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What is the Health Insurance Cost in India?

The cost of health insurance in India varies based on factors like the plan type, coverage options, and the insured’s age and medical history. Niva Bupa offers a range of health insurance plans, including ReAssure 2.0, Health Companion, and GoActive, that provide extensive protection while remaining budget-friendly.

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Why Choose Niva Bupa?

Trusted by over 1.5 crore+ happy customers, Niva Bupa (formerly known as Max Bupa Health Insurance) provides a wide range of health insurance plans to suit every need

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1.5 Crore+

Happy customers served till date

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Custom Health Insurance Plans designed for You

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How does Our Claim Process work?

Get to know the steps involved in the claim Process, Whether it is a planned or emergency hospitalisation. Filling a claim is made easy by choosing any of the following ways:

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1

Hospital Admission:

Get admitted to a Niva Bupa network hospital.

2

Identification:

Present your Niva Bupa Health Card or policy number along with valid ID (Passport/PAN card/Voter’s ID) to the hospital staff.

3

Pre-authorisation:

The hospital will verify your details and submit a pre-authorisation request to Niva Bupa.

4

Niva Bupa Confirmation:

After verification, Niva Bupa will confirm coverage to the hospital via fax and email, and notify you by text and email, typically within 30 minutes of the request.

5

Final Settlement:

Upon completion of treatment and necessary formalities, the hospital will settle the claim with Niva Bupa according to your policy terms.

All you need to Know about Health Insurance Cost in India

There is no denying that health insurance is an absolute necessity in current times. It helps policyholders avail timely medical care without worrying about financing the rising healthcare costs. However, purchasing a policy also entails full health insurance coverage costs. The policyholders make regular premium payments in exchange for the right to file claims when the need arises.

If you are considering buying the best health insurance plan, you must gain a comprehensive understanding of the health insurance cost in India and compare them against the policy benefits. You will find this information in the following article. The upcoming sections will help you examine the main elements and variables that affect health insurance cost in India and provide tips to lower expenses while maintaining sufficient insurance coverage.

 

Understanding the Cost Elements of a Health Policy

Health insurance prices comprise various components. Here are the major components that reflect the overall expenses associated with obtaining and maintaining coverage:

Premiums

The premium is the regular payment made to the insurance company in exchange for coverage.

Deductibles

Deductibles are the total amount you must pay out of pocket before the insurance coverage kicks in.

Co-payments

Co-payments require you to contribute a specific percentage of the medical expenses, with the insurance company covering the rest. This cost-sharing mechanism helps in lowering premiums, thus ensuring you bear a portion of the financial burden when seeking medical services.

Add-On Riders

Some health policies offer additional riders that you can include for an extra cost. These riders may provide coverage for specific critical illnesses, maternity expenses, or other specialised services.

No-Claim Bonus (NCB)

Some insurance policies offer a no-claim bonus, which provides a discount on the premium for each claim-free year.

The Average Health Insurance Prices in India: Key Factors

The average medical insurance price in India is influenced by several factors. For instance, an individual policy of ₹50 lakh for a 30-year-old individual can cost anywhere in the range of ₹20,000–60,000 per year. A family plan where the oldest member’s age is around 30 years, on the other hand, can cost between ₹40,000 and ₹50,000.

Understanding the following factors that drive the average medical insurance price can help you budget effectively and make informed choices when selecting a health plan:

Age and Health Profile

Younger individuals pay lower premiums compared to older individuals or those with pre-existing medical conditions. This is because insurers have to bear a lower risk in the case of younger and healthier individuals.

Sum Insured

The sum insured, or the maximum amount the insurer will pay in case of a claim, directly influences the premium. Opting for a higher sum insured results in higher premiums.

Coverage Type

Comprehensive plans that cover a wide range of medical expenses, including hospitalisation, outpatient care, and pre- and post-hospitalisation expenses, tend to have higher premiums.

Policy Duration

Opting for a longer policy term can offer cost savings compared to renewing the policy annually. Many insurers provide discounts for policyholders who commit to multi-year coverage.

Geographical Location

In urban areas with higher healthcare expenses, premiums are relatively higher compared to rural areas. The availability of medical facilities, the cost of living, and healthcare infrastructure contribute to these regional variations.

Tips to Reduce the Cost Burden of a Health Policy

Reducing the cost burden of a best health insurance policy requires a strategic approach that balances affordability with adequate coverage. Here are some tips to help minimize health insurance plan prices:

Shop Around and Compare Plans
Don't settle for the first health plan you come across. Compare policies from different insurance providers. In addition to premiums, also consider coverage, deductibles, and co-payments. Online comparison tools like premium calculators can be valuable in helping you make an informed decision.

Choose the Right Coverage Level
Assess your healthcare needs and choose a coverage level that aligns with those needs. While comprehensive plans offer extensive coverage, they come with higher premiums. If you are relatively healthy and don't anticipate frequent medical visits, a basic plan with lower premiums can be sufficient.

Start Early
As discussed above, premiums are often lower for younger individuals, who are generally healthier and present lower risks to insurance providers. Starting early allows you to avail yourself of low cost health insurance. Additionally, it provides the opportunity to accumulate no-claim bonuses and build a history of consistent coverage.

Explore Family Plans
If you have a family, consider opting for a family health plan. These plans often provide coverage for multiple family members at a discounted rate compared to individual plans. This can be a cost-effective way to ensure the health and well-being of your entire family.

Take Advantage of Employer-sponsored Plans
If your employer offers healthcare insurance benefits, take advantage of them. Employer-sponsored plans often come with group discounts. Employers generally contribute to the premium cost, reducing the burden on individual policyholders.

Review and Update Your Policy Regularly
Periodically reassess your healthcare insurance needs and policy. As circumstances change, such as a change in family size or health status, adjust your coverage accordingly. This ensures that you are not paying for coverage you no longer need or are underinsured for potential risks.

Obtain a Top-up Plan
One emerging strategy to consider is the incorporation of top-up plans. These plans offer an additional layer of coverage beyond the basic health policy, often at a more affordable premium. Top-up plans kick in once the basic policy's coverage limit is exhausted. They provide an extra financial cushion without significantly increasing the health insurance plan prices. This can be a prudent way to enhance coverage without stretching the budget.
 

Find the Right Balance between Cost and Coverage


While it's crucial to manage expenses, it's equally important to ensure that your health policy provides adequate protection in times of need. Niva Bupa’s diverse range of low cost health insurance plans, including ReAssure 2.0, Health Companion, Health Premia, Super Saver, GoActive, and more, are designed keeping this in mind. These plans offer all-around protection while ensuring cost-effectiveness.

Moreover, you can reduce the full health insurance coverage cost with the help of our flexible family floater plans and long-term policies while enjoying features like no-claim bonuses. Our policies further allow you to reduce out-of-pocket costs by availing cashless treatment at the 10,000+ network hospitals. Contact us today and get started on your insurance journey with one of the best health insurance companies in India.

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