Health insurance is a legal contract in which an insurance provider pays the insured's medical costs in exchange for a regular premium. It offers financial security against the exorbitant expenses of both scheduled and emergency hospital stays. Purchasing health insurance allows policyholders to receive top-notch medical care at prestigious facilities without worrying about the cost.

To put it simply, purchasing health insurance provides you with up to a set level of financial coverage for any medical costs you may incur over the course of a year. It pays for planned and emergency hospital stays, daycare services, surgeries, pre- and post-hospital stays, and ambulance fees. Therefore, having the appropriate health insurance plan protects you from needless financial hardship in the event of a medical emergency.
There are various advantages to purchasing health insurance coverage online. Check them out below:
Listed below in the table are some of the top insurance companies offering health insurance policies. The table comprises of Sum Insured, Network Hospitals, and Key Benefits.
Insurer | Claim Settlement Ratio | Network Hospitals |
Reliance Health Insurance | 99.57% | More than 10,000 |
SBI Health Insurance | 97.05% | More than 16,000 |
Manipal Cigna | 88.59% | More than 15,000 |
Digit Insurance | 96.71% | More than 9,000 |
Star Health | 82.31% | More than 14,000 |
TATA AIG | 95.43% | More than 12,000 |
Niva Bupa | 92.02% | More than 10,000 |
Care Insurance | 92.77% | More than 11,400 |
Aditya Birla | 92.97% | More than 11,000 |
HDFC Ergo | 99.16% | More than 16,000 |
Mentioned below are the different types of health insurance plans you can choose to meet your specific requirements:
The following are the documents you will require to purchase health insurance in India:
Certain health insurance companies will require applicants to undergo medical examinations in order to qualify for coverage. Also, insurers can also request other documents apart from the ones mentioned above.
The common eligibility criteria for Health Insurance in India are as follows:
Criteria | Specifications |
Age | 18 to 65 years |
Pre-Existing Conditions | Required above the age of 45 years |
Nationality | Only citizens or legal residents may be eligible for certain types of health insurance. |
Inclusions | Exclusions |
In-patient Hospitalisation Expenses | Claims within the initial 30 days of purchasing the policy, unless due to accidental emergencies |
Pre-existing Illnesses or Diseases | Coverage for pre-existing diseases usually requires a waiting period of 2 to 4 years |
Pre and Post-Hospitalisation Expenses | Critical illness coverage often involves a waiting period of 90 days |
Ambulance Charges | Injuries resulting from war, terrorism, or nuclear activities |
Maternity Cover | Self-inflicted injuries or attempted suicides |
Preventive Health Check-ups | Terminal illnesses, AIDS, and similar diseases |
Daycare Procedures | Cosmetic or plastic surgery, hormone replacement surgery, and related procedures |
Home Treatment Cover | Expenses for dental or eye surgeries |
Ayurveda, Unani, Siddha, or Homeopathy treatments | Charges for bed rest, hospitalisation, rehabilitation, and common illnesses |
Mental Healthcare Cover | Claims arising from injuries during adventure sports |
Note: It's advisable to review your policy documents for a comprehensive list of inclusions and exclusions.
Here are the key factors you should carefully consider before purchasing a health insurance plan:
Check - For Future Generali Health Insurance Hospicash Hospital Cash Plan
The cost of health insurance can vary depending on a number of variables, including your own medical history, your family's medical history, the amount insured, cumulative bonuses, and other considerations. You may want to calculate your premium based on it to ascertain how much the insurance would cost.
To achieve it, utilize a health insurance premium calculator. The preferred sum covered, the insured's age, and other details are entered into a premium calculator, an online tool that determines the necessary premium depending on the information you provide.
Based on a combination of various factors, your health insurance premium is defined by the following:
Confirm that you hold the status of a Non-Resident Indian (NRI). This is a fundamental requirement for eligibility. Choose a health insurance plan that aligns with your needs. Ensure that the plan is eligible for GST refunds.
To secure a Goods and Services Tax (GST) refund on health insurance policies as a Non-Resident Indian (NRI), follow the process mentioned below:
The following are the common mistakes you must avoid when purchasing health insurance:
Acquiring a health insurance policy through online channels offers numerous advantages. Explore these benefits:
Health insurance offers broader coverage, including hospitalization, surgery, and various medical expenses, while mediclaim primarily focuses on reimbursing hospitalization expenses.
Yes, it's good to buy health insurance for financial protection against medical expenses.
To claim health insurance, notify your insurer within 24 hours of emergency hospitalization and 48 hours before planned admission. Submit reimbursement documents within 30 days post-discharge and follow up on the status.
