Sat. May 11th, 2024
A Guide to Best Health Insurance Companies in India

A list of top health insurance companies in India is published each year which helps to make the right insurance decision. The insurance providers, such as their efficiency, Incurred Claim Ratio, and total benefits provided to their clients, are classified by some essential features. The need for the hour is with the increasing incidence of life-threatening illnesses and the growing expense of providing sufficient health care protection for medical services.

Once it comes to purchasing health care policies for you there are lots of choices. Not just so, but a range of insurance companies sell their members the strongest health care plan. Nevertheless, it is not easy to find out which is the right insurance to satisfy both the expectations and criteria when considering a good health package for you.

We listed some of India’s best health care insurance providers. While selecting the best health insurance provider, you can check their Incurred claim ratio, the number of network hospitals, and other features. Here is a sample of India’s largest health insurance companies.

Contents

1 Aditya Birla Health Insurance

Aditya Birla Health Insurance offers a broad variety of customers with creative health care options. The life care policies are personalized, at a reasonable rate, to satisfy the health protection requirements of its wide number of clients.  Many of the appealing policy advantages include nursing insurance expense compensation, day insurance emergency treatment reimbursement, personal injury policy, cash gain at the doctor, serious condition, and disease compensation.

Key Features

Highlights

Network Hospitals

6000+

Incurred Claim Ratio

89.05
Renewability

Lifelong

Additional Rider Benefit Available

Available

Claims Settled

63000+

1.1 Benefits & Features of Aditya Birla Health Insurance Plans

Aditya Birla General Insurance is one of the leading providers of health insurance, and currently provides multiple medical insurance products for individuals, families, and groups. Some of Aditya Birla Health Insurance’s key features and benefits could be listed as follows:

Aditya Birla General Insurance is one of the leading providers of health insurance.
Image Credit: economic times
  • Multiple Sum Covered Options: The provider offers you the alternative between several choices from the covered amounts. Insurance protection can be purchased for as much as Rs 2 Crore.
  • Flexible Insurance Options: The health insurance offered by Aditya Birla offers different schemes. Every consumer gets one. The programs are tailored for communities, households, and individuals
  • Wellness Coaching: It is one of the special features that the health insurance company Aditya Birla offers its clients. The insured members can get on-the-go access to health industry experts.
  • Health returns: policyholders who adopt a healthier lifestyle will earn incentives for a safe lifestyle to continue.
  • Network Hospitals: There is a vast network of medical practitioners and hospitals inside the organization.
  • Tax relief: You receive tax advantages under section 80D of the Income Tax Act from the rate of the premium you pay for Aditya Birla medical insurance plans.

1.2 Why Aditya Birla Health Insurance?

Aditya Birla Health Insurance offers several customized services such as:-

1.2.1 Health Return Benefit

  • Those adopting a safe lifestyle receive points towards compensation.
  • You will receive your medical insurance premium up to a limit of 30 percent

1.2.2 Chronic Management Program

  • The curriculum is specially designed for the management of chronic illnesses such as diabetes, obesity, hypertension, etc.
  • Day 1 covers the case of chronic health conditions.
  • When the insured has a medical illness within the lifetime of the policy otherwise you must immediately move to the Medical Treatment Plan.

1.2.3 Hospital Room Options

  • The choice to have a separate bed or a common space during hospitalization.
  • In case you have a lower room level, so you are still entitled to receive Medical Return benefits.

1.2.4 Second E Opinion

  • First opinions in the case of serious diseases are also protected.
  • And doctor’s panel includes foreign experts and professionals in this area.

2 Bajaj Allianz Health Insurance

Bajaj Allianz General Insurance Company Limited is a joint venture between Bajaj Finserv Limited and Allianz SE. With world-class goods, reliable operation, and after-sales assistance, the firm has become an industry leader in insurance. This provides a broad variety of insurance options in the Life Insurance and General Insurance divisions. Particularly in the case of life insurance, the organization sells a variety of packages tailored to meet any individual’s requirements. The Bajaj Allianz Medical Policy sells both online and offline Health Insurance policies.

