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Compare & Buy the Best
Health Insurance Plan
Protect yourself and your loved ones from the rising cost of medical check-ups and sudden emergencies.
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Take the First Step To Protect Your Family
What is Health Insurance?
Health insurance is a legally binding contract between you and an insurance company. When you buy a health insurance policy, you pay a small amount regularly (monthly or annually), known as insurance premiums. In return, the insurance company promises to pay for your medical expenses when you need them, like doctor visits, hospital stays, medicines, tests, sudden emergencies, and even care after surgery or treatment at home.
Top Recommended Health Insurance Plans in India
Explore and compare the right plan on the basis of coverage benefits,
claim settlement ratio, hospital network, and other key factors.
Care Health Insurance
ICICI Lombard Health Insurance
IFFCO Tokio Health Insurance
Niva Bupa Health Insurance
SBI Health Insurance
TATA AIG Health Insurance
Best Health Insurance Companies in India
The following are some of the top insurance companies in India to buy a Health Insurance policy.
How Much Health Insurance Coverage Do You Need in India?
Whether it's just you or your whole family, here's an estimated health insurance coverage that you must have.
Individual Health Insurance
- Recommended Coverage: ₹10 - 15 Lakh
- Suitable For: Health Individual
- Coverage Benefits Generally Covered: In-patient hospitalisation, pre & post-hospitalisation expenses, day-care procedures, AYUSH treatment, and annual health check-up
Family Floater Plan
- Recommended Coverage: ₹20 - 30 Lakh
- Suitable For: A couple or a family of 3-4 members
- Coverage Benefits Generally Covered: Shared sum insured for all members, hospitalisation, pre & post-hospitalisation, maternity (in many plans), newborn cover, day-care procedures
Senior Citizen Health Insurance
- Recommended Coverage: ₹20 - 25 Lakh
- Suitable For: For people aged 60 years & above
- Coverage Benefits Generally Covered: Hospitalisation for age-related illnesses, pre & post-hospitalisation, domiciliary treatment, ambulance, AYUSH, and coverage for pre-existing diseases (after waiting period)
Pre-Exiting Medical conditions
- Recommended Coverage: ₹25 - 30 Lakh & above
- Suitable For: People with Pre-Existing Conditions like Diabetes, Hypertension, Asthma, Thyroid, Heart disease, etc.)
- Coverage Benefits Generally Covered: Higher sum insured for chronic illnesses, hospitalisation, pre & post-hospitalisation, day-care, and faster PED coverage options (in select plans)
Types of Health Insurance Plans in India
There are different types of Health Insurance Plans available in India
Individual Health Insurance
This Plan covers only one person for hospital and medical expenses.
Family Floater Insurance Plans
A single plan that covers an entire family under a fixed sum insured.
Senior Citizen Insurance Plans
Specifically includes age-related treatments for people above 60 years of age.
Critical Illness Insurance Plans
This plan covers a lump-sum payout on diagnosis of diseases like cancer, heart attack, etc.
Personal Accident Insurance Plans
Provides protection for expenses due to accidents, death, partial, or total disability.
Maternity Insurance Plans
Covers maternity expenses, prenatal/postnatal care, and newborn baby cover.
Mediclaim Policy
Basic cover for hospitalisation expenses for surgeries, treatment due to accidents or illnesses.
Group Health Insurance
Offered by employers or organisations for employees or group members, respectively.
Hospital Daily Cash Plan
Covers non-medical or any other daily expenses during hospital stay.
Top-Up Health Insurance
Provides additional coverage beyond the base plan once the threshold is crossed.
Disease-Specific Health Plans
Focused coverage for diseases like dengue, cancer, and others.
Benefits of Having a Health Insurance Policy
Here's what the right health insurance policy offers you.
Cashless or Reimbursement Support
Get treated at network hospitals with direct payment by the insurer, or claim reimbursement later.
Covers Hospital Expenses
Coverage generally includes hospital bills, surgery costs, room rent, doctor fees, and medicines.
Tax Benefits
Save money through the tax deduction benefit under Section 80D of the Income Tax Act.
