From the air we breathe to the food we eat; everything is intentionally or unintentionally subjected to adulteration. Due to this, the disease rate in India is rising drastically. visiting hospitals frequently.
*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C Apply
*Tax benefit is subject to changes in tax laws. Standard T&C Apply
Who would you like to insure?
And, with the rise in the cost of quality healthcare, it only takes a few treatments to wipe-off an average person’s lifetime savings. This is where a health insurance policy comes into effect. Health insurance is a type of insurance that helps the policyholder cover their medical expenses and surgical costs. In fact, in order to reduce a policyholder’s hassle, insurance providers also offer cashless treatment in network hospitals.
Incurred Claim Ratio (ICR) is an indicator of a company’s ability settle claims. Every year, the incurred claim ratios of prominent health insurers are published by the Insurance Regulatory and Development Authority of India. The formula for calculating Incurred claim ratio is simple. It is equal to the net amount paid as claims divided by the net premium collected by the company in a financial year.
Ideally, one should go for an insurance company with ICR close to the average ICR of all the providers in an FY.
With an increase in the demand for health insurance, the insurance industry has an overabundance of insurance providers and policies. The question arises- which one should you buy? There are a lot of reputable players in the market. A few of them are Care Health Insurance Policy (Formerly known as Religare Health Insurance), Star health insurance, HDFC Ergo General Health insurance, and Aditya Birla Health Insurance and many more.
According to your requirements, you can customize your health insurance policy. You can club it with add-ons as well. There are various types of health insurance plans like Individual health care policy, Family health plan, Senior citizen health plan, surgical plans, critical disease plans, cancer care plans, maternity policies etc. To protect yourself as well as your family, you can go for a family floater plan.
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A health insurance plan comes loaded with the following inclusions:
Now let us see a list of services Not Covered by the Health Insurance Companies in India
While looking for health insurance, people often search for the best family health insurance policies. There is no “best health insurance policy”. Instead, the search should be for a policy that meets your insurance needs. If understanding insurance puts you in a quandary, you should go for a third-party, professional opinion. Therefore, buying policy online is much better than running from pillar to post.
However, keeping in mind the needs of an average Indian, we have compiled a list of top different types of health insurance policies.
Family Health Plan |
Insurer |
Sum Assured (in Rs.) |
Entry Age Criteria |
Claim Settlement Ratio |
|
Aditya Birla Activ Health Platinum Plan |
2 lakh - 2 Crores |
Min: 91 days Max: No age limit |
94% |
View Plan | |
Bajaj Allianz aFamily Floater Health-Guard |
1.5-50 Lakh |
Adults: 18-65 years Children: 3 months to 25 years |
98% |
View Plan | |
Bharti AXA Smart Super Health Insurance Policy |
5 Lakh- 1 Crore |
Min: 5 years Max: 65 years |
- |
View Plan | |
Care Health Insurance Plan (Formerly known as Religare Health Insurance) |
Care Health Care Insurance Plan |
4 Lakh- 6 Crore |
Children: 3 months and above Adults: 18 years and above |
93% |
View Plan |
Chola MS Family Healthline Insurance |
2- 15 Lakh |
Adults: 18-65 years Children: 3 months to 26 years |
- |
View Plan | |
Digit Health Insurance Plan |
2-25 Lakh |
Min: 1 year Max: 60 years |
- |
View Plan | |
Edelweiss Family Floater Health Insurance Plan |
5 Lakh-1 Crore |
Min: 3 months Max: No age bar |
- |
View Plan | |
Future Generali Health SurakshaFamily Plan |
5- 10 Lakh |
Adults: 18-70 years Children: 90 days to 25 years |
92% |
View Plan | |
Iffco Tokio Family Health Protector Plan |
1.5-30 Lakh |
Adults: 18-65 years Children: 3 months to 23 years |
- |
View Plan | |
Kotak Family Health Insurance Plan |
2-100 Lakh |
Adults: 18-65 years Children: 91 days to 25 years |
N/A |
View Plan | |
Liberty Secure Health Connect Plan |
Secure Basic: 3, 4, 5 Lakh Secure Elite: 2, 3, 4, 5, 6, 7.5, 10 Lakh Secure Supreme: 3, 4, 5, 6, 7.5, 10 Lakh Secure Complete: 2, 3, 4, 5, 6, 7.5, 10, 15 Lakh |
