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    Benefits of Health Insurance

    With rising healthcare costs, it is likely that one will have to go through an expensive medical procedure at least once in their lifetime. As a result, purchasing health insurance is a practical way to mitigate expensive medical bills. If you are planning to buy health insurance policy, then you must be aware of the following benefits of health insurance....Read More

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    *Disclaimer | Max Life Critical Illness and Disability Rider| Non-Linked non-participating Individual Pure Risk Premium Health Insurance Rider| Rider benefit available on payment of extra premium over base plan@>.

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    Written by

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    Rohit Ghosh

    Insurance Writer

    Rohit Ghosh has authored and reviewed several informative articles on Life and Term Insurance during his experience working with top Life Insurance brands. During his experience in the Life Insurance sector he has been responsible for formulation of several integrated marketing communication strategies. In his current role with Max Life Insurance he is responsible for website content and experience enhancement

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    Bhaskar Sinha

    Insurance Expert

    8+ years of experience in Life Insurance with expertise in Developing Life and Health Products, Digital Sales, Conducting effective trainings and Key Account Management.

    Health Insurance Benefits

    The several benefits of health insurance can hold different meanings for policyholders with diverse profiles. It is favorable to be aware of them while purchasing to avoid any misunderstandings later.

    1. Insurance Coverage for Healthcare emergencies

    One of the primary benefits of health insurance plan is that it provides coverage for various healthcare facilities. It can include regular check-up visits to the hospital as well as major surgeries. The policy terms lay down the particulars of the health insurance benefits at the time of purchase.

    One of the desirable benefits of health insurance is the cashless treatment facility. In case of emergency hospitalization, you may not have the resources available for paying the expenses immediately. The health insurance benefits ensure that you receive proper healthcare without worrying since the hospital can settle the bills directly with the insurer.

    2. Safety Against Rising Medical Costs

    The rapidly increasing healthcare costs are a matter of grave concern among people. Research suggests that paying for healthcare out of pocket is one of the critical causes of impoverishment. Under such conditions, the benefits of health insurance have become incredibly valuable.

    When you include a health insurance policy in your financial plan, it can save you much trouble later. The assurance of safety against continually rising healthcare charges is among the remarkable advantages of health insurance.

    3. Affordable Premium for Young Individuals

    A common misconception says that you do not need health insurance if you are fit and healthy. Contrary to that, the benefits of health insurance can be immensely helpful if you have planned for it beforehand. By doing so, you give yourself enough time to spread the premium amount over the years and reduce the financial strain.

    As we grow older, health issues become more frequent. If you do not have a plan in place, it may drain your savings. Hence, it is inadvisable to wait for a medical emergency to purchase a health plan. You may not avail of the benefits of health insurance efficiently, and it may also cost comparatively higher.

    4. Rider Protection for Various Life-related Uncertainties

    Riders can be considered as one of the most valuable benefits of health insurance. Apart from the fundamental medical insurance benefits, you can enjoy multiple other coverage options. Such health insurance benefits help in creating a more personalized financial plan.

    For example, a critical illness insurance rider can provide coverage against a list of life-threatening diseases that incur high healthcare costs. Max Life Insurance offers the option to add a critical illness rider to term plans to enhance the policy's scope.

    Also Read: What are Riders in Insurance?

    5. Additional Cover Above Employer Health Insurance

    Many companies offer employer health insurance benefits to their employees. While they are useful, you may not want to rely on it solely for assistance in a time of need. Since the benefits of health insurance provided by a company are under a master policy, there are limitations to individual coverage.

    When you buy an individual plan, you can attain additional benefits of health insurance, which are more particular to your requirements. You do not want to face a medical emergency where the employer's health insurance benefits may fall short.

    6. Tax Benefits

    While the benefits of health insurance are undeniably useful, they also help save on tax. The Indian government allows the policyholder to reduce their tax liability when they purchase a health plan. Under Section 80D, there are specific tax benefits of health insurance applicable to some conditions. Tax benefit are as prevailing tax laws subject to change.

    Why Choose a Health Insurance Plan?

    Benefits_of_Health_Insurance-2.png

    The benefits of health insurance have quickly become even more relevant than before. We are seeing an increase in lifestyle-related health issues among people. While it is essential to make other efforts to maintain a healthy lifestyle, protecting yourself financially should be prioritized.

    Here are a few key advantages of health insurance to put it in perspective.

    · Safeguard Your Family

    If you are an earning individual with financial dependents, health insurance benefits can be exceptionally helpful. You may not be able to prevent medical emergencies completely, but you certainly can prepare for it

    Your loved ones' safety and security in distressing times can be the most significant benefit of health insurance. The medical insurance benefits will ensure that they are not deprived of quality healthcare whenever needed.

