There are the so-called
‘traditional’ health insurance plans, commonly known as ‘medi-claim’ policies
across not only general insurance companies, life insurers are also offering
health insurance covers. People with permanent jobs are covered by their
employers. The self-employed usually opt for an annual health insurance plan. But, they mainly cover hospitalization
expenses provided it is for at least 24 hours. The expense for hospital bed,
nursing, surgeon’s fees, consultant doctor’s fees, cost of blood, oxygen and
operation theater charges are the usual inclusions.
However, such coverage of health plans is restricted to only a handful of illnesses, most plans now come with sub-limits and usually do not cover pre-existing diseases or complications arising out from them for the first four years of the policy. Besides, claims for specific ailments may not be allowed in the first or second year. Despite ‘comprehensive coverage’ whatever name-called by all insurance companies, they may not be for your sole support. Also Read :Common Exclusion Clauses in Health Insurance!
It makes sense to craft a plan
in advance for medical expenses which insurance companies usually do not bear
such as dental care, non-allopathic medicines, congenital diseases, all
expenses arising out from AIDS, cosmetic, aesthetic, use of intoxicating drugs,
alcohol and for certain diseases such as hernia, piles and cataract, some
companies offer limited coverage. With
rising health maintenance costs, at times, the medi-claim cover is not enough
to take care of the entire expenditure. Hence, in most cases, one is forced to
supplement the cost from one’s own sources. Just like you create a fund for
other life goals, the same could be done for health cover. Also Read : Read the fine print before taking an all inclusive Health Insurance!
Creating
Medical Contingency Fund
Whilst creating a fund for health
care beyond the hospitalization covers, you need to have first quantified what
quality of hospitalization you are looking at, as people’s needs vary. Then,
one can look at saving something on a monthly basis to meet the medical needs
over the period of time. As the rule of thumb, one should keep four to six
months’ regular expenses in an emergency fund. The prime objective of such a
fund would be liquidity, and not maximization of returns. Money market fund is
one such vehicle which meets the twin requirements of liquidity and safety, in
addition to tax- efficient returns.
If one is young, s/he can even
use market-linked avenues to try and build a large corpus. Given that their
medical needs are not so urgent, those below 40 years of age should go for investments
in equity through systematic plans.
Since most health insurance
companies require a medical-check up for those above 45, and diseases also
start showing upwards at this age, you need to shell out more as medical needs
are more imminent. Evaluate whether you need to accelerate your emergency fund.
People should invest 50 percent of their investments instruments, such as
balanced funds, to meet any nearer duration contingency and another 50 percent
in equity for any requirement over the longer horizon. As one approaches 45,
s/he should look at revamping the fund and at putting away 15-20 percent of
saving into this fund. It is quite possible that the fund has depleted during
the course of years. Also Read :How to get prepared for Emergency Fund?
Conclusion
We recommend people of all age
groups (as soon as they start earning), to create a corpus by self-financing through
monthly saving for such a medical exigency. Don’t bank on health plans alone.
It is prudent to set aside funds for meeting expenses that may not be covered
by your insurance policy.
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