Health Insurance

Your Safety Net Against All Health Hazards - It offers financial protection in case of medical emergency by getting your expenses covered

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Best Health Insurance Plan For 2023

Several new and attractive health insurance schemes are introduced as the demand for health insurance is increasing. At insurejoy.com let us analyse the best health insurance plans available in India.

Origin of

Health Insurance In India

Health Insurance was introduced in India in 1948. It started as Employees State Insurance Scheme (ESIS) where it provided health care services to blue-collar workers through network hospitals. Later General Insurance Corporation (GIC) in 1986 was the first to launch the Mediclaim policy in India. Since then the health insurance sector is one of the most emerging sectors in India. The COVID-19 pandemic has created an awareness among people to purchase Health Insurance in India.

Top 3 Reasons

To Have Health Insurance

Health insurance is one of the most important things that you can buy for yourself and your family. Here are the top three reasons why you should purchase health insurance;


It saves your money on healthcare expenses. The good news is that all health insurance plans cover certain services at no cost when you use an in-network provider. The expense covered could be your annual physical check-up, emergency care, or a medical prescription. Accidents may happen and anyone can get sick so it's best to be prepared.


As years pass by health care can get pretty expensive and it is important to deal with medical inflation.


It also helps you stay healthy through annual checkups and help prevent serious medical conditions. Some plans even offer free visits for medical counselling or value-added wellness programs or discounts on fitness gear and programs that help you lose weight.

Understanding the Basics of

Health Insurance Plans

The basic idea behind Health Insurance is that it offers financial protection to you and your family in case of hospitalisation or medical emergency by getting your expenses either reimbursed or you can go cashless where the insurance companies settle the hospital bills directly to the hospital. Health insurance offers double benefits i.e. it provides health coverage and offers tax benefits too.

Why Is the Demand

For Medical Insurance Increasing?

Post-Covid situation people are realising the need for health insurance. It is time to make some adjustments to your monthly budget and invest in a health insurance plan. Let us understand why do you need Health Insurance and the reason behind the increasing demand.

  • Save Money Health insurance saves your wallet from depleting your money during hospitalisation which is the main reason why many people prefer to purchase a health insurance plan.
  • Cashless Treatment Network hospitals provide a cashless treatment facility.
  • Tax Benefits People get double benefits from health insurance as it provides tax benefits.
  • Quality Healthcare The in-network hospital provides quality treatment to its policyholders.
  • Extensive Coverage The pre-hospitalisation and post-hospitalisation expenses are covered by the health insurance plans.
  • Critical Ailments Cover The health insurance plan gives coverage for various critical ailments, medical treatments, and surgeries.
  • Covid Cover It also provides coverage for corona treatment.
Start your coverage

Choose Your Perfect Plan

It is important to purchase a health insurance plan, but it is more important to choose the right plan according to your needs. There are different types of plans available in India.

Staying healthy will make you eligible for a no claim bonus and get an additional sum insured every year.

This plan is quite useful for young individuals who have just started their careers and wish to purchase their first insurance policy. An individual plan will provide cover for a single person, i.e. the policyholder. The plan covers have got the individual covered for daycare procedures, Ayurvedic treatment, Homeopathic treatment, pre and post hospitalisation charges, certain surgeries, ambulance charges, and also cashless facility. An individual should purchase an insurance plan at a very young age to avail of lower premium rates.

This plan has extensive coverage for you and all your family members. This one plan gets your entire family covered which can be cost-effective. Each family member shares the maximum sum insured according to the policy. A family floater plan covers your immediate family members like parents, spouse, dependent children, brother and sister.

This plan is specifically designed to cater to the needs of senior citizens. The plan is expensive as compared to other plans as senior citizens are more prone to health issues. It covers all the treatment charges, medical bills, and surgeries. This plan has a co-payment clause in the policy scheme.

This plan covers the expenses for life-threatening diseases like cancer, stroke, kidney failure, etc. This plan is specifically designed to cover the treatment cost for critical illnesses that are expensive. This plan provides a payable benefit once the policyholder is diagnosed with any one of the critical illnesses.

This plan allows you to upgrade the already existing plan. You can enhance your basic health insurance plan to get more coverage and benefits.

