Best Health Insurance Plans in India 2024: Coverage, Network Hospitals & CSR

In India, healthcare costs are increasing regularly.  Having the best health insurance plan is essential to protect yourself and your family from financial burdens in case of a medical emergency. But with so many plans on the market, choosing the right one can be challenging. When you are looking for the best health insurance policy in India, look at various factors like add-on riders, claim settlement ratio of the insurer company, coverage, network hospitals, etc.

List of the Best Health Insurance Plans in India 2024: Based on Maximum Sum Insured

Below, we have provided a list of the best health insurance plans in India for 2024 based on the maximum sum insured along with entry-age, and network hospitals.

Care (Formerly Religare) Health Insurance Plan

Care Health Insurance, previously known as Religare, provides a wide range of health insurance options designed to meet the varied healthcare requirements of both individuals and families across India. With a sum assured of up to Rs. 1 crore and a wide network of hospitals, Care Health Insurance ensures that policyholders have access to quality healthcare services whenever needed. 

The plans offered by Care Health Insurance also come with features like cashless claim settlements, coverage for pre-existing diseases, and lifelong renewability options. Care Health Insurance has a claim settlement ratio of 87.1% for the financial year 2021-2022, making it a reliable choice for affordable and comprehensive health insurance coverage in India.

Features & Benefits:

• Coverage Options: The insurance plan offers coverage on an individual as well as family floater basis.

• Pre-Hospitalization Coverage: Expenses incurred up to 30 days before hospital admission, including tests and investigations, are covered.

• In-Patient Hospitalization: Expenses within the hospital, such as room rent and ICU charges, are covered.

• Day-Care Expenses: Covered expenses for medical treatments that do not require a hospital stay exceeding 24 hours.

• Post-Hospitalization: Medical expenses after discharge, including pharmacy bills and doctor’s fees, are covered for up to 60 days.

• Domiciliary Hospitalization: Coverage for treatments provided at home when hospitalization is not possible for more than 3 days.

• Ambulance Cover: Reimbursement for ambulance services during emergencies, including air ambulance costs as an add-on option.

• Daily Hospital Allowance: Offers a daily stipend to cover hospital expenses.

• Organ Donor Cover: Reimbursement for medical expenses incurred by the organ donor during transplant surgery.

• Alternate Treatment: Covers costs for alternative treatments like Ayurveda, Homeopathy, Siddha, and Unani.

Exclusions:

• Pre-existing diseases: Any medical condition you had or were diagnosed with before the policy start date is excluded for a waiting period (typically 2-4 years).

• Self-inflicted injury: Injuries sustained due to suicide attempts, self-harm, or participation in dangerous activities are not covered.

• Substance abuse: Treatment costs from drug or alcohol abuse are excluded.

• Pregnancy and childbirth:  These are usually excluded, although some plans may offer maternity benefit riders.

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Digit Health Insurance Plan

Digit Health Insurance Plan is a comprehensive insurance policy offered by Digit Insurance that caters to the healthcare needs of individuals and families in India. With the maximum sum assured amount of up to Rs. 3 crore, a wide network of cashless hospitals, and a range of benefits, the plan ensures that policyholders have access to quality healthcare services without any financial burden. 

The plan covers hospitalization expenses, pre and post-hospitalization costs, daycare procedures, and annual health check-ups, and policyholders can avail of tax benefits under Section 80D of the Income Tax Act. Digit Health Insurance has a claim settlement ratio of 84.6% in 2021-2022, making it a reliable choice for health insurance coverage in India. 

Features and Benefits

• This healthcare package extends coverage to pandemics such as COVID-19.

• There are no age-specific co-payments required.

• No limitations on room rent.

• Cumulative bonus included.

• Coverage for psychiatric illnesses.

• All hospitalization treatment expenses are covered up to the sum assured.

• Additional benefits available include maternity coverage, Ayush benefits, and zone upgrades.

Exclusions:

• Pre and Postnatal Expenses: Routine maternity charges and childbirth are not covered unless hospitalization is required due to complications.

