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Health Insurance

Health Insurance

Health insurance is a security cover wherein the insurer bears the insured person’s healthcare costs in exchange for regular premium payments. You can opt for our best health insurance plans on an individual or family floater basis.

  • Premium Discount on Multi Year Policy*
  • Tax savings upto 75000 under section 80D#
  • Coverage for modern treatment like Robotic Surgery
  • Get a sum insured of as high as ₹6 crores
  • Stay proactive when it comes to health with Annual Health Check-ups
  • Specially curated health insurance for senior citizens
24800+
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48 LAKH+
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What is Health Insurance?

Health insurance is a type of insurance that pays for insured members' medical expenses due to accident, illness, or injury. It is an indemnity-based agreement under which the insurer promises to bear the hospitalisation costs, OPD charges, doctor’s fees, medications, and other medical bills concerning the insured. The importance of health insurance has shot up in the last few years due to the alarming spread of lifestyle diseases among people at all stages of life. Even a short trip to the hospital can quickly eat up your hard-earned savings in no time. In such a scenario, a health insurance policy can help you avoid a financial crisis.

Under the policy, the insurance company offers various sum insured options, which is the maximum amount the insurer would pay to the policyholder during a medical emergency. In return, the insured members promise to pay out a premium on a periodic basis.

Typically, there are two broad categories of health insurance:

In order to cater to the needs of the customers, insurance companies offer a wide range of options in India.

  • Indemnity-Based Health Insurance Plans: Indemnity-based health insurance is a type of insurance that pays for insured members' medical expenses due to accident, illness, or injury. In an indemnity-based agreement, the insurer promises to bear the hospitalisation costs, OPD charges, doctor’s fees, medications, and other medical bills concerning the insured.
  • Fixed-Benefit Health Insurance Plans:A fixed-benefit health plan is one where a fixed benefit/sum insured is disbursed to the insured in case a pre-defined medical condition is diagnosed. So, unlike other medical insurance policies where you raise a claim for medical cover, in a fixed-benefit plan, you receive the sum insured upon diagnosis of the disease, and it depends on the insured how they utilise the sum insured.

Features of Health Insurance Plans

The following table will help you understand the key features of health insurance plans by Care Health Insurance:

 

Parameter Details
Sum insured Ranging from ₹3 lakhs to ₹6 crores
Critical illness Special plans offering coverage for 32 illnesses
Pre hospitalisation expenses Covered upto 60 days
Post hospitalisation expenses Covered Upto 180 days
Ambulance charges Covered
Daycare treatments Upto Sum Insured
ICU charges Covered
Coverage for senior citizens Special plans for senior citizens
Maternity benefits Special plans offering coverage for pregnancy, childbirth and newborn baby
Add-ons Available
Hospital Network 24800+ cashless healthcare providers with 11400+ network hospitals
Tax benefits Upto 10000 Under Section 80D#
AYUSH treatments Covered
Domiciliary treatments Covered
Grace period 30 days after policy expires
Waiting period 30 days / 24 months / 48 months
Policy tenure 1 year/ 2 years/ 3 years
Advanced medical treatments Covered
Customer Care Support Customer Care helpline / Chatbots /Updates on WhatsApp

 

Compare Our Best Health Insurance Plans in India

Care Health Insurance is one of the best Indian health insurance companies in the country. We ascertain that you and your family members receive optimum healthcare coverage complemented with an affordable premium. Here are some of our best health insurance policies in India:

Man Illustration

Look for best health plan that suits your need!

Preffered
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Family Health Insurance

Health Insurance that Covers your Loved Ones

  • Annual Health Checkup & Save Tax 
  • Modern Treatments Coverage
Preffered
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1 Crore Health Plan

Health Insurance with Higher Sum Insured

  • Upto 50% No Claim Bonus
  • Individual or Floater Option
Preffered
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Health Insurance for Senior Citizens

Your Parents have always cared for you, Now its your TURN

  • No Pre-policy medical check-up
  • Annual Health check-up for all insured persons
Preffered
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Pre-Existing Diseases Cover

Health Insurance for Diabetes, High BMI and Hypertension

  • Dialysis Cover 
  • Day Care Treatments
Preffered
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Maternity Health Plan

Maternity Insurance Plan with Newborn Baby Cover

  • Newborn Baby Cover up to the first 90 days
  • Pre & Post Hospitalization Cover
Preffered
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Super Top up Health Plan

Boost Your Existing Health Cover With Super Top Up Plan

  • Financial Cushion for Medical Emergencies
  • Support for Critical Diseases
Preffered
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Heart Health Insurance

Health Insurance that Covers Pre-existing Heart Ailments

  • 541+ Day Care Treatments
  • AYUSH Coverage

How Do Health Insurance Plans Work?

A health insurance plan works like any other insurance policy wherein the insurer agrees to pay the insured person’s hospitalisation cost up to the sum insured. The primary role of health or medical insurance is to step in and offer the monetary support you need. In testing times, your insurer helps lower the financial burden of unexpected life events like illnesses, accidents, and ailments. Let’s understand with an example:

Vyas purchased individual health cover from Care Health Insurance with a sum insured of ₹50 lakhs. A few months later, while going to the office, Vyas met with an accident and got hospitalised. Preferring to avail of cashless benefit, Vyas chose one of the network hospitals in his vicinity. The hospital bill was ₹5 lakhs where Vyas only paid 5% of the bill (deductibles). The remaining ₹4.5 lakhs was paid by insurer.

If he wanted, Vyas could also choose to get medical treatment from a non-network hospital. Once the treatment was complete, he could raise a reimbursement claim to receive the admissible costs.

The way a health insurance plan works is simple– your health insurer provides financial support during medical emergencies in return for a regular premium payment. It's a simple yet powerful arrangement, which ensures that when health hiccups occur, you're not left juggling between savings and bills. Yet, there’s more to a health policy than only the premium and sum insured, as shown here-

 

how insurance works how insurance works

Who Should Buy Health Insurance?

Health insurance is a comprehensive investment tool that allows you to safeguard your finances in times of emergencies. A good medical insurance plan ensures that you get access to the best healthcare, without having to worry about the cost. Given below are who should buy health insurance:

Young Adults:

Regardless of being active and healthy, young people are not immune to sudden medical emergencies. Having a comprehensive medical insurance policy can help avoid hefty expenses from unforeseen medical costs. Further, some health insurance plans also offer free annual health check ups, which can help in the detection and prevention of potential health issues.

Families:

A medical insurance policy for the family provides coverage for parents as well as children under one plan. These plans provide adequate coverage for emergency treatments as well as routine check ups. These plans can be crucial for chronic condition management of any recurring health issues in the family. It also acts as a protective shield from rising medical care costs.

Middle-aged Individuals:

Health insurance is a crucial tool for middle-aged individuals to address the high likelihood of conditions like heart disease, hypertension, and diabetes. Specialised health insurance plans provider cover for related medical attention and treatments, ensuring that unexpected emergencies will be covered without any financial strain.