As the corona waves keep coming back and the pandemic has taken a toll on the lives of people it is important to have health insurance specifically designed for such situations. This plan covers all the hospital expenses and medical bills of the policyholder if they are diagnosed with the Covid-19.

If a policyholder is severely affected by an accident or gets disabled due to the accident this plan will provide financial stability to the family member during such a crisis.

Certain plans are available in the market that is specifically designed to cater to the insurance-related requirement that a woman might need in different stages of their lives. The plan covers maternity expenses, healthcare expenses and treatment expenses for specific diseases are also covered.

How Will You

Benefit From Health Insurance?

cashless medical health insurance plans
On purchasing health insurance you can avail several benefits from the plan.
  • No Claim Bonus

    Staying healthy will make you eligible for a no claim bonus and get an additional sum insured every year.

  • Eligible For Tax Deduction

    A health insured person is eligible for tax deduction according to Section 80D of the Income Tax Act.

  • Pre And Post Hospitalisation Treatment.

    It helps you save your money by incurring medical expenses during pre and post hospitalisation treatment

  • Ambulance Charges Are Covered

    During a medical emergency, the ambulance charges are covered by the insurance company.

  • Cashless Facility

    You can avail of a cashless facility provided you get treatment in the network hospitals.

  • Pre-Existing Diseases

    Pre-existing diseases are covered after completing the waiting period as per the policy.

  • Hospitalisation Expenses

    It covers most of the hospitalisation expenses like room rent, medical bills, consultation fees, treatment fees, etc.

  • ICU Coverage

    The plan provides coverage for getting treated in ICU or Intensive Care Unit.

  • Daycare Procedures

    Daycare procedures are also covered where the patient has to be hospitalised for less than 24 hours.

  • Free Annual Check-Ups

    Health Insurance plans provide free annual check-ups.

  • Homoeopathy And Ayurvedic Treatment

    Homoeopathy and Ayurvedic treatment expenses are also covered.

  • Renew Every Year

    Once the health insurance is purchased, you can renew the plan every year lifelong.

  • Organ Donor Expense

    In case the policyholder needs an organ transplant the medical expense needed for harvesting the organ is also covered.

  • Daily Cash

    Daily hospital cash is provided to the policyholder during hospitalisation for a certain period to take care of any additional charges like travelling, food, etc. This hospital cash can be a certain amount given daily for 7 days and up to 120 days as per the policy norms.

  • Domiciliary Hospitalisation Covered

    If the policyholder is unable to take treatment in the hospital due to certain reasons like shortage of beds, etc. and if the treatment is taken at home as per the doctor’s advice then the insurance companies will cover the expenses for the treatment taken.

  • Sum Insured is Restored

    Many people are worried about the exhaustion of sum insured. But nowadays health plans offer sum insured restoration benefits wherein the sum insured is restored as per the policy terms.


Health Insurance Plans at insurejoy.com

There are almost more than 300 health insurance plans and about 25 insurance companies available in India. It becomes tedious to visit each insurance company and get their plan details. Here at insurejoy.com, we have made your work easier by compiling all the best plans and save your valuable time by giving you a detailed comparison of the best plan available in the market. insurejoy.com is an easy platform to compare various plans and to understand their benefits and features.

Select a Reputed Insurance Company

It is important to select the health insurance plan from a company that has a good brand image.

Customer Service & Reviews

Read the customer reviews and comments of the company to get an idea about their customer support.

Quick Claim Settlement

Check the claim settlement ratio of an insurance company. The claim settlement is the most important process which should be quick and hassle-free.

Sum Insured Factor

The premium amount of your policy depends on the Sum Insured amount you have selected. Keeping economic inflation in mind it is necessary to select the maximum sum insured at the best premium rates.

Good Financial Stability

Check the ratings of the insurance company at CRISIL. The insurance company that has an AAA rating is considered to be a financially sound company.

Compare At a glance

Best Health Insurance Plans Available in India for 2023

Finding the best plan is quite hard because each individual has specific needs. To make things easier, we have made a comparison table of the best plans available in India. Compare Health Insurance and make a wise decision in choosing your ideal plan.

The plans have been categorised based on the type of health insurance.


