Top Family Health Insurance Policies in India 2021

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. 

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    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.

    Choose Health Insurance Coverage of your Choice

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    What is Incurred Claim Ratio?

    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.

    What Do Health Insurance Plans Include & Do Not Include?

    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.

    You may also like: Coronavirus Health Insurance Plans for Family

    Inclusions of Health Insurance Plan:

    A health insurance plan comes loaded with the following inclusions:

    • Cashless Treatment
    • Cover for Pre and post hospitalization fee
    • Reimbursement for Ambulance fees.
    • Expenses of Routine medical check-ups are covered
    • In-patient hospital expenses
    • Charges for treatment due to a pre-existing illness
    • Charges for treatment availed at home.

    Exclusions of Health Insurance Plans:

    Now let us see a list of services Not Covered by the Health Insurance Companies in India

    • No coverage is given during the waiting period which is usually first 30 of policy commencement. For pre-existing diseases, the waiting period can be of 2-4 years
    • Coverage of critical illnesses is subjected to a waiting period of 2-3 years
    • Injuries caused by war or terrorism or suicide attempts
    • Cosmetic surgeries
    • Treatment by an under-qualified medic or doctors

    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

    Aditya Birla Health Insurance

    2 lakh - 2 Crores

    Min: 91 days

    Max: No age limit

    94%

    View Plan

    Bajaj Allianz aFamily Floater Health-Guard

    Bajaj Allianz Health Insurance

    1.5-50 Lakh

    Adults: 18-65 years

    Children: 3 months to 25 years

    98%

    View Plan

    Bharti AXA Smart Super Health Insurance Policy

    Bharti AXA Health Insurance

    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

    Cholamandalam Health Insurance

    2- 15 Lakh

    Adults: 18-65 years

    Children: 3 months to 26 years

    -

    View Plan

    Digit Health Insurance Plan

    Digit Health Insurance

    2-25 Lakh

    Min: 1 year

    Max: 60 years

    -

    View Plan

    Edelweiss Family Floater Health Insurance Plan

    Edelweiss Health Insurance

    5 Lakh-1 Crore

    Min: 3 months

    Max: No age bar 

    -

    View Plan

    Future Generali Health SurakshaFamily Plan

    Future Generali Health Insurance

    5- 10 Lakh

    Adults: 18-70 years

    Children: 90 days to 25 years

    92%

    View Plan

    Iffco Tokio Family Health Protector Plan

    IFFCO Tokio Health Insurance

    1.5-30 Lakh

    Adults: 18-65 years

    Children: 3 months to 23 years

    -

    View Plan

    Kotak Family Health Insurance Plan

    Kotak Mahindra Health Insurance

    2-100 Lakh

    Adults: 18-65 years

    Children: 91 days to 25 years

    N/A

    View Plan

    Liberty Secure Health Connect Plan

    Liberty Health Insurance

    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

    Max Bupa Companion Family Health Insurance Plan

    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

    Manipal Cigna Health Insurance

    2.5- 50 Lakh

    Children: 91 days to 23 years

    Adults:  18 years and above

    91%

    View Plan

    National Parivar Mediclaim Policy

    National Health Insurance

    50000- 5 Lakh

    Adults: 18-65 years

    Children: 3 months to 25 years

    -

    View Plan

    New India Assurance Mediclaim Policy

    New India Assurance Health Insurance

    1- 15 Lakh

    Adults: 18-60 years

    Children: 3 months to 25 years

    -

    View Plan

    Oriental Happy Family Floater Policy

    Oriental Health Insurance

    1-20 lakhs

    Adults: 18-55 years

    Children: 3 months to 25 years

    89%

    View Plan

    Raheja Health QuBE Plan

    Raheja QBE Health Insurance

    1-50 Lakh

    Children: 90 days to 17 years

    Adults:  18 to 65 years

    N/A

    View Plan

    Royal Sundaram Lifeline Health Insurance Plan

    Royal Sundaram Health Insurance

    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

    Reliance Health Insurance

    1-5 Lakh

    No upper age limit

    84%

    View Plan

    Star Family Health Optima Insurance Plan

