Health Insurance Plans In India

The cost of healthcare in India is on an uphill ride. With medical inflation rate peaking at 15%, most Indians do not have access to affordable healthcare. In such a scenario, investing in a health insurance policy is essential. A comprehensive health plan with enough coverage will ensure that all the expenses pertaining to necessary treatments are taken care of. Additionally, health plans are also helpful during times of emergencies like road accidents when there won’t be much time to arrange money for the treatment. The sedentary lifestyle that most citizens lead makes them more vulnerable to diseases. In a country like India where cardiac diseases and lifestyle illnesses are at an all-time high, it is imperative for people to buy a plan that protects them and their family financially against such troubles.

Benefits of a Health Plan:

Here are some major benefits of investing in a health insurance policy:

  • Most insurers provide cashless facilities at their network hospitals which can be availed through a hassle-free process.
  • It protects a policyholder and his/her family from financial stress that might arise from the expenses related to healthcare.
  • It is especially helpful during medical emergencies when the time to arrange finances is limited.
  • Health plans are a necessary element of financial planning to counter the rising costs of healthcare.
  • It offers tax benefits on the policy premiums under section 80D of the Income Tax Act of 1961.

Features of Health Insurance:

A comprehensive health plan includes various features that are crucial in making healthcare affordable. Mentioned below are some notable ones:

  • Hospitalisation expenditure: Health plans cover the expenses incurred during hospitalisation for a minimum duration of 24 hours. The charges covered include room charges, doctor's consultation fee, surgery expenses, etc.
  • Pre-hospitalisation charges: Expenses pertaining to lab tests, medication, etc., incurred from 30 days to 60 days before the date of hospitalisation are also covered by most insurers.
  • Post-hospitalisation charges: Post-hospitalisation charges include follow-up consultations, medication, and lab tests among other things. Many insurers cover the expenses incurred from 60 days to 180 days after hospitalisation.
  • Critical illnesses: Critical illnesses like cancer or cardiac attacks can be fatal and the treatments are nowhere near affordable. Usually, insurers provide add-on covers for critical illnesses.
  • Organ transplant: Organ transplant is a big and inevitable expense for people facing organ failure. Fortunately, some insurance providers offer coverage for the organ donation process. Such policies also support the donor financially.
  • Day-care: Treatments like eye-surgery, colonoscopy, chemotherapy, radiotherapy, etc., fall under the category of day-care treatments. Certain policies cover these expenses, however, the premiums can be much higher for such plans.
  • AYUSH treatment: Health plans are not restricted to allopathy treatment. Policyholders can opt for AYUSH treatments like Ayurveda, Yoga and Naturopathy, Homeopathy, and so on.
  • Check-ups: Certain insurers also cover health check-ups.
  • Ambulance charges: Most health plans cover ambulance charges. This ensures that the policyholder can seek treatment worry-free.
  • Daily allowance: Hospitalisation keeps the patient away from work. It might result in the loss of pay sometimes. However, the daily allowance provided by some insurers ensures that the policyholder can afford additional charges like food, hospital stay, transportation, etc.

How to Choose a Health Plan?

The market today is flooded with offers on health plans from different insurance providers. With so many options available, it is imperative to choose a policy that provides sufficient coverage within budget. Here are some parameters that can be used for finding the right policy:

  • Budget: When buying a policy, it is important to settle for a plan that fits in the consumer's budget. However, it is also important to make sure that the plan provides a good amount of coverage. Though basic plans are cheaper in nature, they do not contain as many features as comprehensive plans.
  • Co-payment: Co-payment refers to a fixed amount the insured is expected to pay for each claim. It is a standard feature in many policies. Therefore, before buying a policy it is important to check for a co-payment clause and percentage of the amount the insured is expected to pay. A higher co-pay percentage will translate to higher expenses on the policyholder's part.
  • Claim-settlement: Claim settlement process is the real test of health insurance policies. Nowadays, most insurance companies provide quick and hassle-free claim settlement which is ideal for a policyholder.
  • Number of members covered: When buying a family floater health policy, it is important to check the number of members the policy covers. In India, most insurers usually cover 4 to 6 members.
  • Comparing policies: Before settling for any policy, it is crucial to compare different plans from various insurance providers to find the one that provides optimum coverage at an affordable cost.

