Question 1

How much can I save in tax under Section 80D?

Accepted Answer

Premiums for self, spouse, and children: up to ₹25,000 (₹50,000 if any insured is a senior citizen). Premiums for parents: additional ₹25,000 (₹50,000 if parents are senior citizens). Maximum total deduction can reach ₹1,00,000 per year. Section 80D also covers ₹5,000 for preventive health check-ups within these limits.

Question 2

What is the right health insurance cover amount?

Accepted Answer

For metro cities like Coimbatore, a minimum cover of ₹5–10 lakh per individual is recommended given current hospitalization costs. Family floater plans of ₹10–15 lakh work well for a family of 4. Add a top-up policy beyond ₹15 lakh for cost-effective higher coverage. We help you choose based on your age, family size, and city.

Question 3

What is the difference between an Individual and Family Floater plan?

Accepted Answer

Individual plans cover one person with the full sum insured available. Family Floater plans cover the entire family under a shared sum insured — economical and convenient. However, if multiple family members have major claims in the same year, the cover may run out. We recommend a hybrid: floater + a separate plan for senior parents.

Question 4

Are pre-existing diseases covered immediately?

Accepted Answer

Most policies impose a waiting period of 2–4 years for pre-existing conditions like diabetes, hypertension, or thyroid issues. Some IRDAI-approved insurers now offer policies with reduced 1-year or even 90-day waiting periods at slightly higher premiums. Disclose all conditions during proposal to avoid claim rejection.

Question 5

Why should an MSME offer Group Health Insurance?

Accepted Answer

Group plans cost 30–50% less than individual covers, offer instant coverage for all employees with no waiting period, and the entire premium is a tax-deductible business expense. They are a strong tool for talent retention, especially in competitive sectors. Even a 5-employee firm can buy a group policy starting from ₹15,000–₹25,000/year.

Question 6

How does cashless treatment work?

Accepted Answer

When admitted to a network hospital, the hospital coordinates directly with the insurer for pre-authorisation. You only pay for non-medical expenses (admission kit, telephone, etc.) and any sub-limited deductions. We help you choose plans with the widest network in Coimbatore including KMCH, GKNM, PSG, KG Hospital, and Sri Ramakrishna Hospital.

Question 7

Can I claim tax benefit on health check-up expenses?

Accepted Answer

Yes. Up to ₹5,000 spent on preventive health check-ups for self, spouse, children, and parents qualifies for deduction under Section 80D — within the overall 80D limits. This applies even if no insurance premium was paid.

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