Compare & Buy Health Insurance Plan

Buying health insurance plans in India is a simple, efficient & trustable process today. Many insurers provide top health plans on an individual & family floater basis, providing comprehensive healthcare benefits to you & your family. When buying one, look for offerings like quick claim settlement, network hospitals, rewards & benefits to get the best advantages.

Buying health insurance plans in India is a simple, efficient & trustable process today. Many insurers provide top health plans on an individual & family floater basis, providing comprehensive healthcare benefits to you & your family. When buying one, look for offerings like quick claim settlement, network hospitals, rewards & benefits to get the best advantages.

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Health Insurance In India

As a common Indian citizen do we care about health insurance coverage? Or do we wait till something unfortunate happens to us or our family members?

As per Forbes Advisor, health insurance is a 12.8 million dollar industry and one of the largest contributors to the Indian economy. However, 400 million individuals have no access to health insurance in India.

Health insurance penetration in the country has improved over the years due to the global pandemic COVID-19, and consistently increasing medical inflation. The importance of health insurance plans is not unnoticed. In India health insurance is divided into 2 categories, namely private and public. Around 70% of the population is covered under public health insurance or voluntarily private health insurance as per Forbes.

Best Health Insurance Plans

What Is Health Insurance?

A health insurance plan offers financial assistance along with medical care coverage during unforeseen medical emergencies or for planned surgeries and treatments.

  1. It is an indemnity-based health insurance contract between the insurance holder and insurance provider which can be bought by paying minimal premium fees to the latter.
  2. A health plan is capable of covering all medical expenses like hospitalization, operational costs, ICU costs, personal accidents, and more.
  3. Health insurance plans are available to you in various categories which are extensively discussed in the next section.
What Is Health Insurance?

What Are The Types Of Health Insurance In India

There are multiple types of health insurance plans available in India that satisfy your financial and healthcare needs, and they are:

  1. Individual Health Insurance

    As the name suggests these plans cover single individuals against any medical care expenses and the sum insured opted for is utilized for one person.

    Individual Health Insurance Plans

    Name Of Plan Sum Insured Premiums

    Niva Bupa Aspire
    Up to INR 1 Crore Rs. 834/- Per month


    Star Health Assure
    Up to INR 2 Crores Rs. 960/- Per month


    Care Supreme
    Up to INR 1 Crore Rs. 929/- Per month


    Aditya Birla Activ Health Platinum Enhanced
    Up to INR 2 Crores Rs. 934/- Per month


    ManipalCigna Prime Active
    Up to INR 15 Lakhs Rs. 919/- Per month

    *Premiums are calculated for base SI INR 10 lakhs & for a 30-year-old individual including GST

  2. Family Health Insurance

    Family health insurance takes care of you and your family by covering all members under a single sum insured.

    Family Health Insurance Plans

    Name Of Plan Sum Insured Premiums

    Star Family Health Optima
    Up to INR 25 L Rs. 2,110 /- Per month


    Niva Bupa Reassure 2.0 Bronze+
    Up to INR 1 Crore Rs. 1,706 /- Per month


    ManipalCigna Prime Protect
    Up to INR 15 L Rs. 1,778 /- Per month


    Care Classic
    Up to INR 75 L Rs. 1,557/- Per month


    Star Comprehensive
    Up to INR 1 Crore Rs. 1,879/- Per month

    *Premiums are calculated for base SI INR 10 lakhs & for 2 Adults (30 yrs male + 28 yrs female) + 1 Child (5 yrs) including GST

  3. Senior Citizen Health Insurance

    These health insurance plans cater to individuals above 60 years, offering a plethora of medical care features like annual health check-ups, hospitalization expenses, and home hospitalisation - all popular for senior citizen treatment and care.

    Senior Citizen Health Insurance Plans

    Name Of Plan Sum Insured Premiums

    Care Freedom
    Up to INR 10 L Rs. 2,312/- Per month


    Care Senior
    Up to INR 10 L Rs. 2,598/- Per month


    ManipalCigna Prime Senior Classic
    Up to INR 50 L Rs. 2,246/- Per month


    Niva Bupa Health Companion
    Up to INR 1 Crore Rs. 3,119/- Per month


    Star Senior Citizen Plan
    Up to INR 25 L Rs. 2,489/- Per month

    *Premiums are calculated for base SI INR 10 lakhs & for individuals aged 60 years including GST

  4. Critical Illness Health Insurance

    Critical Illness health insurance plans are specialized plans designed to help you in case you are diagnosed with life-threatening ailments affecting the vital organs like cancer, heart ailment, liver failure, etc.

