Meaning and how many types of health insurance are there?
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Health insurance is a financial protection against rising medical costs. By paying a premium, you get coverage for hospitalisation, surgeries, treatments, and in many cases, preventive care. In short, health insurance covers the expenses that can otherwise disrupt your savings.
With multiple types of health insurance in India available (individual, family floater, senior citizen, and critical illness plans), it’s important to know what each offers. The right choice depends on your health needs, age, and financial goals.
This guide breaks down the meaning of health insurance and the different types so you can make an informed decision about your coverage.
Health insurance is a contract between you and the insurer. You pay a premium, and in return, the insurer pays for your medical expenses as per the policy.
Many policies also include pre- and post-hospitalisation , maternity benefits , critical illness cover , and preventive check-ups.
The cost of your premium depends on factors like age, coverage amount, and medical history. That’s why health insurance is such an important tool to protect both your health and your money.
There is no universal health insurance. The needs of different people vary, and that is why insurers offer several options. The following are the key health insurance plans in India:
Covers only one person. The full sum insured is available for that individual. Best for single or independent people.
One plan for the whole family, sharing the sum insured. Usually cheaper than buying separate individual policies.
Designed for people over 60. These plans cover age-related illnesses, frequent hospitalisation, and sometimes critical illnesses.
Provide a lump sum payout if diagnosed with serious diseases like cancer, stroke, kidney failure, or heart disease. The money can be used for treatment or lifestyle changes.
Add-on cover that increases your existing insurance at a lower cost. Useful if you already have a base plan but want higher protection.
Usually offered by employers to employees. Covers basic hospitalisation but stops once you leave the job.
Covers pregnancy, delivery, and sometimes newborn care. Best for young couples planning a family.
Provides financial support in case of accidental death, disability, or injury. Helpful as extra protection.
These different plans (be it a family floater, senior citizen cover, or critical illness insurance plan) make it easier to choose one that matches your life stage, budget, and healthcare needs.
Most of the time, when individuals seek the full protection of a medical facility, they resort to full health insurance. The comprehensive health insurance meaning is straightforward; it refers to a plan that covers a wide range of medical expenses, not just hospitalisation.
In comparison with the simple policies, which cover only the hospital stays, comprehensive or major medical health insurance covers:
That makes it suitable for individuals, as well as families who seek full financial assistance both in the expected and unexpected medical requirements. Comprehensive plans usually have add-ons such as personal accident cover, wellness benefit and higher sum insured top-up, thus providing flexibility.
A health insurance premium is the price you pay in order to maintain your policy. Simply stated, it is the price of purchasing financial insurance against medical costs. Knowing what a health insurance premium is and how it is calculated helps you choose the right plan without overspending.
There are a number of factors that affect the final amount of health insurance premiums:
One should also compare premiums among the insurers. Two policies can have similar cover but at varying prices. The combination of the advantages and the premiums allows you to achieve the perfect compromise between protection and affordability.
What is covered in health insurance is one of the most frequently asked questions by people. Although the benefits given might differ with different insurers and plans, the majority offer a standard package of protections.
Usually, the health insurance covers:
Buying medical cover is not just about picking the cheapest policy; it’s about finding protection that matches your needs. If you’re wondering how to choose a health insurance plan, here are some simple steps to guide you.
A basic plan might be sufficient for an individual, but the family floater might be more suitable for families. In the case of the elderly, the elderly citizen's plans are more appropriate.
Compare the various alternatives, such as individual, family floater, critical illness or comprehensive cover. They each have their own advantages. The choice of health insurance policy will be based on what is the most important feature to you.
An increase or a decrease in the premium is not all. Check the amount of insurance, network of hospitals, settlement ratio of claims and add-ons available.
Read the terms of the policies. Know the exclusions, waiting time, and sub-limit prior to decision-making.
An individual plan includes one person with a fixed sum insured. A family floater policy is an insurance that covers a single amount of the insured by the entire family, and this makes it cheaper for the household.
Yes, but after a waiting period. This may take between 2 and 4 years, depending on the insurer. Before purchasing, an individual should always confirm that the policy terms are good.
You have an option of a deductible that is higher, you can buy a top-up policy as an alternative to raising the base cover, you can purchase the policy at an earlier age, or you can buy only the features you require. It also helps to compare the policies.
This is the waiting period until some of the benefits, such as pre-existing disease coverage or maternity, take effect. This varies from plan to plan.
Yes. Having more than one policy and even claiming on both may be subject to the terms and claim procedure of each insurer.
Understanding health insurance is key to making the right financial decision for your health and your family’s future. With rising medical costs, the importance of health insurance cannot be overlooked. Assess your needs carefully, compare plans, and seek guidance where required.
At ManipalCigna, we offer a wide range of health insurance solutions tailored to different life stages, helping you secure the right coverage with confidence. Get in touch with us now!