Best Health Insurance Plans in India

Best Health Insurance Plans in India

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Health insurance is an imperative buy as it helps you to keep up with the ever soaring healthcare costs, thus securing a healthy future for yourself and your family. But it is the most intricate insurance product of all. It comes with numerous riders and benefits and hence there are so many variants to it.

To make the matter more confusing, there stands a long string of fine prints to meddle with. Besides, there are so many health insurance companies to choose from. Buying a family health plan is no longer a simple affair.

But you can put a halt to your confusion because at PolicyBazaar we are passionate about getting you the best of insurance. Take your pick from the 10 best health insurance plans in India. These plans have been chosen over others as they stand superior on certain parameters such as eligibility, uniqueness of features, coverage, affordability, limits and exclusions.

10 Best Health Insurance Plans in India

1. Star Health Senior Citizen Red Carpet
2. Star Health Cardiac Care
3. Apollo Munich Optima Restore
4. ICICI Lombard Complete Health Insurance
5. Max Bupa Heartbeat
6. Religare ‘Care’ - Health Insurance Policy
7. New India Assurance Janata Mediclaim Policy
8. Bharti AXA SmartHealth
9. Oriental Insurance Happy Family Floater
10. L&T my:health Medisure Prime Insurance

S.No.

Company

Plan

Entry Age

Sum Assured (Rs)

Premium starts from (Rs)

USP

1

Star Health

Senior Citizen Red Carpet

60 – 75 years

1,00,000 to 5,00,000

5000

Specially designed for old aged

2

Star Health

Cardiac Care

10 – 65 years

3,00,000 to 4,00,000

18000

A boon for the cardiac patients

3

Apollo Munich

Optima Restore

18 – 65 years

91 days to 21 years (for floater)

3,00,000 to 15,00,000

5000

Restores the exhausted sum assured

4

ICICI Lombard

Complete Health Insurance

- iHealth Plan

6 years – No upper limit

3 months (for floater)

3,00,000 to 10,00,000

3300

A comprehensive plan featuring a floater cover that can extend to all the family members including brothers and sisters

5

Max Bupa

Heartbeat

No age limit

2,00,000 to 50,00,000

3700

A family oriented health insurance with unique features such as inbuilt maternity and new-born benefits. The insured can get up to 13 family members covered under one single plan

6

Religare

Care Health Insurance Plan

5 years – No upper limit

3 months (for floater)

2,00,000 to

60,00,000

2300

This plan set a new benchmark by extending the upper limit of the sum insured to 60 lakh (highest in health plans)

7

New India Assurance

Janata Mediclaim

18 – 65 years

3 months (for floater)

50,000 or 75,000

700

This plan has also set a benchmark. With a lower cap of premium at just Rs 700, it is the most affordable health insurance plan

8

Bharti AXA

Smart Health

2- 65 years

3 months (for floater)

50,000 to 5,00,000

4300

A truly smart plan with flexible coverage and distinctive features such as inbuilt critical illness benefit, personal accident add-on at a nominal additional cost and 11 different value-added benefits

9

The Oriental Insurance

Happy Family Floater

21 – 65 years

3 months (for floater)

1,00,000 to 10,00,000

1300

An affordable family floater with valuable add-ons and discounts

10

L&T Insurance

my:health Medisure Prime Insurance

18 – 65 years

3 months (for floater)

3,00,000 to 10,00,000

6000

It was recognized as the product of the year in 2012 and for the right reasons. my:health takes the best of all plans and serve it on one plate

1. Star Health Senior Citizen Red Carpet

Buying a health insurance becomes more and more costly when you need it the most, especially in the old age. Star Health has really proved to be a star when it comes to serving a niche. With an intention to serve the insurance needs of the old aged, the company launched Senior Citizen Red Carpet. This plan not only extended the entry age from 69 to 75 years but also worked on making the overall coverage and features more old-aged friendly

Standout Features:

  • Created for people aged between 60-75 years
  • Entry age extended to 75 years
  • Pre-existing disease starts getting covered right from the first year (except those for which treatment was received/recommended during the preceding 12 months from proposal date)
  • 10% discount can be availed on providing test reports of stress thallium, BP report, sugar, blood urea and creatinine. The discount can also be availed if the insured submits a self declaration mentioning that any surgery related to brain, heart or cancer has not been done in the pastLifelong renewal (no age limit for renewal)
  • No medical screening required
  • Emergency ambulance charges covered
  • Domiciliary treatment covered

Regular features:

