Compare Health Insurance Plans

While several insurance firms are currently offering products ranging from covering basic ailments to international cashless treatment policies, it is needless to say that higher the premium, the more comprehensive is the cover. Experts, however, point out that individuals must ideally go for a comprehensive health insurance policy that covers OPD, hospitalisation, pre- and post-hospitalisation expenses for the entire family.We at RupayaBazaar.com provide you all information regarding health insurance. Thus, we recommend our viewers COMPARE BEFORE TAKEN HEALTH INSURANCE.

 

  Insurance Companies Health Plans Sum Insured (Min/Max) Pre- Existing Diseases Co- Payment Pre/Post Hospitalization Incurred Cliam Ratio Network Hospital More Detail & Apply
  Religare Health Insurance Co. Religare Care 3 Lakh/75 Lakh Covered after 4 years Applicable 30 Days Pre and 60 Days Post Hospitalization 57.25% More than 4500  [maxbutton id="1" url="http://www.religarehealthinsurance.com/buy-health-insurance-policy-plan-online.html?agentId=20004977&gclid=CLSO-smJ9dQCFYSQjwod2w0BJQ" ] 
  Bajaj Allianz General Insurance Co. Bajaj Allianz Health Guard 1.5 Lakh/10 Lakh Covered after 4 years Applicable 60 Days Pre and 90 Days Post Hospitalization 74.94% More than 3700  [maxbutton id="1" url="https://www.bajajallianz.com/Corp/general-insurance/general-insurance.jsp?gclid=CPuas_GJ9dQCFYoYjwodcEwBjA" ] 
  Cigna TTK Health Insurance Co. Cigna TTK ProHealth Plus Plan 2.5 Lakh/10 Lakh Covered after 4 years Applicable 60 Days Pre and 90 Days Post Hospitalization 78.66% More than 4000  [maxbutton id="1" url="https://www.cignattkinsurance.in/health-insurance-plans/prohealth-insurance-plans" ] 
  Future Generali General Insurance Co. Future Health Suraksha Plan 50,000/10 Lakh Covered after 4 years Applicable 60 Days Pre and 90 Days Post Hospitalization 81.53% More than 4300  [maxbutton id="1" url="https://general.futuregenerali.in/health-insurance" ] 
  HDFC Ergo General Insurance Co. Health Suraksha 3 Lakh/10 Lakh Covered after 4 years Not applicable 60 Days Pre and 90 Days Post Hospitalization 51.00% More than 4800  [maxbutton id="1" url="https://www.hdfcergo.com/health-insurance.html" ] 
  ICICI Lombard General Insurance Co. Complete Health Insurance 3 Lakh/50 Lakh Covered after 4 years Applicable 30 Days Pre and 60 Days Post Hospitalization 82.09% More than 4500  [maxbutton id="1" url="https://www.icicilombard.com/health-insurance/get-quote/basic-details?gclid=CKXexMOL9dQCFdOIaAodneAGdg&opt=chi&source=nav&ef_id=WVPTFwAAAGKUYALT:20170706163638:s" ] 
  Max Bupa Health Insurance Co. Health Companion Health Insurance 2 Lakh/50 Lakh Covered after 4 years Applicable 30 Days Pre and 60 Days Post Hospitalization 59.53% More than 3500  [maxbutton id="1" url="https://www.maxbupa.com/health-insurance-plans/health-companion-family-first.aspx" ] 
  Star Health Insurance Co. Star Comprehensive Insurance Policy 5 Lakh/25 Lakh Covered after 4 years Applicable 30 Days Pre and 60 Days Post Hospitalization 53.81% More than 6000  [maxbutton id="1" url="http://www.starhealth.in/" ] 
  BHARTI AXA Health Insurance Bharti AXA Smart Health Plan 3 Lakh/60 Lakh Covered after 4 years Not applicable 30 Days Pre and 60 Days Post Hospitalization 85.42% More than 5000  [maxbutton id="1" url="https://www.bharti-axagi.co.in/health-insurance?home" ] 
  Reliance Health Insurance Reliance HealthGain 3 Lakh/18 Lakh Covered after 4 years Applicable 60 Days Pre and 60 Days Post Hospitalization 95.87% More than 4000  [maxbutton id="1" url="https://www.reliancegeneral.co.in/Insurance/Health-Insurance/Health-Gain-Insurance.aspx" ] 
  IFFCO Tokio Health Insurance Swasthya Kavach Family Health Insurance 2 Lakh/5 Lakh Covered after 3 years Not applicable 60 Days Pre and 60 Days Post Hospitalization 104.25% More than 3000  [maxbutton id="1" url="https://www.iffcotokio.co.in/health-insurance/swasthya-kavach-policy" ] 
  New India Health Insurance New India Floater Mediclaim Policy 2 Lakh/8 Lakh Covered after 4 years Applicable 30 Days Pre and 60 Days Post Hospitalization 114.64% More than 1200  [maxbutton id="1" url="http://www.newindia.co.in/floatermediclaim.htm" ] 
  Oriental Health Insurance Individual Mediclaim Health Insurance 0.5 Lakh/5 Lakh Covered after 4 years Applicable 30 Days Pre and 60 Days Post Hospitalization 114.48% More than 4300  [maxbutton id="1" url="https://orientalinsurance.org.in/" ] 
  United India Health Insurance Family Medicare 1 Lakh/10 Lakh Covered after 4 years Applicable 30 Days Pre and 60 Days Post Hospitalization 122.25% More than 7000  [maxbutton id="1" url="https://uiic.co.in/product/health/FAMILY-MEDICARE" ] 
SBI Health Insurance SBI General’s Health Insurance Policy – Retail 0.5 Lakh/5 Lakh Covered after 4 years Applicable 30 Days Pre and 60 Days Post Hospitalization 54.41% More than 4400  [maxbutton id="1" url="http://www.sbigeneral.in/SBIG/product/health-insurance" ] 

