Best Mediclaim Policies in India

Health insurance policies enable individuals to take care of their planned and emergency medical expenses, whenever the need arises. These policies are customized for individuals and families to cater to varied health insurance needs. Insurance companies offer a wide range of mediclaim policies that people can select from as per their preference.

Top Mediclaim Policies in India

Apollo Munich Optima Restore

About the Plan: Apollo Munich Optima Restore is a health insurance policy designed as a family floater plan is to offer coverage to your entire family, which includes the policyholder, his/her spouse, dependent children, dependent parents and dependent parents-in-law.

Entry Age: 5 years to 65 years

Sum insured: Rs. 3 lakhs, Rs. 5 lakhs, Rs. 10 lakhs, Rs. 15 lakhs, Rs. 20 lakhs, Rs. 25 lakhs and Rs. 50 lakhs Policy Renewability: Apollo Munich Optima Restore policy offers lifelong renewability, which means that there is no maximum cover ceasing age.

Features and Benefits:

  • With the Restore Benefit, even if any of the family members insured by the plan uses the sum insured partially or fully, the insurer will automatically restore the entire sum insured through its restore benefit to 100% of the sum insured.
  • Restore Benefit is applicable only once during a policy year and cannot be carried forward to the next policy year.
  • Single claim size cannot exceed sum of base sum insured and multiplier benefit, if any
  • Policyholders who have opted for the Multiplier Benefit, will be rewarded with 50% increase in the pre-decided sum insured after two claim-free years.
  • The Stay Active Benefit encourages customers to lead a healthy lifestyle by making them eligible for attractive discounts on premiums.
  • Waiting period, as specified in the policy document, gets minimized by 1 year on every continuous renewal of the Apollo Munich Optima Restore Insurance policy.

Religare Care NCB Super

About the Plan: Religare Care NCB Super plan is a comprehensive health insurance plan that financially protects families against planned and unforeseen financial emergencies. You can focus on medical treatment of your family member, while the policy takes care of the finances.

Entry Age: The minimum entry age is 91 days. There is no maximum entry age limit.

Sum insured: Rs. 4 lakhs to Rs. 6 crores, depending upon the plan

Policy Renewability: Religare Care NCB Super Plan offers lifelong renewability

Features and Benefits:

Co-payment – No Co-payment is applicable in the policy if age of the eldest member insured at the time of first policy is below 61 years. 20% Co-payment will be applicable in the policy, if age of the eldest member insured at the time of first policy is 61 years or above In-patient care: This benefit is offered on hospitalization for at least 24 hours, applicable on room charges, nursing expenses and intensive care unit charges, surgeon's fee, doctor's fee, anaesthesia, blood, oxygen, operation theatre charges, etc. For hospitalization that spans less than 24 hours, the benefits will be applicable only for day care treatment.

No-Claim Bonus: When no claims are raised in a policy year, the policyholder is eligible for getting a 50% increase on his/her sum insured, up to a maximum of 150% in 5 consecutive years. Organ Donor Cover: Medical expenses incurred by an organ donor while undergoing the organ transplant surgery is covered by this mediclaim policy.

Covers alternative treatments: This mediclaim policy covers non-allopathic AYUSH treatments - Ayurveda, Unani, Sidha or Homeopathy.

Waiting Period – The waiting period for this plan is 30 days for any illness, except accidental injury. However, for pre-existing illnesses, the plan requires 4 years of continuous coverage.

Star Family Health Optima Plan

About the Plan: It is a comprehensive health plan that offers a range of benefits, right from new born to senior citizens.

Entry Age: The entry for this mediclaim policy ranges from a minimum of 18 years to a maximum of 65 years. Children can be covered under the floater plan of the policy from their 16th day of birth. The policy can be renewed even if the policyholder is beyond 65 years of age.

Sum insured: The sum insured for this mediclaim policy ranges from Rs. 1 lakh to Rs. 25 lakhs.

Policy Renewability: Guaranteed Lifetime renewals beyond the age of 65 years is applicable under this mediclaim policy.