  • Covers In-patient hospitalization expenses, including ICU expenses, nursing expenses, surgeon's fees, consultant's fees, anesthetist's and specialist's fees, cost of blood, oxygen, pacemaker, cost of drugs and diagnostic tests
  • Pre and post hospitalization expenses covered
  • Day care procedures covered
  • Tax benefits under section 80D

Exclusions:

  • 30 days initial waiting period, before which no coverage is given
  • 2 years waiting period for specific diseases like cataract, knee replacement surgery etc.
  • 1 year waiting period for specific diseases like hernia, piles etc.
  • Treatments currently availed or availed during the preceding 12 months from proposal date
  • Naturopathy treatment
  • Cosmetic surgery
  • Diagnosis tests

What’s not so good?

  • Treatment can be availed at network hospitals only
  • The insured has to make a 50% co-payment of the claim amount, for pre-exis­ting diseases
  • The insured has to make a 30% co-payment of the claim amount, for all other claims

2. Star Health Cardiac Care

It’s an irony that in India, a country with over 32 million cardiac patients, no insurer has come forward to serve the insurance needs of cardiac patients, especially those who have undergone a heart surgery. Star Health has finally introduced ‘Star Cardiac Care’ a plan that is especially designed for cardiac patients. Innovative in the true sense, this plan is offered in two variants- Silver and Gold.

Standout Features:

  • Created for cardiac patients aged between 10-65 years
  • Lifelong renewal (no age limit for renewal)
  • Cardiac ailments get covered right after 3 months from the commencement of the policy
  • All the insured persons will have to go through a medical screening
  • Coverage for cardiac ailments requiring surgery /intervention
  • Coverage for cardiac medical management (only for Gold plan)

Regular Features:

Exclusions:

  • 30 days initial waiting period, before which no coverage is given
  • 4 years waiting period for pre-existing diseases (other than cardiac diseases)
  • 2 years waiting period for specific diseases like cataract, hernia, renal stones etc.
  • 90 days waiting period for cardiac related complications
  • Hearing aid/visual care
  • Alternative treatment
  • Stem cell therapy
  • Dental treatment
  • Pregnancy related expenses

What’s not so good?

  • It is available only as an individual plan, not as a floater plan
  • If the insured person is above 60 years of age, he/she has to make a 10% co-payment of the claim amount

3. Apollo Munich Optima Restore

Usually in a health plan, if sum assured is utilized before the end of the term, the insured is left uncovered for the rest of the term. But Apollo Munich has taken a daring initiative by introducing Optima Restore which restores the basic sum assured (if it is exhausted before the end of the term), ready to be utilized afresh. This restoring of the sum assured is done without any rise in premium.

Standout Features:

  • Post hospitalization coverage extends to 180 days (the usual period is 60 days)
  • Domiciliary treatment covered
  • Emergency ambulance covered
  • Lifelong renewal (no age limit for renewal)
  • Expenses for organ donor covered
  • Restore benefit
  • 50% increase in sum assured for every claim free year (up to a maximum of 100%)
  • 7.5% discount when the tenure is 2 years

Regular Features:

  • In-patient hospitalization expenses covered
  • Pre and post hospitalization expenses covered
  • Day care procedures covered
  • Tax benefits under section 80D

Exclusions:

  • 30 days initial waiting period, before which no coverage is given
  • 4 years waiting period for pre-existing diseases
  • 2 years waiting period for specific diseases like cataract, hernia, renal stones etc.
  • Treatment for HIV, genetic disorders and related diseases
  • Treatment for internal and external congenital diseases
  • Non allopathic treatments
  • Cosmetic treatment
  • Alcohol/drug abuse
  • Self inflicted injuries
  • Mental disorders
  • Act of war, nuclear war or radiation

What’s not so good?

The sum assured will be restored only when the insured is hospitalized as a consequence of a new illness (and not the same illness for which he/she got the sum assured exhausted)

4. ICICI Lombard Complete Health Insurance – iHealth Plan

A good health insurance either serves a niche well or offers a comprehensive coverage. ICICI Lombard Complete Health Insurance – iHealth Plan is the perfect example of the latter. No wonder, it was recognized as ‘Product of the Year’ in a survey conducted by Nielsen in 2013.