Senior Citizens:

Retirees or senior citizens can rely on health insurance to manage medical costs without impacting savings. These plans usually cover essential healthcare needs, including treatment and medicine.

Common Health Insurance Terms You Should Know

As a policyholder, the onus of understanding the terms and conditions of your health insurance plan lies on you. Going through the medical insurance policy documents may seem overwhelming, but you need to go through them. Here are some of the health insurance industry jargon, that you need to be well aware of:

Waiting period:

Every health insurance plan comes with certain specific waiting periods. It is the specified duration for which the insured individual has to wait before some of the benefits become effective. Typically, a claim cannot be made within 30 days of policy purchase for illnesses. There is a waiting period of 24 months for named ailments and 48 months for pre-existing diseases that you have to serve.

Co-payment

Some insurance policies have an inbuilt copayment clause.Copayment, or ‘Copay’, is a specific amount or percentage that an insured individual has to pay from their pocket every time a claim is raised. Simply put, it is a cost-sharing concept between the policyholder and the insurance company.

Deductible

Deductibles are an important aspect of health insurance. While it can reduce your premium, it can also increase your share when a health insurance claim is raised. Simply put, a deductible is the amount you have to pay from your pocket. To understand deductibles better, here is an example of how deductibles in health insurance work- For example, 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, while the health insurance company pays the balance of ₹1,50,000.So, it is important to check your medical insurance policy documents for a deductible clause and pick one that does not have it, unless you are okay with bearing a part of the treatment cost.

Network hospital

A network hospital is a hospital with which your health insurance provider has collaborated to offer you, the insured individual, the advantage of cashless hospitalisation. When you are admitted to a network hospital, your insurer settles your medical bills with the hospital, saving you from the hassle of paperwork and running around arranging funds.

Sum insured

When you buy a health insurance policy, you need to choose a certain limit up to which your health insurance company will cover the medical expenses. The higher the sum insured, the higher the premium and vice versa.

Exclusions

Every insurance provider includes a set of situations and conditions in which they are not liable to provide cover.When you buy health insurance, you need to understand that there will be some conditions that will not be covered. These limitations will be mentioned in your health insurance policy papers. Make sure you do not miss reading them.

Top-up plans

These are best health insurance plans that help you in case you need more coverage. These policies, known as top-up and super top-up policies, can be purchased when you have 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, piles, asthma, hypertension, or high BMI.People with a pre-existing illness can also be eligible for health insurance. However, they generally have to pay a slightly higher premium. Also, a pre-decided waiting period has to be served as per the policy terms & conditions.

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.

Claim Settlement

Your health insurance policy comes into effect once you submit the claim form at the cashless hospital's TPA/insurance desk. However, if you happen to admit the patient to a non-network hospital, you can settle the claim but only through the reimbursement process. If you exhaust your sum insured, there's always a restoration benefit scheme provided by the insurer. That's why choosing an insurer with a high claim settlement ratio always helps.

Cashless Hospitalisation Claim

A cashless hospitalisation claim is a facility offered by insurance providers to help policyholders access medical services without worrying about the availability of finances upfront. To use this facility best, one has to receive treatment in-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 availed medical treatment. And once you submit the bills to your health insurance provider, you get reimbursed by your insurer.

No Claim Bonus

No claim bonus is an additional coverage offered under a health insurance plan to get the accumulated bonus for every claim-free year during the policy's tenure. It helps in reducing the cost of your health insurance premium. This add-on is an added advantage for not availing the claim amount.

Room Rent Proportionate Charge

Room Rent Proportionate Charges is a limit on the amount an insurer will pay for room rent per day during hospitalisation. If you exceed the room rent limit, you will have to pay the difference out of your pocket.

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.

Smart Select Hospitals

Smart select is a facility that allows an insured to not pay copay during cashless hospitalisation in one of our listed Smart Select Hospitals network. However, you must incur the copayment if you get hospitalised in a non-listed hospital. So, checking our list of Smart Select hospitals before getting hospitalised is advisable.

Sublimits

Sub-limit is a pre-determined capping applied by the insurer on certain medical expenses under your health insurance. It works as a limit on how much claim amount will the insurer pay for a given healthcare expense. Sub-limits are usually calculated in percentage form and applicable to both, cashless and reimbursement claim settlement.

Assessment of Your Healthcare Needs

First of all, you need to consider your medical condition before opting for a suitable medical insurance policy. How old are you? Are you carrying any pre-existing diseases like diabetes or hypertension? Do you have a medical history in your family? Are there any specific treatments or surgeries you are anticipating? You must have solid answers to all these questions to land on the best health insurance plan.

Insurance Enrolment

Suppose you are a family man, aged 40, considering a medical cover for yourself, your wife (aged 35), and your daughter, aged 9. Being a middle-aged nuclear family, you are less prone to chronic diseases. Ideally, it would be best to have a best health insurance policy in india covering all major health risks and treatments.

Regular Premium Payment

Generally paid annually, the premium is the amount you invest with the insurer to receive health insurance benefits. The healthier and younger you are, the lesser premium rates you bear. However, factors like your lifestyle, drinking habits, city of residence, and family's medical history also affect your final premium pay-out.

Use of Preventive Care

Taking timely precautions is the need of the hour, especially under the current pandemic's constant health risks. Under preventive care, mediclaim policies 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 medical insurance plan.

Ignorance, along with a lack of proper resources, often restricts people from investing in a health insurance plan. The increasing medical inflation, on the one hand, has made healthcare services expensive, and on the other hand, therefore, health insurance is also becoming expensive. What has to be conveyed to the masses is that the ever-increasing inflation is reason enough for them to invest in a suitable health insurance plan that offers coverage for them and their loved ones.

With just about 37% of the country’s population having health insurance, we still have a long way to go. Yet, the changes over the last few years have been quite positive. The health insurance industry in India is today a 12.86 billion dollar industry. As one of the largest sectors in the economy, there has been a steady rise in the growing coverage. Advancements in technology have transformed the country's health insurance industry.

  • Artificial Intelligence and Machine Learning have offered a wide array of applications. Spanning from optimising policy issuance to enhancing insurers’ outreach strategies.
  • Wearable devices, health trackers, and sensors have empowered not just consumers but also health insurance companies. These technologies give individuals a sense of control over their health and develop a more proactive approach to self-care. On the other hand, health insurance companies find it easier to manage the health-related data of their policyholders and monitor their well-being.
  • Electronic Health Records (EHR) provide comprehensive insights into the policyholder's health, covering diagnoses, reports, surgeries, and prescriptions. This streamlined record-keeping benefits doctors, patients, and health insurance companies alike.
  • The Insurance Regulatory and Development Authority of India has mandated the health insurance companies settle raised claims within 30 to 45 days. To expedite this process, a number of health insurance companies are partnering with third-party administrators (TPAs).
  • Mediclaim policies were previously recognised as one of the most misunderstood products, owing to misrepresentation by insurance salesmen. However, the emergence of online platforms has busted the previously held perception about mediclaim insurance policies. Online portals now not only save time and money, but also makes the whole process more transparent.

