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.

Paybima is the digital arm of Mahindra Insurance Brokers Ltd

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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 cover is a specialized insurance that provides lump sum payment when diagosed with specific serious medical conditions

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Ambulance charges

Covers ambulance charges.

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Co-payment

Its a cost sharing mechanism where the policyholder agrees to pay a fixed percentage or amount of medical expenses during a claim

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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.

How to Buy an Individual Health Insurance Policy

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Share personal details

Provide personal and health information to begin the policy procedure.

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Browse plans

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

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Compare shortlisted policies

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

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Add riders

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

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Complete proposal form

Enter required details for e-KYC.

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Make payment

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

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Document upload

Upload the required documents.

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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.

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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Buy from India’s Top Insurers

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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.

An individual health insurance plan offers individualised security against unforeseen medical costs for people looking for customised health care coverage in India. These plans have a lot of different choices so that they can fit everyone's wants. 

It pays for hospital stays, lab tests, and emergency medical care, so you won't have to worry about money when you have a health problem. The plan is flexible, so you can change the coverage levels and add extra riders to fit your needs. 

An individual health insurance plan is dependable due to its affordable fees and prompt claim payments. In general, this plan is necessary to protect your health and your finances. It gives you complete security that fits your budget and way of life. 

An individual health insurance plan pools monthly payments to pay for medical costs when they arise. People who have policies in India can use it as a safety net. There is a clear process that an individual health insurance plan follows. 

  • People with insurance pay regular fees that go into a pool that handles healthcare costs. 
  • When someone needs medical care, claims are handled based on coverage limits and premiums. These help make sure that services require no cash or repayment. 
  • The plan also includes pre-authorisation steps for expensive treatments, which makes managing claims easier. 
  • This individual health insurance plan makes getting good medical care easier by spreading out the costs and risks. It helps give you peace of mind and protects your finances in a medical emergency. 

The individual health insurance policy gives you a specific way to handle your medical costs. It keeps financial problems from getting in the way of people's health and happiness. 

This coverage covers various medical services, such as hospital stays, treatments, and tests. It gives consumers flexible choices to pick coverage that fits their health needs and budgets. 

It's appealing because it has benefits like care at network hospitals and quick claim settlement. An individual health insurance policy is an essential financial tool that protects your health and future by providing a reliable shield against rising medical expenses. 

To find the best individual health insurance plan, you need to carefully consider coverage, perks, and how reliable the provider is. By following these steps, find the best individual health insurance plan for your needs: 

  • First, compare important factors like premium prices, policy limits, and claim settlement rates. 
  • Review the policy's details, such as its limitations and extra benefits, to get complete security. 
  • Read reviews from customers and professional advice to get an idea of the quality of the service and how well it works. 

Ultimately, picking the best individual health insurance plan means weighing the costs of different plans against the benefits they offer. It gives you strong financial security and good medical care when you need it the most. The experts at Paybima will help you to choose the plan which best suits your needs. 

How much an individual health insurance plan costs depends on their age, the coverage they need, and the benefits they want. Paybima's individual health insurance usually costs between INR 5,000 and INR 20,000 per year. Most plans cost about INR 12,000 a year on average. 

Pre-existing illnesses, the amount of coverage, and any extra riders can affect the premiums. This health insurance is a cost-effective way to get complete medical care thanks to its competitive prices and flexible choices. 

Clear prices and in-depth reviews of policies help you make a smart choice about how to spend your money. Overall, individual health insurance ensures that people get reasonable care without worrying about how to pay for it. Making this choice to protect your health is smart and won't cost you much. 

Once you decide which plan to opt for, the experts at Paybima will share quotations with you based on your individual needs and the benefits, and you can choose according to your needs.

It's easy and quick to start the application process for an individual health insurance plan online. Here are the steps that will help you do it: 

  1. Research insurance companies with a good reputation at Paybima. 
  2. You can choose to set up a meeting with the experts at Paybima or schedule a callback. 
  3. Once you speak to an advisor, they will share quotations with you for policies which best suit your needs. 
  4. Then, you can complete the online application form with complete and correct information about yourself, your medical background, and your finances. 
  5. Get the papers you need, like proof of who you are, proof of your home, and old medical records, and upload them. 
  6. Look at the different policy choices and rates to find the best individual health insurance plan online for your needs. 
  7. Make a safe payment to finish the process, then wait for proof by email or text. 
  8. If you need more information, you can contact the Paybima experts, who will assist you further. 

People in India can get individual health insurance policies that cover medical costs that are specific to their needs. Here is a clear list of what an individual health insurance plan includes: 

  • They cover everything, including hospital stays, diagnostic tests, and sometimes pregnancies and critical diseases. 
  • People who don't have health insurance through their jobs can get an individual health insurance plan. It's perfect for workers and people who work for themselves. 
  • Policyholders can choose the amount of coverage and any extras they need with these plans because they are flexible. 
  • They ensure that people can get good healthcare when needed by paying for a range of medical costs and situations. 
  • An individual health insurance plan is crucial for protecting one's finances and overall health due to its adaptability. 

