Child Health Insurance Plan: Buy Best Health Insurance for Kids

When it comes to the health and welfare of your children, there’s no better way to protect them than by enrolling them in a health plan. As for your boys & girls, Child Health Insurance has ready-made comprehensive health insurance plans to cater to your children’s regular check-ups, vaccination needs, hospitalisation, and specialised treatment requirements. With the continuous increase in healthcare costs and uncertainty in children’s sickness, having a health insurance plan, especially for children, at an arguable cost is pretty reassuring.

When it comes to the health and welfare of your children, there’s no better way to protect them than by enrolling them in a health plan. As for your boys & girls, Child Health Insurance has...
When it comes to the health and welfare of your children, there’s no...
ACKO Health Insurance Plans starting at Rs.21/day*

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What is Children's Health Insurance?

Children's Health Insurance is a unique insurance that helps care for your child's medical needs. In India, it's crucial to have this kind of insurance because it ensures that your child can get the best medical help whenever they need it.

Imagine if your child gets sick or needs to see a doctor. The bills for medicines, doctor visits, or hospital stays can add up and become expensive.  Children’s Health Insurance pays for these expenses and relieves you of the burden of the charges so you can concentrate on making your child comfortable.

It's like having a safety net for your child's health. You pay a small amount regularly to the insurance company; they help you with the medical expenses when your child is unwell.

This insurance usually covers doctor visits, hospital stays, medicines, tests, and sometimes even vaccinations. It's like having a friend to support you when your child is not feeling well.

Look into different insurance options and choose one that fits your needs and budget. Your child's health is important, and having a Children's Health plan can give you peace of mind, knowing that you're prepared for any unexpected health issues.

How Does Children Health Insurance (CHI) Plan Work?

A Children's Health Insurance Plan in India is like a safety net for your child's health. It's like having a friend that protects your little one from unexpected health problems. Let's break it down!

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Choosing the Right Plan

Parents must select their child’s health insurance plan. Thus, the search should aim at a plan that provides for the most significant medical expenses. Some also feature pediatric care choices, treatments, school or camp physicals, vaccines, dental work, and other services.

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Premium and Payments

 You'll need to pay a certain amount of money, called a premium, to the insurance company. This is usually a yearly payment. The premium amount can vary based on the plan and your child's age.

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Coverage and Benefits

Once you're enrolled, the insurance plan will cover various medical expenses for your child. This can include doctor's visits, hospitalisation, surgeries, medicines, and sometimes even specialised treatments.

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Cashless or Reimbursement

 If your child needs medical attention, you can go to a hospital which is part of the insurance company's network. You won't have to pay the bills upfront; the insurer will pay the hospital bills. If it's not a network hospital, you'll need to pay initially and then get reimbursed by the insurance later.

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Preventive Care

Many children's health insurance plans in India focus on preventive healthcare. This means they cover routine check-ups, vaccinations, and screenings to keep your child healthy and catch any potential issues early on.

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Renew and Stay Protected

 It's important to renew the insurance plan regularly without a break. This ensures your child remains protected, and you continue to receive the policy's benefits.

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Customer Support

Contact the insurance company's customer support if you have any questions or need assistance. They're there to help you understand your policy and use it effectively.

Remember, a Children's Health Insurance Plan is like a shield that protects your child's health. It's a smart and caring move to ensure your little one is always safe and healthy.

Why Do You Need Health Insurance for Kids?

Health insurance for kids is essential for several reasons. Kids' health insurance is needed for several reasons. Pediatric patients demand more frequent appointments with physicians, specialists, and the hospital during the development years. The things happening to children are unpredictable; accidents may occur, ailments might develop, or a child might be slow in their development; hence, suitable coverage for your kid will help your family avert additional expenses.

Here are several reasons why you should consider a child health insurance plan:

Rising Healthcare Costs 

Healthcare costs are high, and as the costs increase, health insurance for children keeps you away from paying hefty money.

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Access to Comprehensive Care 

Child health insurance typically provides coverage for quality care services like specialists, paediatricians, and the actual hospital bills or days spent in the hospital that are ideal for your child.

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Routine and Preventative Care

There is evidence that child health insurance programs provide for immunisations, annual physical examinations, and other preventive services since early disease prevention and early identification are the foundation of adequate health care.