How to Choose best Health Insurance Policy

Comprehensive cover

Even if an employer provides health insurance under a group insurance plan, individuals must ideally have their own health insurance that covers the entire family. Experts say that only if the company gives the option to transfer the policy after an employee quits the firm, one should consider not having a separate policy. Also, a comparison of various available policies across companies is a necessity.

Critical illness

Most of the comprehensive policies cover critical illnesses and hence it is not required to go for an additional policy. “It is better to take a comprehensive plan and then top it up with an accidental insurance which costs very less and these can take care of almost all the issues,” said Surya Bhatia, a Delhi-based financial planner. Experts say that only if there is a family history of a particular disease, one should go for a critical illness cover separately.

Family floater

It is better to bank on a plan that provides the benefit of family floater where the bulk of the cover can even be utilised by one person in the family. In policies without family floater, a Rs 10 lakh policy is split equally among the family members covered. So, for a family of four, each individual will have a cover of Rs 2.5 lakh. However, in case of floater the cover is not equally divided among the family members.

Restore benefit

This feature allows an individual to reinstate the basic sum insured, in case he has already exhausted the basic sum insured and multiplier benefit during the policy year. Market experts, however, say that the restore benefit is not available on the same ailment where the limit was already exhausted.

Own TPA

While the third-party administrator (TPA) is supposed to act as a facilitator at the hospital, experts say that many times they raise unnecessary queries which delay the entire process. It is always better to purchase a policy of an insurer who has in-house settlement desks rather than doing it through a TPA, as it also expedites the entire process.

No-claim bonus

Generally, if there is a year where the individual has not made any claims against his policy, there is a no-claim bonus provided by the insurer. Experts say that one should check on the quantum of no-claim bonuses as they range from 5 per cent to as high as one-third of a basic cover. A high no-claim bonus may cover you against the medical inflation on its own.

