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🏥 Types of Health Insurance (In Detail)



1. Individual Health Insurance

Covers: Medical expenses for a single person.

Features:

  • Hospitalization (inpatient) expenses
  • Daycare procedures
  • Doctor consultations (in some plans)
  • Pre- and post-hospitalization
  • Prescription medication

Best For: Single adults or freelancers without employer coverage.


2. Family Floater Health Insurance

Covers: Entire family under a single plan (e.g., parents, spouse, children).

Features:

  • One sum insured shared by all members
  • Covers same benefits as individual health insurance
  • More cost-effective than separate policies

Example: A plan with MUR 1,000,000 coverage may be used by any member as needed.

Best For: Families looking for comprehensive, flexible coverage.


3. Group Health Insurance (Employer-Provided)

Covers: Employees of a company and sometimes their families.

Features:

  • Basic hospitalization cover
  • Optional maternity, dental, optical, or chronic illness riders
  • Lower premium rates due to group enrollment
  • Coverage valid only during employment

Best For: Employers offering benefits; employees who want affordable basic coverage.


4. Critical Illness Insurance

Covers: High-cost treatments for major life-threatening illnesses.

Examples of Covered Conditions:

  • Cancer
  • Stroke
  • Heart attack
  • Kidney failure
  • Organ transplants

Features:

  • Lump sum payout on diagnosis (not reimbursement)
  • Can be used for treatment, recovery, or lifestyle adjustments

Best For: Individuals with family history of serious illness or looking for income replacement during long-term recovery.


5. Hospital Cash Insurance

Covers: Daily cash benefit during hospitalization.

Features:

  • Fixed amount per day (e.g., MUR 1,000–5,000/day)
  • Can be used for non-medical expenses (transport, food, etc.)
  • Can be used with another health plan

Best For: Anyone wanting extra financial buffer during hospital stays.


6. Top-Up or Super Top-Up Health Insurance

Covers: Additional expenses beyond your base insurance limit.

How It Works:

  • Has a deductible (amount you pay before it activates)
  • Cheaper than increasing base sum insured

Example: You have a base cover of MUR 500,000. A top-up plan may cover expenses above that, up to MUR 1.5 million.

Best For: People with employer coverage who want extra protection at low cost.


7. Maternity Health Insurance

Covers: Pregnancy-related costs and newborn care.

Features:

  • Pre-natal and post-natal care
  • Delivery (normal or C-section)
  • Newborn baby coverage for a limited period
  • Often has a waiting period (9–36 months)

Best For: Young couples planning to start a family.


8. Personal Accident Insurance

Covers: Injury, disability, or death caused by accidents.

Features:

  • Lump sum payout on permanent disability or death
  • Covers hospital bills for accidental injuries
  • Can include temporary total disability benefit (income replacement)

Best For: Motorists, laborers, business owners, or anyone exposed to physical risk.


9. Senior Citizen Health Insurance

Covers: Individuals typically aged 60 and above.

Features:

  • Higher premiums due to increased risk
  • Covers pre-existing conditions (after waiting period)
  • May include domiciliary (home) care

Best For: Elderly individuals without employer or family coverage.


10. International Health Insurance

Covers: Medical treatment abroad or across multiple countries.

Features:

  • Global network of hospitals
  • Medical evacuation or repatriation
  • Annual check-ups and wellness benefits
  • Can be used for long-term expatriates or frequent travelers

Best For: Expats, international students, global workers, or retirees abroad.


📊 Summary Table

Type of InsuranceBest ForMain Benefits
Individual Health InsuranceSingles, freelancersCovers personal medical costs
Family Floater InsuranceFamiliesOne plan covers all family members
Group Health InsuranceEmployees and employersAffordable basic cover, employer-sponsored
Critical Illness InsuranceHigh-risk individualsLump sum on diagnosis of major illness
Hospital Cash InsuranceEveryoneDaily cash for hospitalization expenses
Top-Up InsurancePeople with base coverAdditional protection at low premium
Maternity InsuranceCouplesCovers pregnancy and newborn expenses
Personal Accident InsuranceWorkers, drivers, self-employedAccidental injury/death payout
Senior Citizen InsuranceElderly (60+)Tailored health plan for senior needs
International Health InsuranceExpats, international travelersGlobal coverage, emergency evacuation

✅ Choosing the Right Health Insurance in Mauritius

When selecting a health insurance policy:

  • ✅ Consider if you need individual or family coverage
  • ✅ Check network hospitals for cashless services
  • ✅ Compare waiting periods, especially for pre-existing conditions
  • ✅ Understand exclusions and limits on specific treatments
  • ✅ Evaluate if you need critical illness or top-up based on your risks

Would you like help comparing actual health insurance providers in Mauritius or getting a sample policy document?

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