    Critical Illness Health Insurance Plans

    Name Of Plan Sum Insured Premiums

    Care Heart
    Up to INR 10 Lakhs Rs. 14,195 /- Per year


    Star Critical Illness Multipay Policy
    Up to INR 25 L Call Our Insurance Experts At 1800-4200-269


    Niva Bupa CritiCare
    Up to INR 2 Crores Rs. 12, 521/- Per year


    ManipalCigna Lifestyle Protection Critical Care Basic
    Up to INR 25 Crores Rs. 2,915/- Per year


    Aditya Birla Activ Secure Critical Illness
    Up to INR 1 Crore Rs. 5,463/- Per year

    *Premiums are calculated for base SI INR 10 lakhs & for a 30-year-old individual including GST

  5. Health Insurance For Women

    Maternity care health insurance plans are designed specifically to keep in mind the needs of women. The popularity of these plans is growing exponentially in the market. They offer maternity care and cover for female-centric diseases like breast cancer, menstrual/menopausal diseases, newborn care, etc.

    Health Insurance Plans For Women

    Name Of Plan Sum Insured Premiums

    Future Generali Health PowHer
    Up to INR 1 Crore Call Our Insurance Experts At 1800-4200-269


    Niva Bupa Aspire Gold+
    Up to INR 1 Crore Rs. 834/- Per month


    Star Women Care
    Up to INR 1 Crore Rs. 1,103/- Per month


    Niva Bupa Aspire Titanium+
    Up to INR 1 Crore Rs. 1,114/- Per month


    Star Young Star Gold
    Up to INR 1 Crore Rs. 699/- Per month

    *Premiums are calculated for base SI INR 10 lakhs & for a 30-year-old woman including GST

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Government Health Schemes In India

Along with private health insurance, there is a wide range of public health insurance plans designed by the state and central government.

Ayushman Bharat Yojana

Ayushman Bharat
Yojana

SI Up to INR 5 L

Dr YSR Aarogyasri Trust

Dr YSR Aarogyasri
Trust

SI Up to INR 5 L

Bhamashah Swasthya Bima Yojana

Bhamashah Swasthya Bima
Yojana

SI Up to INR 3 L

Want to know more if you are eligible for these public health insurance plans? Click Here

Benefits Of Health Insurance

Often we overlook the importance of a health insurance plan in our lives but it has immense benefits, the following points are just to name a few:

  1. Better Financial Management

    It helps you manage your finances better and bridges the gap between consistently rising medical care expenses and affordable health insurance premiums.

  2. All-in-One Coverage

    All-in-one coverage for you and your family members with comprehensive health plans offering all-round protection and assistance.

  3. Save Your Tax Deductions

    An excellent financial tool, apart from safeguarding your health it also offers tax benefits under section 80D of the Income Tax Act as per Indian laws.

  4. Shield Against Critical Illnesses

    Expensive treatments like cancer, organ transplants, etc. have the potential to drain your life savings but are now easier to treat with health insurance support.

  5. Cashless Treatments

    Cashless treatments are available nationwide as health insurers and network hospitals settle claims directly.

Benefits Of Health Insurance

Eligibility Criteria For Health Insurance Policy

Purchasing health insurance is no challenging task, you need to fulfil the following eligibility criteria.

Aspects Specifications
Minimum Entry Age 18 Years/ For children - 91 Days
Maximum Entry Age 65 Years/ For senior Citizens - 75 Years
Initial Waiting Period 30 Days
Pre-Existing Diseases Waiting Period 2 - 4 Years (Depending on plan chosen)
Tax Benefits Applicable Under Section 80D

*The figures mentioned above are generally applicable for purchasing health insurance but may vary from plan to plan or depending on the insurance company.

Tax Benefits on Health Insurance

While health insurance plans are an excellent way to safeguard your family from unforeseen medical expenses, it is also capable of helping you save taxes.

