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Health Insurance Plans in India

Compare 30+ health insurers and 100+ plans across India. Save tax under Section 80D, enjoy cashless treatment at 10,000+ network hospitals, and get a free expert advisor — all in one place.

  • Tax saving up to ₹30000 under 80D
  • Cashless at 10,000+ network hospitals
  • No-Claim Bonus
  • Automatic Restoration
30+
Insurers compared
₹1 Cr
Maximum sum insured
98%
Claim settlement
1M+
Indians insured

What is health insurance

A plain-English read on what health insurance covers and why it matters.

Health insurance is a contract between you and an insurer: you pay an annual premium, and the insurer pays your medical bills up to a defined sum insured if you fall ill or are hospitalised. In India, regulated insurers offer policies covering hospitalisation, day-care procedures, pre- and post-hospitalisation expenses, ambulance charges and a growing list of modern treatments such as robotic surgery and AYUSH.

The right policy protects your savings from a single medical emergency wiping them out — a ₹10-lakh hospital bill is no longer rare in urban India. It also gives you access to cashless treatment at thousands of partner hospitals, so you don't pay anything at admission. Buying online lets you compare quotes side-by-side, lock in your premium at today's age, and get your policy delivered to your inbox in minutes.

Why invest in health insurance

Six numbers that explain why waiting is the most expensive option.

Protect your savings

One hospitalisation can cost ₹3–10 lakh. Insurance moves that risk off your balance sheet for a few hundred rupees a month.

Rising medical inflation

Healthcare costs in India rise 12–15% every year — far faster than salaries. A policy bought today locks in coverage at tomorrow's prices.

Wider cashless access

Network hospitals settle bills directly with the insurer, so you walk in for treatment without paying upfront or chasing reimbursements.

Tax savings under 80D

Premiums qualify for deduction up to ₹1,00,000 a year under Section 80D — for yourself, your spouse, children and parents.

Family financial security

A family floater extends one sum insured across spouse, children and parents, so a single emergency doesn't derail multiple budgets.

Peace of mind

Knowing a hospital admission is covered turns a medical crisis into a logistics problem instead of a financial one.

Specialized health insurance

Two categories worth surfacing separately from the standard four.

Women-specific cover

Maternity, infertility treatment, breast-cancer cover and reconstructive surgery — features designed around women's healthcare needs. Often comes with shorter waiting periods than standard plans.

Special needs and disability cover

Policies that cover children and adults with autism, Down syndrome, cerebral palsy or hearing/vision impairment — including therapy, devices and home care.

Featured plans

A starting point — compare side-by-side or talk to an advisor.

Individual and Family Health Insurance

Niva Bupa Reassure 3.0

The Niva Bupa ReAssure 3.0 health plan has made it easier than ever to guarantee lifetime protection for you and your family, with a covera…

Sum insured Unlimited
Entry age Adult - 18 Years, Child - 91 Days
  • Unlimited Sum Insured
  • Day 1 Pre-Existing Disease Coverage
  • Automatic Sum Insured Restoration
  • No Co-payment Clause
View plan
Individual

Optima Lite Health Insurance Plan

HDFC ERGO Optima Lite Health Insurance Plan is an affordable health insurance policy that provides necessary health insurance coverage to i…

Sum insured ₹5 lakh, ₹7.5 lakh
Entry age Children: 91 days Adults; 18 years
  • Affordable premiums
  • Unlimited restore benefit
  • No disease-wise sub-limits
View plan
Individual and Family Health Insurance

Galaxy Twin 360

Galaxy Twin 360 combines in-patient hospitalisation (IPD) cover with out-patient (OPD) and wellness benefits, aiming to make health insuran…

Sum insured 7.5 Lakh, 10 Lakh, 15 Lakh, 30 …
Entry age Adult: 18 years Chldren: 90 days
  • OPD benefits along with hospitalisation cover
  • usable benefits even in non-hospitalisation years
  • wellness and preventive care integration
View plan
Individual

SBI General Health Alpha Plan

The SBI General Health Alpha health insurance plan is highly flexible and can be tailored to your needs. You start with a base of Hospitali…

