Background about Health Insurance policies offered by Banks ?All the health insurance policies offered by banks is mainly a group health insurance cover provided to all their banking customers in association with some external general insurance company. What happens in this case is that a health insurance company approaches a bank and tells them that they can offer a specialized health cover to all their bank customers with lots of benefits with a small premium. The best part of these policies are that there is no medicals involved , there is fixed premiums for all age group customers, very low premium etc etc . On first look, you will not even believe that some thing of that kind can exist.
But there is always another side of the situation and now these policies despite looking amazing have lots of problems and limitations which you should know and then take the decision. Lets check them one by one
1. Depends on negotiations every yearHealth insurance policies provided by banks are actually an outsourced thing . So if you buy it from bank A , then actually its a policy from Insurance company B, bank is merely a intermediary. As this policy is a group cover, the policy premiums and all the featured are going to be negotiated on a regular interval like each year or twice a year. Now the problem is that if the health insurance company feels that the premiums should be revised (for whatever reason) , then banks cant do anything and only customer will suffer here because he did his long term health insurance planning with this policy.
The premiums of the policy can rise like anything in future, because as per medimanage.com, the pricing of the product is very flawed in most of the cases because banks do not have much experience in health insurance domain.
In absence of the right expertize with most Banks, the pricing could be majorly flawed. Though there are no published figures available, our sources at some Insurance companies say that it is an incessantly “bleeding portfolio”. We believe, any contract, in any field, which is not win-win,does not work in the long term.
2. Chances of association breaking in futureWhat will a customer do if the association breaks between the bank and insurance company in future ? Health care costs are increasing and its always a good thing to get your self insurance as soon as possible, now if after 5 yrs of running a policy suppose the association breaks, a customer will be left into a situation where he has to again find a suitable policy and who knows if he has developed some illness in between these 4-5 yrs, who will cover that. Here is a real life experience from Ketan shah on forum, see how he suffered when something similar happened with him
Dena bank 5 Years back came out with Scheme in tie up with Oriental Insurance for providing mediclaim at highly attractive premium i.e. Rs. 7000 for 5 Lac cover.
We hold various accounts with dena bank and as per their tie up we got ourselves covered (5 Policies) after paying 2 years premium, when the 3 rd year renewal came we were informed that the tie up with Oriental is no more there and the same policy will be transferred to United India Insurance for same Premium..
Now we have paid 2 years premium with United India and the 3rd year Premium we are informed that Dena Bank has increased the Premium 2 -3 fold for policies…
Now trusting Dena bank and paying 5 years of Premium which comes to almost 2 Lacs we are stranded and forced to pay high Premium for my parents and now we are in a fix If we don’t pay and we cant even change the company since parents are 65 +
we were assured that the scheme shall continue since it is bank tie up and therefore we got our previous pvt policy cancelled which had a very High Premium for my Parents (20000 for 5 Lac)
Please advice if we can approach IRDA for the same…
3. Limits on renewable ageHealth insurance is a long term financial product and should always be bought with very long term benefits in mind. Having a life time renewal option is not just a wish, but kind of must have feature in your health insurance policy and that’s where these policies from banks fail. They all have limitation on renewal age in most of the cases.
Even if the premiums are lower, what will you do sometime in future when you really need that policy and it shuts the door for you.
4. Pathetic “service” issuesThe service provided at the time of claim settlement is really a big parameter. Now if you have bought it from bank (here bank is the agent) , there is no “person” or “company” to help or assist you at the time of claim settlement ? Whom do you mail ? Whom to you talk to ? Who will you catch ? Who will you blame ? The bank due to their size and nature will not entertain you in proper manner.
Also being a group policy, it some times gets very complex to understand their limitation and many things will be a complete nightmare for you as customer. So its really a big disadvantage here . I want you to go through the following conversation on service issues which was done by Mahavir Chopra of medimanage.com and Ritesh sometime back . It will give you some idea on this aspect.
Overall I would say any health insurance from banks which are pure group cover should be just an extra health cover in your life. It should NOT be the primary long term solution for your health insurance needs. Its very important to have a large health cover from a very strong company with great benefits and strong service levels.
Source : jagoinvestor