Finding the best health insurance plan from so many different health insurance companies can be confusing for many. While selecting the best health insurance policy, you should consider various factors including health insurance rider, benefits, coverage, network hospitals etc.
It is important to mention that buying a health insurance policy is essential as it helps you cover rising health costs and assures you and your family a healthy future without worrying about medical bills and hospitalization expenses. . When it comes to buying a health insurance policy, you might be confused as to which of the many plans one needs to buy.
We at Policybazaar can help you select a top-notch health insurance plan to meet your needs. You can compare and choose the best health plan for you and your family based on your preferences including pre and post hospitalization expenses, day-care expenses, coronavirus treatment, critical illness hospitalization etc. Including medical expenses.
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Best Health Insurance Plans in India
Below is a list of the best health insurance plans in India from some of the top rated health insurance companies:
health insurance plans
Entry Age (Min-Max)
Sum Assured (Min-Max)
Aditya Birla Active Asher Diamond Plan
5 years and above
2 lakh – Rs 2 crore
Bajaj Allianz Health Guard
1.5 lakh – Rs 50 lakh
Bharti Ekka Smart Super Health Plan
91 days -65 years
5 lakh – Rs 1 crore
Care Health Care Plan (formerly Religare Care Health Insurance Plan)
91 days and above
4 lakh – Rs 6 crore
Cholamandalam Chola Healthline Scheme
2 lakh – Rs 25 lakh
Digit Health Plan
2 lakh – Rs 25 lakh
Edelweiss Edelweiss Health Plan
90 days – 65 years
1 lakh – 1 crore rupees
Future Generali Criticare Plan
1 lakh – Rs 50 lakh
IFFCO Tokio Health Protector Plus
2 lakh – Rs 25 lakh
Kotak Mahindra Kotak Health Premier
Liberty Health Connect Supra Top-up
3 lakh – Rs 1 crore
ManipalCigna ProHealth Insurance
18 years and above
2.5 lakh – 1 crore
Max Bupa Health Companion Individual Plan
91 days and above
3 lakh – Rs 1 crore
National Family Mediclaim Plus
6 lakh – Rs 50 lakh
New India Assurance Senior Citizen Mediclaim Policy
1 lakh – Rs 1.5 lakh
Oriental Individual Mediclaim Policy
1 lakh – Rs 10 lakh
Raheja QBe Raheja QBE Comprehensive Plan
90 days-65 years
1 lakh – Rs 50 lakh
Reliance Critical Illness Insurance
18-55, 60, and 65 years (as per SI)
5 lakh – Rs 10 lakh
Royal Sundaram Lifeline Supreme Health Plan
18 years and above
5 lakh – Rs 50 lakh
SBI Arogya Premier Policy
3 months – 65 years
10 lakh – 30 lakh rupees
Star Family Health Optima Plan
1 lakh – Rs 25 lakh
Tata AIG Medicare Plan
Rs 3 lakh – Rs 20 lakh
United India UNI Criticare Health Care Plan
1 lakh – Rs 10 lakh
Universal Sompo Complete Healthcare Plan
18 years and above
1 lakh – Rs 10 lakh
Disclaimer: *PolicyBazaar does not endorse, rate or recommend any particular insurer or insurance product offered by any insurer.
How to choose the best health insurance policy
You may not have one health insurance policy that covers all your needs. There are many health insurance policies available and each policy offers some unique coverage benefits. You need to find out the benefits and know what all are covered and what is excluded, and then choose the best health insurance policy. You can do some online research or you can talk to our customer care team, and opt for the one that suits your needs.
Mentioned below are some tips that you can consider while choosing the best health insurance plan:
How to choose Sufficient Sum Assured
Always go for the plan that offers maximum health coverage and maximum coverage amount to help you meet any medical emergency. With medical inflation, health care expenses are rising significantly and, therefore, you will need a substantial amount to deal with inflation.
Today, a basic
For heart surgery you can spend around Rs 4-5 lakhs and for a middle class family this amount is huge. So, make sure you choose an adequate coverage amount to ensure financial security to meet future financial emergencies.
