Health Insurance Plans: Buy Best Medical Insurance Policy in India | Max Bupa
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Here are our health insurance plans which provide you comprehensive hospitalization coverage.

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Here are our health insurance plans which provide comprehensive hospitalization coverage to extended and large families.

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What is a Health Insurance Policy?

A health insurance policy serves as a financial cover for unforeseen medical expenses. With a health insurance policy, you and your insurance provider have an agreement that in the case of a medical emergency, the policyholder will be covered financially by the insurer. As with any kind of insurance, health insurance is an investment made over time with the goal of continuing your coverage in order to protect your hard-earned savings from being expended on medicines, ambulance rides, hospitalization, doctor consultations, and more.

 

Insurance providers are mindful that there is no one size fits all, which is why there is not just one type of health insurance out there for every individual. There are actually several different kinds of health insurance plans in India to fit individual needs.

 

As a careful customer, you should pick the best health insurance for your family and yourself, so that you no longer have to worry about paying hefty medical bills. Depending on the type of plan you choose, you are not only covered for your medical bills but also cashless treatment at our network of hospitals. Bid adieu to medical expenses when you decide to invest in a health insurance policy for yourself and your family. 

Things to Consider before Buying Health Insurance Plans in India

Today, you are spoilt for choice with the slew of offerings for health insurance available on the market. Ensure you get all the information you need before buying a policy.

 

Keep the following factors in mind when choosing the best health insurance policy for yourself.

 

  • Always choose a policy with adequate coverage and ensure that this amount is sufficient to financially protect you as well as your entire family. 
  • Although most employees today are covered by their own company’s group health insurance, it is always an added benefit to choose and purchase one’s individual health insurance plan after being aware of all the terms and conditions. 
  • Ideally, one should attempt to avail some kind of compensation for their losses which are non-payable by combining hospital cash, critical illness care, and other benefits from their base cover.
  • Ensure you are keeping your health insurer well informed and up to date with any diagnoses of pre-existing diseases. 
  • Ensure you keep a note of your waiting period, maximum limits, and covers provided. 
  • Ensure you are aware of all the terms and conditions attached to your health insurance policy. This includes facets like the cumulative bonus, deductible, waiting period, and any pre-existing illness clauses, among others. 
  • Opting for a policy that offers a high sum insured is recommended due to there being a steep rise in medical costs every year. 
  • Ensure you are renewing your health insurance plan on a regular basis. In case there is a break between the expiry of your policy and renewal of it, you could lose out on the benefits of your insurance. 
  • The earlier you invest in health insurance, the lower your premium’s coverage amount for the amount of coverage you will receive. 

How to Buy Health Insurance Online?

Earlier, health insurance companies had to make infrastructure investments and take the help of various brokers, agents and financial consultants to sell health insurance plans in India. The procedure was arduous and time consuming with reams of paperwork to boot. 

 

However, in today's digital age, buying a health insurance plan is almost as easy as ordering a pizza online. The internet can provide you with a wealth of information regarding various health insurance plans, their features, benefits and also quick and simple tips on how to buy a health insurance plan online.

 

The process has evolved to become extremely efficient, transparent and cost-effective with minimal paperwork and intermediaries. So, the only question left is, how to apply for health insurance plan in India?

 

We are going to answer this question with a few steps that are guaranteed to help you select a health insurance plan that suits your needs:

 

1. Do Your Research

Most people who are looking to buy a health insurance plan either speak to family and friends or go online to look for the best-rated health insurance providers. There are also many forums on social media where real customers post their experiences regarding their interaction with health insurance companies, service quality, etc.  which should give you a fair idea of which health insurance companies you should consider. 

 

2. Visit The Website

The websites of insurance providers are one of the best sources of information available about health insurance plans in India. All you need to do is take a look at the plan that suits your needs and take notes. After that, you can compare one policy with another to see which ones offer you more comprehensive coverage at a lower premium.

