How much health policy insurance coverage do I need?

The amount of insurance coverage you will need depends on your medical needs, age and health risks, the city you live in, and various other factors. Also, you must consider the treatment costs for your specific health condition before deciding how much sum insured is enough for you and your loved ones.

Should You Get a Health Insurance Policy at an Early Age?

Health insurance protects your savings by covering medical expenses. Care Health Insurance offers various benefits, including cashless claims, tax savings, and coverage for hospitalisation, critical illnesses, and more.

Why is Health Insurance Policy Important to Protect Your Loved Ones?

Health insurance is important to protect your loved ones as it offers financial security for medical costs, ensuring access to care and peace of mind.

Does Health Insurance Cover COVID-19 Expenses?

The Insurance Regulatory and Development Authority of India has stated that companies should offer coverage for standard treatment of COVID-19 infections if the insured is affected by the infection and has to get hospitalised for the treatment.

What documents do I need to purchase mediclaim health insurance?

While purchasing a mediclaim insurance policy, you will require a few important documents to complete the process. Some of the documents required include ID proof, age proof, income proof documents, age proof, photographs, and relevant medical records.

Can I buy health insurance and use it immediately?

Yes, you can get immediate coverage under medical policies for any accidents or injuries. However, you can only avail of the policy's coverage for any illness-related hospitalisation after a standard waiting period of 30 days from the day your policy becomes effective.

What is the right age to invest in Health Insurance? Which is the best health insurance for myself and my family?

The earlier you get health cover, the lesser the premium you get to bear. The premium costs of health plans increase with age. Besides, the chances of having a pre-existing health condition also increase as we grow older- resulting in an increased premium. Thus, going for a health cover early in life is a wise decision.

What is the benefit of porting health insurance?

Medical insurance portability can help you switch a health insurance plan without having to go through a new waiting period. Once you have finished the waiting period in your previous plan, you do not have to serve it again.

How much does health insurance cost?

At Care Health Insurance, a 5-lakh medical cover starts with a premium as low as Rs. 358/month, subject to specific policy terms and conditions. Factors like the sum insured, type of coverage, policy term, count and age of insured members, and their pre-existing medical conditions, impact the chosen health plan's premium cost.

How can I get tax benefits from medical covers?

With our medical insurance, you get a chance to increase your savings as you become eligible to get income tax benefits under Section 80D of the Income Tax Act. That is, you will be allowed to claim a tax deduction on the policy premium for which you have made a payment to us.

Can I have multiple health insurance plans in India?

Yes, you can buy yourself multiple health policies. If you have opted for more than one indemnity-based plan with other insurers or us, then you can opt for any of these plans to settle your claims, provided that the claim amount payable is up to the sum insured of the chosen policy. If the claim amount under a single policy exceeds the sum insured, you have the right to select the insurer to settle the claim.

Can I add my ageing parents to my medical insurance policy?

Yes, you can include ageing parents in your health insurance plan easily by informing us during renewal. However, for elderly parents above 60 years, we recommend medical insurance for senior citizens that will better meet their age-related healthcare needs.

How does smoking affect the insurance premium for medical cover?

Insurers consider the habit of smoking as a factor when assessing your health risks and calculating insurance premium rates. Generally, smokers need to bear a higher premium for any health cover, given that smoking makes people more vulnerable to chronic diseases and other health hazards.

I'm covered under a corporate group policy. Do I still need a separate health cover?

Yes, it is wiser always to have separate healthcare insurance besides the employer health plan because the corporate plan does not offer extensive coverage, no tax benefits, and customisable features. Thus, it is better to protect your finances and health with a separate cover that meets all your healthcare needs effectively.

Can I take a health insurance policy for my 5 years old kid?

Yes, you can include your children aged 5 years or above under an individual health plan. For children under 5 years of age, you can include them in a family floater plan with other family members who are 18 years and above.

Are medical tests mandatory while buying health and medical insurance?

Pre-policy medical tests are usually required for older individuals, those with a pre-existing condition, or opted for a higher sum insured. However, it is best to go for a medical check-up when opting for a health insurance plan to ensure hassle-free claim settlement.

How can I increase the sum insured for my health insurance?

You can increase the sum insured of your health plan at the time of policy renewal. The same can be done after specific medical tests and a revision of the claim history. But the sum insured cannot be increased further if the existing sum has already met the sum insured limit of your policy.

What is the waiting period for health insurance?

The waiting period is the time you must wait before making a claim for specific conditions, as stated in your policy documents.

What is copayment in health insurance?

Co-payment can be defined as a cost-sharing feature in which the insured must pay a fixed amount of the costs incurred while filing a claim; the insurer will cover the rest.

What is a deductible in health insurance?

A deductible is the amount the insured must pay out-of-pocket before the insurance cover comes into effect.

What is a network hospital?

A network hospital is a hospital which has partnered with your insurance company, enabling you to seek cashless treatment.

What is the sum insured in health insurance?