Choose the right coverage type
Individual health plans are designed keeping in mind the needs of an individual. However, if you have more members in your family, we would recommend buying a family floater plan that covers your entire family. This way you do not need to buy a separate policy for each member and they can safeguard their health.
The premiums are also lower and the sum insured is higher as compared to individual plans. Most importantly, anyone can access the amount during a medical treatment. Apart from this, you can also cover your senior citizen parents by paying a slightly higher premium.
Check the flexibility to increase the total sum insured by you
The cost of living and the cost of medical treatment fluctuate every year. Most insurance companies have a provision to increase the sum insured over time. At times, when you renew your policy on time and there is a no-claim-bonus benefit on your current plan, your insurer may reward you by increasing the total sum assured.
Check pre-existing disease waiting period
Each health insurance plan has its own set of terms and conditions with respect to pre-existing diseases. This means that if you have a disease before taking a plan, then the claim made for taking treatment against that disease will be accepted after serving a defined waiting period by the insured.
The waiting period ranges from 2-4 years in most cases, however, some of the best plans have a shorter waiting period like mediclaim policies. While buying a health policy, you should opt for one with a shorter waiting period.
Check Maximum Renewal Age
Policy renewal is one of the most important aspects while selecting a health insurance policy for your family. Most health insurance companies allow policy renewal only till the age of 65 years. But there are some policies, which provide lifelong health insurance renewal lifelong renewal facility. You can choose the best fit for you based on your family health history and other health parameters.
Choose the right insurance policy.
Insurers with High Claims-Settlement Ratios
The claim settlement ratio calculates the number of claims settled over the total number of claims received by the insurer. Always opt for a health plan from an insurer that has a high claim settlement ratio. This way you will be sure that your claim will not be denied unless the insurer has a valid reason. However, you must be careful at the time of filing a claim. Make sure you have attached all the relevant documents and evidence to support your claim.
Simple claim settlement process
Most of the claim-settlement process is the same for all insurance companies (as directed by the Insurance Regulatory and Development Authority); There may be minor changes due to some differences in company functionality. It is advised that you understand both the cashless and reimbursement claim settlement process of your health insurance provider before purchasing a policy.
With health insurance, you are entitled to receive treatment from network hospitals which are a group of hospitals linked to a particular insurer. Almost every health insurance company offers cashless hospitalization, saving you the hassle of document collection and filling. This facility is applicable only in their network hospitals.
Cashless Hospitalization simplifies the claim settlement process and makes it a hassle-free task for the policyholder. Thereafter, it is advised to cross check the list of empaneled hospitals before claiming again.
Don’t forget to compare premiums
It is essential to compare the premiums along with the plans. There are many online aggregators that help you compare insurance policies in terms of benefits, features, premiums, maximum returns etc.; Naming a plan without weighing all the options available in the market is like inviting regret. By comparing plans you can get all the benefits at a comparatively affordable premium rate.
Customer reviews of various health insurance companies are essential when it comes to buying medical insurance online. Reviews are always a mix of negative and positive opinions that highlight the relevant pros and cons. This will help you make a firm and informed decision.
Most policyholders ignore the exclusion limits in a health insurance policy and end up experiencing something unexpected. If a plan does cover something, it is equally entitled to not cover certain diseases, such as certain plans which exclude hernia, cataract, sinusitis, gastric, joint replacement, etc. in the initial period. While some others exclude expenses incurred on dental treatment, HIV/AIDS, eye health care, STD, cosmetic surgery etc. you less exclusion
Should choose a health plan with
Add-on Rider / Critical Illness Rider / Accidental Rider
With a critical illness rider, you ensure that your financial plan will not be disturbed if any unplanned medical expenses arise. Critical illness cover is a rider benefit that you can avail by paying an additional premium. In return, you can avail health coverage against life-threatening diseases like cancer, kidney failure, tumors etc.
Benefits of Best Health Insurance Plans in India
If you think that health insurance covers medical expenses only in case of hospitalization, you are wrong. Apart from providing financial support during hospitalization, the best health insurance policy in India also comes with more benefits. Let’s take a look:
Cashless Treatment: With a good health insurance plan, you can avail cashless treatment at a network hospital. This is a boon as you do not need to pay out of your own pocket. The insured just needs to complete the paperwork with the hospital authority and avail the facility while the health insurance company will take care of the bill.