Tax benefits under section 80D are as follows as per the age criteria for different individuals

Types of Policyholders Tax Benefit (Deductions) In Rs.
Age above 60 years Age below 60 years
Parents 50,000 25,000
Dependent children None 25,000
Spouse and Self 50,000 25,000
Preventive Healthcare 5,000 5,000

Insurance holders are eligible to buy the best health insurance plans with the tax deductions mentioned above.

You are eligible for the following tax deductions as per the Income Tax Laws in India

  • For
    parents
    Rs. 25,000
    <60 Years
  • For
    parents
    Rs. 50,000
    >60 Years
  • For self
    and spouse
    Rs. 25,000
    <60 Years
  • For dependent
    children
    Rs. 25,000
    <25 Years

Let us understand tax benefits through a real-time scenario:

Raj is a 30-year-old working professional and his father is 70 years old. He purchases an individual health plan for himself and a senior citizen health plan for his father separately. He pays premiums of INR 30,000 and 35,000 respectively for individual and senior citizen health plans.

As per section 80D, Raj can claim tax deductions up to INR 25,000 for his health plan and INR 35,000 for the separate senior citizen health plan taken for his father. Raj can claim a total of INR 60,000 in tax deductions.

How To Compare Health Insurance?

Selecting the best health insurance in India is a challenging job. You must compare the sum insured, affordable premiums, network hospitals , and more. However, to make your job easier we have compiled a list of factors that will further help you to compare health insurance in India.

Comparison Parameters How Will It Help?
Incurred Claims Ratio (ICR) Compare health insurance companies ICR. It is the ratio between the total claim amount paid by the health insurer to the premium amount collected in a financial year.
Network Hospitals Look for network hospitals associated with your health insurance provider to compare health insurance plans.
Riders & Add-ons It is always beneficial to have some extra coverage when it comes to health insurance. Compare your health insurance plans and look for rider/add-on options available.
Waiting Period When comparing health plans in India, look for minimal waiting periods offered by different plans.
Co-payment Look for minimal co-pay/co-pay waiver options in your health insurance when comparing the best health insurance for yourself or your family.
Pre-policy Medical Check-up Does your health insurer demand a pre-policy medical check-up? If so, will it be covered by the health insurer? Compare health plans for pre-policy medical check-up terms.

How To Calculate Health Insurance Premiums?

There are multiple health insurance calculators on the internet. However, rely on a trusted resource to achieve accurate premium amounts. PolicyX, India's leading insurance aggregator for health insurance offers a FREE premium calculator to make your life & insurance buying more efficient. Follow these simple steps:

  • Step 1

    Visit the official website of PolicyX

  • Step 2

    Select 'Health Insurance' on the website

  • Step 3

    Fill in the details required in the form such as the number of members to be covered, city, age, name, and contact details

  • Step 4

    Click on 'Get Free Quotes' to view all available health insurance plans with premium quotes

  • Step 5

    Compare the list of health insurance plans with premiums as per your requirements

health insurance calculator

Factors Affecting Health Insurance Premiums In India

We are well aware of the multiple stress factors affecting our lifestyle and day-to-day activities, further causing hindrance in acquiring the best health insurance policy or may lead to overall increased premiums.

Type of Plan

Health insurance can be of various types like individual, family floater, critical illness, senior citizen, etc. Your premium amount will depend on the type of plan you choose. E.g. individual health insurance plans for each family member will result in a higher premium amount than covering all members under a single family floater plan. Plans with fewer benefits will have lower premiums than comprehensive critical or senior citizen plans.

Riders In Health Insurance In India

Health insurance riders are additional features that enhance your overall health insurance policy. You can attach these add-ons to your base policy and enjoy vast benefits at a minimal additional premium.

Critical Illness Rider

Critical Illness Rider

With the rise in critical illnesses among people due to lifestyle and environmental factors, having a critical illness rider is a must-have today!

Personal Accident Rider

Personal Accident Rider

It also protects the future of your family by offering a child education fund, loss of income coverage and many more exclusive features.

Hospital Daily Cash

Hospital Daily Cash

Loss of income caused due to hospitalization can be recovered with a daily hospital cash rider. The rider pays you a fixed amount daily as per pre-defined sub-limits.