Sum insured 5 Lakhs, 10 Lakhs, 20 Lakhs, 30…
Entry age 18 years
  • Customisable plan with multiple add-ons
  • Wide sum insured options (can go high)
  • Covers modern treatments & daycare procedures
View plan
Individual and Family Health Insurance

Niva Bupa Reassure 3.0

The Niva Bupa ReAssure 3.0 health plan has made it easier than ever to guarantee lifetime protection for you and your family, with a covera…

Sum insured Unlimited
Entry age Adult - 18 Years, Child - 91 Days
  • Unlimited Sum Insured
  • Day 1 Pre-Existing Disease Coverage
  • Automatic Sum Insured Restoration
  • No Co-payment Clause
View plan
Individual and Family Health Insurance

Niva Bupa Rise Plan

The Niva Bupa Rise Plan introduces a new era of health insurance, combining essential coverage with unique advantages. Specifically designe…

Sum insured 5 L, 7.5 L, 10 L, 15 L, 20 L, 5…
Entry age 18 years
  • Modern treatment covered
  • Unlimited digital consultation
  • Smart Cash
  • Loyalty bonus
View plan

Government health schemes

Public schemes that complement (or substitute) a private policy.

Ayushman Bharat (PM-JAY)

India's flagship national scheme. Up to ₹5 lakh per family per year for secondary and tertiary hospitalisation, free at 25,000+ empanelled hospitals. Targets families below the poverty line identified via SECC 2011.

Mukhyamantri Amrutum (Gujarat)

State-level scheme for low-income families in Gujarat. Up to ₹3 lakh per family per year for serious illnesses including cancer, heart, kidney and trauma care at empanelled hospitals.

Dr YSR Aarogyasri (Andhra Pradesh)

Free cashless treatment up to ₹5 lakh per family for 2,400+ listed procedures at 1,300+ empanelled hospitals in Andhra Pradesh. Targets families below the income threshold.

Eligibility criteria

Who can buy a Mediclaim / health insurance policy in India.

  • Indian citizen or NRI with an Indian address
  • Entry age typically 18 to 65 for adults; child cover from 90 days to 25 years
  • Pass the medical underwriting check — pre-existing conditions are accepted with a waiting period
  • Co-applicants for a floater policy must be immediate family — spouse, dependent children, parents and in some plans parents-in-law
  • Lifelong renewability is mandated by IRDAI once a policy is bought, so age never becomes a barrier to renewal
  • KYC documents — PAN, Aadhaar and address proof — are needed before policy issuance

Key benefits

What a good health policy delivers — across nearly every insurer in India.

  • Cashless treatment at 10,000+ network hospitals across India
  • Pre-hospitalisation expenses covered up to 60 days before admission
  • Post-hospitalisation expenses covered up to 180 days after discharge
  • Day-care procedures that don't need a 24-hour stay (cataract, dialysis, chemotherapy)
  • Ambulance charges reimbursed up to a per-incident limit
  • AYUSH treatments — Ayurveda, Yoga, Unani, Siddha, Homeopathy — at registered hospitals
  • Annual preventive health check-up for the insured and the spouse
  • No-claim bonus — sum insured grows 10–50% every claim-free year
  • Automatic restoration of sum insured if it's exhausted during the year
  • Tax deduction up to ₹1,00,000 per financial year under Section 80D

Benefits of buying health insurance online

Six reasons online beats walking into a branch with paper forms.

Side-by-side comparison

Compare every major insurer's premium, sum insured, claim ratio, network and waiting periods in one view — no commission-driven recommendations.

Instant policy issuance

Buy in under 15 minutes — KYC is done via Aadhaar OTP and the policy is emailed to you the same day.

Paperless onboarding

No physical proposal form, no in-person medical test for most age bands, no waiting for a courier — everything happens in your browser.

Best-price guarantee

Online premiums are 5–15% lower than offline because the insurer doesn't pay agent commissions. The savings come straight to you.