If this gets too confusing, many independent online agencies allow you to compare a plan before you zero in on a policy. Thus, you can access information about all prominent insurance providers and their plans in one place!

 

3. Provide Personal Details

An important thing to keep in mind before comparing plans is that each health insurance provider will ask you for your personal information such as your age, income, health status, area of residence, etc. to assess your eligibility online. This will also help you estimate your health insurance needs and which plan suits your needs and pocket best.

 

4. Finalise The Plan 

Once you zero in on a policy, double-check the plan's reviews online. Things to look for include the final cost after-tax, the renewability clause of the plan and the loyalty benefits. For instance, Max Bupa offers some plans, which give you loyalty benefits and discounts upon opting for a longer tenure. If you still have any doubts, call the provider's helpline number available online or shoot them a mail. 

Note: Some health insurance providers may ask you to upload basic documents online to verify your details. 

 

5. Purchase Your Health Insurance Policy

You can purchase your plan directly from the insurer’s website or through the website of an intermediary. Sometimes, there can be a slight difference in the price of the same plan when purchased from different places. Some insurance companies also have tie-ups with banks and credit card companies that offer additional discounts or cashback offers on using their facility. Another thing to remember is keeping important documents such as age and address proof handy as you may be asked to provide these to complete your purchase.

The best part when you buy a health insurance plan online is that you don’t have to deal with pushy salespersons and you can also save yourself a lot of time and money during the process.

Want to know more about buying health insurance online? Go to www.maxbupa.com or call 1860-500-1000 to find out more. 

Who are Third-Party Administrators (TPA) in Health Insurance?

If you are planning to buy a health insurance policy anytime in the near future, the third-party administrators (TPA) for the health insurance sector will have a direct bearing on you. This is because they are the agency that you will be dealing with directly while making your claims.

 

Want to know the exact role TPA play in passing your health insurance claims? Keep reading to know more.

 

1. Explaining TPA

The third-party administrator, or the TPA, is not an employee of any health insurance company but an independent and separate entity that acts as the bridge between you and your insurance provider. 

The TPA is licensed by the IRDAI to execute this task for insurers across categories, and not just for players engaged in health insurance. It can be an individual, an agency or could be a company that is retained by the insurer to perform several administrative services such as managing customer services on its behalf. Typically, it receives a fee of 5.5% of the premium amount.

However, for the customer, the services provided by the third-party administrator are for free – there is no hidden cost in the contract.

 

2. Scope Of Work for a TPA

The tasks that make TPA a key cog in your relationship with your health insurance provider is primarily customer service. This includes claims processing which makes it necessary for you to interact with a TPA. 

Insurers across verticals, including health insurance companies, outsource their claims process (a portion of it or entirely) to a TPA of their choice. 

In the case of health insurance-related claims though, the third-party administrator also coordinates with the network hospital or any other hospital where the policyholder has undergone treatment before filing their claim.

In India, many health insurance companies have their own dedicated departments for claims processing. For instance, MaxBupa health insurance processes your claims without any TPA, which significantly reduces the time taken to process your claims.

 

3. Role/Importance Of TPA

While some of the functions of the third-party administrator have been touched upon earlier, let’s get into further details for a better insight. Broadly, the TPA is supposed to-

  • Promote cashless facilities
  • Provide customer service
  • Process claims
4. Customer Service

The work of the third-party administrator – vis-à-vis you – begins the day the policy is sold to you,i.e. when you enter your health insurance provider’s database. Whatever service is your due, is now the responsibility of the TPA. Some of these services include- delivery of the health/identity card, attending to your grievances if any and of course, settling claims. 

The TPA streamlines costs and services and keeps you posted on network hospitals and addresses any concern that you may have. The TPA also makes payments to the hospital (in the case of non-cashless cases) and aids the reimbursement process with the help of your provider.

 

5. Cashless Service

The TPA is also responsible for building the network of hospitals for the health insurance company. In the process, it brings the cashless facility to you as the insured. It takes the call on empanelling a hospital-based on its service track record, infrastructure and facilities, management background and IT infrastructure.

