up to 7 day
  3. Surgical treatment - maximum up to US$ 12,000
  4. Anesthetist services - up to 25% of surgical treatment
  5. Physician's visit - maximum US$ 75 per day up to 10 visits
  6. Diagnostic and pre-admission testing - maximum US$ 750
  7. Ambulance services - maximum US$ 500

Tata AIG

For persons aged 56 years and above, the maximum eligible medical expenses per sickness, disease or accident that may lead to one or more medical expenses and/or hospitalization expenses are as follows, irrespective of the plan / option purchased. These limits are further restricted to the maximum sum insured specified in part 1 of the schedule.

  1. Hospital Room and board, and hospital misc. expenses -maximum US$ 1,500 per day up to 30 days 
  2. Intensive care unit - maximum US$ 3,000 per day up to 7 days
  3. Surgical treatment - maximum up to US$ 10,000
  4. Anesthetist services - up to 25% of surgical treatment
  5. Physician's visit - maximum US$ 75 per day up to 10 visits
  6. Diagnostic and pre-admission testing - maximum US$ 500
  7. Ambulance services - maximum US$ 400

Future Generali

For persons aged 56 years and above, the maximum eligible medical expenses per sickness, disease or accident that may lead to one or more medical expenses and/or hospitalization expenses are as follows, irrespective of the plan / option purchased. These limits are further restricted to the maximum sum insured specified in part 1 of the schedule

  1.  Hospital Room and board, and hospital misc. expenses -maximum US$ 1,750 per day up to 30 days 
  2. Intensive care unit - maximum US$ 2,500 per day up to 7 days
  3. Surgical treatment - maximum up to US$ 12,500
  4. Anesthetist services - up to 25% of surgical treatment
  5. Physician's visit - maximum US$ 75 per day up to 10 visits
  6. Diagnostic and pre-admission testing - maximum US$ 1000
  7. Ambulance services - maximum US$ 500

Author:
Last update: 1970-01-01 01:00


Can I get a refund if there is change of plan?

Yes, you can get the refund after fulfilling the requirement of cancellation of policy .The original policy amount will be deducted by the cancellation charges. For details kindly refer cancellation and refund policy of each insurance company given against each travel insurance plan on our website.

Author:
Last update: 1970-01-01 01:00


What is the procedure for issuance of a duplicate policy?

Author:
Last update: 1970-01-01 01:00


Is there any travel insurance plan without Medical Cover?

Yes, overseas student travel insurance plans without medical cover are available (only for students) as some foreign universities offer their own medical insurance.

Author:
Last update: 1970-01-01 01:00


Is there any travel medical insurance plan which covers Drug Abuse, Cancer Screening, Inter collegiate sports, child care, Mental & nervous disorders, pregnancy?

Author:
Last update: 1970-01-01 01:00


My parents are quite healthy and coming to USA to visit us. Do we really need overseas medical insurance for them?

Overseas medical insurance is for future financial protection for medical problems. As future medical problems or injuries/accidents can't be predicted and medical treatment in USA is very expensive; hence it is always advisable to buy medical insurance.

Author:
Last update: 1970-01-01 01:00


If I lose my passport, will that be covered under overseas medical insurance?

Yes, most of the travel insurance plans cover loss of passport as well as the expenses incurred towards the procurement of a duplicate/temporary passport. Please check the coverage offered by the specific plan that you choose.

Author:
Last update: 1970-01-01 01:00


What happens if my baggage is delayed for more than one day but not lost? Will I get some compensation?

Most insurance companies cover baggage delay if the baggage is delayed for more than 12 hours. Compensation is given for emergency items purchased like medicines, clothing and toiletries. You will have to provide receipts for the same. If your baggage is lost, then compensation is given for the market value of the items lost subject to coverage and limits specified in your policy.

Author:
Last update: 1970-01-01 01:00


How do I know the limit of each type of expenses, what expenses are covered or not?

You can know the limits and coverage by clicking on the Show benefits icon against each plan. The general coverage and exclusions are also given in the Learn More section on our portal. For further clarification, you can refer to the policy wordings of each company.

 

Author:
Last update: 1970-01-01 01:00


What are pre-existing conditions?

Any condition, ailment or injury or related condition(s) for which insured person had signs or symptoms, and/or were diagnosed, and/or received medical advice/ treatment, within 48 months prior to seeking insurance cover.

Author:
Last update: 1970-01-01 01:00


Is there a cover for pre-existing medical conditions?

Pre existing diseases are excluded from the scope of travel health insurance policies.

But some companies namely Religare(cover up to 10% of the sum insured) and Tata AIG(cover up to US$1500) cover pre-existing diseases in life-threatening emergency situations, more specifically, life saving unforeseen emergency measures, or measures solely designed to relieve acute pain, provided to the Insured by the Physician for Disease/accident arising out of a pre-existing condition. The treatment for these emergency measures would be paid till the insured becomes medically stable or is relieved from acute pain. All further medical cost to maintain medically stable state or to prevent the onset of acute pain would be borne by the insured

Author:
Last update: 1970-01-01 01:00


My mother has diabetes and she needs to take insulin injection every day. Is that covered in overseas medical insurance?

No. That would be considered as a pre-existing condition and hence would NOT be covered.

Author:
Last update: 1970-01-01 01:00


What is the point of buying overseas medical insurance if it does not cover pre-existing medical conditions? These are the ones we need to get covered. Probability of other illnesses is very low anyway.

Even though the insurance will not cover pre-existing conditions, it will cover other conditions that were not pre-existing or unrelated to pre-existing conditions. The basic purpose of insurance is to cover you against the unexpected, unforeseen circumstances. You may be worried about the pre-existing conditions. However, you never know what may happen in future. A person may get into any health problem such as weather change, allergies in a new place, change of food, cold, fever, flu, diarrhea, pneumonia, food poisoning, snake bites, getting hit by car, falling in snow, or any other small or big health problems like urine infection, heart attack for reasons not related to pre-existing conditions. Therefore, it is very advisable to buy health insurance for those traveling abroad.

 

 

Author:
Last update: 1970-01-01 01:00


What are the things to look for while choosing student travel insurance plan?

While choosing the right travel insurance plan, students should keep some important things in mind.

  1. Is this particular student travel insurance plan acceptable to your university?
  2. Does the plan cater to university medical insurance specifications?
  3. Does it provide sufficient cover in case of emergency situations?

http://www.insurancepandit.com/travel/travel_insurance.php

Author:
Last update: 1970-01-01 01:00


Is pregnancy covered in overseas health insurance policy?

No, infact it is one of the exclusions of travel health insurance. 

However in the event of acute complications in the course of pregnancy ,IFFCO TOKIO overseas health insurance policy will indemnify (within the scope of the policy) medical measures to directly avert danger to the life of the mother and / or child, on the condition that the pregnant woman has not reached the age of 38 years and the 30th week of the pregnancy has not yet been completed.

 

Medical treatment of typical symptoms suffered during pregnancy and their consequences, including changes in other chronic conditions as a result of pregnancy is not covered.

 Any medical check-ups during pregnancy or treatment of the pregnancy are also not covered.

 

 

Author:
Last update: 1970-01-01 01:00


I am going for pilot training. Does my overseas health insurance cover medical expenses to treat the injuries sustained during the training period?

No, your overseas health insurance policy does not cover the medical treatment for injuries sustained during training. You will have to get it covered specifically by paying extra premium.

Author:
Last update: 1970-01-01 01:00


I am looking at some of the travel insurance plans and some of them cover up to $200,000, but on the same note, it says hospitalization maximum limit is $25 per day.Can you please clarify this?

This daily limit is daily hospitalisation allowance besides hospitalization expenses. Medical expenses limit is $200000 subject to sublimits if any .

Author:
Last update: 1970-01-01 01:00


What is trip cancellation and interruption benefit and what is covered in it?

Trip Cancellation Benefits: This benefit pays up to the Sum Insured as specified in the policy Schedule for trips
that are canceled before the scheduled departure date due to the reasons specified below. The Company will reimburse for the forfeited, nonrefundable prepaid payments, made prior to the Insured/Insured Person's departure date.

Trip Interruption Benefits:  This benefit pays up to the Sum Insured as specified in the Policy Schedule for trips that have been interrupted, due to the reasons specified below.
The Company will reimburse for the forfeited, non-refundable prepaid payments, made prior to the Insured Person’s departure date and additional transportation expenses incurred by the Insured Person, either to
1. Return to the Republic of India; or
2. From the place that the Insured/Insured Person left the trip to the place that the Insured / Insured Person may rejoin the trip;
3. Additional transportation expenses incurred by the Insured/Insured Person to reach the original trip destination if the Insured / Insured Person is delayed, and leaves after the trip departure date.

Trip cancellation and interruption benefit provides compensation  if a trip is canceled or interrupted due to any of the reasons given below.( This is a general list and varies from company to company. Kindly check policy wording for specific details.)

1. Unforeseen disease, illness, injury, or death of the Insured / Insured Person’s family member. Disease, injury or illness must be so disabling as to reasonably cause a trip to be canceled or interrupted;

2. Termination of employment or layoff affecting the Insured /Insured Person or the Traveling Companion of the Insured, provided that the Insured / Insured Person or the Traveling Companion, as the case may be, have been employed with the employer for at least three continuous years;

3. Inclement weather conditions causing cancellation of the trip;

4. The place intended to be occupied by the Insured / Insured Person for purposes of Insured/Insured Person’s stay during the trip or the destination being made uninhabitable by fire, flood, vandalism, burglary, or natural disaster;

5. The Insured/Insured Person being abducted or quarantined;

6. The Insured / Insured Person or a Traveling Companion being the victim of a felonious assault within 10 days prior to the departure date, provided that the Insured / Insured Person (including any member of their family) or the Traveling Companion (including any member of travelling companion’s family) is/are not principal or accessory in such felonious assault.

7. A terrorist incident in a City/destination listed on the Insured/Insured Person’s itinerary within 30 days of the
Insured/Insured Person’s scheduled arrival.

Author:
Last update: 1970-01-01 01:00


I have taken a rental car abroad. Is the damage to the rental vehicle covered under overseas health insurance policy?