Expert advisor on call

A licensed PolicyX advisor talks you through plan selection, claim history check and exclusions — at no extra cost.

Manage everything in one place

Renew the policy, edit nominee details, add a rider, raise a claim and download tax certificates from your PolicyX dashboard.

Tax benefits — Section 80D

Health-insurance premium qualifies for deduction under Section 80D of the Income Tax Act.

Self, spouse and dependent children (all below 60)up to ₹25,000
Senior citizens (self or spouse aged 60+)up to ₹50,000
Parents below 60additional up to ₹25,000
Parents aged 60+additional up to ₹50,000
Preventive health check-up (within above limits)up to ₹5,000
Maximum aggregate deductionup to ₹1,00,000 per financial year

Inclusions vs exclusions

What a typical health policy pays for, and what it doesn't.

Inclusions

  • Hospitalisation expenses — room, ICU, surgeon, anaesthesia, OT and medicines
  • Pre-hospitalisation (up to 60 days) and post-hospitalisation (up to 180 days)
  • Day-care procedures that don't require 24-hour admission
  • Domiciliary treatment when hospitalisation is not possible
  • AYUSH treatments at registered hospitals
  • Ambulance charges within a per-incident limit
  • Organ-donor expenses for the insured's transplant
  • COVID-19 and modern treatments including robotic and oral chemotherapy

Exclusions

  • Pre-existing diseases during the waiting period (typically 2–4 years)
  • Cosmetic, plastic and weight-loss surgery unless medically necessary
  • Self-inflicted injuries, suicide attempts and substance-abuse treatment
  • Dental and vision-correction procedures unless arising from an accident
  • Pregnancy-related expenses outside the maternity rider
  • Treatment outside India unless explicitly added as a rider
  • War, civil unrest, nuclear and chemical hazards
  • Adventure-sports injuries (skydiving, mountaineering, motor racing)

Riders & add-ons

Optional covers you can bolt onto a base policy for extra protection.

Maternity cover

Covers normal and caesarean delivery, new-born baby and vaccination costs for the first year — after a 2–4 year waiting period.

OPD cover

Pays for doctor consultations, diagnostic tests and pharmacy bills that don't need hospitalisation — usually capped at a yearly limit.

Personal accident

Lump-sum payout on accidental death or permanent disability, on top of the medical cover. Includes loss of income for total disability.

Critical illness

Lump sum on diagnosis of a listed illness (cancer, heart attack, stroke, kidney failure) — separate from the hospitalisation cover.

Hospital cash

Pays a fixed daily amount for each day of hospitalisation, on top of expense reimbursement — useful for incidentals.

Room-rent waiver

Removes the cap on per-day room rent so you can pick a private room without proportionate deduction across the entire bill.

Premium calculator — how it works

Five inputs, one live comparison across every major insurer.

  • Enter age, gender and city — Open the calculator and enter the basic profile of every person you want to cover.
  • Pick sum insured and term — Choose cover from ₹3 lakh to ₹1 crore and a policy term of 1, 2 or 3 years.
  • Declare medical history — Disclose existing conditions and lifestyle so the quote you see is the one you'll pay.
  • Compare across insurers — One screen, every major insurer, side-by-side premiums, claim ratios and inclusions.
  • Lock in and download — Pay via UPI or netbanking and download the policy as a PDF the same minute.

→ Open premium calculator

Factors affecting premium

Eight variables every insurer plugs into the same actuarial table.

  • Age at entry — premiums roughly double every 10 years after 35
  • City tier — Tier-1 cities (Mumbai, Delhi, Bengaluru) cost 10–25% more than Tier-2/3
  • Sum insured — ₹10 lakh costs roughly 1.5× a ₹5 lakh plan, not 2×
  • Number of insured — a family floater is cheaper per person than separate individual covers
  • Pre-existing diseases — loading of 20–100% based on condition severity
  • Tobacco and alcohol use — non-smokers pay 10–20% less on most plans
  • Policy term — 2- or 3-year prepaid policies usually save 5–10% on the annual rate
  • Riders chosen — each add-on (maternity, OPD, critical illness) bumps the premium proportionally

How to compare health plans

What to look at, beyond the headline premium.

