Get ₹5 Lac Health Insurance starting @ ₹200/month*
Tax Benefit up to Rs.75,000
Save up to 12.5%* on 2 Year Payment Plans
7 Lakh+ Happy Customers

*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

Health Insurance

Health Insurance is a type of insurance that offers coverage to the policy holder for medical expenses in case of a health emergency. A health insurance plan chosen by the insured provides coverage for different expenses including surgical expenses, day-care expenses, and critical illness etc.

What is Health Insurance Policy?

A health insurance policy is a contract between the insurer and policyholder in which insurance company provides financial coverage for medical expenses incurred by the insured. A health policy provides benefit of reimbursement of medical expenses or cashless treatment mentioned in the health policy.

Importance of Health Insurance Plans

Health emergencies do not come with a prior notice. With sedentary lifestyles more and more people are becoming prone to lifestyle diseases in India. And with the increased demand for quality healthcare services, medical treatment has now become quite expensive, especially in the private hospitals. And without insurance the hospital bills are enough to drain one’s savings.

Health Insurance Plans

Therefore, a health insurance plan becomes an absolute necessity as it offers coverage to the insured family members and the policyholder against the exorbitant hospitalization expenses in case an accident or illness.

By providing tax saving benefits on health insurance premiums, the Government encourages everyone in the Budget 2021 to get health insurance cover and avail tax deductions benefits u/s 80D. 

At present, tax deduction of up to Rs 25,000 is permissible u/s 80D for health insurance premiums paid for individuals below the age of 60 years. If your parents are above 60 years then you are allowed additional tax benefit of Rs 50,000. If you and your parents both are above 60 years then this limit is extended to Rs 1 lakh.

We at Policybazaar can help you buy a right health insurance plan that suits your requirement below is the list of health insurance plans with the top Insurers. You can do the comparison and find the best health plan for your family.

Health Insurance plans for everyone

family health insurance plans

Health Insurance for Family

Family health insurance offers insurance coverage to entire family against a single premium. Under this health plan, a defined sum insured is divided among the members equally, which can be claimed by one or more family members during the policy term.

senior citizen health insurance plans

Health Insurance for Senior Citizens

Senior Citizen health insurance plans offer insurance coverage to the age group of 60 years and above. The health insurance plan covers hospitalization expenses like in-patient, pre and post-hospitalization expenses, OPD expenses, Daycare procedures with tax-saving benefits.

critical illness health insurance plans

Health Insurance for Critical Illness

Critical illness health insurance plans offer a lump sum amount in case the insured is diagnosed with a critical illness such as kidney failure, paralysis, cancer, heart attack, etc. Usually brought as a standalone policy or as a rider, the sum insured is pre-defined

health insurance plans for parents

Health Insurance for Parents

Health insurance for aging parents refers to the senior citizen health plans that are designed for elderly people above the age of 60 years. It is essential for aging parents as they are more vulnerable to health risks like heart ailments, kidney ailments, and other critical illnesses.

health insurance for coronavirus

Health Insurance for Coronavirus

Post COVID-19 outbreak, the IRDAI has also launched two Coronavirus specific health insurance plans i.e. Corona Kavach health plan and Corona Rakshak health insurance plan. Corona kavach is a family floater plan while Corona Rakshak is an individual coverage based plan.

health insurance for diabetic petients

Health Insurance for Diabetic

Health insurance for diabetes covers hospitalization expenses for diabetic patients, who otherwise find it hard to get insurance cover. The policy can cover both Type 1 and Type 2 diabetes and related medical complications. Tax benefits on the premium can also be availed.

personal accident health insurance plans

Personal Accident Health Insurance

Personal accident insurance is a health policy that reimburses the medical costs incurred on hospitalization due to death or disability caused by an accident. The insurance company pays a certain amount as per the nature of the disability.

Best Health Insurance Plans in India

Insurance Companies

Health Insurance Plans

Sum Insured (Rs.)

Incurred Claim Ratio

Network Hospitals

Aditya Birla Health Insurance

Active Assure Diamond Plan

Min – 2 Lakh

Max – 2 Crore

59%

8200 

Bajaj Allianz Health Insurance

Health Guard Plan

Min – 1.5 Lakh

Max – 50 Lakh

85%

6500+

Bharti AXA Health Insurance

Smart Health Assure Plan

Min – 3 Lakh

Max – 5 Lakh

89%

4300+

Care Health Insurance (Formerly known as Religare Health Insurance)

Care Health Care Plan

Min – 4 Lakh

Max – 6 Crore

55%

7400+

Chola MS Health Insurance

Chola Healthline Plan

Min – 2 Lakh

Max – 25 Lakh

35%

6500+

Digit Health Insurance

Digit Health Insurance Plan

Min – 2 Lakh

Max – 25 Lakh

11%

5900+

Edelweiss Health Insurance

Edelweiss Health Insurance Plan

Min – 5 Lakh

Max – 1 Crore

115%

2578+

Future Generali Health Insurance

Future Generali Criticare Plan

Min – 5 Lakh

Max – 50 Lakh

73%

5000+

IFFCO Tokio Health Insurance

Heath Protector Plus Plan

Min – 2 Lakh

Max – 25 Lakh

102%

5000+

Kotak Mahindra Health Insurance

Kotak Health Premier Plan

-

47%

4800+

Liberty Health Insurance

Health Connect Supra Top-up Plan

Max – 1 Crore

82%

3000+

Max Bupa Health Insurance

Companion Individual Health Plan

Min – 3 Lakh

Max – 1 Crore

54%

4115+

ManipalCigna Health Insurance

ProHealth Plan

Min – 2.5 Lakh

Max - 1 Crore

62%

6500+

National Health Insurance

National Parivar Mediclaim Plus

Up to 50 Lakh

107.64%

6000+

New India Assurance Health Insurance

New India Assurance Senior Citizen Medi claim Policy

Min – 1 Lakh

Max – 15 lakh

103.74%

3000+

Oriental Health Insurance

Individual Mediclaim Health Plan

Min – 1 Lakh

Max – 10 Lakh

108.80%

4300+

Raheja QBE Health Insurance

Health QBE

Min- 1 LakhMax – 50 Lakh

33%

2000+

Royal Sundaram Health Insurance

Lifeline Supreme Plan

Min – 5 lakh

Max – 50 Lakh

61%

5000+

Reliance Health Insurance

Critical Illness Insurance

Min – 5 Lakh

Max – 10 Lakh

14%

4000+

Star Health Insurance

Family Health Optima Insurance Plan

Min – 1 LakhMax – 25 Lakh

63%

10200+

SBI Health Insurance

Arogya Premier Policy

Min – 10 Lakh

Max – 30 Lakh

52%

6000+

Tata AIG Health Insurance

Tata AIG MediCare Plan

Min – 2 lakh

Max – 10 Lakh

78%

3000+

United India Health Insurance

United India UNI Criticare Health Plan

Min – 1 Lakh

Max – 10 Lakh

110.95%

7000+

Universal Sompo Health Insurance

Individual Health Plan

Max – 10 Lakh

92%

5000+

See More Plans

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


Why Do You Need to Buy Health Insurance?

You need a health insurance cover as a financial back up to be able to meet the rising cost of healthcare in India. Medical inflation in India has been 15% over the past few years, and a health insurance policy helps people to be able to pay for expensive medical treatments, hospital bills, in case of an illness or accidental injury.

Unfortunately, only 20% of the total population in India has health insurance coverage. Additionally, only 18 percent of the total population residing in urban areas and 14 percent of the total population residing in rural areas had any form of health insurance coverage. Let’s check why do you need to buy a health insurance plan in India:

  • A health insurance policy can pay for hospitalisation expenses, medication and laboratory test costs, ambulance, doctor fees, etc. Some health plans also cover OPD expenses up to a certain limit.
  • It helps in minimizing your out-of-the-pocket expenses with a cashless medical treatment facility in the network hospitals
  • Nowadays, amid the coronavirus outbreak, it is all the more important to have or buy a medical insurance cover that covers the cost of treatment including the cost of PPE kits, masks, ventilators, ICU charges, etc.
  • Even those who are planning a family can buy a health insurance plan to get maternity and new-born baby cover
  • You can buy Corona kavach and Corona Rakshak health plans if you do not have coronavirus health insurance plans cover and keep all your worries at bay
  • The cost of major surgeries like liver transplantation, open-heart surgery, and day-care treatments like cataract surgery, varicose veins, and the likewise are also paid by the insurer if you have a medical insurance policy
  • A health insurance policy helps you and your family enjoy their peace of mind without worrying about the future hospitalization or a medical emergency, which can otherwise drain a major portion of your savings
  • If you cannot pay much premium and are confused which health insurance you should buy then you can opt for a standard policy i.e. Arogya Sanjeevani health insurance policy, it covers modern treatments and COVID-19 treatment as well

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

Key Benefits of Health Insurance Plans

Comprehensive health insurance plans come packed with features that can assist a person in managing expenses associated with medical emergencies and also with preventive health care check-ups.

Following are the key benefits of health insurance plans that one can consider:
        • Cashless Medical Treatment

          Every medical insurance company has tie-ups with various nursing homes and hospitals across the country called 'empanelled hospitals'. If you are admitted to one of these, you don’t need to pay anything. You only need to mention your policy number and everything else will be taken care of by the hospital and your insurer.

          These types of health insurance plans are preferred because there is no stress of claim reimbursement and documentation. However, if your expenses go beyond the sub-limits specified by the insurance cover or marked as not covered by the provider, then you will have to settle it directly with the hospital. Another important thing to remember is that cashless mediclaim is not available if one gets hospitalized which is not a part of the hospital network of the insurance company.

        • Coverage of Pre and Post-Hospitalization Expenses

          This feature of a health insurance policy takes care of expenses incurred on both pre and post-hospitalisation. It takes into account the costs incurred during a certain number of days both prior to and post hospitalization as part of the claim, provided the expenditures are related to the covered disease/illness.

        • Ambulance Fee

          Once hospitalized the person is free from the burden of transportation fees as it is borne by the insurer.

        • No Claim Bonus

          NCB (or No Claim Bonus) is a bonus provided to the insured if no claim has been filed for any treatment in the previous policy year. The reward can be offered either as an increment in the sum assured or as a discount on the premium cost. You can avail this advantage on policy renewal.

        • Medical Check-Up Facility

          A medical plan entitles the insured to receive regular medical check-ups. A free check-up facility is provided by some insurers, or you can get it as an add-on benefit.

        • Room Rent Sub-limits in Your Health Insurance Plan

          A health insurance plan may have various sub-limits associated with it; room rent is one of those sub-limits. General Insurance Companies provide you with maximum coverage up to the sum assured. However, they can deliberately trim down their liability by introducing the sub-limit clause in the coverage for hospital room rent.

