7 Tips on How to Choose Health Insurance You Must Know

Many things we don’t know, but it’s very important when choosing the best health insurance for our family. Here are seven tips on how to choose the right health insurance.

Since articles about choosing health insurance emerged, many questions came to my email every day. Ask for advice, exchange opinions, confide, and not infrequently criticism. The comment column also contains a few expressions of readers who ask and comment.

This is certainly an extraordinary thing. Because initially, the writing was made as a sharing of my experiences (how easy it was) to find a company with the best health insurance in Indonesia that was suitable for family needs. The response was amazing.

From here, I became aware that many problems faced by people when choosing health insurance. This is not a user-friendly product like a gadget, without the need to read the manual book, use it overnight. This is an insurance product that has complex features and conditions.

I want everyone in Indonesia to be able to choose an insurance product that benefits according to their needs. Not because of the agent’s choice or friend’s persuasion, but because it was his choice based on understanding what his needs were.

But, for that, they must know how to choose the right one.

I summarize the findings in the field, reflect on it, and discuss it with friends in insurance, then I put it in seven tips on how to choose health insurance below.

1. Ask When Healthy

I once received an email from someone who wanted to ensure his mother who was then being treated at the ICU in a hospital on the outskirts of Jakarta. He admitted, “I just realized how important insurance is after my mother entered the hospital”.

I replied, “thank you for your awareness. But, I guess, it’s very unlikely that the insurance company will accept your mother’s health insurance application. My advice, you better take health insurance immediately. My email is not answered. I didn’t know he was disappointed or shocked at the answer.

Health insurance is known as ‘ pre-existing condition ‘. Existing disease conditions before you become a health insurance customer. These existing diseases are generally not covered by the insurance company. Even though, under certain conditions, the insurance company might want to bear it.

The point is simple, submit yourself to insurance, when you are healthy. When you are sick, the insurance will likely reject your application.

The law of employment in insurance is a law of possibility. From each policy issued there is a possibility of healthy customers, there is a possibility that customers will get sick. Where will the customer, sick or not, no one knows. Therefore, insurance companies can operate and profit.

If the customer received has been sick, insurance must lose because the hospital costs are greater than the policy premium. So insurance companies do not want to accept customers who have suffered pain. They are profit institutions, not social institutions.

So, if you feel you need health insurance, apply right now. Don’t delay. The faster, the better because the less likely it is to have an illness, the more likely it is that the application will be approved

2. Ask for a young age

Increasing age, is the risk of illness or death getting higher? Of course, yes. It’s natural law.

Insurance companies calculate health insurance premiums based on the law. Despite healthy conditions, older people pay more expensive premiums than those who are younger. Age determines premium rates.

Therefore, submit insurance as early as possible. First, you save because you pay cheaper health insurance premiums. Secondly, the risk of having a disease is smaller when young, so the possibility of receiving greater insurance.

Unfortunately, I see many friends who are young and have enough income (to pay premiums) are reluctant to take insurance. The reason, feeling healthy and seeing insurance as a fee. Do not consider the insurance benefits of something tangible, which can be seen and enjoyed (the gadget is tangible ). This is certainly wrong thinking.

3. Don’t Cash Plan

A mother once sent an e-mail to me showing a fairly cheap health insurance premium offer. At that time, the premium was half of what I had with the provisions of room 1 million per day, while my insurance room quota was 800 RB per day. So the insurance that I choose looks unattractive, premiums are more expensive and room rates are lower.

Investigated have inquired. I know the reason, room 1 million per day mentioned by the mother is a type of insurance called the cash plan . Cash-plan is a type of insurance with benefits based on how long you are hospitalized. For example, being treated for 10 days, insurance replaces 1 million times 10 days, which is 10 million. Without looking at how many bills are.

Meanwhile, good health insurance is to make a replacement based on the bills of hospital care costs. There are room fees, doctor fees, medication fees, lab fees, operating costs, specialist fees, etc., where each has its ceiling. So with this scheme, it is less likely to experience overplafonds that require us to spend ourselves to pay for additional costs not covered by insurance.