 

6. Claims Processing

This is the role that the TPA is most known for. It coordinates with the hospitals for claim settlements, verifies bills for treatments, checks for false claims and even settles payments with hospitals in case of cashless facilities.

 

7. IRDAI Amendments

Until recently, a policyholder had to accept any third-party administrator their health insurance provider chose. This changed on December 3, 2019, when the IRDAI announced amended regulations giving customers the right to choose a TPA from the list suggested by their health insurance provider. To be precise, “The policyholder can choose a TPA of their choice from amongst the TPAs engaged by the insurer” as stated in the notification on the website.

Keep in mind though that as a policyholder, you can only choose the TPA from the list suggested at the time of buying or renewing the policy. If you do not choose any of the suggested TPAs, then the health insurance company can allot you a TPA of its own choice. 

IRDAI also allows the health insurance company to limit the TPA list based on the health insurance product and geographical location of the policyholder. Hence, if the insurer engages the services of only one TPA because of those factors, you will have no option but to go along with that particular TPA.

The regulator also says that it is the insurer’s “prerogative” to engage or discontinue the services of a TPA for a particular health insurance product. 

Also, the only time you can choose (an alternate) TPA is if the services of the original TPA are terminated during the period of your health insurance coverage.

Health Insurance Portability

Health insurance providers offer policyholders portability. This is a feature of certain policies that allows one to switch across health insurance providers without losing any of the benefits that are associated with their existing health insurance plan.

 

In cases of the policyholder not being satisfied with their current medical insurance plan, and seeking out something more comprehensive, they have the option to change their health insurance provider or their policy within the same company. One will still retain all the original credits that they had gained in their current medical plan.

 

Health insurance portability works in the following ways:

  • You can opt to switch between health insurance providers. Hence you can take a new policy with a different provider while retaining the credits earned from your existing policy.
  • You can also switch health insurance policies by sticking with the same insurance provider.
  • You can choose to switch from an individual policy to a family floater and vice versa.
  • You can apply for a revised sum insured amount with your new insurer.
  • Portability also includes enhancing the range of coverage you receive from health plans. You can enhance this range with the same insurance policy. To do so there may be medical testing and new waiting periods.

Does Health Insurance Cover Covid-19/Coronavirus?

The novel coronavirus is highly contagious and lethal which has caused it to trigger a widespread global pandemic. The symptoms caused by exposure to coronavirus requires continuous and extensive treatment that can exhaust your financial reserves. It is crucial to exercise caution against COVID-19 and health insurance can be one way of protecting your finances against it. Rest assured, with the comprehensive coverage offered by Max Bupa Health insurance plans, you get full coverage against any COVID-19 related claims.

 

Our plans offer hospitalization expenses, AYUSH treatment, day care costs, ambulance charges, and other costs associated with COVID-19. You can browse and choose the policy that is best suited to cover yourself, your family members, or senior citizens. We specially offer a Corona Kavach Health Insurance policy, whose coverage can extend to home care, and covers comorbidities arising out of COVID-19.

 

Nearly all of the indemnity health insurance plans offered by Max Bupa offer coverage against Covid-19 related hospitalisation. These include:

 

  • All Max Bupa Individual Health Insurance Plans
  • All Max Bupa Family Health Insurance Plans
  • All Max Bupa Wellness Health Insurance Plans
  • All Max Bupa Top Up Health Insurance Plans

What is covered in Health Insurance Plans?

Curious about what all is covered under traditional health insurance? Look no further. Here are some of the guaranteed inclusions and exclusions that a standard health insurance policy takes care of. While the following list may help you predict what is covered and what is excluded from your policy, ensure you check with your health insurance provider and read your policy’s documents carefully to know for sure.

 

Health Insurance Inclusions:

 

Below are some features which a standard Max Bupa health insurance policy offers.

