Group Personal Accident

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What is considered an accidental injury in personal accident insurance?

Accidental injury as the name suggest delineates all those types of injuries which are the outcome of a mishap. Falls, cuts, burns, road accidents, bites, stings and drowning are examples of accidental injuries. Accidents can happen at any time and accidental injury is a significant cause of death. Injuries resulting from an accident such as slip, fall, car crash, trip leading to severe physical damage or hurt have a devastating effect on the lives of people in terms of physical pain, financial crisis and emotional trauma. Such injuries are covered under individual personal accident insurance.

For example, a fall on stairs might cause a slipped disk or fracture or one mistake on the road can be detrimental, or worse fatal. Such accidents can cause devastating outcome if not treated properly, leading to a deep hole in your pocket. To face such eventuality, personal accident insurance should be the first insurance policy you buy. It protects you and your family in the event of an unexpected injury that requires medical care.

Events like suicide, criminal activities, injuries occurring due to adventurous sports activities, accidents are generally not covered under personal accidental insurance since their occurrence is due to negligence. So it is equally important to keep an eye on the ailments and events not included in the policy. This policy does not cover disease or any other natural cause of death.

Also Read: What does personal accident insurance cover?

Precaution is better than cure. Isn’t it? But unforeseen events such as drowning can cause death or grave injury. Availing personal accidental insurance does not provide you with a blank cheque to cover every type of accident because some accident might happen because of negligence or intentional acts. The courts have specified that the person should perform every possible measure to avoid an accident and if no attempts are being made then the person acted negligently and no claims will be triggered in such case. It’s is the responsibility of the insured to take proper measures to avoid mishaps.

One needs to be clear about the nature of injury before filing a claim against the personal accidental policy as it only triggers in unfortunate or unforeseen mishaps.

Case: Rahul got injured in a car accident. His car was hit by a third-party vehicle which caused cuts and bruises and skull fracture. The case was critical and needed immediate surgery and it cost around Rs. 30 Lakh. Since he has a personal accident insurance policy, it saved him from such a hefty cost. The policy covered accidental injuries and provided re-reimbursement for all medical costs, lost income up to the limit of the sum insured.
Road accidents, accidents to pedestrians may result in serious and fatal injuries. As in the case of Rahul, if his personal accident insurance policy would not have been there, all his savings would have wiped away because of medical expenses.

Read About: Things to consider while buying personal accident insurance

What is considered an accidental injury in personal accident insurance?