Why Many Believe Mediclaim Policy is Enough – and Why It May Not Be

In the modern world, the cost of medicines and health risks are constantly increasing. As a result, hospital bills are rapidly depleting people’s savings. In such circumstances, a mediclaim policy often becomes the first choice, covering hospitalization, surgery, and other necessary treatments while providing a sense of financial stability.

Many believe that a mediclaim policy alone is sufficient. However, rising medical inflation, limited coverage, insufficient sums insured for critical illnesses, and the exclusion of related expenses such as doctors’ fees and ambulance charges can leave policyholders exposed.

This guide explores why relying solely on a mediclaim policy may not be enough and how combining it with comprehensive health insurance can provide complete protection.

What is a Mediclaim Policy?

Mediclaim policy mainly covers hospitalization expenses. Upon a person being admitted to the hospital, they receive reimbursement by presenting the bill and other documents required. It covers unexpected medical conditions but not routine medical appointments, checkups, and wellness.

In today’s digital age, health insurance fills these gaps. People who buy medical insurance not only get protection in emergencies, but also get access to preventive services, telemedicine and wellness tools. And with the help of the best health insurance, a person can get coverage according to their need and health profile.

Why Mediclaim Policies are Popular

This is due to a number of reasons why mediclaim policies remain popular:

• Ease: The procedure of claim and reimbursement is easy.
• Affordable Premiums: Basic policies are less expensive than comprehensive health insurance for family.
• Familiarity: The fact that many have been used to the old mediclaim policies, and are more familiar with them.

While these are advantages, the coverage of a mediclaim policy is limited. The situation may be risky when asking only for mediclaim due to increasing health costs and needs.

Limitations of a Mediclaim Policy

Some limitations that can deprive you of many things in a mediclaim policy:

• Limited coverage: Routine checkups, diagnostics and doctor visits are usually not covered. These expenses can easily eat into your savings.
• Minimum sum assured: The majority of the policies have a fixed amount limit of cover. This might not be adequate in the event of long-term hospitalization or costly surgery.
• Absence of wellness benefits: Wellness programs, chronic disease management and mental health are not provided. These options are available in health insurance.
• Inflation effect: Every year, medical costs rise. Without updates, a mediclaim policy may become outdated.

How Health Insurance Fills the Gaps

Some mediclaim policies do not provide coverage for routine checkups, diagnostic tests, doctor consultations and wellness programs. It also does not cover mental health and chronic disease management. And also with the rising medical inflation, the fixed coverage amount can quickly fall short.

But the health insurance fills these gaps and offers OPD treatment, preventive screenings, vaccinations and wellness benefits. It also covers chronic disease management, mental health support and telemedicine services.

So, if someone buys health insurance, these facilities ensure timely treatment, better care and complete financial security. Moreover, the best one can be chosen by checking the calculations on the health insurance premium calculator.

Expanded Coverage Beyond Hospitalization

In addition to hospitalization coverage, Health insurance offers a broader spectrum of benefits that address the limitations of traditional mediclaim policies. It ensures financial protection against outpatient treatments, diagnostic tests, and consultations, which often contribute significantly to annual healthcare expenses.

Furthermore, modern health insurance plans emphasize preventive care, incorporating regular health screenings, vaccination coverage, and wellness programs to detect and manage health risks early.

Combination of Mediclaim and Health Insurance

Mediclaim policy covers hospitalization expenses, but combined with health insurance, provides comprehensive protection. In this combination, preventive and wellness services and emergency cover can also be availed.

With the help of digital platforms, the process of comparing different policies, coverage and buying medical insurance online can be completed easily. In this way, a person can choose the best health insurance according to their needs and budget.

Why not just Mediclaim among others?

Despite the mediclaim policy, gaps remain in many places. Outpatient treatment, periodic checkup, lifestyle interventions and chronic illness management are not provided. The amount in fixed sum insurance might not suffice in instances of chronic hospitalization.

But taking mediclaim along with health insurance closes these gaps, and the individual is provided with emergency protection and long-term health protection.

Conclusion

Mediclaim Policy is necessary for hospital expenses, but it does not provide complete protection. The increasing health costs and the evolving needs can attest to this.

A person who buys medical insurance with a mediclaim policy can not only handle unexpected medical expenses but can also monitor their health regularly. Digital platforms make it easy for a person to choose the best health insurance.

In short, mediclaim provides only emergency coverage while health insurance provides complete protection, wellness benefits and preventive care. This will be guaranteed to provide financial security and a healthy lifestyle.