Different health plans work in different ways and entirely depend on the terms and conditions set by the insurance company. However, there are a few steps regarding the way a health insurance policy works that share a common ground across insurance providers. First thing first - general insurance policy contacts are typically annual and should be renewed before the expiry of the policy.
Once you have bought the policy, review the insurance plan in detail. Generally, most insurance providers offer a 15-30 days free-look period. A free-look period allows you to cancel a policy, in case it doesn’t fit your requirement, without any additional/policy cancellation fee. Also, go through the waiting period as mentioned in your policy. This would help you understand when you could claim policy benefits for specific ailments.
Most insurance policy providers have tie-ups with hospitals, generally called network hospitals. If you’re getting your treatment done at one of the network hospitals, you have the facility to opt for cashless claims - where the insurer pays the hospital for your treatment on your behalf. For treatments outside network hospitals, there’s always an option to get your bills reimbursed via your insurer.
However, your policy may not cover all the diseases/ailments, etc. To understand that, go through policy exclusions and inclusions in great detail. Note that your claims could get rejected because of the following reasons:
Also, remember that there are different health insurance plans that are designed to serve different purposes. So, instead of buying family floater, individual or senior citizen plans separately, go for a comprehensive general insurance policy that would cover you and your family.