The individual health insurance plan covers a single individual and offers all the benefits and coverage amount to the policyholder alone. This plan offers medical coverage to an individual based on the amount of premium and the sum insured. It includes all the hospitalisation features such as in-patient hospitalisation expense, organ donor expense, daycare expense, pre and post hospitalisation expense, cashless feature, domiciliary hospitalisation expense, Ayurvedic and homeopathic expense, etc. This plan is best suited for individuals who are not married and need health insurance for themselves. Certain insurance companies allow to include parents under this policy. Some of the popular health insurance plans for individuals are discussed below.

Individual Health Insurance Plans Sum Insured in Rs. Entry Age Best Features
Young Star Insurance Policy Rs.3 lakh – Rs. 1 crore 18 years- 40 years
  • Direct in house claim settlement
  • All Hospitalisation features covered
  • 11000+ network hospitals
  • Claim settlement ratio 90%
Active Assure Diamond Health Insurance by Aditya Birla Rs.2 lakh – Rs. 2 crores 5 years- 65 years
  • Direct in house claim settlement
  • All Hospitalisation features covered
  • 7000+ network hospitals
  • Claim settlement ratio 90%
Digit Health Plus Policy by GoDigit General Insurance Rs.2 lakh – Rs. 2 crores 18 years- 60 years
  • Dedicated team for claim settlement
  • All Hospitalisation features covered
  • 5900+ network hospitals
  • Claim settlement ratio 63.56%
Activ Health Platinum- Enhanced Plan by Aditya Birla Health Insurance Rs.2 lakh – Rs. 2 crores Min 5 years
  • Sum insured is doubled in 2 claim-free years
  • All hospitalisation features covered
  • Modern treatment expenses covered


The family floater plan provides health insurance coverage to the entire family under a single sum insured. Every family member can enjoy the benefits of the health insurance plan. Below are the best family health insurance plans in India.

Plan Name By Insurance Company Entry Age Premium (in Rs.) Best Features
Heartbeat Family Health Insurance By MAX BUPA Health Insurance Min- 91 days
Max- No Limit
  • Cashless claim
  • COVID-19 covered
  • 7000+ network hospitals
  • All Hospitalisation features covered
  • Sum insured Rs 5 lacs – Rs. 50 Lacs
My Suraksha Plan By HDFC ERGO Min- 91 days
Max- No Limit
  • Wide coverage
  • Tax benefit
  • No claim bonus
  • Life long renewability
  • All Hospitalisation features covered
  • Sum insured-Rs 2 lacs – Rs. 5 Lacs
Star Health Family Optima Plan By Star Health Insurance Min- 18 years
Max- 65 years
  • Supersaver plan covers an entire family
  • All Hospitalisation features covered
  • Pre-existing disease covered
  • Sum insured-Rs 1 lacs – Rs. 25 Lacs
Care Insurance By Care Health Insurance Min- 91 days
Max- No Limit
  • All Hospitalisation features covered
  • 16500+ network hospitals
  • Modern treatment like robotic surgery covered
  • COVID treatment covered
  • Sum insured-Rs 5 lacs – Rs. 6 crore
  • 95.2% claim settlement ratio
Health Infinity Health Insurance Policy By Reliance General Insurance Child:
Min-91 days
Max-25 years
Min-18 years
Max- 65 years
  • All Hospitalisation features covered
  • 90-day free cancellation
  • Wide range of sum insured- Rs 3 Lacs – Rs- 1 crore
  • Organ donor expense
  • Modern treatment like robotic surgery covered
Health-Guard Platinum By Bajaj Allianz Min- 3 months
Max- 65 years
  • Ayurvedic and Homeopathic treatment
  • All Hospitalisation features covered
  • Daily cash benefit
  • Claim settlement ratio 90%
  • Sum insured-Rs 6 lacs – Rs. 10 crore
Medicare Protect By TATA AIG Min- 1 month
Max- 71 years
  • 7200+ network hospitals
  • Covid-19 covered
  • 96.43% claim settlement ratio
  • All Hospitalisation features covered
  • Organ donor expense
  • Sum insured-Rs 2 lacs – Rs. 5 lacs


This plan covers various life-threatening diseases like stroke, cancer, renal failure, coma, organ transplant, paralysis, etc. If the policyholder is diagnosed with any of the critical illnesses they will be paid a lump sum amount by the insurer. The best critical illness health Insurance plans are discussed below.