Important Points to Remember While Choosing a Plan:

These tips are to be kept in mind when investing in a health insurance policy:

  • Sub-limits on the policy: When buying a policy, it is important to check the sub-limits on the facilities. For instance, an insurer might provide only 2% per claim on hospital room rent. In such a scenario, the policyholder will have to pay the remaining amount out of his/her pocket. If the insured exceeds the sub-limit, the remaining amount won't be covered by the insurer during claim settlement.
  • Coverage: It is the most important aspect of health plans. The coverage level determines the treatments that the insurer will pay for. It is advisable to only add necessary features for coverage. Adding unnecessary features will only increase the policy premium without being useful.
  • Waiting period: Waiting period refers to the duration after the start of the policy when insurers exclude certain treatments from coverage. Different waiting periods apply to different ailments. The duration also differs from one insurer to another. A quick comparison can help consumers find policies with a shorter waiting period.
  • Age restrictions: Usually the entry age for health plans is set at 18 years and the maximum age goes up to 65 years. This factor is important when buying family floater plans as the age of dependents is considered by the insurers.
  • Cashless claims: Cashless claims is a facility where the policyholder can seek treatment at any of the insurer’s network hospitals without paying cash. This facility is very convenient as the insured doesn’t have to shell out any money from his/her pocket to pay the bills.
  • Network hospitals: When selecting an insurer, it is advisable to learn about their network hospitals. A wider network and higher number of partner hospitals is always good as it gives the insured more options to avail cashless benefits.
  • Add-on benefits: Insurers provide various add-on riders that consumers can choose from. It is important to add only the ones that seem essential. Being wise while choosing add-ons can enhance the policy coverage without weighing down the premium.
  • Premium: When buying a policy, compare premiums of different plans. Though higher premiums have more benefits associated with them usually, it is important to choose a premium amount that is justifiable and doesn’t hamper the insured’s finances.
  • Renewability: Lifelong renewability is always ideal when settling for a policy.
  • Exclusions: Different insurers have different exclusions. For instance, some insurance companies might cover critical illnesses while some might not. Therefore, being aware of the exclusions before buying a health plan can save the policyholder from disappointment later.

Best Health Insurance Plans Available in India:

Mentioned below is a list of the best insurance policies available in India along with their features, coverage, and network hospitals:

Insurance provider Policy Features Sum insured Network hospitals
BHARTI AXA Health Insurance Smart Health Basic
  • Ambulance charges
  • Domiciliary
  • Hospitalization
Rs.3 lakh to Rs.1 crore 5,420+
Smart Super Health
Cigna TTK Health Insurance ProHealth Protect
  • Restore benefits
  • Ambulance charges
  • Organ donor
Rs.2.5 lakh to Rs.25 crores 4,500+
ProHealth Plus
  • Health check up
  • Restore benefits
  • Maternity cover
HDFC ERGO Health Insurance Health Suraksha Gold
  • Health check up
  • Maternity cover
  • Restore benefits
  • Organ donor
Rs.3 lakh to Rs.50 lakh 8,600+
Health Suraksha regain gold
New India Assurance Health Insurance New India Family Floater Mediclaim
  • Pre and post hospitalization charges
  • Ambulance charges
Rs.2 lakh to Rs.15 lakh 1,200+
Religare Health Insurance Care Mediclaim Super Saver
  • Health check up
  • Restore benefits
  • Maternity cover
  • Domiciliary charges
Rs.3 lakh to Rs.40 lakh 5,420+
Care Mediclaim ELite
Royal Sundaram Health Insurance Family Good Health
  • Health checkups
  • Restore benefits
  • Ambulance charges
Rs.2 lakh to Rs.1.5 crores 3000+
Lifeline
Star Health Insurance Health Optima
  • Restore benefits
  • Health check up
  • Ambulance charges
Rs.2 lakh to Rs.25 lakh 8,800+
Star Comprehensive
Universal Sompo Health Insurance Individual
  • Health check up
  • Restore benefits
  • Ambulance charges
Rs.3 lakh to Rs.10 lakh 7,700+
Complete Health Care
National Health Insurance National Mediclaim Plus
  • Organ donor
  • Day care treatment
  • Health check-up
Rs.1 lakh to Rs.10 lakh 6,000+
Parivar Mediclaim
IFFCO Tokio Health Insurance Swasthya Kavach (Basic)
  • Domiciliary hospitalization
  • Organ donor
  • Ambulance charges
Rs.50,000 to Rs.20 lakh 4,200+
Individual medishield
L&T Health Insurance Health Medicare Classic
  • Health check up
  • Maternity cover
  • Day care treatment
Rs.1 lakh to Rs.10 lakh 2,800+
Health Medisure Prime
Max Bupa Health Insurance Health Companion
  • Health check up
  • Ambulance charges
  • Restore benefits
  • Maternity cover
Rs.2 lakh to Rs.1 crore 4000+
Heartbeat
United India Health Insurance United India Insurance Gold
  • Health check up
  • Organ donor
  • Day care treatment
Rs.1 lakh to Rs.10 lakh 7,000+
United India Insurance Family Medicare
TATA AIG Health Insurance MediPrime
  • Health check up
  • Ambulance charges
Rs.2 lakh to Rs.10 lakh 4,610+
Future Generali Health Insurance Health Suraksha Individual
  • Health check up
  • Ambulance charges
  • Day care treatment
Rs.50,000 to Rs.10 lakh 4,300+
Health Suraksha Family
Reliance Health Insurance Health Gain
  • Restore benefits
  • Ambulance charges
Rs.3 lakh to Rs.9 lakh 4,000+
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Health Insurance Plans In India Reviews