Alternate Treatments in Health Insurance

As of April 1, 2020, the Insurance Regulatory and Development Authority of India (IRDAI) has directed all health insurance companies to include coverage for AYUSH treatments up to the sum insured. While some health insurance plans previously covered alternative treatments, they often had specific limits on the coverage.

When it comes to best health insurance in india, 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 all over the world. Studies suggest that the AYUSH treatment sector in India is projected to grow at a CAGR of 8.6% in the period between 2022-27. These treatments, also known as alternate treatments, rely on natural substances and therapies. This typically results in minimal or no side effects. Allopathic treatments, on the other hand, can often be accompanied by side effects that may overpower the benefits.

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

If you are looking for the perfect time to purchase health insurance, we have the perfect answer for you, “Now”! The advantages of buying health insurance at a young age are manifold. Here are a few of them:

  • When you buy a health insurance policy at a young age, you will have the advantage of serving the waiting period, without too many health concerns.
  • Your young age is an added benefit as young people are mostly considered to be less vulnerable to illness and diseases and thus, your insurer may offer you good deals on the premium.
  • You can save all the more as you’ll get tax deductions for a longer period when you buy health insurance early.
  • Why wait till you turn 40? Most people start developing some health issues at this age, making their health insurance choices very narrow. Buying a health insurance policy with a pre-existing disease can cost you dearly.
  • If you feel you are not going to be needing your health insurance, good for you! Not making a claim during the policy year can fetch you No Claim Bonus.
  • A health insurance policy should be the foundation of a foolproof financial plan. Even a short trip to the hospital can hit your savings hard.
  • Buying a medical insurance plan at a young age can be beneficial, as you can get the added benefit of holistic and comprehensive coverage. Therefore, you can get enhanced security while being employed or even after retirement.
  • It is imperative to know that insurance plans often have an upper limit on age. If you purchase an insurance policy at a young age, you need not worry about age limits and therefore enjoy the benefits of the policy for a longer time.

Benefits of a Medical Insurance Policy

The National Pharmaceutical Pricing Authority recently reported an annual change of 12.12% in the Wholesale Price Index (WPI) for the year 2022, which was 10.7% in the previous year. With a constant year-on-year increase in medicine prices, medical tests, and hospital charges across India, families have realised the importance of affordable health insurance while facing a healthcare crisis. Your savings can take a serious hit when a medical emergency comes unannounced.Realising the importance of medical coverage is just the first step to experiencing the immense benefits of health coverage, especially in light of health-related uncertainties. Here are the top benefits of health insurance that make it an essential healthcare security cover:

Financial Protection against Medical Inflation

As of now, the medical inflation rate in India is 14%, which makes healthcare costs skyrocketing. No need to fret about the financial rollercoaster of medical expenses, as with our comprehensive health insurance coverage, we’ve got your back.

Coverage for Hospitalisation Expenses

Expenses at the hospital can be financially exhausting. Having hospitalisation cover is a great help. At Care Insurance, we secure you against pre and post-hospitalisation expenses, ambulance charges, day-care procedures, domiciliary care expenses, and so on.

Coverage for Critical Illnesses

Treatment cover for life-threatening conditions comes as a blessing, which is available as a separate cover. Care Critical Illness Insurance is such an example, which covers 32 critical illnesses like cancer, cardiomyopathy, paralysis, blindness, and so on. The insured receives a fixed-benefit sum insured if any of these 32 diseases are diagnosed.

Protection above Corporate Health Insurance

Your corporate health insurance may not be sufficient for your family. At Care Health Insurance, we offer affordable plans that help you cope with expensive medical costs, over and above your group health insurance plan.

Cashless Claim Benefit

With an expansive network of 22,900+ cashless healthcare providers, you can ensure that during a medical emergency at home, your focus remains on recovery and not paperwork. A convenient and stress-free claim procedure provides you with the flexibility and peace of mind you deserve.

Best Health Insurance Plans at Affordable Rates

At Care, we do not want to add up more to your burden, so we aim to draft customisable plans at affordable rates. With a number of health plans to offer, like an individual, family, senior citizen, critical illnesses, etc., we aim to lower your medical expenses at competitive premium charges.

Avail Tax Benefits under Section 80D

The premium you pay for your health insurance can be utilised to avail of tax benefits, under Section 80D of the Income Tax Act, 1961. For example, individuals below 60 can avail of tax deductions of up to ₹25,000.

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
Self, family, and parents above 60 years ₹50,000 ₹50,000 ₹5,000 ₹1,00,000

 

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

A health insurance policy is crucial for safeguarding the well-being of your loved ones. In today’s disease-prone world, the right coverage can offer financial protection and access to quality healthcare services. In the unpredictable landscape of health, having best health insurance policy ensures that your family is protected from the exorbitant costs associated with medical treatments.

In the event of illness or injury, a health insurance policy acts as a financial safety net. From hospitalisation expenses to medication costs, it covers just about everything. This safety net not only eases the burden on your finances but also guarantees that your loved ones receive the necessary medical attention without compromises. It empowers you and your family to seek medical assistance promptly, without the worry of expenses hindering timely healthcare. Regular health check-ups are also often included in health insurance policies, which can contribute to the overall well-being of your family.

Ultimately, a health insurance policy is an investment in the health and security of your loved ones, offering a vital safety net that promotes prompt, quality healthcare and financial stability in the face of unexpected medical challenges.

Which Type of Health Insurance Should You Buy?

You should determine the ideal health plan for yourself and your family by evaluating the healthcare needs, age, and current health status of every member. To help you select the right health policies for every household 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-

Health Insurance for Family

If You Have Dependent Family Members

Want to safeguard the health of your immediate and dependent family, including your spouse, children, and parents? Here’s a perfect choice: The policy covers your entire family’s medical needs with one comprehensive plan eliminating the struggle of maintaining several policies. With sum insured options up to ₹6 crores, the family plan offers the following features:

● A Single and Affordable Premium Payout
● Wide-ranging Sum Insured Options
● Annual Health Check-ups for Every Insured Member
● Customizable Policy Benefits like OPD, PED, etc.

 

Family Floater Insurance Policy
Health Insurance for Family

If You are Young and Need Complete Coverage

Young adults aged 35 years and below need a complete package of healthcare and financial security. To meet this need, you should choose our inflation-proof insurance: The medical insurance policy comes with all-inclusive healthcare benefits that help keep young adults safe against medical crises. With a no co-payment clause and personal accident coverage, this health insurance policy offers the following benefits to early birds:

● Available on Individual and Family Floater Basis
● 10% Renewal & 5% Digital Discounts
● Unlimited Automatic Recharge up to Sum Insured
● Value-added Services Like e-Consultations, Wellness Programs, etc.

