Operation Insurance

Exclusions in Operation Insurance?

The operation insurance policy has an initial waiting period of 90 days and 48 months for pre-existing diseases. The insured persons cannot get a claim if they undergo a diagnosis of illness or any surgical procedure during this period. 

When buying a health insurance policy, it is essential to check the list of exclusions. It will give you an idea of the various scenarios where you will not be eligible to get a claim.  

We list below some of the permanent exclusions of the policy:-

• Act of self-inflicted injury attempted suicide or suicide
• Any illness related directly to the consumption of Alcohol/Tobacco/Cigarettes etc.
• HIV/AIDS or any other sexually transmitted disease
• Cosmetic or plastic surgeries or related treatment
• Pregnancy, miscarriage, childbirth, maternity including C- section, abortion or complications of any of these
• All the hazardous activities
• Damage caused by a nuclear, chemical or biological attack or weapons
• Illness or injuries caused due to any breach of law by the insured with any criminal intent

Benefits of Operation Insurance

When dealing with an illness or a medical condition, a person goes through a lot of physical and mental stress. Also, one cannot ignore the cost of medical treatment, which is quite high in India. Sometimes, a doctor may recommend surgery as a solution to a medical problem. Critical surgeries can make you spend a lot of money. The medical bills can take you by surprise and impact your savings if you are not prepared to deal with them. There are quality medical facilities where one can get the best medical care. To ensure you get the best care at the best healthcare center without worrying about the costs, you must opt for health insurance for surgery. This policy will protect you from the hefty medical bills you would incur.  

Moreover, features such as no claim bonus help you to get increased coverage. This feature proves beneficial as it offers protection for future medical expenses that are likely to be higher. 

Why should one buy an Operation Cover?

Surgery may become inevitable for a person suffering from an illness or having a specific medical condition. Surgeries are performed effectively and quickly owing to the technological advancements in healthcare, thus benefiting the patients. A surgical operation demands great care, and therefore it becomes crucial to avail quality treatment at the best hospital. However, the cost of healthcare in India is quite expensive, particularly in private hospitals. Solely relying on one’s savings for bearing medical expenses is not a good idea. Hence, choosing health insurance for surgery is necessary. This policy will protect you against a host of medical costs besides hospital bills. It would offer cover for expenses such as:

• In-patient Hospitalisation including room rent, operation theatre, and ICU charges
• Day-care treatment including day-care surgeries
• Pre-hospitalization Medical Expenses incurred for 30 days before admission
• Post-hospitalization Medical Expenses incurred for a period up to 60 days after discharge

What is the benefit of an Operation Insurance policy?

An operation insurance policy reduces the burden of expensive medical procedures by offering a financial safety cushion. This policy is highly beneficial as it provides:

• Cashless claim facility for treatment at a network hospital
• Income Tax benefit under Section 80D of the I-T Act
• The flexibility of equated monthly or quarterly installments
• Additional benefits such as no claim bonus and annual health check-up

Difference Operation Insurance vs Health Insurance

Many people are gradually realising the importance of buying a health insurance plan, which will safeguard them during medical emergencies. A health plan offers numerous benefits and covers those medical expenses that are not just restricted to hospitalisation. 

While this is true, it is also essential to have a specific health cover for surgery. It could be possible that your existing health policy becomes insufficient to cover all the expenses you are incurring due to an illness. Choosing an operation insurance cover is a wise decision as it will provide an additional cushion by covering the surgical procedures as defined in the policy document. 

Kindly refer the prospectus for a complete list of procedures covered