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PaisaOne
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Health Insurance Up to ₹1 Crore

Protect your family's health and finances with comprehensive health insurance. Get cashless treatment at 10,000+ network hospitals, tax benefits up to ₹1 lakh, and coverage starting from just ₹307/month.

Cashless Everywhere
Tax Benefits
24/7 Support

Trusted by Millions

10.5 Cr+
Registered Consumers
51+
Insurance Partners
5.3 Cr+
Policies Sold
99.4%
Claims Paid

What is Health Insurance?

Health insurance, also known as medical insurance policy, offers financial security against medical expenses. When you buy health insurance, you get a financial cover up to a certain amount for the medical expenses you may incur in a year.

It covers emergency and planned expenses for hospitalisation, day-care treatments, surgeries, pre and post-hospitalisation, ambulance charges. A right health insurance policy helps you ward off unnecessary financial burden when a medical situation or emergency arises.

Moreover, it also offers tax savings under Section 80D of the Income Tax Act, 1961 on the premium amount you pay to the insurer.

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Health Insurance at a Glance

Sum Insured₹50,000 to ₹6 crore
Maternity CoverAvailable
Pre & Post HospitalizationCovered
OPD CoverAvailable
Tax BenefitsUp to ₹1,00,000
Cashless Hospitals10,000+

Why Choose Our Health Insurance?

Comprehensive coverage with best-in-class benefits and service

Cashless Treatment

Get cashless treatment at 10,000+ network hospitals across India. Now available at any hospital with 'Cashless Everywhere' facility.

Comprehensive Coverage

Coverage for hospitalization, pre & post hospitalization expenses, day care procedures, maternity benefits, and AYUSH treatment.

24/7 Support

Round-the-clock customer support and claim assistance. 30 minutes claim support guaranteed in 120+ cities.

Easy Claims

Simple and fast claim settlement process with high claim ratio. 99.4% claims paid within 3 months.

Family Coverage

Cover your entire family under a single policy with floater benefits. More cost-effective than individual policies.

Tax Benefits

Save up to ₹1,00,000 in taxes annually under Section 80D. Additional benefits for senior citizen parents.

What is the Ideal Coverage for Health Insurance?

Health insurance coverage should be tailored to individual medical needs and circumstances. An ideal health insurance plan is usually suggested to have a sum insured equal to at least half of your annual income. Experts suggest buying a health cover of at least ₹10 lakhs to combat rising healthcare costs easily.

Ideal Health Insurance Sum Insured by City Tier

Plan TypeTier-1 CityTier-2 CityTier-3 City
Individual Health Insurance₹10 lakh & above₹5-10 lakh₹5 lakh
Family Floater₹30 lakh & above₹20 lakh & above₹10 lakh & above
Senior Citizen₹20 lakh & above₹15 lakh & above₹10 lakh & above

*Disclaimer: The above sum insured is suggestive and may vary as per the age and medical needs of the people.

City of Residence

Consider whether you live in tier-1, tier-2, or tier-3 city as healthcare costs vary significantly.

Age & Life Stage

Younger individuals may need lower coverage while families and seniors require higher coverage amounts.

Future Healthcare Costs

Consider medical inflation and potential future health conditions when deciding coverage amount.

Types of Health Insurance Plans

Choose the right health insurance plan for your specific needs

Individual Health Insurance
₹307/month
Starting from
  • Coverage: ₹3L - ₹50L
  • Cashless treatment
  • Pre & post hospitalization
  • Day care procedures
  • Annual health check-up
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Most Popular
Family Floater
₹598/month
Starting from
  • Coverage: ₹5L - ₹1Cr
  • Covers entire family
  • Maternity benefits
  • New born baby coverage
  • Shared sum insured
Get Quote
Senior Citizen
₹1,500/month
Starting from
  • Coverage: ₹3L - ₹25L
  • No age limit for renewal
  • Pre-existing diseases
  • Domiciliary treatment
  • OPD consultation
Get Quote
Maternity Insurance
₹800/month
Starting from
  • Delivery expenses
  • Pre & post natal care
  • Newborn baby coverage
  • Vaccination coverage
  • Waiting period: 9 months
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Critical Illness
₹500/month
Starting from
  • Lump sum benefit
  • 30+ critical illnesses
  • Cancer, heart attack coverage
  • Waiting period: 90 days
  • Standalone or rider
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OPD Cover
₹200/month
Starting from
  • Doctor consultations
  • Diagnostic tests
  • Medicine expenses
  • Dental & eye care
  • No hospitalization required
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Key Benefits of Health Insurance Plans

Comprehensive protection for you and your family's health needs

Hospitalization Expenses

Covers medical expenses for hospitalization more than 24 hours including room rent, doctor's fee, medicine costs, and diagnostic tests.

