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Regular-article-logo Monday, 23 September 2024

Coronavirus: warning over policy

'If one has a comprehensive cover, there is perhaps no need'

Pinak Ghosh Calcutta Published 13.07.20, 01:51 AM
The policy has a lower waiting period of 15 days and includes medical expenses of hospitalisation on the diagnosis of Covid-19 and the treatment costs of self-quarantine at home.

The policy has a lower waiting period of 15 days and includes medical expenses of hospitalisation on the diagnosis of Covid-19 and the treatment costs of self-quarantine at home. Shutterstock

Insurance buyers have to carefully evaluate the benefits and costs before opting for an additional Covid-19 specific cover — Corona Kavach — over and above their existing medical insurance.

The standard Corona Kavach policy is in the form of a basic indemnity cover with sum insured ranging from Rs 50,000 to Rs 5,00,000 and three policy tenure options — three-and-a-half, six-and-a-half and nine-and-a-half months.

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The policy has a lower waiting period of 15 days and includes medical expenses of hospitalisation on the diagnosis of Covid-19 and the treatment costs of self-quarantine at home.

“If one has a comprehensive cover, there is perhaps no need,” said Gurdeep Singh Batra, head of retail underwriting, Bajaj Allianz General Insurance.

Batra, however, gave two instances to justify an additional cover. First, the existing policy may have a smaller sum insured which may not be adequate to cover the entire treatment cost. “The total coverage increases (with both existing and this policy) but claims will be processed as per the terms and conditions of either policies,” he said.

Second, individuals may not prefer to trigger a claim on their existing policies.

Moreover, the Corona Kavach policy includes certain consumables such as PPE kits, gloves, masks that may not be covered in the existing policy. Also, any co-morbid condition triggered because of Covid-19 is covered during the period of hospitalisation.

“We look at a good traction. It could be a second policy to an existing policy. Moreover, individuals will get a rightly priced product,” Batra said.

“The regulator has limited sale of this product to March 31, 2021 as of now. If the vaccine does not come, it may be extended. We will have to wait and watch,” he added.

The fine print of the policy places various sub-limits. First, home care treatment prescribed by a government-authorised diagnostic center or a medical practitioner has a maximum limit of 14 days.

Second, ambulance services related to Covid-19 hospitalisation is covered up to Rs 2,000 per hospitalisation.

Third, the optional cover for daily hospital cash expenses is up to 0.5 per cent of the sum insured per day subject to a maximum of 15 days in a policy period for every insured member.

Amid the rising number of cases in India, insurance industry regulator IRDAI has allowed the 30 general and health insurance companies to market a standard health policy called “Corona Kavach”.

For a 46-year-old, looking to buy this policy with a sum insured of Rs 5 lakh, the premium (without GST) could range around Rs 2,300 to Rs 4,800 depending upon the choice between the policy tenures and the insurance company.

Despite the disease specific nature and the additional cost for an existing policyholder, insurance companies are bullish about the demand.

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