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Types of Health Insurance Explained


In India, health insurance came into the market back in the year 1986. Since then, the industry has come a long way. This phenomenal growth has been achieved thanks to the economy’s liberalisation, increasing awareness of the general public and the availability of various types of health insurance schemes.

As per stats revealed by the National Family Health Survey – 4, India had 108 million families benefiting from medical insurance policies as of 2018. While the government’s efforts to cover citizens against the cost of various medical conditions continue, as much as 56% of total urban health insurance schemes stem from the private sector.

This combined commitment towards providing protection to Indians has resulted in the emergence of different health insurance plans. Below are explained the various health insurance schemes you can purchase to enjoy a cover against several medical conditions, illnesses and diseases.

Five Types Of Health Insurance Schemes

Health insurance plan for family

Family health insurance policies provide cover to all family members under one scheme. These plans cover expenses incurred on treating insured medical conditions of family members severally as well as to multiple members up to the assured amount.

It provides a hassle-free cover to all family members through a single premium. You can also add new family members to this policy conveniently and enjoy long-term benefits.

With policies like Bajaj Finserv family health insurance, you can also enjoy long-term discounts on your policy, up to 8% for three years and up to 4% for two years.

Individual medical insurance

Individual medical insurance policy is among the most popular types of health insurance schemes. A person is individually covered under this plan to receive benefits like cashless hospitalisation, cost of treatment while hospitalised, and many more.

Other benefits you can expect from an individual health policy are as follows –

       Exemption from medical tests under specific circumstances
       Policy discounts in long term
       Cumulative bonuses for each year without a claim

Medical insurance for critical illness

An individual or family health insurance plan can provide sufficient cover for illnesses. However, these schemes do not cover critical medical conditions like kidney failure, heart attack, cancer and the likes.

To cover yourself during such emergencies, you require standalone policies that provide lump-sum benefits if you are diagnosed with or suffering from any of the critical illnesses specified.

These policies also provide the facility to add riders on to the initial plan. Some of the best health insurance plans in India bring them as rider covers so that you can choose accordingly.

Top-up medical cover

In case the coverage amount from an individual plan is not sufficient to meet the expenses of a single treatment, policyholders can opt for a top-up health cover. The policy can provide reimbursements for additional expenses met by the insured.

The plan also comes with floater coverage with the sum assured for parents as well as children. You have to pay one premium to purchase your scheme of health insurance online.

Health insurance policy for group/employee

Usually, companies buy a group or employee insurance policy to provide their employees with coverage against expenses towards medical care.

The hassle-free claims for these types of health insurance schemes cover a broad range of illnesses for employees and their dependents against a considerably smaller premium. Group medical insurance plans also come with add-on benefits like cover for maternity expenses, for pre-existing diseases, etc.

Apart from these, other types of health insurance include cover for senior citizens, maternity health cover, personal accident insurance cover, etc.

Choose your plan based on your individual, family or employee requirements and enjoy cover against expenses incurred for various medical illnesses. Also, make sure to properly go through the terms and conditions of your insurance provider to avoid any misunderstandings in the future.