Health Insurance

Health insurance is a lifesaver for anyone who wants to ensure their medical expenses are taken care of without any financial worries. It's a pact between you and the insurance company, where they pledge to cover your healthcare expenses. (Insert Read More) With health insurance, you can have peace of mind knowing that you'll be covered for hospitalization, routine check-ups, emergency ambulance services, and so much more - all depending on the sum insured. So, if you're looking for a safety net for your health, health insurance is the way to go!

Financial Protection
Cashless Hospitalization
Tax Benefits U/S 80D
No-Claim Bonus
Compare & Choose from Up to 30+ Plans

What is Health Insurance

Health insurance is a type of insurance that helps you pay for your medical expenses when you get sick or injured. It is like an agreement between you and an insurance company, where you pay a certain amount of money called premiums, and in return, the insurance company agrees to cover some or all of your medical costs. This can include expenses for doctor visits, hospital stays, surgeries, medications, and more. Having health insurance can help you save money on healthcare and provide peace of mind knowing that you are protected financially if you get sick or injured.

Importance of Health Insurance

Health insurance plans are of great importance in India for several reasons:

Rising Medical Costs:

The cost of medical treatment in India has been rising steadily over the years. Health insurance plans can help individuals and families cope with these costs and avoid the financial burden of medical expenses.

Protection Against Uncertainty:

Health issues can arise unexpectedly, and the expenses associated with medical treatment can be high. Health insurance provides protection against such uncertainties and ensures that individuals and families are financially secure in the event of a medical emergency.

Access to Quality Healthcare:

With health insurance, individuals can access quality healthcare without worrying about the cost. They can choose hospitals and doctors based on their preference, rather than affordability.

Tax Benefits:

Health insurance premiums are eligible for tax benefits under Section 80D of the Income Tax Act, which can help reduce the tax liability of the policyholder.

Customizable Coverage:

Health insurance plans can be customized to suit the specific healthcare needs of individuals and families. Policyholders can choose the type of coverage they require, such as coverage for critical illnesses, maternity benefits, and more.

Cashless Hospitalization:

Many health insurance plans offer cashless hospitalization, which means that the policyholder can avail medical treatment without paying anything upfront. The insurance company settles the bills directly with the hospital.

In summary, health insurance plans are important in India because they provide financial protection against rising medical costs, uncertainty, and access to quality healthcare. They also offer tax benefits, customizable coverage, and cashless hospitalization, making them an essential part of one's financial planning.

Health Insurance Companies?

Looking to buy health insurance? Consider purchasing it online for added convenience and a wide variety of plan options. Here are some reasons to buy health insurance online:

To ensure a smooth health insurance buying process, we have a team of dedicated health insurance experts who suggest you the best health insurance plan based on your needs.

What are the benefits of purchasing health insurance online?

Looking to buy health insurance? Consider purchasing it online for added convenience and a wide variety of plan options. Here are some reasons to buy health insurance online:

Save time:

Online services save you time and hassle by eliminating the need for in-person meetings and lengthy paperwork. Simply fill out a quote and choose the most relevant medical health insurance policy from a list of options displayed on your phone screen.

Easy comparison:

Online platforms simplify the process of comparing different health insurance plans by providing premium calculators and clear information about policy quotes, coverage benefits, exclusions, and other terms and conditions.

Make the right decision:

Online insurance companies offer flexible options for choosing and buying the best plan for your needs. With access to all the relevant information, you can make an informed decision about the most suitable plan.

24/7 availability:

Online platforms like are available 24/7, so you can easily compare, choose, and buy the most suitable plan at your convenience.


Many insurance companies offer discounts on online purchases of medical insurance, providing an opportunity to enjoy similar or better benefits at comparatively affordable premiums.

Instant coverage:

Purchasing health insurance online provides you with instant investment proof, and the coverage becomes active immediately. Additionally, flexible payment modes are available through secured payment gateways.