Critical Illness Insurance Plan Sum Insured in Rs. Entry Age Best Features
Care Critical Mediclaim Plan Rs. 1 lakh to Rs. 2 crores Min 5 years
Max 50 years
  • Claim settlement ratio is 92.8%
  • COVID-19 is covered
  • 8250+ network hospitals
  • Lifelong renewability
  • 100% in house claim settlement
Max Bupa Criticare Health Insurance Plan Rs. 3 lakh to 2 crores Min 18 years
Max 65 years
  • Claim settlement ratio is 89.46%
  • COVID-19 is covered
  • 4500+ network hospitals
  • Lifelong renewability
  • 100% in house claim settlement
STAR Criticare Plus Health Insurance Plan Rs. 2 lakh- Rs 2 crores Min 18 years
Max 65 years
  • Claim settlement ratio 78.62%
  • COVID-19 is covered
  • 9900+ network hospitals
  • Lifelong renewability
  • 100% in house claim settlement
  • Lumpsum payment
Manipal Lifestyle Protection Critical Care Rs. 1 lakh- Rs 2 crores Min 18 years
Max 65 years
  • Claim settlement ratio 85.72%
  • COVID-19 is covered
  • 6500+ network hospitals
  • Lifelong renewability
  • 100% in house claim settlement
  • Lumpsum payment
Royal Sundaram Lifeline Critical Illness Health Insurance Plan Rs. 2 lakh- Rs 2 crores Min 91 days
Max No limit
  • Claim settlement ratio 81.50%
  • COVID-19 is covered
  • 5000+ network hospitals
  • Lifelong renewability
  • 100% in house claim settlement
  • Lumpsum payment
ICIC Lombard Complete Health Insurance Rs. 2 lakh- Rs 2 crores Min 3 months
Max No limit
  • Claim settlement ratio 78.67%
  • COVID-19 is covered
  • 5025+ network hospitals
  • Lifelong renewability
  • 100% in house claim settlement
  • Lumpsum payment
Aditya Birla Activ Secure Rs. 1 lakh- Rs 2 crore Min 5 years
Max 65 years
  • Claim settlement ratio 70.81%
  • COVID-19 is covered
  • 6000+ network hospitals
  • Lifelong renewability
  • 100% in house claim settlement
  • Lumpsum payment


Senior Citizen health insurance plans are best suited for individuals aged 60 years and above. They are specifically designed to cover old age-related health issues. Let us discuss few best senior citizen health insurance plans. Compare Health Insurance plans and purchase the best suitable scheme.

Senior Citizen Health Insurance Plan Sum Insured in Rs. Entry Age Best Features
New India Senior Citizen Mediclaim Policy Rs. 1 lakh – 1.5 lakh Min 60 years
Max 80 year
  • All Hospitalisation features covered
  • Claim settlement ratio 92.68%
  • COVID-19 is covered
  • 1500+ network hospitals
  • Lifelong renewability
  • Dedicated team for claim settlement
Bajaj Allianz Silver Health Plan Rs. 50,000 – 1 lakh Min 46 years
Max 70 year
  • All Hospitalisation features covered
  • Claim settlement ratio 92.24%
  • COVID-19 is covered
  • 6500+ network hospitals
  • Lifelong renewability
  • In house claim settlement available
STAR Red Carpet Health Insurance Individual- Rs.1 lakh- 7.5 lakh
Family Floater- Rs.10 lakh- Rs 25 lakh
Min 60 years
Max 75 year
  • All Hospitalisation features covered
  • Claim settlement ratio 78.63%
  • COVID-19 is covered
  • 9900+ network hospitals
  • Lifelong renewability
  • In house claim settlement available
Aditya Birla Active Care Rs. 3 lakh – 25 lakh Min 5 years
Max 80 year
  • All Hospitalisation features covered
  • Claim settlement ratio 70.81%
  • COVID-19 is covered
  • 6000+ network hospitals
  • Lifelong renewability
  • In house claim settlement available
TATA AIG MediSenior Rs.2 lakh, 3 lakh, 5 lakh 61 years and above
  • All Hospitalisation features covered
  • Claim settlement ratio 76.04%
  • COVID-19 is covered
  • 3000+ network hospitals
  • Lifelong renewability
  • Dedicated team for claim settlement