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Emergency Protection

An undiagnosed sickness or an accident may happen anytime during the year. Health insurance for kids offers you security by providing you with urgent access to the best medical treatment and hospital care for the child.

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Peace of Mind

Knowing that your kids are under a good health plan is comforting, so you do not have to worry about having to foot the huge bills that come with sickness.

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Key Benefits of a Child Health Insurance Plan

Regarding child health insurance plans, many benefits can be accrued from enrolling your little one. Below are some of the key benefits:

Coverage for Preventive Care

Vaccination and other preventive care are everyday things the insurance covers in any particular health insurance plan for children. Regular check-ups with medical doctors are essential for children to avoid other complications later in life.

Hospitalisation and Surgical Coverage

In cases where your child is hospitalised, a child health insurance policy can help cushion you from expenses such as hospital bills and expenditures covering surgery and follow-up treatment.

Specialist and Paediatric Care

Most child healthcare health plans provide for the paediatrician, perhaps for a chronic ailment, developmental, or even psychological issues.

Emergency Care

Whether there is an accident or your child suddenly falls ill, the child health insurance plan will cater to the medical expenses, meaning that your child will get the proper treatment on time.

Critical Illness Coverage

Most children's health insurance covers severe conditions like cancer, heart disease, and other essential illnesses of disease. There is medical expenditure for your child under any circumstances, including the worst possible outcome of the treatment.

Cashless Treatment

Some plans provide cashless treatment through network hospitals in case of an emergency. This can work well during emergencies in that one can avoid reaching deep into his pockets to pay for hospital expenses and then look for a way to get a refund.

Dental and Optical Cover

Other child health insurance plans also offer dental and optical services so that your child's mouth and vision will be well protected.

Types of Medical Insurance Plan Available for Child

When caring for your little ones, having the right medical insurance is like a superhero cape for their health. In India, a few medical insurance plans are specially designed for kids. Let's explore them in simple terms:

Family Floater Plans

Imagine a magic umbrella that covers your whole family, including your child. Family floater plans do just that. One plan and one premium cover you, your spouse, and your children. It's like a big family hug but for health!

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Individual Health Insurance

This one's like a personalised shield for your child. An individual health insurance plan is just for your little hero. It's tailored to suit your child's specific health needs and comes with its own benefits and premiums.

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Child-Only Plans

Think of this as a special shield just for your child, like a tiny superhero with personalised armour. Child-only plans are designed exclusively for children and provide coverage for their medical needs.

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Government Health Schemes

In India, we're lucky to have government health schemes like Ayushman Bharat for families who need financial assistance for their child's medical expenses. These schemes can be a great help for children's healthcare.

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Add-on Covers for Children

Sometimes, you can add extra protection to your existing health insurance for your child. These add-on covers gives your child extra protection during their health adventures.

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Remember, choosing a plan that fits your family's needs and budget is important. Each plan has superpowers, so pick the one that best suits your child's needs 

Choosing the Right Health Insurance Policy for Your Child

Taking care of your child's health is a top priority, and choosing the right health insurance policy can give you peace of mind. In India, it's important to understand the ins and outs to make a smart choice. Let's break it down for you.

First things first, assess your child's health needs. Consider their age, any existing medical conditions, and potential future health requirements. Do they need special coverage for vaccinations, dental care, or specific treatments? Understanding these needs will guide you in chaoosing the right policy.

Reflect on your child's typical health patterns, any hereditary conditions that might require early interventions and their lifestyle, which might necessitate specific healthcare supports. This comprehensive insight ensures your chosen policy will adequately cover their unique health trajectory, providing tailored healthcare solutions as they grow.

Check what the policy covers. Look for coverage of hospitalisation, doctor consultations, medicines, diagnostic tests, surgeries, and other essential healthcare services. Ensure it includes a wide range of treatments relevant to children.

It’s vital to ensure comprehensive coverage, including emergent care, chronic conditions, and even alternative treatments where necessary. Consider policies that also offer vaccination coverage and annual health check-ups, as these can prevent future health issues and detect ongoing concerns early, which is especially important in developmental years.

See if the policy has a good network of hospitals, especially in your area. Access to nearby quality hospitals ensures timely and convenient healthcare for your child.

