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Health Insurance

Individual, family-floater and senior-citizen health cover — plus group mediclaim for your team.

Family / employees
Choose a plan
Treatment & hospitalisation
Claim assistance
Overview

What is Health Insurance, and why does it matter?

Health insurance pays some or all of your medical costs — hospitalisation, treatment and, on many plans, care just before and after it — in exchange for a premium. Because a serious illness or accident can be financially disruptive at exactly the moment you can least plan for it, most families and employers treat health cover as a foundation policy rather than an optional extra.

Who should consider this

Risk

Risks this cover helps address

Coverage

What can be covered

In-patient hospitalisation

Room rent, ICU charges, doctor's fees, surgery, medicines and related costs during an admission, subject to your plan's terms.

Pre- and post-hospitalisation

Medical expenses for a defined period before admission and after discharge, as specified in the policy.

Day-care procedures

Treatments that no longer require a 24-hour admission thanks to medical advances, as listed by your insurer.

Family-floater cover

A single sum insured shared across a family, usually more cost-efficient than separate individual policies.

Senior-citizen plans

Plans designed around the eligibility and underwriting considerations relevant to older applicants.

Group mediclaim

Employer-sponsored cover for staff, often with simpler enrolment than individual policies.

Optional covers & add-ons

Read carefully

What's typically excluded

Every policy is different — this is a general guide to the kind of exclusions common in this category, not a list for any specific policy.

Buying & documentation

What affects your premium, and what you'll need

Premium factors

  • Age of the oldest person covered
  • Sum insured selected
  • Family size / number of lives covered
  • Pre-existing conditions and medical history
  • City of residence (zone-based pricing on some plans)
  • Add-ons and riders selected

Documents usually needed

  • Proposal form
  • Government-issued photo ID
  • Address proof
  • Recent health check-up reports (for higher sums insured or senior applicants)
  • Existing policy copy, if porting from another insurer
If something happens

How a health claim works

1

Confirm cashless or reimbursement

Check with the hospital's insurance desk whether it's in your insurer's network for cashless treatment.

2

Pre-authorisation

For cashless claims, this is usually needed before or shortly after admission.

3

Keep every original document

Bills, prescriptions and the discharge summary — reimbursement claims need originals.

4

Notify us or your insurer

Share your policy number and admission details as soon as reasonably possible.

5

Insurer review & settlement

The insurer reviews the claim against your policy terms and processes payment or reimbursement.

For full step-by-step guidance and a claim assistance form, visit the Claims Centre →

Learn more

Understanding Health Insurance

Video Guide Coming Soon

We're preparing a short explainer on health insurance. In the meantime, the sections above cover the essentials — or get in touch with a question.

FAQ

Frequently asked questions

What's the difference between cashless and reimbursement claims?

Cashless means the insurer settles directly with a network hospital, so you don't pay upfront for covered costs. Reimbursement means you pay first and claim the eligible amount back afterwards — useful at hospitals outside your insurer's network. Which applies, and any conditions, depend on your specific policy.

Will pre-existing conditions be covered from day one?

Usually not immediately — most policies apply a waiting period for pre-existing conditions, which varies by insurer and plan. We'll help you understand what applies before you buy.

Can I cover my parents on the same policy?

Some family-floater plans allow it; many insurers price senior citizens separately given different underwriting considerations. We can help you compare both approaches.

How much sum insured do I actually need?

It depends on your city, family size, age and the kind of treatment you'd want access to. We're happy to talk through a sensible starting point rather than guess a number for you here.

You may also need

Related cover worth considering

Ready to get a health quote?

Tell us what you need covered — no payment or policy details required to start the conversation.

Actual coverage, exclusions, limits, deductibles, eligibility and terms depend on the insurer, the policy you select and underwriting. This page is general information, not a quotation or a guarantee of cover — nothing here is a substitute for reading your policy wording, and no coverage exists until a policy is issued by the insurer.