No, it is one of the exclusions of the policy. Kindly refer the policy wording for further details.

Author:
Last update: 1970-01-01 01:00


How do I include third party insurance in my travel insurance? As I have already obtained International Driving Permit from local RTO. Do all travel insurance plans include this or which company provides this and under which plan?

The overseas travel policy covers personal liability only, the third party liability arising out of your driving is not covered under any Indian overseas policy. For further clarification, kindly go through the policy wording.

Author:
Last update: 1970-01-01 01:00


Travel Insurance » Claim Process

Do we need to pay upfront in case of a medical treatment and then claim, or the insurance policy will pay upfront?

In an emergency situation where hospitalization and/or medical evacuation are required, the insurer covers these costs upfront (subject to the insured complying with the policy wording). You would need to contact your relevant Emergency Assistance Service immediately to notify them of the situation.

If it is not an emergency and the costs are uptoUS$500, then you would pay upfront and make a claim once all treatment is complete.

 

Author:
Last update: 1970-01-01 01:00


What is a TPA?

 TPA stands for Third Party Administrator. The most essential service they provide is cashless medical services. They also provide the necessary information to deal with any problem regarding claims.

 

Author:
Last update: 1970-01-01 01:00


From where can I get the claim form to make a claim?

Generally the claim form is provided in the travel kit with the policy itself and in the event of a claim, is to be submitted as per instructions provided in the Policy and Claim Handling procedure of the company.

You can also obtain or download it from company’s website or TPA website.

You can also download claim forms from the claims assistance and forms section of our site.

 http://www.insurancepandit.com/travel/travel_claim_assistance.php

Author:
Last update: 1970-01-01 01:00


In case medical treatment is required, is there any need for any pre-approval before hospitalization?

You would need to contact insurer’s TPA (the address and phone numbers of TPAs are given in our claims assistance and forms section) and they would arrange for the cashless claims for the medical treatment. In case cashless facility is denied for any reason, you can still apply for the reimbursement of your medical bills.

 

Author:
Last update: 1970-01-01 01:00


Would I be reimbursed for the medical expenses incurred abroad, if I go specifically for the purpose of seeking medical treatment?

Travel health insurance covers you only for accidents or sickness which happen unexpectedly and unintentionally while you are traveling abroad. This policy does not cover planned Medical Expenses / Treatment overseas.

Author:
Last update: 1970-01-01 01:00


In case I lose my baggage, how do I claim?

Author:
Last update: 1970-01-01 01:00


What if in an emergency I don't have time to call up?

 TPA should be contacted by any person within 48 hours and given the details about the insured.

Author:
Last update: 1970-01-01 01:00


Can I continue my treatment of the disease which happened during my travel abroad, in the home country, after expiry of my policy?

If the Third Party Administrator (TPA) advises that the continued treatment in the republic of India is appropriate, then the company will pay the medical expenses incurred in India for the same illness/injury contracted abroad following the transportation to India, for a maximum period of time varying from company to company from the date of return to the Republic of India, provided that the illness/injury is sustained or contracted within the period of insurance during the trip abroad.

Author:
Last update: 1970-01-01 01:00


If I am evacuated on grounds of medical reason, can I continue my treatment in India?

If recommended by the claims administrator and subject to the medical sum assured remaining, you can be indemnified in respect of the medical expenses incurred by you within India to continue medical treatment started outside India, immediately prior to any medical Evacuation. The company’s liability to make payments  shall be limited to a specific period of time which varies from company to company.

Author:
Last update: 1970-01-01 01:00


Which doctors/hospitals can I visit?

 You can go to the hospital of your choice and third party administrator (TPA) of your insurer will arrange for the cashless facility for you in the same hospital. Most TPAs have tie-ups with the local TPAs and arrange for cashless settlement. In case cashless facility is denied for any reason, you can still apply for the reimbursement of your medical bills.

Author:
Last update: 1970-01-01 01:00


How and where can I register a claim? What are the documents required?

Overseas Hospitalisation Claim, if payable as per policy terms and conditions, is cashless worldwide.

You have to register a claim at the Alarm Centre of the TPA or Emergency Assistance Service provider at their respective numbers given in your policy and you will be guided how to proceed further. You may be required to submit the claim form duly filled along with the relevant documents. The claim procedures and relevant information is available at insurancepandit.com.

A list of the documents required for different types of reimbursement claims is given below. This is a general list and your insurer may require some additional documents.

Medical Accident & Sickness Expenses, Dental Treatment, Personal Accident(For reimbursement claims) Medical Claims below US$500 are not cashless but reimbursible.

1)       Signed Claim form

2)       Doctor’s report

3)       Original Admission/discharge card

4)       Original Bills/Receipts/Prescription

5)       Original X-ray reports/ Pathological/ Investigative reports

6)       Copy of passport/Visa with Entry & exit stamp

Loss of Passport

1)       Copy of new passport

2)       Copy of previous passport (if available)

3)       Original bills/invoices of expenses incurred for obtaining a new passport

4)       Copy of FIR/ Police Report

 Loss of Baggage

1)        Claim form

2)       Copies of boarding pass, ticket, baggage tags

3)       Copies of Correspondence with the Airline authorities/Others about loss of checked baggage

4)       Property Irregularity Report (obtained from Airline)

5)       Details of compensation received from Airlines/Other authorities, if any

        Delay of Baggage

1)       Claim form

2)       Copies of boarding pass, ticket, baggage tags

3)       Copies of Correspondence with the Airline authorities certifying the delay

4)       Property Irregularity Report (obtained from Airline)

5)       Original bills/receipts/invoices pertaining to expenses incurred/purchases made during the delay period

6)       Copy of passport/Visa with Entry & exit stamp

 

Trip Delay/ Cancellation/ interruption/ missed connection

1)       Claim Form

2)       Please attach confirmation from the airlines, clearly mentioning the scheduled arrival time and the actual arrival time

3)       Copies of Correspondence with the Airline authorities certifying about the delay

4)       If trip is cancelled or interrupted due to medical reasons then provide medical reports and doctors statement

5)       If trip is cancelled or interrupted due to employment reason, then termination letter from the company shall be submitted

6)       If due to other insured events, police report confirming the incident shall be submitted

7)       In case the cancellation or interruption is owing to the sickness, injury or death of a traveling companion, the original tickets of the insured and the traveling companion indicating travel to the same destination for the same dates needs to be submitted

8)       All the bills / receipts of reasonable additional expenses incurred and / or proof of cancellation charges levied by the carriers shall be submitted.

Personal Liability

1)       Full statement of the facts in writing

2)       Witness statements

3)       Any other documents relevant to the incident, including Summons, Legal Notice etc.

4)       Any other information you would like to share.

5)       Claim Form

Hijack

1)       Full statement of the events in writing                                   

2)       Claim Form

3)       Airline correspondence (copy of Passenger List etc.)

4)       Copy of ticket/ Boarding Pass

Accidental Death & Dismemberment

1)       Claim form

2)       Original Death Certificate,

3)       Copy of FIR/Police inquest report/Coroners report

4)       Copy of Post Mortem report.

5)       Dismemberment Case:

6)       Copy of treatment papers along with No. 1 &3 above

 Financial Emergency Assistance

1)       Date of loss

2)       Copy of FIR/ Police Report

3)       Visa/ passport copy

Author:
Last update: 1970-01-01 01:00


My mother is hurt during transit,will medical expenses incurred to treat her are covered?

Accident means a sudden, unforeseen, uncontrollable and unexpected physical event to the
Insured Person caused by external, violent and visible means occurring during the Insured Period.It is covered and you can claim for same under travel health insurance.Travel health insurance starts when you board the flight.

Author:
Last update: 1970-01-01 01:00


Is travel health insurance cashless or on a reimbursement basis?

If the claim amount for medical expenses is less than US$500, the amount will be reimbursed in India, after submitting all the requisite documents and in case it is more than US$500, you will get the cashless benefit. Kindly refer claim procedure of the insurance company for the documents required.

Author:
Last update: 1970-01-01 01:00


Is OPD consultation covered in overseas health insurance? If yes, what will be the steps required?

Yes. You can get the expenses reimbursed on submitting the requisite documents and claim form on your return to India. For further details, kindly refer the claim procedure for the respective company, also available on our website.

http://www.insurancepandit.com/travel/travel_claim_assistance.php

Author:
Last update: 1970-01-01 01:00


In case during our stay we have to go to dentist or general physician for any viral fever/stomach pain etc, how to go about it? These ailments can happen to anybody at anytime and anywhere.

Your travel insurance plan covers outpatient care and dental care as well (subject to terms and conditions of the policy). For sum insured or coverage, you must refer to your policy document. Each plan has a deductible amount of US$ 50 toUS$100 which you have to pay from your pocket; anything above that is payable by the insurance company. For claim procedures of different insurers, please refer the link:

https://www.insurancepandit.com/travel/travel_claim_assistance.php

Author: Admin
Last update: 1970-01-01 01:00


What are the documents required for processing the refund in case of early return?

In general, the documents required would be:

-Copy of all pages of passport

- Ticket and boarding pass.

Author: Admin
Last update: 1970-01-01 01:00


What is the meaning of "All plans are cashless, if the claim amount is more than $500”?

This means that if the claim for medical expenses is up to US$ 500(like for OPD), you have to pay first and on submission of requisite documents, reimbursement is made by the insurer(after deductible). In case of hospitalisation etc where the claim amount is higher, the claim is settled by the TPA directly to the hospital.

Author: Admin
Last update: 1970-01-01 01:00


How are the “Customary and Reasonable” charges determined for specific expenses that might be incurred here in USA? Do you have a list of the customary and reasonable charges that would apply here for common types of treatment?

 "Reasonable & Customary charges" means the charges for services or supplies, which are the standard charges for the specific provider and consistent with the prevailing charges in the geographical area of identical or similar services, taking into account the nature of the illness/injury involved. These are determined by the insurance company TPA.

Author: Admin
Last update: 1970-01-01 01:00


Health Insurance

Why there is no hypothecation on Health and Personal Accident policies.

hypothecation is generally allowed on assets and security.