    Star Health Insurance

    2-15 Lakh

    Children: 91 days to 25 years

    Adults:  18 years and above

    90%

    View Plan

    SBI Arogya Premier Policy

    SBI Health Insurance

    10-30 Lakh

    Children: 3 months to 23 years

    Adults:  18 to 65 years

    -

    View Plan

    TATA AIG Medicare Health Insurance Plan

    Tata AIG Health Insurance

    3- 10 Lakh

    Min: 91 daysMax: 65 years

    96%

    View Plan

    United India Family Medicare Policy

    United India Health Insurance

    1-10 Lakh

    Min: 18 yearsMax: 80 years

    -

    View Plan

    Universal Sompo Complete Healthcare Insurance

    Universal Sompo Health 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
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    Disclaimer : *Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by an insurer.

    *All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C apply.

    1. Aditya Birla Activ Health Platinum Plan

    Incurred Claim Ratio (2018-19): 59%

    • Min Entry age: 91 days
    • Max Entry age: No age capping
    • Number of members covered: Self, spouse and children between the age of 25 years
    • Minimum and the maximum sum assured: Rs. 2 lakhs- Rs. 2 Crores
    • Waiting period for pre-existing medical conditions: 48 months

    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.

    2. Bajaj Allianz Family Floater Health Guard Plan

    Incurred Claim Ratio (2018-19): 85%

    • Min Entry age: Children- 3 months; Adults- 18
    • Max Entry age: Children-25years; Adults- 65 years
    • Minimum and the maximum sum assured: Rs. 2 lakhs to Rs. 10 lakhs
    • Lifelong renewal option
    • Number of members covered: 6
    • Waiting period for pre-existing medical conditions: 48 months
    • Pre-hospitalization coverage- 60days
    • Post-hospitalization coverage- 90 days

    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

    3. Bharti AXA Smart Super Health Insurance Policy

    Incurred Claim Ratio (2018-19): 89%

    • Min Entry age: 5 years
    • Max Entry age: 65 years
    • Number of members covered: Self, spouse and children between the age group of 90 days- 23 years
    • Minimum and the maximum sum assured: 5 lakhs to Rs.1 Crore
    • Waiting period for pre-existing medical conditions: 48 months

    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.

    4. Care Health Care Health Insurance

    Incurred Claim Ratio as per Public Disclosure (2018-19): 55%

    • Min Entry age: Children- 3 months; Adults- 18 years
    • Max Entry age: N.A. (No max entry age); Lifelong renewability
    • Minimum and the maximum sum assured: Rs. 3 lakhs to Rs. 60 lakhs
    • Max. Number of members covered: 6
    • Waiting period for pre-existing medical conditions: 48 months
    • Waiting period for policy-specified diseases: 24 months

    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.

    5. Cholamandalam Health Insurance

    Incurred Claim Ratio (2018-19):  35%

    • Min Entry age: Children- 3 months; Adults- 18
    • Max Entry age: Children- 26 years; Adults- 65
    • Number of members covered: Self, spouse and children
    • Minimum and the maximum sum assured: 2 lakhs to 15 lakhs
    • Waiting period for pre-existing medical conditions: 48 months

    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.

    6. Digit Health Insurance

    Incurred Claim Ratio (2018-19):  11%

    • Min Entry age: 1 year
    • Max Entry age: 60 years
    • Number of members covered: suitable for nuclear families and newly married couples
    • Minimum and the maximum sum assured: R. 2laks- Rs. 25 lakhs

    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).

    7. Edelweiss Family Floater Health Insurance

    Incurred Claim Ratio (2018-19):  115%

    • Min Entry age: 3 months
    • Max Entry age: 21 years
    • Number of members covered: Self, spouse, and children
    • Minimum and the maximum sum assured: up to Rs. 1 Crore

    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.

    8. Future Generali Health Suraksha Family Plan

    Incurred Claim Ratio (2018-19): 73%

    • Min Entry age: Children- 5 months; Adults- 18 year
    • Max Entry age: Children- 25 years; Adults- 70 years
    • Minimum and the maximum sum assured: 5- 10 lakhs
    • Waiting period for pre-existing medical conditions: 48 months

    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.