 

Youth Health Insurance Plan
Health Insurance for Family

If You Have Elderly Parents to Look After

Your parents and elders need special care when they turn 60 and above. If you are looking for adequate coverage for your elders to enjoy a stress-free and financially secured retirement, here’s your go-to choice: The senior citizen health cover supports older people in paying hefty medical expenses due to old age-related ailments. Available to both individual and floater basis, the policy holds the following unique features:

● No Pre-policy Medical Check-ups*
● Annual Health Check-ups for all Insured Members
● Automatic Recharge of Sum Insured Once in a Policy Year
● ave Tax up to ₹75,000 u/s 80D

 

Senior Citizen Health Insurance Plan
Health Insurance for Family

If You Need Protection Against Critical Illnesses

The treatment of cancer, lung disease, and other critical ailments can completely wash away your savings. So, if you are anticipating any chronic conditions among your family, do check our: The policy offers a shield against the medical treatment expenses of 32 critical ailments, like stroke, paralysis, organ transplant, etc. with the following benefits:

● Mediclaim Policy with Low Premium & Optimum Coverage
● Easy EMI Option Available
● Quick Recovery Counselling
● Coverage for Cancer at all stages

 

Critical Illness Insurance

Why Choose Care Health Insurance?

At Care Health Insurance, we aim at serving customers beyond basic health insurance services. We offer enhanced medical insurance policies with valuable features to meet the diverse medical needs of people across India. At our core, we're not just about health insurance; we're dedicated to exceeding expectations and making the best possible healthcare facilities within everyone’s reach. Care health insurance plans offer a diverse range of sum insured, starting from ₹3 lakhs to ₹6 crores, enhanced with various healthcare benefits like COVID and OPD care, cashless hospitalisation, day-care treatment, and annual health check-ups, among others.It's a spectrum of possibilities tailored to meet your unique healthcare needs.

Take a look at some of the features that make us one of the best health insurance companies in India:

Comprehensive Health Insurance Plans

At Care Insurance, we strive to provide our customers with some of the best health plans with wider coverage. Along with in-patient expenses, pre and post-hospitalisation, domiciliary hospitalisation, and organ donation, we also cover AYUSH treatment to ensure our customers choose the medical treatments of their choice through our long list of the best health insurance policies in India.

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Affordable Plans

We offer affordable premiums for all our health insurance plans that align seamlessly with your budget. You can easily customise a plan as per your needs and pay the premium accordingly. To get an idea of the investment you’ll have to make, you can make use of the health insurance premium calculator.

Array of Options for all Kinds of Needs

We believe in empowering you with choices, that’s why there is no limit to your health insurance customisation. We believe in the different preferences of different customers and so you get an array of health plan options. Be it for individuals, family, your parents, an expecting mother, or critical illnesses like cancer, you get to choose from a number of available options.

Coverage for your Whole Family

If you want to insure your family, you can consider Care Health insurance plans such as Care Family Health Insurance, Senior Citizen health insurance, Care advantage with sum insured up to Rs 6 crores etc. Comprehensive coverage with a high sum insured can help you meet the medical needs of your whole family under one plan. Pick a plan that best suits your health needs.

Wide Network of Hospitals

Cashless benefit has further made health insurance a hassle-free experience. In order to avail of cashless claims, one has to receive medical treatment from one of the network hospitals. Care Insurance has 24800+ cashless healthcare providers with 11400+ network hospitals. Hence, it is very easy to avail cashless benefit during a hospitalisation.

Easy Claim Procedure

With the introduction of both online and offline claim filing options, the claim procedure has become quite easier. We understand the value of quick claim approval, and so, within a short span of time, the claims are approved and settled.

Efficient Customer Care Support-including Live Chat options

You may have several queries regarding your top health insurance policy, and visiting a nearby office may not always be possible. Fret not, we got your back! With our live chat feature and quick customer care support, you can clear out all your doubts in no time.
On the website, you can easily spot the live chat feature or get a call back from our executive to resolve your query. Alternatively, you can reach us at our toll-free number 1800-102-4499 for sales and +91 88604 02452 for service-related queries. You can also receive policy updates on WhatsApp as well.

Add-on Benefits

We ensure people receive quality medical facilities without worrying about arranging funds to pay for hefty hospital bills. Along with the standard healthy policy offerings, Care insurance policies are complemented with add-on perks like:

  • Air-ambulance cover
  • Claim Shield
  • Co-payment waiver for senior citizens
  • Annual health check-up
  • Reduction in PED waiting period
  • No Claim Bonus Super

Thus, a comprehensive health insurance policy is a vital protection shield to buy for oneself and the family's financial security against unexpected medical crises. With Care Health Insurance, it's a personalised journey towards a healthier, secure future.

Types of Health Insurance Plans

With Care Insurance, you get some of India's best health insurance plans designed to meet our customers' diverse medical needs. Below are all the types of health coverage that we offer:

Individual Health Cover

As the name suggests, it is for individuals, primarily young-aged people with no medical condition to enjoy long-term healthcare security. This individual health insurance policy assures the entire sum insured solely for covering the insured individual's medical expenses. It also covers various other costs, including pre and post-hospitalisation expenses, maternity benefits, and much more. These plans are often a little more expensive than family floater plans as there is no sharing of the sum insured; each individual has their own coverage.The insurance premium for such plans depends on the insured person’s medical history, age and the respective sum insured.

Family Floater Health Plans

Under family floater health insurance, you can cover a maximum of 6 family members in one policy against a single sum insured. This policy is to safeguard the health of your entire family. Also, you can add multiple nominees to this plan. The premium amount in family floater plans is comparatively lower than individual plans, as the sum insured is shared among all the members under the plan. This medical insurance policy covers the medical expenses for hospitalisation and treatment during an emergency or planned admission.

Senior Citizen Health Cover

A common myth about health insurance is that there are not many options for seniors. This is absolutely incorrect. Senior citizen health insurance plans are aimed at offering specialised healthcare services suited for the elderly who have crossed 60 years of age. They can offer financial assistance to senior citizens who don’t have a fixed income. Under a senior citizen healthcare insurance plan, older people can also avail of services such as cashless hospitalisation, home and day-care cover, AYUSH treatment, COVID care, etc. It is the best health insurance policy in India to give your old parents a healthy and peaceful life after retirement.

Maternity Insurance Plans

Motherhood is the most crucial phase in a woman's life. Although the journey is challenging, a sound medical insurance policy ensures relaxed hospital coverage throughout pregnancy.If you are planning to get married or start a family in the near future, you should opt for maternity insurance in advance. It covers your pregnancy-related expenses related to normal delivery, caesarean, pre and postnatal, post-delivery care, and vaccination. Maternity insurance ensures premium medical facilities at affordable rates for the mother and her newborn.Buying it at the right time would help you serve the waiting period and thus make the most of the coverage.

