Why Winsure Health

FAQ

Winsure Health helps you choose the right health insurance policy by:

  • comparing claim performance of top insurers
  • rating policies on 30 important parameters
  • preparing a 50-parameter detailed report before you buy
  • guiding you step-by-step during purchase
  • supporting you during claims

We work for you, not any one insurance company.

No.
We work with India’s top 10 private health insurers and compare them without bias.
This allows us to recommend only what is right for you.

Yes, the comparison and consultation are free.
You pay the same premium as the insurance company’s official rate.
No extra charges. No hidden fees.

It is the first step of our process.
We compare real claim behaviour of top insurers to understand:

  • how fast they approve cashless claims
  • how much of the claim they typically pay
  • how they handle big claims
  • complaint history
  • hospital network strength
  • TPA vs in-house claim teams
  • common rejection patterns

This tells us which companies are truly reliable.

This is a deep comparison of policies based on:

  • room rent rules
  • co-pay
  • sub-limits
  • non-medical item coverage
  • OPD support
  • waiting periods
  • pre-existing disease handling
  • maternity rules
  • claim process
  • premium sustainability
  • important exclusions

This helps us shortlist the best 2–3 policies for you.

Before you buy, we prepare a detailed report explaining:

  • coverage
  • riders
  • hospital network
  • exclusions
  • waiting periods
  • claim rules
  • renewal rules
  • premium behaviour
  • advantages and disadvantages

This ensures you fully understand your policy before paying.

The most common reasons are:

  • hidden pre-existing conditions
  • room rent restrictions
  • incorrect proposal form
  • sub-limits
  • waiting period violations
  • wrong hospital selection
  • TPA issues
  • documentation gaps

Most rejections are avoidable if the policy is chosen correctly from day one.

It means during hospitalization, you should not have to pay from your own pocket except for personal preferences.
A Zero Pocket Pay experience requires:

  • no co-pay
  • no room-rent mismatch
  • no sub-limits
  • non-medical item coverage
  • strong hospital network
  • proper disclosure

We guide you to policies that offer this.

Porting: Switching from one insurance company to another without losing waiting period benefits.

Migration: Shifting to a different plan within the same company.

We help you decide which is right for you.

A waiting period is the time after buying the policy during which certain illnesses are not covered.
Examples:

  • 30 days for all new illnesses
  • 2 years for specific surgeries
  • 3–4 years for pre-existing diseases

Buying early reduces the burden of waiting.

If your policy allows ₹5,000/day room rent
but you stay in a ₹10,000/day room,
most of your hospital bill gets proportionately reduced.
This can cause massive out-of-pocket expenses.
We always help you avoid room rent traps.

Co-pay means you pay a percentage of every claim.
For example, with 20% co-pay,
A ₹1,00,000 bill means you pay ₹20,000.
We help avoid high co-pay policies unless necessary.

No.
Older policies do not.
Many modern ones do.
We recommend OPD coverage especially for families with regular medical expenses.

Yes.
We guide you through:

  • cashless admission
  • documentation
  • TPA/in-house coordination
  • explaining deductions
  • reimbursement claims
  • dispute analysis

We stand with you during stressful moments.

No one in India can guarantee claims.
Claim decisions depend on:

  • medical records
  • policy terms
  • insurer rules
  • doctor’s diagnosis

But our guidance significantly reduces risks.

Only hospitals in the insurer’s network offer cashless.
We help you choose policies with strong networks
in your city and preferred hospitals.

Premiums increase because:

  • your age slab increases
  • medical inflation rises
  • hospitals charge more
  • insurers update pricing

We help you plan long-term and reduce premiums through:

  • deductibles
  • migration
  • porting
  • wellness programs
  • long-term plans (as explained in your FB content)

Yes, with strategies like:

  • choosing higher deductibles
  • long-term policy
  • using wellness rewards
  • optimizing dependents
  • removing unnecessary riders
  • choosing policies with balanced benefits

We guide you through all these options.

Yes.
We do NOT share, sell, or misuse your information.
We use it only for comparison, guidance, and claim support.
Your privacy is protected as explained in our Privacy Policy.

Because:

  • we compare 10 insurers, not 1
  • we show claim performance, not brochures
  • we explain hidden clauses openly
  • we provide a 50-parameter report
  • we help during claims
  • we never pressure customers
  • we are transparent and structured

Our 4.9★ rating from customers reflects this trust.

We can:

  • review it
  • check hidden risks
  • compare better options
  • suggest porting or migration
  • analyze premium suitability
  • prepare a policy health report

Many customers come to us after problems with old policies.

Yes, you are welcome to visit our office in Krishnanagar.
We also offer video calls for convenience.

Absolutely.
Most of our customers begin with zero knowledge. Our process is designed to make everything simple.