 

Key Features

Highlights

Network Hospitals

6000+
Incurred Claim Ratio

77.61

Renewability

Lifelong
Waiting Period

4 Years

1.1 Advantages & Benefits of Bajaj Allianz Health Insurance

The Bajaj Allianz Medical Policy sells both online and offline Health Insurance policies.
Image Credit: Slide Share

The Bajaj Allianz General Insurance Corporation is considered the pioneer in the health insurance market as it gives a little more value to its clients as they purchase insurance policies from the firm. Here are the benefits of purchasing health insurance policies from Bajaj Allianz:

  • In the case of Cashless claims, the claims made to the client are accepted within 1 hour.
  • The general insurance provider Bajaj Allianz has a tie-up with 4000 + hospitals and over 1200 medical clinics around the world.
  • There is a 24 * 7 request aid service for resolving cases.
  • The Bajaj Allianz offers value-added services to consumers allowing savings on drugs, OPD expenditures, etc. of up to 30 percent. The Value Added Products collection covers OPD discounts at selected stores, Pathology discounts, radiology, fitness testing, pharmacy, and enticing health-related sales at selected retailers, to name a handful.

1.2 Bajaj Allianz Health Insurance Premium Calculator

The corporation Bajaj Allianz General Insurance offers the life insurance premium measurement service for prospective individuals looking to buy health insurance policies in the business. Any of the cases in which the premium was measured using the company’s calculator follow:

  • A decides to apply for an Individual Health Guard scheme for a total of Rs.4 lakhs. He is 30, and the sum of annual premium works out to be Rs.5130 for the specified coverage.
  • B needs his and his newly married wife to purchase a house for themselves. He approaches Bajaj Allianz with a plan for Rs.5 Lakhs to protect himself and his girlfriend. B is 32 years old, and his partner is 30. The payment falls in Rs.9234 for their health insurance policies.
  • C a 40-year-old adult wants a family health plan consisting of himself, his partner, aged 38, and his two sons, aged 7 and 12, respectively. The coverage being sought is Rs.10 lakhs, Rs.21,826 being the premium charged for.

3 Bharti AXA Health Insurance

The life insurance provider Bharti AXA provides flexible health insurance policies to suit its customers’ diverse medical requirements. The company has a broad variety of facilities on the network where the covered customers may receive cashless care. Bharti AXA health insurance policies may be expanded with different add-on benefits such as serious disease cover, pregnancy costs, genetic conditions, based on the policyholder’s preferences and criteria.

Features

Specifications

Network Hospitals

4500+
Incurred Claims Ratio 

89%

No. of Claims Settled 

18 lakh+
Number of Policies Issues

1.3 million

Renewability

Lifelong

3.1 Benefits of Availing Bharti AXA Health Insurance Plans

The life insurance provider Bharti AXA provides flexible health insurance policies.
Image Credit: The Hindu business

During the first year of service, Bharti AXA General Insurance obtained two foreign certifications, both of which were extended again for three years in 2012. This impressive accomplishment shows the organization’s emphasis on efficiency, consumer partnerships, and the method of claims simplification. The company is already a favorite name in the insurance business. Below are the benefits of purchasing health insurance schemes from Bharti AXA General Insurance:

  • Pre & Post hospitalization expenditures- Bharti AXA health insurance bonus expenses incurred 30days before hospitalization and 60 days after hospitalization as specified in the policy papers.
  • No Room Rent Capping-Most insurance benefits do not have a capping on room rent.
  • Smart Medical Plans for Senior Citizens- Bharti AXA Senior Citizen Health Insurance provides comprehensive coverage up to Rs. 1 Cr for older parents.
  • Lifelong renewability – The contracts allow you to renew your lifetime policy
  • Coverage of Pre-existing conditions-This often protects pre-existing illnesses within 4 years of the regulatory definition.
  • Domiciliary Hospitalization –Domiciliary hospitalization is provided when the patient’s diagnosis and recovery for sickness, disorder, or accident are taken at home for a duration of longer than three days.
  • Health check-up service-1% of the covered amount will be taken for free hospital check-ups for 4 years without claims.
  • Tax deduction advantages — Bharti AXA health insurance premium charged is eligible for tax advantages up to Rs. 55,000 in compliance with the 1961 Indian Income Tax Act.