Adults: 18-65 years Children: 91 days to 25 years |
88% |
View Plan | |
Niva Bupa (Formerly known as Max Bupa) Companion Family Health Insurance Plan |
Niva Bupa Health Insurance (Formerly known as Max Bupa Health Insurance) |
Silver: 3-15 lakhs Gold: 3-50 lakhs Platinum: 15-50 lakhs |
Children: 3 years and above Adults: 18 years and above |
96% |
View Plan |
Manipal Cigna Family Floater - ProHealth Protect Plan |
2.5- 50 Lakh |
Children: 91 days to 23 years Adults: 18 years and above |
91% |
View Plan | |
National Parivar Mediclaim Policy |
50000- 5 Lakh |
Adults: 18-65 years Children: 3 months to 25 years |
- |
View Plan | |
New India Assurance Mediclaim Policy |
1- 15 Lakh |
Adults: 18-60 years Children: 3 months to 25 years |
- |
View Plan | |
Oriental Happy Family Floater Policy |
1-20 lakhs |
Adults: 18-55 years Children: 3 months to 25 years |
89% |
View Plan | |
Raheja Health QuBE Plan |
1-50 Lakh |
Children: 90 days to 17 years Adults: 18 to 65 years |
N/A |
View Plan | |
Royal Sundaram Lifeline Health Insurance Plan |
Classic: 2,3,4 Lakh Supreme:5, 10, 15, 20, & 50 Lakh Elite: 25, 30, 50, 100, & 150 Lakh |
Children: 91 days to 25 years Adults: 18 years and above |
85% |
View Plan | |
Reliance Health Gain Health Insurance Plan |
1-5 Lakh |
No upper age limit |
84% |
View Plan | |
Star Family Health Optima Insurance Plan |
2-15 Lakh |
Children: 91 days to 25 years Adults: 18 years and above |
90% |
View Plan | |
SBI Arogya Premier Policy |
10-30 Lakh |
Children: 3 months to 23 years Adults: 18 to 65 years |
- |
View Plan | |
TATA AIG Medicare Health Insurance Plan |
3- 10 Lakh |
Min: 91 daysMax: 65 years |
96% |
View Plan | |
United India Family Medicare Policy |
1-10 Lakh |
Min: 18 yearsMax: 80 years |
- |
View Plan | |
Universal Sompo Complete Healthcare Insurance |
Basic: 1-2 Lakh Essential: 3-5 Lakhs Privilege: 6-10 Lakh |
Adults: 18 to 70 years Children: 10- 25 years |
93% |
View Plan |
*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C apply.
Incurred Claim Ratio (2018-19): 59%
Activ health platinum plan by Aditya Birla insurance covers in-patient, pre and post hospitalization expenses for 60 days and 180 days respectively. It also covers day care treatment expenses, domiciliary hospitalization expenses, ambulance hospitalization, organ donor expenses, and second opinion on critical illnesses. It also offers reload of sum assured, cumulative bonus, and wellness program services.
Incurred Claim Ratio (2018-19): 85%
With simple eligibility criteria, Bajaj Allianz Family Floater Health Guard offers a maximum coverage of 10 lakh. The policy offers a cumulative bonus of 5% for each claim free year up to a maximum of 50%. Moreover, the plan also provides tax benefit under section 80D of the Income Tax Act. 15 days grace period is offered in case the policy is not renewed timely. As this is a family health plan, it provides coverage to the entire family under a single plan.
*Tax benefit is subject to changes in tax laws
Incurred Claim Ratio (2018-19): 89%
This health insurance plan comes in three variants- Value, Classic, and Uber. Some of the major coverage benefits include- hospitalization cover, Ayush Treatment cover, Domiciliary hospitalization, 5% to 25% no-claim renewal discount, coverage for critical illnesses, recuperation benefit provided for critical illness or dread disease, and Domestic air ambulance cover in the Uber plan.
Incurred Claim Ratio as per Public Disclosure (2018-19): 55%
Every No-claim year will lead to a 50% waiver of the premium which can go up to 150%. This policy covers room rent in case of hospitalisation, pre-hospitalisation expenses and post-hospitalisation expenses in case of a surgery, ambulance expenses and provides a daily cash benefit. It also offers cover for pre-hospitalisation charges of up to 30 days and post-hospitalisation up to 60 days. There is no limit on ICU-stay charges. This policy offers private room facility in case of hospitalisation and one free medical check-up every year. Add-ons like Air ambulance cover, personal accident cover etc., can also be added.
Incurred Claim Ratio (2018-19): 35%
This medical insurance plan by Cholamandalam comes in three variants- Standard, Superior, and Advance. It covers hospitalization expenses, emergency ambulance charges, maternity expenses, room & nursing expenses, OPD dental cover in advance plan, ICU charges, doctor fees, and 141daycare procedures.
