🩺 Health Insurance Kya Hota Hai? Beginners Ke Liye Easy Guide (2025)
Introduction:
Aaj ke time me hospital ka kharcha bahut badh gaya hai. Ek chhoti si bimari bhi ₹50,000 se ₹2 lakh tak ka bill le aati hai. Isliye health insurance lena aapke liye aur aapke parivaar ke liye zaroori hai.
🔎 Health Insurance Kya Hai?
Health insurance ek contract hota hai aap aur insurance company ke beech, jisme company aapke hospital kharche ka burden uthati hai. Aap premium bharte ho, aur medical emergency me aapka bill company bharti hai.
💡 Health Insurance Kaise Kaam Karta Hai?
Aap ek plan lete ho jaise ₹5 lakh cover.
Har mahine ya saal premium dete ho.
Bimari hone par hospital me admit hote ho.
Agar hospital cashless hai to direct payment company karegi.
Agar reimbursement hai to aap paise do, baad me company se claim lo.
👨👩👧👦 Kin Ke Liye Zaroori Hai?
Job wale logon ke liye
Business karne wale
Students (18+)
Parents (senior citizen)
Ghar ke sabhi dependents
🧾 Health Insurance Ke Benefits:
✅ Cashless treatment
✅ Pre & post hospitalization cover
✅ Tax benefit under 80D
✅ No claim bonus
✅ Free health check-up (some plans)
⚖️ Types of Plans:
Individual Plan
Family Floater Plan
Group Health Plan
Top-up Plan
Critical Illness Plan
Maternity Plan
⚔️ Individual vs Family Floater
Individual: Har member ke liye alag cover Floater: Ek policy me pura parivaar covered
👉 Chhoti family ke liye floater best hai
👉 Buzurg parents ke liye individual plan better hai
🔁 Cashless vs Reimbursement
Point
Cashless
Reimbursement
Hospital
Network
Koi bhi
Payment
Company
Pehle aap
Process
Fast
Document heavy
🏥 Top Insurance Companies 2025
⭐ Star Health – 96% claim ratio
⭐ Niva Bupa – No room rent limit
⭐ Care Health – Wide network
⭐ Aditya Birla – Wellness rewards
⭐ Tata AIG – High top-up cover
💰 Tax Benefits:
₹25,000 for self & family
₹50,000 for parents (senior citizen)
Max ₹75,000 ka tax deduction 80D ke under
🙋♂️ FAQs:
Q1. OPD cover milta hai kya?
👉 Kuch plans me optional rider hota hai.