3.2 Why Buy Bharti AXA Health Insurance Plans?

Bharti AXA General Insurance provides some of the biggest health insurance policies with a greater volume of covered up to Rs. 100 crore. The programs proposed are customized to fit the requirements of the applicants. Most Bharti AXA health insurance plans do not have room-rent capping, and no co-payment clause is mandatory. Here are some of the key points regarding Bharti AXA General Insurance:

  • The Incurred Case Rate of the business is 89 percent optimistic.
  • Comprehensive health care policy up to 1 Rs Crore.
  • Cashless care is given in over 4500 recorded Pan India hospitals.
  • 5 percent NCB Discount on policy renewal is also provided.

4 Cholamandalam Health Insurance

Cholamandalam MS General Insurance Company Limited is a joint venture between an Indian corporation, Murugappa Group, and the Mitsui Sumitomo Insurance Company, a Japanese insurance business. One of India’s biggest corporate groups, the Murugappa Group with its headquarters in Chennai is. Mitsui Sumitomo Insurance Company is an insurance specialist and is Japan’s third-largest home insurance agency. Cholamandalam Insurance is a rapidly rising provider of insurance in India. It began operations in India in 2001 and has more than 100 branches throughout the world.

Features

Specifications
Network Hospitals

8000+

Incurred Claims Ratio 

39.96
Renewability

Lifelong

Waiting Period

4 Years

4.1 Advantages of availing health insurance plans from Chola MS

Cholamandalam Insurance is a rapidly rising provider of health insurance in India.
Image Credit: free press journal

Chola MS is an increasingly increasing insurance company in India, aiming to become a respected pioneer in the health insurance sector; offering clear and creative health insurance solutions. Chola MS presents a wide variety of health care policies that target people, households, and senior citizens. The firm has been named the best insurance business in India for ‘Settlement of time claims for the year 2011 – 2012.’ Therefore, the importance Chola MS puts on claim resolution and how effective its procedures are is readily understood. The advantages of purchasing Chola MS health insurance plans are given below:

  • The company has over 4300 + impaneled hospitals that offer cashless procedures all over the network. The company has an in-house specialized team of physicians who oversee claims processes and are quick to process claims.
  • Select Chola MS Health Insurance policies that provide simultaneous compensation for injuries and serious diseases.
  • Hospitalization of the households is protected.
  • These arrangements include about 140 daycare practices.
  • Some policies include an annual cap on space rent.
  • Customers get a tax advantage under section 80D of the Income Tax Act on the costs of the health care plans they purchase.
  • Clients are granted protection for pre- and post-hospitalization.
  • Customers reap the advantages of a lifetime extension of the policies taken advantage of.
  • When the client has a no-claim year, they can reap extra rewards when the policy is extended the next year by an improvement in the amount promised.

5 Digit Health Insurance

The wellbeing situation is ever-changing and it’s becoming much worse with a sedentary lifestyle and increasing medical inflation. So that shouldn’t stop us from enjoying a good life. Digit Health Plus Program is intended to assist you financially in periods of crisis, and to shield you and your families from unexpected health issues that would potentially collapse your financial condition. Digit Health Plus Policy will help manage your health treatments without any stress and save you running at the eleventh hour from pillar to the poster. You should buy Digit Health Plus Insurance to guarantee that your loved ones are safe and healthy.

Features

Specifications
Network Hospitals

6400+

Incurred Claims Ratio 

60
Renewability

Lifelong

Waiting Period

2 Years

4.1 Key Features of Digit Health Plus Policy

Digit Health Plus Program is intended to assist you financially in periods of crisis.
Image Credit: go digit

Here’s what this insurance scheme has to offer:

  • Complimentary Medical Check-up Facility: Payment is restricted to a maximum of 5000 rupees, or up to 0.25% of the SI.
  • Amount Covered Restoration: The volume covered is refilled after depletion. The full protected balance is returned in the event of a Family Floater scheme. For eg, if the insured amount is 3 lakh rupees, and there are 3 members, and the insured sum is depleted after claiming then each member would get a refill of 3 lakhs as their insured sum.
  • Accrued Bonus: If you have not made any applications for hospitalization related to illness, involuntary hospitalization, and hospitalization for critical illness, you can earn cumulative benefit by renewing your agreement. The sum covered would go up without charging any additional fee.