Standout Features:

  • The widest floater that covers all your family members including self, spouse, dependent parents, dependent children, brothers and sisters, under a single plan
  • No upper cap on entry age
  • Value added services
  • Free health check-up (2 times a year)
  • Online doctor chat
  • Specialist consultation
  • Dietician & nutritionist consultation
  • Discount coupon book
  • 2 valuable add-ons at a nominal additional cost on the base premium
  • Daily cash (Rs 500-1,000) + Convalescence benefits (a lump sum up to Rs 10,000, apart from the sum assured, given to the insured to take care of household expenses post-hospitalization)
  • Critical illness cover + Donor expenses (reimbursement up to Rs 50,000)
  • No sub limits applicable on any major medical illness, medical procedures and joint replacement surgery
  • Lifelong renewal (no age limit for renewal)
  • Medical test not required for individuals below 46 years of age

Regular Features:

  • Covers In patient hospitalization expenses, including room charges, doctor/ surgeon's fee, medical bills, etc.
  • Pre and post hospitalization expenses covered
  • 15 days grace period
  • Cashless hospitalization
  • Increased sum insured on every claim free year
  • Tax benefits under section 80D
You may like to Read: Deduction Under 80C

Exclusions:

  • 30 days initial waiting period, before which no coverage is given
  • 4 years waiting period for pre-existing diseases
  • 2 years waiting period for specific diseases like cataract, hernia, renal stones etc.
  • Alcohol/drug abuse
  • Dental care expenses
  • Vision care/hearing aid
  • AIDS
  • Pregnancy related expenses
  • Infertility and in-vitro fertilization
  • Non-allopathic treatment
  • Suicide attempts/self-inflicted injury

What’s not so good?

If an individual is above 46 years, he has to undergo medical tests to get insured. The tests would be conducted at one of the ICICI Lombard designated diagnostic centers.

5. Max Bupa Heartbeat

Heartbeat is a family oriented health insurance plan with minimal exclusions and unique features such as no lower or upper cap on the entry age, inbuilt maternity and new born benefits and many more. It is available in three variants- Silver, Gold and Platinum.

Standout Features:

  • Covers up to 13 relationships under one single policy
  • Free health check-up every second year
  • Direct claim settlement, without the intervention of TPA
  • High deductible option to get a broader coverage at a nominal additional cost
  • No claim-based extra loading
  • Maternity benefit (after 2 year waiting period)
  • Newborn baby cover
  • Vaccination for children up to 12 years
  • 24x7 health advice helpline
  • Relationship manager assigned for claim facilitation (for gold and platinum plan)
  • Consultation and diagnostic tests (for gold and platinum plan)
  • Outpatient benefits (for platinum plan)
  • Lifelong renewal (no age limit for renewal)
  • Organ donor’s expenses covered
  • Organ transplant (if absolutely necessary)
  • Domiciliary treatment
  • Emergency ambulance expenses

Regular Features:

  • Covers In-patient hospitalization expenses, including surgical operations, nursing care, doctor’s fees, operation theatre charges, ICU charges, pathology, x-rays, diagnostic tests, prosthetic implants, etc.
  • Pre & post hospitalization expenses covered
  • Cashless hospitalization at network hospitals
  • Day care expenses
  • Increased sum insured on every claim free year
  • Tax benefits under section 80D

Exclusions:

  • 90 days initial waiting period, before which no coverage is given (except in case of an accident or emergency)
  • 4 years waiting period for pre-existing diseases
  • 2 years waiting period for specific diseases like cataract, hernia, renal stones etc.
  • Addictive conditions and disorders, ageing and puberty, artificial life maintenance, circumcision, dental/oral treatment, conflict and disaster, congenital conditions, convalescence and rehabilitation, cosmetic surgery, drugs and dressings for out-patient or take-home use, eyesight, experimental treatment, nature cure, wellness clinics, HIV, AIDS, obesity, hereditary conditions, genetic disorder, sleep disorders, speech disorders
  • Non-allopathic treatment, unrecognized physician or hospital
  • Psychiatric and psychosomatic conditions
  • Out-patient treatment
  • Self-inflicted injuries
  • Treatment received outside India
  • Unlawful activity

What’s not so good?

  • If the insured person is above 65 years of age, he/she has to make a 20% co-payment of the claim amount
  • The initial waiting period is 90 days from the commencement of the policy (usual initial waiting period is 30 days)

6. Religare ‘Care’ - Health Insurance Policy

Religare Care is truly comprehensive and offers the best of health insurance. Religare Care has set a new benchmark for the health insurance by extending the upper cap of sum insured to Rs 60 lakh.

