Optimal dental and eye care are essential for maintaining overall health and quality of life.
Home / Health Insurance / Health Insurance for Eye & Dental Coverage
Vision and dental health are important factors contributing towards your overall physical well-being. Despite that, people neglect these factors when choosing health insurance policies. Health insurance plans might not come with eye and dental coverage together.
That is why you must go through the inclusions of your health plan carefully to ensure comprehensive dental and eye coverage for you and your family, especially children. Usually, eye and dental care falls under the OPD cover, which means no hospitalisation cover is offered.
In this blog, you will understand the importance of eye and dental coverage in health insurance.
You must note that hospitalisation expenses regarding dental and vision impairment will be covered only if you have separate eye and dental coverage in your health insurance policy. Eye and dental care procedures can be expensive, which leads to unwanted financial strain in your pocket.
Eye coverage in health insurance is ideal for individuals with previous medical problems related to their vision. Vision care insurance is not expensive and can be added easily to your primary health insurance plan.
Dental coverage can tailor the cost of your oral treatments and procedures. Oral coverage is best for children and senior citizens as these age groups face the most dental problems. Additionally, you can maintain oral hygiene by availing dental covers to avoid major dental issues in future. Below are the benefits of having eye and dental coverage in your health insurance plan.
Financial support
Preventive care
Coverage for consumables
Access to quality care
Cashless treatment
Peace of mind, etc.
As eye and dental coverage is not a standard cover, the inclusions vary based on the insurance company and their policy. Varied insurers levy a waiting period ranging between six months up to a few years. You must know that if you use the entire sum insured for this coverage, you will have to pay the extra amount. Below are some of the inclusions of the following coverage.
Routine check-ups
Eye examinations
Corrective spectacle lenses with frame/contact lenses (as prescribed by the ophthalmologist)
Doctor consultations fees
Cataract surgery expenses
Lasik surgeries, etc.
X-rays
Oral check-up
Dental injury because of an accident
Root canal treatment
Fillings
Extractions
Preventive treatment, etc.
Note: The above-stated inclusions might vary based on the insurance company and their policy.
Like every other health care coverage, eye and dental insurance has the following exclusions. Note the exclusions might change as per the insurance company and the health plan you choose.
Injury caused by dangerous activities
Expenses due to wear and tear of consumables
Expenses for non-corrective lenses
Injury caused by oral hygiene procedures or cosmetic products, etc.
Dentures
Jaw alignment
Implants
Prosthesis
Orthodontics, etc.
ACKO health insurance plans come in an extensive way to meet every insurance need of yours. With our comprehensive coverage, you can safeguard yourself and your family members from any unforeseen medical emergencies. A variety of all-inclusive health insurance policies catered to different needs are available from ACKO.
The ACKO Standard Health Plan offers financial protection for medical expenditures via coverage with options for an amount insured ranging from Rs. 10 Lakhs to Rs. 1 Crore. It offers advantages including cashless claims, pre- and post-hospitalisation expenditure coverage, and critical illness coverage, to name a few.
The ACKO Platinum Health Plan, on the other hand, provides quick and complete coverage without co-pay or deductions for approved claims. It includes increased benefits such as high sum insured, zero waiting periods, etc.
Furthermore, the Platinum Super Health Top-Up Plan goes beyond conventional limits in terms of coverage, offering sum insured options ranging from Rs. 10 lakhs to an unlimited amount, as well as coverage for critical illness expenses, helpful add-ons, multiple ambulance trips, and emergency evacuation. These features cater to people who want comprehensive protection against medical emergencies and expensive healthcare.
Enhance your health insurance by exploring these unique benefits | |||
Room Rent Limit | Unlimited Sum Insured |
Before buying a health insurance plan, you must look into a few important factors like the sum insured, waiting period, deductions on claims, inclusions and exclusions. In addition, you should consider family size as the bigger the family you have, the more comprehensive coverage you will need. You can get optimal health insurance coverage by exploring and comparing varied ACKO health plans.
ACKO does not provide direct coverage for dental and eye-related treatments. However, if the treatment is medically necessary due to an unexpected event, then the claim may be accepted on a case-by-case basis.
Kindly connect with our customer support team at 1800 266 2256 (toll-free) or send an email at [email protected] before raising a claim. We can guide you through the claim process in case you have the relevant coverage.
Root canal treatment is usually covered by dental insurance, but coverage can vary. It is advisable to consult your insurer to confirm specifics regarding your policy's coverage.
In India, you can claim tax deductions on health insurance premiums under Section 80D of the Income Tax Act 1961. In case you are below 60 years, you can get a deduction up to Rs. 25,000. Whereas, senior citizens (60 years and above) can claim up to Rs. 50,000 tax deduction on the premium amount paid towards their health insurance.
Dental insurance policies may offer coverage for braces, but it varies depending on the specific policy. Some plans may cover a portion of the cost of braces, while others may not cover them at all. It is important to review your policy details with your insurer to understand what orthodontic treatments are covered.
To claim eye and dental coverage, typically you'd submit relevant receipts and documentation to your insurance provider. They will then process the claim based on the terms of your policy.
There is no specific "right" age to avail eye and dental coverage in health insurance. It is beneficial to have coverage from a young age to address preventive care and potential issues early on.
Disclaimer: The plans, services, features, processes, and other details mentioned on this page are subject to availability and changes. Please check the applicable policy wordings before making any insurance-related decisions. Feel free to reach out to us at [email protected] for any queries.