Individual Health Insurance

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Individual health insurance is designed to cover the medical expenses of a single
person. It provides financial protection against healthcare costs such as hospitalization,
diagnostics, surgery, and post-treatment care. Since the coverage is exclusive to one
individual, the entire sum insured remains available for their specific healthcare needs -
unlike family floater plans, where coverage is shared among members. The premium
and coverage are tailored to your age, health history, and city of residence.

What it can do for you:

  • Offers dedicated coverage: You get the full sum insured for yourself, without
    sharing it.

  •  Covers a range of medical costs: Includes pre and post-hospitalization, room
    rent, surgery, and more.

  •  Ensures long-term protection: Many plans offer lifetime renewability, ensuring
    support at every life stage.

Choose plans from a bouquet of products - 140+ policies, 40+ insurers, 8500+ Network Hospitals

Highlights of Individual
Health Insurance

Tailored health plans
₹5 lakhs coverage from ₹12/day
Dedicated sum insured
20+ insurers, 100+ plans
Tailored to your health needs
Lifelong policy renewals
Cashless treatment available
Hand-hold by our expert advisor till making the right choice

70% of customers choose our advisor support for better coverage clarity.

Paybima Trusted by Millions of Customers
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40+ Insurers

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Personalized service across India

What is Individual Health Insurance?

Everything You Need to Know

Benefits of Individual Health Insurance

Whether you're self-employed, a working professional, or planning ahead for medical uncertainties, individual health insurance ensures that you receive dedicated medical coverage without compromising your savings.

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Dedicated Sum Insured

You receive the full sum insured exclusively for your treatment, without sharing coverage with others as in a family floater plan, ensuring maximum benefit when you need it most.

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Customized to Your Needs

Individual plans are designed around your unique health requirements - age,lifestyle, location, and medical history, offering a level of personalization often missing in group or floater plans.

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Comprehensive Medical Coverage

From hospitalization and surgeries to diagnostics and consultations, yourindividual health policy covers a full spectrum of medical expenses - supporting urgent and planned care.

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Cashless Hospital Network

Access a vast network of empanelled hospitals across India where you can avail treatment without upfront payments.

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Coverage Continuity

Unlike employer-provided insurance, individual health plans stay with you -whether you change jobs, move cities, retire, or freelance. You remain covered,wherever life takes you.

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No-Claim Bonus Rewards

Get no-claim bonus benefits, which increase your sum insured for every claim-free year.

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Pre and Post-Hospitalization Cover

Expenses incurred 30 - 60 days before admission and 60 - 180 days after discharge are covered, including follow-up tests and medications.

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Annual Health Check-ups

Many individual plans offer annual check-ups, empowering you to monitor your health and detect issues early, at no additional cost.

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Lifetime Renewability

These plans offer guaranteed lifetime renewability, ensuring continued protection well into advanced age - a critical asset in retirement planning.

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Tax Benefits

Save up to ₹25,000 annually on taxes under Section 80D by investing in a health insurance plan for yourself.

Simple Steps and Assistance for Buying an Individual Health Insurance Plan

At Paybima, buying an insurance plan is easy and you can opt for an advisor’s help anytime.

Simple and
Easy-to-follow Steps
Comparison of Top
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Key Factors To Consider When Selecting An Individual Health Insurance Policy

Choosing the right individual health insurance plan involves more than just premium comparison. Look closely at features that impact long-term value and claim efficiency.

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Room Rent and Sub-Limits

Many health insurance policies set room rent caps. Higher room categories may lead to proportionate deductions on the claim - check sub-limit terms.

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Claim Settlement Ratio

Check the insurer’s claim settlement ratio (CSR) and their track record for settling health insurance claims quickly and fairly, especially for cashless claims.

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Modern & Alternative Treatments

Advanced treatments like robotic surgery or stem cell therapy and alternative therapies (AYUSH) are increasingly covered under individual medical insurance -verify inclusions.

