Individual Health Insurance

Individual health insurance offers medical coverage for one person, covering hospitalization, treatments, doctor visits, and more. It provides financial protection during health emergencies and can be enhanced with add-ons like maternity, critical illness, and accident cover.
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Rs.10 lakh health insurance starting at just Rs. 9.3*/day
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3 mins
30-June-2025

Individual health insurance provides personalised coverage based on your chosen sum insured. With rising healthcare costs in India, being financially ready for medical emergencies is more important than ever. This insurance helps you handle unexpected health expenses by covering hospitalisation, pre- and post-hospitalisation care, daycare treatments, and even critical illnesses—protecting your savings while giving access to quality care.

You also benefit from cashless treatments across a wide hospital network, tax deductions under Section 80D, and optional add-ons like OPD cover and wellness perks for all-round protection.

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What is Individual Health Insurance?

Individual health insurance is a personal medical policy that provides exclusive coverage to one insured person. Whether it’s for yourself, your spouse, your child, or a dependent parent, this plan ensures dedicated financial protection for each member, separate from others.

It typically covers hospitalisation, daycare procedures, ambulance charges, AYUSH treatments, organ donor expenses, and more. Since it isn’t shareable like a family floater, the entire sum insured is reserved for one person, offering peace of mind when it matters most.

Premiums vary based on factors like age, pre-existing conditions, and lifestyle, and you can personalise your plan with add-ons for maternity, critical illness, or room rent waivers. All policies are regulated by IRDAI, ensuring transparency and consumer protection.

Why wait for a health crisis to act? Secure yourself or your loved one with an individual health plan. Get quotes, compare benefits, and buy online in minutes.

Features

Specification

Network Hospitals

10000+

Expenses Covers

Covered

Tax Benefit

Covered

Free Health Checkup

Covered

Pre-existing Diseases

Covered (depending on plan chosen)

Pre & Post Hospitalization

Covered

Day Care Procedures

Covered

OPD Cover

Covered

ICU charges

Covered

AYUSH treatment

Covered (depending on the plan you choose)

 

What are the types of Individual Health Insurance claims?

Individual health insurance claims are generally categorised into two types: cashless claims and reimbursement claims. Both processes help policyholders manage medical expenses, offering flexibility in settling hospital bills based on the treatment received.

Cashless claims

  • Available at network hospitals partnered with the insurance provider.
  • No upfront payment is required; the insurer directly settles the bill with the hospital.
  • Requires pre-authorisation from the insurance company, usually before hospitalisation.
  • Ideal for planned treatments or emergencies at designated healthcare facilities.

Reimbursement claims

  • Applicable when treatment is received at non-network hospitals.
  • Policyholders pay the medical bills upfront and then file for reimbursement from the insurer.
  • Requires submitting necessary documents, such as hospital bills, discharge summary, and prescriptions.
  • The insurer evaluates and reimburses the eligible amount as per the policy terms.

Why should you choose Individual Health Insurance?

Individual health plans provide personalised coverage, ensuring financial protection during medical emergencies. They offer tailored benefits, flexibility, and a choice of healthcare providers, making them an ideal solution for securing your health and financial well-being.

  • Flexibility
    Individual health insurance offers flexibility by allowing you to choose coverage options that suit your specific needs. Whether you need basic coverage or a more comprehensive plan, you can select the best policy for your health requirements and budget.
  • Choice of providers
    With individual health plans, you can choose from a wide network of healthcare providers. This allows you to access quality medical care from preferred hospitals and specialists, giving you greater control over your healthcare decisions.
  • Employment status
    Unlike employer-based health insurance, individual health plans provide coverage regardless of your employment status. This ensures that you remain insured even during job changes, self-employment, or retirement, offering continuous health protection.
  • Portability
    Individual health insurance policies are portable, meaning you can carry your coverage with you when switching jobs or relocating. This ensures uninterrupted protection, eliminating the need to reapply for insurance during transitions.
  • Family coverage
    Many individual health plans offer the option to include family members under the same policy. This allows you to protect your loved ones with comprehensive healthcare coverage, ensuring the whole family is financially secured during medical emergencies.
  • Early start
    Starting an individual health insurance plan early provides long-term benefits such as lower premiums, access to better coverage, and no waiting periods for pre-existing conditions. Early coverage helps you stay financially prepared for future health needs.
  • Tailored benefits
    Individual health plans offer tailored benefits, allowing you to customise your policy according to your unique health requirements. This personalized approach ensures that your plan provides coverage for specific treatments, medications, and preventive care you may need.
  •  Control over coverage
    With individual health insurance, you have complete control over your coverage. You can choose the level of protection, add-ons, and specific benefits that match your lifestyle and health needs, providing a personalised healthcare experience.
  •  Access to specialised care
    Individual health plans often grant access to specialised care, allowing policyholders to consult with top-tier specialists and receive advanced treatments. This ensures that you get the best possible care for complex or chronic health conditions.
  • Peace of mind
    Having an individual health insurance plan offers peace of mind, knowing that you're financially protected against unexpected medical expenses. It helps reduce stress during emergencies, allowing you to focus on recovery without worrying about high healthcare costs.

