Health Insurance vs Personal Accident Insurance: Know the Difference

Both health insurance policies and personal accident insurance policies help us in dealing with medical emergencies. Health insurance provides comprehensive coverage that can offer accident insurance cover also. But personal accident cover is only limited to accident-related hospitalization expenses. Both the policies vary in terms of coverage, features, sum insured, etc.

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    So, before you make a purchase it’s important to understand the difference between the two. Read on to know more about health insurance and personal accident insurance in detail.  

    Personal Accident Insurance vs. Health Insurance

    Check out the below table to know the differences between Health Insurance and Personal Accident Insurance:


    Health Insurance

    Personal Accident Insurance


    Covers various medical expenses

    Covers injuries/illness specific to an accident

    Nature of the Plan

    Comprehensive cover

    Add-on cover

    Scope of Cover



    Is an additional premium required?

    Only for add-on covers

    Yes, as this is an add-on  cover

    Option to buy add-on cover



    Tax benefit cover


    No (only on the base plan)

    Pre-existing disease cover

    After waiting period cover


    Maternity cover

    As an add-on cover


    Collision cover


    Full coverage

    Critical Illness cover

    As an add-on cover


    Waiting period

    9 months to 4 years


    Health Insurance

    As the name suggests health insurance policies cover the overall medical expenses incurred by the policyholder. Medical coverage is provided for various illnesses including COVID-19 treatment, maternity expenses, cancer, daycare treatments, etc.  

    From routine illnesses to critical illnesses a wide-range of hospitalization expenses are covered except for some treatments that are beyond the scope of cover. You can choose from different health insurance options that are:

    1. Individual Health Insurance Plans- Coverage is provided to one individual, i.e. the policyholder, who gets medical insurance cover against the premium paid.
    2. Family Floater Health Insurance Plans- In family floater policy coverage is provided to an individual, where he/she can include his family members including spouse, children, and parents.
    3. Senior Citizen Health Insurance Plans-Such plans are designed to offer medical cover to elderly people above the age of 60 years.
    4. Coronavirus health insurance Plans- You can choose COVID specific health from any of the health insurers. Or you can buy Corona Kavachand Corona Rakshak health plans.
    5. Critical Illness Insurance Plans- A critical illness policy covers major illnesses such as cancer, tumor, liver ailments, kidney failure, cardiovascular diseases, etc.
    6. Top-Up Health Insurance Plans-You can buy top up health plans along with your current health plan and once its threshold limit is over, you can utilize this one over and above your base medical insurance coverage amount.

    While purchasing a health insurance policy, the insurer would require some data including your medical history to assess the risk involved. Based on the type of policy (individual health plan, family floater, top-up plan, senior citizen health plan, and women-specific health plans) the policy premium is decided.

    You can avail cashless hospitalization benefit at the network hospitals, which means that the insurance company settles the bill directly with the hospital and you don’t need to spend any money ( unless there is any sub-limit or deductible clause).

    Not only this, even accidental medical expenses are covered under the basic health insurance plans. And after the COVID-19 pandemic, a health insurance policy has become more than inevitable. It helps the insured and their family members in availing the best medical treatment without draining their savings.

    So, do you need Accident cover if you already have Health Insurance?

    What is Personal Accident Cover in Health Insurance?

    Personal accident insurance covers hospitalization expenses incurred on accidental treatment. These plans are designed specifically to help people pay for their medical emergencies arising after an accident. Therefore, under any circumstances, these policies should not be replaced by your regular medical insurance plans.

    Under accidental insurance, the policyholder gets complete insurance protection against accidental injuries and wounds. Also, there are multiple add-on covers under accidental insurance that the policyholder can avail of.

    Sum Insured

    The sum insured in health insurance plans can range from Rs 3 lakh to Rs 1 Crore and even higher. While the limit for personal accident health insurance plans is up to Rs 50 lakh in most cases.


    The premium for health insurance plans is usually on the higher side. Whereas, a personal accident insurance policy is cheaper than a health insurance policy as it offers limited coverage benefits/

    In a Nutshell

    As now you know the difference between the two, you can buy either of them as per your requirement. For more details, you can speak to our health insurance experts and find the best medical policy to insure yourself and your loved ones during these vulnerable times. If you need any more details you can write to us at or call us at 1800-708-8787.

    Written By: PolicyBazaar - Updated: 30 July 2021
    Disclaimer: Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by an insurer.

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