Health Insurance Products are offered by both Life Insurance Companies and Non-Life Insurance Companies. And there’s notable difference between the offerings of the products from both Life Insurance and Non Life Insurance Companies.
The Life Insurance Health Products can be categorized under 2 categories with respect to the policy term. There is one category which has minimum 3 years policy term while the other category has the policy term of 10 or more than 10 years.
Following is a discussion on the generic as well as supplementary benefits provided by the health products of the Life Insurance Companies.
Generic Benefits
- Daily Hospitalization Cash Benefit: This is the benefit provided to the insured in case, the insured is hospitalized (other than ICU) for treatment of any illness or accidental injury, for a continuous period of more than 24hrs. Under such circumstances a daily cash benefit as per the scale of benefits applicable is paid to the insured.
- Intensive Care Unit Benefit: This is the benefit provided to the insured in case, the insured is hospitalized to ICU for treatment of any illness or accidental injury, for a continuous period of more than 24hrs. Under such circumstances a daily cash benefit as per the scale of benefits applicable is paid to the insured which is generally double the Daily Hospitalization Cash Benefit.
- Maturity Benefit: At maturity, the insured receives a guaranteed lump sum amount as maturity benefit. This benefit is provided only when the policy term is 10 or more than 10years.
- Health Saving Benefit: This benefit entitles the insured to claim reimbursement for health care expenses such as medicines and drugs, diagnostic expenses, dental expenses etc.
- Critical Illness Benefit: Lump sum benefit is paid, in case the insured contact any of the critical illnesses mentioned in the policy during the coverage.
- No Claim Discount: A certain percentage of “No Claim Discount” on the initial premium is granted in each subsequent year when the insured has made no claims during each previous policy year as per the Policy Terms and Conditions.
- Renewal Discount: This is the benefit where in, a certain percentage of discounts are given on the premium applicable at the time of renewal of the policy.
- Tax benefit: Tax benefits can be availed under Section 80D of the Income Tax Act, 1961.
Supplementary Benefits
- Pre and Post Hospitalization Cover: These are the coverage provided for the expenses incurred for a certain number of days prior to the hospitalization as well as after the hospitalization i.e. after the date of discharge. Generally Pre and Post hospitalization provide coverage of 30 to 60 days.
- Day Care Treatment Cover: Apart from Hospitalization cover, few life insurance companies provide Day Care Treatment cover, which requires less than 24hours of hospitalization.
- Recuperation Benefit: In case of a continuous hospitalization for more than ten days at a stretch, the Policy provides a lump sum amount to the insured as recuperation benefit which is generally equal to three times the Daily Cash Benefit as chosen by the insured subject to a maximum of Rs. 10,000 for the entire policy term.
- Family Care Benefit: This benefit can be availed when two or more than two members, covered under the same policy, are hospitalized for the same illness or accidental injury for more than 5 consecutive days then a lump sum amount (independent of the Basic Sum Assured) is payable to meet the incidental expenses. This benefit will be payable to a family only once in a Policy Year.
- Medical Check Ups: This is the benefit where in the life insurance companies provide reimbursement for the medical tests subject to a certain limit.
- Ambulance Charges: This is the benefit where in the insurance companies pay for the emergency ambulance charges to carry the patient to the nearest medical services.
- Total Permanent Disability Benefit: In this benefit, a onetime benefit will be paid in case the insured is totally and permanently disabled due to an accident.
- Congenital Benefit: This benefit is provided by few health products. This will cover the listed Medically Necessary Surgical Procedures required in correcting the congenital defects in a child born / adopted by a mother who is continuously covered for a period of time.
Some of the Health Products Offered by Life Insurance Companies
- LIC – Jeevan Arogya
- SBI Life – Hospital Cash
- Metlife – Met Health Care
- ICICI – Health Saver
- Metlife – Met Health Care
- Birla Sunlife – Universal Health Plan