What is the difference between Group and Individual Health Insurance?

Aspect

Group Health Insurance

Coverage

Offered through employers or organisations, covering multiple people

Premiums

Typically lower due to group rates

Flexibility

Limited options for customisation

Portability

Coverage often ends with employment or organisation membership

Eligibility

Generally guaranteed for all members of the group


What are the features of individual health insurance

Some of the key features of health insurance plans for individuals are as follows:

Reinstatement of sum insured

If the base sum insured and the cumulative bonus get exhausted due to claims, you can get the sum insured reinstated on the health policy. This goes a long way to give you the necessary backup for medical emergencies.

Medical tests are optional for up to 45 years

Considering you are fit and healthy at an early age, you do not have to undergo any medical tests before buying an individual health insurance policy.

Cumulative bonus

You get a cumulative bonus for every claim-free year. You can benefit from this bonus by increasing your sum insured without paying extra premiums. Some insurers may offer discounts on renewal premium. Hence, check with your insurer when availing the benefit.

Lifetime renewability

Some individual health insurance plans come with the option of lifetime renewability. You can renew the health plan at any time after it expires. Health insurance renewal is a completely online process and you can easily renew your policy online with minimum documentation.

Additional coverage

Some individual health insurance plans for individuals also offer additional coverage in the form of critical illness coverage, maternity benefit and more.

What are the benefits of Individual Health Insurance Plans

Here are some key benefits of buying individual health insurance plans.

Extensive coverage

Individual medical insurance offers comprehensive financial coverage that helps one cope with sudden expenses due to medical emergencies. Get coverage for pre-and post-hospitalisation expenses, daycare treatments, and in-patient hospitalisation charges. Also covers organ donor expenses, treatment for mental illness, AYUSH therapy costs and more.

Cashless treatment option

One can opt for a cashless claim during any medical emergency that requires urgent hospitalisation. The insurance company will settle the bill directly with the hospital. However, the hospital should be on the list of the network hospitals of the insurer.

Recovery benefit

There are many individual health plans that offer financial assistance to the insured individual’s family during treatment. In case, the individual stays admitted to the hospital for more than 10 days, the family is eligible for compensation.

No Claim Bonus (NCB)

Many insurers reward your healthy lifestyle! If you don’t make any claims during the policy year, you’re eligible for a No Claim Bonus—which can be either a discount on premium or an increase in sum insured at no extra cost. Over time, this significantly enhances your coverage.

Tax benefits

Under Section 80D of the Income Tax Act, premiums paid for individual health insurance policies are eligible for tax deductions of up to Rs. 25,000 (and up to Rs. 50,000 for senior citizens). This means you’re not only protecting your health but also saving more on taxes.

Preventive health check-ups

Many individual health plans offer annual preventive health check-ups either free or at discounted rates. These screenings help detect health issues early, enabling timely treatment and better outcomes.

What is covered under individual health insurance plans?

In-patient hospitalisation

Covers treatment costs during in-patient hospitalisation. This includes room rent, medication, doctor fees, tests, etc.

Pre-and post-hospitalisation

Covers hospitalisation charges for up to 30 days before and 90 days after hospitalisation. The duration varies for different insurers.

Daycare treatment

Get coverage for daycare treatment charges within the valid policy term. The individual health insurance includes the number and types of daycare treatments covered in the policy document.

