Business Standard

Free health check-up comes with clauses

The amount offered is either quite low or comes only after a considerab­le waiting period in some policies

- PRIYADARSH­INI MAJI

Nowadays, many insurance companies advertise free health checkup as one of the key attraction­s of their policies. Regular check-ups can help in the early detection of ailments, and are especially valuable in a country where people don't go for regular check-ups on their own. However, before you buy a policy for its free check-up feature, examine the details closely.

Healthcare costs are rising fast and so is the incidence of lifestyle-related diseases. Treatment of any illness at a later stage costs a lot more than if it is detected at the initial stages. Regular health checkups can help in early detection. “Keeping in mind the increased occurrence of lifestyle-based ailments, it is advisable to undergo a health check-up at least once every year,” says Anuj Gulati, MD and CEO, Religare Health Insurance. Such check-ups can also make you more aware of your health situation. Says Naval Goel, CEO, PolicyX.com: “They help you understand how your healthcare needs are changing due to growing age, and allow you to make changes to your existing health insurance policy at the right time.” You could, for instance, hike your sum assured with growing age. According to the Insurance Regulatory and Developmen­t Authority of India (IRDAI), health insurance penetratio­n in India currently stands at 3.49 per cent. An industry expert informed that less than 10 per cent of policyhold­ers avail of the free health checkup benefit from their insurers. Normally a full body check-up from a clinic or hospital costs around ~1,600-~3,000. Policyhold­ers should follow up with their insurance companies once a year or during renewal and avail of this benefit.

The amount for which free health check-up is offered varies between an individual and a family floater policy, and also from one insurer to another (see table). Often, this feature comes with a waiting period. HDFC Ergo General Insurance, for instance, provides it after a waiting period of four years. Religare Health Insurance, on the other hand, offers it from day one.

Sometimes the value up to which the free check-up is provided can be quite inadequate for all the insured members of the family. A family floater policy by Star Health insurance,

with a sum insured of ~3,00,000, provides health check-up of a meagre ~750 for all the members of the family. Another catch is that the amount of free health check-up that insurers provide depends on your initial sum insured. If the sum insured rises due to no-claim bonus, it doesn't result in the value of the free health check-up also rising commensura­tely.

In some policies, this may not be an annual feature but may only be offered once every two years. Apollo Munich, for instance, provides free check-up worth one per cent of the sum insured, up to ~5,000 per insured person, once after every two continuous years.

Experts suggest that though this feature provides the muchneeded health check-up free of cost, it shouldn’t be a major determinan­t while buying a health insurance policy. Other features such as exclusion of pre-existing diseases, claim process, waiting period, network of hospitals, preand post-hospitalis­ation cover, and lifetime renewal should play a bigger part in making this decision. “This may be an essential feature for young families and aging elders who need regular check-ups. For others, it is just a perk to encourage regular check-up without having to worry about burning a hole in their pocket,” says Vaidyanath­an Ramani, headproduc­t and innovation, Policybaza­ar.com. The basic coverage provided by a health insurance policy should be the primary considerat­ion while choosing a policy whereas additional benefits such as free health check-up should be given only secondary considerat­ion, adds Ramani.

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