To ensure a smooth health insurance buying process, we have a team of dedicated health insurance experts who suggest you the best health insurance plan based on your needs.

Buy Health Insurance Online

Here are three steps to buying a health insurance plan online:

Step 1

Research and compare: Start by researching and comparing different health insurance plans offered by various insurance companies. Use online resources to access plan details, coverage benefits, premiums, and customer reviews.

Step 2

out the application: Once you have shortlisted a few plans that meet your requirements, fill out the application form online. You will need to provide personal information such as your name, age, occupation, and medical history. Be sure to read the terms and conditions carefully and understand the coverage benefits, exclusions, and limitations of the plan.

Step 3

Make payment and receive policy: After submitting the application, make payment through a secure payment gateway using your preferred mode of payment. Once the payment is confirmed, you will receive an email confirmation and a copy of your policy documents. Make sure to keep the policy documents in a safe place and read them carefully to understand the coverage benefits and the claims process.

Health Insurance Key Features

Let's explore the main features of health insurance plans that you should keep in mind while comparing different options:

Room Rent Sub-Limits

Some insurance policies come with sub-limits on room rent, which means there is a maximum amount that an insurer will pay in case of a claim. However, some plans come without any such sub-limits, so it's better to choose those.

Pre-Existing Diseases

If you have any pre-existing health conditions, then you should choose a policy with a minimum waiting period. This waiting period is the time during which you cannot make any claims related to those pre-existing diseases.


Co-payment is a situation where the policyholder and the insurer share the cost in case of a claim. To avoid any unexpected expenses, you should choose a plan that comes without any co-payment.

Network Hospital

Network hospitals are those hospitals that have tie-ups with health insurance companies. Choosing a policy with a good network of hospitals near your residence can help you get quick and cashless treatment in case of an emergency.

By keeping these features in mind, you can select the best health insurance plan for yourself and your loved ones.

Factors to Consider Before Buying Health Insurance Policy

Health insurance plans can be a vital investment for your well-being and financial security. Before buying a health insurance plan, here are some key factors you should consider:


Look for a plan that provides comprehensive coverage, including hospitalization expenses, doctor's fees, pre- and post-hospitalization expenses, and critical illness cover.


Consider the premium you can afford, keeping in mind that higher premiums usually provide better coverage. You should also check if there are any discounts available based on your age or health status.


Co-payments are the amount you have to pay out of pocket when you make a claim. Some policies come with a co-payment clause, which means that you'll have to pay a percentage of the bill. Choose a plan with a low co-payment or no co-payment clause if possible.

Waiting period

Every health insurance policy has a waiting period, which is the time period during which you cannot make a claim for pre-existing illnesses. Make sure to choose a plan with a shorter waiting period, especially if you have a pre-existing medical condition.

Network hospitals

Check if the insurance provider has tie-ups with a wide range of hospitals in your area, so you can avail of cashless treatment.

Claim Settlement Ratio

Check the claim settlement ratio of the insurer. A higher ratio means a higher chance of your claims getting settled without any hassles.


Check the renewability clause of the policy, as some policies may not offer renewability or may have a cap on the number of times the policy can be renewed.


Carefully read the policy's exclusions to know which expenses will not be covered. Some policies may not cover certain pre-existing medical conditions or treatments.

Claim Process

The claim process should be hassle-free and straightforward. Look for a plan that has a simple and quick claim settlement process, and the insurer has a good track record of settling claims on time.

By considering these factors, you can make an informed decision and choose a health insurance plan that meets your needs and fits your budget.

Health Insurance Inclusions

Health insurance plans typically cover a range of medical expenses in India. Here are some of the key benefits that you can expect from a health insurance policy:

In-patient Hospitalization Expenses - If you require hospitalization for more than 24 hours due to an illness or injury, the medical expenses incurred during your stay will be covered by the insurance company.

