Health Insurance
Pays for hospitalisation and related medical costs for you and your family, up to the sum insured.
What it covers
- In-patient hospitalisation: room, nursing, surgery and medicines
- Pre- and post-hospitalisation expenses for a defined number of days
- Day-care procedures that do not need an overnight stay
- Ambulance charges, up to the limit in the policy
What is usually not covered
- Pre-existing conditions during the waiting period
- Out-patient consultations, unless the plan includes OPD cover
- Cosmetic treatment and other exclusions listed in the policy
Exact inclusions and exclusions depend on the policy you buy. Always read the policy wording.
Who it is for
- Salaried people who want cover beyond their employer's group policy
- Families who want one policy for spouse and children
- Parents and senior citizens who need their own cover
- Self-employed people with no employer cover
Plan types you can request
- Individual health cover
- A separate sum insured for one person.
- Family floater
- One sum insured shared by the whole family.
- Senior citizen health cover
- Designed for people aged 60 and above.
- Critical illness cover
- A lump sum paid on diagnosis of a listed illness.
Important considerations
Waiting periods
Pre-existing conditions and some specific treatments are covered only after a waiting period. Ask how long it is for each member.
Room rent and sub-limits
Some plans cap room rent or specific treatments. A cap on room rent can reduce the whole claim proportionately.
Co-payment
Plans for older members may require you to pay a fixed share of every claim.
Hospital network
Cashless treatment is available only at the insurer's network hospitals. Check which ones are near you.
Typical requirements
An advisor will usually ask for:
- Age of each member to be covered
- Existing illnesses or past surgeries
- City of residence
- Sum insured and yearly budget
- Details of any current health cover
Documents required
Keep these ready to avoid delays:
- Identity and address proof (Aadhaar, PAN)
- Age proof for each member
- Recent medical reports, if any member has an existing condition
- Current policy copy, if you are porting