Avail No Claim Bonus
You can get a higher sum insured or lower premium for every claim-free year.
Free Preventive Check-Ups
Many plans include yearly health check-ups.
Add-On Coverage
Get add-on coverage for maternity, critical illness, senior care, and more.
What is Covered and Not Covered in Health Insurance?
Each individual or family has different needs and requirements, and as a result, their policy terms can vary significantly based on the insurer, plan type, and specific add-ons/riders. However, there are some standardized inclusions and exclusions of a Health Insurance policy that are worth considering.
Most comprehensive health insurance plans include:
In-Patient Hospitalization
Coverage for hospital stays.
Pre and Post-Hospitalization
For example, ambulance and medicine expenses.
Annual Health Check-Ups
Free or discounted check-ups (often once per year)
No Claim Bonus (NCB)
Increase in sum insured or other rewards per claim-free year.
Day Care Treatments
Day care treatments like chemotherapy, etc.
Domiciliary Hospitalisation
Home treatment costs when hospitalisation isn't feasible.
Additional Cover
Riders like critical illness, restoration benefits, etc.
Tax Exemption
Under Section 80D of the Income Tax Act (up to certain limits).
AYUSH Treatment
Ayurveda, Yoga, Unani, Siddha, and Homeopathy treatments are also covered as per IRDAI's 2024 Regulations.
Some standard or common exclusions are:
Pre-existing Diseases (PED)
Excluded until the waiting period of 2-3 years has ended.
Self-Inflicted Injury
Permanent exclusion of incidents, such as suicide attempts.
Substance Abuse
Any injuries due to Alcohol or Drug use are excluded
Transmitted Diseases
Exclusion or limited coverage for STDs/HIV-related treatments.
Pregnancy Treatment
Can be included as a rider or add-on with its own waiting period (9 months to 2+ years).
Infertility Treatment
Standard exclusion (fertility treatments, IVF, etc.).
Congenital Diseases
Any pre-existing or external structural or functional birth defect.
Cosmetic Surgery
Standard exclusion unless it happened due to any mishap or serious disease like cancer.
Aesthetic procedures
Botox treatment, liposuction, etc., are not covered.
Health Insurance Add-ons & Riders
Add-ons/riders are the optional benefits that increase your overall protection by covering specific expenses or situations not included in your base policy.
Customise your base health policy with some of the following common Add-ons and riders.
Critical illness cover
Lump-sum payout on diagnosis of serious illnesses like cancer, stroke, or heart attack.
Room rent waiver
Removes or raises the maximum cap on hospital room rent expenses.
Hospital cash benefit
Pays a fixed daily allowance for each day of hospitalisation, covering incidental costs.
Maternity and newborn cover
This covers pregnancy, childbirth, and newborn-related hospitalisation expenses.
Outpatient Department cover
This covers expenses for outpatient consultations, diagnostics, and pharmacy needs.
Personal accident cover
Gives additional payout in case of accidental death or disability.
Eligibility Criteria to Buy Health Insurance
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Age
- Minimum Age: 18 years
- Maximum Age: As per IRDAI's 2024 regulations, Health insurance no longer has an upper age limit. Every insurer must offer certain plans of Health Insurance for Senior Citizens.
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Dependents
- Newborn babies can have health insurance from 15 days after being born. The age limit for child dependents is 18 to 25 years, depending on your health insurance plan.
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Pre-Existing Medical Conditions
- Pre-existing conditions may impact eligibility for health insurance, but not necessarily disqualify you.
- Factors like coverage and costs can be affected.
- Please note that it is always recommended that you disclose any pre-existing medical conditions to prevent any future claim issues.
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Medical Tests
- People under 45 do not need medical tests to buy insurance.
- Older applicants or those with pre-existing conditions need to take medical tests as per the insurance company's policy.
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Other Factors
- Insurance companies may take into account additional factors like smoking, tobacco use, or high-risk occupations.
What are the Documents Required to Buy Health Insurance in India?
