Things to consider while adding children to health insurance

Posted on: Aug 1, 2023 | | Written by:

Things to consider while adding children to health insurance

Published on August 01, 2023. EST READ TIME: 3 minutes

Health insurance is important not just for adults; it is equally vital to secure the well-being of children. Every parent’s primary goal is to ensure their kids grow up strong and healthy, and when it comes to their health, one can never be too careful. Given that children are susceptible to injuries and ailments, it becomes crucial to safeguard their health with the appropriate health insurance for children, which can also protect against rising medical costs. While standalone health insurance plans for children are typically unavailable until a certain age, parents can add them to their existing plans. Let’s explore how to buy health insurance for children, the key considerations, and empowering parents to make well-informed decisions regarding their children’s healthcare coverage.

Things to Consider About Health Insurance for Your Children

Navigating the world of health insurance can be overwhelming, especially when it comes to covering your children’s unique healthcare needs. To help you make informed decisions, here are a few key factors to consider when selecting health insurance for children.

1. Coverage

Assess the extent of coverage offered by the policy. Look for comprehensive plans that cover pre- and post-hospitalisation expenses, critical illness benefits, regular check-ups, and high room rent limits. Ensure that your health insurance plan adequately covers paediatric services, including preventive care, immunisations, well-child visits, and developmental screenings. Make sure your insurance policy covers emergency room visits, hospitalisations, and related services, including surgery and intensive care. Regular check-ups, cleanings, and vision exams are crucial for maintaining optimal oral and visual health and detecting any potential issues early. Also, access to mental health care is vital for addressing behavioural issues, anxiety, depression, and other psychological health conditions that children may face.

2. Types of Plans

There are different categories of plans like the Family Floater, Individual Health Insurance, and Employer Health Insurance. Family floater or family health insurance covers your entire family, including your children, under one policy. It offers lower premiums as all family members share the same sum insured. In individual health insurance, you can opt for plans for each family member, including your children. While the combined premium might be higher, it ensures that your children have coverage under an individual sum insured amount. For employer-sponsored health insurance, if you have a job with health insurance benefits, your children might be covered under your employer’s plan. However, remember that this coverage will cease if you leave the company.

3. Sum Insured

It is crucial to ensure that the sum insured (i.e., the maximum amount the insurer will cover in case of a claim) is sufficient to meet your child’s medical expenses. For larger families, consider a family floater plan with an adequate sum insured to avoid out-of-pocket expenses that could impact your children’s future savings.

4. Consider Your Children’s Age

Children have different healthcare needs at diverse stages of life. Keep the following points in mind:

• Birth

Many health insurance plans have a waiting period before coverage for new-borns begins. Look for plans that offer maternity benefits if you have taken maternity health insurance or add-on coverage for new-borns.

• Childhood and Teenage Years

Younger children can be included under a family floater plan. However, if you believe your children require higher coverage, consider individual plans.

• Young Adulthood

As your children grow up and start their careers, consider transitioning them to individual policies for maximum coverage and completion of waiting periods at a younger age.

5. New-born or Postnatal Care

Ensure that your health insurance plan provides coverage for postnatal care and vaccinations. Be aware that many family plans have waiting periods or specific conditions for coverage of newborns. Look for maternity add-on covers, including coverage for newborns and postnatal care expenses.

6. Cashless Facilities

Check if the insurance plan offers cashless hospitalisation. This feature allows you to receive treatment at network hospitals, with the costs settled directly between the hospital and the insurance company. Access to network hospitals near your location and your children’s school is crucial, especially during emergencies, to ensure prompt medical care without financial worries.

7. Understand the Exclusions

Before buying health insurance for kids, it is essential to thoroughly understand the policy’s exclusions in terms of specific situations and treatments not covered by the health insurance plan. For example, some policies may exclude coverage for hospitalisation without a doctor’s recommendation. Knowing these exclusions helps you understand the limitations and scope of the policy.

8. Network of hospitals

While buying health insurance for kids, check if the insurance plan has a wide network of hospitals, especially with child specialists. It’s important to have access to healthcare providers experienced in treating children’s specific medical conditions and can address their unique healthcare needs.

9. Pre-existing Conditions Coverage

If your child has a pre-existing medical condition, carefully review the policy’s provisions for coverage. Check if the condition is included in the policy and if there’s any waiting period.

10. Co-payment, Deductible, and Premiums

Before buying health insurance for kids, check the deductibles, co-payment clause, and premiums of the health insurance plan. Based on your family’s financial capabilities and budget, pick the plan that provides adequate coverage for your children and is also affordable.

Conclusion

How to buy health insurance for children and selecting the right health insurance for children requires careful consideration of their unique healthcare needs. By keeping these factors in mind, you can make well-informed decisions that ensure comprehensive coverage, access to quality healthcare providers, and financial security for your children’s health. Buying health insurance for kids and prioritising their well-being today will help lay a foundation for their lifelong health and happiness. Choose a policy that fulfils your requirements and fits your budget.

Disclaimer: The above information is for illustrative purposes only. For more details, please refer to policy wordings and prospectus before concluding the sales.

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