Waiting-period for pre-existing diseases

If you have a pre-existing disease then your insurer will not provide you cover against it at the time of buying the policy. Depending upon an insurer, the pre-existing disease gets covered at least after two years. While some allow it after two years, others may take four years to do so.

Policy portability

Portability is allowed among health insurance companies and one can move a policy to another insurer if he is unsatisfied with the services of the current firm. Experts say that consumers should use the facility to their advantage. “It allows you to carry the benefits (such as no claim bonus) accrued over the period with the previous insurer to the new insurer. The premiums, however, may vary depending upon the features of the new policy,” said Vishal Dhawan, founder, Plan Ahead Wealth Advisors. Experts also say that portability should be planned and be done at least two months before renewal of a policy.

Annual free check-up

While several health insurers provide the annual free health check ups, experts say that it comes at a cost and the price is always embedded. Therefore, only who are keen on getting annual health check-ups should only go for it. It is also important to see if an insurance policy that is renewed every year covers for one’s entire life because the longevity is increasing with improving medical technology. While many policies cover you for your entire life, there are some that only cover till 75-80 years.

Day-care & maternity

A number of policies now provide cover against several day-care procedures in hospitals that does not require overnight stay. One must look at the number of procedures covered that does not require overnight hospitalisation. Also, if one is planning a baby, he should ensure that the maternity expenses are covered by the policy. Experts feel that maternity is not a contingency and if someone is not planning for a baby, he/she should not look for it as the price gets embedded in the premium.

The premium

It is important to start early so that one can save a lot on the premium amount over the term of the policy. For an individual between 21 and 25 years, a Rs 10 lakh cover comes at an average premium of around Rs 10,000- 12,000 per annum. However, for a 35-year-old, the premium jumps to around Rs 15,000-18,000. While all these features can make a policy stand out and make one deal with any medical contingencies, it is important that the cover is adequate. Experts say that to start with, a family should go for a basic cover of around Rs 10 lakh as most medical issues can be treated within that limit.