Check if these hospitals have pediatric specialists and facilities equipped to handle children’s medical needs, as specialised care can significantly affect outcomes in pediatric healthcare. Ensure that the hospitals in the network are known for high standards of care and have an excellent infrastructure to support various medical needs.

Consider the premium cost. Choose a plan that fits your budget while providing adequate coverage. Balance is key! It's essential to look at the cost and compare what each plan offers relative to its price. Consider plans that may have higher premiums but offer more extensive coverage or lower out-of-pocket costs, which can be more cost-effective in the long run, especially if your child requires ongoing medical attention.

Understand the waiting period for specific illnesses and pre-existing conditions. Opt for a shorter waiting period policy for a smoother claims process.The shorter the waiting period, the sooner you can benefit from coverage, which is particularly crucial if your child has a condition that requires immediate and continuous care. In reviewing this aspect, ensure you're also aware of any limitations the policy might impose once the waiting period has passed, such as coverage caps or additional waiting periods for other services.

Research the claim process and the insurance company's claim settlement ratio. A high settlement ratio indicates a good track record of settling claims, which is crucial during emergencies. A simple and transparent claim process can alleviate stress during potentially difficult times. Review testimonials and experiences from other customers to gauge the insurer’s responsiveness and support during the claims process.

Carefully read the policy document to understand exclusions and limitations. Be aware of what is not covered to avoid any surprises later.This can include certain types of treatments, specific diseases, or limits on room rent, which can significantly impact your out-of-pocket expenses during a hospital stay. Knowing these details helps make an informed decision and prepare financially for potential uncovered costs.

Check the insurance company's customer service reputation. Good customer support ensures assistance during policy selection and claim processes. Efficient customer service can provide guidance when you need to make crucial decisions regarding your child’s health interventions, and positive reviews often indicate that the insurer handles queries and issues effectively, adding an extra layer of reassurance when you need support.

Decide if you want a family floater policy covering the entire family or an individual policy for your child. Each option has its merits; a family floater might be cost-effective and easier to manage, while an individual policy for your child ensures that they have a dedicated sum insured which is not impacted by claims made for other family members, providing a buffer in case of multiple health issues within the family in any given year.

Look into government schemes or subsidies for child healthcare. Some states offer healthcare policies or assistance for children at reduced costs or even for free.

Inclusion and Exclusion of Children's Health Insurance Plans

Inclusions of Children Health Insurance Plans

Here are some general inclusions of a child health plan.

  • Doctor Visits and Check-ups: Children are like little explorers, and regular doctor visits are their health adventures. A good children's health insurance plan often covers these visits, including routine check-ups and vaccinations.
  • Hospitalisation Expenses: Kids can sometimes get sick or injured and may need to stay in the hospital. A children's health insurance plan helps cover these expenses, including room charges, medical tests, and medications.
  • Surgical Procedures: If a child needs surgery due to an illness or injury, the insurance plan helps cover the surgical costs, anaesthesia charges, and other related expenses.
  • Medications: Kids may need medicines to get better when they are unwell. A children's health insurance plan usually covers the cost of prescribed medicines, ensuring they get the right treatment.
  • Diagnostic Tests: Sometimes, children may need various tests to diagnose their health condition. These tests can be expensive, but a good health insurance plan for kids usually covers them.
  • Preventive Care: Prevention is better than cure! These plans often include preventive care measures like screenings, vaccinations, and dental check-ups to keep your child healthy.
  • Emergency Ambulance Services: When a child needs immediate medical attention, the insurance usually covers the cost of ambulance services to transport them safely to the hospital.
  • Critical Illness Cover: Some health insurance plans for children also provide coverage for critical illnesses. This helps in managing the high treatment costs for severe health conditions.

Exclusions of Children Health Insurance Plans in India

When you get a health insurance plan for your child, it's super important to know what it covers and what it doesn't. The insurance may not cover certain things, and these are called "exclusions."

