- Different plans
- Best health plans
- Type to choose?
What are the different types of health insurance?
Health insurance is a crucial investment nowadays. It offers financial assistance during unforeseen medical emergencies. In India, 14 types of health insurance are included in indemnity and definite benefit plans.
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Indemnity plans
The traditional health plans cover the hospitalisation cost by the sum assured. In the case of these plans, your hospital expenses are covered through cashless or reimbursement claim settlement.Definite plans
The plans offer a lump-sum payment when any medical condition such as a critical illness is diagnosed. These plans can be easily bought on top of your regular medical health plan. Individuals with a family history of critical illness must consider definite plans for thorough coverage.
Following are the different types of health insurance plans available in India for the suitable person:
| Types of Health Insurance Plans | Suitable For |
|---|---|
| Individual Health Insurance | Individuals |
| Family Health Insurance | Family (self, spouse, children, and parents, parents-in-law) |
| Critical Illness Insurance | For those who are suffering from critical diseases or have a family history |
| Senior Citizen Health Insurance | Citizens above 65 years of age |
| Top Up Health Insurance | Those with a health insurance policy but whose insured sum has been exhausted |
| Hospital Daily Cash | For daily hospital expenses |
| Personal Accident Insurance | Individuals with high-risk jobs/ lifestyles |
| Mediclaim | In-patient expenses |
| Group Health Insurance | For a group of employees in an organisation/ associatio |
| Disease-specific | Suitable for those who are suffering from pandemic-manifested conditions or prone to one. |
| OPD | Suitable for those who require frequent medical consultations |
| ULIPs | The dual benefit of insurance and investment. |
| Maternity Plan | Helps to cover women and new-born related expenses |
| Travel Mediclaim | Perfect for those who travel a lot and might need international medical coverage |
If you feel any of these plans are suitable for you, call us now. We will help you buy the best health insurance policy online in India.
Types of health insurance plans in India- The explanation
Find the definition of each health insurance plan in this section.
Individual Health Insurance
A specially designed health insurance plan for the single person. It is very different from that of a family floater or group health insurance plan , where you get a defined limit of benefits. You can check one of our blogs which talks about the differences between individual health insurance plans and family floater health plans check here. These health plans are flexible enough to fit your requirements. If you are someone between 18 years to 70 years old, then getting this plan is a good idea for you.
Individual Health Plan Sum Insured Entry Age Care Supreme Health Plan 7 L to 1 Crore 18 to 99 Years Niva Bupa Reassure 2.0 5 L to 1 Crore 18 years to no age limit Aditya Birla Activ Health Platinum Enhance 2 L to 2 Crore 5 years to no maximum entry age ManipalCigna Prime Advantage 5 L to 1 Crore 18 years to no maximum entry age Bajaj Allianz Health Guard Plan 2 L to 1 Crore 18 to 65 Years To learn more about individual health insurance plans, you can visit here.
Family Floater Health Insurance Plan
A very secure and comprehensive health insurance policy, which gives coverage to the whole family under one sum insured. This article will tell you in detail how this best health insurance plan works for you check it here. These plans offer a cost-effective way to protect your entire family from unexpected medical expenses such as hospitalisation, surgery, OPD bills, etc. You can also avail of maternity and newborn benefits under these family plans. Some insurers also offer global coverage under a family floater health insurance policy.
Best family floater health plans in India 2024
Family Health Plan Sum Insured Entry Age Niva Bupa ReAssure 2.0 Upto 1 Crore 18 to 65 years ManipalCigna ProHealth Prime Upto 1 Crore 18 Years ICICI Lombard Health AdvantEdge Upto 3 Crore 18 Years TATA AIG Medicare Upto 20 Lakh 18 years Star Health Assure Upto 2 Crore 16 days Check out why these plans are the best. Click here.
Critical Illness Health Insurance Plan
Any illness that requires prolonged treatment is called critical illness. Critical illness health insurance gives coverage for diseases like heart disease, kidney disease, tuberculosis, cancer, and others. You will get a lump-sum amount for the treatment if you are diagnosed with any of the critical illnesses. These plans help you cover the cost of hospital bills, specialised treatments such as chemotherapy and dialysis, doctor’s consultations, emergency ambulance, and much more.
Best critical illness health plans in India
Critical Illness Health Plan Sum Insured Entry Age Care Heart Plan Upto 10 Lakh 18 years Care Freedom Plan Upto 5 Lakh 90 days Niva Bupa Criticare Upto 3 Crores 18 years Manipal Cigna ProHealth Prime Upto 1 Crore 91 days Star Special Care Upto 3 Lakh 3 years Get to know more about critical illness health insurance plans here.