          Once the insured is hospitalized the sub-limit on room rent coverage is applicable on a per day basis. For instance, if your medical insurance policy covers your daily room rent up to a maximum of Rs. 3,000 and your room cost incurred is Rs. 5,000 per day, then you will have to pay the remaining Rs. 2,000 from your own pocket. Besides, room charges are directly associated with the type of hospital room you are availing, i.e. a single room or on a sharing basis. Everything else is calculated accordingly.

          If the total cost incurred on treatment at the hospital is Rs. 5,00,000, the table shown below illustrates the expenses that are expected to be borne by your insurer and you, respectively.

          Policy Sum Assured (in Rs.) 5,00,000
          Room Rent as per Sub-Limit (in Rs.) 3,000
          Room Rent Per Day (in Rs.) 5000
          Room Availed at the Hospital (in Days) 10
          Actual Hospital Bill (in Rs.) Reimbursed Amount (in Rs.) To be Borne by You (in Rs.)
          Incurred Room Charges (in Rs.) 50,000 30,000 20,000
          Doctor's Fee (in Rs.) 20,000 12,000 8,000
          Medical Tests' Cost Incurred (in Rs.) 20,000 12,000 8,000
          Operation/Surgery Cost (in Rs.) 2,00,000 1,20,000 80,000
          Incurred Medicine Cost (in Rs.) 15,000 15,000 0
          Total Expenses Incurred (in Rs.) 3,05,000 1,89,000 1,16,000

          In this case, the total cost borne by you is Rs. 1,16,000 out of the total expenses incurred, i.e. Rs. 5,00,000. Thus, make sure you choose wisely if you want any such sub-limits in your medical insurance policy.

        • Co-Payment

          Medical insurance plans offer a co-payment option that pre-defines the voluntary deductibles, which have to be borne by the insured. So, in the event of a medical exigency, some amount is paid by the insured and the rest, by the provider. According to this feature, you can lower the cost of your health insurance.

          Co-payment is a cost-sharing requirement under a health policy, which states that the organization or the person will bear a certain share (in percentage) of the total admissible cost incurred. However, the co-payment option does not have any effect on the sum assured. It allows you to reduce your premium to a certain extent (subject to the insurer and insurance policy).

        • Tax Benefits of Health Insurance Plans

          Health insurance plans entitle you to receive tax benefits under section 80D of the Income Tax Act, 1961. The premium you pay towards health insurance plans for yourself or your family members, get you a tax rebate, irrespective of whether they are dependent on you or not. The tax deduction offered, with respect to the premium, is subjected to the age of the insured and the maximum tax deduction limit that is available. You can save up to a maximum of Rs. 25, 000 in a financial year if you are below the age of 60 years. If your age is above 60 years, then this cap of maximum tax benefit increases to Rs. 50,000.
          If you are paying the medical insurance premium for your parents and for self, then you are eligible for tax exemption up to Rs. 55, 000 in a year under section 80D, provided your parents are senior citizens.


        • Third Party Administrators

          The TPA concept is the brainchild of the Insurance Regulatory and Development Authority of India (IRDA), to assist both the insured and the insurer. While it benefits the insurer by reducing their overheads or administrative costs, fake claims, and claim ratios, the insured, too, enjoys improved and fast insurance services.
          TPAs are important players in the health insurance sector. They have the capacity to handle all or a portion of the claims related to health insurance plans. They have tie-ups with health insurers or self-insuring companies to manage services such as premium collection, enrollment, claim settlement and other administrative services.

          Often, hospitals and health insurers outsource medical insurance-related responsibilities to lower their burden.

        • Pre-Existing Disease Cover

          After 2-4 years of policy inception, various policies begin considering pre-existing diseases, e.g. diabetes, hypertension, etc., for claims. Coverage for pre-existing diseases is offered for specific illness (es) that the insured had before purchasing the policy.

        • Preventive Healthcare

          Undoubtedly, healthcare is very expensive and nobody wants to get hospitalized. So, now we have preventive health care check-ups that take care of you before you fall sick. Preventive care, such as regular health check-ups, concession in X-ray fees, consultation fees, etc., is offered under some health insurance plans. By offering various healthcare provisions, this type of plan benefit aims at keeping you healthy. Preventive care is medical care rendered not for a specific complaint but for prevention and early-detection of ailments.


Does Your Health Insurance Policy Cover Coronavirus (COVID-19) Treatment?

Yes, your existing health insurance policy covers the cost of COVID-19 treatment. India is one of the worst’s hit nations with cases constantly on a rise, which put the medical insurance policyholders are in a state of dilemma. The insured people are in a quest, will their standard  health insurance policy cover coronavirus (COVID-19)?

During this pandemic all the insurers are likely to provide coronavirus cover to people who already have a health insurance policy. As it is a new illness and not a pre-existing condition, the coverage cannot be denied as per the IRDAI guidelines. It might not cover the cost of consumable items like PPE kits, oximeters, ventilators, masks, which are a crucial part of the treatment. However, you can check with your insurer for the same.

Those who do not have medical insurance cover or want to enhance the existing scope of coverage can consider buying specific COVID mediclaim policies.  Several health insurers and general insurers have already launched health insurance plans for coronavirus that cover the expense of treatment of coronavirus.

After the IRDAI guidelines, two special standard health insurance products, namely Corona Kavach policy and Corona Rakshak policy were launched and are being purchased by a lot of people already. Lets’ check out how these two COVID insurance products and how they are different from basic health plans.

    • Corona Kavach Policy

      It is an indemnity based health insurance product that covers coronavirus hospitalization (minimum 24 hours), home treatment, and AYUSH treatment cost up to Rs 5 Lakh. The cost of masks, gloves, ventilators, oxygen cylinders, PPE kits, is also recompensed.

      Also, the benefits provided under Corona Kavach policy shall remain the same across all the insurance providers.

      Eligibility Specification
      Entry Age 18-65 years
      Coverage Type Individual/Family Floater
      Sum Insured ( Rs) 50,000-500,000
      Discount on Premium 5% for health workers and doctors
    • Corona Rakshak Policy

      Corona Rakshak policy is a benefit based product that provides lump sum payment for hospitalization (minimum 72 hours) upon diagnosis of Coronavirus during the policy term. The minimum policy term is 3.5 months and maximum is 9.5 months.

      Eligibility Specification
      Entry Age 18-65 years
      Coverage Type Individual
      Sum Insured ( Rs) 50,000-2,50,000
      Discount on Premium 5% for health workers and doctors



    • Coronavirus Claim Settlement

      Since, COVID-19 has been declared as a pandemic therefore, there has been a lot of confusion regarding claim settlement. The claim is settled just like it’s settled for other insurance plans. In this policy the insured needs to furnish the passport (if he/she has) to file a claim, as the insurer needs to check their travel history.

      Now, let us understand the following situations wherein claims for the treatment of coronavirus can get rejected:

          • In case, if an individual is affected with coronavirus and then intending to buy health insurance policy most likely it will not be covered under the newly bought health insurance policy.
          • The policyholder will not get a claim filed if the treatment of coronavirus falls within the waiting period of the health insurance policy.
          • If an individual is diagnosed with coronavirus within the waiting period of the health insurance policy it will not get covered.

      Any claim will not be settled if an individual gets infected with coronavirus from any of the family members who recently travelled to COVID-19 affected countries where the travel has been restricted by the country.

Health Insurance Inclusions

The coverage offered by a health insurance policy is subject to the type of policy and the insurance provider. An ideal policy is customizable and suites your requirements in the best way possible.

Following are some common health insurance plans inclusions:
  • In-patient hospitalization expenses
    • Donor expenses, in case of organ transplantation
    • During injuries requiring overnight hospitalization
  • Pre-existing illnesses or diseases
  • Pre and post hospitalization
  • Ambulance charges
  • Maternity or newborn
  • Health check-ups
  • Daycare procedures
  • Treatment availed at home or domiciliary hospitalization

Health Insurance Exclusions

Coverage offered by health insurance policies varies with the insurer; however, certain points are not covered by health policies and fall under the category of policy exclusions.

Following are common health insurance plans exclusions:

  • Unless an accidental emergency, no coverage or reimbursement offered with the waiting period of the policy, usually initial 30 days.
  • Coverage of critical illnesses and pre-existing diseases is subject to a waiting period of 2 to 4 years
  • Clear exclusion of expenses incurred for maternity/newborn unless a maternity rider has been added on
  • Injuries caused by war/terrorism/ nuclear activity/suicide attempt
  • Terminal illnesses, AIDS, and other diseases of similar nature
  • Cosmetic/plastic surgery, replacement of hormones, sex change and more.
  • Dental or eye surgery
  • Non-allopathic treatment
  • Bed rest/hospitalization and rehabilitation, common illnesses, etc.
  • Treatment/diagnostic tests, post-care procedures
  • Treatment abroad or by an under-qualified medical professional

Note: It is recommended to explore each plan to ensure maximum coverage


Factors to Consider Before Buying Health Insurance Plans

There are a few factors that you should consider closely to make the right decision:

  • Caps and Sub-limits

    Caps and sub-limits are the thresholds set on various policy-covered expenses. If a health policy has impositions of co-payments, sub-limits, and other caps, this would mean that there will be a policy-stated coverage offered for various expenses. At times, the co-pay clause and caps help in reducing the premium of the plan. These, however, would alter the benefits in the long run. To make the most of your health insurance policy you must understand these factors before you pay for a health insurance plan.

  • Claim settlement Record

    This is an important criterion to assess the credentials of an insurer. You should always go with a company with a good claim settlement record. Thus, you can ensure that your medical insurance claims would not be wrongly withheld. Always ask for the company’s claim settlement ratio before purchasing their health insurance plans and save yourself from unnecessary harassment in the future.

  • Scope of Coverage

    Don’t buy a health insurance plan by just comparing health insurance premiums. Less cost does not necessarily mean a good medical insurance plan. On the contrary, such a health plan might not consider your coverage needs properly. Closely look at what the plan includes. Buying a comprehensive plan is a better option comes to your rescue when you need it the most.

  • Renewability

    It is important to see how many years the plan proposes to protect you. Mediclaim policies are usually annual contracts. Once the policy term ends, in order to continue the insurance coverage, the insured has to pay the insurance premium. This recurring process is called health insurance renewal. The policy should be renewed continuously, because if there is a break, then, the person will lose the benefits of medical insurance.

