₹5 Lakhs
For individuals
Young professionals or those just starting out. Basic coverage for common hospitalizations.
Why health insurance
Protect your family's financial future
Written by Kshitij JainReviewed by Harsh SoniUpdated nyvo insurance Services LLP, IRDAI Corporate Agent (Composite) CA1085Salaried advisors, no commission-based ranking
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While general inflation is 5–6%, medical costs double every 5 years. Here's what a ₹5L procedure costs over time:
| Year | Same procedure costs | Estimated growth |
|---|---|---|
| 2025 | ₹5L | baseline |
| 2030 | ₹10L | 2x |
| 2035 | ₹20L | 4x |
| 2040 | ₹40L | 8x |
The cover that's enough today won't be in 10 years. We size your policy for the future, not just 2025.
Source: industry medical-inflation estimates.
Actual claims data from Indian hospital networks (2025–2026).
| Disease | Tier 1 cities (avg) | Tier 2 cities (avg) | Tier 3 cities (avg) |
|---|---|---|---|
| Heart Disease | ₹14–18L | ₹11–13L | ₹8–10L |
| Respiratory Disease | ₹22–28L | ₹17–20L | ₹12–15L |
| Kidney Disease | ₹13–17L | ₹10–12L | ₹7–9L |
| Diabetes (complications) | ₹17–22L | ₹13–16L | ₹10–12L |
| Cancer | ₹35–45L | ₹27–32L | ₹18–24L |
One hospitalisation can cost more than a year's savings. The right cover means you never pay it from your own pocket.
A simple starting point to help you decide. Our advisors will fine-tune this for your specific situation.
₹5 Lakhs
Young professionals or those just starting out. Basic coverage for common hospitalizations.
₹10 Lakhs
Growing families or couples planning ahead. Covers most treatments in Tier 2–3 cities.
₹25 Lakhs+
Comprehensive protection for families. Covers major surgeries even in Tier 1 metro hospitals.
The same premium as buying direct; no advisory fee.
If you spend ₹10L on one hospital bill, your savings evaporate completely in a few days.
Savings should be kept for planned life goals, not for sudden unfortunate hospital bills.
Buy a comprehensive personal health insurance cover
Keep your ₹10L savings intact and growing for actual life goals
Relying solely on company-provided insurance leaves you dangerously exposed to financial risk.
The day your ID card stops working · resignation, layoff, retirement · your coverage ends. There is no portability and no continuity.
Most corporate plans cap at ₹5 lakh, which doesn’t cover a serious hospitalisation in any tier-1 city.
Aggressive room rent limits and disease sub-caps mean you end up paying heavily out of pocket.
Most corporate plans no longer cover ageing parents, or charge a steep top-up for them.
If a chronic condition shows up while you’re on the corporate plan, you may struggle to buy a personal policy at acceptable terms.
Employer’s TPA often de-prioritises complex or large claims; the insurer takes its cue from the corporate, not from you.
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Health insurance is a contract where the insurer covers your medical and hospitalisation expenses in exchange for a premium. With medical inflation at 14% annually in India, a single hospitalisation can cost ₹5–15 lakhs – health insurance ensures this doesn't wipe out your savings.
For individuals, ₹5–10 lakhs is a good starting point. For families, ₹10–25 lakhs is recommended depending on your city and family size. In metro cities, consider ₹25 lakhs or more to account for higher hospital costs.
Cashless hospitalisation means the insurer directly settles the bill with the hospital, so you don't need to pay upfront. This is available at network hospitals listed by your insurance provider.
A family floater plan covers your entire family – spouse, children, and sometimes parents – under a single sum insured. It's more affordable than buying individual policies for each member.
Yes, but after a waiting period – typically 2 to 4 years depending on the insurer and policy. After this period, your pre-existing conditions are fully covered.
Yes, if you file under the old tax regime. Under Section 80D (section 126 from tax year 2026-27), you can claim up to ₹25,000 for self and family, and an additional ₹50,000 for parents who are senior citizens – saving up to ₹23,400 in taxes annually.
Co-payment is the percentage of the claim amount you agree to pay from your pocket. For example, a 10% co-pay on a ₹5 lakh claim means you pay ₹50,000. Lower co-pay means higher premiums.
NCB is a reward for not making claims during a policy year. Your sum insured increases by 10–50% for each claim-free year, without any increase in premium – essentially free extra coverage.
Yes, IRDAI allows portability at renewal. You can switch insurers while retaining benefits like waiting period credits and no-claim bonus. IRDAI's Master Circular on Protection of Policyholders' Interests (5 September 2024) asks you to apply to the new insurer no earlier than 60 days and no later than 30 days before renewal; nyvo research (September 2026) suggests applying 45 to 60 days before your renewal date, so the new insurer can finish underwriting before the old policy lapses.
A super top-up activates after your base policy's sum insured is exhausted. For example, if you have a ₹5L base plan and a ₹20L super top-up, the top-up kicks in for expenses above ₹5L – giving you ₹25L total coverage at a fraction of the cost.
Restoration benefit refills your sum insured if it gets exhausted during the policy year. If you use your entire ₹10L cover, it gets restored for subsequent claims – crucial for families on floater plans.
Some policies cover maternity – including delivery, C-section, and newborn care – but typically after a waiting period of 2–4 years. Not all plans include this, so check before buying.
Yes. Many insurers offer plans for people up to 65–80 years of age. Premiums are higher, and there may be co-payment clauses, but coverage is available and highly recommended for seniors.
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