Insurance is not your right and it's reimbursement of expenses which you have incurred and hence you can't hypothecate the health or PA policy

Author: Asheesh
Last update: 1970-01-01 01:00


Health Insurance » General

What is Health Insurance/Mediclaim?

Health Insurance/Mediclaim is protection against medical costs. A health insurance policy is a contract between an insurer and an individual /group in which the insurer agrees to provide specified health insurance cover at a particular premium. The health insurer usually provides either direct payment (cashless facility) or reimburses the expenses associated with illnesses and injuries.

Mediclaim Insurance is a cover, which takes care of the hospitalization expenses subject to maximum sum insured of the Insured in respect of the following situations:

A. In case of a sudden illness.
B. In case of an accident.
C. In case of any surgery, which is required in respect of any disease which has arisen during the policy period.

Author:
Last update: 1970-01-01 01:00


Why do I need Health Insurance?

Healthcare is expensive. Technological advances, new procedures and more effective medicines have driven up the cost of healthcare. This increase has to be borne by the consumer, making treatment unaffordable for too many. Health Insurance overcomes these obstacles so that you remain free of anxiety regarding your health. Think for a moment about the enormous medical costs you would incur if you suffered a major accident tomorrow or were suddenly stricken by an illness. Uninsured people live with such risks everyday. Health insurance seeks to shield you from that risk. It provides the much needed financial relief.

You also get tax benefit under section 80D of the Income Tax Act.

Author:
Last update: 1970-01-01 01:00


What are the salient features of this policy?

Though the features may vary from insurer to insurer, some basic features are:

1 Reimbursement for Hospitalization due to illness/disease/ surgery.

2 Reimbursement for Domiciliary Hospitalization expenses in lieu of Hospitalization.

3 Pre-hospitalization expenses

4 Post-hospitalization expenses

5 Ambulance Charges

6 Cashless Access

7 Income Tax Benefit etc

Author:
Last update: 1970-01-01 01:00


I am 37 years old and have a family floater mediclaim policy for myself, spouse and 2 year old kid. Kindly tell me which insurance company provides roll over of family floater health insurance/mediclaim from any other insurance company.

Access denied

Author:
Last update: 1970-01-01 01:00


In case of family floater health insurance what happens if the primary insured person expires? Can the policy be renewed by any of the surviving members of the policy? Also, As my age increases can i migrate from family floater to individual plan?

If the primary insured person expires, the other Insured Persons may apply to continue the Policy within 30 days of his/her death provided that they have identified a new adult policyholder who is a member of their immediate family. All relevant particulars in respect of such person (including their relationship) must be given to the company along with the application. If the company accepts such application, then the Policy shall be treated as having been renewed without any break in cover.

Migration from family floater to individual may be allowed on acceptance of proposal by the company.

Author:
Last update: 1970-01-01 01:00


What is the procedure for change of address for medical insurance?

You can change the address by giving a request letter to the insurance company on plain paper and the insurance company will pass the endorsement and give a copy of same to you.

Kindly remember to send same to your TPA also so that they can incorporate same in their records.

Author:
Last update: 1970-01-01 01:00


What are the things to look for while choosing a health insurance plan?

Health insurance is a long term plan as you may need it in the long run and should be taken after considering many factors like:

1.Max renewal age of the plan : The insurance company will provide you cover only upto this age ,thereafter you have to switch plan or take a new plan which is very difficult to get after 60 years especially if you have any preexisting conditions.

2.First and second year exclusions.

3.Daycare treatment/procedures covered.

4.Preexisting coverage.

5.Sublimits, if any.

6.Per illness limit, if any.

7.Diabetes and hypertension loading.

8.30 days exclusion.

9.Your next renewal premium as you choose plan with low premium for the age you are entering but your next premium may be higher and it is a very important factor to be taken into consideration.

10. Cashless facility in the nearby hospitals .

11.Portability ,if you are already insured and looking for switch from one insurer to another i.e benefits your previous policy is carrying must be transferred to new in partial or full.

12.Add on covers like additional sum insured for critical illness,personal accident,opd coverage.

13.Top up covers have come in market and you can take policy with low sum insured and then top it up   and it will be cheaper as compared to choosing higher sum insured straight away.

 

 

Author:
Last update: 1970-01-01 01:00


I am already having health insurance and want to increase sum insured,what should i do.

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Last update: 1970-01-01 01:00


I am looking for a single health insurance floater policy which can cover my parents or in laws too?

Author:
Last update: 1970-01-01 01:00


I have sent in the filled proposal form and paid for my health insurance policy. When will I receive my policy document and health cards?

Generally, once you have submitted the proposal form and medical tests if required and made payment, you  receive your policy on email within 2 working days and another 2- 3 days for the hard copy through courier.

The health cards may take longer as they are sent directly by the TPA and it may take about a month. If you still do not receive the cards , do send us a mail so that we can follow up with the insurance company.

Author:
Last update: 1970-01-01 01:00


As not all the companies provide top up cover, is it possible to buy a main policy from one company and buy the top up from some other company? Also, If main policy covers the critical illness, will the top up cover it too?

Yes, you can buy health insurance policy from one company and a top up plan from another. Just make sure that your main policy has sum insured equal to the threshold level of top up plan.

Author:
Last update: 1970-01-01 01:00


When we buy a health insurance policy from your website, will we get a cashless card? How can I know which network hospitals are covered under my policy?

Depending on the plan you have chosen, you will get a cashless card from the respective TPA/ insurance company.

To know the network hospitals, you can visit the website of the respective TPA. You can check the same on our website as well in the claim assistance section for health insurance.

http://www.insurancepandit.com/health/health_tpa.php

Author:
Last update: 1970-01-01 01:00


In India, can we purchase more than one health insurance policy?

Yes, one can purchase more than one health insurance policy. In that case, when a claim occurs, it will be paid proportionately by these policies.

Author:
Last update: 1970-01-01 01:00


What is the status of a Family floater health insurance policy in case of death of any member?

The Insurance is a contract for 1 year between the insured persons and the insurance company. So, in case of death of any member the policy will continue and the sum insured  will float among other members for the remaining period of the policy. There will is no refund of premium and the name will be excluded on renewal of the policy.

Author:
Last update: 1970-01-01 01:00


I had health insurance 4 years back. How can I renew it?

You can renew your health policy only within 15 days of expiry of the previous policy(as per IRDA regulation).The company may at its discretion allow renewal within a maximum of 60 days from the expiry of the previous policy.

As already four years have passed since the expiry of your policy, you need to purchase a new health insurance plan.

Author:
Last update: 1970-01-01 01:00


Which is the best health insurance in India?

There are various plans available and you should select the one most suited to your requirements.

Health insurance is a long term plan as you may need it in the long run and should be taken after considering many factors like:

1.Max renewal age of the plan : The insurance company will provide you cover only upto this age ,thereafter you have to switch plan or take a new plan which is very difficult to get after 60 years especially if you have any preexisting conditions.

2.First and second year exclusions.

3.Daycare treatment/procedures covered.

4.Preexisting coverage.

5.Sublimits, if any.

6.Per illness limit, if any.

7.Diabetes and hypertension loading.

8.30 days exclusion.

9.Your next renewal premium as you choose plan with low premium for the age you are entering but your next premium may be higher and it is a very important factor to be taken into consideration.

10. Cashless facility in the nearby hospitals .

11.Portability ,if you are already insured and looking for switch from one insurer to another i.e benefits your previous policy is carrying must be transferred to new in partial or full.

12.Add on covers like additional sum insured for critical illness,personal accident,opd coverage.

13.Top up covers have come in market and you can take a policy with low sum insured and then top it up, it may be cheaper as compared to choosing higher sum insured straight away.

Author:
Last update: 1970-01-01 01:00


Can we add our new born to our existing family/family floater health policy?

Some insurance companies allow mid term inclusion of infants once they are three months old while the others allow inclusion of members only at the time of renewal.

Author:
Last update: 1970-01-01 01:00


Health Insurance » Benefits and Coverages

What is covered under Hospitalization Benefit?

1 Expenses on Hospitalization for a minimum period of 24 hours.

2 In case of treatments like Dialysis, Chemotherapy, Lithotripsy, Radiotherapy, Eye surgery, Dental Surgery, Tonsillectomy, D&C taken in Hospital/Nursing Home, the time limit of 24 hours is not applicable.

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Last update: 1970-01-01 01:00


What are the circumstances under which the condition of minimum 24 hrs hospitalization does not apply?

This condition will not apply in the following cases:

1 the treatment is such that it necessitates hospitalization and the procedure involves specialized infrastructural facilities available in Hospitals.

2 due to technological advances hospitalization is required for less then 24 hours only.

Each company has its own list of day care procedures. You can check the same on our website. 

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Last update: 1970-01-01 01:00


What are the expenses covered under Hospitalisation Expenses?

Hospitalization expenses incurred as an in-patient in a Hospital include:

1. Room, Boarding Expenses as provided by the Hospital/Nursing Home.

2. Nursing Expense.

3. Fees of Surgeon, Anesthetist, Medical Practitioner, Specialists, Consultants.

4. The cost of anaesthesia, diagnostic tests, medicines, blood, oxygen, appliances like pacemaker, artificial limbs and organs, operation theatre charges, Dialysis, Chemotherapy, Radiotherapy and similar expenses.

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Last update: 1970-01-01 01:00


What is Domiciliary Hospitalization?

Domiciliary Hospitalization means medical treatment for a period exceeding three days for such illness/disease/injury which in the normal course would require care and treatment at a Hospital/Nursing Home but actually taken whilst confined at home in India under any of the following circumstances, namely:

i) The condition of the patient is such that he/she cannot be removed to the Hospital/Nursing Home or

ii) The patient cannot be removed to Hospital/Nursing Home for lack of accommodation therein


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Click here to Calculate Health insurance Premium

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Last update: 1970-01-01 01:00


What is meant by Pre and Post hospitalization?

Relevant medical expenses incurred before and after hospitalisation for a specified number of days or upto a specified amount . Relevant medical expenses means expenses related to the treatment of the disease for which the insured is hospitalised.

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Last update: 1970-01-01 01:00


What are Pre-Existing Diseases?

