Health Insurance vs Personal Accident Insurance: Know the Difference

Both health insurance policies and personal accident insurance policies help us in dealing with medical emergencies. Health insurance provides comprehensive coverage that can offer accident insurance cover also. But personal accident cover is only limited to accident-related hospitalization expenses. Both the policies vary in terms of coverage, features, sum insured, etc.

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      So, before you make a purchase it’s important to understand the difference between the two. Read on to know more about health insurance and personal accident insurance in detail.  

      Personal Accident Insurance vs. Health Insurance

      Check out the below table to know the differences between Health Insurance and Personal Accident Insurance:

      Parameter Health Insurance Personal Accident Insurance
      Coverage Covers various medical expenses Covers injuries/illness specific to an accident
      Nature of the Plan Comprehensive cover Add-on cover
      Scope of Cover Wider Limited
      Is an additional premium required? Only for add-on covers Yes, as this is an add-on  cover
      Option to buy add-on cover Yes No
      Tax benefit cover Yes No (only on the base plan)
      Pre-existing disease cover After waiting period cover N/A
      Maternity cover As an add-on cover N/A
      Collision cover Hospitalization Full coverage
      Critical Illness cover As an add-on cover N/A
      Waiting period 9 months to 4 years N/A

      Health Insurance

      As the name suggests health insurance policies cover the overall medical expenses incurred by the policyholder. Medical coverage is provided for various illnesses including COVID-19 treatment, maternity expenses, cancer, daycare treatments, etc.  

      From routine illnesses to critical illnesses a wide-range of hospitalization expenses are covered except for some treatments that are beyond the scope of cover. You can choose from different health insurance options that are:

      1. Individual Health Insurance Plans- Coverage is provided to one individual, i.e. the policyholder, who gets medical insurance cover against the premium paid.
      2. Family Floater Health Insurance Plans- In family floater policy coverage is provided to an individual, where he/she can include his family members including spouse, children, and parents.
      3. Senior Citizen Health Insurance Plans- Such plans are designed to offer medical cover to elderly people above the age of 60 years.
      4. Coronavirus health insurance Plans- You can choose COVID specific health from any of the health insurers. Or you can buy Corona Kavachand Corona Rakshak health plans.
      5. Critical Illness Insurance Plans- A critical illness policy covers major illnesses such as cancer, tumor, liver ailments, kidney failure, cardiovascular diseases, etc.
      6. Top-Up Health Insurance Plans- You can buy top up health plans along with your current health plan and once its threshold limit is over, you can utilize this one over and above your base medical insurance coverage amount.

      While purchasing a health insurance policy, the insurer would require some data including your medical history to assess the risk involved. Based on the type of policy (individual health plan, family floater, top-up plan, senior citizen health plan, and women-specific health plans) the policy premium is decided.

      You can avail cashless hospitalization benefit at the network hospitals, which means that the insurance company settles the bill directly with the hospital and you don’t need to spend any money ( unless there is any sub-limit or deductible clause).

      Not only this, even accidental medical expenses are covered under the basic health insurance plans. And after the COVID-19 pandemic, a health insurance policy has become more than inevitable. It helps the insured and their family members in availing the best medical treatment without draining their savings.

      So, do you need Accident cover if you already have Health Insurance?

      What is Personal Accident Cover in Health Insurance?

      Personal accident insurance covers hospitalization expenses incurred on accidental treatment. These plans are designed specifically to help people pay for their medical emergencies arising after an accident. Therefore, under any circumstances, these policies should not be replaced by your regular medical insurance plans.

      Under accidental insurance, the policyholder gets complete insurance protection against accidental injuries and wounds. Also, there are multiple add-on covers under accidental insurance that the policyholder can avail of.

      Sum Insured

      The sum insured in health insurance plans can range from Rs 3 lakh to Rs 1 Crore and even higher. While the limit for personal accident health insurance plans is up to Rs 50 lakh in most cases.

      Premium

      The premium for health insurance plans is usually on the higher side. Whereas, a personal accident insurance policy is cheaper than a health insurance policy as it offers limited coverage benefits/

      In a Nutshell

      As now you know the difference between the two, you can buy either of them as per your requirement. For more details, you can speak to our health insurance experts and find the best medical policy to insure yourself and your loved ones during these vulnerable times. If you need any more details you can write to us at care@policybazaar.com or call us at 1800-708-8787.

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      Disclaimer: The list mentioned is according to the alphabetical order of the insurance companies. Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by any insurer. For complete list of insurers in India refer to the Insurance Regulatory and Development Authority of India website www.irdai.gov.in

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      *Product information is authentic and solely based on the information received from the Insurer. Policybazaar is acting only as a facilitator and claims settlement shall be at the sole discretion of the Insurer. Policybazaar does not provide any medical or surgical advice or diagnosis and is not responsible for your interactions / treatment by a medical practitioner/hospital. Please consult a registered medical practitioner for any medical or surgical advice. The Information that you obtain or receive from Policybazaar, and its employees, or otherwise on the Website is for informational purposes only. As per the Insurance guidelines, you are allowed to cancel the policy with-in 30 days from the date of Issuance of policy.This option is available incase of policies with a term of one year or more.

      *All the health insurance plans cover hospitalization expenses including COVID-19 treatment cover up to the specified limits. You can also buy specific COVID-19 health insurance policies such as Corona Kavach Policy and Corona Rakshak policy.

      **All savings and online discounts are provided by insurers as per IRDAI approved insurance plans. #Tax Benefits are subject to changes in tax laws. GST Exemptions depend on fulfilment of qualification criteria and submission of relevant documents.

      *₹1748/month is the starting price for a 1 crore health insurance for an 18-year-old male, with no pre-existing diseases. Discount on renewal premium is subject to the number of wellness points earned in the health insurance policy. For more details about the plans, please read the sale brochure carefully to get upto 100% discount on renewal premium.

      *₹400/month is the starting price for ₹ 5 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹541/month is the starting price for ₹ 10 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹762/month is the starting price for ₹ 1 Crore Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹243/month(₹ 8/day) is the starting price for a 5 lakh health insurance for a 20-year-old male, non-smoker, living in Bengaluru with no pre-existing diseases

      *₹2020/month is the starting price for ₹ 1 Cr Health insurance for a 50 year old male & 50 years old female, living in Bangalore with no pre-existing diseases rounded off to nearest 10.

      *₹390/month (₹13 per day) is starting price for 1 cr. Health insurance for 25 years old male, with pre-existing diseases, residing from tier 1 city rounded off to the nearest 10.

      *No medical tests are required unless requested by the insurer’s underwriter. In-case of pre-existing diseases relevant medical proof would be required as per the terms and condition of the policy opted.

      *The values taken for effective cost calculation are indicative values and may change as per the selected plan.

      *Coverage upto double the amount of Sum Insured is available on certain covers for a minimum plan of Rs. 5 Lakh on the first claim only to an individual of upto 45 years of age with no pre-existing diseases. The benefit is available with or without extra cost depending on the plan chosen.

      *Coverage of pre-existing diseases is provided by insurer as per their underwriting policy.

      *The scope of coverage may vary from plan to plan.

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