Standout Features:

  • Reinstatement of the sum insured if exhausted before the end of the policy term
  • Free health check-ups every year
  • No maximum-entry age limit
  • No claim-based loading
  • Ambulance expenses covered
  • Organ donor’s medical expenses covered
  • 7.5% discount on 2 year policy terms and more
  • Avail treatment anywhere in the world
  • Cashless treatment & daily allowance
  • The policy can be bought online with no paperwork required
  • Lifelong renewable (no age limit for renewal)

Regular Features:

  • In patient hospitalization expenses covered
  • Day care expenses covered
  • Pre and post hospitalization expenses covered
  • Increased sum insured on every claim free year
  • Tax benefits under section 80D

Exclusions:

  • 30 days initial waiting period, before which no coverage is given
  • 4 years waiting period for pre-existing diseases
  • 2 years waiting period for specific diseases like cataract, hernia, renal stones etc.
  • Any pre-existing disease diagnosed within 48 months prior to issuance of the first policy
  • Non-allopathic treatment
  • Self-inflicted injury
  • Alcohol/drug abuse
  • Dental care
  • Vision care/hearing aid
  • AIDS
  • Pregnancy related disorders
  • Congenital disease
  • Infertility and in-vitro fertilization

What’s not so good?

If the insured person is above 61 years of age, he/she has to make a 20% co-payment of the claim amount.

7. New India Assurance Janata Mediclaim Policy

New India Assurance is the leading health insurer in India and the most trusted name in the health insurance sector. It offers many health insurance plans out of which Janata Mediclaim Policy is the best, not only because it’s the most affordable health plan of all, but also because of the amazing discounts it offers.

Standout Features:

  • Ambulance charges covered
  • Coverage is given to Ayurvedic/Homeopathic and Unani system of medicine
  • Discount in premium for family cover
  • Loyalty discount
  • Good health discount.
  • Cumulative bonus
  • Cost of health check up

Regular Features:

  • In-patient hospitalization expenses covered
  • Pre and post hospitalization expenses covered
  • Day-care treatment
  • Tax benefits under section 80D

Exclusions:

  • 30 days initial waiting period, before which no coverage is provided (except in case of an accident or emergency)
  • 4 years waiting period for pre-existing diseases
  • 2 years waiting period for specific diseases like cataract, hernia, renal stones etc.
  • Dental treatment except arising out of an accident
  • Debility and general run down conditions
  • Sexually transmitted diseases and HIV (AIDS)
  • Cosmetic surgery
  • Vaccination and Inoculation
  • Pregnancy and child birth
  • War, Act of foreign enemy, ionizing radiation and nuclear weapon
  • Treatment outside India
  • Domiciliary treatment

What’s not so good?

There’s no flexibility in sum assured. There are just two slots of sum assured offered- Rs 50,000 and Rs 75,000.

8. Bharti AXA Smart Health

Bharti Axa Smart Health is an innovative insurance plan that seems to truly care about the healthcare needs of the insured. It offers a gamut of unique and useful features such as inbuilt critical illness benefit, personal accident add-on at a nominal additional cost, 11 different value-added benefits and so forth.

Standout features:

  • In-built critical illness cover including 20 critical illnesses - cancer, first heart attack, coronary artery disease, coronary artery bypass surgery, heart valve surgery, surgery to aorta, stroke, kidney failure, aplastic anemia, end stage lung disease, end-stage liver failure, coma, major burns, major organ / bone marrow, transplantation, multiple sclerosis, fulminant hepatitis, motor neuron disease, primary pulmonary hypertension, terminal, illness, bacterial meningitis
  • Personal accident cover at a nominal additional cost
  • Domiciliary hospitalization
  • Dread disease recuperation
  • Transplantation of organs
  • Hospital cash allowance
  • Ambulance charges covered
  • Physiotherapy charges covered
  • Recovery grant (to meet household expenses post hospitalization)
  • Accompanying person’s expenses
  • Parent accommodation as companion for child
  • Out-patient dental emergency treatment (arising out of accident only)
  • Out-patient emergency treatment for accidents
  • Children’s education fund
  • Transportation of mortal remains
  • 5% discount on the renewal premium for every claim-free year (up to a maximum of 25%)
  • Costs of pre-policy health check-up
  • Cost of regular health check-up (for every block of four claim-free years)

Regular Features:

  • In-patient hospitalization expenses
  • Pre and post-hospitalization expenses
  • Day care treatment
  • Tax benefits under section 80D

Exclusions:

  • 30 days initial waiting period, before which no coverage is given (except in case of an accident or emergency)
  • 4 years waiting period for pre-existing diseases
  • 2 years waiting period for specific diseases like cataract, hernia, renal stones etc.
  • Pregnancy related expenses
  • Suicide, self-inflicted injury or illness, mental disorder
  • Anxiety, stress or depression, use of alcohol or drugs
  • Diseases such as HIV or AIDS
  • Vision care/hearing aid
  • Dental treatment
  • Treatment by a family member or self- medication
  • Treatment taken from a person not registered as medical practitioner
  • Treatment that is not scientifically approved
  • Any hospitalization expenses incurred outside India

What’s not so good?