  • Pre-existing Conditions: If your child has any health issues before getting the insurance, these won't be covered initially. Usually, insurance companies need a waiting period before they start covering these conditions.
  • Waiting Periods: Some treatments or conditions might have a waiting period before they are covered. During this time, you won't be able to claim insurance for those specific things.
  • Specific Treatments: Certain treatments like cosmetic surgeries or non-medical treatments might not be covered. The insurance usually focuses on necessary medical treatments.
  • Maternity and Fertility Treatments: If your child's health insurance doesn't specifically state coverage for maternity or fertility treatments, those expenses won't be covered.
  • Injuries Due to Risky Activities: Injuries resulting from adventurous activities or extreme sports might not be covered. Always check if these are part of the policy.
  • Dental and Eye Care: Basic dental and eye care might not be covered under a regular health insurance plan. There are separate insurance plans for dental and eye care.
  • HIV/AIDS and STDs: These are generally not covered as they are long-term and chronic conditions.
  • Self-inflicted Injuries or Substance Abuse: The insurance may not cover any harm caused intentionally or due to substance abuse.
  • Experimental Treatments: Treatments that are still being researched or considered experimental might not be covered.

Children's Health Insurance Eligibility Criteria

In India, different types of health plans are specifically designed for children to ensure they receive the best medical care when needed. These plans typically have specific eligibility criteria to ensure children can benefit from them.

  • To be eligible for children's health insurance in India, your child must usually be between 3 months and 25 years old. This age range may vary slightly depending on the insurance provider and the specific policy you're looking at.
  • Most health insurance plans for children will require them to be Indian residents. This means your child should have a permanent address in India.
  • Additionally, you usually need to be the policyholder or co-policyholder. This ensures you are responsible for managing the policy and making necessary payments.
  • Providing accurate and complete information about your child's health and medical history is essential when applying for insurance. This helps the insurer gauge the risk and tailor the policy to your child's specific needs.
  • Make sure to read and understand the terms and conditions of the health insurance policy for children thoroughly. Choosing a policy that adequately covers your child's healthcare needs is critical.
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How to Buy the Best Health Insurance Plan for Kids?

Getting the right health insurance for your child is a smart move that ensures they stay healthy and happy. Here's a simple guide to help you choose India's best child health insurance plan.

Understand Your Needs

Start by understanding what your child needs. Consider their age, potential health risks, and any specific medical conditions. This will help you choose a plan that covers the necessary medical expenses.

Research Different Plans

Look for health insurance plans specifically designed for children in India. Compare each plan's coverage, premium, waiting period, and benefits. Opt for plans that cover vaccinations, regular health check-ups, and common illnesses.

Check Network Hospitals

Ensure that the insurance company has a wide network of hospitals in your area. This will make it convenient for you to avail of medical services when needed.

Read Reviews and Feedback

Reviews from other parents who have purchased child health insurance can be valuable. Their experiences can provide important insights and help you make an informed decision.

Consult an Insurance Advisor

Consider consulting a trusted insurance advisor or agent who can explain the details of various child health insurance plans. 

Customise the Plan

Choose a plan that allows customization. Tailor the plan according to your child's needs and your budget. Some plans offer add-ons for dental care, eye care, etc., which can be beneficial.

Check Waiting Periods

Be aware of waiting periods for pre-existing conditions and specific treatments. Select a plan with minimal waiting periods to ensure your child gets immediate coverage when needed.

Assess Premium and Affordability

Compare the premiums of the shortlisted plans and select one that fits your budget without compromising on essential coverage.

Read the Fine Print

Carefully read and understand the policy terms, conditions, and exclusions. Clarify any doubts you have with the insurance provider before finalising the plan.

Buy Online for Convenience

Consider buying the child health insurance plan online for ease and convenience. Most insurance providers have user-friendly websites that allow you to compare, choose, and purchase a plan hassle-free.

What to Look for in a Child Health Insurance Plan?

Here are some factors to keep in mind when evaluating child health insurance plans:

Coverage Amount

Ensure the policy provides enough for your child's medical needs. Search for extensive policies that will provide for most types of medical care, including hospitalisations, specialists, and preventative care.

 

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Inclusions and Exclusions

Taking time to study the elements and factors within the policy. It is crucial to understand what the plan does and doesn't cover. Some plans might not include certain conditions or treatments in the list of priorities.

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Waiting Period

Most child health insurance plans have waiting periods for certain illnesses and other treatments. These waiting periods should be checked before signing up for any of these plans, especially if you will be requiring your child to begin treatment soon.

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Pre-existing Conditions

If your child has specific chronic health problems, ensure they are included in the health insurance plan. A few health insurance plans may have restrictions or extended premium-free waiting periods for such illnesses.

