How do you know if your insurance cover is taking care of your healthcare needs and expenses? Reading the policy document and cross-checking what they claim and what is being offered on the ground is typically the route most policyholders resort to at the time of hospitalization. It is always a good idea to do some due diligence before a medical crisis and even better so, before buying a policy when you have the option to compare and check prices , plans, benefits, and coverage. To ensure you are extracting the best of benefits from your insurance policy, here’s what you should know first -  inclusions, exclusions, and exceptions. It is always prudent to know if all hospital expenses are covered by insurance or you’ll have to pay a portion of the charges. That majority of hospital expenses are either part of your deductible or not covered by your insurance at all.

Understanding What’s Covered and What’s Not Covered

Before we get into the nitty-gritties about what your insurance plan may cover and what it may not cover, let’s go over some basics.

Expenses covered by your insurance, either by law or by the contract include doctor visits, prescription drugs, emergency services, hospital room and board, dental and vision care, physical and occupational therapy, specific home health services, ambulance services, etc.

Expenses not covered by your insurance typically include utilities other than a designated hospital allowance, and the attendant’s hospitality like food, room and board.

What Does My Insurance Plan Cover

The new age health insurance plans cater to the most comprehensive insurance needs of the customer. Plans like the the ManipalCigna ProHealth Prime Packages are the foremost players in the market and are rising above merely remaining just another health insurance.

the ManipalCigna ProHealth Prime Packages allow you to customise your health plans per your needs without any financial stress.It gives you better coverage in terms of cashless OPD care and zero deductions towards non-medical expenses.

It gives better control to the policyholder with policy features like the Switch off benefit, if you are travelling abroad, the freedom to choose/upgrade to any room as you wish and unlimited restoration of up to 100 percent of your sum insured.

There’s also better care with the proactive approach from the policy provider that all policyholders must undergo an annual health check-up to stay in top health, not just in sickness but also, for wellness’s sake. Also, the Wellness Program allows policyholders to earn reward points for completing wellness activities. As an incentive driven activity, these reward points can be redeemed to get a discount on policy premium at the time of renewal.

The ProHealth Prime Packages also cover expenses beyond hospitalization like the cost of OPD consultation, doctor’s visit, diagnostics like urine test, blood tests and any investigation to ascertain the presence/absence of any medical condition before and after hospitalization and all pharmacy expenses besides some wellness offerings under the Wellness Program. They also cover non-medical expenses like costs of syringes, handgloves and registration fees, which come under neither medicines or consultancy or diagnostics but still make up for a significant portion of the overall cost.

Conclusion

If you believe that your insurance plan does not cover certain expenses associated with your hospital stay or does not meet your desired insurance needs, you always have the option to port to a more complete insurance plan like the the ManipalCigna ProHealth Prime Packages in terms of coverage and benefits.