The Sum Insured is the maximum amount the insurer will cover for medical expenses. A higher sum insured means a higher premium.

What are exclusions in health insurance?

Exclusions can be defined as certain conditions which are not covered by the health insurance policy.

What are top-up plans in health insurance?

Top-up plans provide extra coverage over your base sum insured, ensuring additional protection during medical emergencies.

What are pre-existing diseases in health insurance?

Pre-existing diseases are conditions that the insured has before purchasing a plan. They usually lead to higher premiums or waiting periods.

What is claim intimation in health insurance?

Claim intimation is the process of informing your insurer about an upcoming claim, mostly before hospitalisation. This helps ease the claim process.

What is a cashless hospitalisation claim?

Cashless claim settlement is when the insurer directly compensates the hospital for your treatment, bypassing the need for upfront payment.

What is a reimbursement claim?

A reimbursement claim is one in which the insurer pays the medical costs upfront and then gets reimbursed by the insurance company.

What is a No Claim Bonus in health insurance?

It is a bonus for policyholders who do not make any claims during a policy year; this often increases the coverage amount.

What are Sublimits in health insurance?

Sublimits can be defined as the maximum limit of the amount the insurance company will pay for certain medical expenses.

What is the Room Rent Proportionate Charge?

This is the maximum limit of the daily room cost covered by the insurance company; any extra amount is your responsibility.

What is domiciliary hospitalisation?

Domiciliary hospitalisation is a situation in which the insured receives treatment at home either because the doctor has declared that they cannot be admitted to the hospital, or there is a non-availability of rooms at the hospital.

What are network and non-network hospitals?

Network hospitals are empanelled with a health insurer and provide you with cashless medical treatment. Here, you can present your health card to avail yourself of a cashless hospitalisation facility, and the insurer will directly settle the claim with the hospital. Meanwhile, non-network hospitals are not empanelled with the insurer and thus require reimbursement claim filing.

What are the pre-existing diseases in health insurance? Will my health policy cover the same?

Pre-existing diseases are illnesses, injuries, or related conditions for which a medical practitioner diagnosed a person within 36 months before the effective date of policy issuance by the insurer or its reinstatement. Yes, Care Health Insurance policies cover pre-existing medical conditions but come with a waiting period as per the chosen policy.

What is the Smart Select Hospitals benefit at Care Health Insurance?

It is an additional cover option that reduces your premium by 15%, provided you use Care's Smart Select Network Hospitals, but using non-network hospitals may result in a 20% co-payment.

How does Room Type affect my health insurance coverage?

The type of room you choose during your hospitalisation impacts your hospital bill. Policies usually have coverage limits for each room type.

Is overseas treatment of an illness covered in my insurance plan?

Generally, any type of treatment taken overseas is not covered. However, you can opt for a global coverage option if you wish to continue treatment abroad.

How does no claim bonus work in a healthcare insurance policy?

A no-Claim Bonus (NCB) that is given to the policyholder for not raising any claim during a policy year. It is a bonus amount that becomes available as an increased sum insured for every claim-free year. The NCB amount will not exceed 50% of the sum insured under any medical policy insurance. The accrued bonus is reduced by 10% in the next policy year, if the insurer claims in a policy year.

Do health insurance policies cover robotic surgery & modern treatments?

Yes, our specialised health insurance plans cover various expenses under advanced medical treatments, including robotic surgery and modern-day care treatments. We offer cover for more than 541 daycare procedures.

Is there a grace period for renewal under health insurance?

Yes, an insured person is allowed a grace period of 30 days immediately following the policy period end date to pay the renewal premium for a Care insurance policy. You can pay the premium within the grace period to renew the benefits of your medical health insurance policy.

What is the process for a reimbursement claim settlement of medical insurance?

Typically, you will have to inform the insurance company about your hospitalisation. Submit the claim form and all the stamped and verified documents within the stipulated timeline. Once the claim is verified, it will be settled within 2-3 weeks.

How many claims can I make in a medical insurance policy?

You can make multiple insurance claims during the policy term, provided that it remains within the sum insured limit.

Are alternative treatments covered under health insurance?

Yes, as of April 1, 2020, all health insurance companies in India are required to cover AYUSH treatments, which include Ayurveda, Yoga, Unani, Siddha, and Homeopathy.

What are the details required to make a health insurance claim?

For a cashless claim, you need to submit the pre-authorization form at the hospital's TPA desk. Also, you need to present your health card and identity proof at the network hospital. Under a reimbursement claim, submit the claim form and documents, such as identity proofs and hospital bills. The details required include name, contact information, policy number, past medical history, proposed line of treatment, duration of treatment, etc.

Health Insurance: Buy Best Medical Insurance Plans @₹12/Day#

Why Choose Care Health Insurance?

Given below are some of the reasons why a health insurance policy from Care Health Insurance may be the best option for you:

Affordable Premiums with Extensive Coverage

Our health insurance plans offer new-age coverage at an affordable premium, ensuring you are appropriately covered without breaking the bank.