Features and Benefits:

  • Hospitalization benefits: The mediclaim policy covers medical expenses incurred towards hospital room, boarding and nursing expenses, as per the limits mentioned in the policy document. It also includes costs incurred for surgery, anaesthesia, doctors’ consultation, oxygen, OPD, diagnostic tests, prescribed drugs and medicines, blood, etc.
  • Ambulance charges: Ambulance charges incurred for transportation is Rs. 750/- per hospitalisation and overall limit of Rs. 1500/- per policy period. Air Ambulance charges are also covered up to 10% of the basic sum insured during the entire policy period. This is available for Sum Insured of Rs. 5 Lakhs and above only.
  • Pre and post hospitalization: Pre-hospitalization expenditures incurred up to a maximum of 60 days before being admitted to the hospital is covered under this mediclaim policy. Post-hospitalization expenditures are covered up to 90 days after discharge from the hospital.
  • Domiciliary hospitalization: Medical treatment undertaken for over three days actually taken whilst confined at home counts as domiciliary hospitalization under this mediclaim policy.
  • Organ donor expenditures: The mediclaim policy cover up to 10% of the sum insured or Rs. 1 lakh, whichever is lesser.
  • AYUSH treatment: The mediclaim policy covers expenses up to a maximum limit, as per the policy document.
  • New born baby cover: The cover is applicable from the 16th day after birth and extends till a maximum limit of 10% of the sum insured or Rs. 50,000, whichever is lesser.
  • Automatic Restoration of Sum Insured: This is available 3 times at 100% each time, during the policy period. Each restoration becomes applicable only after the exhaustion of the previous one.
  • Bonus: A claim free year bonus of 25% of the expiring basic sum insured in the second policy year and an additional 10% for the subsequent years, up to a maximum of 100%, is applicable.
  • Other benefits: Expenditures incurred towards health check-ups are reimbursed up to a certain limit, as mentioned in the policy document.

Max Bupa Health Companion Individual

About the Plan: ‘Health Companion’ is an affordable and comprehensive plan, designed keeping in mind the individual and nuclear family (you, your spouse and up to 4 children) needs. A direct claim settlement, cashless facility, and assured plan renewal for life are some of the key benefits.

Entry Age: This mediclaim policy offers benefits across life stages – from new born of at least 90 days to senior citizens of any age. Maximum entry age is not applicable on this mediclaim policy. Sum insured: This starts from a minimum of Rs. 2 lakhs to Rs. 1 crore. Policy Renewability: This health plan offers assured lifelong renewability.

Features and Benefits

In-patient Care on Hospitalization: All family members insured under the mediclaim policy is eligible for getting coverage for his/her hospitalization expenses incurred.

Hospital Accommodation: Expenses towards all types of hospital accommodation, with the exception of suite or above room category, is covered by this mediclaiim policy without any capping on room rent charges.

Pre and Post Hospitalization: Pre hospitalization charges extending up to 30 days before getting admitted to a hospital and post hospitalization charges up to a maximum of 60 days after being discharged is covered by this mediclaim policy.

Day Care Treatments: Expenses for all day care treatments incurred on in-patient hospitalization is covered.

Refill Benefit: Base sum insured and No Claim Bonus is refilled on being partially or completely exhausted.

AYUSH Treatments: AYUSH treatment is covered up to the base sum insured.

No Claim Bonus – This mediclaim policy offers an increase on the base sum insured at the rate of 20%, up to 100% of the base sum insured for every claim-free year.

Health Check-up - Health Check-up is offered to every family member insured by the mediclaim plan.

2-year Policy Tenure Option: This policy offers a 12.5% discount on the second-year premium to policyholders who have opted for the 2-year policy tenure option.

Ambulance Charges: Expenses up to Rs. 3,000 incurred for emergency ambulance services are covered by the plan.

Organ Transplant: Medical Expenses for an organ donor’s in-patient treatment for the harvesting of the organ donated is also covered, provided the organ is for the insured person.

Domiciliary Treatment: This benefit is applicable on medical treatment undertaken for a minimum of 3 consecutive days.

Hospital Cash Benefit: A lump sum payment of Rs. 2,000/4,000 per day for each 24 hours of hospitalization in addition to the in-patient treatment benefits is applicable on this plan. However, to avail this benefit, a minimum of 48 hours of hospitalization is required. The benefit amount depends on the plan variant chosen.

Tax Benefit: You will save tax under Section 80D of the Income Tax Act.

Direct Claim Settlement: All claims are processed directly by the in-house customer services team of the insurance company.

Free look Period: This mediclaim policy offers a free look period of 15 days.

ManipalCigna ProHealth Plus Insurance Plan

About the Plan: ProHealth Insurance Plus Plan from ManipalCigna, formerly known as Cigna TTK, offers the dual benefit of protection and savings.