Any person aged above 46 years and anyone with a history of pre-existing disease has to go through a medical screening to get insured.

9. Oriental Insurance Happy Family Floater

This plan from Oriental Insurance is a family floater offered at a steal away price with valuable add-ons and discounts. Happy family floater gives you a complete family cover for yourself, your spouse, children, parents and parents in law. It comes in two variants- Silver and Gold.

Standout Features:

  • A floater covering the proposer and his/her family under one sum insured
  • The sum insured floats over all the beneficiaries under the policy.
  • No medical screening up to the age of 60 years
  • Personal accident add-on (including death and disability)
  • Discount in overseas mediclaim policy premium when family floater policy is taken
  • Discount in premium if TPA services are not opted
  • Domiciliary hospitalization
  • Organ donor’s expenses covered
  • Midterm inclusion of members (for newlywed spouse)
  • The insured gets to enjoy a discount of 5% on the premium on every claim free year (up to a maximum of 20%)
  • Daily hospital cash allowance (for gold plan)
  • Attendant allowance (for gold plan)
  • Life hardship survival benefit (for gold plan)

Regular Features:

  • In-patient hospitalization expenses covering room, boarding and nursing expenses, ICU expenses, surgeon, medical practitioner, consultants, specialists fees, anesthesia, blood, oxygen, operation theatre charges, medicines and drugs, x-ray, dialysis, chemotherapy, radiotherapy, cost of pacemaker, artificial limbs & similar expenses
  • Tax benefits under section 80D

Exclusions:

  • 30 days initial waiting period, before which no coverage is given (except in case of an accident or emergency)
  • 4 years waiting period for pre-existing diseases
  • 2 years waiting period for specific diseases like cataract, hernia, renal stones etc.
  • Dental treatment except arising out of accident
  • Cosmetic surgery
  • Pregnancy and child birth

What’s not so good?

10% co-payment of the claim amount has to be made by the insured, irrespective of the age (for silver plan). If the insured makes a claim, he/she has to bear a loading charge (5% of the renewal premium). Policy can be renewed only till 65 years of age.

10. L&T my:health Medisure Prime Insurance

Wondering why such a good plan as my:health Medisure Prime from L&T Insurance took the last slot in our list? Well, it is because this is one plan that takes every possible feature from all of the above plans and fits it in one single pack. It was voted product of the year in a survey conducted by Nielsen in 2012.

Standout Features:

  • Two-fold sum insured in the event of critical illness
  • Maternity benefits (up to Rs 50,000)
  • New born benefits
  • Pre-existing conditions covered, after a probation period of 2 years
  • Reinstatement of the sum insured in case it is exhausted before the end of the policy term
  • Lump-sum recovery benefit given to take care of household expenses post-hospitalization
  • Free health check up every alternate year
  • Cashless settlement will be given within 6 hours
  • Unlimited day care procedures
  • Organ donor’s expenses covered
  • Ambulance charges covered
  • Hospital cash & expenses for accompanying person
  • Concierge Service available on request in select cities
  • Personal case manager assigned to facilitate the claim process
  • 24 X 7 claims assistance
  • Lifelong renewal (no age limit for renewal)
  • Instant Policy issuance without medical tests if you are below 45 years
  • No sub-limits on any medical expenses incurred

Regular Features:

  • In-patient hospitalization expenses covered
  • Pre and post hospitalization expenses covered
  • Increased sum insured on every claim free year
  • Tax benefits as per section 80(D)

Exclusions:

  • 30 days initial waiting period, before which no coverage is given
  • 4 years waiting period for pre-existing diseases
  • 2 years waiting period for specific diseases like cataract, hernia, renal stones etc.
  • Any domiciliary treatment
  • Suicide/self-inflicted injury
  • Mental disorder, anxiety, stress or depression
  • Alcohol/drug abuse
  • HIV/AIDS

What’s not so good?

If the insured person is above 70 years of age, he/she has to make a 25% co-payment of the claim amount.

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