  • Cashless Hospital Network

    Check if a hospital around you is included by the medical insurance company you are considering to buy the plan from. You and your family won’t be required to run around collecting documents and filling reimbursements. The provider or its Third Party Administrator should have a tie-up with a range of network hospitals. The insured can get admitted to any of these nursing homes/network hospitals without paying anything from the pocket. However, cashless claim settlement is subjected to limits and sub-limits, which, in turn, are subjected to the sum assured of the medical insurance policy.

  • Premium Loading

    Premium Loading refers to the increase in standard premium applicable when the medical insurance company perceives a person to be more at risk (of claiming the insurance) in comparison to others. It is strongly recommended that you check the terms and conditions pertaining to premium loading. This will save you from paying an extra premium after making a medical insurance claim. This aspect, though ignored in the beginning, usually becomes a bone of discontentment later.

  • Internal Claim Settlement Team

    Check the health insurance plans from insurers that have a dedicated internal claim settlement team. This expedites the claim settlement process. Most of the medical insurance players use a third-party administrator to process the claims and do the paperwork. Even though most of these Administrators provide great services, the fact that they are a third-party slows down the process. There are certain rules and regulations to be followed when an administrator processes a medical insurance claim before it is handed over to the medical insurance company, which in-turn affects the turnaround time.

  • Members Included

    Everyone has a different family size, so you should always look for the family size allowed under the medical insurance plan before purchasing it. If you are in your late 20s and your parents already have a health insurance cover, then purchasing insurance only for yourself does make sense. Alternatively, if you are married with or without kids and have dependent parents, parents-in-law, siblings, etc., then a family health insurance plan is best for you. Checking the premium cost, family size covered, critical illnesses or other benefits will ensure that you are able to purchase the plan you need.

  • Health Insurance Portability

    It is wise to choose a health insurance company that offers health insurance portability. Earlier, policyholders had to stick to a policy just to retain the advantage. Now, you are allowed to switch from one insurance company to another without losing the waiting period advantages earned in your current policy. Moreover, with the insurance landscape changing so regularly, insurance providers regularly come up with better policies and it may make sense to opt for health insurance policy portability.

    Although health insurance portability is free, some companies may charge you a certain fee if you are to port out of their plans to those of some other players. Therefore, make sure you do not pay any charges for medical insurance portability. Health insurance portability is a good thing to check when you are finding the best health policy or mediclaim.

  • Restore Benefit

    With the 'restore benefit' facility in your health care plan, you can restore your basic sum assured in case you have already spent the same or the multiplier advantage during your policy tenure. Mostly, the benefit cannot be obtained on the same ailment if you have exhausted the existing sum limit.
    Restoration assistance proves to be helpful for a family floater health plan, where if the entire sum assured is used in the treatment of only a single family member, the other members are not left uncovered. In such a case, the other family members can avail policy coverage for the illness other than the one for which the expenses have already been compensated by the insurer.
    Well, while finalizing your health insurance plan, you should consider other important factors such as waiting period, sub-limit, claim settlement procedures, etc. You can replace restore benefit with a super top-up plan at an affordable price. Moreover, top-up health insurance plans are more comprehensive since they come with few or no restrictions.

  • Top up Health Insurance Plans

    With the rise of medical inflation, it is prudent to increase the medical insurance coverage amount. But, not all can afford it due to the high cost of the premium. This is where a top-up medical insurance plan comes into the picture. A top up health plan reduces the deductibles cost i.e. the portion of a claim you pay willingly for the damages before the insurer compensates the rest or up to the sum assured. With a top up medical policy, you don’t pay until a hospital breaks its defined limit. A top up plan is considered far cheaper than a standalone medical insurance policy.
    For instance, if the medical bill is Rs. 6 lakhs with a deductible of Rs. 2 lakhs, you are required to pay only the latter amount and the remaining 4 lakhs will be paid by the insurer. But, you can utilize your health policy to pay the liable amount. Again, the blending of a top-up plan with a medical cover is helpful as the premium you pay is much more affordable than an individual health plan. For example, if you pay 6,500 as a premium for Rs. 5 lakh regular cover, a top up coverage of Rs. 15 lakh will entail an additional premium of 5,000, which is anyhow cheaper than a separate policy.

  • Waiting Period

    As per the medical insurance norms, every insured must serve a defined waiting period to get coverage for any pre-existing illness. It is usually a 30-day period from the day your health insurance plan is initiated. If any claim falls during the waiting period, the insurer has the right to reject the claim for any hospitalisation, except in the case of an emergency. A hospitalisation that arises out of an accident can be registered as a claim and the insurer will compensate for the hospitalisation cost. However, the insured is not required to serve the waiting period for subsequent years.

Which Health Insurance Policy Should You Buy?

Your Requirement What You Should Get
Coverage for hospitalisation expenses including surgical bills Medical insurance offering cashless facility and claim reimbursement
A fixed amount daily while you are hospitalised Hospital Cash Plan
If diagnosed/hospitalized with a critical illness or if the illness leading to loss of income Critical Illness Plan
When an accidental disability leading to loss of income Personal Accident Insurance
Coverage for expenses in the event of caesarean and normal delivery Maternity Insurance
Insurance coverage for the entire family in a single plan Family Floater Health Plan
Coverage for senior citizens Senior Citizen health Insurance

Health Insurance Eligibility Criteria

The eligibility criteria for health insurance depends on the age of the customer, pre-existing illnesses, current medical conditions, etc. For this reason a medical test is also conducted by the health insurance companies to find out if the applicant is going through some health diseases or not.  In most of the mediclaim policies the following eligibility criterion needs to be met:

Age Criteria- Entry age for Adults: 18 to 65 years (70 and above, based on the plan and insurer). Entry age for Children: 90 days to 18 years and in some plans it is up to 25 years as well.

Pre-medical Screening- In most cases it is required for applicants above the age of 45 years, but it may vary depending on the insurer and the type of medical insurance plan. Most of the senior citizen health plans require pre-medical tests to check if the applicant meets the eligibility criteria for insurance cover or not. The criterion for individual and family floater health plans may vary as per the policy terms and conditions.

Pre-existing Diseases- When buying a health insurance policy you need to disclose about the health diseases that you have or any pre-exiting illness that you or your family members have. Do not keep it as a secret as it may cause problems at the time of claim settlement. It can even lead to rejection of you claims.

Most of the health insurers ask the applicant if they are going through any medical conditions like blood pressure, diabetes, cardiovascular diseases, kidney problems, and any other diseases. If you are a smoker or an alcoholic then also you need to disclose it to the insurer. Based on this the insurance company will decide if you are eligible to get medical cover or not.

If one insurer doesn’t offer then you can also check with another or a buy a specific health plan as per your medical conditions. Check the policy wordings for terms and conditions to have a better understating about the eligibility criteria.

Why Compare Health Insurance Plans?

It is vital that you compare health insurance quotes online in order to choose the best one to meet your healthcare needs. It can get confusing to select the best health insurance plan as so many insurers offer different health insurance products with varied features.

It is no wonder that sometimes, people end up with a plan that might cost less, but has contradictory clauses, and they practically get nothing when a claim is filed. On the other hand, you end up buying a health insurance plan with a higher cost just to find out later that it has features that you did not use or might never need.

Amid the increasing cost of treatment, a Health insurance policy prevents a medical emergency from turning into a financial emergency. It makes sure that one's healthcare needs are taken care of without depleting his/her savings or compromising on one's future goals.

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

How to Compare Health Insurance Plans?

With more than 25 insurance companies’ and more than 200 health insurance products in the Indian health insurance market, comparing health insurance plans and finding the best quote is not an easy task. Listed below some of the tips to help you make an informed decision:

      • Select the Appropriate Sum Assured

        The healthcare inflation in the country is skyrocketing and is increasing at the rate of 17% to 20% annually. To cover this inflation, it is important to look for the maximum available sum insured at the best possible rate of premium.

      • Provide Complete & Correct Details

        Provide accurate information regarding your health in the proposal form, as any sort of inaccurate or mismatched information can make the insurer reject your claim form.

      • Keep in Mind the Factors That Influence the Premium

        A few factors that influence the premium of a health insurance plan include the proposer’s life history, family health history, lifestyle, smoking habits, etc. These factors are taken into account before the premium amount is determined.

      • Check the Credibility of the Health Insurance Company

        Do go through the history of the health insurance company you are planning to buy the medical insurance plan from. It is recommended that you select the health insurance company on the basis of the following parameters:

        • ICR: Incurred Claim Ratio or ICR, is one of the most important parameters to check while comparing health insurance companies in India. When taking into account the ICR of a health insurance company, look for the average ICR of all the health insurance companies online on Policy bazaar and go for the one that is closest to this average for a period of few years.

Incurred Claim Ratio

    • Customer Experience: You should always take heed to the mass opinion. Look for customer reviews online. If a large number of customers of an insurance company are unhappy, it may be because their customer support or after-sales service isn’t up to the mark.
    • Find out the Claim Process: Though the health insurance claim process is pretty generic over providers, knowing the nitty-gritty of the process can help save a lot of hassle at the eleventh hour.

Benefits of Comparing Health Insurance Plans Online

Due to tight and hectic schedules these days, it has become quite impossible to visit different offices or branches of different health insurers in order to compare various medical insurance policies.

Thankfully, Policybazaar understands the dilemma of the customers and hence, has offered a platform where you can compare different health insurance quotes online.

Enlisted below are some of the major advantages of buying a health insurance plan online:

    • Access to Accurate Information:

      It offers easy access to every medical insurance policy available in the market. It also saves the buyers from dealing with the agents who are known to provide unreliable and biased information most of the time..

    • Time Efficient and Convenient:

      By comparing health insurance plans online, the users are able to save their time as they don’t have to keep meeting with the agents to compare and choose the best plans. Additionally, several tasks, such as paying premiums, renewing the health insurance plans, etc., are also easier via online mode.

    • Pocket-Friendly:

      If a customer buys a health plan via an online channel, he/she will be able to compare the premium and opt for the one that fits in the budget. Also, no brokerage or agent fees are levied and hence, the buyer ends up saving a significant amount of money.

    • Availability of Provider/Plan Reviews:

      Doing so will help you get an overall idea of an insurer’s reputation, enabling you to make an informed decision.


Arogya Sanjeevani Policy: A Health Insurance for All

Arogya Sanjeevani is a standard health insurance policy that is provided by every health insurance company in India. Arogya Sanjeevani policy covers basic health insurance needs and is a good option for those who not have medical insurance cover, especially in smaller towns.

As mandated by the IRDAI, Arogya Sanjeevani policy provides coverage from Rs. 1 lakh to Rs. 5 lakhs, with a waiting period of just 30 days. However, the waiting period for specific diseases ranges from 24 months to 48 months, which depends on the illness as well.