Daily Allowance: Some health insurance companies provide a daily amount for each day of hospitalization. It does not affect the actual sum insured. This amount can be availed up to a certain daily limit and can be spent on medicines or other health related needs.
Tax Benefits: Section 80D of the Income Tax Act states that the insured can claim for tax deduction against the premium paid for health insurance. An individual can claim a deduction of up to Rs 25,000 on health insurance premium. A deduction of up to Rs 30,000 is allowed if one is paying the insurance premium for his elderly parents.
Covers life threatening diseases: Lifestyle diseases are deadly and costly at the same time. A person with average income may not be able to afford the necessary treatment for these diseases. If one owns a health insurance plan with critical illness cover, a lump sum amount will be paid towards medical expenses incurred in post-diagnosis treatment. As it comes in the form of rider cover, one can cover critical illnesses under his/her health plan on payment of additional premium.
Avail allied benefits: Some health insurers in India have come up with preventive check-ups and enhanced diagnostics, which are usually not covered by a basic health insurance plan. Obviously, this is a smart move and includes the following benefits:
free medical checkup
Free health consultation with doctors
Consultation with nutritionists
Tie-ups with healthcare providers
Attractive offers on health services.
Brief Description of Best Health Insurance Plans
Aditya Birla Active Assured Diamond Health Insurance Plan
Aditya Birla Actives Vishwas Diamond Plan is one of the best health insurance plans offered by Aditya Birla Health Insurance Company. This plan is designed for individuals and families seeking comprehensive coverage benefits with high sum assured options. This covers medical hospitalization expenses as well as second opinion on critical illness and domestic/international emergency health support services. The best part is that this health insurance policy also offers an optional cover for cancer hospitalization boosters, any room upgrades and to reduce the waiting period for pre-existing diseases.
Features & Benefits
Sum Assured Reload Benefit Sum Assured: This health insurance policy provides Sum Assured and No Claim Bonus/Super No Claim Bonus (if applicable) if the Sum Assured is exhausted/inadequate due to previously filed claims. According to this cover, an insured gets an additional 150 percent of the sum assured (up to a maximum of 50 lakhs) for hospitalization due to an unrelated illness.
Daily Cash Benefit – For each day the insured is hospitalized, he is entitled to an additional benefit of Rs 500 as daily cash benefit. This benefit is applicable for Sum Assured up to Rs.4 lakh and will be payable for up to 5 days only.
Vaccination Benefit- This policy covers the vaccination charges for the insured up to the age of 18 years. This cover is exclusively available for Sum Assured of Rs 1 crore or more.
Medical Check-up Program: This plan provides free regular health check-up to all the insured once per policy year. It is customized as per the age of the insured and the sum insured opted for.
Donor Organ Transplant Expenses: The plan covers donor expenses as per the sum insured for storing the organ for transplantation.
Domicile Hospitalization: This plan covers the expenses incurred for domiciliary hospitalization done at home due to health condition of the insured or due to paucity of available hospital beds for covered treatment/diseases.
Day Care Procedures: This covers 586 day care procedures like dialysis where hospitalization is not required for 24 hours.
‘Hospitalization’ Expenses: The plan includes room rent, boarding expenses, medical consultant’s fees, specialist
Includes medical fees, oxygen charges, nursing expenses, surgeon fees, anesthetists fees, medical practitioner fees, operation theater fees, diagnostics fees, medical imaging modalities expenses, drugs and drugs fees, blood charges, pacemaker fees.
Emergency Ambulance Expenses: The plan covers emergency ambulance expenses for transportation to the nearest hospital.
Pre-hospitalization and post-hospitalization coverage: The plan provides pre-hospitalization cover for 30 days which includes doctor’s fees, diagnostic tests, physiotherapy, medicines, drugs and other consumables and hospitalization Subsequent expenses may be covered for up to 60 days. Post-hospitalization coverage extends to domicile hospitalization/inpatient hospitalization/day-care treatment.