• Pre-Existing Diseases: If you have a pre-existing condition, there's a waiting period before the plan covers any claims related to it. This waiting period can vary depending on the specific plan and condition.

• Cosmetic Procedures: Treatments like cosmetic surgery or those for aesthetic purposes are generally excluded.

• Outpatient Department (OPD) Expenses (unless you have an OPD cover): This may exclude expenses on consultation fees, medicines, and diagnostics for OPD treatment.

Aditya Birla Active Assure Diamond Plan

The Aditya Birla Active Assure Diamond plan is a comprehensive insurance policy that provides a range of benefits to policyholders. With a sum assured of up to Rs. 1 crore, this plan offers financial protection to individuals and their families in the event of unforeseen circumstances. 

Additionally, this plan also includes optional riders such as accidental death benefit and critical illness cover, allowing policyholders to customize their coverage based on their specific needs. With features like premium waiver benefits and flexible premium payment options, the Aditya Birla Active Assure Diamond plan ensures a secure future for policyholders and their loved ones. With a claim settlement ratio of 93.7% in 2021-2022, it shows the credibility in insurance sector.

Features and Benefits:

• Sum Insured Reload Benefit: Sum Insured Reload Benefit is a feature of this health insurance policy that provides an additional sum insured if the original sum insured and any No Claim Bonus/Super No Claim Bonus have been used up due to previous claims. With this benefit, insured individuals can receive up to 150% extra sum insured (up to 50 lakh) for hospitalization expenses related to an unrelated illness.

• Daily Cash Benefit: The Daily Cash Benefit included in this policy provides insured individuals with Rs. 500 per day for each day they are hospitalized, up to a maximum of 5 days, for a sum insured amounts up to Rs. 4 lakh.

• Vaccination Benefit: Vaccination Benefit covers the cost of vaccinations for insured individuals up to 18 years of age, with this benefit available for sum insured amounts of Rs. 1 crore or more.

• Medical Check-up Program: The Medical Check-up Program offers free routine health check-ups to all insured individuals once per policy year, customized based on age and sum insured.

• Donor Organ Transplant Expenses: Donor Organ Transplant Expenses are covered under this plan, providing coverage for donor expenses for organ transplantation based on the chosen sum insured amount.

• Domiciliary Hospitalization: Domiciliary Hospitalization expenses incurred for treatment at home due to the insured's health condition or lack of available hospital beds for covered treatment are included in this plan.

Exclusions:

• Self-inflicted injuries: This includes suicide attempts and injuries due to recklessness.

• War and war-like situations: The policy won't cover injuries caused by war, riots, or acts of terrorism.

• Substance abuse: Treatment for drug or alcohol abuse is excluded.

• Mental illness: The plan doesn't cover treatment for mental health conditions.

• Cosmetic surgery: Procedures purely for aesthetic reasons are not covered.

• Weight loss programs: Expenses related to weight loss (except for bariatric surgery in some cases) are excluded.

• Preventive care: Routine checkups, vaccinations, and preventive medications are generally not covered.

Kotak Mahindra Health Premier Plan

Kotak Mahindra Health Premier Plan is a comprehensive health insurance policy that offers extensive coverage for medical expenses. The plan provides coverage for hospitalization, daycare procedures, pre and post-hospitalization expenses, and organ donor expenses. With a sum insured ranging from Rs. 5 lakhs to Rs. 30 lakhs, this plan offers financial security against unexpected medical emergencies. 

Additionally, the plan offers annual health check-ups, maternity benefits, and a wellness program to promote a healthy lifestyle. Kotak Mahindra Health Premier Plan also offers cashless hospitalization at network hospitals across India, making it convenient for policyholders to access quality healthcare services. The Kotak Mahindra Health Insurance claim settlement ratio for the year 2021-2022 was 85.4%.

Features and Benefits:

• This health plan offers individual and family floater options.

• The family floater plan can provide coverage for up to 3 adults and 3 dependent children.

• Policy periods of 1, 2, and 3 years are available.

• Family discounts and long-term policy discounts are offered

• All plan variants include the option for lifelong renewal.