Entry Age: The minimum entry age is 91 days for children and 18 years for adults, while there is no maximum entry age applicable on this mediclaim policy.

Sum insured: The sum insured varies from Rs. 4.5 lakhs to Rs. 10 lakhs.

Policy Renewability: HDFC Health Suraksha gives unrestricted coverage for your entire lifetime.

Features and Benefits

Hospitalization: Medical expenses up to the pre-determined sum insured amount is covered by this mediclaim policy.

Pre and post hospitalization: Medical expenses for up to 60 days before hospital admission and up to 180 days after being discharged are covered.

Restoration benefit: Additional protection with unlimited restoration for unrelated illnesses and injuries is offered during a policy year if the current sum insured is partially or entirely exhausted.

Worldwide emergency cover: One of the unique highlights of the mediclaim policy is that the insured is covered for medical expenses incurred for in-hospital treatment across the globe.

Tax Benefits: As applicable on annual premium payments under Section 80D of the Income Tax Act, 1961.

HDFC ERGO Health Suraksha Gold Regain

About the Plan: Here, you can get a wholesome cover with a wide sum insured and maximum coverage. This plan provides maternity cover as well as coverage for the new born. In addition to this, Regain Benefit gives you the exhausted sum insured when you need it the most.

Entry Age: There is no maximum entry age limit to buy Health Suraksha. Anyone who is 91 days old can buy the policy. Children below 5 years however, can be covered only if both parents are covered under the policy.

Sum insured: From Rs. 3 lakhs up to Rs. 10 lakhs, one can choose the sum insured plan according to their health history as well as affordability of premium.

Policy Renewability: HDFC Health Suraksha gives unrestricted coverage for your entire lifetime.

Features and Benefits

In-patient Treatment : Pre hospitalization benefits 60 days before hospital admission and post hospital expenses up to 90 days after discharge form the hospital

No Sub-limits on any disease, Room Rent hospital charges and doctor fees

Day Care Benefits - Pays for medical expenses for 144 day care procedures which do not require 24 hours hospitalisation due to technological advancement.

Maternity Benefits: This benefit is offered to both new mothers and new-borns.

Convalescence Benefit: The policyholder is eligible for a lump sum amount of 1% of the sum insured up to a maximum of Rs. 10,000, which serves as a financial security for meeting household needs and home healthcare expenses, when hospitalization exceeds 10 days.

Organ Donor Expenses - Pays for medical expenses for an organ donor's treatment in the event of organ transplantation

Emergency Ambulance Charges - This policy pays transportation expenses to help reach the nearest hospital, if the insured encounters life-threatening injuries.

Enhanced Cumulative Bonus (ECB): A 5% bonus on the pre-determined sum insured is applicable on every claim free renewal.

Royal Sundaram Lifeline Supreme

About the Plan: Comprehensive coverage including Health & Wellness benefits, Annual Health Check-up, Second Opinion for Critical Illness and much more! Individuals over the age of 18 years of age can opt for Lifeline. It can be availed as an Individual plan and as a Family Floater plan for self, spouse and children.

Entry Age: For adults, the entry starts from 18 years. There is no maximum entry age limit. For children, the entry age ranges from 91 days to 25 years.

Sum insured: It varies from Rs. 5 lakhs to Rs. 50 lakhs.

Policy Renewability: This comes with lifelong renewability.

Features and Benefits

  • In-patient hospitalization expenses up to the pre-decided sum insured
  • Pre and post hospitalization covered for up to for 60 days prior to being admitted to the hospital and 90 days after hospital discharge
  • All day care procedures up to the sum insured
  • Ambulance cover of up to Rs. 5,000 on emergency hospitalization
  • Coverage for the treatment of organ donor up to the amount of sum insured
  • Domiciliary hospitalization expenses are covered up to the sum insured amount
  • No-Claim Bonus (NCB) starts from 20% of the sum insured till a maximum of 100%. No reduction in NCB, even when a claim is filed during a particular year
  • 100% reload of sum insured in case the total sum insured and NCB is completely exhausted
  • In-patient hospitalization cover of up to the sum insured in government hospitals and up to Rs. 30,000 in other hospitals on AYUSH treatment
  • Expenses up to Rs. 5,000 covered for expenses towards vaccination required due to animal bite
  • Annual health check-ups for every insured member of more than 18 years old, irrespective of claim
  • Expenses incurred towards second opinion taken for diagnosis and treatment of 11 specified critical illnesses
  • Emergency domestic evacuation cover of up to Rs. 1 lakh
  • Waiting period of 3 years from the date of issuance of the mediclaim policy

Aditya Birla Active Assure Diamond Plan

About the Plan: This policy from Aditya Birla Health Insurance is a comprehensive health plan, customized not just for individuals, but for families as well. It also provides incentives for the insured individuals to improve their lifestyle and financial security during medical emergencies.

