Individual Health Insurance

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An individual health insurance plan or a personal medical insurance is a policy that covers a single person against medical bills and hospitalization costs. This can be purchased for yourself, your spouse, your children, or even your ageing parents.

 

What can it do for you?

  • Covers medical expenses before, during, and after hospital stays.
  • Reimburses treatments, hospital, and surgical bills, and other expenses, including ambulance and daycare charges.
  • Gives an option of cashless claims through a large network of hospitals.

Highlights of Individual
Health Insurance

Tailored health plans
₹5 lakhs coverage from ₹12/day
No room limits, more choices
20+ insurers, 100+ plans
COVID-19 coverage included
Lifetime renewals
Critical illness coverage

Sahi Advice,
Sahi Insurance

If you have any questions related to how to choose the best insurance company, you can connect with our IRDAI certified insurance advisors.

Advice that comes with Experience.

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What is Individual Health Insurance?

Everything You Need to Know

Benefits of Individual Health Insurance

Individual health insurance offers financial protection against high medical expenses. It covers treatment, hospital stays, check-ups, and more.
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Medical bills

Coverage for medical bills, pre- and post-hospitalisation.

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Existing diseases

Pre-existing conditions coverage included after a waiting period.

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Cashless/Reimbursement

Cashless claims in a network hospital or reimbursement claims.

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Tax benefits

Under Section 80D on annual premium.

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OPD charges

Some plans cover outpatient department (OPD) costs.

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Exclusive for you

Full coverage for medical treatments or hospitalization in a family floater

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Higher medical risk

Ideal for high-risk individuals.

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No restrictions:

Multiple claims in a year allowed.

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Age barrier

No age limit for renewals.

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Personal Accident

Some plans cover accidental injury coverage.

Simple Steps and Assistance for Buying an Individual Health Insurance Plan

At Paybima, buying an insurance plan is easy and you can opt for an advisor’s help anytime.

Simple and
Easy-to-follow Steps
Comparison of Top
Plans for Free
Help from Certified
Advisors Anytime
Honest Advise.
No Force Selling

Key Feature of Individual Health Insurance

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Daycare costs

Daycare procedure coverage included.

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Critical illness cover

Critical illness coverage included after waiting period.

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Ambulance charges

Covers ambulance charges.

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Co-payment

The person covered under the policy must have a fixed amount to avail the health services.

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Pre- and post-hospitalisation

All plans cover pre- and post-hospitalisation expenses.

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Medical examination

It is not mandatory but some plans may ask for a test.

Health Insurance Policy for Coronavirus (COVID-19)

The plan may cover hospitalization costs incurred in the treatment of COVID-19.

Individual Health Insurance – Inclusions

What is covered under individual health insurance

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Preventive health examinations

Precautionary health check-up included.

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Hospitalisation expenses (in-patient)

Cover all hospitalisation costs that need overnight stays or more.

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Pre- and post-treatment

Covers pre and post hospitalization expenses

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Emergency services for an ambulance

Covers hospital transportation.

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Coverage for treatment against COVID-19

Covers all medical expenses.

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Laboratory test charges

Covers most lab test expenses.

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Daycare charges

Plans that cover treatments and procedures under 24 hours.

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Domiciliary charges

Covers doctor-prescribed home treatment when medical facilities are limited during emergencies or epidemics. Expenses incurred for organ donation: Plans that cover organ transplant and donation expenses. Alternative treatment: Covers alternative care like homeopathy, Unani, Ayurveda, etc.

Got Existing Illness?

Select the appropriate plan that covers more than 50* existing illness

*The number of illness covered values for different insurance companies.

View Plans

Individual Health Insurance – Exclusions

What is not covered in individual health insurance

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Self-inflicted injuries

Plans that exclude injuries caused intentionally by the insured.

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Dental treatment

Plans that do not cover preventive or cosmetic dental care.

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Substance abuse

Plans that don’t include treatment for drug/alcohol or any other intoxicant abuse.

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Obesity

Plans that do not include treatment for fat removal and other related diseases.

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Infertility

Plans that do not cover treatment for infertility.

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Cosmetic surgery

Plans that do not cover costs for cosmetic procedures.

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Dangerous sports

Plans that exclude injuries from risky sports.

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HIV/AIDS

Plans that do not cover treatment costs for HIV/AIDS.

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Nuclear weapons

Plans that do not cover costs from nuclear weapon injuries.