Organ donor expenses

Covers expenses incurred to harvest a major organ from a donor for an organ transplant procedure.

Domiciliary hospitalisation

Health insurance plans provide coverage for domiciliary hospitalisation. You get coverage for treatment taken at home under the supervision of a medical practitioner. Usually, doctors prescribe home treatment if the patient’s condition does not permit to go to the hospital or due to the unavailability of hospital bed.

Tax benefits of an individual health insurance policy

Investing in health insurance not only ensures financial security during medical emergencies but also provides significant tax savings. Here’s how you can avail of the health insurance tax benefit:

  • Deduction under Section 80D – Premiums paid for an individual health insurance policy are eligible for tax deductions under Section 80D.
  • Tax savings for family – You can claim additional deductions for premiums paid for your spouse, children, and parents.
  • Higher deductions for senior citizens – If you insure parents above 60, you can claim up to Rs.50,000 in deductions.
  • Preventive health check-up benefits – Get additional deductions of up to Rs.5,000 for preventive health check-ups.

Advantages of an individual health insurance plan

Good health is essential to overall happiness—but life is unpredictable, and medical issues can arise at any time. In today’s world, where lifestyle diseases and critical illnesses like cancer, heart conditions, and respiratory disorders are increasingly common, being financially prepared is more important than ever. That’s where individual health insurance becomes crucial.

Here are the key benefits of opting for an individual health insurance plan:

  1. Cashless hospitalisation
    Most insurers have a network of partnered hospitals where you can avail of cashless treatment. If you’re admitted to one of these hospitals, the insurer directly settles the medical bills with the hospital, reducing your out-of-pocket expenses during emergencies.
  2. Pre and post-hospitalisation coverage
    Individual health plans cover not only hospital stays but also the medical expenses incurred before and after hospitalisation. This includes consultations, diagnostic tests, and medication. Depending on the insurer, this coverage can vary—some offer up to 60 days pre-hospitalisation and 90 days post-discharge benefits.
  3. No Claim Bonus (NCB)
    If you don’t raise any claims during your policy term, you’re rewarded with a No Claim Bonus. This bonus can be used to either increase your coverage or reduce your future premium, depending on your insurer’s policy.
  4. Tax benefits
    Premiums paid for individual health insurance are eligible for tax deductions under Section 80D of the Income Tax Act. You can claim up to ₹25,000 per year, which helps lower your taxable income and overall tax burden.
  5. Preventive health check-ups
    These plans also allow policyholders to claim tax deductions for preventive health checkups—up to ₹5,000 per year under Section 80D. It’s a double benefit: you stay on top of your health and save on taxes.

Importance of individual health insurance plans in India

The significance of individual health insurance plans in India has grown considerably, given the increasing number of health risks faced by the population. Unpredictable medical emergencies are inevitable, making it crucial to choose the right health insurance plan that provides adequate coverage for medical expenses incurred during hospitalisation.

In India, healthcare inflation is rising at a rate twice that of overall inflation. This has led individuals, particularly those in their 20s, 40s, and 50s, to recognise the importance of having health insurance. The demand for individual health insurance has surged, as these plans offer the flexibility to customise benefits while keeping premiums affordable. Individuals of all age groups, from the young to the middle-aged and elderly, can benefit from an individual health policy designed to meet their specific healthcare needs. With flexible and comprehensive coverage, lower premiums, and a range of benefits, tailor-made individual health insurance policies provide a complete solution at a reasonable cost.

Having an individual health insurance plan is essential for securing substantial financial support during medical emergencies. It is a wise addition to one's financial portfolio, ensuring protection and peace of mind for the future.
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What is not covered under individual health insurance plans?

Here are some of the key exclusions under the individual health insurance plans.

