HEALTH INSURANCE PRESENTATION

1. WELCOME TO HEALTH INSURANCE
PRESENTATION

2. Presented By :Sandeep Mane
Rajesh Mankar
Vishal Kokane
Omkar Warde
Ankit
Sanket Dond

3. WHAT IS HEALTH INSURANCE

4. Health insurance is a type of insurance coverage that
covers the cost of an insured individual's medical and
surgical expenses.

5. WHY YOU NEED HEALTH INSURANCE

6. ‘HEALTH INSURANCE’
WHEN YOU ARE IN NEED ©
HEALTH INSURANCE
WHEN YOU ARE IN NEED

7. HEALTH INSURANCE PROTECTS YOU FROM HIGH,
UNEXPECTED COSTS

8. MAKE QUALITY TREATMENT AFFORDABLE

9. CASHLESS SERVICE

10. TAX BENEFIT

11. TYPES OF HEALTH INSURANCE

12. Fee-for-service plans - more choice, more cost
• Fee-for-service plans, also known as indemnity plans,
allow you to choose your doctor or hospital, usually
with no (or minimal) restrictions.
• This option allows you to try a specialist
recommended by a friend or visit a medical center
down the street.
• On the downside, you'll probably pay more - and
possibly receive less reimbursement from the plan
for preventive services such as checkups.

13. Health Maintenance Organizations (HMOs) - less
cost, less choice
• HMO plans are known for low cost, low hassle and, as
the tradeoff, limited choice of doctors.
• Where choice is a concern, a hybrid - an HMO with a
POS option - offers more flexibility.
• One monthly premium can give you a full range of
services:
Doctor visits
Hospital stays
Emergency care
Surgery
Lab tests
Preventive care

14. HMOs with POS option - flexible managed care
• Certain kinds of HMOs, called HMOs with a
point-of-service (POS) option, offer more
flexibility. These plans will cover most or all of
the costs if your primary care doctor refers
you to a specialist not in your plan.

15. Preferred Provider Organizations (PPOs) - medium
cost, moderate choice
• A PPO is a cross between a fee for service plan
(focusing on doctor choice) and
an HMO (focusing on low cost).
• Like an HMO, the PPO plan uses a network of
preferred providers to give you access to a range
of health services at reduced prices.
• But like a fee-for-service plan, a single physician
will not manage your care.
• Also, you can decide to see out-of-plan doctors
and still get some coverage. However, the plan
will pay more of your costs if you see an innetwork doctor.

16. High-Deductible Health Plans - Pay As You Go
• High-Deductible Health Plans (HDHPs), also
known as consumer-directed health plans, are
the newest wave in health insurance.
• They offer coverage only after you reach a
deductible that is significantly higher than in
traditional insurance plans.
• Because these plans have such high
deductibles - from about 1,00,000 to more
than $10,00,000 - they tend to have much
lower premiums than traditional insurance.

17. HOW TO PLAN HEALTH INSURANCE

18. • When and what is the expected requirement
• Features to look for while choosing a health plan
• Flexibility of the plan
• Guaranteed renewability
• Number of critical illnesses covered
• Limit on the family size
• Option of relevant and segmented benefit for parents
• Number of hospitalization days and daily cash limit
• Medical network

19. HOW TO GET LIFE INSURANCE

20. Steps to follow for getting life Insurance
• See if you can find the actual life insurance policy
• Call the life insurance agent or life insurance
company on the life insurance policy.
• Next fill out the life insurance claim forms
• Send in the life insurance paperwork
What to look for in a Life Insurance policy
• Policy Benefits
• pricing and premiums
• additional Services
• Customer Support

21. HOW TO CLAIM HEALTH INSURANCE

22. • Get admitted in any one of networked hospitals
• Fax the pre-authorisation form along with relevant
• Obtain itemized receipts and bills
• Get your claim form
• Make copies
• Review then send

23. WHAT ARE THE ADVANTAGES OF LIFE
INSURANCE?

24. •
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Risk Cover
Protection against rising health expenses
Daily hospital cash allowance
Peace of Mind
Tax Benefits
Coverage of expenses related to organ donors
Convalescence Benefits

25. WHAT ARE THE DISADVANTAGES OF LIFE
INSURANCE ?

26. • Restricted hospital
• Health does not cover pre-existing diseases
• Expenses of defect related AIDS is not covered
Eg:- Contac lance, Hearing AIDS, general
ability & intoxicating Drugs
• Most company do not have separate health
insurance cover for a child
• Older the age higher the cost of premium

27. HEALTH INSURANCE SURRENDER POLICY

28. • Call the company
• Fill out the forms
• Speak to the representative
• Package the policy and forms and mail them
• Wait for the check

29. HOW TO AVOID HEALTH INSURANCE SCAM

30. • Understand that you can encounter insurance agents everywhere,
on shopping malls, the Internet, even just outside your house. They
can call you out of the blue and ask if you want to purchase life
insurance. Not all of these people are out to scam you.
• Don’t just accept the agent’s company ID, Verify it with the
Insurance Commission.
• Understand that agents who are into health insurance scams are
usually in a hurry to get you to fork over money to them
• Do not give any sensitive personal information such as your Social
Security number, bank account, or even hand out your credit card.
• Understand that Some insurance agents who make up life insurance
scams use fake promos and rewards to lure customers to purchase
an insurance policy.
• Be alert and careful when dealing with offers or promos.
• Before signing a policy, make sure that you agree with the terms of
the policy.
• Do not pay your premiums through your insurance agent. Ask for
payment options where you are paying directly to the company.

31. COMPANY IN INDIA