Anshika Ojha
Written By:
Anshika

Anshika Ojha

Health Insurance

Anshika Ojha is a content writer with more than 2 years of experience and holds expertise across various formats of content. She focuses on simplifying health insurance jargon and making it easy for readers to understand.

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Reviewed By:
Raj Kumar

Raj Kumar

Health Insurance

Raj Kumar has more than a decade of experience in driving product knowledge and sales in the health insurance sector. His data-focused approach towards business planning, manpower management, and strategic decision-making has elevated insurance awareness within and beyond our organisation.

Introduction

Health insurance is important, but the premium you pay can take up a large portion of your budget. For many families, it can be challenging to manage without losing coverage along the way.

With the growing medical costs and increasing lifestyle-related issues, knowing how to plan effectively for the premium is very important. It keeps your policy affordable and comprehensive. The good news is that there are ways you can do both.

In this article, we are going to discuss what causes premiums to rise, simple ways to bring them down, compare plans with insurers, and answer frequently asked questions so you can make informed, money-savvy decisions regarding health insurance.

What are Health Insurance Premiums

A health insurance premium is the regular payment you make to your insurer to keep your health insurance coverage active. You can think of the premium as your subscription fee for your medical expenses.

Suppose you purchase a health insurance plan for a ₹10 lakh sum insured. The insurer asks for ₹1,200 every month (₹14,400/year) as a premium. As long as you keep paying ₹14,400 every year, your policy is active, and the insurer will pay your hospital bills (as per the policy).

If you stop paying, your coverage ends (like if you stop paying for your mobile or OTT subscriptions).

Factors That Increase Your Health Insurance Premiums

Knowing what causes your premium to increase can be of great help. You can focus on these points and reduce your premium by a considerable amount. 

  • Medical Inflation

    Healthcare costs continue to increase each year, and insurance companies adjust their premiums periodically to account for these costs. A ₹2 lakh surgery performed in 2015 could range from ₹4–5 lakh today!  
  • Age and Health Insurance Premiums

    Health Insurance premiums are based on age bands (25–30, 31–35, 36–40, etc). When you hit a higher band, health risks increase, and so does your premium. A 25-year-old would pay a premium of ₹6,000/year for the same cover a 50-year-old paid ₹18,000.
  • Pre-existing Conditions (PEDs)

    If you develop conditions like diabetes, hypertension, or heart disease, insurers may charge higher premiums or add a loading fee. Premiums are decided at the time of buying. Once the policy is issued, developing a new condition later does not result in a mid-term premium increase. However, if you already have a pre-existing condition at the time of purchase, it can lead to higher premiums, longer waiting periods, or exclusions.
  • Lifestyle Choices

    Habits like smoking, heavy drinking, or obesity increase the risk of illness, so insurers charge higher premiums.
  • Coverage Amount (Sum Insured)

    The higher the sum insured, the higher the premium. For example, a ₹50 lakh cover costs a lot more than a ₹10 lakh cover for the same person.
  • Add-ons and Riders

    Extra benefits like maternity cover, critical illness, OPD benefits, or international treatment increase the premium.
  • Policy Tenure and Payment Mode

    Long-term policies (like 2-3 years) usually come with discounts. Annual payment is generally cheaper than the total of monthly payments.
  • Location (Metro vs Non-Metro)

    Premiums are higher in metro cities because hospital care is more expensive than in small towns.
  • Regulatory & Market Changes

    Sometimes, IRDAI (the insurance regulator) updates rules. It may ask insurers to cover new treatments. Such changes can also push up premiums.

How to Reduce Your Health Insurance Premium in India?

  • Buy Early in Life

    Insurance premiums are far lower when you’re young. For a 25-year-old, the premium for a ₹5 lakh-cover plan will be about ₹6,000/year. For a 40-year-old, it will be ₹12,000-15,000 for the same cover.
  • Pick a Family Floater Instead of Individual Covers 

    If you want to cover your family, you might want to think about buying a family floater vs individual covers. For example, a ₹10 lakh floater for 4 people might cost ₹18,000 where as 4 separate ₹5 lakh covers would cost ₹22,000. 
  • Buy a Super Top-up Plan vs Very High Covers

    HDFC ERGO offers premiums as low as ₹2,530 per year for individuals under 35 years for a ₹20 lakh top-up over a ₹5 lakh base. The total sum insured becomes ₹25 Lakh. The ₹15 lakh cover is activated after the base sum is used.
  • Leverage Employer Group Insurance + Personal Top-up (Smart Combo)

    If your employer’s health coverage is ₹5 lakh, you can purchase a super top-up cover of ₹20–25 lakh instead of buying a full policy. It is more cost-effective and gives you complete coverage.
  • Adjust Hospital Room Eligibility

    Policies that are "any room" or have private room eligibility have a higher premium. A plan having shared/semi-private room eligibility is comparatively cheaper. By only taking out shared/semi-private room eligibility, your premium will drop.
  • Remove Unnecessary Add-ons

    Covers such as maternity, OPD, international treatments, or gadgets may be unnecessary for everyone. Removing these covers will reduce premiums and costs without sacrificing essential coverage.
  • Compare Insurers Before Buying

    Different insurers can charge very differently for the same coverage. For example, a ₹10 lakh policy for a 30-year-old could cost you ₹9,000 with one insurer and ₹12,500 with another.  A simple comparison can help you not overpay.