Wide Range of Plan Options

We ensure competitive coverage for everyone through the diverse plan options for families, individuals, parents, expecting mothers, and people with critical illnesses.

Vast Network

Our family healthcare plans are backed with a wide network of 21700+ cashless healthcare providers, including 11400+ network hospitals, which ensures you can avail of quality treatment in times of need.

Easy Claim Process

With a hassle-free claim procedure available both online and offline, we are also home to one of the best claim assistance team which means convenient claims anytime anyday!

Features of Health Insurance Plans

Addressed below are the features of the best health insurance plans from Care Health Insurance:

Parameter	Definition	Details
Sum insured	The sum insured is an amount paid by the insurer to the insured in case of an unforeseen event.	Ranging from ₹5 lakhs to ₹1 crores
Pre-hospitalisation expenses	Diagnostic, consultation, and medical charges incurred before hospitalisation are pre-hospitalisation expenses	Covered up to 60 days
Post-hospitalisation expenses	The expenses incurred in taking recovery diagnosis, consultation and medication after discharge are called post-hospitalisation expenses.	Covered up to 90 days
Ambulance charges	The cost incurred in hiring ambulance services if a medical emergency occurs.	✅
Daycare treatments	A treatment that does not require 24-hour hospitalisation is known as daycare treatment. Examples include dialysis and chemotherapy.	✅
ICU charges	The cost incurred towards availing of ICU services.	✅
Add-ons	An additional feature in health insurance plans that can be bought by paying an extra premium.	✅
Hospital Network	The list of hospitals that tie up with the insurance company to provide hassle-free treatments to the insured is called network hospitals in health insurance.	21700+ cashless healthcare providers with 11400+ network hospitals
Tax benefits	The tax benefit is the deduction from the taxable amount you can avail of based on your health insurance premium.	Up to ₹75000 Under Section 80D~
AYUSH treatments	The medicine practices, including Ayurveda, Yunani, Siddha, and Homeopathy, are AYUSH treatments.	✅
Domiciliary treatments	Domiciliary treatment is the medical treatment offered to a patient at home when hospitalisation is impossible.	✅
Grace period	The period after the policy expiry date, when you can renew your policy and retain the existing benefits, is known as a Grace period.	30 days after policy expiry
Waiting period	The time that you have to wait before filing a claim for specified diseases is known as the Waiting period.	30 days / 24 months/36 months
Policy tenure	Policy tenure is the maximum tenure till which you want your policy to offer coverage.	1 year/ 2 years/ 3 years / 4 years/ 5 years
Advanced medical treatments	Treatment procedures that require modern methods, such as robotic surgery, laser treatment, stem cell therapy, etc., are known as Advanced medical treatments.	Covered
Critical illness	According to IRDAI, illnesses such as Cancer, Pulmonary Thromboembolism, Stroke, Angioplasty, etc. are considered critical illnesses.	Special plans offering coverage for 32 illnesses

Comparing Our Health Insurance Plan with Other Insurers

There is no universal health insurance policy that suits everyone. Different plans have varying benefits, coverage, and premiums. Hence, it is important to compare plans to choose the one that meets your needs. Take a look at how our plan compares to other options in the market:

Benefits	Other Health Insurers Plans	Care's Ultimate Care Plan
Hospital Bills	Sub-limits on medical treatments	No Sub-limits on medical treatments
Waiting Periods	30 days	30 days
Room Rent Limit	Additional payment for upgrading	No Room rent limit
Co-pay	May have a fixed co-pay	No Co-pay

A Note from the Expert’s Desk

Health Insurance is a powerful investment that is evolving to address not just unprecedented health emergencies but also chronic health conditions. Also, with medical inflation soaring yearly, having an appropriate plan is not just an option- but a necessity. With the right health insurance by your side, you can ensure access to quality healthcare without a financial strain.

Remember to assess your loved one’s medical needs, compare policies, and choose a plan that backs them with comprehensive coverage, including hospitalisation and preventive care services. Your informed decision today can make a huge difference in your family’s health and finances in the long run—for good.

Kunal Chanana Corporate Manager Product Development at Care Health Insurance

Benefits of Health Insurance

According to a report by Business Standard, wholesale prices in India rose to 0.53% in March 2024. This inflation has also been significant in the medical sector! The constant year-on-year increase in medicine prices, diagnostic tests, and hospital charges across India have made having an affordable mediclaim policy the need of the hour! Mentioned below are a few benefits of having health insurance:

Financial Safety: Health insurance ensures that you are protected against the financial strain that may arise due to the hefty medical bills.
Coverage for Critical Illnesses: An expansive health insurance can ensure that you get access to quality healthcare even if you are inflicted by a critical illness.
Protection above Corporate Health Insurance: The comprehensive coverage and new-age benefits of an ideal health insurance plan ensure that you do not suffer upon the exhaustion of your corporate plan.
Cashless Claim Benefit: During a medical emergency, a health insurance plan with an expansive healthcare network can ensure that your focus remains on recovery, not paperwork.
Tax Benefits under Section 80D:Health insurance is not just a safety net for your health and finances but also an asset that can help you avail of tax benefits of up to ₹75,000 under Section 80D of the Income Tax Act, 1961.
Wellness & Preventive Care: Health insurance plans nowadays come with new-age benefits such as annual health check-ups, fitness benefits, and others that may prevent chronic ailments.