    · Protect Your Savings

    Every hard-working person takes necessary measures to maximize their savings over time. However, the medical inflation rate may render them inadequate when needed the most. The benefits of health insurance will reduce the burden on your savings and spare them for other substantial life expenses.

    · Peace of Mind

    Your peace of mind is priceless in life. When you are secure and happy, most problems in life seem manageable. The benefits of health insurance are most helpful in ensuring that you live without worry. When you plan and invest, the health insurance benefits can positively impact your present and the future.

    How Max Life Cancer Insurance Plan is Compared with Other Health Insurance Plans?

    Much like other insurance products, the benefits of health insurance depend on some personal factors at the time of purchase. The minimum age of entry for health plans is generally lower so that you can begin planning earlier. Since the health insurance benefits can be applicable for a longer policy term, the premium rate will be lower as well. You can calculate the premium rate for a suitable coverage amount to get a better idea.

    Take the case of Mr. Kumar, 30 years old, who plans to buy the Max Life Cancer Insurance Plan (UIN: 104N093V03, A Non-Linked Non-Participating Individual Pure Risk Premium Health Insurance Plan). If he opts for an insurance coverage of Rs. 50 lakhs till the age of 70, the approximate annual premium will stand at Rs. 15,694. In case he chooses to pay the premium on a monthly, quarterly, or half-yearly basis, it will further reduce the premium amount.

    How to Choose the Right Health Insurance Plan?

    Benefits_of_Health_Insurance-3.png

    The benefits of health insurance can be immensely worthwhile if you select the right plan at the right time. There is no standard policy that provides relevant benefits of health insurance to everyone. Here are some of the factors to consider to optimize the health insurance benefits when buying a plan.

    · Coverage Requirement

    Evaluate the coverage that you need per the desired duration of the policy. The benefits of health insurance can continue for a long time comfortably if you make a careful decision.

    · Customization Options

    The cost of living goes under changes with time. Choose a plan that allows you to customize the benefits of health insurance over time with riders. There may also be a provision to increase the sum assured over time, depending on the policy terms.

    · Maximum Renewal Age

    The benefits of health insurance include policy renewal at a later age. In general, health insurance renewal is allowed until the age of 65, but some may also offer lifelong renewal options.

    · Claim-Settlement Ratio

    This refers refers to the percentage of successfully processed claims against the total number of issued claims to the insurer. Assess the provided medical insurance benefits against the insurer's claim settlement ratio to make informed decisions.

    · Other Policy Terms

    No one wants to be taken by surprise upon filing a claim towards settlement. It is advisable to go over different policy terms such as the waiting period to avoid any confusion later.

    Frequently Asked Questions (FAQs)

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    You can avail of the benefits of health insurance for self, spouse, children, or parents, as per the policy terms.

    Yes, you can enjoy the benefits of health insurance with more than one policy.

    Insurers generally send reminders to the policyholders when the renewal date is approaching. However, if you miss the renewal date, there is generally a grace period of 15-30 days.

    The waiting period of a health insurance policy is the period before which insurers do not entertain claims towards settlement. It can differ according to the varying features and benefits of health insurance.

    Yes, there are specific medical procedures that do not require hospitalization, known as daycare treatment. The benefits of health insurance apply to them as well.

    ARN No: Mar23/Bg/15G

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    Disclaimers for Market Linked Plans & Saving plans:

     

    THE UNIT LINKED INSURANCE PRODUCTS DO NOT OFFER ANY LIQUIDITY DURING THE FIRST FIVE YEARS OF THE CONTRACT. THE POLICYHOLDER WILL NOT BE ABLE TO SURRENDER/WITHDRAW THE MONIES INVESTED IN LINKED INSURANCE PRODUCTS COMPLETELY OR PARTIALLY TILL THE END OF FIFTH YEAR.

    Unit Linked Insurance Products (ULIPs) are different from the traditional insurance products and are subject to the risk factors. The premium paid in the Unit Linked Life Insurance Policies is subject to investment risks associated with capital markets and the NAVs of the units may go up or down based on the performance of fund and factors influencing the capital market and the insured is responsible for his/her decisions. Max Life Insurance is only the name of the insurance company and Max Life Online Savings Plan (UIN: 104L098V05) is only the name of the unit linked life insurance contract and does not in any way indicate the quality of the contract, its future prospects or returns. Please know the associated risks and the applicable charges from your Insurance agent or the Intermediary or policy document of the insurer. The various funds offered under this contract are the names of the funds and do not in any way indicate the quality of these funds, their future prospects or returns.

