Can I Get Health Insurance Without Medical Tests?

The key difference between health insurance and medical insurance is their coverage scope. Whereas health insurance is an umbrella term that includes different types of policies to cover an extended range of medical expenses, medical insurance only provides coverage for specific illnesses or injuries.

To learn about health insurance vs medical insurance, read on.

Difference Between Health Insurance and Medical Insurance

Health Insurance vs Medical Insurance: Which One Should You Choose?

If you are confused about whether to choose health insurance or a medical insurance plan, consider factors such as your budget, family structure, and health condition.

Here is how you can choose:

You can opt for health insurance if you:

If you are looking for health coverage not only for hospitalisation but also for your other concerns, such as maternity cover, Ayush treatments, pre-existing disease coverage and so on.

Want the flexibility to extend your policy coverage with add-ons that include maternity cover, wellness benefits and OPD.

Seek a family floater plan to cover your spouse and children under a single sum insured amount.

Prefer long-term financial security for diverse health events.

Choose Medical Insurance if you:

In case you are looking for basic protection on a limited budget.

Only require coverage for hospitalisation expenses.

If the individuals are healthy, young and have minimal medical needs.

Have a basic employer health cover but are still looking for additional low-cost protection.

When should you buy health insurance and medical insurance?

Although insurance experts suggest that policyholders purchase health insurance as early as possible, as it reduces premiums. However, since a health insurance plan is more expensive than a medical insurance, it becomes challenging to afford. Let us understand the context with examples:

Example 1:

For a 22-year-old professional who is just starting as an entrepreneur, medical insurance is much more affordable and relevant. To cover their hospitalisation charges, they do not need any pre-medical checkup, and they can avail of the benefits at a lower premium. The medical insurance plans offered by Bajaj General Insurance provide wide coverage at an affordable premium.

Example 2:

A 33-year-old IT professional with a spouse and children can opt for a comprehensive health insurance to cover everyone in the family under a single plan. Not only that, but this plan will also cover if the policyholder or any of the family members suffers from a pre-existing health condition, too. Besides an extensive coverage and the flexibility to add riders, the sum insured amount can be shared by all family members. 

How to Buy Health Insurance or Medical Insurance?

Buying a health or medical insurance plan from Bajaj General Insurance is quite straightforward. Here is how to purchase:

Step 1: Click on the Products section of our home page at the top.

Step 2: Under the Health Insurance section, you can choose the most suitable plan, such as an Individual health plan, family plan and so on.

Step 3: After choosing, read the policy inclusion and exclusions and click on "Get Quote".

Step 4: Fill in your name and mobile number to get an OTP.

Step 5: Once your OTP is verified, select the members you want to insure and click "Next". 

Step 6: Enter the date of birth of each member and Get Quote.

Step 7: Choose the most suitable plan as per your premium payability and sum insured amount, and select add-ons if required.

Step 8: Finally, click on 'Buy Now'.

Step 9: Once the payment is complete, your policy documents will be sent to you via email.

Final words

When it comes to financial planning, both health and medical insurance play a crucial role. However, these two offer different levels of protection. Whereas a health insurance plan offers customisable, comprehensive coverage, medical insurance provides affordable health plans that are solely focused on hospitalisation expenses. You must select the most suitable plan based on your personal budget, health conditions, and family structure.

If you are looking for a comprehensive health insurance plan for your family, choose Bajaj General Insurance. We offer the best coverage with seamless claim settlement benefits.

FAQs on Health insurance vs medical insurance

Can I Have Both Health Insurance and Medical Insurance?

Yes, you can have both health and medical insurance. Those who opt for a comprehensive health insurance plan usually hold both these types of insurance simultaneously.

Having the coverage for these two can increase your overall financial protection, assist you in managing the consistently rising healthcare costs, offer backup in case you exhaust the sum insured amount of any one policy and provide claim flexibility.

Are health insurance and medical insurance different?

Not entirely, whereas health insurance is a broader term that covers wider coverage, medical insurance only offers coverage for hospitalisation. It is crucial to read the policy wording carefully to understand the exact policy inclusions and exclusions.

 Can I have both OPD and hospitalisation in one policy?

 Yes, comprehensive health insurance plans, such as the ones offered by the Bajaj General Insurance, offer both an OPD and hospitalisation cover under a single plan.

Will a health plan cover pre-existing conditions immediately?

No, a health plan covers pre-existing diseases only if the policyholder notifies the insurer at the time of purchasing the health plan. If the insurer does not know about the pre-existing health condition, there is a high probability of claim rejection.

Why should I choose a comprehensive health insurance plan?

Opting for a comprehensive health insurance provides you with broader safety and peace of mind. However, it is important to consider factors like premium payability, the policyholders' age, and lifestyle choices.

What is a sublimit in a health insurance plan?

Sublimits are the maximum amount an insurer pays for a specific medical expense, such as ambulance charges, hospital room rent, surgeries and doctor consultations within a policy.

What is a copay in health insurance vs medical insurance?

Copay refers to a fixed amount or a percentage that a policyholder pays at the time of treatment. This is an out-of-pocket charge that the policyholder bears, whereas the remaining amount is covered by the health insurance company.

Disclaimer: The content on this page is generic and shared only for informational and explanatory purposes. It is based on several secondary sources on the internet and is subject to changes. Please consult an expert before making any related decisions.

Insurance is the subject matter of solicitation. For more details on benefits, exclusions, limitations, terms, and conditions, please read the sales brochure/policy wording carefully before concluding a sale.