• Optional coverage for critical illness and personal accidents is also available.

Exclusions:

• Self-inflicted Injury or illness: This covers injuries due to attempting suicide or self-harm.

• Intoxication & Mental Illness: Expenses from treatment of illness or injury caused by substance abuse (drugs/alcohol) or mental illness are not covered.

• Cosmetic Procedures: Expenses related to cosmetic surgery or aesthetic treatment are excluded.

• Unproven Treatments: The plan doesn't cover costs associated with experimental or non-standard medical treatments.

• Criminal Acts: Any claim from injuries or illness sustained during criminal activity is permanently excluded.

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Bajaj Allianz Health Guard Plan

Bajaj Allianz Health Guard Plan is a comprehensive health insurance policy offered by Bajaj Allianz General Insurance Company in India. With the sum assured amount up to Rs. 1 crore, this plan provides coverage for medical expenses, hospitalization, and other related costs. With a wide network of hospitals and healthcare providers across the country, policyholders can avail cashless treatment facilities. 

The plan also offers additional benefits such as coverage for pre-existing illnesses after a waiting period and coverage for maternity expenses. With a claim settlement ratio of 93.1% in the year 2021-2022, the Bajaj Allianz Health Guard Plan ensures that policyholders receive timely and hassle-free reimbursement for their medical expenses.

Features & Benefits:

• Hospitalization Benefits: This insurance plan covers all expenses related to in-patient hospitalization, such as room rent, ICU charges, surgery costs, and nursing expenses.

• Pre-Hospitalization Coverage: The policy includes coverage for any medical expenses incurred up to 60 days before being admitted to the hospital.

• Post-Hospitalization Expenses: After being discharged from the hospital, the plan covers medical expenses for up to 90 days.

• Road Ambulance Services: The insurance covers the costs of road ambulance services up to a maximum of Rs. 20,000 per policy year.

• Day-Care Procedures: This policy covers the expenses of day-care procedures, where the insured receives in-patient care for less than 24 hours.

• Organ Donor Cover: The plan provides coverage for expenses related to the treatment of an organ donor in the case of an organ transplant surgery.

• Daily Cash Benefit: The plan offers a daily cash benefit of Rs. 500 for up to 10 days to the parent or legal guardian accompanying an insured child under the age of 12 admitted to the hospital.

• Ayurvedic/Homeopathic Treatment: The insurance covers the cost of medical treatment through Ayurveda or homeopathy if the insured was admitted for more than 24 hours.

Exclusions:

• Pre-existing Conditions: The plan excludes coverage for pre-existing illnesses for a specific waiting period. This waiting period varies depending on the condition but can range from one to three years.

• Outpatient Treatment: Generally, the plan only covers hospitalization expenses. Outpatient treatment costs might be covered under separate plans offered by Bajaj Allianz.

• Self-inflicted Injuries: Injuries caused by suicide attempts or self-harm are not covered.

• War Injuries: The plan excludes coverage for injuries sustained during war or related activities.

HDFC ERGO Optima Restore Plan

The HDFC ERGO Optima Restore Plan is a comprehensive health insurance policy that offers coverage for medical expenses incurred due to illnesses or accidents. This plan provides a sum insured ranging from Rs. 3 lakhs to Rs. 50 lakhs, with the option to enhance the sum insured at the time of policy renewal. 

Additionally, the plan includes features such as restore benefit, which reinstates the sum insured if it is exhausted in a policy year, and a no-claim bonus that increases the sum insured by 50% for every claim-free year, up to a maximum of 100%. The HDFC ERGO Health Insurance claim settlement ratio for the year 2021-2022 was 95%. With a wide network of hospitals and a cashless claim settlement process, the HDFC ERGO Optima Restore Plan ensures the best healthcare services for policyholders in India.

Features & Benefits:

• Comprehensive Coverage: The Optima Restore Plan offers coverage for hospitalization expenses, including room rent, ICU charges, doctor's fees, surgery costs, diagnostic tests, etc.

