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What Are The Things To Be Checked On Receiving Health Insurance Policy Document?

Team AckoJan 23, 2024

An insurance transaction is slightly different than say a transaction involving other products and services. This is mainly because you are not getting anything tangible in exchange for making the premium payment. Insurance is a promise made by the insurer to the policyholder based on the terms and conditions of the policy.

In case of an online health insurance/medical insurance transaction, you should receive your policy document in return. It is like your go-to document if you want to raise a claim. It can also be viewed as a receipt for making the insurance premium.

But your task as a policyholder does not end with merely receiving the policy document. You need to go through the document in detail to verify the details mentioned in it. If there is anything mentioned incorrectly, you need to take corrective action by getting in touch with your insurance company via call or email. 

Read ahead to know which are the important things you need to check in your health insurance/medical insurance policy document.

Things to be checked on health insurance policy



Health Insurance Policy Document Verification Checklist:

Different insurers might present information in a different format. However, the following information must be included in your health insurance policy document.

1. Personal Details:

Your name must be mentioned accurately in the policy document. That is what will clarify entitlement. Along with the name, your contact number and residential address also must be mentioned to receive any official communication.

2. Policy Number:

The policy number is your identity as far as the insurance company is concerned. Your details are stored as per the policy number so that they can be tracked easily.

3. Policy Duration:

The document must clearly state the start date and end date of the policy. You must make a note of the expiry date and ensure to renew the policy in a timely manner.

4. Intermediary Details:

This section contains information about the intermediary. Even if the policy is directly purchased from the insurer, this section ideally features details related to an online purchase, telephonic purchase, etc.

5. Cover Details:

Cover details include the extent of Sum Insured for which the policy is purchased. A list of purchased Add-ons should also be clearly stated.

Check: Significance of Optimum Sleep for Healthy Living

6. Nominee Name:

A nominee is a person to whom your Sum Insured shall be given in case you are deceased due to a covered illness/condition. Therefore, make sure you put thought into choosing your nominee and crosscheck if the name and relationship are declared aptly.

7. Premium Calculation:

Here, a break-up of the premium calculation is expressed in a tabular manner. One can understand the exact calculation including the amount for tax by looking at the table.

8. Tax Deduction:

In most cases, the tax-saving amount as per Section 80D of the Income Tax Act is also included in the policy document. If not, then it needs to be asked for separately.

9. Signature:

Verify if the document received has a signature of the authorized person. Also, check if the document is on an authentic letterhead.

10. Insurer Information:

The address and contact information of the insurer are always declared in the policy document. You can reach out to the insurer by calling or sending an email if you need further queries.

Online Health Insurance Plans:

In case you do not have a satisfactory experience with your current insurance company, you can choose a different insurer at the time of renewal. Make sure to compare health insurance plans online before making the payment.

Do not be overwhelmed by the low-prices, spend some to research about the cover, the customer service, etc. and select a plan that meets your requirements. Also, go through the Policy Wordings before buying and the Policy Document after buying to avoid issues at the time of claim settlement.

Also, check: Nominee in Health Insurance

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Disclaimer: The content on this page is generic and shared only for informational and explanatory purposes. It is based on industry experience and several secondary sources on the internet; and is subject to changes. Please go through the applicable policy wordings for updated ACKO-centric content and before making any insurance-related decisions.


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