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Seamless Portability

While all health insurance policies are portable, choose insurers known for smooth transfer processes, ensuring continuity of no-claim bonus and reduced waiting periods.

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Incurred Claim Ratio (ICR)

ICR reflects the proportion of claims paid by the insurer relative to the total premiums collected. A balanced ICR indicates that the insurer is actively settling claims while maintaining financial stability.

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Restoration Benefits

Restoration automatically refills the sum insured if it gets exhausted in a policy year - ideal in case of multiple or high-value claims.

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Waiting Periods

Individual health insurance policies often include short waiting periods for treatments like cataracts, hernia, or joint replacements. Review timelines to plan ahead confidently.

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Digital Support & App

A modern health insurer should offer a user-friendly mobile app or portal for policy tracking, hospital access, and online claim filing.

Criteria Details

Minimum Entry Age

Starts from 18 years

Policy Term

1, 2, or 3 years (Renewable for life)

Renewability

Lifetime renewability

Medical Check-
up Requirement

May be required for individuals above 45 years or with pre-existing conditions

Nationality

Indian residents and Non-Resident Indians (NRIs) residing in India can apply

Pre-Existing
Conditions

To be declared at the time of purchase; subject to waiting periods

Documentation
Required

Government-issued ID proof, age proof, address proof, recent photo, and health declaration/report if needed

 

What’s Covered And What’s Under Individual Health Insurance

Understanding what your health insurance policy includes and excludes helps you make informed decisions and avoid surprises at claim time.

These are typically covered under most individual health insurance plans:

Inclusions

Inclusions

Description

Hospitalization Expenses

Covers room rent, nursing charges, doctor’s fees, and ICU charges.

Pre & Post Hospitalization

Medical costs incurred 30–60 days before and 60–180 days after admission.

Daycare Procedures

Includes minor surgeries or treatments that do not require 24-hour hospitalization.

Diagnostic Tests & OPD

Covers prescribed diagnostic tests and outpatient consultations (if opted for).

Surgeries & Medical Procedures

Costs for medically necessary surgeries, including organ transplants.

Cashless Treatment

Available at network hospitals without upfront payment.

Ambulance Charges

Covers emergency road ambulance services, subject to sub-limits.

 

What’s Not Covered And What’s Under Individual Health Insurance

These conditions or services are generally not covered under a standard individual
policy:

Exclusions

Exclusions

Description

Pre-existing Conditions
(initially)

Covered only after the applicable waiting period.

Cosmetic & Aesthetic Procedures

Surgeries like Botox, plastic surgery, or dental unless medically necessary.

Self-inflicted Injuries

Injuries due to intentional harm or attempted suicide are not covered.

Alternative Therapies (non-AYUSH)

Unregistered therapies not approved under AYUSH are typically excluded.

Congenital Diseases

Some congenital anomalies may be excluded depending on the policy terms.

War or Nuclear-related Injuries

Injuries arising from war, rebellion, or nuclear contamination are excluded.

Unproven Treatments

Experimental or investigational treatments not supported by medical evidence.

 

What’s The Right Sum Insured For Your Individual Health Insurance Plan

Choosing the right coverage amount is critical to ensure your individual health insurance policy offers adequate protection without straining your finances. Here are key considerations to help you estimate the ideal sum insured:

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Age and Life Stage

Young individuals in their 20s or 30s may start with moderate coverage, while those above 45 should consider higher coverage due to increasing health risks.

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Health Profile

If you have lifestyle-related conditions like diabetes or hypertension or a family history of chronic illness, it’s wise to opt for a broader medical insurance cover.

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City and Hospitalization Costs

Healthcare in metros can cost significantly more than in smaller towns. Factor in average hospitalization costs in your city, especially for surgeries and ICU stays.

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Lifestyle

If your routine involves long working hours, frequent travel, or minimal physical activity, you may face higher health risks - warranting greater financial protection.