FAQ on Health Insurance

The term health insurance is a type of insurance that covers your medical expenses. A health insurance policy is a contract between an insurer and an individual /group in which the insurer agrees to provide specified health insurance cover at a particular “premium”.
The commonest form of health insurance policies in India cover the expenses incurred on Hospitalization, though a variety of products are now available which offer a range of health covers, depending on the need and choice of the insured. The health insurer usually provides either direct payment to hospital (cashless facility) or reimburses the expenses associated with illnesses and injuries or disburses a fixed benefit on occurrence of an illness. The type and amount of health care costs that will be covered by the health plan are specified in advance.
All of us should buy health insurance and for all members of our family, according to our needs. Buying health insurance protects us from the sudden, unexpected costs of hospitalization (or other covered health events, like critical illnesses) which would otherwise make a major dent into household savings or even lead to indebtedness. Each of us is exposed to various health hazards and a medical emergency can strike anyone of us without any prior warning. Healthcare is increasingly expensive, with technological advances, new procedures and more effective medicines that have also driven up the costs of healthcare. While these high treatment expenses may be beyond the reach of many, taking the security of health insurance is much more affordable.
Health insurance policies are available from a sum insured of Rs 5000 in micro-insurance policies to even a sum insured of Rs 50 lakhs or more in certain critical illness plans. Most insurers offer policies between 1 lakh to 5 lakh sum insured. As the room rents and other expenses payable by insurers are increasingly being linked to the sum insured opted for, it is advisable to take adequate cover from an early age, particularly because it may not be easy to increase the sum insured after a claim occurs. Also, while most non-life insurance companies offer health insurance policies for a duration of one year, there are policies that are issued for two, three, four and five years duration also. Life insurance companies have plans which could extend even longer in the duration.
Insurance companies have tie-up arrangements with several hospitals all over the country as part of their network. Under a health insurance policy offering cashless facility, a policyholder can take treatment in any of the network hospitals without having to pay the hospital bills as the payment is made to the hospital directly by the Third Party Administrator, on behalf of the insurance company. However, expenses beyond the limits or sub-limits allowed by the insurance policy or expenses not covered under the policy have to be settled by you directly with the hospital. Cashless facility, however, is not available if you take treatment in a hospital that is not in the network.
Health insurance comes with attractive tax benefits as an added incentive. There is an exclusive section of the Income Tax Act which provides tax benefits for health insurance, which is Section 80D, and which is unlike the section 80C applicable to Life Insurance wherein other form of investments/ expenditure also qualify for the deduction.
Age is a major factor that determines the premium, the older you are the premium cost will be higher because you are more prone to illnesses. Previous medical history is another major factor that determines the premium. If no prior medical history exists, premium will automatically be lower. Claim free years can also be a factor in determining the cost of the premium as it might benefit you with certain percentage of discount. This will automatically help you reduce your premium.
You must read the prospectus/ policy and understand what is not covered under it. Generally, pre-existing diseases (read the policy to understand what a pre-existing disease is defined as) are excluded under a Health Insurance policy. Further, the policy would generally exclude certain diseases from the first year of coverage and also impose a waiting period. There would also be certain standard exclusions such as cost of spectacles, contact lenses and hearing aids not being covered, dental treatment / surgery (unless requiring hospitalization) not being covered , convalescence, general debility, congenital external defects, venereal disease, intentional self-injury, use of intoxicating drugs/alcohol, AIDS, expenses for diagnosis, x-ray or laboratory tests not consistent with the disease requiring hospitalization, treatment relating to pregnancy or child birth including caesarean section, Naturopathy treatment.
Yes. When you get a new policy, generally, there will be a 30 days waiting period starting from the policy inception date, during which period any hospitalization charges will not be payable by the insurance companies. However, this is not applicable to any emergency hospitalization occurring due to an accident. This waiting period will not be applicable for subsequent policies under renewal.
It is a medical condition/disease that existed before you obtained health insurance policy, and it is significant, because the insurance companies do not cover such pre-existing conditions, within 48 months of prior to the 1st policy. It means, pre-existing conditions can be considered for payment after completion of 48 months of continuous insurance cover.
The policy will be renewable provided you pay the premium within 15 days (called as Grace Period) of expiry date. However, coverage would not be available for the period for which no premium is received by the insurance company. The policy will lapse if the premium is not paid within the grace period.
Yes. The Insurance Regulatory and Development Authority ( IRDA ) has issued a circular making it effective from 1st July,2011, which directs the insurance companies to allow portability from one insurance company to another and from one plan to another, without making the insured to lose the renewal credits for pre-existing conditions, enjoyed in the previous policy. However, this credit will be limited to the Sum Insured (including Bonus) under previous policy. For details, you may check with the insurance company.
After a claim is filed and settled, the policy coverage is reduced by the amount that has been paid out on settlement. For Example: In January you start a policy with a coverage of Rs 5 Lakh for the year. In April, you make a claim of Rs 2 lakh the coverage available to you for the May to December will be the balance of Rs.3 lakh.
'Any one illness' would mean the continuous period of illness, including relapse within a certain number of days as specified in the policy. Usually this is 45 days
Any number of claims is allowed during the policy period unless there is a specific cap prescribed in any policy. However the sum insured is the maximum limit under the policy.
Some health insurance policies pay for specified expenses towards general health check up once in a few years. Normally this is available once in four years.
Family Floater is one single policy that takes care of the hospitalization expenses of your entire family. The policy has one single sum insured, which can be utilised by any/all insured persons in any proportion or amount subject to maximum of overall limit of the policy sum insured. Quite often Family floater plans are better than buying separate individual policies. Family Floater plans takes care of all the medical expenses during sudden illness, surgeries and accidents.