Any condition, ailment or injury or related condition(s) for which insured person had signs or symptoms and/or was diagnosed and/or received medical advice/treatment within 48 months prior to his/her health policy with the company. Pre existing diseases will be covered after a maximum of four years since the inception of the policy.

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Last update: 1970-01-01 01:00


What is meant by Donor Expenses?

All hospitalization expenses incurred by the donor for donating an organ (excluding the cost of the organ) to the insured during the course of an organ transplant.

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Last update: 1970-01-01 01:00


Is there an Income Tax exemption on the premium? If yes, under which section and what is the Income Tax exemption limit?

Yes, Premium paid for mediclaim policy is eligible for tax deduction under section 80 D of the Income Tax Act.

As per current IT rules you can get an exemption up to a maximum sum of Rs.15000 from your taxable income under Section 80-D for Health Insurance Premium paid for self, spouse, dependent children and Rs 20000 if the policy includes senior citizens whose ages is above 65 yrs.

If you are paying the medical insurance premium for your parents, an additional deduction of Rs. 15,000 per year can be claimed under section 80D. Again, if your parents are Senior Citizens, you can claim an additional amount of Rs. 20,000.

The premiums paid for self, spouse (dependent or not dependent), parents (dependent or not dependent) and children are considered for deduction under section 80D.
(Note: You can not claim premiums paid for your in-laws).

 
   

Author:
Last update: 1970-01-01 01:00


What is Cumulative Bonus?

An increase in the Sum insured by a specified percentage for every claim free year, subject to a certain maximum. An important point to be remembered is that the policy should be renewed without a break to avail of the cumulative bonus.  
   

Author:
Last update: 1970-01-01 01:00


Do I get a discount on renewal of the policy with the same company?

Some companies offer a renewal discount of 5% of renewal premium if there are no claims in the expiring policy period. This can be accumulated to a maximum of 50%.Under certain plans such as National Varistha the insured has an option to either avail cumulative bonus or renewal discount.

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Last update: 1970-01-01 01:00


What are first year/ second year exclusions?

During the period of insurance cover, the expenses on treatment of certain diseases such as cataract, hernia, piles, sinusitis, benign Prosthetic Hypertrophy, Hysterectomy for Menorrhegia or Fibromioma etc. for specified periods (Please refer to your policy document for details) are not payable if contracted and/ or manifested during the currency of the policy.

Author:
Last update: 1970-01-01 01:00


Enlist some of the important exclusions under mediclaim policy.

Some general exclusions under this policy are:

1 Pre-existing diseases i.e. Any condition, ailment or injury or related condition(s) for which insured person had signs or symptoms and/or was diagnosed and/or received medical advice/treatment within 48 months prior to his/her health policy with the company. Pre existing diseases will be covered after a maximum of four years since the inception of the policy

2. Any disease contracted during the first 30 days of inception of policy except in case of injury arising out of accident

3. Certain diseases such as cataract, piles, hernia, and sinusitis etc. are excluded for specified periods if contracted or manifested during the currency of the policy.

4. Injury or Diseases directly or indirectly attributable to War, Invasion, Act of Foreign Enemy, War like operations.

5. Cosmetic, aesthetic treatment unless arising out of accident.

6. Cost of spectacles, contact lenses and hearing aids

7. Dental treatment or surgery of any kind unless requiring hospitalization

8. Charges incurred at Hospital or Nursing Home primarily for diagnostic, x-ray or laboratory examinations, without any treatment.

9. Naturopathy or other forms of local medication

10. Pregnancy & childbirth related diseases

11. Intentional self-injury / injury under influence of alcohol, drugs

12. Diseases such as HIV or AIDS

13. Expenses on vitamins and tonics unless forming part of treatment for disease or injury as certified by the attending physician.

14. Convalescence, general debility, run-down condition or test cure, congenital external diseases or defects or anomalies, sterility, venereal disease.

Author:
Last update: 1970-01-01 01:00


Can a person have more than one Health policy?

Yes. But each company will pay its rateable proportion of the loss, liability, compensation, costs or expenses. E.g. If a person has Health Insurance from company X for Rs. 1 Lac and Health Insurance from company Y for RS. 1 Lac, then in case of a claim, each policy will pay in the ratio of 50:50 up to the SI.

Author:
Last update: 1970-01-01 01:00


Can I cancel my policy and if yes will I get my premium back?

Yes, the insured can cancel the policy at any time. In such a case, the company shall allow a refund of premium at company’s short period rate(given below provided no claim has occurred during the policy period up to cancellation.

 

 

 

 

Period of cover up to Rate of premium to be charged  
  1 month ¼ of the annual rate  
  3 months ½ of the annual rate  
  6 months ¾ of the annual rate  
  More than 6 months Full annual rate

Author:
Last update: 1970-01-01 01:00


Is maternity covered in health insurance policies?

Most of the companies do not cover maternity and related conditions but some companies like Apollo Munich, Max Bupa have specific plans which cover maternity after specified waiting periods generally 2-4 years. For details please visit our health page.

Author:
Last update: 1970-01-01 01:00


Health Insurance » Claim Process

What is a TPA?

Third Party Administration (TPA) is a service given to a Mediclaim policyholder by providing cashless facility for all hospitalizations that come under the scope of his/her Mediclaim policy.

You can have TPA list on this link http://www.insurancepandit.com/health/health_tpa.php

Author:
Last update: 1970-01-01 01:00


What are the facilities offered by a TPA?

1 A 24 X 7 assistance to all policy holders through toll free number of the TPA

2 Online assistance during hospitalization and filing of claim documents

3 Assistance in providing Ambulance Services during Emergency 3 Enrollment Card against your policy, which would give you access to TPA services.

4 Cash Less service facilitation at network hospitals up to limit authorized by Mediclaim / Hospitalization Insurance

5 Claims Processing and Reimbursement for non-network hospitals

6 Other services as defined by your Employer / Insurer

Author:
Last update: 1970-01-01 01:00


What do you mean by Network /Non-network Hospitalization?

A Hospital, which has an agreement with aTPA for providing Cashless treatment, is referred to as a 'Network Hospital'. Cashless facility is provided ONLY at the network hospitals. Non-network hospitals are those who have not agreed to the TPA terms and conditions and any policyholder seeking treatment in these hospitals will have to pay for the treatment and later claim as per normal procedure.

Author:
Last update: 1970-01-01 01:00


What is Cashless access/Cashless Facility?

This means you can walk into any of the network hospitals across the country and get treated without having to pay for your bills first and then claim from the company. If you do not get admitted to a networked hospital, your expenses will be reimbursed on receipt of complete documents from you.

Author:
Last update: 1970-01-01 01:00


What documents should one obtain before discharge from the hospital in case of cash less facility availed?

All bills in original and a discharge certificate are to be left with the hospital providing cashless treatment. The patient has to countersign all bills and fill the claim form and also leave the same with the hospital at the time of discharge. A copy of the bills & Discharge Summary can be carried by the patient for his records and for submission along with Pre & Post Hospitalization bills.

Author:
Last update: 1970-01-01 01:00


What documents are needed for processing claims if the treatment has been done in a non-network hospital or in a network hospital where cash less facility was not granted / availed?

Following documents are required for processing the claims on reimbursement basis:

1. Claim Form properly filled and signed by the claimant

2. Discharge Certificate from the hospital

3. All documents pertaining to the illness starting from the date it was first detected

i. Bills, Receipts

ii. Cash Memos from hospital supported by proper prescription

iii. Receipt and diagnostic test report supported by a note from the attending medical practitioner/surgeon justifying such diagnostics. Surgeon's certificate stating the nature of the operation performed and surgeon's bill and receipt

iv. Attending doctor's / consultant's / specialist's / anesthetist's bill and receipt, and certificate regarding diagnosis

v. Certificate from the attending medical practitioner / surgeon that the patient is fully cured 

4.  Details of previous policies : if the details are not already with TPA except in the case of accidents

Author:
Last update: 1970-01-01 01:00


When will my claim be reimbursed?

The claim will be reimbursed by TPA/company after receipt of complete documentation from the client.

Author:
Last update: 1970-01-01 01:00


Can I get Cash less facility / Reimbursement in the case of pre-existing diseases?

Pre-Existing diseases are excluded in Mediclaim Policy. TPA’s doctor panel will verify / check the inception of disease based on your medical records and in case the disease has an origin before the inception of the policy, then your claim is not payable, as per the policy.

Author:
Last update: 1970-01-01 01:00


How do I get a list of network hospitals of TPA?

Along with your ID card, you will get a kit comprising of a Guide Book and List of Network Hospitals. You can also download the list from the respective TPA’s website. The links for the same are given on our website too.

Author:
Last update: 1970-01-01 01:00


During the course of my treatment, can I change the hospitals?

Yes it is possible to shift to another hospital for reasons of requirement of better medical procedure. However, this will be evaluated by the TPA on the merits of the case and as per policy terms and conditions.

Author:
Last update: 1970-01-01 01:00


I am not keen to avail of Cash less facility. Can I go in for reimbursement?

Yes. Under the Mediclaim Policy, you can opt for Cash Less as well as Reimbursement. We would advise that in case you are taking treatment from a network hospital, then you should avail of the Cash less facility. This will give you the financial advantage of not paying for your hospital treatment and also gives you more cushion to meet your post-hospitalization expenses.

Author:
Last update: 1970-01-01 01:00


What is the benefit of carrying a health card?

The benefit of carrying the Health Card is that you and your family members get access to the cash less facility from the TPA’s network of hospitals. This means you can walk into any of the networked hospitals across the country and get treated without having to pay for your bills first and then claim form us. If you do not get admitted to a networked hospital, your expenses will be reimbursed within 7 days of receipt of complete documents from you. Also in the event of any unforeseen accident a third party can identify your Insurance Company and your family can be intimated.

Author:
Last update: 1970-01-01 01:00


Should the claim be submitted to the Insurance Company or TPA?

The claim has to be submitted directly to the TPA for timely settlement.

Author:
Last update: 1970-01-01 01:00


Will the medical costs be reimbursed from day one of the cover?