AYUSH Treatment (In-Patient): The policy covers Ayurveda, Unani, Siddha and Homeopathy treatment to a pre-determined limit.
Second Opinion for Critical Illness: This plan covers second opinion from a doctor of a network listed hospital empaneled for major critical illnesses like cancer, heart attack, kidney failure.
Domestic and International Emergency Medical Evacuation- This plan covers the expenses incurred while transporting the insured person from one hospital to another as per the chosen sum insured. This also covers the cost of air ambulance services, if applicable.
Health Coach Benefits: Personal coaching by a health professional is included in this plan who will guide the insured in case he/she is suffering from hypertension, hyperlipidemia, asthma, diabetes etc.
Reduction in waiting period for pre-existing diseases: This optional cover reduces the waiting period from 2 years to 1 year for claims related to pre-existing diseases.
No Claim Bonus: The plan offers a post-claim bonus of 10% to 50%: Free year at the time of renewal
Unlimited Sum Assured Reload: This option cover restores an unlimited number of Sum Assured in case the Sum Assured gets exhausted due to earlier claims.
Super NCB: This cover increases the Sum Assured by 50% on renewal for every claim: Free Year. Super NCB acts as an add-on to your No Claim Bonus.
Accidental Hospitalization Booster: In case of hospitalization due to road accident, add: The cover provides an additional sum insured equal to the sum insured for patient hospitalization.
Cancer Hospitalization Booster: In case of hospitalization of the insured above the age of 18 years due to cancer, this optional cover provides an additional sum insured equal to the sum insured, including: inpatient hospitalization.
Upgrade to any room: This optional cover provides: the necessary freedom to decide the preferred accommodation. This cover can be availed by the insured for a sum insured of Rs 5 lakh or more.
First 30 day waiting period for all treatment and illness
Waiting period of 2 years for specific diseases/treatments including Cataract, Sinusitis, All Cysts/Fibroids related reproductive surgeries, Joint replacement surgeries, Gallstones, Bladder stones, Bladder stones, Hernias, Skin tumors, Varicose veins and Internal congenital anomaly
A 4-year waiting period for genetic disorders
Injuries caused by war or act of war, violation of law, nuclear activity or explosion
Intentional exposure to danger such as adventure sports, military operations, self-injury, etc.
hallucinations or drug use or abuse
Weight control, correct vision, cosmetic surgery and treatments to control baldness
Non: Allopathic Treatment Expenses
Routine health check-up, organ donor screening expenses
Inappropriate hospitalization, investigations/experimental/unproven treatments, irrelevant diagnostic procedures
Parkinson’s disease, HIV AIDS, Sexual dysfunction
cost of medical equipment such as contact lenses, glasses, hearing aids,
Dental treatment which includes the cost of dentures, implants etc.
Connectivity and rehabilitation, Behavioral disorders
Stem cell therapy, pregnancy and childbirth: related procedures, infertility or infertility
bariatric surgery, robotic surgery
Medical treatment taken outside India
Bajaj Allianz Health Guard Health Insurance Plan
Bajaj Allianz Health Guard Plan is a comprehensive health insurance policy that protects the insured against any major health care medical expenses that may create a financial burden. It is a comprehensive plan that is available to individuals as well as families. The best part is that this medical insurance plan provides medical coverage during pregnancy as well as for the newborn.
FEATURES AND BENEFITS –
In-patient hospitalization: This plan covers inpatient hospitalization expenses incurred by the insured including room rent, ICU charges, surgery cost and nursing expenses.
Pre-hospitalization coverage Coverage: This covers any pre-hospitalization expenses incurred up to 60 days prior to hospitalization.
Post Hospitalization Expenses: This plan by Bajaj Allianz covers medical expenses incurred up to 90 days after discharge from the hospital.
Road Ambulance – The scheme covers the expenditure incurred on Road Ambulance up to a maximum of Rs.20,000 in every policy year.
-Care Procedures- This includes the cost of day-care procedures where the inpatient care was provided to the insured for less than 24 hours and not in the OPD or outpatient department.
Organ Donor Cover: This plan covers the expenses incurred in the treatment of the organ donor in organ transplant surgery.
