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2024 Indemnity Health Insurance Guide: Expert Analysis of 3 Key Selection Points and Comparison of 2 Policies

2024 Indemnity Health Insurance Guide: Expert Analysis of 3 Key Selection Points and Comparison of 2 Policies

Indemnity Health Insurance - Lazy to Get Rich (懶得變有錢) Context

To all you lazy fans who want to be lazy but can’t, and those who can’t be lazy but really want to, last September I wrote about my concerns in this article: 【保險】複數實支實付法如果沒有了怎麼辦?, and it really happened.

Maybe you were wondering this month whether to buy indemnity health insurance? Yes, with the extension of original copy claims for indemnity health insurance to October and the new rules for participating insurance policies taking effect in July, everyone seems to have a little more time to consider. But don’t forget, the product may not necessarily be discontinued in October, but may be discontinued at any time, and once it is discontinued, it will never come back!**

So, lazy fans with a budget, remember to fully invest in a copy of indemnity health insurance.

Indemnity Health Insurance | A Type of Insurance You Must Have

What is Indemnity Health Insurance?

You already know from the name. You can also call it “actual reimbursement,” “reimbursement for what you spend,” or “reimbursement only when used.” The most important thing is that it is based on the principle of indemnity, avoiding the need to pay out of your own pocket when you encounter medical expenses.

But don’t think that the amount on the receipt will be fully reimbursed, because there are more details to understand.

What are the Advantages of Indemnity Health Insurance?

  • Hospital room fees, surgical medical expenses, and miscellaneous medical expenses will be paid within the limit as long as the items are covered.
  • Most of the money spent during hospitalization has a chance to be reimbursed from this policy.
  • A policy that buys important protection with a small amount of money.

The 3 Words “Health Insurance” are Too Vague, Several Types Need to be Distinguished

Comparison Table of Indemnity Insurance / Surgical Medical Insurance / Hospital Daily Allowance Insurance

Here is a table to give you a clear overview of the differences between these three types of insurance.

Insurance TypeCoverage ItemsCoverage ScopeReimbursement BasisPayment Method
Indemnity InsuranceReimbursement based on receipt items and amounts, including hospitalization, surgery, and miscellaneous expenses.Relatively BroadMedical Receipt + Diagnosis CertificateReimbursement based on receipt content
Surgical Medical InsuranceReimbursement based on the surgical list, generally the more serious the surgery, the higher the reimbursement.AverageDiagnosis CertificateReimbursement per item
Hospital Daily AllowanceReimbursement based on the number of days of hospitalization, and the amount is also limited.LimitedDiagnosis CertificateReimbursement per day

How Much Indemnity Insurance Coverage is Enough?

According to the Ministry of Health and Welfare’s 111 Annual National Health Insurance Medical Statistics Report, in 2022, families spent NT$65.7 billion (USD $2.02 billion) on out-of-pocket medical and healthcare expenses for hospitalizations. The report also shows that the number of hospitalizations in 2022 was only 1.9 million (those who have been hospitalized, not counting the number of times). Based on this figure, the average cost per hospitalization is NT$240,000 (USD $7,385).

And this is just the average.

How to Choose the Right Indemnity Health Insurance for You?

Having indemnity health insurance is the most basic thing in insurance planning, but you still need to consider the following factors:

  1. Do you have the money to buy it?
  2. Do you have the money to buy it again?
  3. Do you have the money to buy more?

Warning

You don’t have to worry about the above 3 points at all, because in the near future, you may only have the possibility of purchasing one indemnity health insurance policy.

Tip

💰 Directly buy a single policy with a coverage of over NT$300,000 (USD $9,231), and you may feel a little more at ease.

Here’s a Statistical Table from the National Health Insurance Administration for You to See

2022 National Health Expenditure (Excerpt)

YearTotalHealth CareHospitalizationOutpatientHospital OutpatientWestern Medicine ClinicTraditional Chinese Medicine ClinicDental Clinic
20123,8612,6224471,48548727367659
20133,9952,7255221,47647627669655
20144,1472,8325301,50847927569685
20154,2822,8845531,54948026066743
20164,4553,0056151,55847725765759
20174,5933,0756361,58350226367751
20184,7643,1956381,65150025665831
20194,8923,2486141,66249926369831
20204,9503,1145821,54345021563815
20214,9703,0845501,57446420961841
20225,3203,2816571,72249722272931

Source: Outpatient, Delivery Institution, and Hospitalization Detail Files from the Multi-Model National Health Insurance Database of the National Health Insurance Administration.

This table is just about the money spent! It simply looks at each average value (point), but what you see is only “National Health Insurance points,” which does not include “out-of-pocket medical expenses.” So what is this table for? It’s to tell you that these items are very expensive because even the National Health Insurance (健保) fees are expensive, so how can out-of-pocket items be cheap?

Tip

💰 Considering that it will not be possible to plan for more than 2 indemnity health insurance policies in the future (unless the rules change), and with the advancement of medical technology, the length of hospital stays is decreasing and the proportion of outpatient surgeries is increasing, I personally would prioritize indemnity health insurance policies that definitely cover outpatient surgeries.