The following are the documents required to buy health insurance in India:
- Identity Proof : Aadhar Card/Passport/Voter ID Card/Driving License
- Age Proof : Aadhar Card/PAN card/Passport/Driving License/Voter ID Card/Birth certificate
- Address Proof : Driving License/Ration Card/Aadhar Card/PAN Card/Passport/Rent agreement, if applicable/Utility bills like electricity bill or telephone bill
- Employer Details : If you're covered under a group health insurance plan, you may also need to submit an Employee ID card, Employer authorization letter, Company name, and HR/insurance coordinator details.
- Other Important Documents: Passport-size photographs (if demanded by the insurer)/Medical reports (if demanded by the insurer)/Proposal form duly filled in and signed
How to Buy Health Insurance Online: Step-by-Step Guide
Assess Your and Your Family’s Needs
Check your family's size, age, health conditions, and how much you can comfortably spend on premiums every year.
Choose the Right Plan Type
Select a plan type if it's an individual, family floater, or senior citizen, based on who you need to cover and their specific needs.
Decide Your Coverage Amount
Decide on a sufficient sum insured to handle major hospital bills without affecting your savings.
Pick Your Add-Ons
Add optional covers like maternity, critical illness, or daily cash benefits if your family needs extra protection.
Pay Premiums on Time
Pay your premium before the due date to avoid any issue in coverage
Learn More About Health Insurance Through Videos
How to File a Health Insurance Claim?
Health insurance claims can be cashless or reimbursement-based. Here's how the complete claim process works.
Visit Network Hospital
Choose a Network Hospital & show your Health Card to verify your identity.
Submit the Claim Form
Fill the Cashless Claim Form & submit it at the insurance desk.
Get Insurer Approval
Coordinate with the hospital to get the insurer’s approval.
Get Documentation Reviewed
Follow up with the insurer for documentation review and claim approval.
Get treated & Settle Additional Cost
Get treated and settle any additional expenses if required.
Pay for Treatment
Pay for the cost of your treatment at the insurer’s network or non-network hospital
Collect Documents
Discharge Summaries, Prescriptions, Reports, and Payment Receipts must be collected.
Submit the Claim Form
Submit your claim form with the required documents to your insurer within the claim intimation Period
Get Insurer Verification
Wait for the insurer to verify the documents and claim details against your policy terms.
Get Reimbursed
Reimbursement is credited to your account after approval
Documents Required to Claim Health Insurance
Certain important documents required to claim Health Insurance in India are:
- Correctly Signed Insurance Claim Form
- Identity Proof like Aadhaar, PAN, passport, driver’s license, or voter’s ID
- Policy Documents with details like Policy number, insured’s name, coverage details
- Hospital documents with diagnosis and treatment details
- Medical records, including doctor prescriptions & reports
- Stamped and Signed Hospital bills & Payment receipts
- Preauthorization Claim Form submitted to the hospital
- FIR Copy (Required for accident claims)
- MLC (doctor’s document for medico-legal cases)
- Settlement certificate (required if multiple health insurance policies are involved)
Need Help with Claims or Buying Health Insurance?
Whether you're purchasing a new policy or filing a claim, our experts are here to guide you through every step.
Speak to Our Insurance ExpertWhy Choose InvestKraft?
Here's what makes InvestKraft the smarter choice for you and your family's health cover.
- ✓ Compare Multiple Insurers in One Place
- ✓ Lowest Premiums & No Hidden Charges
- ✓ Instant & Paperless Policy Issuance
- ✓ Dedicated Expert Guidance
- ✓ End-to-End Claim Assistance
- ✓ Dedicated Support & High Customer Retention
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Frequently Asked Questions (FAQs)
Disclaimer: The information provided on this page is for general informational purposes only and should not be considered insurance, financial, or legal advice. Health insurance coverage, premiums, benefits, exclusions, waiting periods, claim conditions, and eligibility vary by insurer and policy. Please read the policy wording, terms and conditions carefully before purchasing any health insurance policy. InvestKraft does not guarantee claim approval or settlement, and all claims are subject to the terms and conditions of the respective insurance policy and insurer.
