A quick introduction to health insurance.

All the basics you need to know about health insurance.

Frequently asked questions about health insurance

General

What is the eligible age to buy health insurance?
While the eligibility age for health insurance policies differs, the general entry age for adults' range between 18 years to 70 years.
What are the types of health insurance plans I can apply for?
The different health insurance plans you can apply for include Individual Health Insurance Plan, Family Floater Health Insurance Plan, Senior Citizen Health Insurance Plan, Critical Illness Insurance Plan, Group Health Insurance Plan, and Personal Accident Insurance Plan.
Why should I buy health insurance?
Health insurance protects your savings by covering medical expenses and ensures you can get quality treatment without financial stress during emergencies.
I have been recently diagnosed with a medical condition. Will I be allowed health insurance?
If you have already been diagnosed with a medical condition, it will be considered a pre-existing disease. In this case, your insurance company may apply a waiting period and you may have to pay for the medical expenses related to that condition.
What is Health Insurance?
Health insurance is a policy that helps you pay for your medical expenses, such as hospitalisation and treatment as per the terms and conditions of the plan, up to a set coverage amount in exchange for a premium.
Will I be eligible for tax benefits if I buy health insurance?
Yes. Buying health insurance will earn you the eligibility to claim tax benefits under Section 126 (previously 80D) of the Income Tax Act, 2025.
Can I buy more than one health insurnace plan?
Yes, you can buy more than one health insurance plan. However, you may not be allowed to claim against multiple plans for the same event unless the insurance companies are sharing the cost.
What are the benefits of buying a critical illness insurance policy?
A critical illness policy covers serious diseases like cancer, stroke, and heart attack, and pays a lump sum on diagnosis. The payout can be used for treatment, recovery, or daily expenses, and may offer tax benefits.
Can I increase my sum insured if I already have a policy?
Yes, you can get a higher sum insured at the time of policy renewal, subject to insurer approval and revised premium.
What documents do I need to buy health insurance?
You would need basic KYC documents like identity proof, address proof, and age proof. In some cases, insurers may also ask for photographs, medical reports, or income proof.
Will I gain more benefits by buying health insurance at an early age?
Yes. Buying health insurance early helps you get lower premiums, access to better coverage options, complete waiting periods sooner, and earn long-term benefits like no-claim bonuses.
What are the things I should consider before buying my health insurance policy?
Things you should consider before buying your health insurance policy are your medical needs, the type of plan you want to buy, features of the plan, sum insured options, network hospital list, exclusions, premium, and customer reviews.
Is maternity covered in standard health insurance policies?
Yes, many health insurance plans provide maternity and newborn benefits. Some plans also offer this coverage as an optional add-on.
What is meant by donor expenses?
Donor expenses are the medical and hospitalisation costs incurred by the organ donor during an organ transplant, including surgery and related treatment.
What is a pre-existing disease?
A pre-existing disease is any illness or condition you already have before buying health insurance. Examples include diabetes, asthma, high blood pressure, anxiety, or sleep disorders.
Can I transfer my health insurance policy from one health insurance company to another?
Yes, you can transfer your health insurance policy from one insurance company to another. This is called porting of a health insurance plan. Porting is allowed 45 days before the expiry date of your current policy.
Does my health insurance policy cover me for COVID-19 treatments?
Yes. Health insurance policies in India cover expenses related to COVID-19 treatment, including hospitalisation, as per policy terms and IRDAI directives.
What are some common exclusions under health insurance plans?
Common exclusions include cosmetic procedures, dental treatments (unless due to an accident), injuries from self-harm, and treatments related to activities like adventure sports or substance abuse.
What is a network hospital?
A network hospital is a hospital that has a tie-up with your insurer, where you can get cashless treatment. The insurer directly pays the approved medical expenses to the hospital.

Policy

What are the benefits of buying a critical illness insurance policy?
A critical illness policy covers serious diseases like cancer, stroke, and heart attack, and pays a lump sum on diagnosis. The payout can be used for treatment, recovery, or daily expenses, and may offer tax benefits.
Can I cancel my health insurance policy after purchasing?
Yes, if you wish to cancel your health insurance policy after purchase, you can do so within 15 days of policy issuance.
Is maternity covered in standard health insurance policies?
Yes, many health insurance plans provide maternity and newborn benefits. Some plans also offer this coverage as an optional add-on.
Can I transfer my health insurance policy from one health insurance company to another?
Yes, you can transfer your health insurance policy from one insurance company to another. This is called porting of a health insurance plan. Porting is allowed 45 days before the expiry date of your current policy.

Renewal

Can I pay my health insurance premium in Installments?
Usually, the health insurance premium is paid on a yearly basis. But, you can pay your premium in installments (monthly, quarterly or half-yearly basis) as per the terms and conditions of the insurance company.
What if I miss the premium renewal date?
In case you miss the health insurance renewal due date, you will be given a grace period of 15-30 days. If the policy is not renewed within the grace period then you might have to buy a fresh policy where all benefits like served waiting period, discounts, welness benefits, etc. would be lost.
Will my health insurance policy expire if not renewed on time?
Yes, a health insurance policy expires if not renewed on time. You cannot make a claim against an expired policy.

Insurance Coverage

Can I add my family members to my health insurance policy?
Yes, you can add yourself, spouse, dependent children, parents (or parents-in-law) to your health insurance policy as per the terms and conditions of the insurance company.
What are the common coverage benefits under my health insurance?
Health insurance coverages differ from policy to policy. However, common coverages include hospitalisation, pre and post-hospitalisation expenses, daycare procedures, ambulance charges, and more.
Will my health insurance cover begin from day one?
Some health insurnace plans do offer day 01 coverage. Please check your policy document if this is available under your health plan. Otherwise, there is a short, initial waiting period of 15-30 days applicable on most plans. Note that accident claims are allowed even during the initial waiting period.

Claims

How will health insurance pay for my emergency medical expenses?
If you choose to get treated at a network hospital, you can opt for cashless claims where the applicable expenses are paid directly to the hospital. In case of a non-network hospital, you can first settle the hospital bill and then raise a reimbursement claim, where the approved claim amount will be sent to your preferred bank account.
Is there a limit on the number of claims that I can avail in one year?
No, there is no limit on the number of health insurance claims made during the policy period. But, the total claim amount cannot exceed the sum insured limit of the plan.
What is a cumulative bonus?
Cumulative bonus is an increase in the sum insured by a specific percentage for every year a claim is not made, up to a certain limit. It is offered by insurers on indemnity based health insurance plans and only when the policy is renewed without a break.
What happens to the policy coverage once the claim is filed?
After a claim is filed and settled, the claimed amount is deducted from your sum insured, and the remaining balance is available for the rest of the policy year.