Author:
Last update: 1970-01-01 01:00


Will I get the entire amount of the claimed expenses?

The entire amount of the claim is payable, if it is within the Sum Insured and is related with the in-house treatment as per policy conditions and is supported by proper documents, except the expenses which are excluded.

Author:
Last update: 1970-01-01 01:00


Can any claim be rejected or refused?

Yes, the claim, which is not covered under the policy conditions, can be rejected. In case you are not satisfied by the reasons for rejection, you can represent to the insurer within 15 days of such denial.

Author:
Last update: 1970-01-01 01:00


In case of part settlement can an insured claim for the balance amount?

Normally, part payments are made due to deficiency of documents or for expenses which are not covered under the policy. In case of the former if the requisite documents are made available, the claim may be considered.

Author:
Last update: 1970-01-01 01:00


How can I check the status of my claim?

You can call the helpline number of your TPA or check on their site using your Policy number or member id. Helpline numbers and links for TPA website are available on our website. 

 

Author:
Last update: 1970-01-01 01:00


What is the procedure to get Reimbursement in case of emergency hospitalization?

1 Take admission into the hospital.

2 As soon as possible, inform TPA about the hospitalization

3 At the time of discharge, settle the hospital bills in full and collect all the original bills, documents and reports.

4 Lodge the claim with TPA for processing and reimbursement by duly filling in the claim form & enclosing all original bills/vouchers/receipts.

Author:
Last update: 1970-01-01 01:00


What is the procedure to get Reimbursement in case of planned hospitalization?

1 Inform TPA about the planned hospitalization.

2 Get admitted into the hospital as planned.

3 At the time of discharge, settle the hospital bills in full and collect all the bills, documents and reports.

4 Lodge the claim with TPA for processing and reimbursement by duly filling in the claim form & enclosing all original bills/vouchers/receipts.

Author:
Last update: 1970-01-01 01:00


How does one get Reimbursements in case of treatment in non- network hospitals?

In case of treatment in a non-network hospital, TPA will reimburse you the amount of bills subject to the conditions of the policy taken by the insured.

The insured must ensure that the hospital where treatment is taken fulfils the conditions of definition of Hospital in the Mediclaim policy. TPA should be contacted within 7 days from the time of admission with the following documents in original:

1 Claim Form duly filled and signed by the claimant

2 Discharge Certificate from the hospital

3 All documents pertaining to the illness starting from the date it was first detected i.e. Doctor's consultation reports/history

4 Bills, Receipts, Cash Memos from hospital supported by proper prescription

5 Receipt and diagnostic test report supported by a note from the attending medical practitioner/surgeon justifying such diagnostics.

6 Surgeon's certificate stating the nature of the operation performed and surgeon's bill and receipt

7 Attending doctor's / consultant's / specialist's / anesthetist's bill and receipt, and certificate regarding diagnosis

8 Certificate from the attending medical practitioner / surgeon that the patient is fully cured

9 Details of previous policies if the details are not already with TPA except in the case of accidents

Author:
Last update: 1970-01-01 01:00


What are the situations under which one may be denied cashless hospitalization?

1 If there is any doubt in the coverage of treatment of present ailment under the Policy

2 If the information sent to TPA is insufficient to confirm coverage

3 If the ailment/condition is not being covered under the policy

4 If the request for pre-authorization is not received by TPA in time

In such a situation, the Insured can take the treatment, pay for the treatment to the hospital and after discharge, send the claim to TPA for processing.

Author:
Last update: 1970-01-01 01:00


What is the information one needs to furnish while intimating a claim?

The following information needs to be furnished while intimating a claim:

1 Name of Insured person who is sick or injured

2 Nature of Sickness/Accident

3 Contact Numbers

4 Policy Number (as reflecting on the Health Card)

5 Date & Time in case of accident, commencement date of symptom of disease in case of sickness

6 Location of accident

Author:
Last update: 1970-01-01 01:00


What if I don’t remember my Card Number and Policy Number and I am in an emergency situation?

In case you are in an emergency situation, TPA can search your details based on the following:

Name, Address, Date of Birth

Insurer

Underwriting Office Code

Author:
Last update: 1970-01-01 01:00


Car Insurance » General

What's IDV and how is it determined?

IDV is Insured's Declared Value and is estimated on the basis of the manufacturer's listed selling price of the model and Variant of the vehicle (and additional accessories) at the commencement of the car insurance policy after adjusting for depreciation for every year.

If the car is stolen or totally damaged and beyond repairs in an accident, the claim amount payable is determined on the basis of the IDV. Hence it's very important Car is insured for correct IDV.

IDV = Ex-Showroom price plus sales tax minus depreciation, registration, and insurance.

Most of the insurance companies allows deviation of (+/-) 10% of estimated IDV Value. Higher the IDV value chosen higher will be the premium.

Author:
Last update: 1970-01-01 01:00


What is voluntary deductible option?

Voluntary deductible is the minimum amount that you declare to bear at the time of claim. When you opt for a higher deductible, you are eligible for a higher discount. There is an inverse relationship between the deductible and the premium. When voluntary deductible increases, the amount of premium falls.

If you opt this, this is the amount that you have to compulsorily bear during the event of a claim  e.g. if your claim amount is Rs. 20000 and the voluntary deductible is Rs. 3000 then you have to bear the first Rs 3000 and the claim will be worth Rs 17000.


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Author:
Last update: 1970-01-01 01:00


If my No Claims Bonus (NCB) has been earned in another country, is it still acceptable?

An insured may be granted NCB on a new policy taken out in india as per entitlement earned abroad,provided the policy is taken out in india within three years of expiry of the overseas insurance policy,subject to relevant provisions of NCB under these rules.

Author:
Last update: 1970-01-01 01:00


Do the years I’ve spent driving a company car count towards my No Claims Bonus?

The percentage of NCB earned on a vehicle owned by an institution during the period when it was alloted to and exclusively operated by an employee should be passed on to the employee if the ownership of the vehicle is transferred in the name of the employee.

This will however require submission of a suitable letter from employer confirming that prior to transfer of ownership of the vehicle to the employee,it was alloted to and exclusively operated by the employee during the period in which the NCB was earned.

Author:
Last update: 1970-01-01 01:00


What is No Claims Discount (NCD) or No Claims Bonus?

They are same.This is the term used to describe the discount insurance companies give policyholder when they have not made any claim.This is usually expressed in %.

Author:
Last update: 1970-01-01 01:00


If I am buying a new car, how do I transfer my existing policy over to the new vehicle?

If you are buying a new car and want to transfer your existing policy over, you would need to contact us at our customer services department and amend your current policy. There may be a variation in price and a change in underwriting criteria for the new car.Sale letter of your old car and third party insurance cover for old car  may be required.

 

Author:
Last update: 1970-01-01 01:00


What is the procedure for Transfer of Insurance?

For Transfer of Insurance from one owner to another you need to submit the below mentioned documents.

 

Transfer of Policy (Sale of Vehicle)

  • New RC copy /form 29-30
  • Old policy document
  • NOC from the previous insured
  • Rs. 50/- transfer fee
  • New application form. (New application form are provided at the branch)
  • Inspection of vehicle

NCB difference amount

Author:
Last update: 1970-01-01 01:00


How do I add/ delete the Hypothecation in my Car policy?

1.For Addition of Hypothecation: Letter from the bank / Endorsed RC copy has to be submitted.

2. In case of Deletion of Hypothecation: NOC / Endorsed RC copy has to be submitted to the branch or scan the documents and email same to insurance company.

Author:
Last update: 1970-01-01 01:00


How should I change the registration address or any vehicle information on the policy?

For any change or correction in registration address/ Vehicle Information you need to submit RC copy along with a request letter.

Author:
Last update: 1970-01-01 01:00


What happens to my car insurance when I sell my car?

In this case there are two options.

1. The buyer can get the policy transferred in his name by applying to the insurance company in which case an endorsement is made to the policy. However, the no claim bonus(NCB) on the policy is not transferred and the difference has to be paid. NCB is retained by the seller.

2. You can cancel your policy and the buyer can buy a new policy. You will get a refund for the unexpired / unused period provided there is no claim on the policy. In this case too, you can retain your NCB and transfer it to your new insurance policy if you have purchased another vehicle. The buyer can transfer NCB in his previous policy to his new one. Please note that your policy will be cancelled only if the insurance company is provided with the proof that the vehicle is covered by another policy.

Also you can transfer the policy to your new vehicle and the unexpired premium amount can be adjusted accordingly.

Author:
Last update: 1970-01-01 01:00


What is the status of Car Insurance in case of death of Registered Owner during the validity of policy period?

In case of the Death of Registered Owner the policy is transferred in the name of Spouse for the unexpired period of the policy by submitting the death certificate to the insurance company without any charge/ nominal charge and also No Claim Discount on the existing policy is passed on to the new owner.

What is the status of Car Insurance in case of death of Registered Owner after Expiry of policy ?

A. In case of the Death of Registered Owner the policy is transferred in the name of Spouse by providing the death certificate to the insurance company and if application is made within 90 days from the expiry of the policy eligible NO Claim Discount/ Bonus is also allowed to the new owner.

What documents are required for Transfer of Car Insurance in case of Death of Registered Owner with Registration Authority ?

Ans. The intimation of death is to be given within 30 days to the Zonal office of Registration Authority, otherwise penalty of Rs. 100/- per month will be charged. The application for transfer is to be made by the first legal heirs/the person succeeding to the possession of the vehicle with following documents to The Registration Authority for Transfer of Vehicle,

 

  1. Registration certificate (RC) in original
  2. Form No. 30 & 31 in duplicate with endorsement of the financier if the vehicle is held on hire purchase agreement along with NOC from financier.
  3. Original copy of death certificate of the registered owner.
  4. Succession/Survival member Certificate issued by SDM.
  5. Affidavit by the applicant to this effect and from the other legal heirs relinquishing their right in favor of the applicant.
  6. Attested copies of valid insurance certificate.
  7. Attested copy of address proof of Applicant.
  8. Attested copy of valid PUC.
  9. Attested copy of PAN Card or Form 60 & 61(as applicable)
  10. Verification of vehicle on form no. 20

Author:
Last update: 1970-01-01 01:00


My vehicles have been insured from another insurance company. Can I get my vehicles insured from some other company through you?