    9. IFFCO Tokio Family Health Protector Plan

    Incurred Claim Ratio (2018-19): 102%

    • Min Entry age: Children- 3 months; Adults- 18 years
    • Max Entry age: Children- 23 years; Adults- 65 years
    • Minimum and the maximum sum assured: 1.5 lakhs - 30 lakhs
    • Waiting period for pre-existing medical conditions: 48 months

    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.

    10. Kotak Health Care Family Health Insurance

    Incurred Claim Ratio (2018-19): 47%

    • Min Entry age: Children- 91 days; Adults- 18 years
    • Max Entry age: Children- 25 years; Adults- 65 years
    • Number of members covered: Self, spouse, children, and parents
    • Minimum and the maximum sum assured: Rs. 2 lakhs- Rs. 100 lakhs
    • Waiting period for pre-existing medical conditions: 48 months

    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.

    11. Liberty Secure Health Connect Family Insurance Plan

    Incurred Claim Ratio (2018-19): 82%

    • Min Entry age: Children- 91 days; Adults- 18 years
    • Max Entry age: Children- 25 years; Adults- 65 years
    • Number of members covered: up to 4 members
    • Minimum and the maximum sum assured: Secure Basic: 3, 4, 5 lakhs, Secure Elite: 2, 3, 4, 5, 6, 7.5, 10 lakhs, Secure Supreme: 3, 4, 5, 6, 7.5, 10 lakhs, and Secure Complete: 2, 3, 4, 5, 6, 7.5, 10, 15 lakhs.
    • Waiting period for pre-existing medical conditions: 48 months

    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.          

    12. Max Bupa Health Companion Insurance Plan

    Incurred Claim Ratio (2018-19): 54%

    • Min Entry age: 3 years; Adults- 18
    • Max Entry age: N.A. (No max entry age); Lifelong renewability
    • Minimum and the maximum sum assured: Rs. 3 lakhs to Rs. 1 Crore
    • Max. Number of members covered: 6 (4 adults+2 children)
    • Waiting period for pre-existing medical conditions: 48 months
    • Waiting period for policy-specified diseases: 24 months- 36 months

    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%.

    13. Manipal Cigna Family Floater - ProHealth Protect Plan

    Incurred Claim Ratio (2018-19): 62%

    • Min Entry age: 18 years for adults and 91 days for children
    • Max Entry age: 23 years dependent children and for adults no age limit
    • Number of members covered: Self, spouse, children, and dependent parents
    • Minimum and the maximum sum assured: Rs. 2.5 lakhs- Rs. 50 lakhs
    • Waiting period for pre-existing medical conditions: 48 months

    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.

    14. National Parivar Mediclaim Policy

    Incurred Claim Ratio (2018-19): 107.64%

    • Min Entry age: Children- 3 months; Adults- 18 years
    • Max Entry age: Children- 25 years; Adults- 65 years
    • Number of members covered: Self, spouse and two dependent children
    • Minimum and the maximum sum assured: Rs. 50,000- Rs. 5 lakhs
    • Waiting period for pre-existing medical conditions: 48 months

    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.

    15. New India Assurance Mediclaim Policy

    Incurred Claim Ratio (2018-19): 103.74%

    • Min Entry age: Children- 3 months; Adults- 18 years
    • Max Entry age: Children- 25 years; Adults- 60 years
    • Number of members covered: Can include 1-6 members (proposer, spouse, parents and children)
    • Minimum and the maximum sum assured: 1-15 lakhs
    • Waiting period for pre-existing conditions: 48 months

    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.

    16. Oriental Health Family Floater Health Insurance Policy

    Incurred Claim Ratio (2018-19): 108.80%

    • Min Entry age: Children-3 months; Adults- 18
    • Max Entry age: N.A. Children-25 years; Adult- 55 years
    • Minimum and the maximum sum assured: Rs. 1 lakh to Rs. 10 lakhs
    • Max. Number of members covered: 8 (6 adults+2 children)
    • Waiting period for pre-existing medical conditions: 48 months

    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

    17. Raheja Health QuBE Comprehensive Insurance Plan

    Incurred Claim Ratio (2018-19): 33%

    • Min Entry age: Children- 90 days; Adults- 18 years
    • Max Entry age: Children- 17 years; Adults- 65 years
    • Number of members covered: Parents and Children
    • Minimum and the maximum sum assured: Rs. 1 lakh to Rs. 50 lakhs
    • Waiting period for pre-existing conditions: 48 months

    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.