Maternity Benefit Rider

Maternity Benefit Rider

Expenses during pregnancy and childbirth may be expensive without a health cover, this is when a maternity add-on steps in and helps you manage your health and finances, altogether.

Why You Should Invest In Health Insurance At An Early Age?

The medical inflation rate in India is at 14%, leading to a constant increase in the prices of basic medical care. One of the many reasons you must invest in a health insurance policy at a young age is to make it affordable in the future. Other reasons include:

  1. Comprehensive coverage for you and your family members for health emergencies and planned treatments without draining your savings.
  2. You can wait out the waiting periods for coverages like maternity which may be your plan. So when the time comes for you to plan a family, you do not have to worry about the waiting periods.
  3. Affordable premiums are one major point of attraction to purchase a health insurance plan in your early 20s.
  4. You are eligible for tax benefits under section 80D.
Health Insurance For young India

Who Should Invest In A Health Policy?

Investing in the best health insurance plan is essential for everyone. However, pay close attention to investing in a health insurance plan if:

  • You are between 25 to 65 years old and are a salaried employee
  • You are planning to start a family
  • You are a newly married couple
  • You have dependent children, parents, or grandparents
  • If you are seeking tax savings tools
Who Should Invest In A Health Policy?

General Exclusions of Health Insurance In India

Health insurance plans come with a certain set of terms and conditions such as exclusions that you must be aware of like:

Breach Of LawWarSubstance AbuseCosmetic SurgeriesHIV/AIDSGender Change Treatments

Steps To Choose the Best Health Insurance With PolicyX

The buying process at PolicyX is simple and hassle-free. Follow the steps mentioned below to buy the best health insurance policy.

  • Step 1

    Visit the official website of PolicyX

  • Step 2

    Click on "Buy Now"

  • Step 3

    Fill in all the necessary details such as the number of family members you want health insurance cover for and your age and click on "View Plans"

  • Step 4

    Compare and select the best health insurance plan suitable for you and pay required premiums

Steps To Choose the Best Health Insurance With PolicyX

Documents Required For Health Insurance Policy

When purchasing a medical insurance you will need a few documents readily available such as:

Proof of Identity

  • Aadhar Card
  • Passport
  • Voter ID Card
  • Driving License

Proof of Address

  • Rent Agreement
  • Utility Bills
  • Telephone Bills
  • Aadhar Card

Proof of Age

  • Aadhar Card
  • Birth Certificate
  • Voter ID Card
  • Driving License

Health Insurer Network Hospitals

Cashless and Reimbursement Claim Settlement

Claim settlement is the most crucial aspect of a health insurance policy. In times of medical distress, difficulty in claim settlement can cause problems.

Before we understand the steps to claim a health insurance policy, let us look at on-ground examples of how cashless and reimbursement claims work.

Mr. Ramesh holds an insurance plan from XYZ health insurance company and is hospitalized in a network hospital due to an accident. He files a claim from XYZ insurance company within the allowed time and the company provides a cashless claim settlement and pays the bill directly to the hospital.

As per the latest IRDAI regulations, cashless claims can be filed in a network or non-network hospital. However, there are certain terms and conditions attached to the same.

Steps For A Hassle-free Health Insurance Claim Settlement

  1. Visit PolicyX official website for your health insurance plan claim settlement
  2. Click on the 'Claims' section given in the top right corner of our website
  3. Simply connect with our claim settlement team at PolicyX by calling 1800-4200-269.

The Bottom Line

A health insurance plan is not only your friend in need but a necessity in today's era. Neglecting health insurance may lead to grave consequences given the consistently rising medical inflation. Lifestyle diseases, life-threatening ailments, and stress-induced illnesses have the potential to harm the quality of your life.

To explore the best health insurance plans as well as in-depth information regarding health insurance, connect with our insurance experts.

Health Insurance News

23 Dec

GST Council defers the decision on the tax rate for life and health insurance premiums.

 

In the GST Council meeting held on December 21, 2024, the decision regarding GST on life and health insurance premiums has been deferred. The reason for delaying the decision is that the ministers need some more time to decide on the matter.

