Individual Health Insurance Policy | Individual Health Coverage (2024)

Table of Contents
What is an Individual Health Insurance? Who Should Buy Individual Health Insurance Policy? Why Should You Opt for Medical Insurance Plan for Individuals? An Essential Choice for Working Professionals Lower Health Insurance Premium Suitable for the Elderly Comprehensive Coverage and Flexibility to Customize Safeguard against Rising Health Issues Pre-existing Diseases and other Ailments Covered Better Tax Savings Ability to Avail Bigger Discounts Features of our Health Insurance for Individuals Benefits of Individual Health Insurance What is Covered under Health Insurance for Individuals? Exclusions under Individual Insurance Plans Medical Insurance Plans for Individuals Vs. Family Floater Cover Which Plan Should You Choose: Individual or Family Health Insurance Plans? Individual Covers: Eligibility, Claim Process, and Other Details How to File a Claim? Documents Required to File Health Insurance Claim Advantages of Buying Individual Health Insurance Online Things to Keep in Mind While Buying Health Insurance for Individuals How to buy Individual Health Insurance Online? 24800+ Healthcare providers offering cashless treatment across the country Voice of Our Customer FAQ on Individual Health Insurance Q. What is beneficial for me - floater insurance or individual insurance? Q. Do I get tax benefits under an individual insurance policy? Q. Do I get a cashless hospitalisation facility under individual plans? Q. I am covered in an employee health insurance policy; would I still have to get a health cover? Q. How much coverage do I need? Q. Do I need to go through medical check-up before buying individual health coverage? Q. At what minimum age can I add my children to my individual health cover? Q. Can an individual have more than one insurance policy? References

What is an Individual Health Insurance?

As the name suggests, an individual plan is a type of medical insurance offering coverage, benefits, and security against medical emergencies to a single policyholder. An individual insurance policy acts as a personal safeguard against any expenses arising due to emergency hospitalisation, accidents, or other ailments. As an individual, you can customise the benefits of an individual mediclaim policy while enjoying a pocket-friendly premium.

A lower premium, extensive coverage, and several benefits together make an individual health insurance policy a popular pick among youngsters or individuals. One has to make an informed decision about buying a health insurance plan. Witha highly flexible coverage, people of all ages – from young to middle age and elders – can opt for an individual policy to meet their specific medical care needs. Based on the selected plan, individual policy coverage can be extended to the individual's family. Care’s Supreme Health Insurance is a tailor-made individual health insurance policy that offers comprehensive coverage at an affordable cost. Find out why you should consider individual health cover over other options.

Who Should Buy Individual Health Insurance Policy?

While the policy is suitable for people from all walks of life, individuals under the following circumstances should certainly consider buying an individual health insurance policy:

People at a Higher Health Risk

People who are susceptible to increased health risks owing to an unhealthy lifestyle and stressful occupations

Ageing Parents

Elderly parents and family members with specific medical conditions, like diabetes, hypertension, etc.

Uninsured Individuals

If you are uninsured while your family is already insured under a policy, you should get a personal health cover.

People Needing Separate Coverage

Individuals who need a separate sum insured and benefits instead of a shared policy under family floater.

Individuals Suspecting Critical Illnesses

If you have a family history of serious diseases like cancer, etc., you should opt for a policy covering similar conditions individually.

Why Should You Opt for Medical Insurance Plan for Individuals?

Buying an individual health insurance plan comes with a lot of advantages for every kind of individual, especially if you are opting for this policy at an early age. Here’s how you can make the most of it:

An Essential Choice for Working Professionals

Working professionals need utmost security against the rising medical costs and lifestyle diseases while saving for the future. An individual policy is the best pick to protect one’s needs. Also, the employer-provided group mediclaim stops providing coverage when one exits the organisation, whereas a separate health plan can give lifelong coverage.

Lower Health Insurance Premium

The earlier you opt for an individual health plan, the better. Not only will you enjoy a lower premium but also, you will accumulate a significant no-claim bonus, given you stay healthy for a long time. Even if you opt for a personal health cover in old age, you can waive off the co-payment by opting for optional waiver benefits.

Suitable for the Elderly

Including elderly family members in a family floater plan may not be a good idea as it can increase the premium. So, get a separate individual health cover for your elders that meets their different medical needs. With benefits like alternative treatment and annual health check-ups, it becomes easy for senior citizens to manage their health better.

Comprehensive Coverage and Flexibility to Customize

Whether young or old, the biggest advantage of buying individual health insurance is that you can customise the plan as per your health status and needs. For instance, diabetics can buy a mediclaim with pre-existing diseases while people with a family history of heart or cancer diseases can opt for a critical illness cover.