Illnesses or Diseases - Once the waiting period has been completed, you can file a claim for the expenses incurred on the treatment of any pre-existing illnesses or conditions.

and Post Hospitalization Expenses - The cost of medical tests required before hospitalization and the expenses incurred on medication and check-ups after being discharged from the hospital are usually covered.

Charges - Many health insurance policies cover emergency ambulance charges. Maternity Cover - Medical expenses incurred during pregnancy and delivery, including newborn baby expenses, are usually covered.

Health Check-ups - Some health insurance plans offer regular health check-up facilities.

Procedures - Medical treatments that do not require hospitalization for more than 24 hours, such as eye surgery, dialysis, and other common procedures, are typically covered.

Treatment Cover - Some policies also cover the expenses incurred on getting medical treatment at home on the advice of a medical practitioner.

Benefit - Many health insurance plans reimburse the medical costs incurred on Ayurveda, Unani, Siddha, or Homeopathy treatment up to a specified limit.

Healthcare Cover - All health plans are required to cover mental illnesses as per the Mental Healthcare Act, 2017. This includes conditions such as acute depression, bipolar affective disorder, and schizophrenia, among others.

Health Insurance Exclusions

The following is a list of medical expenses and situations generally not covered by a health insurance plan:

  • Claims arising within the initial 30 days of buying the policy, unless it's an accidental emergency
  • Pre-existing diseases coverage is subject to a waiting period of 2 to 4 years
  • Critical illnesses coverage usually comes with a 90-day waiting period
  • Injuries caused by war/terrorism/nuclear activity
  • Self-inflicted injuries or suicide attempts
  • Terminal illnesses, AIDS, and other diseases of similar nature
  • Cosmetic/plastic surgery, replacement of hormones surgery, etc.
  • Dental or eye surgery expenses, unless specified under the policy
  • Bed rest/hospitalization and rehabilitation for common illnesses
  • Treatment/diagnostic tests and post-care procedures, unless specified under the policy
  • Claims arising out of adventure sports injuries or hazardous activities

Note: It is recommended to check your policy wordings to get a detailed and accurate list of exclusions for your health insurance plan.

Riders in Health Insurance

Additional coverage that you can purchase to enhance your health insurance policy are called riders. The cost of these riders depends on various factors such as age, sum insured, and type of coverage. Below are some of the most common riders that you can consider purchasing along with your health insurance policy:

Maternity Cover Rider

The maternity cover rider provides coverage for maternity expenses, including childbirth, pre and post-natal expenses, etc. Some insurers may also cover newborn baby expenses until the end of the policy tenure. However, this rider comes with a waiting period of 2 to 6 years depending on the insurer.

Critical Illness Rider

The critical illness rider provides coverage for critical illnesses like heart attack, cancer, etc., that are diagnosed for the first time during the policy tenure. This rider provides a lump sum benefit amount irrespective of the actual medical expenses incurred during the treatment. It comes with a waiting period of 90 days and a survival period of 30 days, and covers around 10 to 40 critical diseases depending on the insurer.

Critical Illness Rider:

If the life insured is diagnosed with a major critical illness such as heart attack, cancer, stroke, kidney failure, or paralysis, the insurance company pays the rider benefit.

Personal Accident Rider:

The personal accident rider provides compensation in case of accidental disability or death. It pays the entire sum insured in case of permanent total disability but only a part of the sum insured depending on the nature of the injury in case of partial disability. It is also known as the double indemnity rider as it provides an additional death benefit in case of accidental death.

Hospital Cash Rider:

The hospital cash rider provides a fixed daily cash allowance to cover incidental expenses incurred during hospitalization for an injury or illness. It offers twice the coverage amount for a specific number of days in case of ICU admission. The daily cash amount may vary as per the policy terms and opted coverage. However, the hospitalization period should be at least 24 hours to activate this rider.

Room Rent Waiver:

The room rent waiver ensures that there is no cap on room rent during hospitalization, allowing you to opt for a room with higher sub-limits or no sub-limits without paying extra money from your pockets.