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Inflation

Medical inflation in India averages 10 - 15% annually. A sum insured that feels sufficient today may fall short in a few years. Plan with a 5 to 10-year outlook.

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Affordability

Look for a health insurance plan that balances premium affordability with adequate coverage. Consider super top-up options if the ideal base cover feels expensive.

Why You Still Need Individual Health Insurance If You Have Corporate Cover

Relying solely on your employer's health insurance may leave you underinsured or unprotected during transitions. Here's why an individual health insurance policy remains essential:

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Job Change or Loss Means Losing Coverage

Corporate health insurance is valid only while you're employed. An individual health plan ensures continuous coverage between jobs or during career breaks.

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Coverage Is Often Limited

Group medical insurance typically offers basic coverage with lower sum insured.Individual plans offer higher, more personalised protection.

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Pre-Existing Waiting Period Starts Early

Buying an individual policy early allows you to complete waiting periods for pre-existing conditions - something you can’t count on with job-tied plans.

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Control Over Policy Terms

With your own health insurance plan, you choose the insurer, add-on covers (like critical illness), and upgrade benefits - something corporate plans don’t allow.

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Continued Protection After Retirement

Corporate health plans cease once you retire. Individual medical insurance with lifetime renewability keeps you covered in later years when healthcare costs rise.

Debunking Common Myths About Individual Health Insurance in India

Many people in India hold misconceptions about health insurance that can lead to inadequate coverage or financial setbacks. Understanding the facts about health insurance plans ensures that you choose the best health insurance policy for your needs.

Who Should Buy Individual Health Insurance?

Individual health insurance isn’t just for those without employer coverage — it’s a smart choice for anyone who wants personalized, uninterrupted, and comprehensive healthcare protection.

Factors Affecting Individual Health Insurance Premium

Understanding what influences your premium helps you choose cost-effective,comprehensive coverage tailored to your needs.

1
Insured’s Age

Premium increases with age due to higher health risks.

2
Medical History

Chronic illnesses or health conditions can raise insurance premiums.

3
Sum Insured

Higher coverage limits directly lead to higher premiums.

4
Lifestyle & Habits

Smoking or sedentary lifestyle increases health insurance costs.

5
City of Residence

Urban areas have higher healthcare costs, raising premium rates.

6
Riders

Optional benefits like critical illness coverage, maternity benefits, etc. affect pricing.

7
Claim History

Frequent claims can raise future premiums, while consistent NCB rewards can reduce renewal costs.

8
Features & Sub-limits

Plans with broader coverage and fewer sub-limits often come with slightly higher premiums.

Tax Benefits Under Individual Health Insurance

Investing in your health doesn’t just secure your future - it also brings immediate financial advantages through tax savings.

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Section 80D Deductions

Premiums paid for individual health insurance are eligible for deductions under Section 80D of the Income Tax Act.

  • Up to ₹25,000/year: For individuals below 60 years.

  • Up to ₹50,000/year: For individuals above 60 years (senior citizens).

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Preventive Health Check-up Benefits

Within the overall limit, you can also claim up to ₹5,000/year for preventive health check-ups for yourself and your family.

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Coverage for Family Members

You can claim tax benefits even if the policy is taken for your spouse, dependent children, or parents, provided you pay the premium.

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Proof of Payment

Ensure premiums are paid through non-cash modes (credit/debit cards, online transfers,etc.) to qualify for tax deductions.

Health Insurance Policy for Coronavirus (COVID-19)

The plan may cover hospitalization costs incurred in the treatment of COVID-19.

Individual Health Insurance – Inclusions

What is covered under individual health insurance

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Preventive health examinations

Precautionary health check-up included.

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Hospitalisation expenses (in-patient)

Cover all hospitalisation costs that need overnight stays or more.

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Pre- and post-treatment

Covers pre and post hospitalization expenses

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Emergency services for an ambulance

Covers hospital transportation.