23 Dec

GST Council Awaits IRDAI Input Before Deciding on Insurance Tax Cut

The recent GST Council meeting in Jaisalmer, chaired by Union Finance Minister Nirmala Sitharaman, has deferred the decision to reduce taxes on health and life insurance premiums. This postponement stems from the need to await further input from India's Insurance Regulatory and Development Authority (IRDAI).

 

The Group of Ministers (GoM) tasked with examining the issue of insurance taxation requires additional time to finalise its recommendations. Once IRDAI provides its insights, the GoM will finalise its report and present it to the Council for discussion and a final decision.

19 Dec

Can We Achieve Universal Health Coverage?

 

Universal Health Coverage (UHC) is a global goal aimed at ensuring that all people have access to quality health services without facing financial hardship. This means everyone, regardless of their income or social status, should be able to access the healthcare they need. Investing in primary healthcare facilities and services is crucial. This includes preventive care, family planning, maternal and child health, and chronic disease management. Thus, implementing health insurance schemes and social health insurance programs can protect individuals from catastrophic health expenditures.  While the goal of UHC is ambitious, several challenges must be addressed like finances, inequity, corruption and inefficiency. Despite these challenges, there are opportunities to accelerate progress towards UHC. By prioritising primary healthcare, investing in human resources, and leveraging technology, countries can make significant strides in improving the health and well-being of their populations.

18 Dec

As per the sources, the Group of Ministers has recommended to exempt GST on pure-term insurance prem

 

According to ET now sources, the Group of Ministers in the GST Council meeting recommended exempting GST on pure-term insurance premiums. There have been ongoing rumors regarding GST removal on life and health insurance premiums.

18 Dec

GoM Panel Likely to Recommend GST Exemption for Term and Health Insurance

A Group of Ministers (GoM) panel will likely recommend a Goods and Services Tax (GST) exemption for term life insurance and health insurance premiums. This move could significantly relieve policyholders and potentially boost insurance penetration in India. This GST exemption on health insurance premiums for individuals and senior citizens could result in a revenue loss of Rs 2,110 crore for the government. However, it's important to note that any GST relief may not be universally applied to all insurance products. The GST Council will make the final decision on the extent of the exemption.

 

While the GoM panel has favoured this exemption, the final decision rests with the GST Council. If approved, this would mark a significant step towards making insurance more affordable and accessible to a wider population. The final decision on the GoM panel's recommendations for GST exemption on term and health insurance premiums will be made by the GST Council on December 21st. The Council may modify the recommendations before implementing them.

Health Insurance: FAQ's

1. How to select the best health insurance plan?

There are various factors affecting health insurance plan selection such as:

  • Sum Insured
  • Riders
  • Coverage Features
  • Network Hospitals
  • Customer Care Services
  • Claim Settlement Ratio

2. Are there any discounts and rewards available when purchasing the best medical insurance policy?

Yes, there are multiple health insurance providers that offer multiple discounts on premiums on certain conditions such as a good health discount for individuals who have excellent health vitals, discounts for females and non-smokers, discounts for long term policy, and more.

3. What is the correct age to invest in a health insurance policy?

It is advised to purchase mediclaim insurance at a young age as it drastically affects your premium prices and provides you with an extended coverage. The earlier you invest in a health insurance policy the lower are the premiums as there is a lesser risk of developing any health issues.

4. Are pre-policy medical check-ups mandatory before purchasing a health insurance plan?

No, most health insurance plans do not require the insurance holder to undergo a pre-policy medical check-up. However, most medical insurance policies have a certain age limit up to which there is no need for a pre-policy medical check-up. The usual age is up to 45 years but varies depending on insurer to insurer.

5. Can I include my children in a family floater health insurance policy?

Yes, you can include your kids in a family floater health insurance policy right from day 1 up to the age of 20 to 25 years varying from insurer to insurer.

6. What is the ideal mediclaim insurance sum insured required by a policyholder?

In order to fulfill the medical care needs for yourself and your family it is best to select 100% of your annual income as the sum insured amount for the health insurance plan you purchase.