  • Cosmetic surgeries
    Cosmetic or aesthetic procedures like facelifts, liposuction, and Botox treatments are generally not covered, as they are not considered medically necessary. However, reconstructive surgeries following accidents or trauma may be covered under certain conditions.
  • Dental treatment
    Routine dental treatments, such as cleanings, fillings, and orthodontic procedures, are usually excluded from coverage. Only specific dental treatments required due to accidents or injuries may be included in some policies.
  • Self-inflicted injuries/suicide
    Medical expenses resulting from self-harm or suicide attempts are typically not covered under individual health insurance plans. This exclusion is intended to prevent intentional misuse of health insurance benefits..
  • Treatment for any ailment due to drug abuse
    Health issues arising from substance abuse, such as drug or alcohol addiction, are not covered. Treatments for illnesses or injuries directly caused by drug abuse are also excluded from coverage.
  • Deaddiction treatment
    Costs related to rehabilitation or de-addiction programs for substance abuse are excluded. This includes both inpatient and outpatient services aimed at overcoming addiction to drugs, alcohol, or other substances.
  • HIV/AIDS
    Most individual health insurance policies do not cover the treatment of HIV/AIDS or related conditions. Some newer policies may offer partial coverage for HIV/AIDS treatments, but this remains an exclusion in many traditional plans.
  • Injuries or illness due to war
    Injuries or health conditions arising from participation in war, acts of terrorism, or civil disturbances are not covered. This exclusion also applies to injuries sustained during participation in military activities or riots.

How does an Individual Health Insurance policy work?

An individual health insurance policy works by providing financial coverage for medical expenses incurred by the policyholder. After purchasing the policy, you pay regular premiums to maintain coverage. In the event of hospitalisation or medical treatment, you can either opt for cashless services at network hospitals or file for reimbursement if treated at non-network facilities. Individual health insurance plans cover a range of healthcare costs, such as hospitalisation, surgeries, and medication, depending on the policy terms. These plans ensure you are financially protected against unexpected medical expenses, offering peace of mind and access to quality healthcare.

Eligibility criteria for individual health insurance

Given below are the common criteria for individual health insurance:

1. Age:

Generally, individual health insurance policies are available for people aged 18-65. However, some insurers extend coverage to older individuals, offering senior-specific plans with tailored benefits.

2. Health status:

Pre-existing conditions are often subject to waiting periods or exclusions. Many insurers impose a waiting period of 2-4 years before covering chronic illnesses or conditions diagnosed prior to purchasing the policy.

3. Residency:

To qualify for an individual health insurance plan, one must be a resident of the country where the policy is being offered, ensuring access to local healthcare facilities.

4. Medical history:

Some insurers may require a medical check-up or submission of a health declaration to assess the risk level and determine premium rates or exclusions based on existing medical conditions.

Documents required for Individual Health Insurance

To apply for an individual health insurance policy, you’ll need to submit the following documents:

Proof of age

You can submit any of the following:

  • Aadhaar Card
  • PAN Card
  • Voter ID
  • Driving License
  • Birth Certificate
  • Passport

Proof of identity

Acceptable documents include:

  • Aadhaar Card
  • Voter ID
  • PAN Card
  • Passport
  • Driving License

Proof of address

To verify your permanent residence, you may provide:

  • PAN Card
  • Passport
  • Aadhaar Card
  • Driving License
  • Electricity Bill
  • Ration Card

Medical reports

Some insurers may require a medical check-up before policy approval. In such cases, you’ll need to submit the test reports as specified by the insurer.

  • Passport-size photographs
    Recent passport-sized photos are also necessary for documentation and policy records.

What makes health insurance plans for individuals necessary?

Considering the increasing healthcare expenses, and changing lifestyle, individual health insurance becomes a crucial investment that secures you during medical emergencies. Health insurance policies for individuals ensure you can access high-quality medical care when required.

Here is why health insurance plans for individuals are necessary.

Skyrocketing medical inflation

The cost of medical treatment has been on a drastic rise over the last few years. Individual health insurance lets you stay financially secure against any sudden expense caused due to medical emergencies.

Lifestyle-related diseases on the rise

Increasing lifestyle-related diseases due to stress, pollution, device addiction, and unhealthy eating habits make personal health insurance a must.

Savings

One of the most significant reasons to buy an health insurance plans for individuals is that it helps keep one’s savings intact in times of medical emergencies. There are no out-of-pocket expenses as the policy offers the necessary financial coverage.

Secure your family

Having an individual health insurance plan for family members will ensure complete security for them. Ageing parents or growing children are most vulnerable to illnesses. A medical insurance plan will ensure they access the best quality healthcare services without worrying about funds.

Who should buy Individual Health Insurance?