  • Benefits of Buying Arogya Sanjeevani Policy:

    • The policyholder under Arogya Sanjeevani get coverage for Coronavirus related hospitalization expenses
    • It reduces the complications that arise while selecting from several health plans with varied inclusions, exclusions, and sum assured. Therefore, it is easier for common people to buy a health cover without any difficulty to understand the policy terms and conditions
    • Cashless hospitalization, NCB, and lifelong renewal facility is provided
    • Moreover, it is easily portable from one insurer to another
  • Features of Arogya Sanjeevani Policy:

    • Arogya Sanjeevani health plans cover anyone between the age group of 5 months and 65 years
    • The minimum sum assured is Rs. 1 lakh and the maximum sum assured is Rs. 5 lakhs, therefore it makes a perfect health plan for people in rural areas and those who cannot afford to pay a higher premium
    • The policy cover hospitalization expenses, all daycare procedures, ICU expenses, Ayush treatment, Ambulance charges, Cataract treatment etc.
    • A co-pay of 5% is applicable regardless of the age of the policyholder

How to Port a Health Insurance Policy?

You do not have to stick to your current insurer any longer if you do not want to since IRDA now allows you to change your current insurer without losing any of the existing benefits. Previously, if you changed your insurer, then you had to compromise on the benefits, viz. coverage for any pre-existing disease offered by your existing medical insurance policy.
According to the new rules, IRDA allows you to switch from one insurer to another while the new insurer will have to consider the credits you gained from your previous insurer, where credits refer to the waiting period under pre-existing conditions. The same applies if you switch from one plan to another with the same insurance company.

What you can do

  • Switch from one health insurance company to another
  • Any family floater or individual policy can be switched from/to.
  • Avail insurance cover by your new insurer up to the sum assured by the previous policy.
  • Both the insurers should mutually complete the formalities as per the IRDA timeline.

Criteria to meet

  • A policy can be switched only at the time of renewal.
  • With the new policy, the terms and conditions, including the premium are at the discretion of the new insurer.
  • Submit a formal shifting request to your current insurer at least 45 days before the due date of the renewal.
  • Make sure you specify the name of the new insurer you are willing to switch to.
  • There should not be any break between policy renewals.

Some Myths about Health Insurance

Before relying on the information it is imperative to check the facts and then buy a health insurance policy. Mentioned below are some popular myths that most people believe about medical policies:

  • I am Healthy, and I Don't Need Medical Insurance

    Despite taking good care of your health, there are numerous unforeseen circumstances like seasonal illnesses, dengue, malaria, or an accident that can hit anyone anytime. Nowadays, hospitalization expenses are not easy to pay off. Even 2-days of hospitalization expenses would cost you somewhere between INR 60,000 to INR 1 lakh and even more (depending on the type of illness).

  • My Health Insurance will Cover all the Medical Expenses

    As per the IRDAI regulations, all the health insurance plans come with a set of exclusions/limitations. It is required that you check all the policy details and the coverage that is mentioned in the plan. The insurer will only compensate for the expenses that are covered in the policy and up to the specified limit.

  • Declaration of Pre-existing Diseases

    It is essential to declare all the pre-existing diseases in the proposal form. One must mention pre-existing diseases clearly before buying a health insurance policy. Inadequate information can lead to rejection of the claim and can cost more than the expected amount.

  • Smokers are not Eligible to Buy a Health Insurance Plan

    As per the survey, nearly 49% of the applicants who consume alcohol are perplexed to buy a health insurance policy. But there are health insurance companies that offer medical insurance coverage to them as well. But taking into consideration the risks, alcohol consumers, and smokers would need to undergo a stringent pre-medical examination procedure and pay a higher premium to get health insurance coverage.

  • Medical Insurance will only Cover Hospitalization Expenses

    Though most of the health insurance plans cover medical expenses for hospitalization more than 24-hours, there are plans that have a capping on the duration of hospitalization as well. But most of the insurers these days cover daycare procedure as well, where it is not required to be hospitalized for 24-hours. It includes cataract surgery, varicose veins surgery and similar medical procedures.

  • I am Covered Under a Group or Corporate Health Insurance Plan!

    Most people rely on the health insurance plan that is provided by their employer. It is important to know that a group health insurance policy comes with a set of limitations. It will not offer coverage to your family members in most of the cases, the sum assured will not be sufficient, it will not cover critical illnesses. Also, getting health insurance coverage after retirement or losing a job can prove to be an expensive affair.

How to Calculate Health Insurance Premium

In order to keep the policy in force, regular payment of a fixed premium is essential. Did you ever think about how this premium is calculated? There are certain factors that affect health insurance premium such as the medical background of your family, your personal medical history and so on.

Based on that, you might want to calculate your premium to figure out how much you would have to pay for the policy. It can be done through a health insurance premium calculator. Premium calculator is an online tool that calculates the premium to be paid as per the information provided by you. At Policybazaar.com, you can calculate your health insurance premium easily.

Factors Affecting Health Insurance Premium

With the advancement in medical facilities, health care costs have also increased. The main benefit of health insurance is that it takes care of the healthcare expenses. It offers financial security to you and your family in the event of an unanticipated serious illness or accidental injuries that could drain all your savings. And here is how the cost of your insurance premium is determined:

  • Medical History

    Your medical history is one of the major determinants of the health insurance premium. Almost all the ' health insurers in India make pre-medical tests mandatory (after a certain age) before buying a health insurance policy.

    While, some insurance companies don’t make medical screening mandatory but do consider your current medical conditions, lifestyle-related health risks and medical background of your family.

    That is why medical insurance premium for smokers is higher than other people.

  • Gender and Age

    Age is another important determinant of the medical insurance premium. The premium varies based on the age of the insured person.

    That is why it is recommended to buy a policy at a young age because the cost of the premium is low for young applicants.

    Elderly people are vulnerable to cardiovascular diseases, and other critical illnesses such as cancer, kidney problems, etc. For this reason, senior citizen medical insurance premium is usually on a higher side.

    Also, the cost of the premium for women's health insurance is lower in comparison to the male candidates due to lower risk of stroke, heart attack, etc.

  • Policy Term

    The premium for a 2-year health insurance plan will be higher than a 1-year plan. However, almost all insurance companies offer a discount on long-term medical insurance plans.

  • Type of Health Insurance Plan

    The type of health insurance policy you select also affects the cost of the premium. The higher the risks involved the higher will be the premium and vice-versa.
    With the help of an online health insurance premium calculator, you can compare the premium for different health insurance plans.

  • No-Claim-Discount

    If you have not made any claim during your policy term, then you can earn NCB or No-claim-bonus ranging from 5 to 50 percent. It is also one of the most important factors that are taken into consideration while calculating the cost of the premium.

  • Lifestyle

    If you drink or smoke regularly, chances are high that you will be charged more premium amount. In that case, the insurer can also reject your medical insurance policy request.

Health Insurance Claim Procedures

Health insurance plans come with additional benefits of cashless treatment and expense reimbursement by the insurer. One can file a claim against an event that is covered by the insurance policy. Following are two claim processes:

  • Expense Reimbursement

    Health insurance plans provide the insured with the benefit of getting their medical expenses reimbursed by the insurer. The cost of various hospital charges such as bed charges, medicines, lab tests, surgeon's fees, etc. are paid back to the insured if the claim for reimbursement is filed. The insured pays the (hospital) expenses but gets reimbursed by the insurance company.

  • Cashless Treatment

    Insurance companies provide policyholders with a wide range of network hospitals to get medical treatment without having to make upfront payments. No payment is required to be done by the insured since the clause involves a mutual agreement between both the parties, i.e. the insurer and the network hospital. Availing cashless benefit requires TPA approval.

    The insured can also show the insurer-issued health card at the particular hospital as proof of medical insurance cover along with a valid government ID. Following cases are considered for cashless treatment:

  • Planned Hospitalization

    In case of planned hospitalization, in order to avail health insurance benefit the insured needs to have TPA approval in advance along with other mandatory documents. Fill the pre-authorization form at the network hospital signed by the treating doctor(s).

  • Emergency Hospitalization

    Show the health card issued by the insurer at the hospital along with the appropriately-filled pre-authorization form to get TPA approval for emergency hospitalization. If you fail to get TPA approval, you would need to file for reimbursement later. The insured might have to show the itemized bill, proof of medical expenses, discharge bill, etc., as the proof of the treatment availed to avail claim reimbursement.

Documents Required for Health Insurance Claim Reimbursement

In the event of hospitalization, the policyholder needs to submit certain documents as mentioned below:

  • Discharge card issued by the hospital/network hospital
  • In-patient hospitalization bills signed by insured for authenticity
  • Doctors’ prescriptions and medical store bills
  • Claim-form with insured’s signature on it
  • Valid investigation report
  • Consumables and disposables prescribed by the doctors with complete details
  • Bills of doctors’ consultation
  • Copies of the Insurance policy from the previous year and the current year/copy of ID Card of TPA
  • Any other document(s) asked by the TPA

Buy Top Health Insurance Plans Online from Policybazaar

Buying health insurance can be easy if you approach the right channel. Having said this, Policybazaar.com can be a good platform for choosing the right insurance policy. Policybazaar has made the process of comparing & buying a health insurance policy easier in comparison to earlier days. One has easy access to the complete details of almost all the health insurance plans available in the Indian insurance market at a competitive price.

Policybazaar helps you sieve through numerous mediclaim and health insurance plans and zero down on the one that measures up to your needs. Moreover, the post-sale services are extended to the customers online as well even at the time of medical insurance claim.

Steps to Buy Health Insurance Plan Online from Policybazaar

To get insured from the comfort of your home, you can buy health insurance online from Policybazaar. No medicals are required and the steps to buy medical insurance are listed below:

Step 1- Select Male/Female and enter your full name

Step 2- Enter your correct phone number, and click on view plans and select your age

Step 3- Click on continue and your city where you are living in and the pin code

Step 4- Click on Yes or No if you take any medications

Step 5- Select the best health insurance plan from the options that are displayed. Choose ‘Get Free Advice’ if you want suggestions or help

Step 6- Select and compare the different health insurance plans on Policybazaar. You can choose the personalized plans options as well

Step 7- Once the plan is selected you can pay the premium or speak to our customer care representative to take your through different options

Step 8- Make an informed decision and pay the premium. Once all the steps are completed, the policy will be emailed on your registered email-id

List of Health Insurance Companies in India

In order to help you with the best and convenient buying experience, we have compiled a list of General Insurance Companies in India providing health insurance in India. This list is prepared based on the Incurred Claim Ratio (ICR) and the overall health insurance policy benefits that they are offering:

Let’s discuss these Health Insurance Providers in detail.