• Restore Benefit: Restore Benefit automatically restores the sum insured amount if it is exhausted during the policy period. This ensures continuous coverage for medical emergencies without any additional cost.

• No-Claim Bonus: The plan offers a cumulative bonus for every claim-free year, which increases the sum insured amount without any additional premium payment. This encourages policyholders to maintain a healthy lifestyle and avoid making small claims.

• Lifetime Renewability: The policy offers lifetime renewability, ensuring that you can continue to avail of the benefits of the plan even as you age, provided premiums are paid regularly.

• Cashless Claim Settlement: HDFC ERGO has a huge network of hospitals where policyholders can avail of cashless treatment, making the claims process hassle-free and convenient.

• Pre and Post-Hospitalization Expenses: The plan covers medical expenses incurred before and after hospitalization for a certain period, which can include diagnostic tests, medications, consultations, etc.

• Ambulance Cover: It provides coverage for ambulance expenses, ensuring that emergency transportation costs are taken care of during medical emergencies.

Exclusions:

• Treatment availed outside India: The plan does not cover any medical expenses incurred outside of India.

• Self-inflicted injuries: Injuries that you inflict on yourself are not covered.

• War or acts of war: The plan excludes any treatment from war or acts of war.

• Dental treatments: Dental treatments are generally not covered.

• Maternity expenses: Maternity-related hospitalization is excluded.

• Hospitalization due to abuse of intoxicants: Treatment from abuse of drugs or alcohol is not covered.

Liberty HealthPrime Connect Plan

The Liberty HealthPrime Connect Plan is a comprehensive health insurance plan that caters to the medical needs of individuals and families in India. This plan offers a wide range of benefits, including hospitalization coverage, pre and post-hospitalization expenses, daycare procedures, and ambulance expenses. The maximum sum assured amount for the Liberty HealthPrime Connect Plan is up to Rs. 1 crore, providing policyholders with a substantial coverage option for their healthcare needs.

With this plan, policyholders can avail of cashless treatment at network hospitals across the country. Additionally, the Liberty HealthPrime Connect Plan provides coverage for critical illnesses and offers a range of additional benefits such as health check-ups and wellness programs. This plan ensures that individuals can access quality healthcare services without having to worry about the financial burden. The Liberty Health Insurance claim settlement ratio for the year 2021-2022 was 94%.

Features & Benefits:

• Coverage Options: The Liberty HealthPrime Connect Plan offers various coverage options tailored to individuals, families, or businesses, including options for different deductible levels, copayments, and coinsurance rates.

• Network Access: This plan may provide access to a network of healthcare providers, including doctors, specialists, hospitals, and clinics. In-network providers typically offer services at lower costs compared to out-of-network providers.

• Preventive Care: It includes coverage for preventive care services such as annual check-ups, vaccinations, and screenings at no additional cost to the insured.

• Prescription Drug Coverage: The plan may offer coverage for prescription medications, either through a formulary or a tiered system where different drugs have different costs.

• Financial Protection: This plan provides financial protection against high medical costs by covering a portion of eligible medical expenses, reducing the financial burden on the insured individual or family.

• Access to Care: With access to a network of healthcare providers, policyholders can receive necessary medical care without facing significant barriers related to cost or availability.

• Peace of Mind: Understanding that you have health insurance coverage can bring a sense of reassurance, enabling you to concentrate on your health and wellness without the stress of unforeseen medical costs.

Exclusions:

• Dental treatment or surgery: This includes any procedures performed on the teeth, gums, or jaw.

• External congenital anomaly: This refers to a birth defect that is visible on the outside of the body.

• Cosmetic surgery or plastic surgery: This includes any procedures performed to improve the appearance of the body, unless medically necessary due to an accident or injury.

• Self-inflicted injuries: This includes injuries sustained due to attempted suicide or self-harm.

• Unproven treatments: This includes any treatments that are not widely accepted by the medical community.

