The document provides a summary of the 5 best health insurance plans in India for 2020. It discusses what health insurance is and tips for choosing a good plan, such as taking enough coverage, being careful of premium rates, and opting for lifetime renewal options. A table compares features of the top plans from ICICI Lombard, Max Life, HDFC Ergo, Royal Sundaram, and Religare. Common health insurance questions are also addressed.
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5 Best Health Insurance Plans in India for 2020
September 8, 2020 Suresh KP
5 Best Health Insurance Plans in
India for 2020
Many ignore health insurance plans
thinking that they are in good health.
Once they fall ill, hospitalization
expenses would ruin their financial
status and all their hard earned
money is spent on medical bills.
With the rising illness probability and
the ever-increasing cost of hospitalization, health insurance has become a must product to
buy. In this article, we would provide some of the best health insurance plans in India to
consider in 2020. We would also provide some tips on choosing a good health insurance
plan based on features.
Also Read: Best health insurance plans for senior citizens
What is a health insurance plan?
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A Health insurance plan is a type of insurance that offers financial coverage for medical
expenses incurred in case of a medical emergency. It is an agreement between the insurer
and the insured to pay for the medical expenses incurred by the insured up to the limit of the
sum insured. According to a study, the cost of hospitalization is increasing at a rate of 10%.
So, at times it is impossible to finance the hospitalization expenses completely from your
savings. In Metropolitan cities, if you are admitted to a good hospital for some disease, it
would sweep away your years of savings.
In olden days, our forefathers rarely visited the hospital to seek medical advice. In the
current world, our lifestyle has become full of stress. We have to suffer from one or other
medical ailments. These days BP, Diabetes, Obesity, Thyroid etc.. has become common
diseases, even for the younger generation.
How do you choose a best health insurance plan?
At the time of claim, many people do not get their claim as expected. Their claims might be
rejected on many grounds, citing several reasons. There are many hidden clauses and
conditions attached to the health insurance plan. One must go through the offer document
very carefully before finalizing a particular health insurance plan. The following are a few
tips that would help you in choosing the best plan.
1) Take enough coverage
Keeping in mind the rate of inflation of hospitalization you should try to go for a health
insurance base plan that has sufficient sum insured. Consider the total number of members
you are adding in the policy and based on that you should decide sum insured.
2) Be careful with premium rates
Check the premium rates properly, especially at the older age as few companies raise the
rates drastically for older age coverage.
3) Be vigilant
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Read the blueprint of the health insurance policy very carefully. If you have any doubt in the
features, clarify it then and there.
4) Day-care treatments
We should choose a health plan that offers the highest day-care treatment coverage. With
the advancement in medical technology, many treatments have been converted into day-
care treatments. So, it is important to understand how many day care treatments your
health insurance product covers.
5) Room Rent Capping
Many companies put a room rent capping refraining you from taking a claim on room rent.
We must try to choose a policy where there is no such capping if possible.
6) Hospital criteria
Most of us are unaware of the fact that there is a certain definition of the hospital as per the
health insurance company. There are certain eligibility criteria that a hospital should meet to
make the claim eligible. You should refer to this point very clearly before choosing a policy.
7) Maximum Cover
Covering all the diseases and all the features is not possible in one policy, so you should try
to identify the features you want to cover. Try to identify the product that covers the
maximum illnesses that you have in your family history, as many diseases are genetically
transferred.
8) Buy early stage of life
Buying the health insurance policy at an early age is always better than postponing it for a
later stage. The more you postpone the higher will be the premium it would cost you.
9) Family floater or individual
4. It is always advisable to go for an individual policy if the age of one family member is quite
higher than the others. For instance, in a family of four, if the age of the oldest person is 65
years, but the rest other three members are less than 50 years, then it is better to buy an
individual plan for that 65-year-old individual and the rest three members can be covered in
the family floater. Always remember that one of the factors of fixing the premium is the age
of the oldest person.
10) Renewal
Nowadays, when insurance companies are offering lifetime renewal options. You should
choose the one in which you have the option to renew it forever. This way you don’t need to
take a fresh plan with higher premiums.
11) Waiting period
Generally, all the insurance companies have a waiting period of three to four years for the
existing diseases. If your concern is to cover the existing diseases, identify the company
which has less waiting period in health insurance.
12) Incurred Claim Ratio: Another important factor is checking the incurred claim ratio.
This is nothing but how much amount of claims are settled over the premiums received.
Ideal is 50% to 80%. If it is lower, this means, company is not honoring health insurance
claims. Higher means, it is honoring majority of claims, but running without profits and
company cannot sustain in medium to long term. You can check more at Incurred Claim
Ratio in health insurance.
5 Best Health Insurance Plans in India for 2020
Here are the list of best health insurance plans for 2020 in India.
