Key takeaways
- Size cover to hospital costs, not the cheapest premium.
- Read the limits — room rent, co-pay, sub-limits — not just the sum insured.
- Judge the insurer on claim settlement and complaints, then disclose honestly.
Step 1 — Right cover amount
Base it on your city's hospital costs and family size, not the cheapest premium. Under-insuring is the most common mistake.
Step 2 — Read the limits
Look past the headline sum insured. Room-rent caps, co-pay, sub-limits on specific treatments, and disease waiting periods quietly decide how much you actually get paid.
Step 3 — Check the insurer
Claim settlement ratio, complaint volumes, and network hospitals near you matter more than a slightly lower premium.
Step 4 — Disclose honestly
Declare all pre-existing conditions and lifestyle facts. Non-disclosure is the top reason genuine claims get rejected.
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Vijay Singh Rana — HDFC Financial Advisor · IRDAI & AMFI Registered