  • Identify your healthcare needs — family size, city, existing conditions and budget
  • Check sum insured options — pick a cover at least 50× the typical room-rent of a good hospital in your city
  • Compare premiums and the claim settlement ratio — insurers below 90% are a warning sign
  • Read inclusions and exclusions — focus on the 5–6 conditions you're most worried about
  • Review waiting periods — 30 days for general illness, 2–4 years for pre-existing
  • Check the network hospital list in your city — cashless is only useful at network hospitals
  • Look for restoration, no-claim bonus and room-rent capping — these change the real-world value of the cover
  • Ask about co-pay and sub-limits — a low premium often hides a high co-pay or a sub-limit on critical procedures

Myths & facts

The biggest misconceptions about Indian health insurance — debunked.

Myth

  • I'm young and healthy, so I don't need health insurance.
  • My employer's group cover is enough.
  • Pre-existing diseases are never covered.
  • Cashless means no documents.
  • One insurance is the same as another.
  • Buying online means no support.

Fact

  • Premiums lock in at the entry age and lifestyle diseases now strike Indians in their 30s. Buying young is the cheapest the policy will ever be.
  • Employer cover ends the day you change jobs. A personal policy is portable, lifelong renewable, and counts towards 80D — your employer's doesn't.
  • They're covered after a waiting period of 2–4 years — and some new-age insurers cover them from day one with a small loading.
  • You still need pre-authorisation and the discharge summary, but the bill itself is paid by the insurer to the hospital directly.
  • Claim ratio, network depth, room-rent capping, restoration and co-pay vary widely — two policies at the same premium can have completely different real-world value.
  • PolicyX provides a dedicated advisor by phone for every policy sold, with a claims-support team that helps you raise and settle claims end-to-end.

Claim process

Two ways to claim — cashless (faster, no out-of-pocket) and reimbursement (any hospital).

Cashless (recommended)

  1. Get admitted to a network hospital and show your health card at the insurance desk.
  2. Hospital sends a pre-authorisation request with your treatment plan to the insurer.
  3. Insurer approves and confirms the cashless limit within a few hours, in most cases.
  4. At discharge, the bill is settled directly between the hospital and the insurer; you only pay for non-covered items.

Reimbursement

  1. Inform the insurer within 24 hours of any planned or emergency admission.
  2. Pay all hospital bills out of pocket and keep every original document.
  3. Fill the claim form and submit it with the discharge summary, bills, prescriptions and reports within 30 days of discharge.
  4. Insurer reviews the claim and may request additional documents within 7–15 days.
  5. Approved claim amount is transferred to your bank account, typically within 30 days of full documentation.

Health card

Your insurer-issued card — the key that unlocks cashless treatment at admission.

  • Issued by the insurer or TPA after policy purchase; doubles as your cashless-treatment ID at the hospital
  • Lists the policy number, sum insured, validity period and the network of empanelled hospitals
  • Show it at the insurance desk on admission to start the cashless authorisation flow
  • Available as a physical card and a digital version inside the insurer's app — both work the same way
  • Replace immediately if lost — most insurers re-issue inside 7 working days at no charge

How to buy online

From comparison to policy delivery — five steps, fifteen minutes.

  • Compare — Filter by city, sum insured and family size; sort by premium or claim ratio.
  • Pick a plan — Read inclusions, exclusions and room-rent rules; talk to a free advisor if needed.
  • Fill details — Enter Aadhaar, PAN, KYC and medical declarations honestly. The portal autosaves as you go.
  • Pay — UPI, netbanking, credit/debit card or EMI. The portal generates a receipt the same minute.
  • Get policy — Soft copy in your inbox within minutes; physical kit (if requested) couriered in 5–7 days.

Glossary

The terms you'll see in every policy document — translated.

