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Personal Health Insurance

Health Happens- Be Ready For It!

Comprehensive personal health insurance for Indian families and individuals. Get protection against medical emergencies, hospitalization, and rising healthcare costs with coverage that actually covers what matters.

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    Know your policy

    Everything you need to know

    What is it?

    What is Personal Health Insurance

    Health insurance: what it covers

    Health insurance pays for hospitalisation, surgery, day-care treatment, and medical costs before and after admission, up to your sum insured. Choose individual cover or a family floater shared by the whole family.

    Why is it important?

    Why Is This Policy Vital for Everyone

    Why health insurance matters

    Hospital costs in India rise faster than general inflation, and a single admission can cost several lakhs. Health insurance keeps a medical emergency from becoming a financial one.

    Know your policy

    Understand your insurance before buying

    Who Needs Personal Health Insurance?

    Young Professionals & Singles

    Budget-friendly coverage starting at ₹300/month protecting against accidents, lifestyle diseases, and emergency hospitalization.

    Families with Children

    Family floater plans covering spouses and kids under single policy with shared sum insured and affordable premiums.

    Senior Citizens (60+ years)

    Specialized senior plans covering age-related illnesses, pre-existing conditions, and OPD expenses with higher premiums but comprehensive coverage.

    Self-Employed & Freelancers

    Critical protection without employer-sponsored benefits, covering hospitalization, daycare procedures, and annual health check-ups.

    Women & Maternity Coverage

    Plans including maternity benefits, newborn coverage, and women-specific illnesses like PCOS and thyroid disorders.

    Chronic Disease Patients

    Coverage for diabetes, hypertension, and other chronic conditions after waiting periods with specialized disease management programs.

    Types / Add-ons Commonly Offered

    Individual Health Plan

    Personal coverage for single member.

    Family Floater

    Shared coverage for entire family.

    Critical Illness Rider

    Lumpsum payout for cancer, heart attack, stroke.

    Daily Hospital Cash

    Fixed daily allowance during hospitalization.

    OPD Coverage

    Doctor consultation and diagnostic costs.

    No-Claim Bonus

    Premium discount or sum insured increase.

    What Personal Health Insurance Covers

    Hospitalization Costs

    Expenses for hospital admission, treatment, and nursing charges.

    ICU Charges

    Intensive care unit costs during critical treatment.

    Surgery Expenses

    Surgeon fees, operation theatre charges, and related medical costs.

    Pre-Post Hospitalization

    Medical expenses incurred before admission and after discharge.

    Daycare Procedures

    Treatments requiring less than 24 hours of hospitalization.

    Ambulance Charges

    Emergency ambulance transport costs to the hospital.

    Organ Donor Expenses

    Medical costs of the donor for organ transplant surgery.

    Room Rent

    Hospital room charges as per the policy limits.

    COVID-19 Treatment

    Hospitalization and treatment costs for COVID-19.

    Annual Health Check-up

    Preventive health check-ups covered once a year.

    AYUSH Treatment

    Ayurveda, Yoga, Unani, Siddha, and Homeopathy treatment coverage.

    Domiciliary Hospitalization

    Treatment taken at home when hospital admission isn't possible.

    Inclusions & Exclusions

    ✓Inclusions

    • Hospitalization Expenses — Room rent, ICU charges, nursing, and medical expenses during hospital admission (24+ hours typically).
    • Pre & Post Hospitalization — Medical expenses 30-60 days before and 60-90 days after hospitalization.
    • Daycare Procedures — Treatments requiring less than 24-hour hospitalization like cataract surgery, dialysis, chemotherapy.
    • Ambulance Charges — Emergency transport costs up to the limit stated in your policy.

    ✗Exclusions

    • Pre-existing Diseases — Conditions diagnosed before policy start are covered after a waiting period of up to 3 years (IRDAI rules from April 2024). Some plans offer shorter waits. After 5 continuous years (moratorium), a claim can't be rejected for non-disclosure except in proven fraud.
    • Cosmetic Surgery — Aesthetic procedures, hair transplants, and beauty treatments not covered.
    • Intentional self-injury and substance abuse — Excluded as per policy wording.
    • War & Nuclear — Injuries from war, nuclear weapons, and radioactive contamination excluded.
    • First 30 Days — Initial waiting period excludes all claims except accidents (some plans waive this).

    FAQs

    No. Pre-existing diseases are covered after a waiting period of up to 3 years (IRDAI rules from April 2024). Some plans offer shorter waits.

    Yes. Portability allows switching insurers while retaining waiting period credits and no-claim bonuses.

    Yes. IRDAI requires insurers to cover hospitalisation for mental illness on the same basis as physical illness.

    Sum insured = total coverage; room rent = daily limit. If you exceed the room limit, you pay extra or upgrade your policy.

    Yes. AYUSH in-patient treatment at recognised hospitals is covered up to the sum insured (IRDAI, April 2024).

    Yes. If one policy's sum insured is not enough, you can claim the balance from another policy, up to your actual expenses.

    IRDAI requires insurers to decide cashless requests within 1 hour and final discharge authorisation within 3 hours.

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