Safeguard against Rising Health Issues

Long hours of work and inactivity is causing many households to struggle with lifestyle diseases like diabetes, hypertension, etc. The pandemic has further increased health risks for everyone. A personal cover protects you from all kinds of health risks, no matter your age and health status.

Pre-existing Diseases and other Ailments Covered

As a policyholder, you may have a specific health condition or prolonged ailment. Under an individual plan, you can get customised coverage for your pre-existing diseases. Also, you can get a separate cover for other ailments like heart diseases, organ transplants, cancer, etc.

Better Tax Savings

Opting for a personal cover gives you an added opportunity to save tax on an individual basis. One is eligible to get a maximum deduction of up to Rs 25,000 every year, u/s 80D, on the insurance premium paid. Senior citizens can get a higher deduction of up to Rs 50,000. One can get total deductions of up to Rs 1 lakh if the proposer and insured are above 60 years.

Ability to Avail Bigger Discounts

With a separate cover, you can avail of special discounts on the policy premium paid as per the terms. Especially if you are a young individual, you can avail of early bird discounts up to 10% with Care Plus- Youth Health Cover – offered by Care Health Insurance. Also, as a senior citizen, you can buy a multi-year policy to avail of exclusive discounts on the premium amount. This way, individual covers for every member adds to the discount percentage.

*Please read the policy T&C, brochure, and prospectus to know more about our medical insurance plans for individuals health and Mediclaim policies, as they may vary.

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Health Insurance for listed pre-existing diseases

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Features of our Health Insurance for Individuals

Here are some prominent features of our personal health policies:

Individual Health Insurance Policy | Individual Health Coverage (5)

Benefits of Individual Health Insurance

  • Cashless Hospitalisation- With our vast network of 24800+ cashless healthcare providers, we promise quality medical care at the best price. Our network hospitals ensure your family members can avail of timely healthcare services without draining the family’s savings.
  • Cost-effective Plans- Health Insurance plan for individuals come with expansive benefits at affordable cost. You will not have to pay hefty premium cost to get covered against unforeseen medical emergencies.
  • Customisable Health Benefits- With Care's Family Health Insurance, you can customise the policy features according to your needs. You are free to opt for the right coverage amount and tenure while picking the additional benefits.
  • No Age Limit- There should be no age to feel protected against medical emergencies. With Care Health Insurance’s individual health insurance plan. Our plans ensure lifelong renewability.
  • Tax Benefit- If you ensure yourself under an individual health insurance plan, you will be able to save tax on the premium you pay and save your savings.

What is Covered under Health Insurance for Individuals?

At Care Insurance, we offer comprehensive and customised policy for individuals under affordable premium rates with the following coverage benefits:

Coronavirus Treatment

Keep yourself safe against the COVID-19 risk with the coverage for standard coronavirus treatment expenses, including hospitalisation and medications.

No Claim Bonus

We reward you for staying healthy and raising no claims by increasing your sum insured under individual coverage by at least 10% of SI every policy year.

Pre and Post-Hospitalization Cover

We secure your hospitalisation to recovery journey with 30-day pre and 60-days post-hospitalization expenses covered under every individual plan.

Modern Day Care Treatment

Thanks to advanced medical technology, several medical treatments are completed within 24 hours. We cover expenses for such 540+ daycare procedures.

Auto Recharge of Sum Insured

To support you during frequent mediclaim needs, we ensure automatic recharge of your individual plan’s sum insured at least once in a policy year.

Annual Health Check-ups

We help you keep track of your health and take preventive measures with free annual health check-ups for insured members under our individual health covers.

Domiciliary Hospitalization Cover

We have your back when you need extra medical care at home. Our personal covers offer coverage for domiciliary care expenses as per policy terms.

In-Patient Care

We promise access to quality medical care with complete in-patient coverage, including ICU charges, doctor’s fees, etc., up to the individual plan’s SI.

Exclusions under Individual Insurance Plans

We shall not reimburse any claim amount for the following standard exclusions under individual plans:

  • Act of self-inflicted injury attempted suicide or suicide.
  • Any illness related directly to the consumption of Alcohol/Tobacco/Cigarettes, etc. or any sexually transmitted disease.
  • Cosmetic or plastic surgeries or related treatment.
  • Pregnancy, miscarriage, childbirth, maternity including C- section, abortion, or complications of any of these.
  • All the treatments required due to participation in hazardous activities.
  • Damage caused by a nuclear, chemical, or biological attack or weapons.
  • Illness or injuries caused due to any breach of law by the insured.