The maximum the insurer will pay during a policy year. Pick a cover that's at least 50× a single-day private-room rent in a good city hospital.
The annual amount you pay to keep the policy active. Online premiums are usually 5–15% lower because no commission is paid.
A fixed percentage of the bill you pay yourself, with the insurer paying the rest. Common in senior-citizen plans and lower-premium policies.
A flat amount you pay before the insurer starts paying. Higher deductibles mean lower premiums — used in top-up and super top-up plans.
A hospital empanelled with the insurer where cashless treatment is available. Always check the network for your city before buying.
Any condition diagnosed before the policy started — covered after a waiting period, typically 2–4 years.
The time you must hold the policy before specific conditions or treatments become payable. Standard initial wait is 30 days for general illness.
A reward for not claiming during a policy year — sum insured grows 10–50% the next year, at no extra premium, up to a defined cap.
Automatic top-up of the sum insured if it's exhausted mid-year, so a second illness in the same year is still covered.
A cap on per-day room rent — if you exceed it, the insurer applies a proportionate deduction across the entire bill, not just the room.
A cap on a specific expense (e.g. cataract surgery, knee replacement) inside the overall sum insured. Watch out for these — they erode real cover.
Third-Party Administrator — the agency that processes cashless approvals and claim documents on behalf of the insurer.

Frequently asked questions

The 18 most-asked questions about health insurance in India.

Follow the below-mentioned steps to check the Royal Sundaram health policy claim status: Visit the official website of the Royal Sundaram Health Insurance. Select the product type and enter your policy number. Select the ’Claim Related’ tab to track your claim status. You can also contact the customer care company at 1860 425 0000 or email at customer.services@royalsundaram.in.
For planned hospitalization, policyholders must inform the company 48 hours before being admitted to the hospital. In case of emergency hospitalization inform them within 24 hours of admission in the hospital.
You should renew your United India health insurance policy within the grace period which is 30 days.
To file a claim, you need the filled claim form, hospital bill, discharge summary, pharmacy and test bills with prescriptions, bank details, and a valid ID. For accidents, include an FIR or MLC report. Submit scanned PDFs for online claims or originals for offline submission.
Yes, it is available via WhatsApp.
Health Care Supreme is available in 3 variants which are known as Health Care Supreme - Vital, Health Care Supreme - Smart, and Health Care Supreme - Ultimo. The sum insured range of this plan is from Rs. 5 Lakh to Rs. 50 Lakh, which depends on the variant opted.
HDFC Life wants its customers to undergo medical tests to understand the risk associated with insuring them and charging them appropriate premiums.
Yes, in some cases, it is possible to reduce or even waive certain waiting periods in a health insurance policy.
Some people hesitate to undergo medical tests while for some people medical tests are time-consuming.
Both Care and Niva Bupa offer strong health plans - Care suits budget-conscious buyers, while Niva Bupa is better for faster claims and added features.
You should consider various factors when choosing the best health insurance in India including- claim settlement ratio, waiting period, network hospitals, no-claim bonus, etc.
Yes, the policy covers mental illnesses as defined under the Rights of Persons with Disabilities Act, of 2016.
Yes, a pre-medical check-up is required for all members entering after the age of 50 and those with adverse medical conditions.
As per IRDAI, a minimum of 20 employees is mandatory to purchase a group health insurance.
Yes, there are some plans such as Aditya Birla Active Health that offer maternity coverage. This policy covers the maternity-related expenses incurred on both the mother and the baby, vaccination, etc.
Go Digit does not offer any specific health insurance plan for kids. However, children can be covered under their parents’ insurance plans.
Any Indian resident can avail of an international health insurance plan between the age of 18 to 65 years.
You have to submit these documents for making a successful claim in the star health comprehensive plan: Health card Prescription documents issued by the doctor Discharge summary from the hospital Original medical bills All investigative reports in original Hospital records KYC documents if your claim amount is more than INR 1 lakh The claim form, filled and signed NEFT and KYC details for reimbursement claims Medico-legal certificate or FIR in case of accidental hospitalization

Network hospitals

Find a cashless hospital near you across major Indian cities.

Written and reviewed by

PolicyX content is researched in-house and reviewed by an IRDAI-certified insurance specialist before publication.

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