●       Inpatient hospitalization

●       Pre and post-hospitalization care

●       Day care procedures

●       Ambulance charges

●       Covid-19 coverage

 

Health Insurance Exclusions:

In these scenarios, oftentimes, health insurance may not be applicable to provide financial coverage for you.

●       Dental treatment (unless cancer/ acute trauma relate).

●       Purchase of external devices like spectacles, hearing aid, artificial limbs, crutches, artificial teeth, veneers, are all excluded.

●       Instances of self-inflicted injury are not covered by a health insurance policy.

●       Any type of cosmetic surgery such as plastic surgery or botox, are excluded. Exceptions include surgery for burns or accidental bodily injuries or surgeries for the treatment of cancer.

Types of Health Insurance Plans in India

Buying health insurance is an inexpensive way to secure medical care for individuals and their families during emergencies. There is a multitude of health insurance plans available in India, which aim to provide coverage against various health risks along with a host of other benefits. However, in order to choose a plan that is best suited to you, you must know all the options available to you.

 

Here is a quick look at six of the most popular health insurance plans available in India -

 

 1. Individual Health Insurance Plans

As the name suggests, an individual health insurance policy provides coverage to an individual during medical emergencies, as stated in the policy wordings of the plan. 

There are many types of individual health insurance plans available in India which are suitable for every need and can be easily customized as well with add-ons such as accident covers, critical illness covers, etc.

Note: The sum assured of the policy is directly dependent on the age, health and income level of the insured individual.

 

2. Family Floater Health Insurance Plans

family floater policy is specially designed to cover the needs of your entire family. Most importantly, a family floater policy is significantly cost-effective and hassle-free when compared to an individual policy as it saves a lot of time, effort and money. Plans such as Max Bupa's Heartbeat plan can even cover 19 relationships under a single policy.

Keep in mind though that the premium of a family floater policy is heavily dependant on the age of the oldest family member covered under the plan.

 

3. Employer-sponsored Group Health Insurance Plans

To safeguard the well-being of employees and provide an additional benefit/incentive, employers may buy group health insurance plans. While the premium for a group insurance cover is much lower than an individual policy, the terms of the health insurance policy are standardized and offer the same benefits to all employees.

For certain types of businesses that employ more than a specified number of people, purchasing a group insurance policy is compulsory for the employer. However, many times these policies prove to be inadequate due to multiple exclusions which makes it necessary to supplement it with a personal policy of your own.

 

4. Senior Citizen Health Insurance Plans

As you age, health issues become more common, and consequentially, treatments also tend to get complicated and expensive. Thus, these health insurance plans are specifically designed, keeping in mind the needs of senior citizens. Anyone above the age of 65 can opt for such a cover. 

The insurer may also introduce a co-payment clause in the insurance contract premiums under these plans tend to be more expensive as senior citizens are more susceptible to health issues. With the help of this option, you have to pay anywhere between 10% and 30% of the medical costs during hospitalization (as agreed upon by the insurance company and the individual). This helps bring down the cost of coverage, making the insurance affordable for retired senior citizens.

 

5. Critical Illness Health Cover

Potentially life-threatening diseases such as cancer, diabetes, coronary issues, strokes, paralysis, kidney failure, and other organ failures are considered critical illnesses. Treatment for these always ends up being emotionally and financially exhausting. With the help of a critical illness health insurance policy, the policyholder is awarded a lump sum amount upon the diagnosis of any such illness covered through the policy.

This makes it easy to fast track treatment and not lose critical time due to a shortage of funds. Unlike individual health plans and family floaters, the insured person does not have to be hospitalized to claim benefits; just the diagnosis is enough.

 

6. Additional Top-up Policy

The easiest way to increase your health insurance coverage is by opting for a top-up policy. A top-up policy comes at a fraction of the cost of a full-fledged health insurance cover.

The other advantage of a top-up policy is that the coverage you seek can be increased or decreased on every renewal basis your individual needs. Max Bupa offers Health Recharge to allow policyholders to avail additional benefits for themselves or their families.