Pre & Post Hospitalization

Coverage for medical expenses incurred before admission and follow-up treatment after discharge for specified number of days.

ICU Charges

Covers the cost of intensive care unit treatment during hospitalization including specialized equipment and monitoring.

Ambulance Cost

Coverage for emergency ambulance services to reach the nearest hospital during medical emergencies.

Cashless Treatments

Get treatment at network hospitals without paying upfront. Now available at any hospital with 'Cashless Everywhere' facility.

Maternity Benefit

Coverage for delivery expenses, pre-natal & post-natal care, and newborn baby treatment with vaccination coverage.

Day Care Procedures

Coverage for treatments requiring less than 24 hours hospitalization like cataract surgery, dialysis, and other day care procedures.

AYUSH Treatment

Coverage for alternative medicine treatments including Ayurveda, Unani, Homeopathy, Siddha and Yoga treatments.

Preventive Health Check-ups

Free annual health check-ups to detect health issues early and maintain good health through preventive care.

What's Covered vs What's Not

Understanding your health insurance coverage

What's Covered
  • In-patient hospitalization expenses (Room rent, ICU, surgery)
  • Pre & post hospitalization expenses (30-60 days)
  • Day care procedures (150+ procedures)
  • Ambulance charges (up to specified limit)
  • Annual preventive health check-ups
  • Maternity and newborn baby coverage
  • AYUSH treatments (Ayurveda, Homeopathy, etc.)
  • Mental healthcare treatment (as per Mental Healthcare Act)
  • Domiciliary treatment (home treatment)
What's Not Covered
  • Claims during initial 30 days (except accidents)
  • Pre-existing diseases (during waiting period)
  • Cosmetic and plastic surgery
  • Non-accidental dental treatments
  • War, nuclear risks, and self-inflicted injuries
  • Alcohol and drug abuse related treatments
  • Experimental and unproven treatments
  • Adventure sports injuries
  • Terminal illnesses (as specified in policy)

Top Reasons to Buy Health Insurance

Why health insurance is essential in today's world

Beat Medical Inflation

Healthcare costs are rising at 10-15% annually. Health insurance helps you afford quality treatment despite increasing medical expenses.

Quality Medical Treatment

Access the best hospitals and doctors without worrying about costs. Focus on recovery while insurance handles the bills.

Fight Lifestyle Diseases

Cover long-term treatment costs for diabetes, heart disease, cancer, and other lifestyle-related conditions that are on the rise.

Protect Your Savings

Avoid depleting your savings or investments for medical emergencies. Keep your financial goals on track.

Cashless Hospitalization

Get treatment at network hospitals without paying upfront. Now available at any hospital with 'Cashless Everywhere' facility.

Tax Benefits

Save up to ₹1,00,000 annually in taxes under Section 80D. Additional benefits for senior citizen parents.

How to File Health Insurance Claims

Simple and hassle-free claim process

Planned Hospitalization

1

Inform Insurer

Notify your insurance company at least 48 hours before planned treatment

2

Show Health Card

Present your health insurance card at hospital admission

3

Get Pre-Authorization

Hospital will get approval from insurance company

4

Receive Treatment

Get treatment without paying hospital bills

Emergency Hospitalization

1

Immediate Treatment

Get immediate medical attention at nearest hospital

2

Inform Within 24 Hours

Notify insurance company within 24 hours of hospitalization

3

Submit Pre-auth Form

Hospital submits pre-authorization form for approval

4

Cashless Settlement

Insurance company settles bill directly with hospital

Eligibility & Documentation

Simple requirements to get your health insurance

Eligibility Criteria
Entry Age (Adults)18 to 65 years
Entry Age (Children)90 days to 25 years
Pre-medical ScreeningAbove 45/55 years
NationalityIndian Residents & NRIs
Income ProofNot mandatory
Required Documents

Identity Proof

Aadhaar Card, PAN Card, Passport, Driving License, Voter ID

Address Proof

Aadhaar Card, Passport, Utility Bills, Rent Agreement

Age Proof

Birth Certificate, School Certificate, Passport

Income Proof (if required)

Salary Slips, ITR, Bank Statements

Medical Reports

Pre-medical tests (if applicable based on age)

Health Insurance Riders

Enhance your coverage with additional benefits

Maternity Cover Rider

Coverage for childbirth, pre & post-natal expenses, and newborn baby care. Waiting period: 9 months to 6 years.