Medical Insurance Plans for Individuals Vs. Family Floater Cover

Let us help you understand how an individual plan is different from a family floater cover based on the following factors:

FactorsIndividual Health InsuranceFamily Floater Cover
Sum InsuredUnder individual plans, the insured’s sum insured is intact for his own use and other family members may have their own limit of sum insured on an individual basis.The entire family shares a common pool of sum insured. Each member or the whole family can utilise the sum insured entirely or partially. However, the shared amount keeps reducing everytime a claim is made by a member.
PremiumThe premium depends on the age of the individual alone.The premium depends entirely on the age of the oldest member in the plan.
Family MembersIf elderly members are 60+ and already suffering from ailments, then you should opt for an individual cover for all the members, especially elders.If you have a small family with young children, then a floater plan is a good option.

Which Plan Should You Choose: Individual or Family Health Insurance Plans?

It is always beneficial to evaluate health insurance early in your financial journey. This can be done easily by actively comparing different plans. The question of which health insurance might suit you, depends on the following situations:

  • Young Individuals: Young professionals who are just entering the workforce are the prime candidates for individual health insurance. The premium amount will be significantly lower as their age is considered to be a reduced risk factor.
  • Young Families With Children: Such families would be better off choosing family health insurance plans. The premium is determined by the age of the oldest member in the plan, but this is an effective way to ensure that your family is protected against unforeseen emergencies.
  • Your Parents: If you have elderly parents who have reached retirement age, then an individual health insurance plan or a Senior Citizens Health Insurance plan is the ideal option for them. The low-costs involved with family health insurance plans leave you with enough budget to buy separate plans for your parents.

Individual Covers: Eligibility, Claim Process, and Other Details

While the entry age of our wide-ranging individual plans may differ among plans, below are the standard eligibility criteria and claim process common across mediclaim for individuals

Minimum Entry Age18 years
Maximum Entry AgeNo upper age limit
RenewalLifelong renewability
Waiting Period
  • 30 days for all illnesses, except for accidental injury
  • 2 years for Named Ailments
  • 4 years for pre-existing illnesses
Tenure Options1/2/3 Years
Co-payment ClauseWhile buying or renewing the policy at the age of 61 years & above, customers will have the choice to include or exclude the co-payment feature, implying:
  • Continuing the policy with 20% co-payment
  • Continuing the policy without 20% co-pay by opting for a waiver benefit
Claim OptionsCashless and Reimbursement

How to File a Claim?

Filing a claim under a health insurance plan for individuals is easy and quick. Remember, in case of an emergency hospitalisation, you need to intimate our claims department within 24 hours of hospital admission.If it is a planned hosptialisation, kindly intimate us 48 hours prior to the admission date. Here are the steps to follow under the cashless and reimbursement claiming processes-

Cashless Claim ProcessReimbursement Claim Process
Step 1: Go to a listed in-network hospital.Step 1: Submit your claim form along with other required documents.
Step 2: Fill out the proper forms at the insurance desk.Step 2: You'll get an approval letter when your claim is verified.
Step 3: Send the completed form to our claim management team.Step 3: Respond to queries raised by the claim management team.
Step 4: You'll get an approval letter when your claim is verified.Step 4: Get approval from the claim management team.
Step 5: Respond to queries from the claim management team. You will receive communication about whether your cashless claim is approved or rejected within the standard TAT.Step 5: Our claims team will contact you if there are specific reasons for rejecting your claim.

Documents Required to File Health Insurance Claim

  • A duly filled and signed claim form
  • Insured person’s details like name, policy number, nature of the illness, address, etc.
  • All the diagnostics and medical test reports
  • Original payment receipts, hospital bills, and discharge summary papers
  • Original pharmacy bills with prescriptions
  • Doctor’s referral letter
  • Police FIR and post-mortem report in case of personal accident
  • Death certificate

Advantages of Buying Individual Health Insurance Online

In an effort to help you choose and buy best individual health insurance coverage, we have enhanced our digital portals with end-to-end support features and services, including the following facilities:

Secure Payment Modes

We back our digital portals with secure payment options, helping you complete the transaction from anywhere, any time.

Quick Chat Support

Our in-house claims and customer support team resolves all your policy-related queries instantly through our chat service.

Instant Premium Calculation

Our digital premium calculators help you estimate the policy’s cost while comparing premium rates against policies and benefits.

Convenient Policy Selection

You can easily study, evaluate, and compare individual health plans by accessing policy documents through our official website.