Dental treatment is generally not covered under standard health insurance plans. Some policies may offer optional dental coverage, so it's best to check with your insurance provider for specific details.
‘No-Claim Bonus’ is a benefit offered to the policyholder for every claim-free year. It is awarded upon renewal and comes in the form of discounts on premiums or enhancements in the chosen sum assured. Discounts/enhancement range between 5% - 50%.
There is no specific age requirement, but it's best to purchase health insurance as early as possible. Younger individuals pay lower premiums since they're less prone to serious health issues. Buying in your 30s allows you to maximize benefits while keeping costs low.
Dependents are individuals who rely on the primary member financially, typically including a spouse, children, and parents. Children are usually considered dependents up to age 25 if they are students, unmarried, or mentally challenged, and are generally covered only if a parent is also insured under the same plan.
Under some plans, the insurer and the insured are jointly liable to meet expenses. The policyholder will pay a certain percentage towards expenses incurred. If policyholders exercise this option, they are often given reductions in premiums.
Day care procedures ate those medical treatments that do not require the patient to be hospitalised for a minimum of 24 hours. Day care treatments can be done in few hours so it is done as an outpatient procedure. There are many insurers who offer health insurance coverage specially designed for day care treatments.
Domiciliary hospitalisation refers to medical treatment received at home rather than in a hospital. It is applicable when a patient cannot be moved to a hospital or when hospital accommodation is unavailable, typically for treatments lasting more than 3 consecutive days.
Not all health insurance plans cover homeopathy treatments. It's best to check with your insurer for details. If you're looking for plans that cover AYUSH treatments (Ayurveda, Yoga, Naturopathy, Unani, Siddha, and Homeopathy), look for insurers that specifically offer AYUSH health insurance plans.
A health card is like an identity card given by the insurer to the policyholder. It contains information like the policyholder’s insurance account number, the name of the insured, the age of the insured, gender, policy expiry date, and other such vital information. It is mandatory for an insured person to show the health card at the hospital in case of hospitalisation.
Medical testing is not required before purchasing a health insurance policy. However, most health insurance firms in India need medical test records if the applicant is over the age of 45. The type of medical tests necessary can vary depending on the applicant's age and the insurer's specifications.
The sum insured is the maximum amount an insurance company will pay a policyholder during a policy year if a claim is filed due to illness or accidental harm. It is also known as the maximum coverage or coverage amount in health insurance.
A free-look period is the first 15 days after a health insurance policy begins. During this time, you can review the policy's features and coverage, add optional covers, or cancel the policy without any cancellation charges.
You can add family members to your health insurance coverage at the time of renewal or purchase. A family health insurance plan can cover you, your spouse, dependent children, parents, and parents-in-law, according to the terms and restrictions.
Pre-hospitalization expenses are medical costs before hospital admission, and post-hospitalization expenses cover follow-up care after discharge. In India, health insurance typically covers pre-hospitalization for 30–60 days and post-hospitalization for 60–90 days, varying by plan.
The Jharkhand government has introduced a health insurance scheme exclusively for advocates and their families on 3 May 2025, the first of its kind in India. Rolled out under the Rajyakarmi Swasthya Beema Yojna, the scheme aims to ease the healthcare burden on the legal community. Advocates and their families were encouraged to utilise the Guruji Credit Card Yojana, offering collateral-free education loans up to 15 lakhs.
Future Generali India Insurance has introduced a new AI-assisted tool to help people select the best insurance coverage for them. This tool provides guidance by analyzing the user's personal data. Due to the 73% health insurance protection gap in India, innovative solutions like this are necessary, says Ruchika Varma, Chief Marketing and Impact Officer of Future Generali India Insurance.
Star Health Insurance has partnered with Sunrisers Hyderabad (SRH) as the official health insurance partner for this T20 season. The focus of this partnership is on raising awareness about the importance of fitness and health insurance with the help of cricket. Major SRH players will be a part of the campaign to promote health insurance among the millions of fans who follow the T20 League.
Annie Jangam is a financial writer with a unique background in biotechnology and eight years of genomics research experience, culminating in 6 international publications. She combines her analytical and communication skills to simplify complex financial concepts, delivering precise and creatively engaging content in the fintech industry. She covers various financial products such as banking, insurance, credit cards, tax, commodities, and more. Outside of the financial realm, she dabbles in poetry. Her extracurricular passions include organizing events like One Billion Rising and Human Rights Day. She is committed to the equality of all people, a principle rooted in her Christian faith. Annie strives to embody the values of faith, hope, and love in both her work and her life.

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