  • • Delivery expenses
  • • Pre & post-natal care
  • • Newborn coverage
Consumables Cover Rider

Coverage for non-medical expenses like cotton, bandages, syringes, gloves, masks during hospitalization.

  • • Medical consumables
  • • Disposables
  • • Registration charges
Critical Illness Rider

Lump sum benefit for critical illnesses like cancer, heart attack, kidney failure. Waiting period: 90 days.

  • • 10-40 critical illnesses
  • • Lump sum payment
  • • Survival period: 30 days
Personal Accident Rider

Compensation for accidental injury, disability, or death. Also known as double indemnity rider.

  • • Accidental death benefit
  • • Disability compensation
  • • Partial disability coverage
Hospital Cash Rider

Fixed daily cash allowance for incidental expenses during hospitalization. Double benefit for ICU stay.

  • • Daily cash allowance
  • • ICU double benefit
  • • Minimum 24 hours stay
Room Rent Waiver

Removes room rent limits, allowing you to choose any room without additional charges from your pocket.

  • • No room rent cap
  • • Any room choice
  • • No sub-limits

Key Factors to Consider Before Buying

Make an informed decision with these important considerations

Scope of Coverage

Check what's covered - hospitalization, OPD, maternity, critical illness, COVID-19 treatment, and other benefits.

Sum Insured

Choose minimum ₹10 lakh coverage. Consider ₹1 crore plans for comprehensive protection against rising healthcare costs.

Waiting Period

Choose plans with minimal waiting periods. Initial: 30 days, Pre-existing diseases: 2-4 years, Specific illnesses: 90 days.

Network Hospitals

Check for network hospitals in your area. More hospitals mean better access to cashless treatment facilities.

Claim Settlement Ratio

Choose insurers with claim settlement ratio above 90%. This indicates reliability in paying claims.

No Claim Bonus

Earn bonus for claim-free years. Can increase sum insured by 50-100% without additional premium.

Frequently Asked Questions

What is health insurance?

Health insurance is a financial cover that provides protection against medical expenses. It covers hospitalization, pre & post hospitalization expenses, day care procedures, and other medical treatments up to the sum insured amount.

What is the ideal coverage for health insurance?

Experts suggest buying a health cover of at least ₹10 lakhs to combat rising healthcare costs. The ideal coverage should be at least half of your annual income, considering factors like city of residence, age, and future healthcare costs.

What is covered in health insurance?

Health insurance covers hospitalization expenses, pre & post hospitalization expenses, ICU charges, ambulance costs, day care procedures, maternity benefits, AYUSH treatment, and preventive health check-ups.

What is cashless treatment in health insurance?

Cashless treatment allows you to get medical treatment at network hospitals without paying upfront. The insurance company directly settles the bill with the hospital, eliminating the need for reimbursement. Now available at any hospital with 'Cashless Everywhere' facility.

What are the tax benefits of health insurance?

You can claim tax deduction up to ₹25,000 under Section 80D for self and family, and additional ₹50,000 for parents above 60 years. Total tax savings can go up to ₹1,00,000 per financial year.

What is the waiting period in health insurance?

Waiting period is the time during which certain conditions are not covered. Initial waiting period is 30 days, pre-existing diseases have 2-4 years waiting period, and specific illnesses may have 90 days waiting period.

Can I buy health insurance for my family?

Yes, you can buy family floater health insurance that covers your entire family under a single policy. It's more cost-effective than individual policies and provides shared sum insured for all family members.

What is the claim settlement process?

For cashless claims, inform the insurer 48 hours before planned treatment or within 24 hours for emergency. For reimbursement, pay the bills and submit documents to the insurer for claim settlement.

Protect Your Family's Health Today

Get comprehensive health insurance coverage with cashless treatment at 10,000+ hospitals and tax benefits up to ₹1,00,000