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Coverage for treatment against COVID-19

Covers all medical expenses.

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Laboratory test charges

Covers most lab test expenses.

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Daycare charges

Plans that cover treatments and procedures under 24 hours.

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Domiciliary charges

Covers doctor-prescribed home treatment when medical facilities are limited during emergencies or epidemics. Expenses incurred for organ donation: Plans that cover organ transplant and donation expenses. Alternative treatment: Covers alternative care like homeopathy, Unani, Ayurveda, etc.

Got Existing Illness?

Select the appropriate plan that covers more than 50* existing illness

*The number of illness covered values for different insurance companies.

View Plans

Individual Health Insurance – Exclusions

What is not covered in individual health insurance

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Self-inflicted injuries

Plans that exclude injuries caused intentionally by the insured.

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Dental treatment

Plans that do not cover preventive or cosmetic dental care.

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Substance abuse

Plans that don’t include treatment for drug/alcohol or any other intoxicant abuse.

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Obesity

Plans that do not include treatment for fat removal and other related diseases.

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Infertility

Plans that do not cover treatment for infertility.

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Cosmetic surgery

Plans that do not cover costs for cosmetic procedures.

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Dangerous sports

Plans that exclude injuries from risky sports.

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HIV/AIDS

Plans that do not cover treatment costs for HIV/AIDS.

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Nuclear weapons

Plans that do not cover costs from nuclear weapon injuries.

How to Select the Best Individual Health Plan

Having an individual health insurance plan is crucial for both your health and financial security during medical emergencies. With Mahindra Paybima's guidance, finding the right plan with the best coverage and price is simpler.

Things to consider while choosing your individual health insurance plan:  

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Comprehensive coverage

Look for a policy that covers various medical conditions and does not have added costs.

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Budget-friendly

Select a plan within your budget; add-ons can be chosen later.

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Lifetime renewability

Opt for policies with lifetime renewability for continuous benefits.

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Cashless hospital network

Ensure your plan includes a wide network of hospitals for cashless treatment.

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Claim settlement ratio

Check the efficiency of handling claim settlements for individuals.

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Coverage amount

Verify the sum insured to cover medical expenses adequately.

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Pre-existing conditions waiting period

Check waiting periods for immediate treatment needs.

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Add-on benefits

Confirm availability of add-ons before choosing a plan.

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Sub-limits

Be aware of disease-specific or room-rent sub-limits.

Choose the Health Cover As Per Your Need

Factors Affecting the Individual Health Insurance Premium

Insurers determine the premium amount based on various factors like age, pre-existing conditions, policy tenure, etc.

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Age

Starting early lowers premiums due to lower disease risks.

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Health history

Healthy individuals pay less than those with health issues.

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Policy duration

Long-term policies have lower premiums.

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Payment frequency

Annual payments often get discounts as compared to monthly payments.

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Base plan choice

Opt for a plan that meets your needs without extra riders.

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Avoid harmful habits

Smoking, drinking, and chewing tobacco can raise premiums.

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Profession

Risky workplaces, such as construction sites or areas with chemicals or radiation, lead to higher insurance premiums.

How to Buy an Individual Health Insurance Policy

1
Share Your Details & Explore Plans

Start by providing your personal and health information to initiate the process. Browse and compare various health insurance plans,reviewing features, network hospitals, waiting periods, and premium quotes.

2
Shortlist & Compare Policies

Select 2-3 suitable best health insurance policies and compare their coverage, benefits, and add-ons to find the right match.

3
Customize Your Plan

Choose the most suitable policy and enhance health coverage with riders or add-ons, such as critical illness or maternity benefits.

4
Complete Formalities & Make Payment

Fill in the proposal form, complete e-KYC,and securely pay the health insurance policy premium using credit/debit cards, UPI,
wallets, or net banking.

5
Upload Documents & Receive Policy

Submit the required documents for verification. Once approved, your best medical insurance plan will be sent to your
registered email ID.