  • Self-employed individuals: Those who do not have access to employer-sponsored health coverage should consider individual plans to ensure comprehensive medical protection.
  • Freelancers and contract workers: People with non-permanent employment need individual insurance to secure health coverage.
  • Individuals with specific health needs: Those requiring tailored coverage for pre-existing conditions or specific treatments.
  • High-income earners: To benefit from customised plans and additional coverage options not available in group policies.

How to claim your individual health plan

At the time of an emergency, you can claim your individual medical insurance by following the set of steps given below:

Step 1: Fill up the pre-authorisation form at the network hospital to claim cashless approval at the time of hospitalisation.
Step 2: The insurer will approve the request and notify the hospital.
Step 3: Following which the hospital procedures will begin.
Step 4: The insurer will settle the bills directly with the network hospital at the time of discharge.

A similar set of steps can be followed to claim other individual health insurance plans.

How many claims are allowed in a year?

There is no fixed limit on the number of claims you can make in a year under individual health insurance. You can file multiple claims as long as they fall within your sum insured and policy terms.

How to renew individual health insurance with add-on covers?

To renew your policy with add-on covers, visit your insurer’s portal before the policy expiry, choose your desired add-ons like OPD or critical illness, and proceed with premium payment. Renewal ensures continued coverage without a break.

Are there any waiting periods under Individual Health Insurance plans?

Yes, individual health insurance plans typically include waiting periods. These include an initial waiting period for coverage to start, often 30 days, and specific waiting periods for pre-existing conditions, usually 2-4 years. During these waiting periods, claims related to pre-existing conditions or certain treatments may not be covered. It's important to review the policy terms to understand these periods and their impact on coverage.

Does the individual health insurance policy offer cashless treatment?

Individual health insurance plans generally offer cashless treatment. Given below are a few key aspects related to the same:

  • Individual health insurance policies often offer cashless treatment options, providing policyholders with the convenience of availing medical services without upfront payment.
  • These individual medical insurance plans typically involve tie-ups with a network of hospitals where policyholders can avail cashless treatment.
  • Cashless treatment under individual health plans eliminates the need for reimbursement hassles, offering peace of mind during medical emergencies.

Determining the ideal coverage for individual health insurance: What's right for you?

  • Assess your healthcare needs and budget to determine the ideal coverage for individual health insurance.
  • Consider factors like age, pre-existing conditions, and lifestyle habits when choosing individual medical insurance plans.
  • Evaluate coverage options offered by various insurers, including hospitalisation, outpatient care, and preventive services.
  • Look for additional benefits like maternity coverage, wellness programs, and telemedicine services in individual health plans.
  • Compare premiums, deductibles, and co-payments to find the most suitable individual medical insurance plan for your needs.

How to buy an individual health insurance policy online?

You can easily buy an individual health insurance policy online. Given below are the key steps involved in the process:

 

  • Research plans:
    Compare various individual health insurance policies online to identify the best options. Look at coverage details, premiums, exclusions, and benefits to find a plan that matches your specific health needs and financial situation.
  • Choose coverage:
    Select the coverage amount and benefits that best address your health requirements. Consider factors like sum insured, coverage for pre-existing conditions, and additional benefits such as maternity or critical illness coverage.
  • Fill application:
    Complete the online application form by providing accurate personal and medical information. This includes details about your age, health status, and any pre-existing conditions to ensure proper evaluation and coverage.
  • Submit documents:
    Upload the necessary documents, including identity proof, address proof, and medical records. Ensure all documents are clear and up-to-date to facilitate smooth processing and approval of your health insurance application.
  • Make payment:
    Pay the insurance premium through secure online payment gateways. Choose a payment method that is convenient for you, such as credit/debit cards or net banking, to complete the purchase of your health insurance plan.
  • Receive policy:
    After approval, you will receive your policy document via email. Review the document carefully to confirm the details, coverage, and terms, ensuring everything aligns with your selected plan.

 

How much coverage under individual health insurance should you have?

Usually, it is advised that you must have 50% of your annual income value as health insurance coverage. This means if you earn Rs. 5 lakh per annum, get health insurance coverage up to Rs. 2.5 lakh. However, considering the medical inflation every year, you must have sufficient health coverage to stay adequately covered during medical emergencies. You get coverage up to Rs. 2 crore on health insurance plans for individuals. The premium for individual health insurance policies depends on the coverage chosen. Hence, buy an individual health insurance that fits your budget and requirement.