Common Health Insurance Terms You Should Know

Understanding the terms and conditions of your health insurance is crucial for policyholders to avoid last-minute hassles. Read out these commonly used health insurance terms to make reading the policy documents easier:

Co-payment: Some insurance policies have an inbuilt copayment clause. Copayment, or ‘Copay’, is a specific amount or percentage an insured individual must pay from his/her pocket every time a claim is raised. Simply put, it is a cost-sharing concept between the policyholder and the insurance company.
Deductible: A deductible is the amount you pay from your pocket when a claim is raised. Here is an example of how deductibles in health insurance work: If your health insurance claim amount is Rs. 2,00,000 and your policy’s deductible amount is ₹50,000, then you pay ₹50,000. At the same time, the health insurance company pays the balance of ₹1,50,000.
Sum insured: When you buy a health insurance policy, you must choose a coverage amount up to which your health insurance company will cover the medical expenses. The higher the sum insured, the higher the premium.
Top-up plans: These are the best health insurance plans that help you get more coverage if your basic sum insured is exhausted during a medical emergency. Top-up or super top-up policies can be purchased along with a base policy.
Pre-existing Diseases: If someone suffers from an illness before purchasing a health plan, it is called a pre-existing disease. Some common examples are diabetes, asthma, hypertension, or high BMI. People with a pre-existing illness can also be eligible for best health insurance policy in india. However, they generally have to pay a slightly higher premium or serve a pre-decided waiting period to be able to file a claim against the condition.
Claim Intimation: Claim intimation in health insurance refers to informing insurance providers about the upcoming claim. This usually involves notifying the insurance provider about hospitalisation medical treatment before submitting detailed claim information. It enables insurers to be aware beforehand to streamline the subsequent claims processing. It is important to know that in some cases if the insured person does not submit an insurance claim intimation, the claim might be rejected.
Cashless Hospitalisation Claim: A cashless hospitalisation claim is a facility offered by medical insurance providers to help policyholders access medical services without worrying about the availability of upfront finances. To use this facility best, one has to receive treatment at network hospitals affiliated with the insurance provider.
Reimbursement Claim: The term reimbursement claim refers to the repayment of the claim. In this type of claim settlement, you pay the medical/hospitalisation bills for the medical treatment you avail of. Once you submit the bills to your health insurance provider, you can file a claim and get the covered amount from the insurer.
No Claim Bonus: No claim bonus is an additional benefit offered under a health insurance plan to get a complimentary bonus for every claim-free year. It helps boost the coverage of your health insurance plan.
Sublimits: A sub-limit is a predetermined capping applied by the insurer on certain medical expenses under your private health insurance. It works as a limit on how much claim amount the insurer will pay for a given healthcare expense. Sub-limits are usually calculated in percentage and apply to both cashless and reimbursement claims.
Room Type: Room type refers to the kind of hospital room a policy covers. Common categories include general ward, semi-private room, and private room. The type of room you choose can directly impact the overall cost of your hospitalisation bill.
Room Rent Proportionate Charge: Room Rent Proportionate Charge limits the amount an insurer will pay for room rent per day during hospitalisation. If you exceed the room rent limit, you must pay the difference out of your pocket.
Smart Select Hospitals: Smart select at Care Health Insurance is an add-on benefit facility that allows an insured to pay 15% lesser premium and get coverage up to sum insured at Care’s Smart Select Network Hospitals. Please note that getting treatment out of the smart select network may borne a 20% copayment or as specified in the policy documents.
Use of Preventive Care: Taking timely precautions is the need of the hour.Under preventive care, best mediclaim policy in india that cover COVID treatment, annual health check-ups, general OPD visits, diagnosis, medical tests, consultations, etc., done to analyse any severe health patterns beforehand. By paying the premium, you can avail of preventive care benefits under your affordable medical insurance plans.
Alternate Treatments in Health Insurance: Alternative medicines are better known as AYUSH treatments, which stand for Ayurveda, Yoga, Unani, Siddha, and Homeopathy. These treatments are deemed safe and effective not just in India but worldwide.