4.2 What is Covered Under Digit Health Plus Policy?

The package deals with certain hospitalization costs including:

  • House pay, doctor’s appointments, prescription expenses, and diagnostic examinations.
  • The second outlay in scientific judgment.
  • Post-hospitalization costs and pre-hospitalization.
  • Practices of daycare.
  • This needs oral care following an injury.
  • Costs for an ambulance by lane.

And there are Other Special Benefits as Well:

  • Bariatric surgery, which stems from malnutrition, refers to cardiac disorders and respiratory issues respectively.
  • Psychiatric illness protection is given, to name a handful, in situations relating to depression, anxiety, diabetes, schizophrenia, and bipolar disorder.
  • You may also apply for a one-time fixed sum payout of post-hospitalization costs equal to 1.5 percent of the value of the petition.
  • Often accounted for is the unintended mask.
  • Organ transplantation costs, including pre- and post-hospitalization expenditures for patients, are protected, and the cap is 5 percent of the reported volume.
  • Care costs in-patient include care for Ayurveda, Homeopathy, Unani, or Siddha.
  • Air ambulance protection shall be given in the event of life-threatening emergency emergencies needing urgent transfer to the vicinity proximate hospital.
  • This treats pregnancy costs and unborn baby protection (under conditions). This also includes conditions linked to conception, including abortion that are medically required.
  • It also covers second delivery, and coverage increases to 200 percent of the original amount of coverage.
  • This is also possible to pay other non-hospitalization costs such as referral payments with physicians, oral care, wellness checkups, laboratory testing, prescription charges, etc.
  • Cover for domiciliary hospitalization
  • Coverage in serious disease hospitalization from prescription expenses, ICU, diagnostics, specialist payments, etc.

6 Edelweiss Health Insurance

Getting medical care at a decent hospital nowadays will put a void in your wallet, with anything as simple as fever. So that purpose must have a health insurance policy. Edelweiss Health Insurance has come up with three forms of health insurance policies, taking into consideration the rising medical costs and a rising number of illnesses. Such programs care for diverse markets as well as life-threatening illnesses such as cancer. Edelweiss’s life insurance gives diverse customers three versions of their health insurance package. You should look for a package that will fulfill much of your needs.

Features

Specifications
Network Hospitals

Incurred Claims Ratio 

70.01
Renewability

Lifelong

Waiting Period

4 Years

6.1 Benefits & features of Edelweiss Health Insurance

Edelweiss’s life insurance gives diverse customers three versions of their health insurance package.
Image Credit: wish policy

The Edelweiss General Insurance Corporation offers three forms of health insurance plans with the following advantages:

  • The Edelweiss health plan offers benefits for patients over 3 months of age. You don’t have to think about age restrictions to secure Edelweis’s health benefits.
  • You may buy health care for up to 8 individuals for yourself, your partner, 3 children, and other spouses (as allowed in the plan).
  • Edelweiss’ gold life care package provides up to 2 Crores in health protection cover.
  • Regardless of the package, you will take advantage of such advantages-medical security cover, surgical repatriation, medical care cover, humanitarian treatment, immediate medical transfer, mortal remains return, and second professional opinion.

6.2 Why Edelweiss Health Insurance?

Edelweiss Health Insurance policies are designed to provide full benefits at a reasonable price to the covered customers. For benefit from the following incentives, you can buy all of the Edelweiss health care plans:

  • Edelweiss Medical Insurance protects the regular and fair costs paid by the policyholder instead of health insurance services within the policy term with an accident, disability, or some other medical condition protected by the contract.
  • 20 percent co-payment extends only to participants above 60 years of age.
  • In the case of childbirth or engagement, the insurer offers a choice for the mid-term inclusion of a claimant. We would reimburse the fee on a pro-rata basis.
  • In both the policies (Silver, Gold, and Platinum) the qualifying period in buying an Edelweiss health care package is 90 days and the default age requirements are 65 years on the Silver and Gold versions. Yet there is no end on aging.

