10 Best Health Insurance Plans In India (2022): Benefits, Eligibility & How To Buy

With the rising costs of medical treatments, bearing hospitalisation and other medical expenses can be challenging during an emergency. It can also affect your savings plan for the future. An ideal solution is to get a suitable health insurance plan. 

If you are not sure which plan to go for, here’s a list of the 10 best health insurance plans in India. Compare the features and benefits before you purchase health insurance for yourself and your family. Read on!

An ideal solution to the above issue is to get coverage benefits by choosing a suitable health insurance plan. Typically, the best health insurance plans in India cover several expenses arising from a medical emergency and help you to secure your finances in the process. 

Choosing the best health insurance in India can be a daunting task as there are various options available.  However, going through the following list can be a good start to streamline your choices. Read on!

Top 10 Health Insurance Policies In India 

Plans	Features
Care Health Care Plan	Cashless network hospitals: 16,500+ Claim settlement ratio: 95.2% Processing time: 2 hours
Aditya Birla Activ Assure Diamond Plan	Cashless network hospitals: 9000+ Claim settlement ratio: 94% Processing time: 2 hours
Bajaj Allianz Health Guard	Cashless network hospitals: 6500+ Claim settlement ratio: 98% Processing time: 1 hour
** Navi Health Insurance	Cashless network hospitals: 10,000+ Claim settlement ratio: 97% Processing time: 20 minutes
Bharti AXA Smart Super Health Plan	Cashless network hospitals: 4500+ Claim settlement ratio: 92.37% Processing time: NA
Digit Health Plan	Cashless network hospitals: 6400+ Claim settlement ratio: 63.56% Processing time: NA
ManipalCigna ProHealth Insurance	Cashless network hospitals: 6500+ Claim settlement ratio: 91% Processing time: 1 hour 30 minutes
Kotak Mahindra Health Premier	Cashless network hospitals: 5000+ Claim settlement ratio: 98% Processing time: NA
Edelweiss Health Plan	Cashless network hospitals: 3200+ Claim settlement ratio: 85.57% Processing time: NA
Niva Bupa Health Companion Individual Plan	Cashless network hospitals: 7600+ Claim settlement ratio: 90% Processing time: 30 minutes

** Terms & Conditions Apply

Benefits Of Buying The Best Health Insurance Plan 

Helps Avoid Medical Inflation

Due to medical inflation, treatments are becoming increasingly expensive. Nevertheless, a well-rounded health insurance plan covers such expenses and lets you beat inflation. 

Provides Quality and Affordable Medical Treatment

Health insurance policyholders can get affordable and quality treatments from authorised network hospitals. 

Cashless Hospitalisation

While availing of treatment from network hospitals, individuals can opt for a cashless facility which saves them from having to pay a considerable sum out-of-pocket.

Save for the Future

Financial liabilities arising from medical expenses can affect your savings plan for the future. Hence, you might want to cover such liabilities by opting for the best health insurance policy.

Tax Benefits

Members are eligible for tax benefits under Section 80D of the Income Tax Act. The benefits include tax savings on health insurance policy premiums. 

How To Buy The Best Health Insurance Policy In India

Before you buy a health insurance plan, here are the things to consider:

Coverage Scope

You might want to consider checking the coverage benefits under a health insurance plan before choosing one. Consequently, you can raise a claim accordingly. 

Sum Insured

If you are looking for better coverage under medical insurance, you might want to settle for a plan that comes with a high sum insured. 

Policy Type

There are several options available under a typical health insurance plan. One can choose from individual, family floater, senior citizen, critical illnesses policy types, etc.

Waiting Period

Health insurance policies come with a certain waiting period after which the coverage plan kicks in. Ideally, you might want to consider a plan that has a minimum waiting period.

Cashless Hospitals

One might want to choose the best health insurance plan from the top insurers who entail a wide network of cashless hospitals. 

Exclusions Under Health Insurance Plans 

1. Injuries arising from war, acts of terrorism, etc. 
2. Suicide attempts or self-inflicted injuries.
3. AIDS, terminal diseases and other diseases of the same category.
4. Costs of cosmetic or plastic surgery and hormone replacement surgery.
5. Expenses arising from dental or eye surgeries.
6. Rehabilitation or bed rest costs, common illnesses, etc. 
7. Costs of post-care procedures and diagnostic tests.
8. Expenses for the treatment of adventure sports injuries.

Eligibility Criteria For Health Insurance Plans

The eligibility criteria for health insurance policies depend on their terms and conditions and the particular insurance provider. The following are some standard eligibility criteria for medical insurance policies:

Age

18 to 65 years for adults and 90 days to 25 years for dependent children.

Pre-Medical Screening

Required for individuals above 45, 55 and 60 years.

Pre-Existing Disease Waiting Period

2 to 4 years.

How to File a Claim for the Best Health Insurance Plans

You can raise claims for health insurance policies through any of the two modes- reimbursement and cashless. Given below are the procedures for raising claims in case of emergency and planned hospitalisation:

Emergency Hospitalisation

• Inform the insurer within 24 hours of hospitalisation. 
• Furnish your health card and obtain a pre-authorisation form. 
• Submit this form to get Third-Party Administrator (TPA) approval for cashless claims. 
• On approval, the insurer will directly settle the amount with the hospital. 
• In case of disapproval, you can file for reimbursement later. 
• For reimbursement, you need to submit documents such as hospital bills, discharge bills, etc. 

Planned Hospitalisation

• Inform the insurer at least 48 hours before your treatment. 
• On getting TPA approval, you can file for reimbursement or a cashless process by submitting the claim form. 
• Attach other essential documents such as bills, reports, etc. 
• After successful approval, you can get the reimbursed money from the insurer. However, in the case of cashless mode, the insurer will directly settle the payment with the hospital. 

Navi Health Insurance policy comes with a range of benefits like a simple claims process and an affordable premium. Download the Navi App on Android or iOS and get comprehensive coverage for you and your family. 

Claim Settlement Process in Health Insurance Plans

There are two types of claim settlement processes in Health Insurance:

1. Cashless
   The insurer will settle the claim with the hospital. However, this facility can only be availed if hospitalisation is done at a Network Hospital.
   

• 2. Reimbursement
  The insurer settles the claim later by reimbursing the amount paid by the policyholder. You can claim reimbursement at a network or a non-network hospital.

Benefits of Navi Health Insurance Plan

1. Zero paperwork
2. Insure you and your family within 5 minutes
3. One-time subscription-based model
4. 10,000+ network hospitals across 400+ locations in India
5. Cashless claims under 20 minutes
6. Claim settlement ratio of 97%

Navi Health Insurance policy comes with a range of benefits like a simple claims process and an affordable premium. Download the Navi App on Android or iOS and get comprehensive coverage for you and your family.

Final Word

With the ongoing medical inflation, you might want to consider an insurance cover that curtails your financial burden during times of emergencies. In this regard, you may want to look for the best health insurance policies due to their attractive features and benefits. 

FAQs on Best Health Insurance Plan

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