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Network of Hospitals

Ensure you see if they have an exhaustive list of affiliated hospitals and health care centres. The availability of credible paediatricians and specialists should be on the agenda.

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Premiums and Affordability

Make sure the policy suits your family financially by comparing the premiums charged by different providers. It is very tempting to choose the cheaper option; however, ensure that it offers the right coverage and benefits.

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Riders and Add-ons

Like most health insurance options for children, you can customise most existing plans with optional features like dental, vision, or illness coverage. Think about whether all these extra choices would be helpful for your child.

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Claims Process

Select an insurance provider with a fast filing process and is direct to the point. That is why a possible smooth claims experience may significantly impact if you need to receive necessary health care as promptly as possible.

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Things to Remember While Buying Health Insurance for a Child

When it comes to our little ones, their health is our top priority. That's why getting the right health insurance for your child is super important. Here are some things to keep in mind while you're on this journey.

Coverage That Fits Your Needs

Ensure the health insurance plan covers your child's needs – hospitalisation, doctor visits, medicines, and vaccinations. Look for a plan that includes a wide range of health services. Make sure it also covers outpatient services, emergency room visits, and speciality care, which might include paediatricians, child psychologists, or orthopaedic care for children. Also, consider whether the plan covers alternative treatments that may be beneficial as your child grows, such as physiotherapy or speech therapy, ensuring the plan adapts to changing health needs over time.

Network Hospitals

Check if the insurance company has a good network of hospitals in your area or where you usually reside. Having a hospital nearby can be a big relief during emergencies.. It's essential to ensure these network hospitals have pediatric facilities and specialists experienced in child healthcare. Additionally, verify whether these hospitals have a good reputation for pediatric care and the availability of 24/7 emergency services, which are crucial for immediate and effective treatment of acute conditions.

Claim Process Simplified

Opt for a health insurance plan with an easy claim process. You don't want to deal with unnecessary hassles during stressful times. Ensure the insurance provider offers support through a dedicated helpline and assistance handling paperwork and formalities. A user-friendly online portal for managing claims and accessing policy information can significantly reduce the administrative burden and help focus on your child's recovery instead.

Waiting Periods and Pre-existing Conditions

Understand the waiting period for specific illnesses and whether pre-existing conditions are covered. This helps you plan better and know when certain treatments become eligible. Ensure that the waiting periods are reasonable and that coverage for pre-existing conditions begins as early as possible. This is particularly important if your child has a chronic condition that requires ongoing medical attention, so you're not left out of pocket for significant initial costs.

Premium and Affordability

Consider your budget and choose a premium that you can comfortably pay. A wide variety of plans are available, so find one that suits your financial capabilities. Look for plans that offer flexible payment terms and the possibility of adjusting coverage amounts or premium payments as your financial situation changes. This ensures the insurance remains affordable without compromising the necessary coverage as your child's healthcare needs evolve. 

No Claim Bonus (NCB)

Some insurance plans offer a no-claim bonus, increasing your insured sum for every claim-free year. It's a good feature to have as your child grows older and might need higher coverage. This bonus can accumulate and significantly increase the total available coverage without any additional cost, providing more robust financial protection as healthcare costs rise or as more complex healthcare needs emerge with age.

Read the Fine Print

Read the policy documents carefully, understanding all the terms and conditions. If something is unclear, don't hesitate to contact the insurance provider for clarification.

Additional Benefits

Look for extra perks like wellness programs, health check-ups, or discounts on medicines. These can add great value to your health insurance. Also, consider whether the plan includes dental and vision care, which are often needed as children grow and are typically not covered under standard health insurance policies.

Policy Renewal

Check the policy's renewal process and ensure it's easy to renew. Continuity in health coverage is crucial.

Conclusion

Buying a health insurance plan for the kids is a good investment toward your child’s health and well-being in the future. A child health insurance plan covers all medical bills to ensure that the child does not have to be treated through other expensive methods in case of an unlikely outbreak of an ailment or an accident. As health care costs continue to soar, having your child covered by a health insurance policy means they will get the necessary treatment without paying for the services. With these aspects in mind: coverage, premium, and network hospitals, it becomes possible to select the right health plan that will enable your child to be protected at every stage of childhood and beyond.