6.3 Edelweiss Health Insurance Plans

The most robust of Edelweiss General Insurance policies are such. Three variations are available – silver, gold, and platinum. And the assured sum limit is shown below:

    • Silver Plan – The sum assured limit for this plan is up to Rs. 5 Lakhs
    • Gold Plan – The sum assured limit for this plan is up to Rs. 20 Lakhs
    • Platinum – The sum assured limit for this plan is up to Rs. 1 Crore for premium variants.

7 Future Generali Health Insurance

Future Generali is a general insurance firm, a joint partnership between a leading Indian business organization, the Future Market Group, and Generali Group, a leading Italian-based corporation, a leading financial security and wealth management pioneer. The Generali Company is Italy’s biggest insurance firm, which is also one of Europe’s most successful insurance companies. The company started operations in September 2007.

Features

Specifications
Network Hospitals

4300+

Incurred Claims Ratio 

87.42
Renewability

Lifelong

Waiting Period

4 Years

7.1 Advantages of availing Future Generali health insurance plans

The Future Market Group, and Generali Group, is a leading Italian-based corporation
Image Credit: slide share

Future Generali’s organization focuses on consistency, consumer service, and streamlining the claims cycle. The company is currently among the country’s favorite names in the insurance sector. Here are the benefits of purchasing Future Generali life care plans:

  • There is cashless hospitalization at a network of 4200+hospitals in the world.
  • Expenses sustained before and after hospitalization are compensated.
  • Renewal happens during life.
  • Under section 80D the tax advantage is given for up to Rs. 25000.
  • Pick contracts include daycare activities.
  • There is a free 15-day look-in window.
  • Portability approved.
  • Free health checks are provided at authorized centers after four claim-free policy years.

8 HDFC ERGO General Health Insurance

HDFC ERGO General Insurance Company Limited provides Medical benefits. It was established in 2002 and operates through its 127 branches in 113 cities. It is a JV between HDFC Ltd and ERGO International AG. ERGO International AG is the Munich Re Group’s primary agency, while HDFC Ltd is India’s largest housing finance company. ERGO International AG holds a stake of 48,231 percent while HDFC holds a stake of 51,769 percent, rendering HDFC Ltd the largest shareholder in the undertaking. Headquartered in Mumbai.

Features

Specifications
Network Hospitals

10,000+

Incurred Claims Ratio 

52.58%

Renewability

Lifelong

Waiting Period

4 Years

8.1 Benefits and Advantages

The HDFC ERGO General Insurance Company is called the insurance industry leader because it gives its customers a little extra benefit when they purchase any HDFC ERGO health insurance plan.

The HDFC ERGO General Insurance Company provides a quick and simple method for renewing insurance policies.
Image Credit: Finance Wiki
  • HDFC ERGO General health insurance has a network of more than 10,000 hospitals in the world, enabling cashless clinics and other health care.
  • This is a 24 * 7 contact aid service to resolve requests about health benefits.
  • The insurance provider provides additional premium benefits that allow the policyholder to raise the amount covered in the event of years without claims.
  • The health company’s scope of facilities covers pre-hospitalization and post-hospitalization charges, daycare treatments, home-based (home) medical expenditures, and other associated expenses.
  • The firm provides a quick and simple method for renewing insurance policies.

8.2 HDFC ERGO General Health Insurance offers two types of Health Insurance Policies

  • Plan Health Insurance Indemnity.
  • Law for Lump-Sum Based Health Insurance.

8.2.1 Indemnity Health Insurance Plan

In this definition, the insurance benefit holder seeks reimbursement for the real amount of financial damages that he has suffered, up to the full value of the covered number.

8.2.2 Lump-Sum Payment Health Insurance Plan

In this type, payout to policyholders should be rendered as long after the disease or injury or other associated incident happens. This allows the policyholder to compensate for any minor cost to be sustained

  • During surgery.
  • Comes at a reasonably pricey price.
  • Available on a Custom or FHPL basis.
  • This health insurance plan provides tax exemption u / s 80D from the Income Tax Act
  • The settlement procedure with insurance claims is extremely easy and hassle-free.
  • Provide inpatient care coverage and covers all hospitalization expenses.
  • Provides coverage for up to 60 days and 90 days in non- and post-hospitalization costs respectively.
  • Provides reimbursements paid on some form of travel costs or expenses on organ donation, where some sort of organ transplantation has been performed.
  • The insurance includes Ayush Benefits i.e. hospitalization costs incurred under Ayurvedic, Sidha, and Homeopathy.

