Health Insurance || Types || Process ||Government Health Insurance Schemes - News Article World
September 12, 2024
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What is Health insurance?


Health insurance has become a big necessity in the present times. In fact, this type of insurance is where you can claim for your medical and surgical expenses. Simply put, hospital admission and medication expenses during illness will not be out of your pocket. This entire cost will be borne by the insurance company as per your policy. In fact, it is a guarantee of the insurance company to bear the hefty cost of hospitalization of the policyholder due to illness or accident.


Amid the outbreak of the Corona epidemic, there has been an increase in awareness among people about buying health insurance. But still many people stay away from taking it thinking that they don’t have any disease and will not get it, so the money spent on the policy will be wasted. But he has to bear the brunt of this worry, when he suddenly falls ill and has to pay huge hospital bills out of his pocket.


Types of Health Insurance



Health insurance is mainly of two types-


Private health insurance


There are two types of health insurance policies offered by private companies, firstly, hospital policies which cover your hospitalization expenses. On the other hand, general medical policies (sometimes known as ancillary or excess) cover some of your incidental treatments, such as dental health (related to teeth), physiotherapy, etc. Most providers offer a combination of both policies that provide cover for both hospital and general medical services, or you can purchase separate policies. myUpchar Bima Plus is a personal health insurance under which you can cover yourself and your family.


Public or government health insurance


In this type of insurance, the central government or the state government pays a portion of your insurance premium itself or in return subsidizes the insurance provider so that you get insurance cover at a much cheaper rate. There are many schemes run by the government which are described in the last part of this article.

Let’s know how it works –



Insurance Works Generally, insurance companies providing health insurance tie up with major hospitals to provide cashless treatment to the insured. However, if the insurance company does not have an agreement with the hospital, it reimburses the policyholder based on the bill incurred for his treatment. The government is also continuously promoting health insurance with the benefit of income tax deduction.



Government Health Insurance Schemes in India –



Here are some cost-effective government-sponsored healthcare plans that you can get if you belong to a certain income group.


Rashtriya Swasthya Bima Yojana (RSBY)


RSBY (National Health Insurance Scheme) was launched by the Ministry of Labor and Employment, Government of India to provide health insurance coverage to families living below the poverty line (BPL).


Employment State Insurance Scheme (ESIS)


The scheme is applicable to non-seasonal factories with 10 or more employees and in some states, certain establishments (shops, hotels, restaurants, cinemas, newspapers, etc.) with 20 or more employees, except private educational and medical institutions. To those who employ more people.


Central Government Health Scheme (CGHS)


This scheme is for Central Government employees, pensioners and their dependents, residing in CGHS covered cities. Any employee can get the CGHS card issued from the office of Additional Director of City.


Aam Aadmi Bima Yojana (AABY)


Aam Aadmi Bima Yojana is a social security scheme for rural landless families launched on 2 October 2007. Head of household or one earning member of household of such household is covered under this scheme.


Universal Health Insurance Scheme (UHIS)


Four public sector general insurance companies are implementing universal health insurance schemes to improve the quality of healthcare available to poor families.

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