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Best Health Insurance Policies in India for 2018-2019

Keeping in view the care provider, the best gift you can expect from your insurer for your family is the promise of sufficient health coverage. With sufficient health insurance coverage, you can fulfil your promise effortlessly. All you need to do is perform a comprehensive research based on prime insurance factors, such as premium, sum assured, network hospitals, and the number of daycare procedures covered. In this article, you’ll get to know about the best health insurance policies in India for 2018-2019. Let’s get started.


Top 5 Family Floater Health Insurance Policies of 2018-2019 in India

Those of you, who want to cover their dependent parents, spouse, and dependent children under an effective health insurance plan, need to have a look at the best health insurance plans in India, as given below:

  Apollo Munich Optima Restore Star Family Health Optima Religare Care Max BUPA Health Companion Royal Sundaram Lifeline Elite
Minimum Age of Entry For proposer- 18 yearsFor children-5 years For proposer- 18 yearsFor children-16 days For proposer- 18 yearsFor children-3 months For proposer- 18 yearsFor children-3 months For proposer- 18 years.For children-91 days
Maximum Age of Entry 65 years of age 65 years of age For adults- no maximum age of entryFor children 25 years For adults- no maximum age of entryFor children 21 years For adults- no maximum age of entryFor children 21 years
Minimum Amount Assured Rs.3 Lakh Rs.2 Lakh Rs.3 Lakh Rs. Lakh Rs.25 Lakh
Maximum Amount Assured Rs.50 Lakh Rs.15 Lakh Rs.60 Lakh Rs.1 Crore Rs.1.5 Crore
Covered Family Members 6 5 6 4 5
Waiting Period For pre-existing medical conditions or illnesses- 3 years For pre-existing medical conditions or illnesses – 4 yearsFor specified diseases- 2 years ailments. For pre-existing medical conditions or illnesses – 4 yearsFor specified diseases- 2 years For pre-existing medical conditions or illnesses – 4 yearsFor specified diseases- 2 years or 3 years(It depends on the selected variant.) For pre-existing medical conditions or illnesses- 3 years
Co-Payment No co-payment 20 percent co-payment No co-payment 20 percent co-payment, which  depends on the various situation No co-payment
Room rent Sub-limits No sub-limits as such No sub-limits as such 1 percent of the amount each day. No sub-limits as such No sub-limits as such

Claim Settlement Ratio as per Public Disclosure
92% 90% 93% 96% N/A
Effective Ratio 92% 95% 99% 96% N/A
No-Claim Bonus 50 percent of basic amount assured for each claim less year Up to the pre-determined limits 50 percent to 150 percent on the basis of NCB 100 percent in the 5 years 20 percent subject to a max of 100 percent

 *Claim Settlement Ratio - FY 2018-2019

Have a look at the details of these insurance plans. Before you zero down on a plan,  compare Health Insurance plans’ coverage with your insurance expectations, and then decide if a plan is good for your or not.

1. Apollo Munich Optima Restore:

It covers your entire family under the umbrella of its coverage. It is a comprehensive and excellent medical insurance plan by Apollo Munich. The policy is super-affordable and offers insurance coverage for a variety of expenses that you might come across, in case of the diagnosis of a life-threatening illness and its subsequent hospitalization.

It ensures your peace of mind, as you have a surety that a medical urgency won’t convert into a financial emergency. A medical emergency might get you trapped in the clutches of never-ending debt. This plan provides coverage for domiciliary treatment, pre-hospitalization expenses, post-hospitalization expenses, organ donor expenses, ambulance expenses, and daycare procedures expenses that don’t require hospitalization. Not just that, it offers daily cash benefit. To fulfill your insurance expectations, a rider is available with this policy, which offers enhanced benefits at the time of critical illness diagnosis. The coverage is offered in a wide range, starting from Rs.3 Lakh - Rs.50 Lakh. This family floater plan can be purchased by every family, irrespective of how low or high their income is.

2. Star Family Health Optima

This policy offers superb coverage for a wide range of diseases, illnesses, and procedures. Medical coverage is available for child as early as 16 days old. The incurred expenses for ambulance, hospital charges, domiciliary treatments etc. are taken care of by Star Family Health Optima’s insurance coverage.

A wider array of more than 400 daycare procedures is covered by this policy. In addition to that, coverage for incurred expenses, such as fees and charges for consultants, specialists, anaesthetists, oxygen, blood, operation theatre charges, pre-hospitalization expenses and post-hospitalization expenses, and donor expenses for organ(s) transplantation are covered under the wide umbrella of this policy.

Star takes pride in its quick claim settlement process, which runs in the house. The insurance company has a tie-up with more than 6,000 network hospitals. Insurance and medical records and forms, etc. can be easily maintained online. Thanks to the online facility offered by Star Health Insurance Company.

3. Religare Care

Safeguard your entire family under the coverage of a competent medical insurance plan by Religare Health Insurance Company Limited. With this plan, you don’t have to worry about your savings getting washed off in one go. The policy provides insurance coverage for the various expenses, such as room rent, pre-hospitalization expenses, post-hospitalization expenses, ambulance expenses, domiciliary hospitalization, and daily cash benefit. The daily cash benefit is capped at Rs. 500 per day, and is not applicable to the plans with amount assured options below Rs. 4 Lakh. 

This plan is super affordable and it offers a decent amount of basic insurance coverage. However, it doesn’t provide insurance coverage for alternative medical practices, eye-related medical procedures, or any outpatient benefits. The policy doesn’t cover critical illnesses and maternity expenses.

This plan offers private room compensation as well as one free health check-up annually.

4. Max Bupa Health Companion

This plan boasts of features, such as no limits on room rent and a higher daily cash benefit. This policy has everything that the best family floater plan must have. The best thing about this plan is its premium that doesn’t burn a hole in your pocket. This policy offers add-on benefits, such as vaccinations (in case of animal bite(s)), organ donation expenses, up to 2,000 Rupees, hospital cash benefit, a personal healthcare manager, etc.

This plan comes in 3 variants as mentioned below:  

Here are the details:

  1. Variant 1- Pre-existing illnesses and medical conditions are covered after 4 years.
  2. Variant 2 and 3- Pre-existing illnesses and medical conditions are covered after 3 years.

5. Royal Sundaram Lifeline Elite

This is one of the most preferred family floater plans. This plan provides insurance coverage for pre-hospitalization charges, post-hospitalization charges, inpatient care charges, organ donor charges, ambulance charges, and daycare procedures like dialysis and chemotherapy. 

It also covers Ayurvedic and Homeopathic treatments. Expense incurred when the patient opts to go for a second opinion after the diagnosis of a critical illness is covered as well. The plan offers coverage for all the expenses related to emergency domestic evacuation from an accident location to the hospital, between two hospitals etc.

This plan also covers maternity expenses incurred and provides reimbursement for expenses incurred while seeking expert medical treatment overseas for 11 pre-decided critical illnesses. Up to Rs.3 Lakh airfare is covered in this case.

In a Nutshell

When you buy insurance for your family, you keep in mind their health needs.

One insurance plan might be ideal for someone. At the same time, it might not be sufficient for somebody else. Insurance needs are so individualistic that make sure you opt for a plan that fulfills your insurance expectations and offers you the maximum insurance coverage at the minimum insurance premium.

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