How to File a Claim in Health Insurance?

Filing a claim for health insurance is an essential aspect of the policy. There are two ways to file a claim: health reimbursement claims and cashless claims.

Health Reimbursement Claims

For treatments received in non-network hospitals, the policyholder can claim reimbursement of the treatment expenses. After completing the treatment, the insured must settle the bill, gather all necessary documents, and submit a claim to the insurer or TPA for reimbursement.

Cashless Claims

For treatments received in network hospitals or cashless hospitals, the policyholder can avail cashless treatment services. After completing the treatment, the insurance company settles the bill directly with the hospital.

The process for filing claims for planned and emergency hospitalization may vary as given below:

For Planned Hospitalization:

  • Inform the insurer at least 48 hours before the treatment.
  • After getting approval from the TPA, file for reimbursement and cashless claims by submitting the claim form.
  • Submit other related documents such as medical bills, reports, discharge summary, etc.
  • The insurer pays the claim amount directly to the policyholder for reimbursement claims.
  • For cashless claims, the hospital bill is directly settled by the insurer.

For Emergency Hospitalization:

  • Inform the insurer within 24 hours of getting hospitalized.
  • Show your health card at the hospital and submit the pre-authorization form to get TPA approval for emergency hospitalization for cashless claims.
  • If approved, the insurer will settle the claim amount directly with the network hospital.
  • If TPA approval is not obtained, file for reimbursement later.
  • Submit all the necessary documents such as hospital bills, discharge bills, etc.
  • The claim amount will be paid to the policyholder.

Frequently Asked Question

Ans. The term "sum insured" in health insurance pertains to the highest amount that an insurance company will provide to the policyholder when a claim is made due to an illness or an accidental injury. This is the maximum amount that the insurer will cover under the health policy to pay for the policyholder's medical expenses. It is also known as the maximum coverage available in health insurance.

Ans. A free-look period is a time frame that allows policyholders to review their health insurance policy terms and conditions and cancel the policy if they are not satisfied with it. The duration of the free-look period varies depending on the insurance company and the type of policy, but it usually ranges from 15 to 30 days from the date of receipt of the policy document. During this period, the policyholder can return the policy and receive a refund of the premium paid, after deducting the proportionate risk premium for the period of cover and any expenses incurred by the insurer on medical examination or stamp duty charges.

The free-look period is intended to protect consumers from being misled into buying unsuitable or unnecessary health insurance policies and to ensure that they have sufficient time to read and understand the policy terms before making a final decision.

Ans. When a policyholder undergoes in-patient treatment and the insurance company directly pays the hospitalization charges, it is referred to as cashless hospitalization. In India, all insurance companies have a partnership with a wide network of hospitals that allows policyholders to receive cashless treatment for accidental injuries and illnesses.

Ans.Pre-existing diseases are health issues or illnesses that a person has been diagnosed with before purchasing a health insurance policy. As they tend to be more expensive to cover, insurance companies are often hesitant to provide coverage for them. Thus, pre-existing diseases are typically covered only after a waiting period of 2 to 4 years. Each insurance company has its own specific terms and conditions regarding such illnesses. Some companies may review a person’s complete medical history to determine their pre-existing condition status, while others may only require medical records from the past four years.

Ans. Certainly, if your insurance company has a tie-up with a network hospital, then you can avail of cashless treatment at any of the network hospitals. This means that the insurance company will settle the hospital bill directly with the hospital, and you will not have to pay for the treatment out of your pocket.
Health Insurance

Health insurance is a lifesaver for anyone who wants to ensure their medical expenses are taken care of without any financial worries. It's a pact between you and the insurance company, where they pledge to cover your healthcare expenses. (Insert Read More) With health insurance, you can have peace of mind knowing that you'll be covered for hospitalization, routine check-ups, emergency ambulance services, and so much more - all depending on the sum insured. So, if you're looking for a safety net for your health, health insurance is the way to go!

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