Health Insurance Plan That Covers COVID-19 Treatment

With the outbreak of Coronavirus and neverending corona waves, it is important to get health insurance that includes COVID-19 cover. IRDAI has launched schemes that are specifically designed to cater for the needs of the corona patient namely Corona Kavach Policy and Corona Rakshak Policy.

Features Corona Kavach Policy Corona Rakshak Policy
Entry Age 18 – 65 years Children: 90 days – 25 years
Adult:18 – 65 years
Type of Plan Family Floater Individual
Hospitalisation Duration Required 24 hours 72 hours
Sum Insured Rs.50,000-2.5 lakh Rs. 50,000- Rs.5 lakh
Claim Payment Hospitalisation expenses are covered Payment is given in lump sum amount after being diagnosed.
Policy Tenure 3.5 months, 6.5 months, 9.5 months 3.5 months, 6.5 months, 9.5 months
  • Daily cash benefit
  • PPE kits
  • Gloves
  • Masks, Oxygen cylinders and ventilators
  • Ayush Treatment covered
  • 100% payment in the lump sum amount
  • PPE Kits
  • Masks
  • Gloves
  • Masks, Oxygen cylinders and ventilators
  • Ayush Treatment covered

Some popular Health Insurance plans that cover COVID-19 are

  • New Indian Assurance Corona Kavach Policy
  • Future Generali Corona Kavach Policy
  • Max Bupa Corona Kavach Policy
  • Iffco Tokio Corona Kavach Policy
  • Star Corona Rakshak Policy
  • Future Generali Corona Rakshak Policy
  • Iffco Tokio Corona Rakshak Policy
Why choose us?

Advantage of Comparing & Purchasing the Health Insurance Plan at insurejoy.com

  • You can save a lot of time by studying the detailed comparison table about the best plan available in India.
  • We have provided the right information about the best plans so that you can make an informed decision.
  • You do not have to deal with agents as you can directly purchase the insurance plan at insurejoy.com.
  • Our online portal is user friendly and convenient to access.
  • No brokerage charges or agent charges have to be paid during online purchases.
  • You can easily compare the premium rates and purchase the best suitable plan.
  • insurejoy.com provides a comparison of plans from leading brands such as Aditya Birla, STAR Health Insurance, TATA AIG, HDFC ERGOetc.
  • At insurejoy.com all the insurance plans are available under one roof so the decision of purchasing the best plan becomes very easy.
  • You can purchase the best plan at insurejoy.com within few minutes by just filling the online proposal form.
Always Remember

How to Buy the Best Plan?

insurejoy.com, your most trusted insurance advisor, present some effective tips to buy health insurance!

Know the policy benefits of your plan

Check on if the plan has maximum benefits like hospitalisation features should be covered, Ayurvedic or homoeopathic treatments are covered. You can check if the policy allows you to restore the sum insured amount which is pretty important. Certain plans encourage you by giving discounts for no claim year.

Do thorough research on the Insurance Company

Once you have decided on the health insurance plan to be purchased research on the insurance company is an important factor. Check if the company has a good claim settlement ratio and nearby network hospitals around you. Read some reviews of customers and ask for reviews from friends and family members about the company.

Purchase a plan based on your requirement

Ask yourself if you need health insurance for yourself or your family members too. In this case, you can opt for the individual plan if the insurance is for yourself or a family floater plan if you wish to cover your entire family. Depending upon the age, medical history and lifestyle habits you can avail critical illness plans if you are at risk of certain diseases. In case you are perfectly healthy, you can go for top-up health insurance plans that will allow you to renew the plan every year.

What is Covered

Features That Are Inclusive in the Policy

Health insurance policy has certain coverage benefits can be included in the plan. The following hospitalisation features included are discussed below.

1) Pre & Post Hospitalisation charges

This covers medical expenses like lab tests, medical check-ups, etc done before hospitalisation. It covers the necessary medical tests required to ensure the patient's health after being discharged from the hospital.