Conclusion

An individual health insurance policy is a crucial investment in your health and financial security. It provides personalized coverage, ensuring you get the best medical care without worrying about expenses. Additionally, you can enjoy tax benefits under Section 80D. Secure your well-being today—explore comprehensive individual health insurance plans and stay financially prepared for any medical emergency.

Comprehensive Health Cover from ₹9.3*/day! – Get coverage up to ₹10 lakh from top insurers.

Check Plans Now!

Also Read

Parents Health Insurance

Maternity Health Insurance

Critical Illness Health Insurance.

Frequently asked questions

Which is better a family floater or individual health insurance?

Family floater health plans cover the entire family in a single policy, whereas personal health insurance secures individuals. The premium varies for both types of health insurance plans as depends on the coverage offered. The best strategy would be to focus on ensuring all family members and getting maximum advantages from both plans. Choose a health insurance plan that suits your requirement and budget, giving you adequate coverage during a medical emergency.

When should I buy an individual health insurance plan?

The earlier you purchase, the better. Generally, you must buy a health insurance plan during your early twenties, when you have just begun working. You are less likely to fall ill or claim the benefits of a health insurance policy at this age. This helps you get a cumulative bonus, i.e., bonus accumulated for every claim-free year. You can use the benefit to increase the sum insured without paying any extra premium on policy renewal. Health insurance policies for individuals also aid in financial planning and provide comprehensive coverage at a lower price.

Is individual health insurance expensive?

The premiums of health insurance policies differ from insurer to insurer. You can compare and choose the right insurance plan that fits your requirements and budget. Bajaj Finance along with leading insurers offers a wide range of comprehensive health insurance plans at affordable premiums. With the growing medical inflation, it is imperative to have health insurance that keeps you financially secure.

What should I do if I cannot afford a health insurance plan for an individual?

Digitalisation has boosted the health insurance sector. Most health insurers now offer health insurance policies online. You can simply visit your preferred health insurance provider’s website to check different policies and coverages offered. You will find multiple health insurance plans with extensive coverages at reasonable prices. Different insurers have different premium and coverage offerings. Many health insurance companies offer the option to pay the premium in instalments. Hence, compare and buy health insurance policies online. You can also choose a family health insurance plan that covers your entire family under one plan. Look for a wide range of health insurance plans available at affordable premiums on Bajaj Finance Insurance Mall.

What is multi-individual health insurance?

Multi-individual health insurance, also known as family health insurance, covers multiple individuals under a single policy. This type of insurance typically includes primary policyholders, such as spouses and dependent children, providing comprehensive healthcare coverage for the entire family unit.

What is individual health insurance?

Individual health insurance is a policy that offers medical coverage to one person, providing benefits such as hospitalisation, emergency services, and more. Each family member must purchase their own plan, tailored to their specific health needs.

What is an individual plan?

An individual plan is a health insurance policy purchased for one person, offering customised coverage based on their unique health requirements. It includes benefits like hospitalisation, diagnostics, and outpatient services, independent of other family members' coverage.

How much is health insurance a month for a single person in India?

The monthly premium for individual health insurance in India varies based on coverage, age, and health status, typically ranging from Rs. 500 to Rs. 2,500. Premiums increase with age and comprehensive coverage options.

Are there any waiting periods under Individual Health Insurance Plans?

Yes, individual health insurance plans often include waiting periods, such as a 30-day initial waiting period and 2-4 years for pre-existing conditions. This means some conditions may not be covered immediately.

What is the eligibility for an individual health insurance plan?

Eligibility for individual health insurance typically requires being within a specified age range (usually 18-65), being a resident of the country, and meeting health and medical criteria set by the insurer.

Is there any income tax exemption under Individual Health Insurance?

Yes, premiums paid for individual health insurance qualify for tax deductions under Section 80D of the Income Tax Act, offering exemptions up to Rs. 25,000 for individuals and Rs. 50,000 for senior citizens.

What if I want to renew individual health insurance with add-on covers?

When renewing individual health insurance, you can typically choose add-on covers to enhance your policy. Check with your insurer for available add-ons and adjust your premium accordingly to include the additional benefits.