    Max Life Online Savings Plan is a Unit Linked Non Participating Individual Life Insurance Plan (UIN104L098V05)

    *#Some benefits are guaranteed and some benefits are variable with returns based on the future performance of your Insurer carrying on life insurance business. The assumed rates of return (4% p.a. and 8% p.a.) shown in the illustrative example are not guaranteed and they are not the upper or lower limits of what you might get back as the value of your Policy depends on a number of factors including future investment performance. The guaranteed and non-guaranteed benefits are applicable only if all due premiums are paid.The Maturity Benefit shown in the illustrative example are inclusive/exclusive of taxes.

    ^*Disclaimer: Applicable for Titanium variant of Max Life Smart Fixed-return Digital (Premium payment of 5 years, Policy term of 10 years) and a healthy female of 18 years old paying Rs.3,60,000/- annually (exclusive of all applicable taxes)

     

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    ^^On completion of policy term

    The savings indicated is the maximum premium difference as compared with offline plan & depends on the variant purchased.

    ^*All claims that qualify for InstaClaim™ will be paid within 1 working day from date of submission of all mandatory documents else Max Life will pay interest at Bank Rate as on beginning of financial year in which claim has been received (4.65 % p.a. for FY’20) for every day of delay beyond one working day. Interest shall be at the bank rate that is prevalent at beginning of the financial year in which death claim has been received.

    Claims for policies completed 3 continuous years. All mandatory documents should be submitted before 3:00pm on a working day.Claim amount on all eligible policies4 is less than Rs. 1 Crore. Claim does not warrant any field verification.Mandatory Documents :> Original policy document > Original/attested copy of death certificate issued by local municipal authority > Death claim application form (Form A) > NEFT mandate form attested by bank authorities along with a cancelled cheque or bank account passbook along with nominees photo identity proof > Discharge/Death summary attested by hospital authorities or FIR & Post Mortem Report/viscera report (in case of accidental death)

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    5Criteria applicable only for “Term plans” for Graduate, Indian resident with declared income >= 10 lacs with CIBIL score >= 650 (salaried) and >= 700 (self-employed) with no disclosed medical condition

    4InstaClaim TM is available for all versions of (UIN:104N118V06). Mandatory Documents : • Original policy document • Original/attested copy of death certificate issued by local municipal authority • Death claim application form (Form A) • NEFT mandate form attested by bank authorities along with a cancelled cheque or bank account passbook along with nominees photo identity proof • Discharge/Death summary attested by hospital authorities or FIR & Post Mortem Report/viscera report (in case of accidental death)

    ##

    Tax conditions :

    Save 46,800 on taxes if the insurance premium amount is Rs.1.5 lakh per annum and you are a Regular Individual, Fall under 30% income tax slab having taxable income less than Rs. 50 lakh and Opt for Old tax regime ~# Save 54,600 on taxes if the insurance premium amount is Rs.1.5 lakh per annum for life cover and 25,000 for critical illness cover and you are a Regular Individual, Fall under 30% income tax slab having taxable income less than Rs. 50 lakh and Opt for Old tax regime.

    3The discount is applicable if you are a salaried employee with a corporate. During policy issuance, Max Life may call for proof of employment if required. In case proposer when asked is not able to prove the employment part, discount offer will be discontinued and additional premium as applicable will have to be paid for processing of the case.

    CI Rider disclaimers:

    MAX LIFE CRITICAL ILLNESS AND DISABILITY RIDER (UIN- 104B033V01) available as a rider on payment of additional premium.

    >Extended cover of up to 85 years is available with gold and platinum variant only

    @ 64 critical illnesses covered in platinum and platinum plus variant on payment

    22 critical illnesses covered in gold and gold plus variant

    6 The life insurer is eligible for a discount on renewal premium under regular pay variant by accumulating Healthy Weeks as per terms and conditions of the rider

    *^Total premiums paid inclusive of any extra premium but exclusive of all applicable taxes, cesses or levies and modal extra. Return of premium option is available on payment of additional premium.

     ~ Conditions for premium break : Available at an additional premium for policies with policy term greater than 30 years and premium payment term greater than 21 years. Option to skip paying premium for 12 months. 2 premium breaks will be available during the premium payment term separated by an interval of at least 10 years

    ~1 Conditions for Special exit value:

    Option to receive all premiums paid back, at a specified point in the term of the policy (free of cost). Available when Return of Premium variant is not chosen. No additional premium to be paid.

