Health Insurance Management System

Overview

This system, implemented in C, will help manage subscriptions, claims, and account information efficiently.

Insurance Plans

Assumed Plans and Benefits

Plan	Monthly Premium (RM)	Annual Claim Limit (RM)	Lifetime Claim Limit (RM)
Plan120	120	120,000	600,000
Plan150	150	150,000	750,000
Plan200	200	200,000	1,000,000

Assumed Eligibility by Age Group

Age Group (Years)	Plan120	Plan150	Plan200
15 days – 20 years	✓	✓	✓
21 – 40 years	✓	✓
41 – 54 years	✓

Assumed Hospitalisation and Surgical Benefits

Type of Claim	Plan120	Plan150	Plan200
Room Charges	120/day	150/day	200/day
ICU Charges	250/day	400/day	700/day
Hospital Supplies and Services	As charged (subject to approval)
Surgical Fees	As charged	As charged	As charged

Features Implemented

1. Insurance Plan Subscription

• User Input: Prompt for age, display eligible plans and benefits.
• Claim Limit Type: Choose between Annual and Lifetime.
• Subscriber Details: Collect name, contact number, address, health history.
• Unique ID: Generate a sequential subscriber ID.
• Data Storage: Save subscriber details in a text file.

2. Claim Processing

• Claim Submission: Allow users to submit claims.
• Claim Details: Input for hospitalization duration, costs, etc.
• Eligibility Check: Validate claims against subscriber limits.
• Record Keeping: Maintain records of claims and balance amounts.

3. Accounts Information

• Total Claims: Display total amount claimed by Lifetime Claim Limit subscribers.
• Exhausted Claims: Count Annual Claim Limit subscribers who have exhausted their claims.

4. Searching Functionalities

• Search Options:
  • By Subscriber ID or name.
  • By Plan, claim limit type, and age.