Care Health Insurance- At a Glance

Abiding by the Insurance Regulatory and Development Authority of India (IRDAI), the best health insurance plans offer COVID-19 coverage as per standard t&c. Likewise, medical insurance policies offer a set of other coverage and exclusions. Click through to understand them in detail:

Coverage
Add-ons
Exclusions

In-Patient Hospitalisation: Our private medical insurance policies cover your expenses, such as room rent, ICU charges, doctor’s fees, etc., during any planned or emergency hospitalisation up to the sum insured.
Pre-Hospitalisation Medical Expenses: We cover your medical expenses, such as doctor’s consultations, medical tests, and medication, up to 60 days before hospital admission.
Post-Hospitalisation Medical Expenses: Medical expenses, such as follow-up visits and medical tests, are covered up to 90 days immediately after discharge from the hospital.
Ambulance Cover: If medically necessitated, the expenses incurred in taking road and/or air ambulance are covered up to the sum insured in our best health insurance policies.
Advanced Medical Treatments: With our health insurance plans in India, you can access advanced medical care and get coverage for modern treatments, including robotic surgeries and chemotherapies.
Domiciliary Hospitalisation: We offer coverage for home-hospitalisation to ensure uninterrupted medical coverage per the policy terms.
AYUSH Treatments: According to the studies, the AYUSH treatment sector shall grow at a CAGR growth rate of 8.6% between 2022-27 Therefore, keeping in mind the inclination of people seeking alternative treatments, we offer alternative and holistic treatment options for your well-being, under our mediclaim policy as per the standard t&c.
Premium Payback: Care Health Insurance offers one of the best health insurance in India with the feature of paying back the first year's base premium on every block of five claim-free years.
Coronavirus Treatment: We offer standard coverage for hospitalisation and medication as per policy terms to ensure you are not strained due to a COVID-19 infection.

Health Insurance plans from Care Health Insurance come with different add-on benefits that help you customise premiums and/or expand your coverage. Listed below are a few add-ons that our customers love the most.

Care Sheild: Coverage expenses for a specified list of non-payable items are covered. This benefit can be divided into three features:
- Claim Shield: Covers expenses for specific non-payable items.
- No Claim Bonus Sheild: The no-claim bonus remains unaffected even with small claims.
- Inflation Sheild: Your sum insured increases annually based on inflation.
Annual health check-up: Provides free yearly check-ups for every insured member at network labs.
Reduction in the PED Waiting Period: Waive the waiting period for pre-existing conditions.
Infinity Bonus: The infinity bonus in our medical insurance plan increases the coverage of your mediclaim policy by 100% upon each renewal. The bonus is not affected by the claims made.
Care OPD: The OPD cover benefit in the best health insurance plans in India offers reimbursement for OPD consultations as per the policy terms.
Air-ambulance cover: Financial cover for transportation by air ambulance if deemed medically necessary.
Co-payment waiver for senior citizens: Removes the co-payment requirement for an extra premium.
Smart Select: Get a 15% premium discount by using network healthcare providers, but a 20% co-pay applies for non-network.

At Care Health Insurance, we want all our customers to be well-informed before purchasing a health insurance policy. Therefore, we urge you to review the policy documents within the free lookup period to avoid last-minute rejections of claims. Mentioned below are the common exclusions of a health insurance plan that you opt from Care Health Insurance

We do not offer coverage for self-inflicted injuries resulting from suicide or attempted suicide.
Expenses incurred due to diseases, surgeries, or medical events(except accidents), occurring within 30 days of the policy start date are not covered.
Expenses arising out of or attributable to alcohol or drug use/misuse/abuse are not covered.
Treatment arising from or traceable to pregnancy and childbirth, miscarriage, abortion, and its consequences.
Tests and treatment relating to infertility and in vitro fertilisation.
Cosmetic or aesthetic treatments that do not fall under the 'medically necessary' category.
War, riot, strike, nuclear weapons induced Hospitalisation

How to File a Claim under Health Insurance Plans

Cashless
Reimbursement

How Do Health Insurance Plans Work?

Shortlist a health insurance plan: Choose a health insurance plan that meets your needs and budget.
Make regular premium payments: Pay your premiums on time to keep your policy active.
Seek medical treatment: Receive medical care from a healthcare provider.
File a claim: Submit a claim to your insurance company for the medical expenses incurred.
Claim assessment: The insurance company reviews your claim to determine settlement

Let us understand the entire workings of health insurance with an example:

Suvidha purchased health insurance with a coverage of ₹10 Lakh for her family. A few months later, her mother got sick and had to see a doctor. Unfortunately, she had to get hospitalised as her condition worsened.

Knowing that her mother was covered under her health insurance policy, Suvidha searched for a nearby network hospital and admitted her for further treatment. She then informed her insurer about the emergency hospitalisation and completed the formalities.

Upon discharge, the hospital directly settled the bills with the insurance company, while she paid only for the non-payable items.

Further, she filed a reimbursement claim for the pre-and post-hospitalisation expenses. Suvidha filled out the reimbursement form and attested it with all the bills and reports related to the hospitalisation. Her insurer verified the documents and paid the claim amount to her bank account.

Which Type of Health Insurance Should You Buy?

