All guides
Compare health insurance in India with the arithmetic shown: sum insured, floater vs individual, room-rent limits, co-pay, IRDAI waiting periods, 80D, GST and PM-JAY.
Premium Factors, Cover Features and 2026 Rules
- Ayushman Bharat PM-JAY and private health insurance: who is covered and do you need both?
What Ayushman Bharat PM-JAY covers, who is eligible including all citizens aged 70+ under Ayushman Vay Vandana, how to check, and how it fits with a private health policy.
- Co-pay, deductible and sub-limits in health insurance: what you pay yourself
How co-pay, zone co-pay, deductibles and disease-wise sub-limits work in Indian health policies, the order they are applied in, and worked claim examples.
- Employer group health insurance vs your own policy: is office cover enough?
How employer group health cover differs from a personal policy in India, what happens when you leave a job, migration to an individual policy, and when to buy your own.
- GST on health insurance after 22 September 2025: what is exempt and what still pays 18%
Individual and family floater health policies are GST-exempt from 22 September 2025. What the exemption covers, what still carries 18% GST, and how to check a renewal.
- Health insurance in India explained: how premiums are set and what a policy really pays (2026)
How Indian health insurance premiums are priced, the clauses that decide a claim, and the IRDAI, tax and GST rules in force in 2026, with worked examples.
- Individual vs family floater health insurance: which suits your family?
How individual and family floater health policies differ in premium, cover and risk, with worked examples for young families, parents and mixed-age households.
- Room rent limit in health insurance: how proportionate deduction cuts your claim
What room-rent capping means in Indian health policies, how proportionate deduction is calculated, which charges are excluded from it, and how to choose a room.
- Health insurance waiting periods in India: the IRDAI 2024 rules (PED 3 years, moratorium 5 years)
Initial, pre-existing disease, specific-disease and maternity waiting periods under the IRDAI 2024 rules, the 5-year moratorium, removal of the age cap, with dated examples.
Worked Examples and Buying Checklists
- How to compare health insurance quotes in India: a worked example with three plans
Compare three health insurance quotes like for like using premium plus out-of-pocket on test bills, with room-rent, co-pay, sub-limits and waiting periods in the arithmetic.
- Health insurance buying checklist for India: from proposal form to free-look period
A step-by-step checklist for buying or renewing health insurance in India, covering cover size, clauses, disclosures, network hospitals, premium, tax and the 30-day free look.
- Health insurance for parents and senior citizens in India: options, costs and checks
How to insure parents over 60 in India after the 2024 removal of the age cap: senior plans, co-pay, waiting periods, premium increases, PM-JAY for 70+, tax limits and worked examples.
- Health insurance portability in India: how to switch insurer without losing waiting periods
How to port a health insurance policy to another insurer in India, what credit carries over, timelines, documents, a worked example and the mistakes that break continuity.
- How much health insurance cover do I need in India? Sum insured worked out
A method for choosing a health insurance sum insured in India by city, hospital type and family, with medical inflation, worked examples for metro and tier-2 families.
- Section 80D health insurance deduction: limits, worked examples and the Income-tax Act 2025
How the health insurance tax deduction works for self, family and parents, the 80D limits, old vs new regime, payment rules and how it continues under the Income-tax Act 2025.
- Super top-up vs higher sum insured: the maths of adding health cover in India
How super top-up and top-up health policies work, aggregate vs per-claim deductibles, worked examples comparing a base upgrade with a super top-up, and pitfalls to check.
Claim Pitfalls, Complaints and Official Sources
- Cashless health insurance claims in India: process and IRDAI timelines (1 hour, 3 hours)
Step by step through a cashless health claim in India, from pre-authorisation to discharge, the IRDAI one-hour and three-hour timelines, what to do when cashless is denied.
- Health claim paid less than the hospital bill? How to read the settlement letter
Why Indian health insurers settle claims for less than the bill: non-payables, room-rent cuts, co-pay, sub-limits, customary charges. A full worked settlement and how to dispute it.
- Why health insurance claims get rejected in India, and how to avoid each reason
The common reasons Indian health insurance claims are rejected or cut, what the policy wording says about each, how to prevent them and what to do after a rejection.
- Health insurance complaint in India: grievance officer, Bima Bharosa, Ombudsman and consumer commission
The escalation route for a rejected or underpaid health insurance claim in India, with time limits, the ₹50 lakh Ombudsman limit, consumer commission tiers and a complaint letter structure.
- Non-disclosure in health insurance and the 5-year moratorium: what protects you
How non-disclosure of pre-existing conditions affects health claims in India, what the 60-month moratorium protects, what it does not, and how to correct a proposal form.
- Reimbursement health claim in India: documents, deadlines and how to file
How to file a reimbursement health insurance claim in India, the documents to collect at discharge, typical deadlines, pre and post hospitalisation bills, and claiming from two policies.
- How to verify a health insurance policy, insurer and agent in India: official sources
Check that an insurer, agent or web aggregator is IRDAI-registered, that your health policy is genuine, and which official portals to use for rules, tax, GST, PM-JAY and complaints.