Incurred Claim Ratio (2018-19): 11%
Digit health insurance plan offers covers to individuals as well as families. This health policy covers accidental hospitalization, maternity expenses with new-born baby cover, and annual health check-ups. Moreover, there is no room rent restriction, and no age-based co-payment. It also offers critical illness benefits, psychiatric benefits, daily hospital cash cover, etc. There are some add-on benefits that you can consider such as maternity benefit with infertility cover, zone upgrades, and Ayush treatment cover (Unani, Ayurveda, homeopathy, and Siddha).
Incurred Claim Ratio (2018-19): 115%
This family health plan comes in three variants i.e. Silver, Gold, and Platinum. The plan covers pre and post hospitalization expenses for 30 and 60 days, 60 days and 90 days, 90 days and 120 days in silver, gold and platinum plans respectively. Moreover, there is no co-payment applicable for members below the age of 60 years. And for those above 60 years only a 20% co-pay is applicable.
Incurred Claim Ratio (2018-19): 73%
Health Suraksha plan by Future Generali comes is available in both individual and family floater options. This plan comes in three variants i.e. basic, silver, and platinum. The pre-hospitalization expenses are covered for 60 days and 90 days of post-hospitalization expenses. Moreover, it offers lifetime renewability option to the insured members.
*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C apply.
Incurred Claim Ratio (2018-19): 102%
Iffco Tokio family health protector plan reimburses room rent charges including doctor fees, hospital registration and medical expenses etc. It also covers 121-day care surgeries during the policy period. Domiciliary hospitalization expenses, Ayurveda, Unani and homeopathy treatment are also covered. Additionally, it covers 11 critical illnesses such as motor neurone disease, permanent limb paralysis, major organ transplant, etc.
Incurred Claim Ratio (2018-19): 47%
This comprehensive health insurance plan offers coverage to you and your loved ones under a single sum assured on floater basis. In this family health policy 150 specific healthcare treatments and procedures are covered. It covers hospitalization expenses along with 30 days of pre-hospitalization expenses and 60 days of post hospitalization expenses. To enhance the coverage benefits you can opt for 5 add-on covers.
*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C apply.
Incurred Claim Ratio (2018-19): 82%
Health Connect family plan covers up to a maximum of 4 members in a family for in-patient treatment, as well as pre and post treatment expenses. The plan also pays for domiciliary treatment if required, provides daily hospital cash allowance, organ donor expenses, and second medical opinion expenses. There are various additional and renewal features that can be considered to further enhance the policy coverage benefits.
Incurred Claim Ratio (2018-19): 54%
Auto-refill of the sum assured is available in case the basic sum assured is exhausted. With a premium that does not burn a hole in your wallet, this policy offers higher daily cash benefit. Also, as NCB, for 5 consecutive no-claim years, the basic sum assured will be increased by 100%.
Incurred Claim Ratio (2018-19): 62%
You can buy this plan to ensure health cover for your family with a wide range of sum assured. It coves pre, post, and in-patient hospitalization expenses. It also offers cumulative bonus up to 200% of the sum assured amount. In addition to this the plan also covers the cost of diagnostic procedures, contact lenses, medical aids, etc. under health maintenance benefit. It also covers alternative treatment expenses like Ayurveda, Siddha, Unani, and homeopathy.
*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C apply.
Incurred Claim Ratio (2018-19): 107.64%
The National Health Insurance covers for the expenses of people wishing to donate their organs. In any case you have any complication when donating your organ; the insurance cover pays for all our expenses. On the other hand, it also provides for anti-rabies vaccine to children under the age of 5 years for an amount of up to Rs 5000. In addition, when day care that does not exceed 24 hours is needed, National Health Insurance will cater for all your treatment.
It also offers a cover for ambulance expenses for around Rs. 1000 for each illness. On top of that, the National Health Insurance also offers a discount of 5% per year for all premium subscribers. Another important element of this cover is that, it offers a good health incentive check-up benefit can be freely accessed. Maternity expenses are also covered under this plan.
Incurred Claim Ratio (2018-19): 103.74%
This plan provides reimbursement on hospitalization expenses incurred on self and other family members. People who are purchasing insurance above Rs 5 lakhs are eligible to buy maternity cover as well. Charges for Medicines, Oxygen, X-rays, Anaesthesia, Radio/Chemotherapy, Medicines, Surgical Equipment’s, Prosthetic limbs and devices, and other similar expenses arising out of the medical treatment are paid for. You also get coverage up to 25% of sum assured for Homeopathic, Ayurveda and Unani treatment (only in government hospitals). It also offers an additional cover for cataract, and voluntary co-pay option.