When you are well-prepared, getting your benefits from an individual health insurance plan can be smooth. Take a look at these steps: 

  • In case of an emergency, you need to contact your insurance company immediately after being hospitalised. This will start the claims process for your individual health insurance plan. 
  • However, if the hospitalisation is planned, you need to get a pre-authorisation at least 4-5 days prior to hospitalisation. 

Now, the claim can either be cashless or a reimbursement. 

1. Cashless claim: 

  • In case of a cashless claim, the hospital will do the liaisoning with your insurer and get all your documents in place 
  • You will receive final approval from the insurer at the time of discharge and will have to pay only the non-payable amount after the insurer approves the claim. 
  • You do not need to pay anything out-of-pocket. 
  • Once the remaining amount is paid, you can get discharged. 

2. Reimbursement claim: 

  • In case of a reimbursement claim, you need to pay the entire amount from your own pocket and then file for reimbursement. 
  • So, you need to gather all the necessary papers, such as doctor records, bills, medications, and original discharge notes from the hospital at the time of discharge. 
  • Then, you must fill out the claim form with all the correct information, whether online or at the provider's office. 
  • Then, you need to send in your claim along with all the necessary proof. Make sure you keep copies of your notes and the policyholder's bank account details. 
  • Check-in regularly with the insurance company to see how your individual health insurance plan claim is going. Also, quickly respond to any other questions. 
     

Getting an individual health insurance plan in India is a smart way to protect your health and your money. Take a look at these strong reasons: 

  • It's a meaningful way to protect your finances against rising medical costs and sudden health problems. 
  • The individual health insurance plan gives you access to good medical care, such as treatment at network hospitals that doesn't cost you anything. 
  • You can change the coverage to fit your health needs and your budget with customisable insurance choices. 
  • Your individual health insurance plan protects you even more when you add on extras like critical illness covers. 
  • It ensures long-term financial security and peace of mind by lowering out-of-pocket costs. 
  • Putting money into this kind of plan is a responsible way to keep your future healthy and safe. 

Anyone looking for dependable medical care in India must have an individual health insurance plan. This is why it's important: 

  • It protects you from horrible medical bills in case of an emergency by giving you a financial safety net. 
  • The individual health insurance plan ensures that people can get fast, high-quality medical care without paying a lot of money out of pocket. 
  • It covers a lot of different treatments, like hospital stays, tests, and surgeries, which makes it flexible. 
  • With add-ons, you can make your individual health insurance plan fit your needs, like covering serious diseases or baby care. 
  • These kinds of plans improve health in general by making it easier to get preventative care and treatment early on. 
  • This plan is an essential investment in your future in a place where healthcare costs are going up.

A lot of people want to know if their individual health insurance plan gives them tax breaks. The simple answer is yes! Here are some essential facts about tax deductions: 

  • Under Section 80D of the Income Tax Act, you can reduce the premiums you pay for an individual health insurance plan, under the Old Tax Regime, upto INR 25000 for premiums paid for yourself, your spouse and dependent children. 
  • You can also file an additional claim for premiums paid for dependent parents upto INR 25000, which can be upto INR 50,000 if either of your parents is more than 60 years of age. 
  • If you are more than 60 years of age and pay premiums for your parents, who are senior citizens, then you can file a claim up to INR 1,00,000. 

It is essential to keep the proper papers and other paperwork so that you can back up your claims when you file your taxes. Talking to a tax expert can help you understand any new or updated tax rules. The individual health insurance plan is a smart financial and health investment because of this benefit. 

In India, having your own health insurance is a must if you want to protect your health and your funds. Individual health insurance has many advantages, including the following: 

  • It covers hospital stays, treatments, and medical tests, so you don't have to pay as much out of pocket. 
  • Individual health insurance plans let you change things about them to fit your wants and budget. 
  • These plans usually come with extras like coverage for critical illnesses and pregnancy, which make total safety better. 
  • They let you get treatment at many places without paying cash upfront, ensuring you get quick and good care. 
  • Health perks and regular checkups may also be a part of the plan. 

Ultimately, individual health insurance helps people deal with unexpected medical bills and keeps their finances stable in the long run. 

If your needs change, you can switch to a different individual health insurance plan, which can be helpful. These are the most critical points: 

  • To port your existing individual health insurance plan from one insurer to another, you need to do the same at least 45 days before the expiry of the same, at the time of renewal and not otherwise. 
  • This way, you can continue to enjoy the benefits without losing any continuity benefits that you have already earned. 
  • However, the waiting period clause will apply only to the additional sum assured if you also enhance your coverage. 
  • Take a look at the waiting times and any terms about pre-existing conditions before you switch. 
  • Get all the necessary paperwork and talk to your present and potential insurers about the move process. 
  • Check to see if there are any fines or waiting times during the change process. 

