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Difference Between Mediclaim and Health Insurance

Writer: MyRupayaMyRupaya


When it comes to health insurance, however, there are two sorts to consider: health insurance and mediclaim. Is there a difference in coverage between these two plans? Is there a distinction between the two? Let's see what happens!


A health insurance policy covers medical and surgical treatments for ailments. When you have a health insurance coverage, the insurer will reimburse your medical expenditures if you have a sickness, as long as the following requirements are met:


The disease is covered by the insurance.


The policy allows for the medical procedures for which the claim has been filed. Certain techniques are prohibited under some policies.


The hospital and treatment facility are approved by the insurance company.


The claim is submitted correctly, with all necessary and comprehensive supporting paperwork.


The insurance company may then pay the hospital or service provider directly or refund you for the amount you made. An yearly health insurance coverage is available and needs be renewed each year. In addition, these days you may purchase a health insurance coverage online.


What is Mediclaim, and how does it work?


A mediclaim coverage reimburses hospitalisation expenditures incurred as a result of an accident, an emergency surgery, or any planned procedure that occurs during the policy period. As a result, it solely covers the costs of hospitalisation. For claim settlement, Mediclaim policies also include cashless or reimbursement options.


WHAT EXACTLY IS NOT COVERED BY Mediclaim?


A mediclaim coverage only covers hospitalisation costs; all other medical-related expenses, including as diagnostic testing, rehabilitation therapy, general check-ups, and so on, are not covered.


What is the distinction between Mediclaim and Health Insurance?



​Mediclaim

​Health Insurance

It covers hospitalization expenses. only

​More comprehensive insurance policy as it covers expenses in the pre and post-hospitalization period.

No add-on Coverage

Add on coverage available

No customization is possible

Flexibility is available to the policyholder to choose the kind of coverage required. As the premiums are determined according to the features chosen,

​The premium of a mediclaim policy does not generally change over the years.

The premium of a health insurance policy can fluctuate with time,


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