    ~2 Voluntary Top-up Sum assured:

    Option to double your insurance cover, basis underwriting, at the time of your need by increasing your sum assured up to an additional 100% of base sum assured, chosen at inception

    ^^*^^Free look period conditions:

    The policyholder has a period of 30 days from the date of receipt of the policy document, to review the terms and conditions of the Policy, where if the policyholder disagrees to any of those terms or conditions, he / she has the option to return the Policy stating the reasons for his objections. The policyholder shall be entitled to a refund of the premiums paid, subject only to deduction of a proportionate risk premium for the period of cover and the expenses incurred by the company on medical examination of the lives insured and stamp duty charges.

    ^Individual Death Claim Paid Ratio as per audited financials for FY 2022-2023

    8https://www.moneycontrol.com/news/business/economy/buy-term-insurance-now-as-rates-may-rise-from-april-1-4930921.html

    2Total premium will be charged at the time of the policy issuance (subject to underwriting’s decision).

    3The guaranteed benefits are available with selected life insurance plans & are applicable if all due premiums are paid

    4Tax benefits as per prevailing tax laws, subject to change

    Terms and conditions for availing 5% employee discount:

    <Due to system constraints, employee is requested to select 5 Lakh and above income which can be changed to actual amount on the information page.

    1 The 5% employee discount will be refunded to you once your policy is issued. Submit your documents for getting your policy issued and get 5% employee discount

    9

    The percentage savings is for a regular pay Max Life Smart Secure Plus Plan ( A Non Linked Non Participating Individual Pure Risk Premium Life Insurance Plan, UIN - 104N118V06)– Life Option for 1 cr life cover for a 35 year old, non-smoker male for a policy term of 40 years vs a 10 year policy term with the same details’

    ~*Standard premium for 24-year old healthy male, non-smoker, 25 years policy term,25 year premium payment term (exclusive of GST) for Max Life Smart Secure Plus Plan (UIN:104N118V06)

    **Healthy non-smoking male, 24 years, 2 cr cover,25 years policy term,25 year premium payment term, exclusive pf GST for Max Life Smart Secure Plus Plan (UIN:104N118V06)

    ~~Healthy non-smoking male, 24 years, 1 cr cover,25 years policy term,25 year premium payment term, exclusive pf GST for Max Life Smart Secure Plus Plan (UIN:104N118V06)

    Max Life Smart Wealth Plan| A Non-Linked, Non-Participating, Individual Life Insurance Savings Plan| @Rs.9,68,800/- as lump sum at the end of 15 years, for 35 years old healthy male.

    ARN - ARN/Web/01/21042021

    Past performance of the investment funds do not indicate the future performance of the same. Investors in the Scheme are not being offered any guaranteed / assured returns.The premiums & funds are subject to certain charges related to the fund or to the premium paid.

    The premium shall be adjusted on the due date even if it has been received in advance.

    For Total Installment Premium -**Total Installment Premium is the Premium payable as per premium paying frequency chosen, it excludes GST and applicable taxes, cesses or levies, if any; and includes loadings for modal premiums, Underwriting Extra Premium and Rider Premiums if any.

    For Return of Premium -~The Return of Premium Option is available on payment of Additional Premium. Premium does not include amount paid for riders and is excluding taxes, cesses and levies. Upon Policyholder's selection of Return of Premium variant this product shall be a Non-Linked Non-Participating Individual Life Insurance Savings Plan.

    For Riders -#Applicable Rider available on the payment of Additional Premium is Max Life Critical Illness and Disability Rider | Non-Linked Non-Participating Individual Pure Risk Premium Health Insurance Rider |UIN: 104B033V01 . Critical Illness and Disability Rider variant opted is Platinum Plus which covers 64 critical Illnesses. The rider cover will only be paid in scenarios where customer is diagnosed with listed 64 critical illnesses or total and permanent disability. Rider will terminate after major critical illness claim is paid to the policyholder. In case customer requests for cancellation of rider only, the solution as a whole will be cancelled and not just the individual rider.

    For Additional Benefits -##On Payment of Additional Premium. The accident cover will only be paid in scenarios where death occurs due to accident.

    *~Disclaimer | Max Life Smart Secure Plus Plan. A non-linked non-participating individual pure risk premium life insurance plan |Benefit available with special exit value -Total premium paid inclusive of any extra premium but exclusive of all applicable taxes, cesses or levies & modal extra. The premium calculated as per Standard premium for 30 year old healthy male, non-smoker, 40 years policy term, 40 years premium payment term (exclusive of GST) for Max Life Smart Secure Plus Plan.