  • Aditya Birla Health Insurance

    Aditya Birla health insurance plans are designed to meet the diversified needs of the customers. The insurer offers a range of comprehensive plans with a sum assured limit up to Rs. 2 Crores. It is known for its individual, family, critical illness, and group health insurance plans. With more than 17,000 advisors, the insurance provider has presence in more than 650 Cities.

    Health Insurance Plans by Aditya Birla Capital

    Activ Health Platinum Activ Care Activ Assure Diamond
    Activ Secure Global Health Secure Group Activ Health/Secure
  • Bajaj Allianz Health Insurance

    A joint venture of Bajaj Finserv Limited, a comprehensive financial services company based out of India and Allianz SE, the global financial services major based out of Munich, Germany, Bajaj Allianz General Insurance Company focuses on the general insurance space in the country, including medical insurance. The insurance company has received the iAAA rating from ICRA for the 10th year in a row. With more than 6500 cashless hospitals in India, the insurer offers supreme healthcare with high sum insured options. As of 2019, Bajaj Allianz continues to be one of the robust general insurers in India with a profit of Rs 780 crore and revenue of Rs. 11,097 crore with a growth of 17%.

    Health Insurance Plans by Bajaj Allianz Insurance Company

    Health Guard Family Floater Plane Critical illness Policy Extra Care Health Plan
    Hospital Cash Daily Allowance Plan Silver Health Plan Star Package Health Plan
    Tax Gain Health Plan Critical illness for Women Individual Health Guard Insurance
    Health Care Supreme Plan Health Ensure Plan Silver Health Plan for Senior Citizens
  • Bharti AXA Health Insurance

    Bharti AXA Health Insurance claims to have settled 98.27% claims in a year, 1.3 million policies issued, 101 branch offices all over India and PAN India network hospitals to avail cashless treatment and these figures are enough to prove the reliability of the insurer. Health insurance offered by Bharti AXA offers extensive coverage maximum up to Rs. 1 Crore.

    Health Insurance Plans by Bharti AXA Insurance Company

    Smart Health Insurance Plan Smart Super Health Insurance Policy- Value, Classic and Uber Plan
  • Care Health Insurance (Formerly known as ReligareHealth Insurance)

    With a wide network of over 4,100 hospitals across the country, Care Health Insurance Company (Formerly known as Religare Health Insurance) is promoted by the founders of India’s leading private hospital chain, Fortis Hospitals. The insurance claims are directly entertained by the company executives and there is no third-party involved in the claim processing. Based on the coverage offered by individual health plans, customers can opt for riders for protection enhancement. Recently, the insurer was awarded MCX Award in 2019, Best Claims Service Provider of the Year for 2018 by Insurance India Summit & Awards 2018 and many more.

    Health Insurance Plans by Care Health Insurance Company (Formerly known as Religare Health Insurance)

    Care (Comprehensive Health Insurance) Enhance (Super Top Up Insurance) Care Freedom (Health Insurance with Medical Check-up) Joy (Maternity & New Born Cover)
    Group Care (Group Health Insurance) Secure (Personal Accident Insurance) Cancer Mediclaim (Lifelong Cancer Protection Cover) Heart Mediclaim (Health Cover for 16 Types of Heart Ailments)
    Critical Mediclaim (Critical Illness Cover) Operation Mediclaim (Surgery/Operation Expenses Cover) Group Secure (Group Personal Accident Insurance)
  • Chola MS Health Insurance

    Chola MS Health Insurance General Insurance Company Limited, established in 2001, was set up by the India-based Murugappa Group, a multi-business conglomerate, and the Japan-based Mitsui Sumitomo Insurance Group as a joint venture to address the general insurance market in India. The company provides both individual and corporate insurance solutions through its 105 branches and 9000 plus agents in the country.

    The insurer has received many accolades in a form of numerous awards for being perfect in its niche. The Pride of Tamil Nadu Award for BFSI, Golden Peacock Award in 2017 for best risk management, named as dream company to work to name a few.

    Health Insurance Plans by Chola MS Insurance Company

    Chola Swasth Parivar Insurance Chola Tax Plus Healthline Chola MS Family Healthline Insurance
    Chola Topup Healthline Chola MS Critical Healthline Insurance Chola Accident Protection
    Chola Hospital Cash Healthline Chola Classic Health - Individual Chola Classic Health - Family Floater
    Chola Super Topup Insurance Individual Healthline Insurance Hospital Cash Healthline Plan
    Chola Healthline
  • Digit Health Insurance

    Digit Health Insurance as the name suggests is a digital friendly health insurance provider that offers customized plans that can be easily purchased online. The policies are designed for individuals, families, and senior citizens, who can avail cashless claims in more than 5900 partner hospitals PAN India.The Insurer has bagged a couple of awards such as - ' Top Indian Startup 2019', and Asia's General Insurance Company of the Year 2019.

    Health Insurance Plans by Digit General Insurance Company

    Health Insurance Corporate Health Insurance
  • Edelweiss Health Insurance

    Edelweiss health medical insurance plans offer coverage to Individuals, Families, and Groups. It comes in three variants- Silver, Gold, and Platinum. The Platinum plans offer comprehensive coverage upto sum assured of Rs. 1 Crore. Coverage for Critical Illness is provided in both Gold, and Platinum plans.

    Health Insurance Plans by Edelweiss General Insurance Company

    Edelweiss Health Insurance Edelweiss Group Health Insurance
  • Future Generali Health Insurance

    A joint venture of the Indian Conglomerate Future Group, and the Generali Group, one of the world’s largest international insurance companies, Future Generali Health Insurance an Insurance Company has a PAN India presence with its 137 branches. The company provides a range of insurance solutions and intends to exploit the expansive network and local experience of the Future Group and the in-depth insurance expertise of Generali Group.

    Health Insurance Plans by Future Generali Insurance Company

    Future Health Suraksha - Individual Plan Future Health Suraksha - Family Plan Future Hospicash - Hospital Cash
    Comprehensive Plan - Health Total Accident Suraksha - Personal Accident Future Criticare - Critical Illness
    Future Vector Care Future Advantage Top up Future Health Surplus - Top-Up
    Surakshit Loan Bima
  • Iffco Tokio Health Insurance

    IFFCO Tokio Health Insurance is one of the most sought after insurance products in the market offered by IFFCO Tokio General Insurance Company. Formed in December, 2000, the provider is one of the most renowned insurance providers with maximum customer satisfaction that promises transparency and a hassle-free claim settlement. The health insurance company caters to the rural population as well and offers cashless treatment in more than 5000 network hospitals across India.

    Health Insurance Plans by Iffco Tokio General Insurance Company

    Family Health Protector Policy Critical Illness Health Insurance Individual Medishield Policy
    Swasthya Kavach Policy Individual Health Protector Policy Personal Accident Insurance Policy
  • Kotak Mahindra Health Insurance

    The insurance company is a subsidiary of one of the leading private sector banks in India i.e. Kotak Mahindra Health Insurance Ltd. In addition to the basic coverage, the insurer also provides add-on covers and discounts on premium. In more than 4000 network hospitals, the policyholders and the insured members in a plan can avail cashless hospitalization facility.

    Health Insurance Plans by Kotak Mahindra Insurance Company

    Kotak Secure Shield Kotak Health Super Top-up
    Accident Care Health Plan Kotak Health Premier
  • Liberty Health Insurance

    Liberty Health Insurance was commenced in the year 2013 and has been providing diversified health insurance products catering to the needs of different customers. The insurer has more than 5000 partner hospitals where the insured can avail cashless treatment. For it services in the insurance sector, Liberty General Insurance has been awarded Employer of Choice by the Excellence Awards.

    Health Insurance Plans by Liberty General Insurance Company

    Health Connect Policy Health Connect Supra
    Secure Health Connect Individual Personal Accident
  • Max Bupa Health Insurance

    Max Bupa Health Insurance has a presence in more than 190 countries and offers direct claim settlement without Third-party Administrator. To ensure convenience to its policyholders and seamless claim settlement the insurer offers cashless claim pre-authorization in 30-minutes

    Health Insurance Plans by Max Bupa General Insurance Company

    GoActive Family FloaterHealth Insurance Heartbeat Family Floater Health Plan
    Max Bupa Health Recharge Plan Criticare Health Insurance Plan
  • ManipalCigna Health Insurance

    ManipalCigna Insurance Company Limited (formerly known as CignaTTK Insurance Company Limited) is a joint venture between the Manipal Group and Cigna Corporation; both are global market leaders with a huge customer base. ManipalCigna Health Insurance offers a full suite of insurance solutions ranging from health, personal accident, major illness, travel and global care to individual customers, employer-employee, and non-employer-employee groups to meet their diverse health needs.

    Health Insurance Plans by ManipalCigna Insurance Company

    ProHealth Insurance Lifestyle Protection Critical Care Lifestyle Protection Accident Care
    Lifestyle Protection Group Policy ProHealth Group Insurance Policy ProHealth Select
    Global Health Group Policy ProHealth Cash
  • National Health Insurance

    It is one of the most renowned and oldest fully government organizations providing insurance cover In India. It was started in 1906 and now has nearly 1998 offices across India. It is one of the leading insurers providing customized national health insurance plans with comprehensive coverage to individuals, families, groups and senior citizens. Cashless hospitalization is provided in more than 6000 network hospitals across India

    Health Insurance Plans by National Insurance GI Company

    National Parivar Mediclaim Overseas Mediclaim Business and Holiday Plan
    National Mediclaim Policy National Critical Illness Plan
  • New India Assurance Health Insurance

    New India Assurance Health Insurance GI Co. was founded in 1919 and has its headquarters in Mumbai and has its presence across 28 countries. In addition to other insurance products, New India Assurance Health Insurance is one of the most trusted products among its customers. Most of the health plans do not require pre-medical check-ups up to the age of 50 years

    Health Insurance Plans by New India Assurance

    New India Assurance Senior Citizen Mediclaim Plan Asha Kiran Health Insurance Plan
    Asha Kiran Health Insurance Plan New India Assurance Mediclaim Policy
  • Oriental Health Insurance

    The Oriental health insurance company offers a range of comprehensive general insurance products. In addition to India the insurer offers services in Nepal, Kuwait, and Dubai. People can easily compare, buy and renew health insurance policies online. It offers the medical insurance plans promising an enhanced coverage at an affordable price. The insurance provider also offers insurance products for chemical and petrochemical industries.

    Health Insurance Plans by the Oriental insurance Company

    Happy Family Floater Plan Oriental PNB Health Plan
    Individual Mediclaim Health Insurance OBC Oriental Mediclaim Plan
  • Reliance Health Insurance

    Reliance is one of the most renowned general insurance providers in India. The insurer has 139 offices PAN India to where you easily reach out to them and avail their seamless services as per your own convenience. With online purchase and renewal services, they are even more accessible.