Kanvata Benefit – Under this plan, if he is hospitalized for illness or injury for more than 10 consecutive days, then Rs 5000 is paid to the insured every policy year. This benefit is available to the insured with a policy term of more than one year.
Daily Cash Benefit – In this plan a cash amount of Rs.500 is provided to the parent/legal guardian with the insured child below 12 years in hospital for up to 10 days.
Ayurvedic/Homeopathic Treatment- This includes the cost of medical treatment taken visa Ayurveda or Homeopathy where the insured person was admitted for more than 24 hours.
Maternity Expenses: The plan will cover medical expenses incurred on childbirth, abortion, abortion or other related procedures.
Newborn Baby Cover: This plan by Bajaj Allianz will cover any medical expenses including hospitalization and vaccination costs for a maximum period of 90 days from the birth of the newborn.
Bariatric Surgery Cover: The cost of bariatric surgery is covered under this plan if the insured person fulfills the eligibility criteria.
Free Preventive Health Check-up: This plan provides free medical check-up to the insured for three consecutive years.
Waiting Period: This plan by Bajaj Allianz is subject to a fixed waiting period:
36 months waiting period for pre-existing diseases
Waiting period of 24 months for certain diseases
No medical expenses will be incurred in the first 36 months under this scheme
Dental Treatment: Expenses incurred on any type of dental procedure will not be covered under this scheme.
Inpatient Care: This plan does not cover the cost of unreasonable inpatient hospitalization without the supervision of a doctor or nursing staff.
War: It does not cover expenses incurred on hospitalization due to war or war, invasion, civil unrest, rebellion, etc.
Treatment received outside India: The plan does not cover the cost of any treatment undertaken by the insured outside India.
Cosmetic Surgery: It does not cover the cost of any cosmetic surgery, plastic surgery or any aesthetic treatment or gender change surgery.
External equipment: Any expenditure incurred on purchasing external devices such as contact lenses, glasses, crutches, dentures, hearing aids etc. is not covered under this plan.
External use: The plan does not cover the cost of any external medical equipment used after hospitalization at home such as equipment used to treat sleep apnea syndrome etc.
Intentional self-injury: This does not cover the cost of any intentional self-treatment: injury including suicide, attempted suicide, or overuse/drugs of alcohol or drugs.
HIV: This plan by Bajaj Allianz does not cover medical expenses incurred for the treatment of HIV or related diseases.
Infertility: It does not cover the cost of any treatment related to infertility, impotence, erectile dysfunction etc.
Obesity: The plan does not cover the cost of any treatment or procedure related to obesity.
Bharti AXA Smart Health Insurance Plan
This health insurance plan provided by Bharti AXA Health Insurance Company provides coverage against all medical expenses and emergency hospitalization. The insurer has been awarded the Customer Service Excellence Award in 2019. Apart from this, there are some special benefits offered under this plan which include renewal exemption in the form of tax savings, no-claim bonus and free health check-up. Take a quick look at the plan details below:
Features & Benefits
Anyone in the age group of 91 days to 65 years can buy the policy
Sum assured limit is Rs. 3/4/5 lakh
In family floater plan, coverage is provided to you, your spouse and 2 dependent children who are between the age group of 90 days to 23 years
5% to 25% no-claim renewal discount
Coverage for critical illnesses
convalescence benefit provided for serious illness or fear diseases
30-40 days pre hospitalization cover and 60 days post hospitalization cover is provided
Day-care treatment is compensated up to the sum insured
ayush treatment cover
Domicile Hospitalization Cover up to 10% of Sum Insured
Any critical illness that is diagnosed in the initial 30 days from inception (in benefit plan) and 60 days from inception (in reimbursement plan).
Specific diseases that cannot be insured before one year
Caesarean delivery, a complication arising from or detectable from pregnancy, including miscarriage in the first 12 weeks of pregnancy. It is not applicable or ectopic pregnancies.
Claims made for any pre-existing diseases before the completion of the waiting period of 48 months
Expense dental surgery expenses unless it requires hospitalization
birth control measures
Care Health Care Insurance Plan
Care Health Care Insurance Plan Offered by Care Health Insurance Company (formerly Religare Health Insurance Company)