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  • Star Health Health Insurance
    "Good policy "
    0.5 3.0/5 "Satisfactory"
    I taken a health insurance from STAR HEALTH on last 6 months back which was taken via online. It covers my whole family of 3 members for the total amount of 5. The premium amount need to pay of 12K. The tenure period of 1 year. I have not used this card much. I haven't done any claim yet.
    Was this review helpful? 1
    , bangalore
    Reviewed on Mar 20, 2020
  • Bajaj Allianz
    Bajaj Allianz Health Insurance
    "Good policy "
    0.5 4.0/5 "Great!"
    I have taken a health insurance policy from Bajaj Allianz which was taken for my mother. Policy coverage value was Rs. 1L and the premium its a one time payment, i got a offer because i am maintain CREDIT SCORE good. Still there is a no claim and i paid 3 years back, during renewal time i am not getting any calls from insurance company. This policy covers 200 hospital 30-50% in all hospital can get a claim.
    Was this review helpful? 0
    , bangalore
    Reviewed on Mar 20, 2020
  • Religare Health Insurance
    "Good insurance company "
    0.5 5.0/5 "Blown Away!"
    My personal need I taken health insurance from RELIGARE on 2 years back. Actually my previous company taken health insurance got lapse, hence for better option I continued with same need to pay the premium of 5K. It covers up to myself. The coverage amount of 5L, since there is no claim yet I got bonus of 10% so as of now 5.5L. They tied up with many hospitals and cash less treatment is applicable.
    Was this review helpful? 1
    , bangalore
    Reviewed on Mar 19, 2020
  • Max Bupa Health Insurance
    "Good policy"
    0.5 4.0/5 "Great!"
    This is an individual policy, cover fro myself and this is from Max Bupa. Yearly i am paying premium of Rs. 3000 and the coverage value of Rs. 5L and still there is a no claim. Every year i am getting 5% no claim bonus and this is a life long policy. Its a tax benefit plan for major and listed hospitals can avail a cash less, if non listed have to pay then we can reimburse.
    Was this review helpful? 0
    , chennai
    Reviewed on Mar 19, 2020
  • Royal Sundaram Health Insurance
    "Good insurer"
    0.5 4.0/5 "Great!"
    My employer has given me a health insurance policy from ROYAL SUNDARAM and they have provided me a coverage amount of Rs. 3L. It covers myself and my spouse are covered in this policy.The premium amount need to pay of 7.5K on yearly basis. They have a cashless facility with many hospital.
    Was this review helpful? 0
    , chennai
    Reviewed on Mar 19, 2020
  • Star Health Health Insurance
    "Excellent service"
    0.5 5.0/5 "Blown Away!"
    I have taken health insurance from STAR HEALTH on last year for my personal use, it covers my whole family of 4 members. The sum average value is 5L. I am renewing the policy by paying the premium amount of 14K on yearly. Many hospitals are tied with them and they provide cashless treatment as well.
    Was this review helpful? 0
    , rajahmundry
    Reviewed on Mar 18, 2020
  • Star Health Health Insurance
    "Average "
    0.5 3.0/5 "Satisfactory"
    For my personal purpose, I have taken a health insurance from TATA AIG on 3 years back. On yearly, I use to renew the policy which I need to pay the premium amount of 20K via online. It covers up to myself. The sum assured amount is 2.4L. They tied up with limited hospitals only and there is no cashless treatment.
    Was this review helpful? 0
    , bangalore
    Reviewed on Mar 18, 2020
  • Oriental Insurance Health Insurance
    "Good policy "
    0.5 5.0/5 "Blown Away!"
    My company provides me a health policy from ORIENTAL insurance and this is a group insurance. Annual premium i am paying Rs. 4840 and still there is no claim and the coverage value is Rs. 2 lakhs. During the renewal time, i use to get reminder call from the support team.
    Was this review helpful? 1
    , kolkata
    Reviewed on Mar 16, 2020
  • review Health Insurance
    "Need online service "
    0.5 5.0/5 "Blown Away!"
    I am paying about Rs. 20k yearly for health insurance to PARAMOUNT. This is group policy and the coverage of Rs. 10L since 5 years i am using this health insurance. I went for a claim which was reimbursed. The main factor is they are asking lots of documents which they need to make it simple.
    Was this review helpful? 0
    , thane
    Reviewed on Mar 15, 2020
  • Bajaj Allianz Health Insurance
    "Okay"
    0.5 4.0/5 "Great!"