    Moreover, Reliance health insurance has its presence across India and abroad. Reliance provides both Individual and family floater plans. Moreover, Independent women can avail a discount of 5 percent on the premium

    Health Insurance Plans by Reliance General Insurance Company

    Reliance Health Wise Plan Reliance Health Gain Plan Reliance Health Gain Installment Plan
    Reliance Wellness Plan Reliance Critical Illness Plan Reliance Personal Accident Plan
  • Raheja QBE Health Insurance

    Raheja QBE Health Insurance belongs to the Rajan Raheja Group. It is one of the most popular general insurers in India. The insurer offers health insurance policy and cancer insurance policy with comprehensive policy features. Even the non-medical expenses are covered like attendants and hygiene in case of cashless claims. The Cancer Insurance policy offers coverage to individuals in the age group of 1 day to 70 years.

    Health Insurance Plans by Raheja QBE General Insurance Company

    Cancer Insurance Health QBE
  • Royal Sundaram Health Insurance

    Royal Sundaram Health Insurance GI Co. Ltd is recognized as one of the most popular general insurance companies in India. The insurer also offers cashless hospitalization facilities in nearly 5000 network hospitals in India itself. Royal Sundaram health insurance offers a lifelong renewability option.

    Health Insurance Plans by Royal Sundaram Insurance Company

    Family Plus Health InsurancePlan Elite Lifeline Health Plan
    Supreme Lifeline Health Plan Classic Lifeline Health Insurance
    Plan
  • Star Health Insurance

    Star Health insurance is the first standalone insurance company. Founded in the year 2006 Star Health and Allied Insurance Co Ltd. initially the company focused on Overseas Medicliam Policy, Health Insurance, and Personal Accident Plan but the vision has now expanded. With more than 9800 network hospitals across the country, the insurer was awarded the best BFSI Brand Award by Economic Times in 2019.

    Health Insurance Plans by Star Health Insurance Company

    Family Health Optima Plan Senior Citizens Red Carpet Star Comprehensive Insurance Policy
    Star Health Gain Insurance Policy Super Surplus Insurance Policy Diabetes Safe Insurance Policy
    Star Criticare Plus Insurance Policy Star Family Delite Insurance Policy Medi-classic Insurance Policy (Individual)
    Star Cardiac Care Insurance Policy
  • SBI Health Insurance

    SBI Health Insurance operated as a joint venture between State Bank of India and Insurance Australia Group. The company offers a range of health insurance plans for both individuals and groups. Serving a large share of insurance customers in India, it has gained the trust of its existing as well as prospective customers.

    Over these years, the company has successfully established its feet in the vast insurance market of India. The health insurance products of SBI allow its customers to manage their financial expenses. Based on the health cover required, its customers can opt for health insurance plans with sum assured up to Rs. 50,000 to Rs. 5,00,000.

    Health Insurance Plans by SBI Insurance Company

    Health Insurance Group Health Insurance - SBI Critical Illness Hospital Daily Cash
    Loan Insurance Arogya Premier Arogya Plus Arogya Top Up
  • Tata AIG Health Insurance

    Tata AIG Health Insurance General Insurance is a collaboration between TATA Group and the American International. The insurer has tie-ups with more than 4000 network hospitals in India where cashless treatment is available. The insurance provider ensures a seamless settlement of claims so that the insured can focus on the treatment.

    Health Insurance Plans by TATA AIG General Insurance Company

    MediPrime Health Insurance Plan Tata AIG Wellsurance Family Plan MediSenior Plan Tata AIG Wellsurance Women Plan
    MediPlus Plan MediRaksha Plan Wellsurance Executive Plan Critical Illness Policy
  • United India Health Insurance

    United India Health Insurance is one of the most popular general insurance companies in India. It was formed as a merger of 22 companies with their headquarters in Chennai. The insurer facilitates cashless medical treatment in more than 7000 hospitals PAN India. Also, the insurer has been accredited by ICRA for its high claim paying ability and high solvency margin ratio.

    Health Insurance Plans by United India Insurance Company

    MediPrime Health Insurance Plan Tata AIG Wellsurance Family Plan MediSenior Plan Tata AIG Wellsurance Women Plan
    MediPlus Plan MediRaksha Plan Wellsurance Executive Plan Critical Illness Policy
  • Universal Sompo Health Insurance

    Universal Sompo GI Co. is a private-public undertaking, which was founded in 2007. It is a joint collaboration between Dabur Investment Corporation, Indian Overseas Bank, Karnataka Bank, Allahabad, and Sompo Japan. Universal Sompo health insurance plans are designed in a simple and affordable manner to meet the most of the insurance needs of its customers. Moreover, cashless treatment is available in more than 5000 network hospitals across India. Diversified plans available for individuals, families, groups, NGOs, students and the likewise.

    Health Insurance Plans by Universal Sompo

    Individual Health Insurance Janta Personal Accident Insurance Complete Healthcare Insurance
    Senior Citizen Health Insurance Aapat Suraksha Bima Policy Hospital Cash Insurance Policy
    Sampoorna Suraksha Bima Group Personal Accident Policy Critical Illness Insurance

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

FAQs

  • Q: How much does health insurance cost for an individual?

    Ans: As per the market trends, a person buying a family floater policy of Rs 5 lakh covering self, spouse, and one child, the premium will cost around Rs 10,000 to Rs 17,000 on an annual basis. However, it depends on the age of the person insured and medical history. However, an individual health plan with a basic cover of Rs 5 lakh for a 32-year-old will only cost around Rs 5000-8000 a year. Please note that there is no fixed set of insurance costs, it varies as per different factors such as the sum insured amount, policy duration, medical history, illnesses covered, etc.
  • Q: What is the right age to buy health insurance?

    Ans: There is no right age or wrong age to buy a health insurance policy. However, it is suggested that the earlier you buy it the lesser would be the premium. The reason is the lesser risk of health issues at a young age as compared to someone who is in their mid-50s or 60s and is more prone to critical illnesses. Therefore, if you get health insurance in your 30s you will be able to avail yourself maximum insurance benefits that too at a lower premium.
  • Q: Can a person have more than one health insurance policy?

    Ans: Yes, you can buy more than one health insurance policy in India. For example, if you are covered under a corporate health plan then you can get an individual or family floater health insurance policy as well. And if you already have individual health insurance you can get another top-up health plan or a senior citizen health insurance plan for your parents.
  • Q: Is a medical test mandatory to buy a health insurance policy?

    Ans: Medical tests are not mandatory before buying a health insurance policy. However, most of the health insurance companies in India require medical reports if the age of the applicants is above 45 years. But this can vary depending on the age of the applicant and the insurer’s requirement.
  • Q: How much is health insurance a month for a single person?

    Ans: The cost of health insurance a month for a single person can range anywhere around Rs 200-Rs 1000. However, it can vary as per the age of the policyholder and the sum insured amount that he/she has opted for.
  • Q: How many claims are allowed in health insurance?

    Ans: Usually, a health insurance policy permits one to two claims during a policy term. And some health insurance companies that offer policies with unlimited claims during the policy tenure. So, please read the policy wordings before making the purchase.
  • Q: What are the diseases that are not covered in health insurance?

    Ans: A health insurance policy usually does not cover HIV/AIDS treatment, only a few companies cover it. Any of the congenital disorders, venereal diseases, general debility, and dental treatment/surgery unless it is required as a part of the treatment is excluded from health insurance coverage. But do check your policy wordings to know more about the detailed list of exclusions in a health insurance plan.
  • Q: I have my employer's group policy; do I need to buy a separate health insurance plan?

    Ans: Yes, an employer’s health insurance policy might not be sufficient in certain cases. The sum insured is usually between Rs 2 lakh and Rs 5 lakh, which might not be sufficient. And to cover today’s expensive treatment costs, it is important to have a separate health insurance plan of minimum of Rs 10 lakh.
  • Q: Does my health insurance policy cover healthcare expenses related to COVID-19?

    Ans: Yes, health insurance plans cover COVID-19 hospitalization expenses. You can also buy COVID- specific health plans like Corona Kavach and Corona Rakshak health plans if you want COVID treatment cover. However, normal health insurance plans cover the expenses and insurers provide special health plans.
  • Q: What does cashless hospitalization mean in a health insurance policy?

    Ans: Cashless hospitalization means that the treatment charges are paid by the insurance company to the hospital. All the insurance companies have a tie-up with the network hospitals where the insured/policyholder can avail cashless treatment for an illness or accidental treatment.
  • Q: What are pre-and post-hospitalization expenses in health insurance?

    Ans: Pre-hospitalization expenses refer to the expenses incurred 60-90 days before getting admitted. Post-hospitalization expenses refer to the cost of tests and treatment charges incurred after getting discharged from the hospital.
  • Q: How to add my family members to my existing medical policy?

    Ans: You can add your family members to your health insurance policy at the time of renewal or at the time of purchase. You, your spouse, dependent children, parents, can be covered in a family health insurance plan.
  • Q: At what age can I include my children in my health insurance plan?

    Ans: You can include your children in a family floater policy from Day 1. In some health plans, children are covered after 91 days.
  • Q: What is a free-look period in health insurance?

    Ans: A free-look period in health insurance starts 15 days after policy purchase. During this period you can review your health insurance policy features, coverage, and decide if you want to continue or not. You can also opt for add-on covers during this period.
  • Q: What do you mean by Network and Non-network Hospitals?

    Ans: Network hospitals refer to those hospitals that are under the panel of the Insurance Company. In these hospitals, you can avail cashless hospitalization facility and the insurer settles the bills directly with the hospital. Non-network hospitals are the general category hospitals where you can avail the treatment and file for reimbursement of medical expenses.
  • Q: What does it mean to have Domiciliary Hospitalization cover?

    Ans: Domiciliary hospitalization refers to the treatment taken at home, only if it is prescribed by the treating doctor. Some health plans also cover COVID-related domiciliary treatment costs.
  • Q: What are the benefits offered under basic hospitalization cover?

    Ans: Basic hospitalization expenses include the cost of the treatment, doctor fees, ICU charges, room rent charges, cost of medicines, diagnostic fees, etc. These are the basic hospitalization benefits. If you want critical illness cover you can get this as an add-on cover or buy it as a rider benefit.
  • Q: Can a minor buy a health insurance plan in India?

    Ans: A minor below the age of 18-years cannot buy a health insurance policy. However, it depends on the insurer.
  • Q: What to do if I am admitted to a non-network hospital?

    Ans: If you are admitted to a non-network hospital then you can avail of the treatment and file a reimbursement claim. The health insurance company will provide you compensation up to the sum insured limit.
  • Q: Can the nominee be changed in the middle of the policy term?