How to Compare Health Insurance Policies

Here are some of the factors you should consider while comparing health insurance policies.

Why You Should Compare Individual Health Insurance Plans Online

Before you apply for health insurance, it’s essential to compare different plans to find the best coverage at the right price. Online comparisons help you evaluate features,benefits, and costs to choose the best medical insurance that meets your healthcare needs.

Benefits of Comparing Health Insurance Plans Online

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Check Insurer Reputation & Reviews

Exploring customer feedback and expert ratings gives insight into a health insurer’s claim process, service quality,
and overall reliability. This helps you select a medical insurance provider with a proven track record of customer satisfaction.

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Find a Plan That Fits Your Budget

Comparing multiple policies side by side helps you strike a balance between comprehensive coverage and affordable
premiums. This ensures you get the right health insurance policy without paying for unnecessary add-ons.

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Tailor Coverage to Your Needs

Online comparison tools allow you to filter policies based on coverage, add-ons, and benefits. This ensures you choose a
plan that aligns with your specific medical needs, lifestyle, and long-term health goals.

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Compare & Choose Anytime, Anywhere

With online platforms, you can browse, compare, and select the best health insurance plans from the comfort of your home. Whether on a laptop or mobile phone, you can easily access policydetails and make informed decisions without visiting multiple offices.

Guaranteed Claim Support

When you buy an individual health plan from us, we guide at every step till your claim is settled.

Start your claim process with us to get our support

Do You Have any Insurance Related Concerns?

Our IRDAI Certified insurance advisor is a click away.

Get in Touch with an Advisor

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The minimum age of entry is 5 years, while the maximum age of entry is 65 years.

Buying insurance through PayBima is a quick and easy process. Just fill in your basic details and get instant quotes from leading insurance companies. Compare among the various plans on offer and choose the one that best suits your requirements. Fill up the proposal form, make payment and your policy will be issued instantly.
PayBima focuses on bringing you all the information you need about insurance policies under one umbrella. You can find terms and conditions on different policies in an easy-to-read format.

  • When you fill-up the proposal form, a host of diverse policy options are brought to you. You can explore them at your own pace and shortlist the ones best suited to your insurance needs. The website offers you a wide range of options for insurance policies to choose from with a stress-free buying experience.
  • Once shortlisted, PayBima allows you to compare insurance online to see their benefits and shortcomings. Choose the one that offers you the maximum benefits. After finalising the best policy for yourself, you need to fill in your additional details. You can make payment and buy the policy on the PayBimaportal without being directed to any other website.

An individual health insurance plan offers individualised security against unforeseen medical costs for people looking for customised health care coverage in India. These plans have a lot of different choices so that they can fit everyone's wants. 

It pays for hospital stays, lab tests, and emergency medical care, so you won't have to worry about money when you have a health problem. The plan is flexible, so you can change the coverage levels and add extra riders to fit your needs. 

An individual health insurance plan is dependable due to its affordable fees and prompt claim payments. In general, this plan is necessary to protect your health and your finances. It gives you complete security that fits your budget and way of life. 

An individual health insurance plan pools monthly payments to pay for medical costs when they arise. People who have policies in India can use it as a safety net. There is a clear process that an individual health insurance plan follows. 

  • People with insurance pay regular fees that go into a pool that handles healthcare costs. 
  • When someone needs medical care, claims are handled based on coverage limits and premiums. These help make sure that services require no cash or repayment. 
  • The plan also includes pre-authorisation steps for expensive treatments, which makes managing claims easier. 
  • This individual health insurance plan makes getting good medical care easier by spreading out the costs and risks. It helps give you peace of mind and protects your finances in a medical emergency. 

The individual health insurance policy gives you a specific way to handle your medical costs. It keeps financial problems from getting in the way of people's health and happiness. 

This coverage covers various medical services, such as hospital stays, treatments, and tests. It gives consumers flexible choices to pick coverage that fits their health needs and budgets. 