It is important to assess your individual needs and your family's needs before investing in a health insurance plan. It is also equally important to review your insurance coverage and make changes to accommodate new dynamics in your life. For more information on health insurance plans, head on over to www.maxbupa.com or call 1860-500-1000

Why Do You Need Health Insurance?

Beyond saving on medical expenses, there are multiple reasons why you should get insured. In fact, it is advisable that you buy a policy while you are still healthy and young. The sooner you opt for a health insurance policy the better, as premiums and exclusions increase with age.

 

Here are four reasons why you should consider buying a health insurance policy for yourself and your family.

 

1) Increase in lifestyle-related illnesses

Although the human lifespan has grown over the years, stress levels have grown in parallel. Due to advancements in the field of medicine, people may live longer, but lifestyle-related habits can severely impact the quality of this ‘long’ life. Many people choose to live a sedentary lifestyle and opt for unhealthy meals to go with it. Pair this lifestyle with chronic stress and you have a recipe for early onset of conditions like hypertension and diabetes, which may lead to critical illnesses like stroke, heart attack and more. By choosing health insurance, one is choosing to mitigate the financial impact of being diagnosed with this kind of lifestyle ailment.

 

2) Group Health Cover is Usually Insufficient

According to a survey by Big Decisions, about 95% of Indians today are not sufficiently insured, with individuals above the age of 45 in the highest risk group. Many rely on their group health plan to cover their medical costs. However, a group plan may not cover your entire family’s medical expenses. Additionally, the total sum insured you get through a group plan most likely will not be sufficient to meet all your medical expenses. Do not put yourself at risk of being underinsured by relying solely on group health coverage. Opt for a comprehensive health insurance policy instead.

 

3) You Are Covered for More than Just Hospitalization

Health insurance provides coverage beyond your hospitalization costs. It covers medical bills, doctor’s consultations, ambulance charges, and more. Nowadays, there are pre and post-hospitalization expenses that are covered by traditional health insurance. This means you are getting more bang for your buck when you choose to invest in a comprehensive health insurance policy.

 

4) Inflation is leading to Out of Pocket Expenses Increasing

Not only is the cost of living on the rise, but healthcare expenses are likely to be sky-high in the next ten years. India’s healthcare industry is experiencing inflation in the double digits. Your out-of-pocket expenses are likely to grow over the years unless you have financial measures in place to mitigate the impact of inflation. One such measure is investing in a health insurance policy. Health insurance can fortify you with the emergency finances necessary if you are ever in need due to unforeseen medical emergencies.

Save Tax in India with Health Insurance Plans

Health insurance comes with a dual benefit for any policyholder. You secure your health while reducing your tax liability. With health insurance, you can claim a considerable amount as tax-deductible premiums paid toward your health insurance policy in a single year under Section 80D of the Income Tax Act.

 

In several scenarios, you are entitled to a variety of tax deductions thanks to your health insurance policy. There are as follows:

 

Scenario 1- Maximum tax deduction of ₹50,000/year

Securing yourself, your spouse, and your dependent children with a health insurance policy, you can claim upto ₹25,000 annually as tax-deductible premiums paid towards your policy. This is in the scenario that nobody in your family is over the age of 60. If you opt for a separate policy for your parents, you can make additional tax savings. In case, neither of your parents is 60 years or older, you can claim a separate deduction of upto ₹25,000 as tax-deductible premiums paid towards the policy each year.

 

Scenario 2- Maximum tax deduction of ₹75,000/year

Assuming nobody in your family health policy is over the age of 60, you can claim a tax deduction of ₹25,000 paid towards your health insurance as premiums each year. In a separate policy, you pay the premiums for your parents, at least one of whom is over the age of 60. For this policy, you can claim a separate deduction of upto ₹50,000 annually.