    Ans: No, you cannot change a policy nominee in the middle of the policy. However, you can file an endorsement to make changes in your policy coverage benefits.
  • Q: What happens if my medical policy lapses during hospitalization?

    Ans: If the policy lapses during hospitalization you won’t be able to avail the insurance benefits. Therefore, it is recommended to renew your policy timely if you want to avail continuous policy coverage benefits.
  • Q: Does a waiting period apply if I increase my sum insured at the time of policy renewal?

    Ans: Yes, you can increase your policy sum insured at the time of renewal. Yes, the waiting period will apply, it will only be over when the duration of the waiting period i.e. 2-years, 4-years will complete.
  • Q: What is a Cumulative Bonus in a health insurance plan?

    Ans: A cumulative bonus in health insurance implies monetary benefits that the insurer provides you as a reward for not filing a claim during the policy year. It is also called a No-claim-bonus similar to that in car insurance. However, the policy benefits differ from one health insurance Company to another.
  • Q: Does every network hospital provide a cashless facility?

    Ans: Yes, most of the network hospitals provide cashless facilities. As they have tie-ups with the insurance company. Therefore, the claims are settled directly with the hospital.
  • Q: What is the claim settlement ratio?

    Ans: The claim settlement ratio refers to the number of claims settled by the insurance company against the number of claims filed. The higher the claim settlement ratio the better is the insurer’s ability to settle the claims.
  • Q: What happens to my health insurance policy after a health claim is filed?

    Ans: Once the claim is filed the policy benefits continue till the end of the policy term unless it is a Lumpsum cover like in a critical illness policy or a top-up health insurance plan.
  • Q: How do I renew my mediclaim policy?

    Ans: You can renew your mediclaim policy online through Policybazaar or the Insurer’s website. The steps to renew health insurance are simple:
    • Go to the ‘health insurance renewal page’
    • Select the policy or the policy number
    • Select the policy benefits and features
    • You can also increase the sum insured at the time of renewal
    • Now pay the premium and your policy is renewed
    • You will receive the soft copy over email and a hard copy will be sent to your registered address
  • Q: Can I transfer my health insurance policy without losing renewal benefits?

    Ans: While transferring your health insurance policy from one insurance company to another, you don’t lose the benefits that you have accumulated during the policy term. As per IRDAI’s new regulations, the benefits remain intact. Earlier it resulted in losing out on benefits accumulated in health insurance policies, like the waiting period for covering Pre-existing Illnesses.
  • Q: Do I get any discount on the premium at the time of my health insurance policy renewal?

    Ans: It is not necessary that you will get a discount on the premium at the time of renewal. However, if you renew it online from Policybazaar you can save between 7.5% and 12.5% on the premium.
  • Q: If I do not renew my health insurance policy e before the expiry date, will it be denied for renewal?

    Ans: If you do not renew your health insurance policy before the expiry date, it cannot be renewed. You will have to buy a new mediclaim policy with a fresh waiting period clause.
  • Q: Is it possible to modify add-on covers while renewing my health insurance policy?

    Ans: Yes, you can modify your health insurance policy add-on covers at the time of renewal. The insurer can charge you some extra premium to modify the add-ons or rider benefits.
  • Q: Is there a grace period for health insurance renewal?

    Ans: Online health insurance renewal is quick and convenient. You can renew your health insurance plan on Policybazaar.com by entering your policy number and other required details. Once you make the payment the insurance gets renewed without much paperwork. Moreover, you can avail of good discounts with online renewal.
  • Q: What to do if the health insurance policy renewal date is missed?

    Ans: If your health insurance policy renewal date is missed you can check for the grace period. If that is also missed, you would need to buy a fresh health insurance plan with a fresh waiting period, NCB, etc.
  • Q: Why do I need Health Insurance?

    Ans: Health insurance policy ensures that you would not have to bear medical bills and hospitalization expenses out of your own pocket. It comes with the dual-benefit of coverage against medical emergencies and assured tax benefits under section 80D of Income Tax Act, 1961. With the increasing risk of medical contingencies and its corresponding rise in hospitalization cost, medical insurance is quite important for your family and you. It safeguards your loved ones against financial troubles, thereby assuring you for best medical facilities
  • Q: Can I cancel my health insurance? If yes, will I get my premium back?

    Ans: Yes, you can cancel your health insurance. A free look period of 15 days from the date of policy receipt is available to you to review terms and conditions of the policy. If you are not satisfied with the terms of the policy, then you may seek cancelation of it. In such an event, insurance company allows refund of expense done after adjusting underwriting costs, cost of pre-acceptance medical screening, etc.
  • Q: What do you mean by waiting period in health insurance plans?

    Ans: The waiting period is a defined time-period that the insured has to serve to cover the pre-existing illness. No claim during this period will be accepted by the insurer except in the case of emergency hospitalisation. Let’s say if the waiting period is 3 years, a claim for the cover can be claimed only after serving 3 years from the date of inception of the policy. Read more about waiting Period in details
  • Q: Do health insurance plans cover outpatient expenses also?

    Ans: Most of the insurance companies have a mandatory requirement of 24 hours hospitalization. However, some insurance companies like Cigna TTK, and MAX Bupa cover OPD (outpatient department) expenses in their base mediclaim policy, while companies like National Insurance offer an OPD cover as a rider at an additional premium.
  • Q: When should I make a health insurance claim?

    Ans: A health insurance claim can be filed for any illness or medical expense that is covered under the policy.
  • Q: What do you mean by No-claim-bonus in health insurance plans?

    Ans: No claim bonus (NCB) is a discount on the base premium if no claim on the health policy is made during the policy term. This bonus is usually given in the form of a discount or enhancement of sum insured amount.
  • Q: How much does health insurance cost?

    Ans: Various factors collectively play an important role in deciding the total cost which you need to shell out to get cover. Young, healthy people need to pay far less for insurance than their old counterparts. Similarly, if you are buying a single policy then total payable would be low in comparison to a family health plan. The cost of medical insurance also depends upon the total sum insured, the higher it is the higher the premium and vice versa. Assured. Other factors include pre-existing medical conditions, age, policy type, policy tenure, etc.
  • Q: What is the sum insured in health insurance plans?

    Ans: Sum Insured is the pre-determined coverage amount that is paid by the insurance company to the policy holder at the time of claim.
  • Q: What are the various riders and benefits available in health insurance plans?

    Ans: A rider is an add-on option that can be added to current health policy to get additional cover. There are various riders available in medical insurance sector and some of the major ones are listed below-
    • Critical illness rider
    • Hospital Cash benefit
    • Attendant allowance to accompany the insured person who is hospitalized
    • Maternity cover
    • OPD expenses cover
    • Health check-up cover
  • Q: What are pre-existing diseases or conditions?

    Ans: Any health problem faced by one prior to seeking insurance policy is called pre-existing diseases. Insurance companies are reluctant to cover such diseases as it is a costlier affair for them. Every insurance company has its conditions regarding such illnesses. Some firms prefer to check a person’s entire medical history to know pre-existing condition status, while other insurers will look for medical records over the past four years. So while choosing a policy, you should also need to compare the waiting period stipulated in policies for covering such ailments.
  • Q: What if the insurance company refuses to settle my claim and I want to file a complaint?

    Ans: In order to monitor grievances and turnaround times of policyholders, IRDA has implemented the Integrated Grievance Management System (IGMS). It is a platform where policyholders can register their complaints with insurance companies first and if required, it can be escalated to IRDA Grievance Cells. You can reach IRDA Grievance Call Centre (IGCC) through- Call - Toll free number 155255 for voice calls Email - complaints@irda.gov.in
  • Q: What do you mean by health card?

    Ans: It is a card that comes along with health insurance policy. Similar to the identity card, this card will allow you to avail of cashless hospitalization.
  • Q: What is the right time to buy a health insurance policy?

    Ans: ASAP- As soon as possible is the perfect answer to this question. By buying at a younger age, you can enjoy low premium rates. Moreover, for critical illnesses, every firm has its waiting period. By buying it at a young age means you get access to health inclusion when the need actually arises. So don’t wait for any accident or a medical condition to occur before you hit a panic button and buy a health insurance policy.
  • Q: What is personal accident insurance?

    Ans: Personal accident insurance is an annual policy that offers compensation in the event of injury, disability, or death due to an accident caused by external and violent means. An accident may include events like rail/road/air accident, injury due to cylinder burst, injury due to collision, burn injury, drowning, etc.
  • Q: Why should I buy a critical illness cover?

    Ans: While mediclaim takes care of hospitalization expenses, critical illness cover is used to cover extra costs that may arise while seeking treatment for critical diseases like cancer, stroke, coronary heart disease, major organ failure, paralysis, etc. Under critical illness, the insurer agrees to pay a lump sum amount on the diagnosis of dreadful diseases listed in the policy document. expenses. The purpose of a critical illness cover is to pay for costly treatments. The scope of coverage is much wider as it covers up to 20 critical illnesses. Moreover, general insurance companies offer a critical illness cover for 1-5 years. It means you have ample coverage for a longer duration.
  • Q: How can I exercise the portability procedure on my current health insurance?

    Ans: Health insurance portability can be exercised only at the time of renewing a policy, not at any time during the policy term. Switching to a new firm can be easy if you follow below simple steps.
    • An insured needs to send an application to port the policy to the new firm which should reach at least 45 days before the last day of renewal of the current policy
    • Once your request is received by the new firm, they will send a proposal and portability forms along with details of different products offered by it
    • Choose the insurance product which suits you most and fill up the proposal and portability forms and submit them to the new firm
    • After receiving both the forms, the insurance company will approach your current firm seeking details like medical history and claim history.
    • After the new firm receives all details regarding your previous policy, he has to decide on underwriting your insurance application within 15 days. If the new firm fails to abide by this duration, he will be bound to accept your application.
  • Q: How to select the best health insurance plan in India?

    Ans: Almost all the health insurance companies offer different health insurance plans to meet the needs and requirements of its different customers. Here are some of the most important points that you must keep in mind when selecting the best health plan in India. Check the Sum Insured, Coverage limit, Entry Age and renewability clause, co-payment clause, Inclusions & exclusions, waiting period and the No-claim-bonus. After comparing different plans based on the above parameters you can select the right plan.
  • Q: What is the procedure for reimbursement settlement?

