Network Hospital means Hospitals or health care providers enlisted by an insurer, TPA or jointly by an Insurer and TPA to provide medical services to an insured by a cashless facility.

106

Room Rent means the amount charged by the hospital for the occupancy of a bed on a per day basis.

104

Shared accommodation means a Hospital room with two or more patient beds.

105

Day-care facility refers to the medical procedures that require hospitalisation of less than 24-hours.

106

You have to pay GST at the rate of 18% on health insurance policies premium.

106

Midterm inclusion allows adding a newly married spouse and New Born Baby by paying an additional premium under your existing policy.

102

Health insurance co-pay refers to an arrangement in which the policyholder will need to pay a portion of the medical expenses on their own and the insurance company will pay the remaining amount.

102

Capping in health insurance refers to the limit, which is usually a percentage, up to which the insurance company settles claims for various hospital expenses.

104

An initial Waiting Period in health insurance, refers to the amount of time you'll have to wait from the date of issue to actively start using your health insurance policy and benefiting from it.

102

Specified diseases are a list of diseases which are covered under health insurance policy but policy holders can file a claim after a certain waiting period.

102

A medical illness or injury that you have before you start a new health insurance plan may be considered a pre-existing disease or condition.

102

Portability means, the right given to Individual health insurance policyholders (Including all members under family cover) to shift his / her policy to another health insurance company along with transfer of credit gained for pre-existing conditions and time bound exclusions.

102

Those policyholders, who want to port-out his / her policy shall be allowed to apply to the insurance company to migrate the policy along with all members of the family, if any at least 30 days before the premium renewal date of his / her existing policy. An insurer may consider even in a less than 30days period.

102

Pre-hospitalisation expenses are medical costs incurred by the insured before getting admitted in a hospital. Post-hospitalisation expenses are medical costs incurred after discharge from the hospital.

104

A health insurance deductible is the proportion of the medical/hospitalisation expenses that you have to pay out of your pocket before you can make an insurance claim.

104

IRDAI has excluded the expenses of certain items that you may incur during hospitalisation. These expenses are called non-medical expenses and it is not mandatory for insurance companies to compensate the same during claim settlement.

104