2) In-Patient Hospitalisation Expenses

If the policyholder is hospitalised for more than 24 hours then all the medical expenses during hospitalisation can be claimed.

3) Ambulance Charges

If an ambulance is required during an emergency then this expense is also covered, though the amount varies from policy to policy.

4) Pre-Existing Illness

If the waiting period for the pre-existing illness is completed the policyholder can file a claim for the treatment or surgery expenses due to any pre-existing illness.

5) Annual Health Check-Ups

Most of the health insurance plans include annual health check-ups for the policyholder.

6) Domiciliary Hospitalisation

In case the policyholder is asked to take treatment at home instead of being hospitalised by the medical practitioner due to lack of beds or some other reasons then this expense is covered by the insurance company.

7) Ayush Benefits

The health insurance plan also covers the expenses for Ayurvedic, Homeopathic, Unani and Siddha treatment.

8) Daycare Procedures

Certain treatments do not require more than 24-hour hospitalisation. Such procedures are also covered by health insurance. These surgeries include eye surgery, dialysis, and other daycare surgeries.

9) Organ Donor Expenses

The health Insurance companies cover the expenses for organ donation which is indeed a noble deed.

10) Maternity expenses & New Born Baby Cover

The health insurance covers the maternity expenses and any medical expenses for the treatment of a newborn baby.

11) Daily Cash Benefit

Certain health insurance companies provide daily cash during the hospitalisation period.

What is Not Covered

Exclusions in Health Insurance Policy

Exclusions in health insurance are conditions where the insurance agents will not pay the coverage. The medical expenses will not be covered under the following circumstances.

  • Cosmetic Surgeries Excluded: Plastic surgery or cosmetic surgery is not included in the policy unless it is a part of a medical necessity due to an accident
  • Rehabilitation, long-term care by nurses or a private duty nursing, sanatorium treatments are not included in the policy
  • Vaccination and immunisation is not a part of a health insurance policy
  • Pre-existing disease and critical illness coverage have a waiting period of 2-4 years
  • Any health issues or injuries caused by suicidal attempt or war or terrorism is not covered
  • Dental or Vision surgery expenses are not covered
  • Claims that arise at initial 30 days are not covered unless it is an accident.
Important Points to Consider

Before Purchasing a Health Insurance Plan

There are more than 200 insurance policies available in the market. It might be a bit overwhelming with so many options available in hand, but it is important to choose a plan by considering certain factors.

Sum Insured Amount

It is important to choose a plan that has adequate coverage. Keeping in mind the rising inflation maximum sum insured has to be chosen. Choosing a higher sum insured will give you better coverage and benefits.

Check on the Policy Benefits

Every policy has certain unique benefits. It is better to research the scope of benefits that you can avail yourself of through your policy. Certain benefits that you can look for is daily cash, COVID cover, hospitalisation treatment expense, critical lines cover, etc.

Choose based on Policy Types

There are different types of policy available like the individual policy, family floater policy, senior citizen policy, women's policy, top-up policy, etc. Choose the type of policy that you require.

Inform of any Pre-Existing Diseases

Keep your insurer informed about any pre-existing medical conditions.

Waiting Period

The health insurance policy is activated only after the waiting period is over. Keep track of the waiting period, since any claims made during the waiting period is not applicable. Certain diseases like blood pressure, diabetes, thyroid, etc, will have a waiting period clause. It is best to choose a plan with a minimal waiting period.

Co-Payment Clause

Certain plans require co-payment, i.e., the expenses will be borne by the insurance and the policyholder. Read the clause of the policy carefully before purchasing the scheme.

Network Hospital with Cashless Benefit

Before purchasing a plan it is best to check the list of network hospitals available. Make sure the network hospitals provides cashless benefit and are in your vicinity.

Life-Long Renewability Option

Make sure to opt for the lifelong renewability option so that the insurance can be renewed every year.

Claim Settlement Ratio

The claim settlement ratio is an important factor to consider. An insurance company with an 80% and above claim settlement ratio is considered to be the best option.