Entry Age: Minimum age of entry is 5 years. There is no upper limit on entry age.

Sum insured: The sum insured ranges between Rs. 2 lakhs to Rs. 2 crores.

Policy Renewability: lifetime renewability

Features and Benefits

  • 150% reload of sum insured for subsequent claims due to unrelated illnesses of up to Rs. 50 lakhs
  • Emergency assistance services, including air ambulance, in and outside India
  • HealthReturns of a maximum of 30% of premium on leading a healthy lifestyle
  • In-patient hospitalization benefits on medical expenses incurred on hospitalization spanning more than 24 hours on services like room rent, drugs, OPD, doctors’ charges, etc.
  • Pre and post hospitalization for expenses incurred 30 days before hospitalization and 60 days after hospitalization
  • Covers 586 day-care procedures even if hospitalization spanned less than 24 hours
  • Additional benefit of Rs. 500 per day as daily allowance on hospitalization of a maximum of 5 days, up to sum insured of Rs. 4 lakhs
  • Expenses incurred towards AYUSH treatment on in-patient hospitalization
  • No Claim Bonus of a minimum of 10% to a maximum of 50% of sum insured on no-claims made on consecutive policy years, even without the policyholder not raising a claim
  • Vaccination expenditures for children up to 18 years of age, applicable on sum insured of Rs. 1 crore and above Free health check-ups on policy renewals
  • Medical expenses for organ donation, accidental and cancer hospitalization booster, etc. are also covered by the mediclaim policy

Star Senior Citizen Red Carpet Health Insurance Policy

About the Plan: This policy is especially designed to meet the unique medical needs of senior citizens.

Entry Age: The entry age applicable for this policy is from 60 years to 75 years.

Sum insured: Sum insured on individual basis ranges from Rs. 1 lakh to Rs. 7.5 lakhs for an individual policy, while the sum insured for floater basis varies from Rs. 10 lakhs to Rs. 25 lakhs.

Policy Renewability: The mediclaim policy offers Guaranteed Lifelong Renewals.

Features and Benefits:

  • In-patient hospitalization expenses on being hospitalized for a minimum of 24 hours
  • Cashless hospitalization in the extensive list of network hospitals
  • Ambulance charges on emergency hospitalization as per specifications mentioned in the policy document.
  • Pre hospitalization expenses of up to 30 days before being admitted to the hospital and post hospitalization expenses equivalent to 7% of the hospitalization expenses in the form of lump sum till the time specified.
  • Medical consultation expenses for out-patients in a network hospital up to limits specified in the policy document.
  • Health check-up eligibility for every claim free year
  • All day care benefits
  • Sub-limits applicable for certain illnesses, as mentioned in the policy document

Universal Sompo Complete Healthcare Insurance - Privilege

About the Plan – A comprehensive plans that reimburse medical expenses incurred in a hospital and also the out-patient charges and various value-added services

Entry Age - 18 for adults and policyholder with the maximum age at entry being 70 years. 91 days for dependent children or 1 day for children under floater plan with the maximum being 25 years.

Sum Insured – The Privilege option one can choose from sum insured options like Rs 6 Lakh, Rs 7 Lakh, Rs 8 lakhs, Rs 9 lakhs and Rs 10 lakhs for an Individual or floater plan.

Policy Renewability – Lifetime Renewability

Features and Benefits

Inpatient hospitalization – If hospitalized for a minimum period of 24 hours, this plan covers room charges, nursing expenses and intensive care unit charges to surgeon‘s fees, doctor‘s fees, anaesthesia, blood, oxygen, operation theatre charges , medicines, drugs, consumables etc.

Day care Treatments - Medical expenses for 141 Day Care Procedures are covered

Domiciliary hospitalization - Medical expenses incurred for treatment at home for a period exceeding 3 days is covered up to the chosen sum insured.

Pre and post hospitalization - Pre and post hospitalization expenses are covered for a period of 30 and 60 days, respectively.

Organ Donation - Medical expenses for an organ donor‘s treatment for harvesting of the donated organ are covered.

Maternity Benefit - Medical expenses incurred for the delivery of the child are covered.

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