7. What is not covered by the health insurance plan?

There are multiple exclusions associated with your mediclaim insurance. The various conditions that are excluded are:

  • Injuries due to act of war and terrorism
  • Hospitalization or injuries due to substance abuse and intoxication
  • Injuries caused due to adventure sports
  • Sterilization and Infertility Treatments
  • HIV/AIDS

8. What are the coverage benefits offered under a health insurance plan?

There are various coverage features provided to insurance holders under health insurance plans like

  • Pre and Post Hospitalization Expenses
  • Room Rent
  • ICU Cover
  • Domiciliary Hospitalization
  • Modern Treatment
  • AYUSH Cover

9. What are the various bonuses and discounts available to customers when purchasing a mediclaim policy?

Multiple discounts and rewards are enlisted within the health insurance plan which you can avail when purchasing health insurance plans like:

  • No Claim Bonus
  • Loyalty Discounts
  • Non-Smokers Discount
  • Female Policyholders Discount

10. How will smoking affect the premiums of my health insurance plan?

It is common knowledge that people who smoke are prone to serious health ailments like bronchitis, asthma, and even lung cancer. Hence, health insurance plans are available to smokers at high premiums as they are a bigger liability on the health insurance providers.

11. What are the various riders available under Health Insurance Plans?

The various riders available with health insurance plans are

  • Critical Illness Rider
  • Daily Hospital Cash Rider
  • Personal Accident Rider
  • OPD Rider
  • Global Coverage Rider
  • Reduction in waiting period Rider
  • PED coverage from day 1 rider

12. Can I port my health insurance plan?

Yes, insurance holders can port health insurance plans from one insurance provider to the next 45 days before their existing policy expires. To do the same you simply have to submit a few documents

  • Policy Portability Form
  • Proposal Form for New Policy
  • Current Health Insurance Documents
  • Claim History
  • Identity Proof
  • Residential Proof
  • Age Proof
  • Medical Records
  • Proposal Acceptance Letter
  • Premium Payment

13. Can I add riders in the middle of my health insurance policy tenure?

Insurance holders can add a rider of their choice and availability during the time of purchase of the plan, or during the time of renewal. However, adding a rider in the middle of the policy tenure is not available.

14. What is sum insured of a health insurance plan?

Sum insured means the maximum amount that the insurance provider will pay you in case you are diagnosed with an illness, or are hospitalized due to any injury or accident. It is the maximum amount that you can claim in case any medical emergency or planned hospitalization arises.

15. Can an individual purchase more than one health insurance plan?

Yes, individuals can have more than one health insurance plan. For example many individuals in India who are salaried employees already have a health insurance policy through their employer. However, if they want to avail additional coverage, they can purchase a super top up or top up health insurance plan.

16. What are the various documents required for purchasing a health insurance plan?

You do not need any particular documents at the time of purchase of a health insurance policy. However, it is essential to showcase documents at the time of filing a claim like

  • Identity Proof
  • Address Proof
  • Age Proof

17. Can I increase the sum insured amount of my health insurance plan?

Yes, if you feel that you have additional responsibilities and your current sum insured amount can not fulfill your requirements you can ask your health insurance provider to increase the sum insured at the time of renewal. However, with increased sum insured the premiums will also be increased.

18. Are there any discounts available during the policy renewal?

Yes, there are many advantages and discounts you accumulate during the entire policy period that can be beneficial to you during policy renewal. In case you have not applied for any claims during the entire policy period, you are entitled to a no-claim bonus which means your sum insured amount will be increased at the time of renewal. You may also be eligible for family discounts and long term discounts if you opt for long term policy tenures.

19. Will my health insurance policy lapse if I do not renew my policy on time?

Yes, your health insurance policy will lapse in case you do not renew your policy on time and you will lose all the benefits incurred throughout the policy.

20. How can I file a claim if I am admitted to a non-network hospital?

You can file a reimbursement claim after you have availed a treatment in a non-network hospital. Once you complete the course of your treatment, you can file for a reimbursement claim by filling a form and submitting documents related to your treatment and any other documents asked by the health insurance provider.

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Simran Kaur Vij

Written By: Simran Kaur Vij

Simran is an insurance expert with more than 4 years of experience in the industry. An expert with previous experience in BFSI, Ed-tech, and insurance, she proactively helps her readers stay on par with all the latest Insurance industry developments.