Access denied

Author:
Last update: 1970-01-01 01:00


What will be Personal Accident claim status in case person has more than one vehicle in his name and has taken coverage for owner driver in all the policies?

The entitlement of the insured under Compulsory owner Driver Personal Accident cover arises whilst Driving the insured vehicle including mounting into/dismounting from or travelling in the vehicle as a co driver.  Hence claim shall only be paid by the insured vehicle insurance company in which one was travelling/ driving and not by any other company.

Author:
Last update: 1970-01-01 01:00


I am participating in a car rally. Will my current car insurance policy hold good or do I need to get it endorsed? Or do I need to buy a separate policy for it?

You can get your current policy endorsed with IMT31. For this, the insurance company will generally ask for the following documents:

Registration form; Entry form; File with complete details from the Organizers; Rally Licenses; Letter by the organizer stating on the Rally  and other details involved  with it, like the speed limit and strech/ area/ place of rally.

Author:
Last update: 1970-01-01 01:00


Can I buy insurance on someone else's bike?

Access denied

Author:
Last update: 1970-01-01 01:00


Car Insurance » Benefits and Coverages

What are the risks covered by the Comprehensive policy?

Comprehensive insurance policy covers your vehicle against following risks:

  • Natural calamities
  • Man-made calamities
  • Personal accident
  • Third party legal liability
  • Any permanent injury /death of a person
  • Any damage caused to property

Author:
Last update: 1970-01-01 01:00


What are the risks covered by the Third Party policy?

Third party policy covers the following risks:

  • death or injury to a third party
  • damage to third party property.
  • Liability in the case of death or injury is unlimited.

Author:
Last update: 1970-01-01 01:00


What if my car has an additional CNG/LPG kit?

 An additional CNG/LPG kit fitted in a vehicle needs to be insured seperately. It needs to be declared at the time of proposal.

Author:
Last update: 1970-01-01 01:00


Car Insurance » Renewal

Can I renew my Car insurance with another insurance company?

Yes, You can renew your car insurance with any other insurer, including the No Claim Bonus (NCB) accrued with your earlier insurer.

Author:
Last update: 1970-01-01 01:00


What Documents I need to Renew my Policy?

Author:
Last update: 1970-01-01 01:00


Can I Renew my policy from Current Third Party to Comprehensive ?

yes you can, but your vehicle needs to be inspected before it can be renewed to comprehensive policy.

Author:
Last update: 1970-01-01 01:00


What if my current policy is already expired?

You can still renew your policy after your vehicle inspection is complete. Insurance companies may apply additional loading on premium if policy has expired  45 days earlier.

Author:
Last update: 1970-01-01 01:00


Car Insurance » Discounts

My Policy is expired. Am I still eligible for NCB?

You are still eligible for NCB if you renew your policy with in 90 days of expiry of previous policy. After 90 days you will loose your NCB.

Author:
Last update: 1970-01-01 01:00


What is No Claim Bonus (NCB)?

If no claim is made during the policy period, No Claim Bonus (NCB) on OD premium is offered on renewals by insurance Companies. This reduces your premium to a great extent.

However, it should be noted that NCB would be allowed provided the policy is renewed within 90 days of the expiry date of the previous policy.


Author:
Last update: 1970-01-01 01:00


Car Insurance » Claim Process

What to do if a vehicle meets with an accident outside the area / city / state from where policy is issued?

  • If you know the toll free number of the Insurance Company intimate the occurrence of the accident to the insurance company and act on the advice of the company.     
  • If you don’t know the contact no. of insurance Company confirm It the insurance company is having any office at the place where accident took place. If there is local office of the company intimate the claim to the company.
  • If somehow you are unable to contact the insurance company or it the accident took place in odd hours / holiday arrange the photographs of vehicle on the spot of accident.
  • If the loss is major (say more than INR 50,000/-) and there is third party damage / loss / Injury / death etc., lodge FIR / Police report immediately.



Author:
Last update: 1970-01-01 01:00


What is cash less facility and what is the benefit of cash less facility?

Cashless facility means settlement of claims on cashless basis where the insured has to pay only deprecation amount of the total amount of claim passed / sanctioned by the surveyor/ Authorized person of the insurance company.For cashless list you can visit http://www.insurancepandit.com/auto/motor_claim_assistance.php

Author:
Last update: 1970-01-01 01:00


What is the procedure to claim insurance if a vehicle is stolen from a commercial parking lot?

Access denied

Author:
Last update: 1970-01-01 01:00


Personal Accident Insurance » General

Am I protected in remote areas of the world?

      Yes, Personal accident cover is worldwide.

Author:
Last update: 1970-01-01 01:00


Should I and family members undergo any medical test to get this Insurance?

No, medical tests are not required.

Author:
Last update: 1970-01-01 01:00


Can I cancel my PA policy ? Will I get a refund of premium if I cancel my policy?

Yes, you can cancel the policy. However, refund of premium will be on short period rates. Please go through the policy terms and conditions for complete details.

Author:
Last update: 1970-01-01 01:00


What is Personal Accident Insurance?

Personal Accident Insurance provides cover, in the event of the person sustaining bodily injuries resulting solely and directly from an accident caused by EXTERNAL, VIOLENT & VISIBLE means, resulting into death or disablement.

Author:
Last update: 1970-01-01 01:00


Does the personal accident policy cover natural death or death due to some illness/disease?

  No,Personal accident policy covers death occurring due to accidents or accidental injuries only.

Author:
Last update: 1970-01-01 01:00


What types of events are covered under Personal Accident Insurance?

An accident may include events like:

• Rail / Road / Air Accident.
• Injury due to any collision/fall.
• Injury due to Bursting of gas cylinder.
• Snake-bite, Frost bite/Dog bite.
• Burn Injury, Drowning, Poisoning etc.

(This is only illustrative and not an exhaustive list of type of accidents)

Author:
Last update: 1970-01-01 01:00


Are there any territorial restrictions applicable to the policy?

No, the coverage under this policy is WORLDWIDE. However, claims, if any, will be paid in Indian currency only.

Author:
Last update: 1970-01-01 01:00


What is the basis of arriving at the sum insured?

 

Sum insured is based on various factors namely :
(1) income from gainful employment,
(2) type of occupation,
(3) age as on date of proposal,
(4) period of insurance
(5) Conditions prevailing at the place from where the proposal is made etc.

 

Author:
Last update: 1970-01-01 01:00


Can a cover be granted to a proposer where war and war like situation prevails?

  Under normal circumstances where war and or warlike situation prevails PA cover is not offered.

Author:
Last update: 1970-01-01 01:00


Is there any tax benefit under Personal Accident cover?

There is no tax benefit for the premium paid under PA cover.

Author:
Last update: 1970-01-01 01:00


Can a NRI take Personal Accident policy?

No, NRIs are not covered under this policy.

Author:
Last update: 1970-01-01 01:00


What is the difference between Life Insurance and Personal Accident Insurance?

As Life Insurance pays benefits due to death, it is generally the better choice for protecting loved ones against the loss of income that might occur if a family member dies.  A Personal Accident Policy on the other hand, is a good choice to supplement a life insurance policy but as it excludes natural causes, it should not be relied upon as the only protection for your family.

Personal Accident Insurance may be a good option when:

  • A person enjoys a particularly active lifestyle and wants additional protection against death or dismemberment by accidental reasons.
  • A person has very active family members and wants protection against the death or dismemberment of a spouse or dependent child, due to an accident.
  • A person cannot qualify for life insurance due to certain medical reasons, but still wants protection against death or dismemberment by accident .

Is your life cover (with an accident rider) as comprehensive as a standalone personal accident insurance policy?

A life insurance provides you and your family cover in case of the policy holder's death (due to accident/ illness or other reasons) or total permanent disablement. A health insurance policy covers your medical expenses due to an illness, accident, etc. A personal accident policy on the other hand, protects individuals and their families not only in the event of accidental death (which life insurance already does), but also covers total permanent disablement, partial permanent disablement & temporary total disablement due to an accident.

Benefits of personal accident insurance:

  • Cost efficient
  • Covers areas which a life insurance policy doesn’t such as
    • partial permanent disablement
    • temporary total disablement
    • accidental medical expenses, etc

What is the difference between permanent total disablement & partial disablement?

Permanent total disablement means a loss so severe that it permanently impairs your earning capabilities. Permanent total disablement includes loss of sight of both eyes, severance of two limbs, or loss of sight of one eye and loss of one limb.
Partial permanent disablement includes permanent loss of one or more of the following:

An arm at the shoulder joint, An arm above the elbow joint, An arm beneath the elbow joint, A hand at the wrist, A thumb, An index finger, Any other finger, A leg above the mid-thigh, A leg up to mid-thigh, A leg up to beneath the knee, A leg up to mid-calf, A foot at the ankle, A large toe, Any other toe, An eye, Hearing loss in one ear, Hearing loss on both ears, Sense of smell, Sense of taste.
Total temporary disablement implies loss of ability to earn while you have met with an accident and are recovering from it.

Who should buy personal accident insurance? How much cover to go for?

A personal accident policy covers you in case of an accident only so once you have determined the insurance cover you need, you can opt for a mix of life insurance and personal accident insurance. This will reduce your costs and also provide wider coverage.

In case you have taken loans (vehicle loan, personal loan, etc.) taking a personal accident cover would offer protection towards repayment of outstanding balances at the time of an accident affecting the repayment capabilities.

Unlike Life insurance, Personal Accident insurance premiums vary with the policyholder’s occupation rather than age. Broadly classified, there are 3 classes of occupational risks:

Risk Class 1: Persons engaged in Administrative, Managerial and similar functions like accountants, doctors,​lawyers, architects, teachers, bankers etc.

Risk Class 2: Builders, Contractors & Engineers engaged in superintending functions only, paid drivers of light motor vehicle, cash carrying employees, garage & motor mechanics, machine operators & persons engaged in occupations of similar hazard.