Most Affordable Health Insurance Plans in India

To help you find the best plan for yourself, we have added the best and most affordable plans in India to the table below:

InsurerPlan NameMonthly PremiumKey Benefits
ManipalCignaSarvah Pratham₹131Single Pvt. AC Room up to 10 L 100% SI Bonus/year (up to 1000%) Unlimited Restoration (same/unrelated illness)
Tata AIGMediCare / MediCare Premier₹541Cashless treatment in 12,000+ hospitals Tax benefits under Section 80D Global cover & teleconsultation available
Royal SundaramLifeline Supreme₹591Infertility treatment, bariatric surgery, mobility devices Ambulance costs Cashless coverage including AYUSH
Star HealthSuper Star₹641Any room eligible 50% SI Bonus/year (max 100%) Unlimited Restoration
Niva BupaAspire Gold+₹834Covers maternity, IVF, adoption, surrogacy Carry forward SI up to 3× Unlimited Restoration from 1st claim
Aditya Birla HealthActive One VYTL₹847Any room up to SI Super Credit – 50% SI Bonus (max 100% or ₹3 Cr) Unlimited Restoration up to 10 L
Care HealthCare Supreme Direct₹862Room rent up to 10 L 50% SI Bonus/year (max 100%) Unlimited Restoration (same/unrelated illness)
Aditya Birla HealthActive One Max₹868Any room up to SI 100% SI Bonus/year (max 500% or ₹3 Cr) Unlimited Restoration up to 10 L
Care HealthCare Supreme₹908Room rent up to 10 L 50% SI Bonus/year (max 100%) Unlimited Restoration (same/unrelated illness)
Star HealthComprehensive₹981OPD, dental, newborn, maternity, air ambulance coverage 100% automatic restoration once a year Organ donor coverage

*These health insurance premiums are for a 30-year-old male living in Delhi, without any pre-existing diseases.

How to Buy Health Insurance Plans Online from PolicyX

Purchasing health insurance online is fast, easy, and transparent with PolicyX. Follow these steps to purchase health insurance online:

  • Visit PolicyX.com and click on the health insurance segment.
  • You will be required to input some details, such as age, city, and number 
  • You can now compare numerous plans from most of the large insurers with premiums, benefits, and coverage displayed side by side
  • You can filter results (sum insured, room rent options, add-ons, etc.) as needed
  • Once you have compared the plans, please read the policy features, inclusions, exclusions, and all the other major specifications, and shortlist your choices.
  • Select the most suitable plan based on your budget and health needs.
  • You will be required to fill out the proposal form online and provide personal & medical details
  • You will be requested to provide KYC documents/medical reports from the insurer.
  • Make a secure online payment through available modes.
  • You will receive the policy copy in your email.

Conclusion

Lowering your health insurance premium is all about being smart, not cutting corners. Buy early, compare wisely, use super top-ups, and review coverage regularly. Even small tweaks like removing unnecessary add-ons or lowering room rent can save a lot. 

 

With PolicyX.com, you can make the decision easily and still have affordable, comprehensive protection.

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How to Reduce Your Health Insurance Premium?: FAQ

1. Does buying health insurance early really make premiums cheaper?

Yes. Premiums are as low as they can be when you buy at a young age because insurers see you as low risk. When you wait to buy, your premium can virtually double once you enter a higher age category.

2. How much can I save by choosing a family floater instead of individual plans?

Generally speaking, a family floater saves you 15-20% in total premium, compared to buying each member their own policy.

3. Is it safe to pick a higher deductible or co-pay just to lower premiums?

It may lower your premium by 10–20%, but only choose this option if you can afford to pay your share of hospital bills.

4. 4. Do long-term policies (2–3 years) actually reduce costs compared to yearly renewal?

Yes. Insurers often give a discount of 5–10% when you pay for 2–3 years in advance, plus you lock in the premium for that period.

5. How does a super top-up plan help in cutting down premium costs?

You could purchase a smaller base policy with a super top-up instead of a very high sum insured and you could save approximately 30–40%.

6. 6. Do wellness programs or No-Claim Bonus (NCB) reduce the premium or only increase coverage?

No, these don’t reduce your base premium, but they increase your sum insured for no additional premium, so there’s increased value on the same premium. Under the wellness program, customers can avail a certain percentage of discount on renewal (varying from plan to plan), which helps in managing the premium.

7. 7. Can removing add-ons like maternity or OPD cover make my policy more affordable?

Yes, removing unnecessary add-ons will reduce premiums and not alter your essential hospitalization benefits.

8. 8. Is paying premiums annually cheaper than monthly installments?

Yes. You are usually charged extra in monthly or quarterly installments, so taking the annual policy will avoid this and save on premiums overall.

9. Can comparing insurers for the same sum insured really make a big price difference?

Premiums vary by up to 20–30% for the same ₹10 lakh cover across different insurers, it is wise to compare and ascertain which plan is best.

10. Does living a healthy lifestyle (non-smoker, fit BMI) reduce premiums at renewa

Yes, many insurers now have policy discounts or lower loading charges for their ’healthy living’ customers who do not smoke and who are not obese.

11. Do health insurance premiums give tax benefits?

Yes. Under Section 80D of the Income Tax Act, you can claim deductions up to ₹25,000 (₹50,000 for senior citizens) on premiums paid.

12. Can I reduce my sum assured later to lower premiums?

Yes, you can decrease your sum insured later, depending on the rules of the insurer. Most insurers only allow you to decrease your sum insured at the time of renewal and not in the middle of a policy year.

Health Insurance Companies