Health Insurance Plans for Pre-existing Diseases

Pre-existing diseases are the illnesses one may suffer from before they purchase a health plan. With age, our elderly family members often suffer from specific medical conditions like diabetes, hypertension, or high BMI. At Care Health Insurance, we offer medical insurance plans that cover pre-existing conditions, too with a reduced waiting period. These healthcare plans come with special features like daycare treatments, home care, annual health check-ups, and more to care for people with diabetes, high B.P., and BMI.

Critical Illness Plans

Incidences of life-threatening diseases are increasing in India at an alarming rate. Critical illnesses such as cancer, stroke, heart ailments, and organ failure can eat away your savings in the blink of an eye. Insurance for critical conditions covers the treatment of all these diseases. It mitigates your hospitalisation expenses along with medication up to the sum insured. Most critical illness plans are fixed benefit plans where a defined payout is made at the time of diagnosis of the listed disease. The money can be used to pay for the treatment or for meeting any other financial requirements.

Which Add-ons are Included in a Care Health Insurance Policy?

Different plans by Care Health Insurance offer different add-on benefits. Take a look at the different options to increase the coverage of your health insurance policy.

  • Air-ambulance cover:With this add-on cover, you can get coverage for air ambulance which means an air transfer from one hospital to another. By choosing this cover, you are entitled to receive up to a certain amount specified for air ambulances in India.
  • Care Sheild:A comprehensive add-on, Care Sheild allows you the 3 following benefits:
    • Claim Shield:Claim shield add–on cover offers coverage for 68 non-payable items out of non-payable 105 items. For instance, the expenses on gloves and masks will be covered under it.
    • No Claim Bonus Sheild:In case your total claim amount is less than 25% of your sum insured, then the NCB as applicable will not be reduced at the time of renewal.
    • Inflation Sheild:With this benefit, your sum insured will be increased on an annual basis, based on the previous year’s CPI.
  • Co-payment waiver for senior citizens:With this benefit, your sum insured will be increased on an annual basis, based on the previous year’s CPI.
  • Inflation Sheild:The add-on benefit of a co-payment waiver for senior citizens typically makes the senior citizens exempted from the co-payment clause. With its help, they save themselves from paying 20% of the claim as co-payment.
  • Annual health check-up:Contrary to other insurers, Care health insurance provides insured with free annual health check-ups. You don’t need to pay an additional premium for it.
  • Smart Select:You can get a 15% discount on your premium with the Smart Select option.
  • Protect Plus:The Protect Plus add-on is available with a sum insured of ₹25 lakhs, ₹50 lakhs and ₹1 crore. It allows you to get healthcare treatments in any foreign country, except the United States of America.
  • Reduction in the PED waiting period:By buying an add-on benefit for a reduction in the PED waiting period, you can reduce your waiting period for pre-existing diseases. Your waiting period will be reduced from 4 to 2 years.
  • No Claim Bonus Super:This is an extended benefit to the already existing no-claim bonus in your policy. As a result, you will be able to increase your sum insured by 50%.
  • Care OPD:Go carefree with your consultations! Care OPD allows 4 consultations a year from 14 different types of specialists.

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 any specific conditions, like co-payment and waiting period,etc:

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 | 48 months for pre-existing diseases
Grace Period 30 days to renew your policy post expiry

What is Covered under Care Health Insurance Plans?

Care Health Insurance offers the best health insurance plans for medical expenses,which provide you with comprehensive financial protection in the time of urgent need by covering various medical expenses apart from the bills you incur during hospitalisation. The coverage provided is subject to the policy terms and conditions. The expenses covered in in health insurance policies are:

 

Coronavirus Treatment

Stay safe amid the looming COVID-19 pandemic with the coverage of standard COVID-19 hospitalisation and medication expenses as per policy terms.

 

In-Patient Hospitalization

Our medical insurance policies cover your expenses like room rent, ICU charges, doctor’s fees, etc., during any planned or emergency hospitalisation up to the sum insured.

 

Pre-Hospitalization Medical Expenses

We cover your medical expenses like doctor’s consultation, medical tests, & medication up to 60 days before admission to a hospital.

 

Advanced Medical Treatments

Access advanced medical care and get coverage for modern treatments, including robotic surgeries, chemotherapies, etc., with our health insurance plans in india. 

 

Daily Allowance

The everyday expenses during hospitalisation can be considerable! Our health insurance plans provide a fixed amount to cover them.

 

Post-Hospitalization Medical Expenses

The medical expenses, like follow-up visits and medical tests, are covered up to a period of 180 days immediately after discharge from the hospital.

 

Domiciliary Hospitalization

Need to take care of elderly members at home? We offer domiciliary hospitalisation expenses to ensure uninterrupted medical coverage as per terms.

 

AYUSH Treatments

Now treat your ailments with a combination of modern and traditional treatments. Our AYUSH coverage helps you avail of alternative treatment.

The best medical insurance plans also give maternity benefits as an optional cover for delivery-related expenses. Also, various add-ons are available at an additional premium, including OPD Care, where OPD expenses like OPD consultations, diagnostics, and medicines, are covered.

Disclaimer: Please check our product pages and prospectus for more details.

What is Not Covered under Health Insurance Policies?

Exclusions of a health insurance plan refer to the medical conditions that are not covered. It means that the insurer is not obliged to pay for such medical conditions. At Care, we want all our customers to be well-informed policyholders, and we urge that you unveil the fine print. Knowing these exclusions helps ensure there are no surprises for you, when making a claim.

  • Self-inflicted injuries resulting from suicide or attempted suicide.
  • Diseases, surgeries, or medical events, occurring within 30 days of the policy start date.
  • Expenses arising out of or attributable to alcohol or drug use/misuse/abuse.
  • Treatment arising from or traceable to pregnancy and childbirth, miscarriage, abortion, and its consequences.
  • Tests and treatment relating to infertility and in vitro fertilization.
  • Cosmetic or aesthetic treatments that do not fall under the 'medically necessary' category.
  • War, riot, strike, nuclear weapons induced hospitalization.

Some Myths about Health Insurance Busted

Health insurance is a vital aspect of financial planning, yet various misconceptions surround it. Let us take a look at the most common health insurance myths, and help you understand what is a myth and what’s not.

Health insurance is only meant for seniors

It is a common myth that only seniors require health insurance to cover the medical expenses of age-related issues. Among younger people aged >50 years, the incidence of cardiovascular disease has been rising due to their poor lifestyle, deficiency of nutrients, and lack of exercise for calorie burn. Therefore, health insurance plans are vital for everyone. If you buy it at an early age, you won’t have to pay an expensive premium. You will be able to buy it at cheaper premium rates. Furthermore, you have to wait for 4 years to get coverage for pre-existing diseases. Hence, use your wisdom and be a smart investor while choosing a health insurance plan.