    6

    Applicable for Titanium variant of Max Life Smart Fixed-return Digital plan (Premium payment of 5 years and Policy term of 10 years) and a healthy male of 18 years paying Rs. 20,000/- per month (exclusive of all applicable taxes) with 7.50% return. Life Insurance is available with this product.

    ##

    Policy continuance benefit is not available with lifelong wealth variant. **The accrued income will be accumulated on an annual basis at the prevailing reverse repo rate (publish on RBI’s website).

    #

    With “Save the date”, you can choose to take your annual income to any special date in a year.

    ***Available with early wealth variant. Income benefit will be paid as per selected plan terms.

    ~

    Accidental death benefit is available in call variants except for Single premium variant. Life insurance coverage is available in this product.

    #~

    Term Insurance plan bought online directly from Max Life Insurance has no commissions involved.

    ~1

    Max Life Smart Secure Plus Plan, A non-linked non-participating Individual Pure Risk Premium Life Insurance Plan| Standard Premium for 30 year old healthy male, non-smoker, 40 years policy term, 40 year premium payment term (exclusive of GST) for Max Life Smart Secure Plus Plan| ~1 Conditions for special exit value: Option to receive all premiums paid back, at a specified point in the term of the policy (free of cost). Available when Return of premium variant is not chosen. No additional premium to be paid. Option to receive all premiums back (exclusive of GST). Flexibility of exiting the plan early. Special Exit Value cover applicable till age 68 & above (of your age). T&C Apply.

    6

    Applicable for Titanium variant of Max Life Smart Fixed-return Digital plan (Premium payment of 5 years and Policy term of 10 years) and a healthy male of 18 years paying Rs. 20,000/- per month (exclusive of all applicable taxes) with 7.50% return. Life Insurance is available with this product.

    **

    Max Life Critical illness and Disability (UIN- 104B033V01) available as a rider on payment of additional premium. 64 critical illnesses covered in platinum and platinum plus variant on payment.

    *

    Available on Payment of Additional Premium. The accident cover will only be paid in scenarios where death occurs due to accident.

    7

    Available with Max Life Smart Wealth Plan (UIN: 104N116V08)

    8

    Available with Max Life Smart Fixed-return Digital Plan (UIN:104N123V03). The guaranteed benefits are available with selected life insurance plans & are applicable if all due premiums are paid.

    **Disclaimer: Standard premium for 24-year old healthy male, non-smoker, 25 years policy term,25 year premium payment term (exclusive of GST) for Max Life Smart Secure Plus Plan (UIN:104N118V06) with a life cover of Rs. 50 lakh.

    **Disclaimer: Standard premium for 24-year old healthy male, non-smoker, 25 years policy term,25 year premium payment term (exclusive of GST) for Max Life Smart Secure Plus Plan (UIN:104N118V06) with a life cover of Rs. 75 lakh.

    **Disclaimer: Standard premium for 24-year old healthy male, non-smoker, 25 years policy term,25 year premium payment term (exclusive of GST) for Max Life Smart Secure Plus Plan (UIN:104N118V06) with a life cover of Rs. 1.5 Cr.

    **Disclaimer: Standard premium for 24-year old healthy male, non-smoker, 25 years policy term,25 year premium payment term (exclusive of GST) for Max Life Smart Secure Plus Plan (UIN:104N118V06) with a life cover of Rs. 2 Cr.

    **Disclaimer: Standard premium for 24-year old healthy male, non-smoker, 25 years policy term,25 year premium payment term (exclusive of GST) for Max Life Smart Secure Plus Plan (UIN:104N118V06) with a life cover of Rs. 5 Cr.

    **Our Life insurance policies cover COVID-19 life claims under life insurance claims, are subject to applicable terms and conditions of the policy contract and extant regulatory framework.

     

    Disclaimer~*Standard premium for 24-year old healthy female,non-smoker, 25 years policy term, 25 year premium payment term (exclusive of GST) for Max Life Smart Secure Plus Plan (UIN:104N118V06)

    ~^Disclaimer: 15 year return (CAGR – Compound Annualised Growth Rate) from Max Life High Growth Fund (ULIF01311/02/08LIFEHIGHGR104) as on 30/06/2022| 2Nifty Midcap Free Float 100% (5-year return) | For more details on risk factors, terms and conditions and products offered.

    ^~The assumed rates of return (4% p.a. and 8% p.a.) shown in the illustrative example are not guaranteed and they are not the upper or lower limits of what you might get back. The value of your policy depends on a number of factors including future investment performance. The amount shown is for a 30-year-old healthy male, with 10 years premium payment term, and 35 years policy term with Max Life Online Saving Plan (Unit Linked Non Participating Individual Life Insurance Plan | Life Insurance is available in this product).