Key Features of a Rs. 25 Lakh Health Insurance Plan
A Rs. 25 lakh health insurance policy offers a wide array of features aimed at providing robust financial protection and holistic medical coverage. It typically includes coverage for hospitalisation, surgeries, critical illnesses, and day-care procedures. Policyholders can also benefit from cashless treatment at network hospitals, pre- and post-hospitalisation expense coverage, and free annual health check-ups. Additional perks often include no-claim bonus (NCB), coverage for AYUSH treatments (Ayurveda, Yoga, Unani, Siddha, and Homeopathy), and other wellness benefits — making it a comprehensive solution for modern healthcare needs.
Benefits of buying a health plan with up to Rs. 25 lakh coverage
Given below are the key benefits for opting for an insurance plan providing a coverage of up to Rs. 25 lakh:
• Comprehensive coverage
A Rs. 25 lakh health insurance plan offers extensive coverage that takes care of all medical expenses during hospitalisation. It includes expenses such as room rent, doctor's fee, nursing charges, diagnostic tests, medicines, and other related medical expenses. With comprehensive coverage, you can avoid any financial burden during a medical emergency.
• No cap on expenses
With a Rs. 25 lakh sum insured, there is no cap on the expenses covered by the policy. In case of a medical emergency, if you exhaust the sum insured of Rs. 25 lakhs, you can still avail of the policy benefits, provided you have opted for a top-up plan. In this way, you can ensure that your medical expenses are taken care of, and you do not have to worry about the high expenses involved in treating a critical illness.
• Pre- and post-hospitalisation expenses
A Rs. 25 lakh health insurance plan also covers pre and post-hospitalisation expenses. It includes expenses incurred 30 days before hospitalisation and up to 60 days after discharge from the hospital. This is an added benefit as it helps in covering expenses incurred for diagnostics, consultations, and follow-up appointments.
• Cashless hospitalisation
One of the significant benefits of buying a health insurance policy of Rs. 25 lakh is that it offers cashless hospitalisation. You can avail of this facility at any of the network hospitals that the insurance company has tied up with. In this way, you do not have to worry about arranging cash for hospitalisation expenses and can focus entirely on your recovery.
• Tax benefit
Apart from the health benefits, a Rs. 25 lakh health insurance policy also offers tax benefits. You can claim a tax deduction of up to Rs. 25,000 for paid premiums under section 80D of the Income Tax Act, 1961.
If you are looking to buy a health insurance policy but are restricted due to high premiums. You can choose from a range of Pocket Insurance policies offered through Bajaj Finance. These policies provide maximum coverage at a minimum premium.
What’s covered under a Rs. 25 Lakh Health Insurance plan?
A Rs. 25 lakh health insurance policy typically includes:
- In-patient hospitalisation and ICU charges
- Pre- and post-hospitalisation expenses (usually 30-60 days pre & 60-90 days post)
- Daycare treatments and surgeries
- Domiciliary hospitalisation (home care)
- Ambulance charges and organ donor expenses
- Critical illness coverage (if opted)
- AYUSH treatments (Ayurveda, Yoga, Unani, Siddha, Homeopathy)
- Preventive health check-ups and wellness programs
What’s not covered under a Rs. 25 Lakh Health Insurance plan?
Despite extensive coverage, the following exclusions often apply under a Rs. 25 lakh health insurance plan:
- Treatment for pre-existing diseases during the waiting period
- Cosmetic or aesthetic procedures (unless medically necessary)
- Injuries due to self-harm or substance abuse
- Alternative therapies not listed under AYUSH
- Dental and vision treatments unless specified
- Unproven or experimental treatments
- Claims made during the policy lapse or grace period
Key factors which can affect the Rs. 25 Lakh Health Insurance premium
The premium for a Rs. 25 lakh medical insurance policy can vary based on the following factors:
- Age and health status of the insured individual(s)
- Number of members covered under the policy
- Add-on covers like maternity, critical illness, room rent waiver
- Sum insured enhancement options or restoration benefits
- Location of residence and hospital room preferences
- Previous medical history or pre-existing conditions
- Lifestyle habits like smoking or drinking
Eligibility criteria to buy a Rs. 25 Lakh Health Insurance Policy
To buy a Rs. 25 lakh health insurance plan, individuals must:
- Be between 18 to 65 years of age (varies by insurer)
- Undergo medical screening if required based on age or health status
- Be an Indian citizen or resident with valid ID proof
- Disclose all pre-existing conditions truthfully at the time of purchase
What are the documents required to buy Rs. 25 Lakh Health Insurance?
Below are the documents typically required to purchase a Rs. 25 lakh health insurance policy:
- Aadhaar Card or PAN Card for identity verification
- Proof of age (Birth Certificate, Passport, or Driving License)
- Address proof (Voter ID, Utility Bill, or Aadhaar)
- Recent passport-size photographs
- Income proof (Form 16, ITR, or bank statements – if required)
- Medical reports (as requested by the insurer for high-value coverage)
