Business Standard

Now, a policy to cover coronaviru­s

The exclusions are stiff. But since it is a cheap fixed-benefit plan, it can add to the health insurance kitty

- BINDISHA SARANG

With the coronaviru­s death toll nearing 4,000 globally and infecting thousands of others, the Insurance Regulatory and Developmen­t Authority of India (IRDAI) has swung into action. It has asked general insurers to provide cover for patients and also allowed specific-disease policies. The first product has been rolled out by general insurer Digit. Called Health Care Plus, it will cover anyone aged between 18 and 60.

The policy is simple: As Amit Chhabra, business head, health insurance, Policybaza­ar.com explains: “It is part of the IRDAI sandbox regulation­s and is a fixed-benefit health insurance policy.” The cover ranges from ~25,000 to ~200,000. Premiums start from ~299 and go up to ~2,027. The policy can be bought until July 2020 and has a tenure of one year.

If you test positive: Says Chhabra: “If you test positive for COVID-19 at an authorised institute, like the ICMRNation­al Institute of Virology, the insurer will pay out the entire sum insured.” If you are only quarantine­d at an authorised place for symptoms, you will get 50 per cent of the claim amount, even if you test negative later. Says

Anik Jain, cofounder and CEO, Symbo India Insurance Broking: “Most standard health insurance policies provide indemnity cover.

The claim will be paid on identifica­tion of the disease. In this policy, benefit cover is available for quarantine, which is an improvemen­t.”

The catch: This policy prohibits travel to named geographie­s. There should not have been any contact with suspected cases before buying it. While there is no restrictio­n on residence anywhere in India, the policy will not be extended to individual­s or their family members if they have travelled to countries like China and Japan. Even if you have a common cold, you will not be able to buy it.

Do you have an employer or personal health cover? If you do, then hospitalis­ation for coronaviru­s infection will be covered. Says Jain: “Existing insurance programmes will cover hospitalis­ation expenses but may not cover OPD and quarantine expenses. Also, look carefully for any travel restrictio­ns built into your insurance plan.”

Even if you claim under an individual policy or group health policy, this new policy will offer cash, which proves handy. “The premium is low. One can consider buying it, especially individual­s working or travelling to crowded places or using public transport. But there are some limitation­s. It doesn’t seem easy to get a claim, considerin­g the exclusions. A person suffering from a common cold or any other respirator­y disease will not be able to buy it,” says Pankaj Mathpal, a certified financial planner.

Useful for many: Iif you stay in an area with a confirmed coronaviru­s case, remember a disease-specific policy is cheaper than a comprehens­ive policy and may be purchased as a stopgap measure. For those who do not have any health insurance, it would be a good way to introduce yourself to the benefits of a health policy. Since the premium is low, it may make a lot to sense to add it to your kitty against the deadly virus. Others like retired people may consider it even if they have a proper medical insurance policy for the additional benefit, and since they are more vulnerable to the virus.

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