Value Added Services

While buying or renewing personal covers online, you can easily modify optional benefits like OPD, etc., to enhance the coverage.

Things to Keep in Mind While Buying Health Insurance for Individuals

Individual medical insurance gives you a financial cushion during a medical emergency and reduces monetary stress. Thus, it's essential to opt for a personal cover wisely. Consider these below things while buying it:

  • Check the minimum age criteria to buy the policy.
  • Look for a sufficient sum insured that meets your healthcare needs.
  • Opt for the plan that costs you a lower premium and does not overburden your pocket.
  • Check if there is a requirement for pre-medical tests to get the individual health policy.
  • Go with an extensive coverage policy that includes in-patient hospitalisation, pre and post hospitalisation, ambulance, second opinion, alternative treatment, and more.
  • Avail of add-on benefits such as no claim bonus, automatic recharge, global coverage, and international second opinion to enhance the coverage.
  • Check the tax exemption eligibility under individual plans

How to buy Individual Health Insurance Online?

Getting your personal health plan is the safest way to protect your health and finances as it provides coverage against any possible certain or uncertain risks. Here is a quick guide to buying online insurance for yourself:

1

Step 1

Visit our website and select a suitable health policy.

2

Step 2

Click on ‘Get Quote’ and provide relevant details.

3

Step 3

Enter the required information and customise your policy.

4

Step 4

Make payment through any secure digital payment modes.

Once approved, you will get the new health policy documents on your registered email address.

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NP

Nitin Padegaonkar August 23, 2024

Care Supreme

5

Thanks to care health insurance

Fantastic company accross the India wide cashless network... good service

MK

Manoj kumar August 23, 2024

Care Supreme

5

Family

SP

Satya Prakash August 23, 2024

Care Supreme

5

Hassle free treatment

Whenever I got treatment done, I never faced any kind of policy related problem. I got the operationtreatment done in the hospital without any worries. I thank CARE. I would suggest everyone to join Care, because only after joining will you know the truth and goodness.

NK

Naresh kumar August 23, 2024

Care Supreme

5

Care health Best health insurance company

I am very happy for care health insurance , very fast service for claim settlement. Thankyou care

SN

Sai nagendra reddy August 23, 2024

Care Supreme

5

Best forever

I recommend going with care health insurance to save your life and expenses ...

DG

D GANGADHAR July 08, 2024

Care Supreme

5

Tension Free Service

I admitted my child due illness.I just intimated the company regarding the admission into hospital.within in the 30min.they approved pre authorisation for cashless treatment.really its wonderful....Thank God being a care policy holder because no one expects that hardles in our life .

A

abhishek April 23, 2024

Care Supreme

5

best health insurance

care is best health insurance best plan supreme

RK

Reema Kumari April 23, 2024

Care Supreme

5

Mrs Reema Kumari

very good claim settlement care health support Mr Tushar Chandok And Chetan Sharma My Spouse Hospitalization Very good service i am happy care health insurance

KR

Keshav Rawat January 18, 2024

Care Supreme

5

Best Health Insurance Company

Best Health Insurance Company

RD

Rupali DHAINJE December 26, 2023

Care Supreme

5

Best Service in Claim

Care Health give us full Claim settlement in cashless and Reimbursement cases. With Advisor Mr. Rakesh Wani help us time to time in claim support services. Thank You CHIL Team and Mr. Wani.

M

Mahima December 19, 2023

Care Supreme

5

Nice service

This review is for the call centre person who suggested me to buy care supreme. I believe it is the best plan with best benefits and services.

SS

Sandeep Singh December 18, 2023

Care Supreme

2

bad experience

6 months after buying this plan, i got gal bladder stones. I had to undergo surgery for which company did not settle my reimbursement claim saying I have to serve waiting period. Whats the point of buying insurance if i dont get claim Bad experience

MG

Mahadeb Ghatak December 18, 2023

Care Supreme

5

Great Customer Service

I got full cooperation from care health Insurance specially Manicanchan Gupta regarding our claim under care supreme. Thanks

MS

Megha Shailesh Gupta December 17, 2023

Care Supreme

4

Satisfied

Thank you for providing me plan like care supreme and your team gives good response regarding services and helps a lot. ek star wait karane ka kaatungi

VC

Vinayak Chaturvedi December 15, 2023

Care Supreme

3

Disappointed

The claim team asked for too many bills and receipts i did not keep all of them with me. so only got partial claim approval.

MT

Mithilesh Tyagi December 01, 2023

Care Supreme

5

Good product

I had a good experience bcz good product given for my father in law and mother in law.. i would like to inform to my relatives and friends to take insurance in care health. Thank you CARE HEALTH INSURANCE.