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Cholamandalam Healthline Insurance Plan

The Cholamandalam Healthline Insurance Plan is a comprehensive health insurance policy offered by Cholamandalam MS General Insurance Company Ltd. With a maximum sum assured amount of Rs. 25 Lakhs, this plan provides coverage for medical expenses, hospitalization, and other healthcare needs. With a wide network of hospitals and cashless claim settlements, policyholders can access quality healthcare services without any financial burden. 

The Cholamandalam Healthline Insurance Plan also includes additional benefits such as ambulance cover, health check-ups, and coverage for pre and post-hospitalization expenses. According to the Insurance Regulatory and Development Authority of India (IRDAI), Cholamandalam MS General Insurance has a claim settlement ratio of 95% in 2021-2022, making it a reliable choice for health insurance coverage in India.

Features & Benefits:

• Comprehensive Coverage: The Cholamandalam Healthline Insurance Plan provides extensive coverage for various medical expenses, including hospitalization, outpatient care, diagnostic tests, medication, and more.

• Cashless Treatment: Policyholders can avail of cashless treatment at a wide network of hospitals and healthcare providers, making the reimbursement process hassle-free during medical emergencies.

• Pre and Post-Hospitalization Coverage: The plan covers medical expenses incurred both before and after hospitalization for a specified period, ensuring comprehensive care for the insured individual.

• Daycare Procedures: Coverage extends to daycare procedures, allowing policyholders to undergo treatments or procedures that require less than 24 hours of hospitalization.

• Ambulance Services: The plan often includes coverage for ambulance services, ensuring prompt and safe transportation to the hospital during emergencies.

• No Claim Bonus (NCB): This Plan may offer a No Claim Bonus to policyholders for every claim-free year, either in the form of increased sum insured or premium discounts, incentivizing healthy living.

• Lifetime Renewability: Policyholders can enjoy the benefit of lifetime renewability, ensuring continuous coverage without age-related restrictions or worries about policy renewal.

Exclusions:

• Pre-existing Conditions:  This plan excludes coverage for any medical condition you had before taking the policy. This includes complications from those conditions.

• Specific Critical Illnesses: The Critical Healthline plan might exclude certain critical illnesses, especially if they arise from pre-existing conditions.

• Partial Organ Failure: Coverage for organ failure might be limited to situations where both organs are failing and require transplants or dialysis (e.g., kidneys).

• Non-Hospitalization Expenses:  Cholamandalam Healthline plans typically don't cover outpatient expenses, consumable items used during hospitalization (like syringes or bandages), or childcare during hospitalization.

IFFCO Tokio Individual Health Protector Plan

IFFCO Tokio Individual Health Protector Plan is a comprehensive health insurance policy that provides coverage for medical expenses incurred due to illness or injury. This plan offers a wide range of benefits such as hospitalization expenses, pre and post-hospitalization costs, and ambulance charges. The maximum sum assured amount for the IFFCO Tokio Individual Health Protector Plan is up to Rs. 25 lakhs, providing policyholders with a substantial coverage option for their healthcare needs. 

With a network of over 5000 hospitals across India, policyholders can avail of cashless treatment facilities at leading healthcare providers. Additionally, the plan also covers expenses for diagnostic tests, doctor consultations, and medication. With a high claim settlement ratio of 93.6% in the years 2021-2022, the IFFCO Tokio Individual Health Protector Plan ensures financial protection and peace of mind for individuals and their families.

Features & Benefits:

• Wide Coverage: The plan offers extensive coverage for hospitalization expenses, including room rent, ICU charges, doctor's fees, and more.

• Pre and Post-Hospitalization Expenses: Covers medical expenses incurred before and after hospitalization for a specified period, typically 30 days pre-hospitalization and 60 days post-hospitalization

• Ambulance Cover: Provides coverage for ambulance charges in case of emergency medical transportation.

• Daycare Procedures: Covers expenses for medical treatments or procedures that do not require 24-hour hospitalization but are performed in a daycare center.

• No Claim Bonus: Offers a cumulative bonus for claim-free years, wherein the sum insured increases without a premium increase.

• Financial Protection: Provides financial security against unforeseen medical expenses, ensuring that individuals and their families receive quality healthcare without worrying about the financial burden.

