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  • Writer's pictureYashJ

How Does Children Health Insurance(CHI) Plan Work?

Child health insurance works in the same way as any other kind of health insurance. Your child's medical bills are covered under the insurance. You may either get a separate/individual health insurance policy for your kid or add him or her to an existing family floater coverage. It all depends on the kind of coverage and features you need.

In general, a kid health insurance plan covers pre- and post-hospitalization, day-care treatment, and domiciliary treatments, among other things. Individual child health insurance plans provide extra coverage for medical services such as lab testing, ambulance costs, and so on. Some insurers additionally cover critical illness and provide a free yearly medical examination in exchange for a claim-free policy renewal. However, based on the policy's terms, the benefits may vary.

The following are some of the methods to get these advantages for your child's health insurance:

  • For your child's treatment, go to any of the insurer's network hospitals. You may utilise the cashless claim option, which is available for both emergency and scheduled treatment.

  • You must notify the insurer at least 4 days prior to the treatment date for scheduled treatment. You may call the insurer's helpdesk at the hospital for emergency care and present your health insurance card to get cashless treatment.

  • If your kid has had treatment at a hospital of your choosing, you may file a reimbursement claim for your child's health insurance coverage.

  • You must provide all essential documentation for a reimbursement claim, including a medical certificate, investigation reports, discharge summary, hospital bills, medications, and drugstore receipts.

Things to Keep in Mind

  • Purchasing health insurance for your kid might be difficult if you are unfamiliar with the basics of the coverage. Before you choose a health insurance coverage for your kid, you need think about a few things. Before purchasing a kid health insurance coverage, keep the following considerations in mind:

  • Before purchasing a kid health insurance policy, go through the policy coverage features. Check to see whether the plan meets your requirements and provides enough coverage. If you want to save money on health insurance for your kid, be sure the policy has comprehensive coverage.

  • Additional Benefits: A number of kid health insurance policies provide additional features. As a result, you might consider purchasing a health insurance plan that includes extra coverage features such as consultations with professional physicians, no room rent limit, no co-payment, and so on.

  • Cashless Treatment: Confirm that the insurance provider has a large number of network hospitals, particularly those close to your home. Network hospitals are those that have a contract with your insurance and can provide you with cashless care.

  • Sum Insured Amount: Carefully choose the sum insured amount, ensuring that it is enough for your medical requirements. During claims, an insufficient sum insured amount will be a source of concern. As a result, always choose a total insured amount that best meets your demands while remaining within your budget.

  • Critical Illness Coverage: Critical illness coverage is available in just a few kid health insurance policies. And the CI, or critical illness, insurance is only available for certain illnesses. Choose a health insurance plan that covers the widest range of important conditions.

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