    Ans: The process for reimbursement goes as follows:
    • Inform the insurer and submit the filled reimbursement claim form within 30 days from the date of release from the hospital .
    • You are required to submit all the original and duly stamped medical reports, medical bills and hospital bills with the claim form.
    • A discharge card, which ensures that you are medically fit, is to be submitted to the insurer as well.
    • Doctor’s follow-up prescription should also be submitted at the time of filing a claim. For a post-hospitalization expense to be covered, you can submit the bills within 60/90/120 days from discharge, as per your insurer’s norms.
    • Keep copies of all submitted documents for future reference and retain them all. The insurer will follow you once the claim is registered and he/she will further guide you. Usually, a claim is settled within 2-3 weeks after it is registered.
  • Q: How much health insurance coverage do I need?

    Ans: You need to decide the medical insurance coverage you need based on your lifestyle, pre-existing health conditions, medical background of your family, annual income, age, health risks and the premium that you can pay.
  • Q: Are individual health insurance plans better than family floater health insurance plans?

    Ans: An individual health insurance plan only provides coverage for an individual, whereas a family floater plan ensures coverage for the entire family in case of a medical emergency. However, an individual plan costs more than a family health insurance floater plan, which is why most individuals opt for family floaters. Family floaters also offer a higher sum insured than individual health insurance plans, in case of only one claim in a year.
  • Q: How does smoking affect health insurance premiums?

    Ans: The cost of getting a health insurance plan can be significantly higher for those who are regular tobacco users. This is because smoking predisposes an individual to various diseases like heart complications, hypertension, respiratory issues, cancer, etc. Though the number of smokers is higher for men, women who smoke are also prone to osteoporosis. As a result, the premiums for health insurance are higher for smokers and tobacco users are higher than those who do not smoke.
  • Q: What is covered under a health insurance policy?

    Ans: Health Insurance provides all essential health benefits, including doctors' consultation fees, inpatient and outpatient expenses, while some insurers also cover pregnancy and childbirth-related expenses.
  • Q: What are the documents required for purchasing a health insurance policy?

    Ans: There are no documents required as such for purchasing a health insurance policy. You may have to undergo a pre-policy medical check-up if you are a senior citizen. However, you must have valid proof of your identity, address, age, etc. when you need to file a claim with your insurer. Note: You can always check on your insurer’s website about the documents required for purchasing a health insurance policy.
  • Q: Is medical checkup necessary before buying a policy?

    Ans: Pre policy medical checkup is mostly applicable to higher age bracket or people having past medical history and opting for high sum insured. However, it is in our best interests to undergo medical test at the time of buying a policy to ensure the fast and efficient claim settlement.
  • Q: What are the minimum and maximum policy durations?

    Ans: You have the option to buy health insurance plans either for 1 year, 2 years or 3 years. Buying it for 2 years entitles you to get discounts.
  • Q: Can my friend buy a health insurance policy if he/she is not an Indian National but living in India?

    Ans: Yes, foreigners living in India can apply for health insurance policy. However, coverage would be applicable within India only.
  • Q: Do health insurance plans cover diagnostic charges like X- ray, ultrasound or MRI?

    Ans: Health insurance plans cover diagnostic charges like X ray, ultrasound, blood tests or MRI, only if a patient stays in a hospital for at least one day. Any diagnostic test which doesn’t lead to treatment or those tests which have been prescribed to outpatients are not covered.
  • Q: What happens to the policy after the claim is filed?

    Ans: After a claim is filed and settled, the coverage amount would be reduced by the sum that has been paid. For instance, in January, you start a health policy with Rs 10 lakh coverage and in May, you make a claim of Rs 5 lakh. The coverage available to you for June-December would be the balance amount i.e. Rs 5 lakh.
  • Q: Can I take policy for my kid who is 3 years old?

    Ans: Usually children are not covered individually in a health insurance policy but can be covered by either of the parent in their own health policy.

News

  • U.P. announces accident & health insurance cover for laborers

    Chief minister Yogi Adityanath on this Labor Day announced two schemes for the laborers in U.P. They are provided an insurance cover of Rs 2 lakh that is provided to all the laborers for accidental death or disability. They will also be given a health insurance cover of Rs 5 lakh.

    In a virtual interaction on Saturday with the laborers, the CM said that amid the second wave of the Covid-19 pandemic, the government will also start distribution of free ration under the PM Garib Kalyan Yojana from May 5, 2021.

  • Rajasthan first state to offer health insurance to its people

    Chief Minister Ashok Gehlot announced the launch of Mukhyamantri Chiranjeevi Swasthya Bima Yojana. In this scheme, every family gets coverage up to five lakh per year for medical expenses. People can register themselves and avail cashless treatment.

    It is one of the biggest medical insurance schemes that will provide medical relief to all the people of Rajasthan. Chief Minister Gehlot announced this health insurance scheme in the state budget 2021-22. With this Rajasthan becomes the first state to roll out health insurance cover to its people..

  • IRDAI Extends the validity of COVID Health Insurance till Sept 30

    IRDAI in its recent circular announced to extend the validity of COVID-specific health schemes till September 30, 2021. The extension is for both purchase and renewal of these COVID plans i.e. Corona Rakshak and Corona Kavach schemes. It will help the people to secure themselves amid the rising number of Coronavirus cases in India. The regulator also mentions that the policy terms and conditions will remain the same.

    At present, you can buy these COVID insurance products 3.5/6.5/9.5 months. While Corona Kavach is a standard Indemnity based plan and Corona Rakshak is a Standard benefit-based plan and all the health insurance companies will now allow the renewal of these plans up to September 30, 2021..

  • Health Insurance Companies to Pay for Coronavirus Vaccine Adverse Reaction: IRDAI

    As the COVID vaccine drive is in full swing, The Insurance Regulator and Development Authority of India (IRDAI) has clarified that the treatment of any reaction after Coronavirus vaccination to be covered under health insurance policy. The insurer will pay for hospitalization expenses and the policyholder can claim just like a normal health insurance plan. Health insurance companies will settle the claims just like other health insurance claims..
  • IRDAI directs Health Insurance Companies to periodically notify the policyholders

    In a move to improve the communication between the policyholders and the insurance companies, IRDAI has specified norms that the insurers need to follow to ensure the flow of relevant information to policyholders.

    Health insurance companies need to intimate the policyholders twice a year or once in six months after policy issuance. This can be done at least 1 month before the policy renewal date. And if it is a multi-year policy, the insurer needs to share the information with a frequency of six months from the policy issuance date.

    Additionally, in the event of claim settlement under a health insurance policy, the insurance company shall also communicate the details of the remaining coverage amount along with the No-claim-bonus. The policyholders shall be notified within 15 days of settlement of claim..

  • Covid-19 Vaccination Adverse Reactions to be Covered under Health Insurance: Report

    The General Insurance Council has notified the Insurance Regulatory and Development Authority of India (IRDAI) about the industry's decision to cover the adverse effects related to COVID-19 vaccination.

    Since the rollout of the Covishield and Covaxin vaccine in India the Authorities have been trying to mitigate fears surrounding the COVID-19 vaccination. Covaxin, which was developed in dual collaboration of the National Institute of Virology and the Indian Council of Medical Research has been granted approval for restricted use in emergencies.

    As speculations around the new jabs mount, the Industry officials have said that the Adverse reactions to Coronavirus vaccines requiring hospitalization are covered under health insurance.

  • Budget 2021: Finance minister announces Rs 64,180 cr. boost for healthcare sector

    Finance Minister Nirmala SItharaman has presented the Union budget for year 2021. We have seen the effects of Covid-19 on the healthcare sector. As the first pillar out of six pillars is Health and well-being in the Budget 2021.

    India has the world’s second highest coronavirus caseload after the USA and currently spending about 1% of GDP on health, among the lowest for any major economy.

    “The investment in health infrastructure in this budget has increased substantially”, said Nirmala SItharaman.

    FM Nirmala SItharaman, taking a comprehensive approach towards healthcare has focused on strengthening three key areas, which are Preventive, Curative and Well-being.

    Finance Minister has announced a new center sponsored scheme with an outlay of Rs 64,180 Crore to boost the health care infrastructure across the country amid ongoing COVID-19 pandemic. The total budget for healthcare is Rs 2,23 lakh crore. This is an increase of 137% from last year. Moreover, the Finance Minister announced Rs 35,000 Crore Covid-19 Vaccine.

  • New health insurance policy rules to reduce out-of-pocket expenses

    Starting from October 1, 2020, health insurance claims will become more transparent. As per the recent IRDAI guidelines, restrictions have been imposed on proportionate deductions. Deductibles are a percentage of the bill that the insured pays from his pocket. And sub-limits means the insurer will only cover the expense to the specified limit like in-room rent, ambulance charges, etc.

    The insurers need to define these as 'associate medical expenses' in the policy wordings and the cost of implants, pharmacy, medical devices and diagnosis will not be a part the same.

    Proportionate deductions shall not apply to ICU charges and in-room category if the hospital does not follow the differential billing.

    This move will reduce out-of-the-pocket expenses for customers. It will apply to new policies that are issued on or after October 1, 2020 or are due for renewal from April 1, 2021.

  • Health insurance renewal extended till April 21: IRDAI

    In a recent circular, Insurance Regulatory and Development Authority of India, IRDAI has asked the health insurance companies in India to extend the health insurance renewal dates of the policyholders whose renewal fall due during the COVID-19 lockdown. The Department of Financial Services, Government of India, issued a notification in this regard on April 1, 2020.

    As per the circular, the Central Government has directed that the customers who are not able to renew their health insurance policy between March 25 and April 14, 2020 and considering the current situation due to COVID-19 lockdown, for them the renewal date has been extended till April 21, 2020 to ensure continued health insurance benefits.

    IRDAI said that the insured person shall be required to pay the health insurance renewal premium for the entire year from the date it was due till April 21,2020. In addition to that the regulator has also mentioned that the customers should be communicated by the insurers regarding this renewal grace period via mail, telephone, sms, and online on their website.

    Once the premium is paid and the policy is renewed on or before April 21,2020 the period of insurance cover will be in continuance from the last renewal date without any gap provided the renewal falls during the lockdown period.

    IRDAI has also asked the insurance providers to make necessary arrangements ensuring easy premium payment by the insured persons during the week after the lockdown period ends.

  • 1 Month grace period for paying renewal premiums”, says IRDA

    When all news channels are swamped with news of Corona pandemic and its deadly effect globally, IRDA’s announcement for an additional window of 30 days to pay the life insurance renewal premiums is a big relief.

    In a recent circular IRDA has notified that even the health insurers may overlook delay in renewal payments up to a period pf 30 days without deeming this delay as a break-in insurance policy. In case of a life insurance policy, the insurance providers are asked to enhance the grace period if needed up to an additional 30 days.

    With this IRDA has also confirmed that there will be no change in the benefits offered under a particular policy, including no claim bonus if applicable.

Updated: 07 May 2021
Written by Amit Chabra
Author | 4 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.

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