Additional Loading Charges

Certain plans have premium loading charges that are additional amounts is charged in the premium especially in the senior citizen plan. It is best to opt for health insurance that does not have any loading charges.

Early Investing

It is better to get insured at an early age, to reduce the premium rates.

Documents Required

To Purchase Health Insurance

  1. Passport size photographs
  2. Proposal form
  3. Any Residential proof: Voter Id, Aadhaar Card, Passport, Electricity Bill, Driving Licence, Ration Card
  4. Any Age Proof document: Aadhaar, Birth certificate, Passport, PAN, 10th or 12th mark sheet, Voter’s ID, Driving Licence
  5. Personal Identity Proof: Aadhaar, Passport, PAN, Voter’s ID, Driving Licence
Health Insurance Renewal

What is Health Insurance Portability?

Renewing your Health Insurance is very important just as you renew your vehicle insurance every year. If a policyholder fails to renew within the expiry date he/she will be provided a grace period of 30 days. But any claim during this 30 day grace period will not be allowed. The policyholder has to renew the health insurance policy within the grace period. If an individual fails to renew even during the grace period, then the policyholder will lose the insurance and its benefits like no claim bonus, waiting period, etc.

In case of claim

What Types of Claim Procedures Are Available?

A policyholder has two options when it comes to claiming settlement i.e. cashless claim settlement and reimbursement claim settlement procedures. Both the claim settlement methods provided by the health insurance company are easy and quick.

Reimbursement Claim Procedure

If the policyholder opts to get treatment in a non-network hospital then the individual is eligible for reimbursement claim procedure. In this method, the policyholder has to pay the hospital expenses first and then later you can file a claim for reimbursement of the money. Once you submit the necessary documents, medical records and medical bills to the insurance company they would approve the process and the money will be credited to your bank account.

Cashless Claim Procedure

Cashless benefits can be availed if you prefer to get treatment in the network hospital. This type of benefit is available only in-network hospitals where you do not have to pay the medical bills. For the cashless claim settlement process, you just have to show the health card provided by the insurer and fill out certain forms. Once the insurance company approves the process the medical bills will be directly settled by the insurance company to the network hospital.

Health Card

Every insurance company provides a health card to their customers. This card can be used to avail cashless benefits at network hospitals. In case of emergency hospitalisation treatments like accidents, the health card should be provided in the network hospital along with a pre-authorization letter. The insurance company will verify and approve the process for cashless benefits.

In the case of a planned surgery in a network hospital, the claim settlement is easy and simple. You just have to show the health card provided by the insurance company and fill out the pre-authorisation form. After verifying the forms the insurance company will approve the cashless benefit claim process.

Frequently Asked Questions

I am healthy. Do I need health insurance?

Nothing is certain in life and it is better to be safe than sorry later. It is a myth that healthy people do not need health insurance. It is always better to be financially safe by taking health insurance. A healthy and young individual will be charged a lesser premium than a middle-aged person who is prone to get a disease. Purchasing health insurance at an early age will help beat inflation and rising medical costs.

There are various plans available like child plan, individual plan, family plan, senior citizen plan, etc. Each plan has different age criteria. An individual from 18 years – 65 years can apply for health insurance.

Yes, an individual can have more than one policy as there are no limitations.

Nowadays insurance companies have started providing health insurance policies without any medical tests. It is an attractive offer made by the company to attract customers. But the truth is it is best to get a medical test done before getting a policy as it will rule out any claim rejection possibilities.

Generally, a health insurance company allows filing a claim one or two times during the policy tenure. But some companies offer unlimited claims in their policies. It is better to read the terms and conditions well before purchasing a plan.

Certain disease like HIV/AIDS is not covered by the health insurance company. Apart from that other diseases like dental treatment or surgery (if not a part of the plan), congenital diseases, general debility, etc are not covered.

If the medical insurance is renewed on time before the expiry date then it is not necessary to take a medical checkup, though the insurance company will occasionally check your medical history based on your age.

Yes! The policy is valid all across the country as most of the health insurance companies have numerous network hospitals in different states.

No, most of the insurance policies are not valid outside the country.

Many people are worried about the exhaustion of sum insured. But nowadays health plans offer sum insured restoration benefits wherein the sum insured is restored as per the policy terms.