Risk Class 3: Persons engaged in hazardous occupations like working in underground mines, explosives, magazines, electrical installation with high tension supply and those engaged in occupations/activities of similar hazard.

 

S.No.

Benefit Name

PA

Term

1

Death

Accidental

Natural and accidental

2

Medical Tests

No

Yes

3

Cost

Cheaper as compared to term

More expensive

4

Maximum Entry Age(in yrs)

70

60

5

Maximum Renewal Age(in yrs)

70

NA

6

Partial permanent disablement

Yes

No

7

Temporary total disablement

Yes

No

Author:
Last update: 1970-01-01 01:00


Personal Accident Insurance » Benefits and Coverages

Who can be covered in a personal accident policy?

Any person who is a Resident of India, between the age of 18 years and 70 years can propose for this insurance.
This Insurance is also available for spouse (Maximum age of 70 years) and dependent children (Minimum age of 5 years) on payment of relevant premium.

Author:
Last update: 1970-01-01 01:00


What is covered in a PA Policy?

Depending on the plan chosen, all or some of the benefits given below are covered:

 Death Benefit: In the unfortunate event of fatal accident, the Sum Insured will be paid to the nominee of the Insured Person.

Permanent Total Disablement: In the unfortunate event of an accident resulting in Permanent Total Disablement, the Insured Person will be paid the Sum Insured.

Permanent Partial Disablement: In the unfortunate event of an accident resulting in Permanent Partial Disablement, the Insured Person will be paid a specified percentage of Sum Insured, according to the disability which has been listed in the policy.

Temporary Total Disablement Benefit: In the unfortunate event of an accident resulting in physical recoverable total loss due to which insured suffers from financial losses, the insured person will be paid a specified percentage of sum insured for a specified number of weeks.

Education Grant: In the event of death or Permanent Total Disablement (PTD) of any of the Insured Parent due to an accident as defined in the Policy, the Company shall pay educational grant for the dependent Children who are in full term education as specified in the policy.

Transportation expenses of mortal remains : Specified amount for transportation expenses of mortal remains in case of accidental death of Insured person.

This is a general list. Please refer policy wording for details. You can visit http://www.insurancepandit.com/pa/pa_insurance.php for further details.

Author:
Last update: 1970-01-01 01:00


Does this policy cover medical expenses incurred due to accident?

  Yes, some companies cover medical expenses reimbursement on payment of additional premium. These expenses are payable, in case the claim is admitted under the basic policy cover.

For detailed benefits, please visit http://www.insurancepandit.com/pa/pa_insurance.php

 

Author:
Last update: 1970-01-01 01:00


What is permanent total/partial and temporary disablement?

(i)       When an insured person sustains accidental injuries resulting in loss of limb and is certified by a medical specialist that the injury is of a permanent total or permanent partial nature, then only the insured shall deemed to be permanently totally/partially disabled.

The below mentioned disabilities are covered under PTD

Doctor certified total, continuous and permanent:

a) Loss of the sight of both eyes.

b) Physical separation of or the loss of ability to use both hands and both feet.

c) Physical separation of or the loss of ability to use one hand and one foot.

d) Loss of sight of one eye and the physical separation of or the loss of ability to use either one hand or one foot

 

The disability covered under PPD is as per the table given below and the benefit which is a specified percentage of the sum insured may vary from company to company.

An arm at the shoulder joint

An arm above the elbow joint

An arm beneath the elbow joint

A hand at the wrist

A thumb

An index finger

Any other finger

A leg above mid-thigh

A leg up to mid-thigh

A leg up to beneath the knee

A leg up to mid-calf

A foot at the ankle

A large toe

Any other toe

An eye

Hearing of one ear

Hearing of both ears

Sense of smell

Sense of taste

 

(ii)     Temporary total disablement arises when a person is not in a position to perform the duties that he performing immediately prior to the accident, which has to be certified by a medical professional.

This is a general interpretation for easy understanding & not legal wording.

Author:
Last update: 1970-01-01 01:00


Does Personal Accident Insurance offer coverage against terrorism and acts of terrorism?

Yes, it offers coverage against terrorism and acts of terrorism, other terms, conditions & exclusions applicable.

Author:
Last update: 1970-01-01 01:00


Personal Accident Insurance » Claim Process

What does the family/next of kin need to do in the event of claim?

In the event of claim, your family/next of kin needs to intimate the company in writing, or over the phone at the customer care number of the company printed on your policy. They can also intimate the claim online, or download the claim form from the website of the insurance company.

Author:
Last update: 1970-01-01 01:00


What does the insured/next of the kin of insured have to do in the event of accident?

 

IN THE EVENT OF ACCIDENTAL INJURIES
• Immediate written notice should be given to the Insurance Company with all particulars.
• Claim from duly completed along with the following documents should be submitted;
• Medical Certificate about the nature and extent of accident resulting injuries.
• Medical Examiner’s Report.
• Details of treatment rendered by the attending Doctor/Hospital/Nursing home.
• Certificate from the employer to the effect that the Insured was on leave during the period.
• Fitness certificate.

IN THE EVENT OF ACCIDENTAL DEATH
the following documents are required to be submitted:
• Post-mortem Report.
• F.I.R./Police Report.
• Punchnama
• Departmental Inquiry, if any.
• Report of Doctor/Hospital/Nursing Home.
• Death Certificate.

This is a general document checklist; there might be variations depending on the insurance company.

Author:
Last update: 1970-01-01 01:00


Car Insurance » Buying a car insurance policy online

What can I do online?

You can get a quote, buy a car policy online.

Author:
Last update: 1970-01-01 01:00


What document would I have to submit as proof of no claims discount?

The document you are required to submit us as proof of your no claims discount is a renewal notice from your previous insurer. If this does not state your no claims discount (NCD) entitlement or is not available to you simply call your previous insurer and request confirmation of your NCD that you can then forward on to us or alternatively provide us previous policy copy and declaration that you have entitlement for claimed no claims discount.If you are not eligible for no claim bonus and wrongly claim this on your policy then the contract of insurance is void ab-initio and insurance company reserves the right to reject your claim.

Author:
Last update: 1970-01-01 01:00


Doctor professional indemnity insurance » General

Is cosmetic surgery covered under Doctor professional indemnity insurance?

NO it is not covered.

Author:
Last update: 1970-01-01 01:00


Can doctors professional indemnity insurance be ported to new insurance company as in the case of health insurance and motor insurance and does the new insurer give the benefit of retroactive coverage for cases which may arise in previous policy years?

Yes, the insurance can be purchased from the new insurer before the expiry of the current professional indemnity policy subject to nil claims declaration on doctor's letterhead along with proposal form for issuing the policy from the new insurer.
The new insurer will issue the policy and mention the retroactive date as mentioned in the last policy issued by previous insurer. The claims arising for the previous years will be handled by the new insurer as per policy terms and conditions and sum insurted of the previous policy.

Author: Admin
Last update: 1970-01-01 01:00


General

I have placed an order for insurance on your site. While going to the payment page,there was a problem with my internet connection/ computer. Do I have to place the order again?

No, your order is saved and you can retreive it. You can either access it from the order confirmation mail that we send you when you place an order.Click on the view/modify your order option.Or visit the home page of our website, click on track your order option on the left hand side, put your order no. and submit; your order will open and you can proceed for payment.

Author:
Last update: 1970-01-01 01:00


General » Payment related queries

I have opted and paid for instant insurance policy on your website and the amount has been deducted from my account but I have not received the policy. What should I do?

In some companies like Bajaj and HDFC Ergo, when you make payment, a transaction number is generated. Kindly note that down and in case your payment is successful but you do not get the policy, mail us that reference no. or if you have not noted down the same, please mail us your account statement showing that the amount has been debited. In case of other companies where transaction number is not generated, please mail us your account statement showing the transaction. We will get your policy issued from the company.

In case of travel insurance, if you are in a hurry and you have to leave immediately or the next day is a holiday, you can buy a new policy and put in a mail as above and we will get your previous amount refunded to the credit card from which the payment has been made.

Another important thing, please do not close your browser till you have been redirected to our website from the payment gateway! Also do not refresh or press back button while your payment is being processed.

Author:
Last update: 1970-01-01 01:00


I have purchased two policies but my bank statement shows that the amount has been deducted thrice. What should I do?

In such a case, please mail us your statement showing the transactions and we will get your transaction reversed.

Author:
Last update: 1970-01-01 01:00


General » Policy Delivery

I have received my policy on email but hard copy is still awaited. What should I do?

Normally, it takes 2-3 working days for the hard copy to reach you through courier or speed post. You can track the same using the link provided in the intimation mail sent by us. If you wish the policy to be delivered at a particular time, you can contact the courier office and request for the same.

If you still dont receive, then you can put in a service request using the link given below:

http://www.insurancepandit.com/support/service_request.php

Author:
Last update: 1970-01-01 01:00


I have received my policy but there are mistakes in spellings of names, address etc. What should I do?

Author:
Last update: 1970-01-01 01:00


I want to take a travel insurance policy and want to know how will you deliver the policy?

If you opt for instant travel insurance plans, the policy will be e mailed to you instantly on making payment through your preferred mode of payment. In case of other plans also, once we receive your payment, the policy will be emailed to you within the time frame mentioned against each plan on our website. Also, if you require, a hard copy will be sent to you through courier or speed post.

Author:
Last update: 1970-01-01 01:00


I want to take an insurance policy from your website and want to know how will you deliver the policy?

The policy will be emailed to you and also delivered through courier or speed post depending upon your location.

Author:
Last update: 1970-01-01 01:00


General » Refund and Cancellation

What is the procedure for cancellation of the travel policy? Are there any cancellation charges?

In general:

Before Departure:    Can be done on request of the insured via mail  

After Departure:      Can be done on request of the insured via mail but Original Passport  verification is a must to check the valid reason.

 1. Insured has to pay cancellation charges which vary from company to company towards Administrative Expenses.

2. Request for cancellation of policy should be received prior to expiry of the original Policy.

Imp: Please refer Cancellation and refund policy of each insurance company  given against their respective travel insurance plans on our website. Cancellation charges too are given .

