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General Insurance · Health

Health Insurance cashless protection when it matters most.

Individual, family floater, senior citizen and super top-up plans covering hospitalisation, day-care procedures and critical illness — compared across 18 insurers on claim ratio, network and waiting periods, not just premium.

10,000+
Cashless hospitals
18
Insurers compared
₹5L – ₹2Cr
Cover range available
Health Insurance

10,000+

Cashless hospitals

What is health insurance?

One hospitalisation shouldn't undo years of savings.

Health insurance reimburses or directly settles hospitalisation, pre/post-hospitalisation and day-care procedure costs, up to your chosen sum insured — the single policy that protects every other financial goal you're working toward.

Hospitalisation cover

In-patient treatment, ICU charges, surgeon and anaesthetist fees for hospitalisation over 24 hours, largely cashless at network hospitals.

No-claim bonus

Sum insured grows by up to 100% over claim-free years, at no additional premium.

Section 80D deduction

Premiums qualify for tax deduction — ₹25,000 for self/family, an additional ₹50,000 for senior citizen parents.

Day-care & pre-existing cover

540+ day-care procedures are fully covered, and pre-existing conditions are covered after a waiting period, typically 2-4 years.

Plan features

What's inside a modern health policy.

Health insurance in India has evolved well past a simple room-rent-and-surgery cover.

Family floater

A single sum insured shared across the family, usually cheaper than individual policies for young families.

Restoration benefit

Sum insured automatically restores to 100% after it's exhausted in a policy year, at no extra cost.

Super top-up

Adds ₹20-50L of cover above your base/employer policy at a fraction of the cost of a fresh base plan.

OPD & wellness cover

Select plans reimburse outpatient consultations, diagnostics and preventive health check-ups.

Coverage details

How much cover is enough.

A city-and-age-adjusted starting point — we refine this in conversation.

₹10L – ₹25L

Individual, metro city

Recommended minimum given metro hospitalisation costs.

₹15L – ₹50L

Family floater (4 members)

Shared sum insured for a young family in a metro or tier-1 city.

₹10L – ₹25L

Senior citizen (individual)

Higher cover recommended given age-related claim probability.

₹20L – ₹50L

Super top-up (on employer cover)

Additional cover above a ₹3-5L employer group policy.

Claim process

From admission to discharge.

Cashless is the default path — here's how it works end to end.

01

Admission

Show your health card and Aadhaar at a network hospital; the hospital raises a pre-authorisation request.

02

TPA authorisation

The TPA reviews and authorises the claim, usually within 2-4 hours. We escalate if it's delayed.

03

Treatment & discharge

You pay only for non-covered items; the insurer settles the rest directly with the hospital.

04

Post-discharge follow-up

We track any reimbursement for pre/post-hospitalisation expenses and follow up on pending claims.

Frequently asked

Common questions, honestly answered.

A family floater covers all members under a single sum insured — cheaper, but risky if multiple members claim in the same year. Individual policies give each member their own sum insured. We recommend individual policies for families with elderly members or known chronic conditions.
Yes, almost always. Employer cover typically gives ₹3-5L and ceases when you leave the company. A personal super top-up (kicks in after a threshold) gives ₹20-50L additional cover at ₹3,000-8,000/year — one of the best-value insurance buys available.
The insurer pays the hospital directly — you pay nothing except non-covered items. Show your health card and Aadhaar at admission; the TPA authorises the claim, usually within 2-4 hours. We handle escalations if authorisation is delayed.
Yes — IRDAI allows portability without losing waiting-period credits. Apply at least 45 days before renewal. We handle the entire porting process and ensure you don't lose accumulated no-claim bonuses.
Some policies cap eligible room rent as a percentage of sum insured. Exceeding it triggers proportionate deduction on the entire bill, not just the room charge — a common source of claim shortfall. We prioritise plans without this cap where budget allows.
Yes, after a waiting period — typically 2-4 years depending on the insurer and condition. Full, honest disclosure at purchase is essential; non-disclosure is the most common reason for claim rejection.
Financial expert
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Expert Guidance

Don't wait for a hospital bill to find the gap in your cover.

Compare 18 insurers on claim ratio, network and waiting periods — not just premium.

Disclaimer: Insurance is the subject matter of solicitation. Please read the policy wordings, including waiting periods and exclusions, carefully before purchasing. Premiums vary by age, sum insured and insurer. Pingale Financial Services · IRDAI Corporate Broker License No. CB-XXXXXXX/XX/2024.

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