You will be covered as soon as you buy the plan

Another common myth. While your coverage will start as soon as you buy the plan but you’ll have to first serve a waiting period. This is a 30-day period during which a claim cannot be raised, except for an accidental injury. When you buy a health insurance policy, you should enquire about your policy’s waiting period. For coverage of certain treatments, you may have to wait for 2 or 4 years.

You should opt for the cheapest plan

Absolutely not! While the cheapest policy sure looks attractive, you should carefully think about why you want this plan and what benefits you expect from your plan. You should never make the prices the only criteria for choosing the plan. You might not be able to get the required benefits from your plan if it is cheap. Therefore, make sure that the plan that you have been buying is offering you comprehensive coverage for all your medical expenses.

I can’t buy health insurance if I have an illness

Another myth that needs to be debunked right away, as it tends to restrict a lot of people from buying a health insurance policy. It is not correct to think that you are not eligible to purchase health insurance because of your pre-existing disease. You can buy it right now without any ado. However, you have to complete the waiting period of 2 to 4 years. But the good thing is that the best health insurance plans offer an add-on cover i.e. reduction in the PED waiting period to reduce the waiting period.

Group health insurance is enough

While it is a great perk to have corporate group health insurance, you should not entirely depend on it. In most cases, a group plan will offer you limited coverage because its premium is deposited by your employer. In case you lose your job, you will lose your health insurance policy also. Furthermore, group health insurance might not be able to beat medical inflation. With a modest sum insured, you won’t be able to cover the medical expenses for critical illness and hospitalization. Hence, think of buying an individual health insurance plan, over and above the group coverage.

All my hospital bills will be covered

Despite a comprehensive plan, not all your bills will be covered by your insurer. Read the policy wording, and understand its terms and conditions. You need to know about exclusions, which are conditions that are not covered under your health insurance plan. Similarly, you should know about the co-payment clause of your insurer where you need to bear a part of the claim amount. Additionally, you can’t claim the uncovered expenses.

How to File a Claim under Health Insurance Plans

STEP  1

 

Emergency

Intimate within 24 hours of your hospitalization

 

Planned Hospitalization

Intimate us 48 hours prior to your hospitalization

or

STEP   2

 

Cashless

Request for pre-authorization

 

Reimbursement

Claim form submission

Complete the pre-authorization form available
at the hospitals' insurance/TPA Desk and send us through fax.

 

Approval

Approval letter sent by the claim management team

 

Query

Hospital/Insured to respond to the query raised by the claim management team

 

Rejected

You may initiate the treatment and file for reimbursement claim

Submission of claim form along with required
documents, as per the policy terms & conditions

 

Approval

Approval letter sent by the claim management team

 

Query

Insured to respond to the query raised by the claim management team

 

Rejected

We will communicate the reason in case of rejection

     Documents required to File a Claim under Health Insurance

Whether you are filing for a cashless or reimbursement claim process, some paperwork would be required. Typically, in the case of a cashless claim, the documentation is minimal, and most of the formalities would be completed by the TPA. The reimbursement claim procedure would require you to submit all the paperwork so that there is no delay in verification. It is suggested that you keep the following documents handy to ensure a smooth and quick claim settlement process:

  • A duly filled and signed claim form
  • Insured person’s details like name, policy number, nature of the illness, address, etc.
  • All the diagnostics and medical test reports
  • Original payment receipts, hospital bills, and discharge summary papers
  • Original pharmacy bills with prescriptions
  • Doctor’s referral letter
  • Police FIR and post-mortem report in case of personal accident
  • Death certificate

Hassle-free Claim Settlement Through Care Health Customer App

At Care Health Insurance we strive to make quality health care accessible to everyone, while maintaining a quick and hassle-free claim experience. The Care Health Customer App makes this super easy, the integrated app for all your health insurance needs. You can use this app to intimate your claims, fill a claim form online, upload the necessary claim documents, and track 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.

How to Buy Health Insurance Online?

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 sum insured 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 on your registered email-id.

Advantages of Buying Health Insurance Online

Embrace the ease of securing your health online, with our digitally-enhanced portal. All you need to do is simply select your preferred health cover plans, fill up the details, and pay through secure transaction modes. Here’s why and how we ensure customer-friendly purchase a medical insurance plan online:

  • Convenient Medical Insurance Policy Selection

    Say goodbye to scheduling countless appointments with agents to understand policy details. We provide an all-digital policy selection experience wherein you can study, compare, choose, and pay for your insurance anywhere, anytime across India. With Care Health Insurance, policy enlightenment is just a click or call away!

  • Chat Option for Queries

    Our team is always available for all your queries concerning the terms and conditions of our healthcare policies. By accessing the live chat option, you can quickly discuss any policy-related matter at your convenience. No appointment is required.

  • Instant Premium Quote Calculation

    We facilitate digital premium calculators to help you evaluate and opt for customised healthcare insurance for your family members.The ability to choose your desired health coverage and optional benefits helps us serve you the best mediclaim policies.

  • Secure Payment Modes

    Our fortress-like secure payment gateways offer various digitally secure modes, including credit/debit cards or net banking. Once purchased, you will receive authentic policy documents immediately.This way, we help you get an instant mediclaim policy in less than an hour.

  • Transparent Policy Evaluation

    What we promise on paper is what you get in times of emergencies. All our healthcare insurance plans include all the terms and conditions for your ready reference. Our commitment to transparency knows no bounds!

  • Readily Available Value Added Services

    While browsing online through our mediclaim policies, you can easily check out other add-on benefits. These include OPD care, co-payment waiver, and reduced wait time for pre-existing diseases, among others, to cover your specific needs.

  • Helps Save Money

    The offline method of buying mediclaim policies usually result in increased costs due to numerous factors like agent fees. Insurance agents get a commission for selling mediclaim policies , which increase the cost of the policy. Purchasing a health insurance plan online can help eliminate overhead expenses. Further, some insurance companies also offer an additional discount when you purchase plans using their online platform.

How to Renew Health Insurance Policy Online?

Every medical policy terminates when the term for 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 policy number, contact number, etc.
  • Under the payment section, pay the renewal premium through any secure payment mode.

The way you buy health policy online, you also have the facility to renew your health plan through the digital mode, thus saving much effort.