• Peace of Mind: You can have peace of mind knowing that you have comprehensive health coverage, allowing you to focus on recovery without worrying about medical bills.

• Access to Quality Healthcare: Enables access to a network of quality healthcare providers and hospitals, ensuring timely medical treatment.

Exclusions:

• Cosmetic Procedures: Procedures to enhance appearance are not covered. However, reconstructive surgery following an accident or illness may be included.

• Pregnancy and childbirth: Expenses related to pregnancy, childbirth, abortion, and related complications are not covered. There is an exception for ectopic pregnancy.

• Self-harm and War: Injuries due to self-inflicted harm, suicide attempts, war, or nuclear incidents are not covered.

• Substance Abuse: Treatment from substance abuse, such as drugs, alcohol, or tobacco use, is excluded.

• Specific Conditions: Certain conditions like behavioral, mental, and psychiatric disorders might have exclusions or waiting periods before coverage applies.

Future Generali Health Suraksha Plan

Future Generali Health Suraksha Plan is a comprehensive health insurance policy that offers extensive coverage for medical expenses. The maximum sum assured amount for the Future Generali Health Suraksha Plan is up to Rs. 10 lakhs, providing policyholders with a substantial coverage option for their healthcare needs. With a wide range of benefits such as cashless hospitalization, coverage for pre and post-hospitalization expenses, and maternity cover, this plan ensures financial security during medical emergencies. 

Additionally, the plan also provides coverage for alternative treatments like Ayurveda, Homeopathy, and Unani. With a vast network spanning over 5,000 hospitals throughout India, policyholders have access to cashless treatment and streamlined claim settlement processes. The claim settlement ratio for Future Generali Health Insurance in 2021-2022 was 80.5%. Future Generali Health Suraksha Plan is an affordable and reliable option for individuals and families looking for health insurance coverage.

Features & Benefits

• Wide Coverage: The plan offers extensive coverage for medical expenses incurred due to hospitalization, including room rent, doctor's fees, medicines, diagnostic tests, surgical procedures, etc.

• In-patient Hospitalization: The policy covers expenses related to in-patient hospitalization for a minimum of 24 hours. This includes room rent, nursing expenses, ICU charges, etc.

• Pre and Post-Hospitalization: Future Generali Health Suraksha Plan covers medical expenses incurred both before and after hospitalization, such as diagnostic tests, doctor consultations, medications, etc.

• Day Care Procedures: It covers expenses for specified day-care procedures that do not require 24-hour hospitalization but are medically necessary, such as chemotherapy, dialysis, cataract surgery, etc.

• Tax Benefits: Premiums paid for the Future Generali Health Suraksha Plan are eligible for tax benefits under Section 80D of the Income Tax Act, offering potential savings on taxes.

• Family Floater Option: The plan offers the flexibility of a family floater option, where multiple family members can be covered under a single policy, ensuring comprehensive coverage for the entire family at an affordable premium.

• Additional Riders: Policyholders can enhance their coverage by opting for additional riders such as critical illness cover, accidental death benefit, etc., for an extra premium.

• Free Health Check-up: Some variants of the plan offer free health check-ups as a preventive healthcare measure.

Exclusions:

• Pre-existing conditions: The plan won't cover any condition, injury, or related condition that you were diagnosed with, received medical treatment for, or had signs/symptoms of before you got the policy. This exclusion applies for 48 months from the policy start date.

• Newborn conditions: The plan excludes any disease contracted within the first 30 days of starting the policy.

• Organ transplant and joint replacement: Organ transplants and joint replacement surgery due to degenerative conditions are excluded for the first 36 months.

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Conclusion

In conclusion, when looking for the best health insurance plans in India in 2024, it is important to consider factors such as coverage, network hospitals, and claim settlement ratio. By choosing a plan with comprehensive coverage, a wide network of hospitals, and a high claim settlement ratio, individuals can ensure that they receive the best possible healthcare benefits and financial protection in case of medical emergencies. You can contact “Our Experts” to buy the best health insurance policy in India.