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 | 86.38% | More than 10,500 |
SBI Health Insurance | 96.13% | More than 6,000 |
Manipal Cigna | 87.68% | More than 8,500 |
Digit Insurance | 97.00% | More than 9,000 |
Star Health | 83.00% | More than 14,000 |
TATA AIG | 94.51% | More than 11,000 |
Niva Bupa | 92.39% | More than 10,000 |
Care Insurance | 96.74% | More than 11,400 |
Aditya Birla | 95.88% | More than 12,000 |
HDFC Ergo | 97.45% | More than 15,000 |
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 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 main benefits of being covered by a health insurance policy:
Cashless Treatment: When you are covered under a health insurance policy, you can avail cashless treatments which essentially means that you can receive medical treatments without having to pay the hospital from your own pockets.
Cover for Pre & Post-Hospitalisation Expenses: Effective insurance policies offer coverage for pre- as well as post-hospitalisation expenses for a period of 60 days before and after an insured individual is hospitalised.
Transportation Expenses: In case you hold a health insurance policy and get hospitalised the plan will cover the costs incurred on using an ambulance to transport you from your home to the hospital or vice-versa.
Domiciliary Expenses: If the policy holder is too sick to be moved to the hospital, treatment would be provided at home. In such cases, expenses will be covered by the insurance company as per policy terms.
Ambulance Charges: All expenses related to transporting the patient to or from the hospital will be covered by the insurance policy.
Covers Day Care Procedure: Most health insurance offers daycare expense coverage to policyholders.
Medical Check-ups: Most health insurance policies offer free health check-ups. However, most insurance companies only offer these check-ups for free depending on your No Claim Bonus.
No Claim Bonus: If you hold a health insurance policy and do not make any claims over the course of an entire policy year, you will be rewarded in the form of a No Claim Bonus.
Room Rent: In case you are hospitalised, you will have to incur costs on room rent. Having a health insurance policy will ensure that these costs are covered to a significant extent.
Tax Benefits: Tax advantages can also come from having health insurance. Under Section 80D of the Income Tax Act, you are entitled to a tax deduction for the premium payments you make toward your health insurance plan.
Online Purchasing Facility: You can now acquire a plan online without going to a health insurance company branch thanks to technological improvements. From the convenience of your home or workplace, you can accomplish this.
Renewal: The renewal of your health insurance policy can also be done online. There is also a lot of flexibility when it comes to renewing your insurance plan. You can alter the terms of coverage based on what you think will work best for you.
Cover for OPD Expenses: Most of the traditional health insurance plans require the insured individual to be hospitalised for a minimum of 24 hours if they are to be eligible for reimbursements.
The following are the common mistakes you must avoid when purchasing health insurance:
Not Checking the Claim Settlement Ratio: When you are buying an insurance plan, it is imperative to check the claim settlement ratio of the company. If the claim settlement ratio is high, you are unlikely to encounter any issues with filing a claim.
Not Considering Additional Benefits: While buying an insurance plan, it is important to pay attention to the additional benefits it offers. Added benefits, such as wellness programmes and checkups can add more value to your policy.
Not Checking the Claim Settlement Ratio: When you are buying an insurance plan, it is imperative to check the claim settlement ratio of the company. If the claim settlement ratio is high, you are unlikely to encounter any issues with filing a claim.
Not Considering Additional Benefits: While buying an insurance plan, it is important to pay attention to the additional benefits it offers. Added benefits, such as wellness programmes and checkups can add more value to your policy.
Acquiring a health insurance policy through online channels offers numerous advantages. Explore these benefits:
With medical costs escalating steadily, securing medical treatments has become a costly affair. The risk of depleting your savings due to hospitalization for critical illnesses or lifestyle diseases is a pressing concern. The optimal solution to navigate these challenges and ensure access to top-notch medical care is by obtaining a health insurance policy. Consider the following pivotal reasons for acquiring a health insurance plan:
Combat Medical Inflation: Health insurance facilitates the payment of present and future medical expenses, encompassing pre-and post-hospitalization charges, in the face of soaring medical inflation.
Access to Quality Healthcare: It grants you the ability to afford superior medical treatment and attention, enabling you to concentrate solely on your recovery.
Confront Lifestyle Ailments: The policy covers prolonged treatments for lifestyle-induced ailments such as cancer and heart conditions, which are on the rise due to evolving lifestyles.
Preserve Your Savings: Shield your hard-earned savings by having your medical expenses covered, freeing you from financial worries while seeking essential treatments.
Embrace Cashless Hospitalisation: Benefit from the convenience of cashless hospitalisation at network hospitals affiliated with your insurance provider, streamlining the claims process.
Leverage Tax Advantages: Enjoy tax deductions on your health insurance premiums under Section 80D of the Income Tax Act, optimising your financial planning.
Attain Peace of Mind: Experience tranquillity in receiving medical care as the weighty burden of exorbitant hospital bills is alleviated, allowing you to focus on recovery.
Your existing health insurance policy includes coverage for the expenses related to COVID-19 treatment. Many health insurers and general insurance providers have introduced specific health insurance plans designed to cover medical costs associated with treating COVID-19.
Following the guidelines set by the Insurance Regulatory and Development Authority of India (IRDAI), two distinct standard health insurance products, namely the Corona Kavach policy and the Corona Rakshak policy, have been introduced. These are gaining popularity among individuals seeking coverage for COVID-related expenses.
Let's explore these two COVID insurance offerings and their differences compared to basic health plans:
Corona Kavach Policy: This indemnity-based health insurance plan provides coverage for COVID-related hospitalisation expenses, home treatment, and AYUSH (Ayurveda, Yoga, Unani, Siddha, Homeopathy) treatment costs. Additionally, it covers expenses for masks, gloves, ventilators, oxygen cylinders, and personal protective equipment (PPE) kits.
Corona Rakshak Policy: The Corona Rakshak policy operates on a benefit-based model, offering a lump sum payment for hospitalisation expenses (minimum of 72 hours) upon the diagnosis of COVID-19 during the policy's term. The policy term ranges from a minimum of 3.5 months to a maximum of 9.5 months.
Health insurance offers broader coverage, including hospitalization, surgery, and various medical expenses, while mediclaim primarily focuses on reimbursing hospitalization 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.
The ‘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 right or wrong age to purchase health insurance coverage. However, it is advised to purchase it as soon as possible to keep your premium low. The earlier you acquire health insurance, the lower the rate.
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.
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.
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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