What is the difference between Mediclaim and Health Insurance? Which one is more beneficial for the employee..

In this era of rising inflation, many times the savings get exhausted in getting treatment for the disease and bearing the hospital expenses. Therefore, in today's time, taking a health policy or insurance is not an option, but has become a necessity. With such a policy, one will not have to face financial difficulties during a medical emergency. At the same time, better healthcare will also be available. However, many times people are confused about health insurance and mediclaim. It is considered the same. Whereas mediclaim and health insurance are both different.

Let us understand what is the difference between mediclaim and health insurance. What does not come under the purview of mediclaim? Which scheme among the two will be beneficial for an employee:-

What is the difference between mediclaim and health insurance?

In mediclaim, the treatment of a particular disease is only up to a limit, whereas health insurance includes diagnosis, doctor's fee, and post-treatment.

Ambulance expenses cannot be reimbursed in mediclaim. It is reimbursed up to a limit in health insurance.
In Mediclaim, the patient must be hospitalized for at least 24 hours. If he is not admitted to the hospital, then Mediclaim insurance is not applicable. It is not necessary to be admitted to health insurance.

The coverage in Mediclaim is less as compared to health insurance. Usually, coverage of more than 5 lakhs is not given. A comprehensive policy is included in health insurance. You can increase its coverage according to your needs.

If you have a Mediclaim of Rs 5 lakhs in any company, then you can make many claims within a year. But if this amount is exhausted, then the benefit of Mediclaim will not be available. Only one claim can be made in a year in the health insurance policy. It has to be renewed every year.

In which disease Mediclaim is not available?

Many things are not included in Mediclaim. Any kind of plastic surgery, dental, implant, OCT, or cosmetic correction is not covered.

Mediclaim is not available if you are suffering from a congenital disease or genetic disorder. Mediclaim cover is also not available for infertility and IVF.

If you are suffering from HPV, HIV, syphilis, herpes, or sexually transmitted diseases, it is also not covered in Mediclaim.

Similarly, if symptoms of any disease appear within 30 days of the start of the policy, then it is also not covered in Mediclaim.

Which is more beneficial, Mediclaim or Health Insurance?

Health insurance is more beneficial for employees than Mediclaim. Apart from hospitalization, pre and post-hospitalization expenses, doctor's fees, medicines, and other medical expenses are also covered by health insurance. Whereas, only hospitalization expenses are covered in Mediclaim.