What are the Factors Affecting Premium of Medical Insurance Policies

We adhere to the underwriting process and consider many factors on which your insurance premium will depend. Listed below are some determining factors:

  • Age Factor: The risks of illnesses go up as we age, so the premium will cost you more as you grow older since there are health risks to consider.
  • Pre-existing Conditions: Premium costs are high if one has any pre-existing medical condition, such as hypertension, asthma, and diabetes when buying a health cover.
  • Body Mass Index: A high BMI indicates that a person may have higher health risks; thus, one is likely to spend more on the premium.
  • Lifestyle: Some risky lifestyle habits, including tobacco consumption, drinking, and smoking, can lead to a high premium.
  • Type of Plan: Depending on the type of plan you choose, the premium also changes. For instance, the premium for a family health insurance is typically lower than that of an individual health plan.
  • The Sum Insured: Sum insured is the maximum coverage that your health plan offers. The higher the sum insured, the higher the premium charged.If you pick a plan with ₹1 crore sum insured, the premium charged will be higher than that of a health plan with ₹50 lakhs sum insured. So, it is essential that you assess your medical requirements carefully before deciding the sum insured.
  • Deductibles and Co-Payment: Deductibles and co-payment refer to the portion of a claim the insured has to pay during claim settlement.If you choose a higher deductible/co-pay, the premium charged will be low and vice-versa. If you are young or at low risk of medical conditions, you may opt for higher deductibles/co-pay to lower the premium.
  • Add-On Covers:If you wish to increase the coverage of your health insurance plan, you may purchase the required add-on covers. However, you must keep in mind that with each add-on, the premium increases. So, make sure you only buy the ones that you really need.
  • Your Location: Your health insurance premium tend to vary depending on the city you reside in. Areas with high medical costs have higher premiums as well. For instance, medical treatment in metropolitan cities like Delhi or Mumbai may be higher than that in non-metro cities. In such a case, your location may impact the premium charged.
  • Your Occupation: Your occupation also decides the premium of your health insurance plan. This is because certain occupations have higher medical risks than others, and so, the premium charged is also high. For example, workers at a factory or construction site have higher risks of accidents and mishaps than bank employees.
  • Medical History of Family: Certain diseases can be hereditary. For instance, if any of your parents has a history of diabetes, Alzheimer's, etc., you are also at risk of welcoming such diseases. In such a case, the premium charged may be higher than others with no such family medical history.

How to Calculate Premium of Health Insurance Plans?

You can now calculate the premium using a simple digital calculator designed especially for medical insurance policies. This tool helps you get the right estimate of the amount of premium you will have to pay for your policy. It considers various factors to calculate the premium, including the information you have entered. Here are the steps to calculate your premium:

  • Step 1: Visit the Health Insurance Premium Calculator page.
  • Step 2: Choose the desired policy and enter your mobile number in the 'Get Quote' section.
  • Step 3: Enter the pin code and email, followed by the details of all the members to be insured.
  • Step 4: Customize the policy by changing the sum insured and add-ons as per your needs.
  • Step 5: That's it! Your instant health insurance quote is calculated, including 18% GST.

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.

How to Reduce Your Health Insurance Premium?

You know by now that your health insurance premium is not a random number but a thoughtful calculation based on some unique facets. From your health history to lifestyle choices, our underwriting process ensures a personalized touch. However, there are still some easy tips and tricks that can allow you to reduce your health insurance premium without cutting back on the coverage.

Buy a health insurance plan today

Want to get health insurance at a cheaper rate? You should invest in a health insurance plan at an early age. Age is the primary factor that influences the cost of your premium. With your age, your premium amount also rises because you become more 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 buy it 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 as per your pocket. With the right add-ons, you can get guaranteed medical coverage in times of need.

Make the most of the tax benefits

Understand the fact that health insurance plans offer tax benefits. You can maximise your tax deductions by paying a premium for your parents, who are above 60 years of age. Get in touch with an expert to easily reduce the burden of expensive premiums from your shoulders.

Choose a medical insurance policy that you can afford

When you start exploring health insurance plans and add-ons, you will get several options that will lure you. But you should not opt for that plan for which you have to bend over backwards. Non-payment of timely premiums will lead to a policy expiry. Hence, make a wise decision. Choose only that 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 that the insured has to pay before availing of the benefits of coverage. While this will minimise your premium, keep in mind that it will make your share in claim settlement higher. Therefore, you should go with this option with careful consideration.

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 that you purchase the perfect policy at reasonable rates.

Does Health Insurance Cover COVID-19 Expenses?

Yes, health insurance policies by Care Insurance provide standard coverage for COVID-19 treatment expenses across the network of hospitals.It helps individuals and families safeguard themselves from the constant risk of COVID-19 treatment costs. Our medical policies cover the standard hospitalization expenses related to COVID-19 infection contracted by any insured member. Ever since the outbreak of the COVID-19 virus, people have been compelled to limit their social interactions, and this has had a significant impact on the finances of many people. In such situations, it is important to be prepared for the worst. Therefore, having comprehensive mediclaim insurance policy is the ideal course of action. .To deliver the best health insurance policy, we promise quick and quality COVID-19 treatment across our network of hospitals and health centres.Also, policyholders can enhance their health insurance plans by opting for additional COVID-related benefits, like COVID Care and COVID Care with OPD, as offered under specific policy terms.

How to Choose the Best Health Insurance Plans in India?

Buying the best health insurance plan involves careful planning and consideration of various factors. Investing in the right medical cover is a wise yet difficult decision for the well-being of yourself and your loved ones. But how choosing the right plan can be an overwhelming task.

To understand which is the best medical insurance in India, you must study the scheme for the following 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: Before investing in insurance for medical needs, 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 provide 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. We promise the highest claim settlement ratio of 95.2% CSR (F.Y. 19-20).

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:

1

Step 1

Duly fill the portability form with the existing insurance details, including the name of the insured person, their age, etc.

 
2

Step 2

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

 
3

Step 3

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

 
4

Step 4

The new insurance company will underwrite the proposal and inform the policyholder 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 in 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 renewal. Also, keep in mind to 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

You should understand the waiting period cycle before you port to a new insurer. Simply put, the waiting period is divided into three parts.

  • The first waiting period starts with buying the policy. This is for only 30 days.
  • The second waiting period is from 1 year to 2 years for the diseases of kidney stones and appendicitis.
  • The third waiting period is for 4 years applicable to pre-existing diseases. The good news is that when you switch to a new insurer, your waiting period does not start from the beginning. It starts where you left it to the previous insurer. Suppose you have completed the waiting period of 3 years for a pre-existing disease, you need to complete the waiting period of only one year.

Give correct details about your medical health

Hiding your medical history when you make a porting request to the new insurer can be a mistake. Your new insurer may or may not make you undergo a medical test. In case you have been suffering from any chronic illness or severe comorbidities, your porting request may be rejected. Because in such medical cases, the threat of hospitalisation and the frequent visits to check-ups or treatment always persists.

Choose a higher sum insured

Obviously, you have decided to port to a new insurer because you are optimistic about new benefits there. Hence, you should try to choose a higher sum insured when you port.

Check Insurer Details

Before you decide to port your mediclaim policies to a new insurer, it might be a good idea to be aware of a few metrics. You should always check for details like discounts being offered, any consumer complaints, and the claim settlement ratio. It might also help to check the ratings on the company’s social media handles to understand the overall customer experience.