How to Select the Best Individual Health Plan

Having an individual health insurance plan is crucial for both your health and financial security during medical emergencies. With Mahindra Paybima's guidance, finding the right plan with the best coverage and price is simpler.

Things to consider while choosing your individual health insurance plan:  

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Comprehensive coverage

Look for a policy that covers various medical conditions and does not have added costs.

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Budget-friendly

Select a plan within your budget; add-ons can be chosen later.

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Lifetime renewability

Opt for policies with lifetime renewability for continuous benefits.

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Cashless hospital network

Ensure your plan includes a wide network of hospitals for cashless treatment.

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Claim settlement ratio

Check the efficiency of handling claim settlements for individuals.

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Coverage amount

Verify the sum insured to cover medical expenses adequately.

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Pre-existing conditions waiting period

Check waiting periods for immediate treatment needs.

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Add-on benefits

Confirm availability of add-ons before choosing a plan.

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Sub-limits

Be aware of disease-specific or room-rent sub-limits.

Choose the Health Cover As Per Your Need

Factors Affecting the Individual Health Insurance Premium

Insurers determine the premium amount based on various factors like age, pre-existing conditions, policy tenure, etc.

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Age

Starting early lowers premiums due to lower disease risks.

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Health history

Healthy individuals pay less than those with health issues.

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Policy duration

Long-term policies have lower premiums.

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Payment frequency

Annual payments often get discounts as compared to monthly payments.

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Base plan choice

Opt for a plan that meets your needs without extra riders.

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Avoid harmful habits

Smoking, drinking, and chewing tobacco can raise premiums.

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Profession

Risky workplaces, such as construction sites or areas with chemicals or radiation, lead to higher insurance premiums.

Plan starts from
₹550/ month *

*The Starting price is Indicative and may Vary. Pricing and eligibility depends on the profile. Standard T&C apply.

Health Insurance - Premium Calculator

The Earlier You Buy, Lesser the Premium

How to Buy an Individual Health Insurance Policy

1
Share personal details

Provide personal and health information to begin the policy procedure.

2
Browse plans

Analyse the plans, compare quotes, features, network hospitals, waiting period and other details.

3
Compare shortlisted policies

After shortlisting 2-3 policies as per your requirements, review them together by clicking the ‘compare product’ box.

4
Add riders

Select the appropriate riders or add-ons for extra cover.

5
Complete proposal form

Enter required details for e-KYC.

6
Make payment

Pay online using credit/debit cards, UPI, wallets, or net banking.

7
Document upload

Upload the required documents.

8
Get the policy

Post insurer’s approval, the policy is sent on the registered email id.

How to Compare Health Insurance Policies

Here are some of the factors you should consider while comparing health insurance policies.

Start Early for a Lower Premium  

Your Age
Cover Amount
View Plans
Plans Starting @
₹197 / month*
View Plans

*The starting price is Indicative and may vary. Pricing and eligibility depends on the profile. Standard T&C apply.

Benefits of Comparing Health Insurance Policies

Comparing health insurance for low-income individuals online helps you find the best deal. insurance for low-income individuals can get you the best deal online. Here are some of the top benefits of comparing policies:

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Get the best rate as per your requirements

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Clearly understand the policy features and benefits

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Maximize coverage amount

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Avail wellness and discount opportunities

Guaranteed Claim Support

When you buy an individual health plan from us, we guide at every step till your claim is settled.

Start your claim process with us to get our support

Do You Have any Insurance Related Concerns?

Our IRDAI Certified insurance advisor is a click away.

Get in Touch with an Advisor

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The minimum age of entry is 5 years, while the maximum age of entry is 65 years.

Buying insurance through PayBima is a quick and easy process. Just fill in your basic details and get instant quotes from leading insurance companies. Compare among the various plans on offer and choose the one that best suits your requirements. Fill up the proposal form, make payment and your policy will be issued instantly.
PayBima focuses on bringing you all the information you need about insurance policies under one umbrella. You can find terms and conditions on different policies in an easy-to-read format.

  • When you fill-up the proposal form, a host of diverse policy options are brought to you. You can explore them at your own pace and shortlist the ones best suited to your insurance needs. The website offers you a wide range of options for insurance policies to choose from with a stress-free buying experience.
  • Once shortlisted, PayBima allows you to compare insurance online to see their benefits and shortcomings. Choose the one that offers you the maximum benefits. After finalising the best policy for yourself, you need to fill in your additional details. You can make payment and buy the policy on the PayBimaportal without being directed to any other website.