Bimasure

Individual Health Insurance Navigating the landscape of comprehensive coverage and personalized care

In the wake of the COVID-19 pandemic, health consciousness in India has reached new heights. Individuals across the country now recognize the critical importance of health and, by extension, health insurance. With a focus on holistic well-being, people are actively seeking individual health insurance plans to access both medical benefits and tax advantages.

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Individual Health Insurance
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What is Individual Health Insurance Plan?

Individual Health Insurance stands as a pillar among various health insurance types, offering extensive medical coverage tailored to individual needs. From doctor consultations to hospitalization, surgical expenses, and pre/post-hospitalization, this insurance provides a flexible platform for customizing coverage according to your unique health requirements.

Need and Importance of Individual Health Insurance

In a landscape where healthcare costs are on the rise, and lifestyle changes make individuals more susceptible to diseases, individual health insurance plans emerge as a financial lifeline during medical emergencies. Opting for a comprehensive individual health policy is not just advisable; it's a proactive step towards ensuring your well-being.

Eligibility Criteria to Buy a Individual Health Plan

Below mentioned are the eligibility criteria to buy an individual health plan: Eligibility Criteria Specifications

Eligibility CriteriaSpecifications
Minimum Entry Age18 Years
Maximum Entry Age65 Years
Pre-existing medical conditionPre-medical check-up required for individuals above 45 years with pre-existing conditions.

Key Benefits of Individual Health Insurance Plan

Individual health insurance plans bring a host of benefits to policyholders during medical emergencies. Here's a glimpse of the advantages these plans offer:

Wide and Comprehensive Coverage

Individual health insurance policies cover pre and post-hospitalization, ambulance charges, in-patient hospitalization, and more.

Cashless Hospitalization

Enjoy the convenience of cashless hospitalization at network hospitals, ensuring seamless access to medical care.

Lower Health Insurance Premium

The early you opt for an individual health plan, the better it is, not only you enjoy lower premium but you can accumulate significant no claim bonus , given you stay healthy for a long time.

Customization

Tailor your individual health policy to match your specific needs and preferences.

Tax Benefits

Receive tax benefits under section 80D of the Income Tax Act for the premiums paid annually.

Lifetime Renewability

Most individual health plans come with the invaluable feature of lifetime renewability, offering financial protection throughout your life.

Discounted Premiums

Enjoy discounted premiums through timely renewals, making individual insurance plans an economically viable choice.

Peace of Mind

It allows you to obtain medical treatment with peace of mind as you do not have to worry about paying the hefty hospital bills

Our Preferred Plan

Explore a curated list of some of the "Best Individual Health Insurance Plans in India," presented by Bimasure. These plans are selected based on coverage benefits and eligibility criteria:

Inclusion and Exclusion in Individual Health Plan

In India, health insurance policies typically come with customizable options to suit individual needs, but there are some common inclusions and exclusions to consider. 

Hospitalization

Covers all hospitalization expenses arising from diseases and injuries.

Pre and Post Hospitalization

Medical expenses incurred before hospitalization and after discharge are covered.

Restoration of Sum Insured

Don’t worry of the exhausting of Sum Insured, as restoration benefit automatically refills the sum insured upto 100% or unlimited times as per plan

Daycare Treatment

Coverage for treatments within 24 hours of hospitalization.



Domiciliary Hospitalization

Covers expenses for home hospitalization in the absence of medical facilities.

Hospital Daily Cash

Provides daily cash during hospitalization.

OPD Charges

Covers doctor's prescriptions and prescribed medical test costs.

Annual Health Check-up

Offers free annual health checkups.

Emergency Ambulance

Covers expenses for home hospitalization in the absence of medical facilities.

Ayush Treatment

Individual health plans cover various alternative treatments such as Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy.

Self-Inflicted Injury

Injuries intentionally caused by the insured are not covered.

Dental treatment

Dental procedures and treatments are usually excluded unless specified otherwise.

Obesity Treatment

Medical interventions for weight loss or obesity may not be covered.

Abuse of drugs and alcohol

Health issues resulting from substance abuse may not be included.

Adventure sports

Injuries sustained during high-risk activities may be excluded from coverage.

IVF Treatment

In vitro fertilization and other fertility treatments may not be part of standard coverage.

Cosmetic Treatment

Procedures done for cosmetic purposes rather than medical necessity are typically not covered.

Injuries arising during a war-like situation

Health issues arising from war or similar circumstances may not be covered.

Breach of law/criminal activity

Injuries or health issues resulting from illegal activities may be excluded from coverage.

Coverage After Waiting Period

Benefit from coverage after specific waiting periods:

Waiting PeriodDuration
Pre-existing period2-4 years
Initial Waiting Period30 days
Specific Disease waiting period 1-2 years
Covid-19 treatment30 days
Grace Period30 days
Free-look Period15 days

FAQ's

Navigating insurance complexities can be overwhelming. We have tried to address common doubts for a seamless journey with Bimasure.

An individual health insurance plan provides coverage to a single person against various medical expenses. It is designed to meet the healthcare needs of an individual.

Any individual, often within a certain age range, can apply for an individual health insurance plan. Eligibility criteria may vary among insurers.

Coverage typically includes hospitalization expenses, doctor’s fees, surgical expenses, pre and post-hospitalization expenses, and may extend to additional features like ambulance coverage, day-care procedures, and preventive healthcare.

Yes, there might be a waiting period for specific conditions or treatments. Pre-existing conditions may have a waiting period, and it’s crucial to be aware of these details

No, individual health insurance plans are designed to cover only the policyholder. If you want coverage for your family, you would need to purchase separate policies for each family member or opt for a family floater plan.

Yes, you can typically choose the sum insured amount based on your healthcare needs. The premium may vary depending on the chosen sum insured.

The claim process usually involves notifying the insurer about hospitalization, submitting relevant documents, and filing a claim form. The process may vary among insurers, so it’s important to understand the specific requirements.

Yes, many insurers offer optional riders or add-ons that you can include in your individual health insurance plan for additional coverage. Examples include critical illness riders, maternity riders, or accidental death benefit riders.

Yes, there is typically a grace period provided by insurers for premium payment after the due date. It’s important to pay premiums on time to ensure continuous coverage.

Yes, individual health insurance plans are usually offered on an annual basis, and you need to renew the policy each year to maintain coverage. It’s advisable to renew on time to avoid a lapse in coverage.

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