How to Determine the Ideal Medical Insurance Coverage in India
With medical expenses rising and health issues becoming more common every year, health insurance has become more important than ever. Choosing the right plan can be difficult with so many options, but you need enough coverage to stay financially protected. Experts recommend a policy with coverage of at least half your annual income.
Read ahead to figure out how much health insurance you might need to keep you and your family protected. Why Do You Need Enough Health Insurance?
Health insurance is like a lifelong safety net, as it stays with you as long as you pay your premiums on time. It generally protects you from huge medical bills and helps you stay covered during tough times.
Here’s why having enough coverage is important:
Smart Future Investment: Health issues can happen at any age, even under 40, so it's a good idea to be prepared early.
Rising Medical Costs: Healthcare is getting more expensive every year. Hence, a good insurance plan can help protect your savings from high medical bills. What’s the Right Health Insurance Coverage in India?
Experts recommend getting health insurance with coverage of at least ₹5–10 lakh in India. However, the right amount mainly depends on your health condition, age, and location. Everyone’s needs are different, so one plan may not work for all.
Here’s a quick guide to help you choose the right coverage:
Plan Type
Tier-1 City
Tier-2 City
Tier-3 City
Individual Plan
₹10 lakh+
₹5–10 lakh
₹5 lakh
Family Floater Plan
₹30 lakh+
₹20 lakh+
₹10 lakh+
Senior Citizen Plan
₹20 lakh+
₹15 lakh+
₹10 lakh+
Note: These are general suggestions. The right amount can vary based on your age and health needs. How to Choose the Right Health Insurance Coverage?
You should follow these 2 simple rules to choose the best coverage amount for your health insurance:
Your coverage should be at least half of your yearly income.
It should be enough to pay for major treatments like heart surgery at the preferred hospital. Things to Consider When Choosing Your Health Insurance Coverage
You need to decide how much coverage you require before buying health insurance. Here are some important things to consider when choosing health insurance coverage in India:
Type of Plan: Depending on who needs coverage, you should choose between individual, family floater, or senior citizen plans. Family plans generally require higher coverage since everyone shares it.
Future Illness Costs: Consider serious illnesses such as cancer, heart problems, or kidney issues. A critical illness plan can also be helpful.
Preferred Hospital: Ensure your preferred hospital is in the insurer’s network and check treatment costs there.
Existing Coverage: If your job offers health insurance, you must know how much it covers and if you need more from a personal plan.
Family Health History: If illnesses like high blood pressure or diabetes run in your family, get a plan that mainly covers those.
Lifestyle Habits: Unhealthy habits can even lead to issues like diabetes or high cholesterol. Hence, you must choose a plan that includes such conditions.
Age: Older people generally require more coverage, while young adults can choose affordable plans with basic coverage.
Budget: Choose a long-term plan that you can afford. A high sum insured is only helpful if you can keep up with the payments.
Tax Benefits: Health insurance can even help save on taxes. So, choose a plan that qualifies for tax deductions if that’s important to you.
Costly Treatments: Ensure the coverage is enough for special treatments like heart surgery at a preferred hospital. How to Avoid Choosing a Low Health Insurance Sum Insured Amount?
You can use the tips below to avoid choosing a health insurance plan with too little coverage and becoming underinsured:
Assess Your Health Needs: Understand your current health, medical history, and potential future expenses to select a coverage amount that fully covers your medical costs.
Review Policy Details: Carefully read the policy’s terms and conditions to understand what’s covered and any exclusions so you know the policy’s limitations.
Choose Adequate Coverage: Opt for a sum insured that meets your requirements, even if it means paying a slightly higher premium. It's better than facing high out-of-pocket costs later.
Consult Experts: If you're still unsure, seek advice from insurance experts to help you determine the right coverage for you.
Take a look at your personal needs using the tips above and choose a health insurance plan that gives you enough coverage. In this way, you and your family will be well-protected against unexpected medical costs.
Star Health Insurance is a great choice for health insurance plans as we offer wide coverage, trusted service, and plans that are highly customized to your specific requirements. These plans give you peace of mind when it matters most.
Disclaimer: This FAQ page contains information for general purpose only and has no medical or legal advice. For any personalized advice, do refer company's policy documents or consult a licensed health insurance agent. T & C apply.