48% of medical bills are paid out-of-pocket in India
States such as U. P., Kerala, Bihar, Andhra Pradesh & Punjab go up to 71% 
That’s because most people don’t have a health plan or their cover isn’t sufficient.
Here’s a complete health insurance guide by @Ditto_Insurance.
- Selecting the insurer
A few things to look at while finalising an insurer:
- Claim Settlement Ratio (CSR)
This is basically a ratio of the number of claims they’ve settled to the number of claims they’ve received. Anything above 90% is good.
- Incurred Claims Ratio👉
It’s a ratio of the sum of claims settled to the sum of premiums collected annually. Anything between 50-70% should be good.
- Network Hospitals👉
These are all the hospitals that will accept a cashless claim. The more hospitals, the merrier; The closer, the better.
- Sum assured
India’s medical inflation stands at a staggering rate of 14%. It’s good to get a cover of at least ₹10L to cope with inflation and cover the cost of most diseases and complications.
- Ask for restoration benefit👉
Some insurers offer a restoration benefit, i.e., they restore your cover after you’ve used it up. Now, some insurers offer unlimited restorations, while others have certain limitations.
Check the policy wording to know how the cover is restored, and you’ll be fine.
- Features
Here are some features you must check:
- Say NO to co-pay👉
Some salesmen might push you to buy a co-pay plan for a tempting discount. Don’t fall for it. Most likely, you’ll end up paying a lot more than you save.
- Waiting Periods👉
Your cover doesn’t start until your waiting period is over. A good plan with long waiting periods isn’t worth it if you don’t have any pre-existing conditions. Go for a plan with no or low waiting periods.
- Disease Sub-limits👉
Some plans put a cap on the cover of certain diseases. Go for a plan with the least disease-wise sub-limits to avoid disappointments in the future.
And, if you’re looking to understand your current health plan or looking for a new one, talk to a @Ditto_Insurance advisor here.