You should determine the best health insurance policyideal health plan for yourself and your family by evaluating every member's healthcare needs, age, and current health status. To help you select the right medical insurance for every member, we have created a scenario-based differentiation covering the different needs of individuals and families. Find out which scenario is most relatable to you and secure yourself with our policy offerings-

If You Have Dependent Family Members

Cover all your family’s medical needs under one plan. These plans have a single affordable premium, annual health check-ups, and customisable benefits for every member. We offer sum insured options of up to ₹ 6 crore

Family Floater Insurance Policy

If You are Young and Need Complete Coverage

This inflation-proof plan offers comprehensive financial and healthcare security for young adults. This plan has several benefits such as personal accident coverage, discounts, and no co-payment. These plans are available on individual and family floater basis

Youth Health Insurance Plan

If You Have Elderly Parents to Look After

Senior citizen health insurance plans offer complete coverage for elders, including automatic recharge, annual health check-ups, and tax benefits. Further, this policy does not require pre-policy medical check-ups.

Senior Citizen Health Insurance Plan

If You Need Protection Against Critical Illnesses

Our Critical Illness Mediclaim provides financial protection against the medical expenses of 32 critical illnesses, including cancer, stroke, and paralysis. It offers low premiums, easy EMI options, quick recovery counselling, and coverage for cancer at all stages.

Critical Illness Insurance

Eligibility Criteria and Health Insurance Policy Details

While most of our health insurance plans have standard eligibility criteria, you can check the desired policy for specific conditions, like co-payments, waiting periods, etc. Tabulated below are the eligibility criteria to purchase health insurance plans from Care Health Insurance:

Minimum Entry Age	Individual- 5 years \| Floater- 91 days with at least 1 insured person of age 18 years or above
Maximum Exit Age	Lifelong for Adults
Tenure Options	1/2/3 Years
Cover Types	Individual and Family Floater basis
Waiting Period	30 days for illnesses, except injury \| 24 months for named ailments \| 36 months for pre-existing diseases
Grace Period	30 days to renew your policy post expiry

How do you Calculate the Premium of Health Insurance Plans?

You can now calculate the premium using a simple health insurance premium calculator designed especially for medical insurance policies. Here are the detailed steps on how to calculate your premium:

Visit Website

On the home page of Care Health Insurance, navigate to the products.

Choose a Plan

Choose the desired policy and enter your mobile number in the 'Get Quote' section.

Fill Member Details

Enter the members to be insured along with their age and current residential pin code, and then click on the 'View Quote' button.

Select Coverage

Customise the policy by changing the sum insured and add-ons as per your needs.

Purchase Policy

That's it! Your instant health insurance quote, including 18% GST will be calculated in no time!

We offer three policy estimation options: family cover, pre-existing diseases cover, and senior citizen insurance. The premium calculator will automatically calculate the amount you must pay to be eligible for the coverage. You can check the premium and critical benefits in your base mediclaim insurance policy.

Factors Affecting the Premium of Health Insurance Policies

Given below are some of the factors that affect the premium of your health insurance policy:

Age: The higher the age, the higher the premium, and vice versa.
Pre-existing Conditions: Pre-existing leads to higher premium costs.
Body Mass Index(BMI): High BMI leads to a higher premium amount.
Lifestyle Habits: Unhealthy and risky habits like drinking can increase premiums.
Type of Plan: Family plans typically have lower premiums than individual plans.
Sum Insured: A higher sum insured has a higher premium.
Deductibles and Co-Payment: Higher deductible/co-pay leads to lower premiums.
Add-On Covers: Additional coverage increases the premium.
Location: Areas with high medical costs have higher premiums.
Medical History of Family: A family history of diseases can lead to higher premiums.

Health Insurance on Your Fingertips

Now that you are versed in the details of health insurance, here are a few other things you should know to make an informed choice of a health insurance plan online. Click through to understand how to choose a health plan online.

Choose Wisely
Buy Online
Premium Reduction
Easy Renewal

To choose the best medical insurance in India, you must consider the below-mentioned advantages:

Verify Eligibility: Often, health policies come with entry age restrictions. With Care Health Insurance, you face minimum age restrictions with a minimum entry age of 91 days on a floater basis and get lifelong renewability.
Ensure Maximum Coverage: Our health insurance plans provide pre and post-hospitalization expenses, diagnosis expenses, treatment, medication, organ donor cover, and annual health check-ups.
Look for Affordable Premium: A budget-friendly premium is always on your mind while buying a medical policy. In our digital portal, you can utilise the health policy calculator to estimate the premium rates by customising the covers and sum insured as per your needs.
Check Exclusions: Check the exclusions list carefully before choosing a health policy. There are certain pre-defined conditions under which you cannot make a claim. So, go for the cover that offers maximum coverage with minimal exclusions.
Understand the Co-Payment Clause: TheBefore investing in medical insurance, it's advisable to check the co-payment clause. Co-pay in health policies refers to a specified percentage of the claim amount that needs to be borne by the insured person.
Select Wide Cashless Network Hospitals: Easy access to our empanelled network hospitals provides you with cashless treatment in the least time. Ensure a widespread cashless hospital network, and don't forget to look for well-renowned hospitals in your vicinity.
Bid for Higher Claim Settlement Ratio: Claim Settlement Ratio proves the company's reliability in settling claims.