Senior Citizens Health Insurance
People above 60 years need more care when it comes to their health. Thus, health insurance for senior citizens is very important, it provides extensive coverage for senior citizens. It helps them in early diagnosis of any kind of medical problem by providing free medical check-ups for senior citizens every year. Senior citizen’s health insurance plans have a lot to give, check out here to learn more about senior citizen plan benefits, coverage options, specifications, and so much more
Best senior citizen health plans in India
Senior Citizen’s Health Plan Sum Insured Entry Age Care Senior Plan Upto 10 Lakh 61 years ManipalCigna Prime Senior Upto 50 Lakh 56 years Niva Bupa Senior First Upto 25 Lakh 60 years Aditya Birla Activ Health Platinum Essential Upto 5 Lakh 60 years Bajaj Allianz Silver Health Plan Upto 10 Lakh 46 years Top-up Health Insurance
As the name suggests, top-up health insurance will act as a supplement to your basic health insurance policy. You can use this policy when your base policy gets exhausted. You can get comprehensive coverage including patient hospitalisation, daycare procedures, organ donor expenses, and much more. Read more for details about top-up health insurance plans.
There is more term associated with this, which is the super top-up health insurance. It is an enhanced layer of protection in addition to your base health plans. You can read more here about super top-up health insurance plans.
Best top-up health plans in India
Top-up Health Plan Sum Insured Entry Age HDFC ERGO Medisure Top-up Upto 20 Lakh 91 days Niva Bupa Health Recharge Upto 95 Lakh 91 days HDFC ERGO My Health Suraksha Top-up Upto 10 Lakh 91 days Bajaj Allianz Extra Care Upto 15 Lakhs 4 Months TATA AIG Medicare Upto 1 Crore 18 Years Hospital Daily Cash Insurance
Hospital daily cash Insurance is a type of health insurance policy that provides a fixed daily cash allowance for each day you are hospitalised. This benefit is designed to help cover your out-of-pocket expenses, such as transportation, food, accommodation, and miscellaneous costs, while you’re receiving treatment. To know how it works read here about the hospital’s daily cash benefits.
Best hospital daily cash plans in India
Daily Hospital Cash Insurance Amount (Rs.) Number of Days Aditya Birla Activ Assure Diamond Health Insurance Plan (as an in-built benefit) Rs 500 For consecutive 5 days Bajaj Allianz Hospital Cash Benefit Policy Rs 500 to Rs 2500 30 days & 60 days Bharti AXA Health Insurance Plans (as an optional cover) Rs 500 to Rs 25000 Up to 45 days Cholamandalam Hospital Cash Insurance Plan Rs 1000 to Rs 3000 20-25 days Care Health Insurance Plans (as an add-on cover) N/A Up to 30 days Personal Accident Health Insurance
Road accidents are very unfortunate and can cause a lot of mishappenings: hospital bills, deaths, disabilities, and many more. Having personal accident insurance can save you in these cases. We are very well aware that accidents affect not only your health but also your overall capability to work. In case of accidental death, the sum insured is provided to the nominee and some personal accident health insurance plans provide education grants to dependent children. Read more about personal accident cover.
Best personal accident plans in India
Personal Accident Plan Sum Insured Entry Age Star Accident Care Individual Insurance Upto 15 Lakh 18 years Care Secure Personal Accident Insurance Upto 50 Lakh 91 days Niva Bupa Personal Accident Insurance Plan Upto 10 Crore 91 days Aditya Birla Activ Secure Personal Accident Upto 20 Crore 5 years HDFC ERGO Personal Accident Upto 10 Crore 18 years ICICI Lombard Personal Protect Upto 2.5 Lakh 18 years Mediclaim Policy
A mediclaim policy is part of health insurance, which gives only indemnity coverage. Mediclaim consists of two parts: group medical claim and retail policy. It will provide coverage for treatments like AYUSH Treatment, hospitalisation, daycare, and ambulance. To understand more about medical policy, you can read about mediclaim policies.
To understand the difference between health insurance and a mediclaim health policy, you can visit us.
Best mediclaim health plans in India
Mediclaim Policy Sum Insured Entry Age Niva Bupa Aspire Upto 1 Crore 18 years Care Freedom Upto 10 Lakh 90 days ManipalCigna Prime Senior Classic Upto 50 Lakh 56 years Niva Bupa ReAssure 2.0 Upto 1 Crore 18 years Group Medical Insurance
Group Health Insurance is a type of health insurance that covers a group of people, typically employees of a company or members of an organization. It’s often provided as an employment benefit. The employer purchases a group health insurance policy and employees have the option to enrol themselves and their dependents in the plan.
Best group health plans in India
Group Health Plan Network Hospital TATA AIG Group Medicare 11222 SBI General Arogya Sanjeevani 17653 Niva Bupa Health Plus 10847 Care Group Care 360 Degree 11471 Aditya Birla Group Activ Health 11603 Disease-specific Health Insurance
A disease-specific health insurance provides coverage for specific diseases. Several health insurance plans give coverage for specific diseases like cancer, diabetes, heart attack and other such conditions. With these plans, it will be easy for you to get treated in case you are diagnosed with the disease. It gives coverage from diagnosis to treatment. This plan is best for those who have a family history of such diseases. Even vector-borne diseases such as Dengue, Malaria, Kala-azar, etc can be covered under disease-specific health insurance plans.