9 IFFCO Tokio Health Insurance

Life is full of confusion and no one knows when they will end up in a condition with immediate medical demands. The hospital bills that have reached sky-high now a day are adding damage to the injury. Via its all-encompassing life care policies, IFFCO Tokio Health Protection allows consumers to cover the immense costs in the case of a sudden severe illness or death. In addition to being all-inclusive, the Personal Health Insurance Policies & Community Health Insurance Programs are often expensive and include all persons and family members.

Features

Specifications
Network Hospitals

3,000+

Incurred Claims Ratio 

90%
Renewability

Lifelong

Waiting Period

3 Years
Effective Ratio

90%

No. of Policies Issued

156118
Grievances Solved

99.93%

9.1 Why choose IFFCO Tokio Health Insurance

IFFCO Tokio Health Protection allows consumers to cover the immense costs.
Image Credit: Indian Express
  • Policy manual released at all of the stores, POS centers, and internet transactions digitally signed on-the-spot.
  • Exclusion of pre-existing disease applicable in most health insurance plans only for 3 years, compared to 4 years offered.
  • The Sum Insured’s self-renewal service in case of a dispute under health insurance policies.
  • One of the few businesses promising a complete refund of the entire qualifying value of the claim in the various policies.
  • Third-party managers nil interference, rendering the whole operation easy and hassle-free.
  • A large network of almost 3000 associated hospitals for cashless facility across India.
  • The holder may turn over its policies to IFFCO-Tokyo for current policyholders with some other insurer.
  • 24×7 contact center committed to all help involving lawsuits and agreements.
  • A free rate on every ad-on content to be used to recruit family members.

9.2 IFFCO Tokio Health Insurance offers its plans in two different Segments

  1. The Individual Health Insurance Plans
  2. The Group Health Insurance Plans

10 Kotak Mahindra Health Insurance

Buying insurance is the most significant move you take in your lifetime. It is financial protection that saves your money from getting lost in case of a medical emergency. Health prices are at the height of increasing inflation and providing health benefits is crucial to cope with an exorbitant expense of health treatment. Here the health policy of Kotak Mahindra comes in handy to protect you!

Medical policy Kotak Mahindra comes with robust protection
Image Credit: Kotak Mahindra

Whether you choose Kotak Mahindra Insurance to cover your family members individually, you can add 4 adults and 4 children together. You will cover 2 adults and 3 children for a single fee if you decide for a family floater package.

Features

Specifications
Network Hospitals

4000+

Incurred Claims Ratio 

48.21%
Renewability

Lifelong

Waiting Period

4 Years

10.1 Benefits & Features of Kotak Mahindra Health Insurance

Health insurance offered by Kotak Mahindra comes with the following advantages and specifications.

  • Medical policy Kotak Mahindra comes with robust protection.
  • Covers oversight of the in-patient and OPD.
  • Instant policy renewal is possible with online insurance choice Kotak Mahindra.
  • Fewer papers on receiving health benefits at Kotak Mahindra.
  • Assistance 24×7 regarding claims.
  • Identification of Quick statements.
  • You may take advantage of incentives such as NCB Reward, Voluntary / Compulsory Deductible, etc.
  • This may be port diplomacy.
  • Cashless hospitalization advantages at network hospitals in India.
  • Through charging a single fee charge, the insurance scope will be applied to the whole family.
  • Avail tax gain for the health care costs owed.

10.2 Why buy Health Insurance from Kotak Mahindra

Health insurance provided by Kotak Mahindra is one of the customers’ famous products. Here’s why Kotak Mahindra General Insurance will purchase your health insurance:

  • The insurer is a 100 percent subsidiary of Kotak Mahindra Bank Ltd., one of India’s leading banks in the private sector. That being so, the insurer’s credibility is well known.
  • Kotak Mahindra General Insurance’s health insurance scheme comes with extra benefits, aside from the general insurance coverage.
  • By selecting health care members, the package may be personalized.
  • The package is robust where support can be given round-the-clock.
  • Cashless facilities can be used in India at network hospitals.
  • The health care plan is eligible for tax gain.

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