[Posted on priority and out of turn due to many reader requests.]
Who’d have thought that Health Insurance could be this complicated?
If you opt for LIC’s Jeevan Arogya health insurance policy, be prepared to have a Statistician and a Doctor living with you full-time. Because when you’re hospitalized, you’d need the Doctor to tell you whether you need a “intracranial transection of the cranial nerve” or a “craniotomy for drainage of extradural, subdural or intracerebral space” or a “microvascular reattachment of penis following traumatic amputation.”
Honestly! I’m not kidding. Read this annexure.
Why do I feel traumatized already?
Now, once the Doctor tells you what reattachment you’re up against, the Statistician takes over.
Because, you’d be in no shape to interpret statistical terms and conditions such as:
If you or any of the insured lives covered under the policy is hospitalized due to Accidental Body Injury or Sickness and the stay in hospital exceeds a continuous period of 24 hours, then for any continuous period of 24 hours or part thereof, provided any such part stay exceeds a continuous period of 4 hours (after having completed the 24 hours as above) in a non-ICU ward/room of a hospital, an amount equal to the Applicable Daily Benefit (ADB) available under the policy during that policy year shall be payable subject to benefit limits and conditions mentioned in Para 11A and exclusions mentioned in Para 15 below.
Para 11A? Para 15? WTF?
Or how about:
In the event of an Insured under this plan, due to medical necessity, undergoing one of the surgeries defined in Major Surgical Benefit Annexure, within the cover period in a hospital due to Accidental Bodily Injury or Sickness, the respective benefit percentage of the Major Surgical Benefit Sum Assured, as specified against each of the eligible surgeries mentioned in Major Surgical Benefit Annexure, shall be paid subject to benefit limits and conditions mentioned in Para 11B and exclusions mentioned in Para 15 below.
Para 11B? Para 15 — again? Seriously, WTF? I doubt if you’d have the patience to pull out that PDF Annexure when you’re lying on a hospital bed.
Stay away from this policy. Stay away from these complexities. Buy a simple health insurance policy for each member in your family who you wish to insure.
I’ve taken individual Star Health Medi Classic policies for both D and myself.
And before I forget, that “microvascular reattachment of penis following traumatic amputation” pays out only 60% of the sum assured. Ouch! Don’t you think it deserves more?