{ "PED": { "en": { "title": "Pre-Existing Disease (PED)", "body": "A health condition you already have when you buy the policy — diabetes, BP, thyroid, anything chronic. Most policies don't cover it for the first 24-48 months. Be honest about yours: hiding it gets your claim denied later." }, "hi": { "title": "Pre-Existing Disease (पहले से चली आ रही बीमारी)", "body": "जो बीमारी आपको policy खरीदते समय पहले से है — diabetes, BP, थायरॉइड etc. ज़्यादातर policies शुरू के 24-48 महीनों में cover नहीं करतीं। ईमानदारी से बताइए, छिपाने से claim बाद में reject हो जाता है।" } }, "AYUSH": { "en": { "title": "AYUSH coverage", "body": "Whether the policy pays for Ayurveda, Yoga, Unani, Siddha, and Homeopathy treatments at recognised hospitals. If you use these traditional systems, this matters; if you only use allopathic care, less so." }, "hi": { "title": "AYUSH कवर", "body": "क्या policy आयुर्वेद, योग, यूनानी, सिद्ध, और होम्योपैथी treatments को cover करती है। अगर आप इन पारंपरिक चिकित्सा का उपयोग करते हैं, यह ज़रूरी है।" } }, "NCB": { "en": { "title": "No-Claim Bonus (NCB)", "body": "Reward for not claiming in a year — your sum insured goes up (typically 25-50%) without raising your premium. Bigger NCB compounds over years if you stay claim-free." }, "hi": { "title": "No-Claim Bonus (NCB)", "body": "बिना claim किए साल पूरा करने का इनाम — sum insured बढ़ जाता है (आम तौर पर 25-50%) बिना premium बढ़ाए।" } }, "SI": { "en": { "title": "Sum Insured (SI)", "body": "The maximum amount the insurer pays in a policy year. For a single hospitalisation in a metro, ₹10L is the floor; ₹20L+ is safer if you have parents or family to cover." }, "hi": { "title": "Sum Insured (बीमित राशि)", "body": "एक policy साल में बीमाकर्ता अधिकतम कितना देगा। Metro में एक hospitalisation के लिए ₹10L न्यूनतम; ₹20L+ माता-पिता या परिवार के लिए सुरक्षित।" } }, "CSR": { "en": { "title": "Claim Settlement Ratio (CSR)", "body": "Of every 100 claims the insurer received, how many they paid. IRDAI publishes this annually. <90% = caution; 95%+ = excellent. Single most predictive metric of 'will my claim get paid'." }, "hi": { "title": "Claim Settlement Ratio", "body": "100 claims में से बीमाकर्ता कितने pay करता है। IRDAI सालाना publish करता है। <90% = सावधान; 95%+ = बढ़िया।" } }, "Cashless": { "en": { "title": "Cashless treatment", "body": "You don't pay the hospital — the insurer pays them directly via a pre-authorisation. Only works at network hospitals. Without it, you pay upfront and file for reimbursement later." }, "hi": { "title": "Cashless इलाज", "body": "आप hospital को सीधे payment नहीं करते — बीमाकर्ता pre-authorisation से payment करता है। सिर्फ network hospitals पर काम करता है।" } }, "TAT": { "en": { "title": "Cashless TAT (Turnaround Time)", "body": "How fast the insurer approves your cashless pre-auth at the hospital desk. ≤2 hours = gold standard; ≥24h = your family pays cash first and waits for reimbursement." }, "hi": { "title": "Cashless TAT", "body": "बीमाकर्ता hospital में cashless approval कितनी जल्दी देता है। ≤2 घंटे = बढ़िया; ≥24 घंटे = परिवार को पहले cash देना पड़ेगा।" } }, "UIN": { "en": { "title": "Unique Identification Number (UIN)", "body": "IRDAI-assigned ID for each policy product — proves it's a regulator-approved plan. You can search a UIN on irdai.gov.in to verify the policy exists and see its filed terms." }, "hi": { "title": "UIN (Unique ID)", "body": "IRDAI द्वारा हर policy को दिया गया ID — यह साबित करता है कि policy regulator से approved है।" } }, "CoPay": { "en": { "title": "Co-payment", "body": "The % of every claim YOU pay out of pocket. 20% co-pay on a ₹5L hospital bill = you pay ₹1L; insurer pays ₹4L. Lower premium upfront, but bigger surprise at claim time." }, "hi": { "title": "Co-payment", "body": "हर claim का जो % आप अपनी जेब से देते हैं। ₹5L hospital bill पर 20% co-pay = आप ₹1L दें, बीमाकर्ता ₹4L।" } }, "Deductible": { "en": { "title": "Deductible", "body": "Fixed rupee amount you pay BEFORE the insurer starts paying. ₹50k deductible = first ₹50k of every claim is on you. Reduces premium significantly but adds out-of-pocket risk." }, "hi": { "title": "Deductible", "body": "वो fixed amount जो आप बीमाकर्ता के payment शुरू करने से पहले देते हैं।" } }, "Floater": { "en": { "title": "Family Floater", "body": "One sum insured shared by everyone in the family. ₹15L floater for 4 people = anyone (or everyone) can use up to ₹15L combined. Cheaper than individual policies if claims are rare." }, "hi": { "title": "Family Floater", "body": "एक sum insured पूरे परिवार के लिए share होती है। 4 लोगों के लिए ₹15L floater = कोई भी ₹15L तक use कर सकता है।" } }, "SubLimit": { "en": { "title": "Sub-limit", "body": "A cap WITHIN your sum insured for a specific treatment — e.g., room rent capped at 1% of SI, or maternity capped at ₹50k. Watch for these — they're the #1 reason actual reimbursement < bill." }, "hi": { "title": "Sub-limit", "body": "Sum insured के अंदर कुछ खास treatments पर एक सीमा — जैसे room rent SI का 1%, या maternity ₹50k तक। यह सबसे बड़ी वजह है कि real payment bill से कम होता है।" } }, "RoomRent": { "en": { "title": "Room rent capping", "body": "Some policies pay only up to a % of SI per day of hospital room — e.g., 1% of ₹5L = ₹5k/day. Choose a more expensive room and ALL your other charges get scaled down proportionally. Look for 'No room rent limit'." }, "hi": { "title": "Room rent capping", "body": "कई policies hospital room के लिए सिर्फ SI का % देती हैं — जैसे 1% का ₹5L = ₹5k/दिन। महंगा कमरा लें तो सभी अन्य charges भी scale down हो जाते हैं।" } } }