Frequently Asked Questions

Purchasing health insurance for your child ensures their well-being and provides financial protection in case of unexpected medical expenses. It covers doctor visits, vaccinations, emergencies, and more, giving you peace of mind.

Waiting periods may vary by insurance provider and plan. Generally, there's a waiting period for pre-existing conditions. Reviewing the policy terms to understand waiting periods specific to your child's health insurance is essential.


 

The best time is now! The sooner you buy, the better, as it ensures coverage from an early age. Start when your child is healthy to avoid potential future exclusions due to pre-existing conditions.

Typically, most children do not require pre-policy medical check-ups. However, you should check with your insurance provider to understand their specific requirements for your child's age and health condition

No, health insurance for children is designed to be affordable. Premiums are usually lower than for adults. The cost varies based on factors like coverage, provider, and location. Compare options to find a suitable, budget-friendly plan for your child.

 

In most cases, children are not denied health insurance. Insurance providers aim to offer coverage to children, ensuring their well-being. However, pre-existing conditions might affect coverage terms and waiting periods.

 

Yes, you can get health insurance specifically for your child. It's a great way to ensure your child receives adequate medical care and attention. Look for insurance plans tailored to children's needs for comprehensive coverage.

 

There are a variety of child health insurance plans available. Choosing the best health insurance plan depends on your needs and the coverage benefits offered by the insurance policy. You can either go for an individual child health insurance plan or opt for a family floater plan. It all depends on your choice.

 

Yes. If the parents have a family floater health insurance policy, then the newborn baby is covered under the insurance policy. The policy will cover the medical expenses of the newborn baby for up to 90 days, and post 90 days the baby can be included as a nominee in the family floater plan.

 

A family floater health insurance plan covers the policyholder’s spouse, parents and up to 4 children. So, technically, the family floater plan covers a maximum of 8 members including the policyholder.

You need to submit the birth certificate of the child and hospital discharge summary (maternity) to buy a health insurance policy for your child. Note that the required documents might vary from one insurer to another, and you might be asked to submit any other relevant documents.

 

The family floater insurance plan will cover your child as an infant and teenager. The maximum age limit for the coverage is between 21 and 25 years, depending on the insurer. Post that, the child will be treated as an adult, and has to purchase a separate health insurance policy.

 

Yes, some child health insurance plans offer critical illness cover. Go through the inclusions of the child health insurance plan to know whether the policy provides critical illness cover.

Yes, you can buy child health insurance plans online by visiting the insurer’s website, for example, www.acko.com. If you are buying a health insurance plan for your child from ACKO, then you just need to enter a few personal details to get the health insurance quotes.

To avail cashless treatment for your child, you need to visit any of the insurer’s network hospitals. You need to produce the health insurance card at the hospital and fill the application to avail cashless treatment. You can avail cashless treatment facility for both planned and emergency treatment.

Yes, you can avail the No Claim Bonus discount if you have made zero claims during the tenure of the previous policy. The discount will be applied to the premium when you are renewing the child health insurance policy.

Smart Steps Towards Financial Independence with Term Insurance

You may safeguard your family's financial stability by purchasing life insurance. Term life insurance is desirable to first-time buyers because of its simple form, which provides coverage without the intricacy of investment components seen in other policies.

The best term insurance plan for 1 crore is a great choice if you're considering getting significant coverage. It provides a safety net to cover costs such as schooling, mortgages, or unexpected medical care for your loved ones while you're away. Talking riders for enhanced coverage, critical illness, accidental death and Waiver-of-premium riders, which guarantee the policy stays in effect even if the policyholder cannot pay because of severe sickness or disability, are other options offered by specific term life insurance plans.

You should use a term policy calculator to make the buying process even simpler. You can easily estimate rates and compare products that meet your needs by entering information like age, income, and desired coverage.

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Written by Roocha Kanade

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Reviewed by Rupinderjit Author info Icon

A content enthusiast who turns complex topics into easy, binge-worthy reads—fueled by SEO, creativity, and way too much chai! Loves juggling multiple projects, cracking impossible deadlines, and sprinkling humor into the mix. When not geeking out over digital trends, you'll find her lurking on Quora and Reddit, planning the next getaway, or passionately decoding all things health and insurance!