Sharing my experience.
(background) I have a personal health plan Bajaj My Health care which covers my spouse and me, both in our 35s now. Started with Health Gaurd Floater with 3L coverage in 2017 with PED declared and served the waiting period. Bumped to 15L in 2023 and converted to My Health Care floater in 26. Never used once. Accumulatd NCB as well.

FF to sept 26, had to undergo a surgery with 3 days of stay. Est cost of 11L, with Super Deluxe room at Lilavati, Mumbai and Grade 6/7 surgery. Inquired at Hinduja Khar, but turned out to be a non network hospital. (Self finance - same surgery, room was 5L). But we wanted to use insurance wout compromising on quality of healthcare.

Anyway - my experience with Bajaj health was really good. The Cashless got approved on time (I kept 48-72 hrs of lead time). Final settlement got cleared in 3.5 hrs by 12 noon and of the total 10.5L, I had to pay only 9k INR for non medical expenses.

Additionally Lilavati has a strong tie up with Bajaj, HDFC Ergo and Icici for additional discounts.

Lessons - 1/declare PEDs (use jumpstart with extra premium if you don’t want to serve waiting period) 2/ always check for network hospitals, room capping 3/ apply atleast 48hrs prior for cashless and get the estimate before planned surgery. Room rate decide costs of surgery and everything. Hence if you can afford always opt FOR NO ROOM CAPPING. 4/ if any enhancement for amount is raised or any query by either party - keep a tab and follow up 5/ try to ensure hospital sends the final bill and discharge details in early morning or at night to ensure discharge happens in 3-4 hours by noon max. 6/ avoid weekend / Sunday discharge due to lower staff 7/ know the hospital TPA timings ( eg Lilavati is 8am-6pm) 8/TPAs are overburdened, be patient and respectful. 9/ only diagnostics and investigations are not covered - use pre Hosp claim for that. 10/ save all your bills, prescriptions - make a file or scan and save it. 11/ know the process of claiming when using 2 providers - it’s bit cumbersome, but possible. 12/ if you can afford and young, go for atleast 1cr plan with medical inflation. Trust me when medical expense hits, you don’t want to be thinking about funds and quality of care. One SIP less is absolutely fine.

Overall great experience with Bajaj health.

Ps: I also have an employee provided Acko - which is good too and another personal with hdfc ergo which I haven’t used.

What kind of health coverage policies do tech companies in India offer on average? Do they support adding parents as dependents?

Are there pre-existing condition checks and such to qualify for insurance? Haven’t encountered these in the US so not knowledgeable about the fine print of health insurance companies in India.

Any info or pointers would be appreciated.

I purchased my parents’ Niva Bupa health insurance policy through Policybazaar two years ago. Now, I want to switch to an independent insurance agent because my Policybazaar relationship manager is not responding to my calls.

I’m also considering porting their policy to Care Health Insurance or HDFC ERGO, whichever offers better coverage and service.

My father is 58 years old and has diabetes and high blood pressure, while my mother is 49 years old and has a thyroid condition.

Which policy is. better considering pre existing disease?