Find The Right Health Insurance Cover For You
Tell us three things and we will show you how much cover you actually need — then compare cashless plans from India's top insurers. Free, in under two minutes.
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Tell us three things and we will show you how much cover you actually need — then compare cashless plans from India's top insurers. Free, in under two minutes.
Enter the 4-digit code sent to +91 … Edit
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Health insurance — often called a mediclaim policy — pays your hospital bills in exchange for an annual premium. With medical inflation in India running well above general inflation, and a single ICU week in a private hospital capable of costing several lakh rupees, it has stopped being optional for most salaried families. The two decisions that matter are how much sum insured to buy and which terms you are agreeing to — and most people spend all their time on the premium instead.
One hospital stay can wipe out years of savings. Insurance converts that risk into a fixed, planned cost — and saves tax under Section 80D.
Start at half your annual income, adjust for your city and age, then compare room rent limits, co-pay and waiting periods — not just price.
While you are young and healthy. Premiums are lower, nothing is excluded, and the pre-existing waiting period is already running when you need it.
The working rule most advisers use in India is about half your annual income as a starting sum insured, then adjusted for two things: the city you live in, because a procedure in a Mumbai or Delhi private hospital costs materially more than the same procedure in a Tier 2 city; and your age, because both the likelihood and the cost of a claim rise as you get older. The calculator at the top of this page applies exactly that rule.
A sanity check that beats any formula: find out what a four to five day stay with surgery costs at the hospital you would actually go to. If that number is close to your sum insured, your cover is too thin — one event would exhaust it and leave nothing for the rest of the year.
| Your situation | Typical cover to consider | Why |
|---|---|---|
| Single, 25–35, Tier 2 city | ₹5 – 10 Lakh | Low claim likelihood, lower hospital rates; a base policy plus a top-up works well |
| Single, 25–35, metro | ₹10 Lakh | Metro hospital rates make ₹5 Lakh uncomfortably tight for anything surgical |
| Young family, metro | ₹15 – 25 Lakh floater | One sum insured shared across the family; a single large claim must not exhaust it |
| 45+ with dependants | ₹25 Lakh+ | Claim likelihood rises sharply, and raising cover later gets harder and costlier |
| Parents aged 60+ | Separate policy, ₹10 Lakh+ | Keeping them off the family floater protects everyone else's cover |
Indicative ranges to frame the conversation, not a recommendation for your specific case.
Most people need one base policy and, often, one thing layered on top. These are the building blocks:
A cap on the room category you can claim, often 1–2% of the sum insured per day. Exceed it and some insurers scale down the whole bill proportionally. A plan with no room rent limit is usually worth the extra premium.
Typically 2–4 years before an existing condition is covered. Shorter is materially better, and the clock only starts when the policy does.
A co-pay makes you fund a fixed share of every claim. Sub-limits cap specific procedures regardless of your sum insured. Both are common on low-premium and senior plans.
Check the hospitals near your own pincode, not the headline count. Outside the network you pay first and claim reimbursement later.
How many claims the insurer pays, and how fast. A high ratio with slow cashless approvals still means hours arguing at a hospital desk.
Restoration refills the sum insured if it runs out mid-year. A no-claim bonus raises your cover for every claim-free year, often by 50–100%.
Premiums paid for health insurance qualify for a deduction under Section 80D of the Income Tax Act: up to ₹25,000 for yourself, your spouse and dependent children, and a further ₹25,000 for your parents — rising to ₹50,000 where those parents are senior citizens. A preventive health check-up is covered within these limits up to ₹5,000. These deductions are available under the old tax regime; if you have opted for the new regime, buy the cover for the cover, not the deduction.
A common starting point is about half your annual income, raised for a metro city and for age. For a 30-year-old in a Tier 2 city earning ₹10 lakh, roughly ₹5 Lakh is a reasonable base; the same person at 50 in Mumbai should look at ₹15–25 Lakh. The real test is what a four to five day stay in the hospital you would actually use costs today.
An individual plan gives each person their own sum insured. A family floater shares one sum insured across everyone covered, which is cheaper, but a single large claim can exhaust the cover for the whole family that year. Floaters suit young families; separate cover or a top-up suits families with older parents.
Any condition you already have when you buy the policy is normally covered only after a waiting period, commonly two to four years depending on the insurer and the condition. This is the single most important clause to check if you have diabetes, hypertension or thyroid issues, and it is the main reason to buy health insurance while you are still healthy.
At a hospital in your insurer's network you show your health card, the hospital raises the bill with the insurer directly, and you pay only what the policy does not cover. Outside the network you pay first and claim reimbursement afterwards. Always check that a hospital you would actually use is in the network before buying.
Under Section 80D of the Income Tax Act, premiums qualify for a deduction of up to ₹25,000 for yourself, your spouse and children, and a further ₹25,000 for parents, rising to ₹50,000 where the parents are senior citizens. These deductions apply under the old tax regime.
Usually not on its own. Group cover is typically a modest sum insured, it often carries room rent and co-payment limits, and it ends the day you leave the job, exactly when buying fresh cover is hardest. A personal policy running alongside it keeps your waiting periods ticking and stays with you between jobs.
Many policies cap the room category you can claim, often at one or two percent of the sum insured per day. If you take a costlier room, some insurers scale down the whole bill in proportion, not just the room charge, so a small overage can cut thousands from the claim. A plan with no room rent limit is worth paying a little more for.
No. RupeeMaster is a marketing and comparison platform. We help you work out the cover you need and connect you with IRDAI-registered insurers and their authorised representatives, who issue the policy and handle claims.
The information above is general educational content about health insurance in India and not personalised financial or medical advice. Policy terms, waiting periods, sub-limits and premiums vary by insurer and by individual. Please read the policy wording and the prospectus carefully before concluding a sale. RupeeMaster is a marketing and comparison platform, not an insurer, and provides advisory and facilitation only. Tax benefits are subject to prevailing law and may change.