    I have received the Bajaj Allianz mediclaim policy from Bajaj Finserv on EMI basis. Cashless facility is available and am paying Rs.640 for a month. This policy is not available in the market. I wish if their executive were more polite and helpful. Its a self policy which covers 5L. Am renewing this policy from last 3years.
    Was this review helpful? 1
    , kochi
    Reviewed on Mar 15, 2020
  • Star Health Health Insurance
    "Good "
    0.5 5.0/5 "Blown Away!"
    Health insurance policy which i have taken from STAR HEALTH and this is a family floater policy. I am using since 4 years still there is no claim and this insurance will cover all types of critical illness. Annually i am paying premium Rs. 13000 and its a Tax benefit policy.
    Was this review helpful? 1
    , bangalore
    Reviewed on Mar 14, 2020
  • ICICI Lombard Health Insurance
    "Good policy"
    0.5 4.0/5 "Great!"
    ICICI offered me a health insurance and this is a group policy which covered for Rs. 4L. This insurance will cover all types of critical illness and day care treatment, still there is no claim with ICICI Lombard. I can avail cashless treatment with the listed hospitals.
    Was this review helpful? 1
    , hyderabad
    Reviewed on Mar 14, 2020
  • United India Health Insurance
    "Best policy "
    0.5 5.0/5 "Blown Away!"
    From United India Insurance, i have taken a health insurance. This is a group insurance and i am paying premium per annum Rs. 4900. This policy covers all critical illness and there is a no age criteria, I can use this policy for life long. It covers Tax benefit under sec 80D also network of hospitals are good.
    Was this review helpful? 0
    , kolkata
    Reviewed on Mar 13, 2020
  • United India Health Insurance
    "Good"
    0.5 4.0/5 "Great!"
    This is a group health policy which was taken through TATA AIG and the coverage value of Rs. 3L. I am paying premium yearly Rs. 6000. Its been one year and still there is no claim and this policy covers day care treatment and this can be used till life long.
    Was this review helpful? 0
    , bangalore
    Reviewed on Mar 13, 2020
  • Apollo Munich Health Insurance
    "OKAY"
    0.5 5.0/5 "Blown Away!"
    From Apollo Munich, i have taken a health insurance and this is a joint policy. The policy coverage value is Rs. 5L for a life long. I am paying the premium yearly Rs. 16k and still there is no claim on this policy. It covers all network of hospitals.
    Was this review helpful? 0
    , indore
    Reviewed on Mar 13, 2020
  • Star Health Health Insurance
    "WORST and WORST"
    0.5 0.5/5 "Unacceptable"
    Star health and Allied insurance cheaters don't go with this policy they are looting people worst and worst there are corporate beggars- frauds ,corporate beggars- frauds ,corporate beggars- frauds ,corporate beggars- frauds ,corporate beggars- frauds
    Was this review helpful? 0
    , bangalore
    Reviewed on Mar 12, 2020
  • Star Health Health Insurance
    "Nice Policy"
    0.5 4.0/5 "Great!"
    From my company side, they have provided me a health insurance from TATA AIG. I can do a cashless treatment facility in a network hospital hence i have fixed the appointment also. This policy covers only for myself. They have given me a coverage value of Rs. 3 lakhs. I don't have any claim experience till now.
    Was this review helpful? 0
    , chennai
    Reviewed on Mar 12, 2020
  • Star Health Health Insurance
    "Good products at affordable right pricing"
    0.5 4.0/5 "Great!"
    I love the way they communicate everything. Inclusions and exclusions were explained in a right way to help me choose right product at right pricing. i got a healthcare for my whole family without burning a hole in my pocket. recommended to all
    Was this review helpful? 0
    , mumbai
    Reviewed on Mar 11, 2020
  • Star Health Health Insurance
    "Good "
    0.5 4.0/5 "Great!"
    My friend has suggested to apply health insurance, so for my personal need I had taken a health insurance from STAR HEALTH on 10 months before. They tied up with many hospitals and it covers all city. There is cash less treatment and the policy includes 4 family members, need to pay the premium amount of 12K on yearly basis.
    Was this review helpful? 1
    , chennai
    Reviewed on Mar 10, 2020
  • review Health Insurance
    "Good"
    0.5 5.0/5 "Blown Away!"
    My health insurance policy is running with Aditya Birla Health Insurance. This is a family floater policy and i am paying premium around Rs. 14k yearly. Still there is no claim and this insurance covers all network of hospitals. This policy has some TAX benefits.
    Was this review helpful? 0
    , lucknow
    Reviewed on Mar 09, 2020
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