Health insurance for children is available in both separate policies for them and family floater policies. Generally, these health insurance policies cater to an age range of 6 months to 25 years. They offer a broad coverage and benefits for children. Read on to find out all about what they cover and more.
Top Coverages of Health Insurance for Children
Here is a list of some of the top coverage in health insurance for children:
1. In-Patient Hospitalisation
A health insurance coverage for children includes ‘in-patient’ hospitalisation expenses. It means that treatment expenses when a person is hospitalised are covered by the health insurance policy.
2. Pre-Hospitalisation
Treatment expenses that incur even before a person is hospitalised are covered by these health insurance policies. Some examples of treatment covered are initial doctor consultation, diagnostic tests, etc.
3. Post-Hospitalisation
Treatment and medications do not just stop with hospitalisation. There are aftercare procedures for some conditions, such as physiotherapy, doctor visits, medications, etc. These incur high expenses. With health insurance coverage, these expenses are covered.
4. Road Ambulance Coverage
An ambulance also adds to the overall cost of hospitalisation. It may seem minor at first, until they add up to the mounting costs of healthcare expenses. However, with healthcare insurance, you can get road ambulance coverage up to the limits mentioned in the terms and conditions of your health insurance policy.
5. Shared Accommodation
The expenses concerning occupying a shared accommodation by the insured person are covered up to the limits mentioned in the health insurance policy clause.
6. Automatic Sum Restoration
Another great child health insurance benefits is the automatic sum restoration benefit upon exhaustion of the sum insured in a policy year. It does not lead to any additional premium hike. The exact coverage of restoration percentage is different among insurers.
7. Newborn Coverage
Maternity floater coverage and family health plans provide coverage for newborns from day 1. For instance, coverage is given for(both normal and C-sections. Some insurers also cover pre- and post-natal expenses to support the journey of parenthood.
8. Second Medical Opinion
A second medical opinion is necessary when there is a diagnosis of a critical illness. Health insurance covers a second doctor visit when you get it from the network list of doctors with your insurer.
9. Modern Treatment
Many insurers cover modern treatments such as oral chemotherapy and intravitreous injections. These are all part of modern treatments. They are payable only up to the limits of your policy clause.
10. Daycare Procedures
Health insurance for children covers medical treatments that take less than 24 hours of hospitalisation. Most treatments these days are daycare procedures. Hence, this coverage comes in handy.
11. Organ Donor Expenses
Coverage is given for expenses incurred for organ transplantation surgery up to specified limits in your health insurance policy for children.
12. Non-Medical Claims Coverage
If there is any admissible claim in your health insurance policy, then non-medical items will be payable.
13. Rehabilitation and Pain Management
Many health insurers provide expenses incurred for pain management and rehabilitation up to specified limits in the policy you choose. Sometimes, a health insurance policy also covers 20% of the sum insured every policy year.
14. AYUSH Treatment
AYUSH stands for Ayurveda, Yoga, Unani, Siddha and Homoeopathy. It is an alternative treatment procedure. A health insurance policy for children covers AYUSH procedures and treatments. This form of treatment coverage is only applicable in the insurer’s network list of medical facilities.
Benefits of Health Insurance for Children
1. Comprehensive Coverage
A child mediclaim policy provides comprehensive coverage for children with many coverage options. It comes in handy as much during the growing years of a child as they are more prone to getting into minor accidents now and then.
2. Cashless Hospitalisation
Cashless Health Insurance policies provide cashless hospitalisation benefits that enable policyholders to get prompt medical treatment during emergencies. In this instance, you can reduce out-of-pocket expenditures for the medical treatment of your child.
3. Family Discount Options
Family health insurance policies provide coverage for children and are also convenient. They cover every family member under a single sum insured. This results in financial savings as compared to getting an individual health policy for each family member.
Factors That Determine Premium in Health Insurance Policy for Children
- Medical History – The medical history and pre-existing conditions of a child affect premiums. Make sure to be honest about disclosing them at your insurer.
- Age – The age of family members is another important thing to consider. For instance, in a family floater policy, the premium is based on the age of the eldest family member.
Final Words
Health insurance for children is beneficial if you want to provide quality care for them. In the present age of medical inflation, it is competitive to afford otherwise. When purchasing a health insurance policy, make sure to check the various types of health insurance, exclusions and policy conditions to avoid any surprises when you try to claim coverage.