Voice Of Customer

A
abhishek April 23, 2024
Care Supreme
5

best health insurance

care is best health insurance best plan supreme
RK
Reema Kumari April 23, 2024
Care Supreme
5

Mrs Reema Kumari

very good claim settlement care health support Mr Tushar Chandok And Chetan Sharma My Spouse Hospitalization Very good service i am happy care health insurance
VM
V. Muthusrinivasan February 23, 2024
Care freedom
5

Thanks to Care classic Insurance

I am discharged from New medical centre after recovering from viral fever. Within two hours care insurance as cleared all my hospital bill amount .Thanks for their fast service .
KR
Keshav Rawat January 18, 2024
Care Supreme
5

Best Health Insurance Company

Best Health Insurance Company
RD
Rupali DHAINJE December 26, 2023
Care Supreme
5

Best Service in Claim

Care Health give us full Claim settlement in cashless and Reimbursement cases. With Advisor Mr. Rakesh Wani help us time to time in claim support services. Thank You CHIL Team and Mr. Wani.
M
Mahima December 19, 2023
Care Supreme
5

Nice service

This review is for the call centre person who suggested me to buy care supreme. I believe it is the best plan with best benefits and services.
GS
Gurpreet singh December 19, 2023
Care Advantage
5

Nice team

I called them for my top up insurance. I dont know how to purchase the top up plan. But their support team guided me patiently and I got top up for my health insurance. Very nice team to work with.
SS
Sandeep Singh December 18, 2023
Care Supreme
2

bad experience

6 months after buying this plan, i got gal bladder stones. I had to undergo surgery for which company did not settle my reimbursement claim saying I have to serve waiting period. Whats the point of buying insurance if i dont get claim Bad experience
ND
Nandita Das December 18, 2023
Care Advantage
2

Dissappointed

We bought Care Advantage plan for our family. My mother in law had to be admitted for an operation but my claim wasnt approved due to waiting period
Rahul Sangwan

My appreciation for your prompt service

Recently, I’ve purchased JOY Maternity insurance for my expecting wife and my experience was excellent with the claim settlement team who helped me deal with all the formalities smoothly. Thank you for making my decision the right one!

Rahul Sangwan

Health Insurance

Samanway Barik

We will continue to avail of your scheme

I ported my healthcare plan last year; it is the wisest decision I made by choosing Care Health Insurance. I recently got admitted due to a viral infection, and all my expenses got covered under my plan.

Samanway Barik

Health Insurance

Soubhagya K Kulkarni

Everything went very smooth

Thank you for helping me when I needed help the most, being in the hospital. Buying Care’s health insurance plan is my best decision so far.

Soubhagya K Kulkarni

Health Insurance

Vaibhav Rai

Really helpful explaining the process in advance

Thank you for helping me with your fastest claim settlement process. I didn’t have to wait much for the approval. Everything was quick and seamless.

Vaibhav Rai

Health Insurance

Zeroing in on a health insurance plan for your family is a tricky choice, given the number of insurers in the market who offer similar policies. It is not wise to simply choose the policy with the lowest amount of premium. You need to compare different policies, their features and benefits. Care Health Insurance (CHI) is a specialist Health Insurer and offers products keeping in mind the needs of a customer in the event of a medical exigency. CHI offers a distinct set of benefits giving a clear choice for providing you with the best possible health insurance.

Awarded

Awarded as Best
Health Insurance Company of the year^

claims-paid

48 LAKH+ Claims Settled*

cashless-claim

24800+
CASHLESS HEALTHCARE PROVIDERS^^

^India Insurance Summit & Awards 2023

FAQs on Health Insurance

Q. 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.

Q. 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.

Q. 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.

Q. 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.

Q. 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 a 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.

Q. 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.

Q. 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.

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.

Q. Can I buy a medical insurance plan in India if I am not an Indian national?

Yes, foreigners who are living in India can buy a medical insurance policy in India.

Q. 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.

Q. 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.

Q. What do you mean by 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 of a cashless hospitalisation facility and the insurer will directly settle the claim with the hospital. Whereas, non-network hospitals are not empanelled with the insurer and thus require reimbursement claim filing.

Q. What is Waiting Period under Health Insurance?

A waiting period is a pre-defined number of days you must wait before raising a claim under a standard health insurance plan. There are three types of waiting periods, namely– an initial waiting period of 30 days, a waiting period for pre-existing diseases, and a waiting period for specified ailments/ treatments.

Q. What happens if I don't pay my mediclaim insurance premium?

Your health plan will expire if you do not pay the premium by the policy period end date. However, even if you miss the premium due date, you will be allowed a grace period of 30 days immediately following the policy period end date to pay the renewal premium. The policy will not provide coverage during the period of unpaid premium. Neglecting your mediclaim insurance premium is like playing a risky game. Letting the due date slide means your coverage will leave you without the magical safety net promised in your policy. So, try not to let your health plan expire.

Q. 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.

Q. 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 48 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.

Q. 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 your policy premium for which you have made a payment to us.

Q. What does the sum insured mean under a mediclaim policy?

The sum insured refers to the maximum coverage amount or pay-out that an insurer will be liable to pay an insured in case of an unforeseen medical emergency or planned medical treatment. The claim amount that exceeds the sum insured will have to be borne by the insured person.

Q. 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.

Q. 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.

Q. 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.

Q. 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 the premium within the grace period to renew the benefits of your medical health insurane policy.

Q. 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.

Q. 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.

Q. Do health insurance policies cover robotic surgery & modern treatments?

Yes, our 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.

Q. 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.

Q. 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.

Q. What are the details required for making 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.

Q. Can my claim get rejected? If yes, under what conditions?

Yes, your health insurance claim may get rejected for several reasons, like incorrect facts, non-disclosure of pre-existing conditions, claims under exclusions, etc.

Q. Will maternity expenses be covered under Care Health Insurance plans?

Yes. Under our Maternity Health Insurance plan, the expenses of an expecting mother and the newborn baby (up to 90 days) are covered. Expenses for daycare treatment, in-patient costs, expenses on pre and post-hospitalisation, room charges, etc. are covered.

Q. Will Care Health Insurance cover alternate treatments?

Yes. Alternative treatment like AYUSH (Ayurveda, Yoga, Unani, Siddha, and Homeopathy) is included in most of the Care Insurance plans.

Q. Can I get any discounts on the health insurance premium?

Yes. There are various ways in which you can enjoy a relatively cheaper health insurance premium. It depends on factors like who you are insuring, your location, credit score, past claim history, no claim bonus, any on-going discount/offer, higher deductibles, policy term etc.

*Please read the policy T & C, brochure, and prospectus to know more about our medical plans cover as it may vary.

#Tax benefit is subject to changes in tax laws. Standard T&C Apply.

**Number of Claims Settled as of 31st March 2024

^10% discount is applicable for a 3-year policy

~~Premium calculated for an individual (Age 18) for sum insured 5 Lakhs in Zone 2 cities with Care Supreme Policy.

^^ Number of Cashless Healthcare Providers as of 31st March 2024

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