2024/06/20 Update on Insurance Companies Selling Indemnity Health Insurance

The following premiums are based on a 30-year-old female as a reference (premiums may vary depending on the insurance company’s adjustments / reference information does not represent a purchase recommendation)

Insurance CompanyProduct NameProduct CodeAnnual PremiumPolicy Details
Allianz LifeOne-Year Term Hospital Medical Expense Insurance RiderHMR1NT$7,290Indemnity · Insurable Age 0-75 · Maximum Coverage to 75
Taiwan LifeGold Secure Hospital Medical Health Insurance Rider1QNT$7,004Indemnity · Insurable Age 0-70 · Maximum Coverage to 85
Shin Kong LifeCaring Secure Hospital Medical Health Insurance RiderU1NT$10,973Indemnity · Insurable Age 0-65 · Maximum Coverage to 80
Shin Kong LifeIncreased Secure Deductible Hospital Medical Health Insurance RiderU2U3NT$507Indemnity · Insurable Age 0-65 · Maximum Coverage to 80
Farglory LifeYong An Kang Medical Health Insurance RiderRSNNT$7,831Indemnity · Insurable Age 0-70 · Maximum Coverage to 75
Taisin LifeHospital Medical Expense Health Insurance RiderHXNT$5,974Indemnity · Insurable Age 0-70 · Maximum Coverage to 84
KGI LifeXin Kang Tai Hospital Medical Limit Payment Health Insurance RiderMAHUGANT$10,660Indemnity · Insurable Age 0-70 · Maximum Coverage to 80
Nan Shan LifePractice Happiness Hospital Medical Health Insurance Rider1HSNT$5,600Indemnity · Insurable Age 0-65 · Maximum Coverage to 75
Cathay LifeReal Wholehearted Hospital Medical Health Insurance RiderCV1NT$7,955Indemnity · Insurable Age 0-70 · Maximum Coverage to 80
Nan Shan LifeSuper Practice Happiness Deductible Hospital Medical Health Insurance Rider1HSDNT$1,821Indemnity · Insurable Age 0-65 · Maximum Coverage to 75
Cathay LifeGood Real Deductible Hospital Medical Health Insurance RiderWV3NT$5,138Indemnity · Insurable Age 0-70 · Maximum Coverage to 80
Nan Shan LifeRealize Happiness Partial Burden Hospital Medical Health Insurance Rider1HSCONT$2,208Indemnity · Insurable Age 0-70 · Maximum Coverage to 85
Fubon LifeWholehearted One-Year Term Hospital Medical Health Insurance RiderHSKNT$10,360Indemnity · Insurable Age 0-65 · Maximum Coverage to 74
MetLifeIncreased New Hospital Deductible Hospital Medical Health Insurance RiderDHSRNT$713Indemnity · Insurable Age 0-65 · Maximum Coverage to 74
MetLifeNew Hospital Medical Insurance RiderHSRSNT$1,796Indemnity · Insurable Age 0-65 · Maximum Coverage to 74
Taisin LifeZhen Bao Shun Xin Hospital Medical Expense Health Insurance Rider – Deductible Type (B)HDBBBNNT$147Indemnity · Insurable Age 0-70 · Maximum Coverage to 84
KGI LifeSuper Kang Tai Deductible Hospital Medical Health Insurance Rider Type BLEGOVBNT$1,012Indemnity · Insurable Age 0-70 · Maximum Coverage to 80
Fubon LifeSecure One-Year Term Hospital Medical Health Insurance RiderHSUNT$10,980Indemnity · Insurable Age 0-65 · Maximum Coverage to 80
KGI LifeSuper Kang Tai Deductible Hospital Medical Health Insurance Rider Type CLEGOZANT$1,975Indemnity · Insurable Age 0-70 · Maximum Coverage to 80
Fubon LifeReal Secure One-Year Term Hospital Medical Health Insurance RiderHSLNT$1,985Indemnity · Insurable Age 0-65 · Maximum Coverage to 75
Fubon LifeReal Whole One-Year Term Hospital Medical Health Insurance RiderHSTNT$1,650Indemnity · Insurable Age 0-65 · Maximum Coverage to 75
MetLifeBao Jian Kang Hospital Medical Health Insurance RiderBHSRNT$5,125Indemnity · Insurable Age 0-65 · Maximum Coverage to 80
Shin Kong LifeSecure Hospital Insurance Rider (Newly Revised)72DNT$4,455Indemnity · Insurable Age 0-60 · Maximum Coverage to 75
Hong Tai LifeReal Separate Medical Rely Medical Expense Health Insurance RiderNNHSNT$6,507Indemnity · Insurable Age 0-70 · Maximum Coverage to 75
MetLifeIncreased Bao Jian Kang Deductible Hospital Medical Health Insurance RiderDBHSRNT$2,522Indemnity · Insurable Age 0-65 · Maximum Coverage to 80
Taisin LifeZhen Bao Shun Xin Hospital Medical Expense Health Insurance Rider – Deductible Type (A)HDAAANNT$268Indemnity · Insurable Age 0-70 · Maximum Coverage to 84
Hong Tai LifeHospital Medical Insurance Rider Type AHSNT$2,170Indemnity · Insurable Age 0-65 · Maximum Coverage to 75

3 Key Points for Choosing Indemnity Health Insurance

| Key Points | Explanation

條款細節搞清楚,2種醫療雜費怎麼賠?

理賠方式說明
合併給付住院醫療雜費與手術費合併理賠,減少認定問題,但在門診手術理賠上較弱。
分開給付住院醫療雜費與手術費分開理賠,各自有理賠上限,可能會出現理賠不足的問題。

延伸閱讀


Lazy Conclusion

Indemnity health insurance is a must-buy insurance policy. No matter how the terms change in the future, you must buy it unless you are rich enough.
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