It's appealing because it has benefits like care at network hospitals and quick claim settlement. An individual health insurance policy is an essential financial tool that protects your health and future by providing a reliable shield against rising medical expenses. 

To find the best individual health insurance plan, you need to carefully consider coverage, perks, and how reliable the provider is. By following these steps, find the best individual health insurance plan for your needs: 

  • First, compare important factors like premium prices, policy limits, and claim settlement rates. 
  • Review the policy's details, such as its limitations and extra benefits, to get complete security. 
  • Read reviews from customers and professional advice to get an idea of the quality of the service and how well it works. 

Ultimately, picking the best individual health insurance plan means weighing the costs of different plans against the benefits they offer. It gives you strong financial security and good medical care when you need it the most. The experts at Paybima will help you to choose the plan which best suits your needs. 

How much an individual health insurance plan costs depends on their age, the coverage they need, and the benefits they want. Paybima's individual health insurance usually costs between INR 5,000 and INR 20,000 per year. Most plans cost about INR 12,000 a year on average. 

Pre-existing illnesses, the amount of coverage, and any extra riders can affect the premiums. This health insurance is a cost-effective way to get complete medical care thanks to its competitive prices and flexible choices. 

Clear prices and in-depth reviews of policies help you make a smart choice about how to spend your money. Overall, individual health insurance ensures that people get reasonable care without worrying about how to pay for it. Making this choice to protect your health is smart and won't cost you much. 

Once you decide which plan to opt for, the experts at Paybima will share quotations with you based on your individual needs and the benefits, and you can choose according to your needs.

It's easy and quick to start the application process for an individual health insurance plan online. Here are the steps that will help you do it: 

  1. Research insurance companies with a good reputation at Paybima. 
  2. You can choose to set up a meeting with the experts at Paybima or schedule a callback. 
  3. Once you speak to an advisor, they will share quotations with you for policies which best suit your needs. 
  4. Then, you can complete the online application form with complete and correct information about yourself, your medical background, and your finances. 
  5. Get the papers you need, like proof of who you are, proof of your home, and old medical records, and upload them. 
  6. Look at the different policy choices and rates to find the best individual health insurance plan online for your needs. 
  7. Make a safe payment to finish the process, then wait for proof by email or text. 
  8. If you need more information, you can contact the Paybima experts, who will assist you further. 

People in India can get individual health insurance policies that cover medical costs that are specific to their needs. Here is a clear list of what an individual health insurance plan includes: 

  • They cover everything, including hospital stays, diagnostic tests, and sometimes pregnancies and critical diseases. 
  • People who don't have health insurance through their jobs can get an individual health insurance plan. It's perfect for workers and people who work for themselves. 
  • Policyholders can choose the amount of coverage and any extras they need with these plans because they are flexible. 
  • They ensure that people can get good healthcare when needed by paying for a range of medical costs and situations. 
  • An individual health insurance plan is crucial for protecting one's finances and overall health due to its adaptability. 

When you are well-prepared, getting your benefits from an individual health insurance plan can be smooth. Take a look at these steps: 

  • In case of an emergency, you need to contact your insurance company immediately after being hospitalised. This will start the claims process for your individual health insurance plan. 
  • However, if the hospitalisation is planned, you need to get a pre-authorisation at least 4-5 days prior to hospitalisation. 

Now, the claim can either be cashless or a reimbursement. 

1. Cashless claim: 

  • In case of a cashless claim, the hospital will do the liaisoning with your insurer and get all your documents in place 
  • You will receive final approval from the insurer at the time of discharge and will have to pay only the non-payable amount after the insurer approves the claim. 
  • You do not need to pay anything out-of-pocket. 
  • Once the remaining amount is paid, you can get discharged. 

