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Health insurance indemnity and fixed benefit policies
1. What is an Indemnity Cover?
You have a
certain Your actual
amount as expenses on
Sum Insured… Hospitalization
can be different
….. For which from the Sum
you pay a Insured
certain
Premium
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2. Indemnity Implies that your compensation will
not exceed the costs incurred and the sum
insured
Case 2
Your Actual
Insurance Case 1
Actual treatment
Cover, The expense –
Sum treatment
expense – Z (> X)
Insured - X
Y (< X)
Amount Amount
Reimbursed = Y Reimbursed = X
Your insurance payout will be the lower of the two values –
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the sum insured and the actual expenses
3. The Principle of Indemnity implies that
…. You are compensated for your losses to
the extent of the sum insured
Nothing more …… and nothing less
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4. Fixed Benefit Plans
In the event of hospitalization, the insurer pays a
predetermined amount irrespective of actual expense
A certain amount per day spent in hospital
A certain addl. amount per day spent in ICU of the hospital
A certain addl. amount in the event of surgery at the
hospital
Whether the actual expense is more or less than the actual
expense, the benefit is fixed for a given premium paid.
The benefit payable irrespective of another policy running
concurrently. SecureNow
5. When to Take a Fixed Benefit
Plan?
1. If your employer is providing an indemnity cover, and you
want to increase cover
2. You have a mediclaim cover already and you want to
increase the sum insured – as medical care costs escalate.
3. Your original indemnity plan was not thought through
properly and your cover is inadequate.
Ideally, one should take a comprehensive mediclaim plan
(individual or family floater). Subsequently, every few years
one should look for increase in cover by taking fixed benefit
plans
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7. Fill in your details on our
inquiry form.
We will call you back!
SecureNow Insurance Broker Private Limited
3rd Floor, 29 Hauz Khas Village, New Delhi 110016
Web – www.securenow.in
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