 

Scenario 3- Maximum tax deduction of ₹1,00,000/year

In your family floater health plan, if any member is over 60 years old, you can claim a tax deduction on upto ₹50,000 annually paid as health insurance premiums. In the second policy, you have to cover your or your spouse’s parents, you can avail of a separate deduction upto ₹50,000 since one or both parents is over the age of 60.

Key Benefits of Health Insurance Plans in India

Comprehensive health insurance policies are full of benefits for their policyholders that most people may not be aware of.

 

Here are some of the key benefits associated with buying a health insurance policy for oneself or one’s family.

 

  1. Cashless medical treatment: Every health insurer has tie-ups with a network of hospitals across the country. In case you are admitted to any of these ‘empanelled hospitals’ you need not pay anything for your treatment. Your insurer and hospital will take care of all your costs after you provide your policy number. Cashless claims are preferred in a health insurance policy due to the no hassle claim disbursement and documentation process.
  2. Coverage both Pre and Post Hospitalization: Health insurance today offers its clients coverage beyond solely their hospitalization costs. Nowadays, there are pre and post-hospitalization expenses that are covered by traditional health insurance. Good health insurance plans also cover the cost of medicines, doctor consultations, ambulance charges, and more.
  3. No Claim Bonus: Some health insurance policies offer their policyholders the benefit of a no-claim bonus. As the name suggests, if no claim has been filed in the prior year of holding the policy, one is likely to receive a bonus in the form of a discount on their premiums or an increment in their coverage. Once you renew your policy, you get the avail of the no claim bonus.
  4. Medical Checkup Facility: When one opts for a health insurance plan that they need to use, they are also entitled to regularly getting medical check-ups. Some insurers offer this facility as part of one’s health plan.
  5. Co-payment: Some policies offer the option to copay, where the voluntary deductibles are predefined. This means the customer simply needs to pay a pre-defined amount of their bill. Once the pre-decided amount is exceeded, the insurer will cover the remaining payment. With a copayment facility, you can reduce the cost of your premiums significantly.

Why Buy Health Insurance Plan from Max Bupa?

With a total of 3 million lives covered, Max Bupa is among the industry leaders due to its diverse range of health insurance plans to suit every individual’s needs. Each plan is customized to suit different families, and ultimately all safeguard your hard-earned income from being extinguished in hefty medical bills. 

 

Here are the following reasons why you should choose Max Bupa as your health insurance provider.

 

  • Receive complete coverage against COVID-19 with only 15 days waiting period for new customers. 
  • You get a cashless claim processing in thirty minutes or less.
  • Tap into our wide network of over 5000 hospitals. 
  • You get completely cashless OPD as well as online paper reimbursements without the hassle of documentation. 
  • With Max Bupa, you have no third party involved when it comes to processing your health claims. 
  • Max Bupa offers a Point of Care helpdesk across prominent hospitals in their network for any in-person queries. 
  • Using the Max Bupa Health App can help them track their health parameters by linking with Google Fit, while also allowing them to book at-home diagnostic tests. It also allows for online consultations and the delivery of medicines to your doorstep. 
  • While your claim is being reimbursed, you can easily track its status online through your account in our encrypted portal. Your reimbursement claims will be processed directly to your account. 

Health Insurance Claims

Here’s how to make a claim for your health insurance. Starting with cashless claims the process is as follows:

 

  • Locate the nearest network hospital on the Max Bupa Health app where you can avail cashless claim with Max Bupa. 
  • Collect your health insurance related forms from the hospital. Fill and submit those forms back to the hospital. You could be required to submit your health insurance policy number, photo ID, and other proofs. 
  • Once your documents are received, the internal claims committee will either approve or reject your claims based upon the course of treatment, documents, and coverage you have. If in the rare case your claim is rejected, you have the option to appeal to the grievance team to re-investigate your claim.
  • Once claims are approved, you can receive your medical treatment without having to pay anything to the hospital, or pay only for consumables or items/procedures listed in the exclusions charter. Once you are discharged, your insurer will check your discharge summary and documents before processing the claim. 
  • At every stage of your claim request, you can check its status on the Max Bupa website. Cashless claims are normally processed in 30 minutes or less by Max Bupa. 