Best disease-specific health insurance plans
Plan Name Disease Covered Eligible Age SI New India Cancer Guard Policy Conventional & advanced treatments related to Cancer 3 months - 65 Years 5 - 50 Lakhs Star Cancer Care Platinum Insurance Policy Recurrence of cancer, metastasis, and/or a second malignancy unrelated to first cancer. 5 months - 65 Years 5 - 10 Lakhs HDFC Ergo Energy Policy Day 1 coverage for hospitalisation due to Diabetes (Type 1 & 2), personalised wellness programs, wellness incentives, and wellness coach 18 - 65 Years 2 - 50 Lakhs Star Cardiac Care Platinum Policy Cardiac ailments 7 - 70 Years 5 - 15 Lakhs Future Vector Care Vector-borne diseases like Dengue, Malaria, Kala-azar, among others 1 Day - 65 Years 10,000 - 75,000
ULIP Plan
ULIP stands for Unit Linked Insurance Plans, these are your insurance as well as investment ideas. The performance of such ULIPs is inextricably linked to the stock market.
When you pay your premium, a portion of it is used to provide you with coverage, as is customary. The remainder of the premium is split between equities and debt investments. ULIPs not only take care of your insurance needs but also help you grow wealth for the future.
OPD Health Insurance
OPD is an outpatient department, where you can find sections like neurology, orthopaedics, gynaecology, and much more. OPD health insurance provides coverage for such expenses as doctor’s consultation fees, pharmacy bills, health check-ups, and diagnostic tests. Read more about OPD health insurance in detail.
Best OPD health insurance plans
OPD Health Insurance Plans Sum Insured Entry Age Care Plus Upto INR 5 Lakh 18 years and above Niva Bupa ReAssure 2.0 Upto INR 1 Crore 18 years and above Niva Bupa Aspire Upto INR 1 Crore 18 years and above Star Comprehensive Upto INR 1 Crore 3 months to 65 years Aditya Birla Activ Health Platinum Enhanced Upto INR 2 Crore 5 years Maternity Health Insurance
A kind of health insurance plan that specifically covers expenses related to pregnancy, including caesarean delivery, childbirth, pre-natal care, post-natal care, and newborn care. It provides financial protection for expectant mothers and their families during one of life’s most significant events. These plans generally come with a waiting period of 6 months to 2 years, so if you are thinking of starting a family soon, this is the right time to get maternity health insurance for comprehensive coverage. To learn more about the maternity health plan, read our maternity health insurance article.
Best maternity health insurance plans in India
Health Plan Eligibility Maternity Waiting Period Sum Insured Care Joy Min: 18 Years
Max: 65 Years9 Months 3 and 5 L Star Women Care Min: 18 Years
Max: 75 Years24 Months 5 L to 1 Crore Niva Bupa Aspire Min: 18 Years
Max: No Limit9 Months 3 L to 1 Crore Star Assure Min: 18 Years
Max: 75 Years24 Months 5 L to 2 Crore Star Youngstar Min: 18 Years
Max: 40 Years24 Months 5 L to 1 Crore To know the details of these top maternity health insurance plans, click here.
Travel Health Insurance
Travel health insurance provides comprehensive medical coverage for those who travel frequently or live in multiple parts of the world, temporarily. In short, you can opt for the treatment in any country. These types of plans help you to cover the cost of medical expenses, emergency evacuation, flight cancellation, missing passport, luggage loss, and much more when you are abroad. For more information about travel health insurance, you can check out our page on travel health insurance plans.
Best travel health insurance plans
Travel Health Plan Sum Insured Kotak Health Premier Upto 5 Lakhs Bajaj Allianz Global Health Care Upto 37.5 Lakh ManipalCigna Lifetime Upto 3 Crore
Which type of health insurance you should choose?
Choosing the right type of health insurance depends on your budget and requirements. If you are a young individual and just started your career, then an individual health insurance policy will be suitable for you, if you are someone who is going to start a family, then obviously family health insurance would be suitable for you and likewise. To check and compare other health insurance plans, you can visit the website Policyx.
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Types of Health Insurance Plan: FAQs
1. What are the main types of insurance?
The main types of insurance are health insurance, life insurance and term insurance.
2. What is the difference between indemnity and definite benefit plans?
Indemnity plans reimburse you for actual medical expenses incurred, up to the sum insured limit. (e.g., Mediclaim) Definite benefit plans pay a lump sum amount upon diagnosis of a covered critical illness. (e.g., Critical Illness Insurance)
3. What factors should I consider when choosing a health insurance plan?
Age, health status, budget, family needs, network coverage of hospitals, pre-existing condition coverage, claim process, and renewability options are some vital things to consider when choosing a health plan.
4. Where can I compare different health insurance plans?
You can visit websites like PolicyX.com or consult with a financial advisor/insurance professional to get the best options
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Written By: Simran Saxena
An explorer and a curious person, Simran has worked in the field of insurance for more than 3 years. Travelling and writing are her only passion and hobby. Her main agenda is to transform insurance information into a piece that is easy to understand and seamlessly solves the reader’s query.
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