1) ICICI Lombard – Complete Health Insurance Plan
2) Max Life – Health Companion
5. 3) HDFC Ergo – Optima Restore (erstwhile Apollo Munich Optima Restore which is taken
over by HDFC Ergo few months back)
4) Royal Sundaram – Lifeline Supreme Family Floater
5) Religare – Care Health Insurance Plan
Comparing Health Insurance Plans in India for 2020 with their features
The following is the comparison drawn between the Best Health Insurance plans in India.
They have been compared based on the few features like day-care coverage, room rent
cap, waiting period, pre and post hospitalization claims. It also provides the sample
premium for an individual or family floater package for 30 years individual with Rs 5 Lakhs
of sum insured. Note that such premium are indicative can change without notice. One can
select a suitable plan comparing health insurance plans and their features indicated here.
*click on image to enlarge
FAQs about Health Insurance Plans in India
1) Which are the top 10 health insurance companies in India 2020?
Here are the top 10 health insurance companies list.
i) SBI Health Insurance Company
ii) Star Health Insurance Company
iii) Bajaj Allianz General Insurance
iv) Oriental Health Insurance Company
v) Max Bupa Health Insurance Company
vi) Religare Health Insurance Company
6. vii) Manipal Cigna Health Insurance Company
viii) Apollo Munich Health Insurance Company (which is taken over by HDFC Ergo now)
ix) ICICI Lombard Health Insurance Company
x) New India Assurance Health Insurance Company
2) Which is the best health insurance company in India as per claim settlement?
7. Health insurance companies have incurred claim ratio. If one has to consider ICR, here are
the best health insurance companies in India.
S.No. Insurer Incurred
Claim
Ratio
1 Bajaj
Allianz
77.6%
2 Future
Generali
87.4%
3 ICICI
Lombard
68.3%
4 SBI
General
52.9%
5 Tata AIG 60.6%
6 Star
Health
61.8%
3) What is the difference between the family floater and individual plan?
In a family floater health insurance plan, a single sum insured is shared by all the family
members during the policy period, whereas in the individual health insurance plan, each
member has their own sum insured.
You may like: Best 1 Crore Term Insurance Plans in India
4) Can I add my spouse to individual health insurance policy which I have opted?
Some of the health insurance companies would allow spouse name to be added in health
insurance plan provided the shift is to a family floater health plan.
8. 5) Does health insurance provide income tax benefits?
Yes. The premium paid for health insurance is eligible for deduction as per income tax act
80D. An individual can claim a deduction of up to Rs 25,000 for the insurance of self,
spouse, and dependent children. An additional deduction for the insurance of parents is
available. This is to the extent of Rs 25,000, if the parents are less than 60 years of age.
The additional deduction can be up to Rs 50,000 if the parents are aged above 60.
6) What documents are required to buy a health insurance plan?
Generally, the following documents are required to buy health insurance
i) Age proof
ii) Identity proof
iii) Address proof
iv) Passport size photo
v) Some plans may require medical check-up reports, usually for people above the age of
45
Conclusion: With the changing lifestyle and increasing vulnerability to diseases, health
insurance has become a mandatory product for everyone. Today, the market is flooded with
a plenty of health insurance plans. It is not possible to cover all the features in a single plan.
You need to be wise while choosing the health insurance plan that suits you the most. There
are many clauses and terms and conditions attached to the policy. So, one MUST read the
blueprint of the policy very prudently before opting for any such health policy.
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9. 4 comments
4 comments
P R Singh
September 9, 2020 at 6:24 pm
Hello
Which insurance company accept the reimbursement or cash less treatment if hospital
write the occasional drinking during past i. e Ethanol
Thanks
Reply
Suresh KP
Author Recent Posts
Suresh KP
Suresh KP is the Founder of Myinvestmentideas. He is NISM Certified Investment
Adviser (Level-1), did MBA-Finance and has been analyzing financial markets in the
last 20 years.He tracks Mutual Funds, Stocks, Insurance Plans, Health insurance etc.
and provides various insights on this blog to help investors. He also provides various
business ideas for aspiring entrepreneurs. He can be reached at
suresh@myinvestmentideas.com
17 Gk N s A 17
SHARES
10. September 9, 2020 at 8:43 pm
Hello PR Singh, There is no readymade insurance package for alcohol
consumers. One need to declare in the healthcare application form and health
insurance can approve or reject your health insurance plan before issuing.
Reply
E.pandarinath
September 8, 2020 at 10:45 pm
Star health insurance company which is largest and more than 50 % Market share in
the country why you even mention about the star ⭐healthy insurance
Reply
Suresh KP
September 9, 2020 at 3:56 pm
Hello Pandarinath, We have filtered only 5 based on features. Yes there are
other good health insurance policies too. Just read my entire article. Star health
insurance is falling in 6th row. We covered only 5 in our article.
Reply