Health Insurance Myths

There are certain misconceptions about health insurance. Here’s a definitive myth-busting guide to health insurance.

 

  • Health insurance is not to be considered when one is young and healthy: Not only is this a fallacy but it is also costly. If you wait till you grow old, you may either face a lot of exclusions while buying health insurance or may not even be able to get it on account of existing conditions. Health insurance is best purchased when one is in their prime so that lower premiums can gradually build up to a massive sum insured.
  • Any healthcare costs will be covered by your health insurance: This is a myth because every health insurance policy comes with exclusions and limitations. One is usually for any war-related medical emergencies. Health insurance also often doesn’t cover any self-inflicted injuries. Keep in mind that being well versed with your policy’s exclusions is crucial. 
  • If one has group coverage, there is no need for their own health insurance plan: Group health insurance oftentimes provides a smaller sum insured to individuals and the range of coverage is also not as extensive as that afforded by individual health insurance. If you solely rely on a group health policy, you and your family are likely to be underinsured.

Health Insurance Terms

Ensuring one is well versed with the language of insurance is crucial before opting for a policy. Health insurance comes with its own set of fresh terms. These are as follows:

 

  • Room rent limit: This is a limit that puts a restriction on the amount of room rent a policyholder can claim per day. This is linked to one’s Sum Insured or the total coverage that one is entitled to. Room rent also includes the payout you receive for consultancy charges, surgical fess, operation theatre costs, and more. 
  • Sub-limits: This applies to specific costs such as the coverage one gets for surgical fees or doctors' fees. Sub-limits are applicable to certain predefined illnesses, irrespective of the total Sum Insured. 
  • Co-payment: A copayment is the percentage of your total claim amount that is payable by a separate health insurance policy or you, out of the total claim. The rest of the payment is paid out by your primary insurer. 
  • Deductible: Before your health policy with deductible rider comes into effect, this is the rupee amount that you would incur from your pocket or from a separate health insurance policy.  
  • Waiting period: This is the time between the policy being issued for the first time and coming into effect. It is normally 30 days after the policy has been issued for conditions like dengue, malaria, and other common conditions. Max Bupa has reduced initial waiting period to 15 days for Covid-19 coverage.

Factors Affecting Health Insurance Premiums in India

When it comes to the cost of your health insurance premiums, many factors can affect its price. Some of these are as follows: 

 

  • Age: Undeniably one’s age is among the most prominent factors that affect your health insurance premiums. This is why financial advisors recommend opting for a health insurance policy when you are younger since premiums increase with advancing age.
  • Pre-existing illnesses: Any diagnosed health conditions before you opt for health insurance are referred to as pre-existing illnesses in policy terminology. Any pre-existing illnesses may result in an increase in the cost of your premiums. Opting for health insurance at a point in your life when you do not struggle with any pre existing illnesses will allow you to skip on high premium costs.
  • Family History: If you have a family history of certain chronic illnesses like diabetes, cancer, or stroke, there is a chance you may acquire those illnesses later in life. As a result, your insurance premiums could be higher.
  • City of residence: The city you reside in also affects the cost of your premiums. If you reside in a Tier 1 or a metropolitan city, premiums are likely to be higher as medical costs are higher in these cities as compared to Tier 2 or Tier 3 cities.
  • Body Mass Index: Those with a skewed body mass index may be asked to pay higher insurance premiums due to their probability of falling chronically ill being higher. High BMI individuals normally struggle with higher BP, joint pain, asthma, and other ailments, putting them in a higher risk category.
  • Smoking and Drinking: Insurance providers also consider smokers to be in a higher risk category than non-smokers. Smoking puts one at risk of developing severe respiratory illnesses such as bronchitis and lung cancer. Chronic drinkers are also at risk of developing liver disease, lapses in judgment, memory, and more severe conditions. Insurance premiums are high for those with either of these habits.