The best part about the online availability of health covers is the secure payment gateways. With easy-to-follow steps and trust-backed payment partners, we offer you a seamless experience of buying the best health insurance plans in India completely online. Also, our digital portal enables you to effortlessly make premium payments through a hassle-free digital payment gateway. Welcome to the future of hassle-free health coverage with Care Health Insurance!

Here is a quick 6-step guide you should follow for making online insurance payments:

Go to our home page and select a health policy based on your needs and the sum insured's requirements.
Click on ‘Get Quote’ and provide relevant details.
Enter the required information and customise your policy.
You will be redirected to the payment section.
Make payment through any secure digital payment mode.
You will get the new health policy documents in your registered email.

You know by now that your health insurance premium is not a random number but a thoughtful calculation based on unique facts. Our underwriting process ensures a personalised touch, from your health history to lifestyle choices. However, some easy tips and tricks can help you reduce your health insurance premium without cutting back on the coverage.

Buy a health insurance plan today: Age is the primary factor that influences the cost of your premium. With your age, your premium amount also rises because you become prone to critical health issues in your old age. In contrast to this, the young age is generally considered to be risk-free. Therefore, you can purchase health insurance at a lower premium amount when you are young.
Pick the right add-ons: Instead of opting for an expensive health insurance plan, you can play it smart and opt for the right add-ons. These add-ons are designed to cater to your health needs per your pocket. With the right add-ons, you can get guaranteed medical coverage in need.
Make the most of the tax benefits: Your health insurance plan can offer tax benefits based on your premium. You can maximise your tax deductions by paying a premium for your parents above 60. Get in touch with an expert to understand how you can avail tax benefits with your health insurance benefit.
Choose a medical insurance policy that you can afford: When you start exploring health insurance plans, you will get several options to lure you. But you should not opt for that plan, which requires you to bend backwards. Choose a plan that you can afford comfortably.
Pick the right co-pay and deductibles: You can choose the high amount of deductibles and co-payments to reduce the burden of premiums on your shoulders. Deductibles and co-payments are fixed amounts the insured must pay before availing of coverage benefits. While this will minimise your premium, remember that it will increase your share in claim settlement. Therefore, you should consider this option carefully.
Choose a multi-year policy: Another way to reduce your health insurance premium is to choose a policy with a longer tenure. This can give you the benefit of concessions on the premium amount.
Follow a good lifestyle: The simplest way to keep the premium under control is to follow a good lifestyle. If you are suffering from pre-existing diseases while buying a health insurance policy, the amount of your premium will also rise. Hence, it is vital to avoid alcohol, cigarettes, and caffeine, as they can pose the threat of serious health issues. Furthermore, you should incorporate nutritious food, a good amount of water intake and regular exercise into your daily routine.
Compare Mediclaim Policies: Before deciding on the right mediclaim policy, it is important to compare multiple plans from different insurers. Different insurers offer coverage options with different premium costs. This makes it imperative to compare and research multiple policies and consider factors like customer reviews, coverage, and network hospitals. This way, you can ensure you purchase the perfect policy at reasonable rates.

Every medical policy terminates when the term for the policy ends. That’s why renewing a mediclaim is crucial to ensure uninterrupted healthcare coverage and added advantages like no claim bonus, coverage for a pre-existing ailment, etc. The process of renewing insurance involves the following steps:

Visit our official website for health insurance policy renewal.
Go to the renew section.
Enter the complete details, such as insurance policy number, contact number, etc.
Under the payment section, pay the renewal premium through any secure payment mode.

By buying a health policy online, you can also renew your health plan digitally, thus saving much effort.

How much Tax Benefit Can I get from Health Insurance?

If you fall into the taxable slab, then your health insurance plan can fetch you tax benefits. Here’s how:

If you are paying the health insurance premium for yourself, your spouse, your children, or your parents, you can avail of tax benefits under Section 80D and save more.
As a policyholder, you can also claim up to ₹5,000 when towards preventive health check-ups.
Take a look at the table to understand the deductions in detail:

Policyholders	Deductions for premium paid for self and family	Deductions for premium paid for parents	Preventive Health Check-Ups	Tax benefit
Self and family below 60 years	₹25,000	-	₹5,000	₹25,000
Self, family, and parents below 60 years	₹25,000	₹25,000	₹5,000	₹50,000
Self and family below 60 years and parents above 60 years	₹25,000	₹50,000	₹5,000	₹75,000

Documents required to File a Claim under Health Insurance

Given below are the set of documents that you will have to submit while making a claim:

Category	Documents
Claim Related	Duly filled and signed claim form Insured person’s name, policy number, address, etc
Medical Documents	All diagnostics and medical reports Original payment receipts, hospital bills, and discharge summary Pharmacy bills and prescriptions Doctor’s referral letter

Some Myths about Health Insurance Busted

Health insurance is vital to financial planning, yet various misconceptions surround it. Let us examine the most common health insurance myths and help you understand what is a myth and what is not.