RS

Rashmi Sharma December 01, 2023

Care Supreme

5

Helpful plan

I got care supreme for myself and my husband. My husband had dengue and care health insurance helped me with fast claim process. Amazing service

ST

Snigdha Tripathi December 01, 2023

Care Supreme

5

Good plan but average service

I buy this plan for myself last year and i needed to get hospitalised due to knee injury. Claim process took time but it happened. Please make your claim process fast.

M

Mahima December 01, 2023

Care Supreme

4

Nice service

This review is for the call centre person who suggested me to buy care supreme. I believe it is the best plan with best benefits and services.

VG

Vikram Gupta December 01, 2023

Care Supreme

5

Nice product

The product seems extensive with the kind of riders provided. Highly recommended.

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My appreciation for your prompt service

Recently, I’ve purchased JOY Maternity insurance for my expecting wife and my experience was excellent with the claim settlement team who helped me deal with all the formalities smoothly. Thank you for making my decision the right one!

Rahul Sangwan

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We will continue to avail of your scheme

I ported my healthcare plan last year; it is the wisest decision I made by choosing Care Health Insurance. I recently got admitted due to a viral infection, and all my expenses got covered under my plan.

Samanway Barik

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Everything went very smooth

Thank you for helping me when I needed help the most, being in the hospital. Buying Care’s health insurance plan is my best decision so far.

Soubhagya K Kulkarni

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Individual Health Insurance Policy | Individual Health Coverage (11)

Really helpful explaining the process in advance

Thank you for helping me with your fastest claim settlement process. I didn’t have to wait much for the approval. Everything was quick and seamless.

Vaibhav Rai

Health Insurance

Zeroing in on a health insurance plan for your family is a tricky choice, given the number of insurers in the market who offer similar policies. It is not wise to simply choose the policy with the lowest amount of premium. You need to compare different policies, their features and benefits. Care Health Insurance (CHI) is a specialist Health Insurer and offers products keeping in mind the needs of a customer in the event of a medical exigency. CHI offers a distinct set of benefits giving a clear choice for providing you with the best possible health insurance.

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Best Health Insurance
Company of the Year*

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48 Lakh + Claims Settled**

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24800+
CASHLESS HEALTHCARE PROVIDERS^^

**Number of claims settled as of 30th March 2024 *India Insurance Summit & Awards 2023

FAQ on Individual Health Insurance

Q. What is beneficial for me - floater insurance or individual insurance?

As a general rule, younger and nuclear families should opt for family floater plans. But if you have specific medical conditions and a complex medical history, you should always choose individual plans for every member.

Q. Do I get tax benefits under an individual insurance policy?

Yes, you can avail up to Rs. 25,000/-as tax benefits under the policy.

Q. Do I get a cashless hospitalisation facility under individual plans?

Yes, you will get the cashless hospitalisation facility across our 9400+ network hospitals.

Q. I am covered in an employee health insurance policy; would I still have to get a health cover?

Yes, given the rising health risks, it is better to have a separate health cover. That’s because employee health policies will cease to provide coverage if you leave or switch jobs and may prove inadequate to cover your major medical expenses.

Q. How much coverage do I need?

Ideally, the selection of the right sum insured for your medical needs will depend on several factors. It is advisable to consider your present age and medical condition, and medical treatment costs when deciding the coverage amount.

Q. Do I need to go through medical check-up before buying individual health coverage?

If the insured amount is below 15 lakhs or the individual is below 45 years of age, the person is not required to undergo any medical test. However, the underwriter may suggest a pre-policy check-up subject to certain exceptional medical cases and policy terms.

Q. At what minimum age can I add my children to my individual health cover?

You can include your kid under an individual health insurance plan if the age is 5 years or above. If the age is less than 5 years, you can include them in a family floater plan with other family members who are 18 years old or above.

Q. Can an individual have more than one insurance policy?

Yes, you can have multiple health insurance plans. If you have opted for more than one indemnity-based plan with other insurers or us, then you can select any of these plans to settle your claims, provided that the claim amount payable is up to the sum insured of such policy.

Disclaimer: Underwriting of claims for Individual health insurance is subject to terms and conditions.

~Tax benefit is subject to changes in tax laws. Standard T&C Apply

**Number of Claims Settled as of 31st March 2024

^10% discount is applicable for a 3-year policy

^^Number of Cashless Healthcare Providers as of 31st March 2024

Individual Health Insurance Policy | Individual Health Coverage (2024)

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