Incurred Claim Ratio (2018-19): 108.80%
Oriental Health Insurance Family Floater plan is available in two variants- gold and silver. The policy provides coverage to the insured and his/her immediate family members. The insured can avail tax benefits under section 80D of Income Tax Act. The plan also provides no claim bonus of 5% for every claim free year up to maximum of 20%.
*Tax benefit is subject to changes in tax laws
Incurred Claim Ratio (2018-19): 33%
In this comprehensive health insurance plan in-patient hospitalization, pre and post hospitalization expenses are covered. Along with this domiciliary hospitalization expenses are also covered. 140-day care procedures requiring less than 24 hours of hospitalization are also recompensed. And the limit of hospitalization charges is up to Rs. 1500.
Incurred Claim Ratio (2018-19): 61%
This is an individual plan as well as family floater plan for joint families in India – providing health cover to you, your children and spouse. Because a healthy family is a happy family! Lifeline health insurance policy comes in three variants: Classic, Supreme, and Elite. It covers pre and post hospitalization expenses that ranges from 30 and 60 days in the classic health plan, 60 and 190 days in Supreme plan and 90 and 180 days in the elite variant. 11 major critical illnesses are covered in this plan. Medical expenses for day-care procedures like chemotherapy, radiotherapy required as a part of the treatment (excludes OPD expenses). Ayush treatment, vaccination for animal bite, and preventive healthcare benefits are offered as well.
Incurred Claim Ratio (2018-19): 14%
In this comprehensive health insurance plan in-patient hospitalization, pre and post hospitalization expenses are covered. Along with this domiciliary hospitalization expenses are also covered. 171-day care procedures requiring less than 24 hours of hospitalization are also recompensed. And the limit of hospitalization charges is up to Rs. 1500. It also offers doctor on call and wellness services to the insured members. Moreover, the plan also extends 5% discount on premium for single women and a girl child. And 5%-10% of family discount is also offered on purchase of this medical plan.
Incurred Claim Ratio (2018-19): 63%
The expense cover expands to ambulance expenses, hospital charges, in-house treatments etc. Also, if the sum assured is exhausted, it will be automatically restored. 3 auto-restorations can be availed in one policy period. This insurance provider has tie-ups with more than 6000 hospital networks. Hence, the pay-outs are quicker. They have an option of maintaining records online as well.
Incurred Claim Ratio (2018-19): 52%
In this family floater health insurance medical check-up is not required up to the age of 55 years. Pre and post hospitalization expenses for 60 days and 90 days are covered respectively. 142-day care procedures requiring less than 24 hours of hospitalization are also recompensed. Any alternative treatment expenses are also covered in an accredited hospital.
Incurred Claim Ratio (2018-19): 78%
You can consider buying this health insurance plan to secure yourself and your family members and make available the best treatment without worrying about the cost of treatment. The cost of in-patient treatment, day care procedures, vaccination charges, domiciliary treatment, Ayush hospitalization, hearing aid, compassionate travel is included. In this Mediclaim policy bariatric surgeries are also paid for along with global health coverage. Nevertheless, you can also opt for accidental death benefit rider.
Incurred Claim Ratio (2018-19): 110.95%
This is a family floater policy in which you can get yourself covered along with your dependent children and spouse. In this plan children from the age of 3 months can be insured. The insurer will pay for 30 days pre-hospitalization and 60 days post hospitalization expenses. 15% of sum insured is paid for treatment of hernia, 10% for cataract, 20% for Hysterectomy and 70% for major surgeries. Expenses on Ayush Treatment are also covered.
Incurred Claim Ratio (2018-19): 92%
It is a comprehensive health insurance plan by Universal Sompo that comes in three variants: Basic, Essential, and Privilege. It covers most of your medical expenses and comes with lifetime renewal option. It also recompenses most of the in-patient, pre and post-hospitalization expenses. Home treatments can also be compensated by the insurance provider. The best part is that it covers accidental dental treatments, organ donor expenses, maternity expenses, including newborn baby expenses. The plan can be further enhanced for personal accident insurance, critical illness insurance, daily hospital cash and similar upgradations.
*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C apply.
In a Nutshell!
A healthcare policy is a protective cover that will shield your savings in case of a health emergency and will let you recuperate in peace. To find the best health insurance policy in India that suits you and your family, you must compare different policies according to your family’s needs.