    18. Royal Sundaram Lifeline Health Insurance Plan

    Incurred Claim Ratio (2018-19): 61%

    • Min Entry age: Children- 91 days; Adults- 18 years
    • Max Entry age: Children- 25 years
    • Number of members covered: Self, spouse, children, and dependent parents
    • Minimum and the maximum sum assured: Classic: 2,3,4 lakhs, Supreme:5, 10, 15, 20, & 50 lakhs, and Elite: 25, 30, 50, 100, & 150 lakhs
    • Waiting period for pre-existing conditions: 24 months

    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. 

    19. Reliance Health Gain Insurance Plan

    Incurred Claim Ratio (2018-19): 14%

    • Min Entry age: 5 year and above, children 91 days- 5 years, at least one of the insured members to be 21 years and above
    • Exit Age- there is no exit age
    • Number of members covered: up to 2 adults and 4 children
    • Minimum and the maximum sum assured: Rs. lakh to Rs. lakhs
    • Waiting period for pre-existing conditions: 36 months

    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.

    20. Star Family Health Optima Health Insurance Plan

    Incurred Claim Ratio (2018-19): 63%

    • Minimum entry age: 16 days; Adults- 18 years
    • Maximum entry age: 65 years; lifelong renewability
    • Minimum and the maximum sum assured: Rs. 2 lakhs to Rs. 15 lakhs
    • Max. Number of members covered: 5
    • Waiting period for pre-existing medical conditions: 48 months
    • Waiting period for policy-specified diseases: 24 months

    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.

    21. SBI Arogya Premier Policy

    Incurred Claim Ratio (2018-19): 52%

    • Min Entry age: Children- 3 months; Adults- 18 years
    • Max Entry age: Children- 23 years; Adults- 65 years
    • Number of members covered: Self, spouse and dependent children
    • Minimum and the maximum sum assured: Rs. 10 lakhs to Rs. 30 lakhs
    • Waiting period for pre-existing conditions: 48 months

    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.

    22. Tata AIG Medicare Health Insurance Plan

    Incurred Claim Ratio (2018-19): 78%

    • Min and Maximum Entry age: 91 days to 65 years
    • Number of members covered: up to 7 family members (self, spouse, dependent children and parents)
    • Minimum and the maximum sum assured: Rs. 3 lakhs to Rs. 10 lakhs
    • Waiting period for pre-existing conditions: 36 months

    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. 

    23. United India Family Medicare Policy

    Incurred Claim Ratio (2018-19): 110.95%

    • Min Entry age: 18 years
    • Max Entry age: 80 years
    • Number of members covered: Self, spouse, and dependent children
    • Minimum and the maximum sum assured: 1 lakh- 10 lakhs
    • Waiting period: 24 months

    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.

    24. Universal Sompo Complete Health Insurance Plan

    Incurred Claim Ratio (2018-19): 92%

    • Min Entry age: Children- 10 years; Adults- 18 years
    • Max Entry age: Children- 25 years; Adults- 70 years
    • Number of members covered: Self, Spouse, and dependent children
    • Minimum and the maximum sum assured: Rs. 1 lakh to Rs. 10 lakhs
    • Waiting period for pre-existing conditions: 26 months

    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.

    Updated: 09 August 2021
    Written by Amit Chabra
    Author | 3 Posts

    Amit, leads the health insurance business unit for Policybazaar. He has been able to showcase a significant turnaround for the Health insurance business unit and make Policybazaar as one-stop destination for all the online health insurance needs. He is also responsible for forging new partnerships to further expand the health insurance business. He loves writing poems and his favourite travel accompaniment is his sweet little daughter.

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    Disclaimer: Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by an insurer.

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