What exactly are pre-existing conditions in an Individual Health Insurance?

Pre-existing conditions are health issues or ailments that were present before purchasing an individual health insurance policy. These conditions often have waiting periods before they are covered, as specified in the policy terms.

Are there any tax advantages to purchasing Individual Health Insurance?

Yes, purchasing individual health insurance offers tax benefits under Section 80D of the Income Tax Act. Premiums paid qualify for tax deductions, reducing taxable income and offering potential tax savings.

Why should I need Personal Medical Insurance?

Personal medical insurance provides financial protection against high medical costs, ensuring coverage for hospital expenses, surgeries, and treatments. It also offers peace of mind and access to quality healthcare when needed.

What's the best age to purchase Individual Health Insurance?

The best age to purchase individual health insurance is early in adulthood, ideally in your 20s or 30s. Early purchase often results in lower premiums and better coverage options, with fewer health issues to disclose.

Determining the ideal coverage for individual health insurance: What’s right for you?

Choosing the right sum insured depends on your age, medical history, city of residence, and lifestyle risks. For individuals below 35, a Rs. 5–10 lakh cover may suffice. But for those with dependents or pre-existing conditions, Rs. 15–30 lakh is a safer range, especially in metro cities where treatment costs are higher. Always consider inflation and potential medical needs in the next 10 years.

Are there any income tax exemptions under individual health insurance?

Yes. Premiums paid for individual health insurance qualify for tax deductions under Section 80D of the Income Tax Act:

  • Up to Rs. 25,000/year for individuals below 60
  • Up to Rs. 50,000/year for senior citizens
  • An additional deduction of Rs. 50,000 if you’re also paying premiums for senior citizen parents

These deductions can reduce your overall taxable income, while also giving you peace of mind through quality healthcare coverage.

Protect your health and save on taxes—explore individual health insurance plans with Section 80D benefits on Bajaj Finance Insurance Mall.

Is OPD benefit covered under individual health insurance?

Yes, many individual health insurance plans today include OPD (Outpatient Department) benefits either as a built-in feature or an add-on. This allows you to claim expenses for doctor consultations, diagnostic tests, and pharmacy bills—even when hospitalisation is not required. However, coverage terms, sub-limits, and claim processes may vary from one insurer to another.

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*T&C Apply - Bajaj Finance Limited (‘BFL’) is a registered corporate agent of third party insurance products of Bajaj Allianz Life Insurance Company Limited, HDFC Life Insurance Company Limited, Future Generali Life Insurance Company Limited, Bajaj Allianz General Insurance Company Limited, SBI General Insurance Company Limited, ACKO General Insurance Limited, ICICI Lombard General Insurance Company Limited, HDFC ERGO General Insurance Company Limited, Tata AIG General Insurance Company Limited, The New India Assurance Company Limited, Cholamandalam MS General Insurance Company Limited, Niva Bupa Health Insurance Company Limited , Aditya Birla Health Insurance Company Limited, Manipal Cigna Health Insurance Company Limited and Care Health Insurance Company Limited under the IRDAI composite CA registration number CA0101. Please note that, BFL does not underwrite the risk or act as an insurer. Your purchase of an insurance product is purely on a voluntary basis after your exercise of an independent due diligence on the suitability, viability of any insurance product. Any decision to purchase insurance product is solely at your own risk and responsibility and BFL shall not be liable for any loss or damage that any person may suffer, whether directly or indirectly. Please refer insurer's website for Policy Wordings. For more details on risk factors, terms and conditions and exclusions please read the product sales brochure carefully before concluding a sale. Tax benefits applicable if any, will be as per the prevailing tax laws. Tax laws are subject to change. Tax laws are subject to change. BFL does NOT provide Tax/Investment advisory services. Please consult your advisors before proceeding to purchase an insurance product. Visitors are hereby informed that their information submitted on the website may also be shared with insurers. BFL is also a distributor of other third party products from Assistance Services providers such as CPP Assistance Services Pvt. Ltd., Bajaj Finserv Health Ltd. etc. All product information such as premium, benefits, exclusions, sum insured, value added services, etc. are authentic and solely based on the information received from the respective insurance company or the respective Assistance service provider company.

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