Health Insurance is only meant for seniors: Health insurance is crucial for people of all ages, owing to the increase in health risks in younger individuals. Further, early purchases also lead to lower premiums.
Coverage Begins Immediately Upon Purchase: Usually, a waiting period of 30 days applies before you can make a claim. Specific conditions may also have additional waiting periods.
The Cheapest Plan is the Best Choice: The cheapest plan may not offer comprehensive coverage. To be properly covered, choose adequate benefits over price.
Pre-Existing Diseases Disqualify You From Health Insurance: Pre-existing diseases often result in higher waiting periods or premiums, but you can still get coverage. Specific add-ons are also available to reduce waiting periods.
Group Health Plan is Enough: Group plans usually have limited coverage and can be ineffective in case of job switch. Consider purchasing an individual plan to supplement existing group coverage.
All Hospital Bills are Covered: Even the most comprehensive health insurance plans have specific exclusions. Read your policy documents to understand policy limitations.

Porting Your Health Policy to Care Health Insurance

There are more than one reasons to port your policy to Care Health Insurance. As an insured person, we promise you unique benefits with lifelong renewability under most of our health insurance plans. Porting a medical plan is easy and can be done before the policy renewal stage. Just notify your existing insurer at least 45 days before the policy renewal date of an existing medical cover.

You will be able to retain your medical insurance policy benefits and accrued bonuses and transfer the time-bound exclusions, including credit for the waiting period for pre-existing diseases. It is possible to port a policy from one insurance company to another and from one health insurance policy to another policy with the same insurance company.

How to Port a Medical Insurance Policy?

Here is a step-by-step guide to port your health insurance scheme and get covered under Care Health Insurance plans:

Step 1

On the home page of Care Health select the “port existing policy” option and follow the premium calculation journey.

Step 2

Fill up the proposal form and the portability form with relevant details and submit the required documents along with it.

Step 3

The requisite data will be furnished on the official portal of IRDAI.

Step 4

The new insurance company will underwrite the proposal and inform you within 15 days.

Things to Keep in Mind When Porting Health Insurance

When you port a health insurance policy to a new insurance provider, the aim is to get better services and coverage. Keeping in mind the following aspects will help you make a seamless transition.

Inform your previous insurer

Before switching to a new health insurer, it is vital to inform the current insurer. You should write an application for this purpose. You can make this request to your insurer at least 45 days before your policy’s expiry date. Also, keep in mind that you should avoid making this request before 60 days of the renewal. Let’s understand how to make the portability permission request. You should write an application in which you have to mention the name of your new insurer and other personal and details. Once you apply, your application will be reviewed and you will receive an acknowledgement within 3 business days.

Keep an eye on the premium

When you decide to port your health insurance policy to a new insurer, you should enquire about the premium. You should check whether its premium will increase or decline on porting. The change in premium indicates the changes in your coverage or benefits. So, gather this information before you finalise the porting.

Check for the available add-ons

If you are thinking of switching to a new insurer to enhance coverage or benefits, you should check for the available add-ons. You can buy the add-ons of your current insurer to avail of the extended benefits.

Understand the waiting period

Did you know? You may avail yourself of continuity benefits when porting your health policy. There are three types of waiting periods under health insurance: Initial waiting period, Waiting period for named ailments, and Waiting period due to pre-existing diseases. When porting a health insurance policy, you must consider how it will affect the waiting periods served with your current insurer.

Give correct details about your medical health

Hiding the current medical conditions of the insured members may lead to unnecessary hassles during claim filing. Therefore, you must provide correct medical details when porting your policy to a new insurer.

Choose a higher sum insured

Choosing a higher sum insured may help you avail yourself a broader coverage throughout the policy year. Hence, you should choose a higher sum insured when you port.

Check Insurer Details

Knowing details like discounts, coverage, the company’s empanelled network healthcare providers and the claim settlement ratio might be a good idea. It might also help to check the ratings on the company’s social media handles to understand the overall customer experience.

Get Easy Claim Settlement With Care Health Customer App

Care Health Insurance strives to make quality health care accessible to everyone while maintaining a quick and hassle-free claim experience. The Care Health Customer App is an integrated app for all your health insurance needs. You can use this app for claim intimation, fill out a claim form online, upload the necessary claim documents, and track your claim status. Given below is the step-by-step process to file claim intimation using ‘Claim Genie’

Step 1:Open the Care Health-Customer App on your phone.
Step 2:Click on ‘Claim Genie’ on the home screen. Click ‘claim intimation’
Step 3:Select claim type.
Step 4:Select the member and enter all the claim related information.
Step 5:Upload any claim related medical documents.

You can also track the status of the claim, just click on the ‘Claim Tracking’ option on the homepage. The list of active claims will be presented on the screen. Click on “Track Claim” on the relevant claim. The latest claim status will then be displayed on top of the screen. This app can also be used to download the query/settlement letter or approval letter.