This illustrates how different health insurance benefits compare to the cash plan.

The cash plan looks cheap with lower premiums. But if we count well, comparing premiums versus benefits, cash plans become expensive.

So don’t take the cash plan? It’s okay to take it. But, you must first have health insurance that changes based on the details of hospital care bills. Cash plans should be additional protection, for example, to replace lost income (eg entrepreneurs) because they cannot work while being hospitalized.

4. Inpatient Requirements

Initially, I thought that anytime I was hospitalized I could submit a claim to insurance. It isn’t.

There are conditions. The insurance determines the rules regarding hospitalization, as follows:

Hospitalization must be done at the hospital. This means that if hospitalized at the clinic, the insurance will not replace it. Make sure with the insurance, what is meant by the hospital.
How long hospitalization becomes a requirement. Some set 1-day hospitalization can be claimed, but some require a minimum of 2 days of hospitalization. Some are only in the ER (don’t need to enter the room first) for at least a few hours, it can be claimed because it is in the category of hospitalization. This requirement must be considered when evaluating insurance offers. Ask the agent about the conditions for hospitalization

5. Family insurance

For those who are already married, surely health insurance is intended for more than one person. For example, I submitted three family members – parents and children.

The question is, do you need to buy several policies for each member, or just buy a policy for all family members? What is the difference?

Buy one policy cheaper than buying several policies for one family. I have checked into some insurance and compared the premiums that need to be paid.

This is because health insurance, especially in unit-links, is a rider (additional insurance) from its main insurance, which is life insurance. By buying a separate policy, it means that all family members must buy life insurance. While it is possible, not all family members need life insurance (for example, only the main breadwinner needs it, the child or wife/husband does not need it).

Therefore, you are better off looking for health insurance that can cover one policy for one family. There is? There is. I already took it.

6. Double – Claim

With the government’s initiative to launch a national health insurance program, almost everyone now has health insurance. Even so, many are not satisfied with these health facilities and want to buy additional health insurance.

On the other hand, the hospital only issued one original receipt. If so, threatened claims cannot be made against additional insurance. How can you take other insurance if so?

That doesn’t need to happen if the insurance company accepts double – claim. That means one of the health insurance parties is willing to accept legal receipts (do not need original receipts) to pay claims. This makes the double process – the claim can be executed.

Even though you currently only have one insurance, you should anticipate that there is always the possibility of having other health insurance. Therefore, choose insurance that can accept double – claim.

7. Pure Insurance

I once read a mutual fund observer writing in his column that he was ‘forced’ to choose unit-link health insurance because there was no pure health insurance. He already has an investment in Mutual Funds.

In the unit link, there is a portion of the investment, so this observer who buys unit link health insurance wastes because he already has an investment in Mutual Funds. It is better to use the money to increase its investment in mutual funds.

I don’t say don’t buy unit links. Not at all. Buy a product that suits your needs, that’s my message.

That is, if you already have an investment, for example in mutual funds, gold, property, why do you need to buy insurance products that have an investment element. Better to buy pure health insurance products that have no investment element.

Pure health insurance premiums are cheaper than unit link health insurance. Or if the premium is the same, the benefits are greater in pure health insurance.

The message is clear. Buy products according to your needs. If you don’t have an investment, buying unit link health insurance is one thing you can do.

Insurance is not a user-friendly product such as a mobile phone or tab. Moreover, health insurance. The definition of the product is quite complex and there are many disclaimers. Unfortunately, many do not want to read the policy and learn to understand the definition of health insurance of their choice. As a result, the choice is often inaccurate (expensive premiums, small benefits, etc.), which leads to futile complaints when hospitalization claims are not replaced as expected.

I thank my friends who have given many comments and entered my previous articles about health insurance. Apart from adding insight, I learned a lot about the problems faced by someone when looking for health insurance. Helping to avoid these mistakes over and over, I summarize them all in seven tips on how to choose the right health insurance.

Want to know what health insurance is suitable for your family or your parents, can consult here. May be useful