Author:
Last update: 1970-01-01 01:00


I have been refused visa/ I have cancelled my visit and want to cancel my travel insurance policy. What should I do?

You can put in a service request using the link given below requesting for cancellation of the policy citing reasons for cancellation.

http://www.insurancepandit.com/support/service_request.php

If you request for cancellation after the departure date a copy of passport is needed to confirm that the trip has not been undertaken.

Please refer refund and cancellation policy of the respective company given on our website against each plan.

Author:
Last update: 1970-01-01 01:00


My trip has been cut short. Can I get a refund for the remaining duration?

Some companies provide refund on early return provided there are a minimum specified number of days left. On the other hand some companies do not provide refund once the trip has started. Please refer refund and cancellation policy of the respective company on our site.

Author:
Last update: 1970-01-01 01:00


I have cancelled my policy. In how many days will I get the refund?

Access denied

Author:
Last update: 1970-01-01 01:00


General » Grievances and Complaints

What should I do if my insurer is not listening to my complaints regarding my policy, claim , endorsements etc?

The Insurance regulator , IRDA has developed Integrated Grievance Management System(IGMS) which facilitates online registration of policyholders’ complaints and helps track their status. A link to the insurers’ grievance mechanism is also available in this website at List of Insurers.

You can use the link given below to access the same.

http://www.igms.irda.gov.in/

Author:
Last update: 1970-01-01 01:00


Health Insurance » Portability

What is meant by health insurance portability?

Health insurance portability has been launched in India on 1st October, 2011. Portability means transfer of the credit gained by the insured for pre-existing conditions and time bound exclusions if he/she chooses to switch from one insurer to another insurer or from one plan to another plan of the same insurer, provided the previous policy has been maintained without any break. Here, a break in policy is considered to occur when the premium due on a given policy is not paid on or before the premium renewal date or within 30 days thereof.  In simple words, health insurance portability will allow the customer to switch to a different health insurer with benefits from the previous insurer being carried forward.

Author:
Last update: 1970-01-01 01:00


I am currently covered under group health insurance along with my family members. Can I switch to an individual or family floater plan?

Yes, with the launch of health insurance portability from 1st october,2011,you can switch from group health policy to individual or family floater with the same insurer and after one year, you can avail portability as applicable for other individual or family floater policies.

Author:
Last update: 1970-01-01 01:00


I want to avail the benefits of portability and switch my health policy to another insurer. What is the procedure for that?

For this as per IRDA guidelines, a policyholder should apply to the insurance company at least 45 days before the premium renewal date of the existing policy. And the policyholder has to fill in the portability form (provided by the insurer) along with proposal form and submit it to the insurance company. The insurer shall communicate its decision to the requesting policyholder within 15 days of providing all the details required by the insurer and if the insurer does not communicate its decision within 15 days, it shall not retain the right to reject such proposal.

Author:
Last update: 1970-01-01 01:00


Marine Insurance

What does Transit Insurance Policy Cover?

Transit insurance policy covers the risk involved in movement of goods against physical loss or damage of the insured’s goods in transit from one location to another by any mode of transit, jointly or singly: by sea(all ocean voyages and inland waterways) for export and import; goods sent by post or parcels by courier ; all movement by rail/road and air shipments.

Author:
Last update: 1970-01-01 01:00


What are the various types of coverages available in marine insurance?

The following type of covers are available as per the International norms and generalised  worldwide for import/export of goods.
All Risk Cover – known as ICC(A)
Wider Risk Cover – termed as ICC(B)
Basic Risk Cover – termed as  ICC(C)
Similarly for Inland Transit i.e. movement of goods within country from one location to another, the following covers are available.
All Risk Cover – known as ITC(A)
Wider Risk Cover – termed as ITC(B)
Basic Risk Cover – termed as  ITC(C)

Author:
Last update: 1970-01-01 01:00


What is covered under Wider Risk Cover?

Wider Risk covers physical loss/ damage due to:Theft, Pilferage, Non Delivery, Fresh water/ Rain Water Damage, Hook Damage, Oil and Mud Damage , Heating and sweating Damage, Fire, Lightning, brakeage of Bridges, Overturning of vehicles, collusion with or by carrying vehicles etc.

Author:
Last update: 1970-01-01 01:00


Is War risk covered under the Marine policy?

Yes ,generally the War Risk is covered under Marine Policy but the insurance company charges specificied rate as per norms, to cover the insured goods against risk of War.

Author:
Last update: 1970-01-01 01:00


What is an Open Policy ?

When the insured has frequent and large number of despatches for incoming and outgoing of materials, it becomes difficult to go for individual despatch cover. Hence all the details and terms and conditions are agreed by the Insurance company and an open policy is issued wherein monthly declarations are agreed to be provided by the insured. The insurance premium is required to be paid in advance to cover all despatches.

 

Author:
Last update: 1970-01-01 01:00


What is Open Marine Cargo Cover?

Open cover is provided to insured having substantial international trade import / export. The terms and conditions of the cover are finalised, the insured pays premium in advance and the insurance company issues specific  stamped policies / certificates of insurance against each declaration provided by the insured.

The main advantages of this policy are that the agreed terms are automatically applicable to each and every consignment ; no shipment remains uninsured  through oversight, inadvertent omission/ delay in making declaration and the sum insured never gets exhausted.

Author:
Last update: 1970-01-01 01:00


What is Custom Duty Policy?

Access denied

Author:
Last update: 1970-01-01 01:00


What is the deductible/excess in the policy?

It is the amount or percentage of the claim as specified in your policy that has to borne by the insured for each claim made under the policy.

Author:
Last update: 1970-01-01 01:00


What does the term CIF + 10% valuation represents in marine cargo policy?

This represents 110% of the Cost of Goods, Insurance and Freight Charges (CIF) which is paid by the Insurance Company on settlement of claim as per standard marine policy norms. This is applicable only where it is requested by the owner of the goods and 10% of CIF included in the cost and also premium is paid accordingly.

Author:
Last update: 1970-01-01 01:00


Is storage at warehouse coverage included in the marine Transit policy?

The marine transit insurance policy does not cover goods temporarily stored during the normal course of transit. If goods are stored outside the normal course of transit i.e. awaiting shipment  etc it is always advisable to add coverage for goods stored outside by specifying the time and amount respectively.

Author:
Last update: 1970-01-01 01:00


What is the minimum deductible in India under marine cargo policy?

A minimum of 0.5% of Invoice/ Consignment Value or Rs.5000 whichever is more is the standard deductible in India. The higher excess deductible options are available upon request and basic rates are considered by the insurance company, taking into account the higher excess deductible option.

Author:
Last update: 1970-01-01 01:00


Will the carrier pay transit losses for goods they carry?

Carriers are not obligated to pay for the losses that occur beyond their control though they entrust in safe delivery of cargo. They will   / may charge additional cost from the owner on account of providing limited / fixed liability in the event of loss to goods they are carrying.

Author:
Last update: 1970-01-01 01:00


Why should one take Transit Insurance for Imports/ Exports even though the goods are least prone to getting damaged and there is no chance of shortage?

Wherever the movement of goods is out of home country  through a ship, a plane or any other carrier an unfortunate catastrophic event can result in total / partial loss of your goods, hence it is advisable to take an insurance policy.

Author:
Last update: 1970-01-01 01:00


What should I do if Transit insurance is too high?

Access denied

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Last update: 1970-01-01 01:00


Workmen Compensation

What is Workmen Compensation or Employer Liability Insurance?

The Act provides the payment of compensation by the Employer to the employees or their dependents in the event of fatal accident, injury caused to them arising due to accident. 

 

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Last update: 1970-01-01 01:00


What is a compensable injury?

This is an accidental injury/Death that arises out of and in the course and scope of employment for which compensation is payable under the Indian Compensation Act.

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Last update: 1970-01-01 01:00


What is not payable/ excluded by Workmen Compensation Insurance?

The following conditions are not covered under the policy.

  • Any injury by accident or disease directly attributable to war and nuclear risk
  • Workman under the influence of drugs or Drink
  • Insured's liability to employees of contactors to the insured
  • Any liability of the insured which attaches by virtue of an agreement
  • Any other disease specifically mentioned in the act.

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Last update: 1970-01-01 01:00


Who is responsible for providing the benefits under the Workman Compensation Act?

The employer is, by law, 100% responsible for providing benefits in accordance with the provision of the Act within 30 days from the date when it fell due otherwise he would also be liable to pay interest and penalty. The employer, in certain situations, provides benefits directly (self-insured) or indirectly through insurance company by taking insurance policy.

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Last update: 1970-01-01 01:00


How to file claim under the Workmen Compensation Policy?

The injured person or his dependants have to give a notice to the employer to pay Compensation as per the provisions of the Act. Upon the failure or refusal of an employer to give compensation, an application is to the made in Form - F to the Commissioner under the Workmen's Compensation Act, 1923 who is the Assistant Labour Commissioner or the Labour-cum-Conciliation Officer of the area where the accident took place or where the claimant ordinarily resides or where the employer has his registered office. After hearing both the parties, the Commissioner decides the claim amount and orders the Employer to pay the compensation.

 In case the Employer  has taken the Workmen compensation policy then the Insurance will settle the claim accordingly .

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Last update: 1970-01-01 01:00


Liability Insurance

What is liability insurance?

Any type of insurance policy that protects an individual or business from the risk that they may  be sued and held legally liable for something such as malpractice, injury or negligence. Liability insurance policies cover both legal costs and any legal payouts for which the insured would be responsible if found legally liable. Intentional damage and contractual liabilities are typically not covered in these types of policies.


Further, there are different type of liability insurances such as
  • Directors & Officers Liability
  • Professional Indemnity Policy
  • Products Liability Policy
  • Commercial General / Public Liability Policy
  • Workmen's Compensation Policy
  • IPO Insurance
  • Media Liability Insurance
  • Public Liabilty Act Policy

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Last update: 1970-01-01 01:00


Public Liability Insurance

What is public liability insurance?

Public liability insurance indemnifies the insured for his legal liability to pay compensation including claimant’s cost and fees, in respect of death/injury to third party or damage to property belonging to third party, arising out of the business of the Insured.

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Last update: 1970-01-01 01:00