Get help from a professional at Paybima to determine which new individual health insurance plan best fits your long-term healthcare goals. 

Getting individual health insurance is a smart way to protect your health and your funds. Take a look at these reasons: 

  • It helps protect your finances against rising medical costs and sudden situations. 
  • Individual health insurance gives people access to high-quality medical care and care that doesn't cost money at an extensive network of hospitals. 
  • Because the plans are very flexible, you can choose the amount of coverage and extra perks that work best for you. 
  • Having fitness programs and yearly checkups as part of individual health insurance makes it easier to get preventive care. 
  • By covering a lot of different methods, it also helps keep long-term healthcare costs down. 

Ultimately, getting individual health insurance gives you peace of mind, a safe financial future, and a better way of life. 

After buying a health insurance plan, there may be a waiting time during which some services or benefits are not covered. To get good service, you need to know about the waiting time. 

  • For most treatments, this time frame is between 30 and 90 days, but it can be longer or shorter depending on the disease. 
  • For significant treatments like joint replacement surgeries, you might have to wait up to 4 years. 
  • People with gallstones, cataracts, piles, fistulas, and hernias usually have to wait 1 to 2 years before they can get treatment. 
  • If the health insurance plan covers pregnancy, the wait time can be between 9 months and 6 years. After this time, maternity costs are no longer paid. 

These waiting times help ensure the health insurance plan is used for actual medical needs and not just for quick claims. 

When buying an individual health insurance plan online in India, it is essential to find the right site. Paybima is a well-known and trusted site that makes the process easier and offers reasonable rates. Here's what to do: 

  • Check out the plants at Paybima to learn about the different insurance plans and rates. 
  • Carefully read customer reviews and policy information to understand what the coverage covers and what it doesn't cover. 
  • You can use the platform's compare tools to find the health insurance plan that best meets your needs. 
  • Speak to an expert at Paybima who will guide you to buy the individual health insurance plan online. 
  • Ensure the payment method is safe for online deals and gives you several ways to pay. 
  • Lastly, fill out the rest of the application with the correct medical and personal information to activate the individual health insurance plan online. 

When picking an individual health insurance plan, knowing if it covers pre-existing illnesses is essential. Many plans cover diseases that people already have, but restrictions and waiting times may exist. Think about these things: 

  • Most insurance companies have a waiting time before covering pre-existing illnesses, usually between 12 and 36 months. 
  • As per the recent update from the IRDAI, the maximum waiting period for pre-existing ailments have been reduced to 36 months from the erstwhile 48 months. 
  • Carefully read the policy to learn what conditions are considered "pre-existing" and what conditions may not be covered. 
  • Some individual health insurance plan only cover part of the cost of medical care or charge higher fees for people who already have certain illnesses. 
  • If you have some medical issues, you can get personalised help from the insurance company's customer service. 
  • Check out a few different plans to find the one that gives you the most for your money. 
  • Keep up with any changes to the terms of your policy that might affect your benefits. 

Getting the most out of your Indian health insurance plan can protect your finances and ensure you get medical care when needed. Here's how to get the most out of your coverage: 

  • Learn about the perks of your health insurance plan in the policy paper. These may include hospital stays, outpatient care, and preventive services. 
  • Use the network of hospitals and clinics that are part of your plan to get help without paying cash. 
  • To help file claims, keep your medical papers, bills, and medications in order. 
  • Your insurance company will tell you how often to get checkups and other preventive screenings. 
  • In an emergency, you should immediately call your insurance company to start the claim process. 
  • Keep up with changes to the policy and new perks that the insurance adds. 

If you take the proper steps, getting rewards from your individual health insurance plan in India is easy. What you need to do is: 

  • Immediately notify your insurance company after hospitalisation or treatment to begin the claims process for your individual health insurance plan. 
  • Get all the papers you need, like medical records, hospital bills, medications, and summaries of your release. 
  • Either fill out the claim form online or at your insurance company's office. 
  • Send in the form and any supporting papers, and make sure you keep copies for your notes. 
  • Keep in touch with the insurance company to see how your claim is going. 

If the insurance company asks for more information, you should give it to them immediately so the claim payment goes smoothly. 

In India, you can buy an individual health insurance plan online easily. Getting policies has become easier with the digital method, making purchases safer. Here's what to do next: 

  • On the Paybima home page, find the "Product" dropdown menu and click on the "Individual Health Insurance" tab. 
  • Fill in the necessary information and ask for a return. 
  • A Paybima expert will help you choose the best plan for you. 
  • You can also call us at 1800 267 67 67 between 10 AM and 7 PM. 
  • You can also go to a nearby Paybima store. 

Thanks to this improved process, getting your individual health insurance plan online is now easier and more convenient.