2. Reimbursement claim: 

  • In case of a reimbursement claim, you need to pay the entire amount from your own pocket and then file for reimbursement. 
  • So, you need to gather all the necessary papers, such as doctor records, bills, medications, and original discharge notes from the hospital at the time of discharge. 
  • Then, you must fill out the claim form with all the correct information, whether online or at the provider's office. 
  • Then, you need to send in your claim along with all the necessary proof. Make sure you keep copies of your notes and the policyholder's bank account details. 
  • Check-in regularly with the insurance company to see how your individual health insurance plan claim is going. Also, quickly respond to any other questions. 
     

Getting an individual health insurance plan in India is a smart way to protect your health and your money. Take a look at these strong reasons: 

  • It's a meaningful way to protect your finances against rising medical costs and sudden health problems. 
  • The individual health insurance plan gives you access to good medical care, such as treatment at network hospitals that doesn't cost you anything. 
  • You can change the coverage to fit your health needs and your budget with customisable insurance choices. 
  • Your individual health insurance plan protects you even more when you add on extras like critical illness covers. 
  • It ensures long-term financial security and peace of mind by lowering out-of-pocket costs. 
  • Putting money into this kind of plan is a responsible way to keep your future healthy and safe. 

Anyone looking for dependable medical care in India must have an individual health insurance plan. This is why it's important: 

  • It protects you from horrible medical bills in case of an emergency by giving you a financial safety net. 
  • The individual health insurance plan ensures that people can get fast, high-quality medical care without paying a lot of money out of pocket. 
  • It covers a lot of different treatments, like hospital stays, tests, and surgeries, which makes it flexible. 
  • With add-ons, you can make your individual health insurance plan fit your needs, like covering serious diseases or baby care. 
  • These kinds of plans improve health in general by making it easier to get preventative care and treatment early on. 
  • This plan is an essential investment in your future in a place where healthcare costs are going up.

A lot of people want to know if their individual health insurance plan gives them tax breaks. The simple answer is yes! Here are some essential facts about tax deductions: 

  • Under Section 80D of the Income Tax Act, you can reduce the premiums you pay for an individual health insurance plan, under the Old Tax Regime, upto INR 25000 for premiums paid for yourself, your spouse and dependent children. 
  • You can also file an additional claim for premiums paid for dependent parents upto INR 25000, which can be upto INR 50,000 if either of your parents is more than 60 years of age. 
  • If you are more than 60 years of age and pay premiums for your parents, who are senior citizens, then you can file a claim up to INR 1,00,000. 

It is essential to keep the proper papers and other paperwork so that you can back up your claims when you file your taxes. Talking to a tax expert can help you understand any new or updated tax rules. The individual health insurance plan is a smart financial and health investment because of this benefit. 

In India, having your own health insurance is a must if you want to protect your health and your funds. Individual health insurance has many advantages, including the following: 

  • It covers hospital stays, treatments, and medical tests, so you don't have to pay as much out of pocket. 
  • Individual health insurance plans let you change things about them to fit your wants and budget. 
  • These plans usually come with extras like coverage for critical illnesses and pregnancy, which make total safety better. 
  • They let you get treatment at many places without paying cash upfront, ensuring you get quick and good care. 
  • Health perks and regular checkups may also be a part of the plan. 

Ultimately, individual health insurance helps people deal with unexpected medical bills and keeps their finances stable in the long run. 

If your needs change, you can switch to a different individual health insurance plan, which can be helpful. These are the most critical points: 

  • To port your existing individual health insurance plan from one insurer to another, you need to do the same at least 45 days before the expiry of the same, at the time of renewal and not otherwise. 
  • This way, you can continue to enjoy the benefits without losing any continuity benefits that you have already earned. 
  • However, the waiting period clause will apply only to the additional sum assured if you also enhance your coverage. 
  • Take a look at the waiting times and any terms about pre-existing conditions before you switch. 
  • Get all the necessary paperwork and talk to your present and potential insurers about the move process. 
  • Check to see if there are any fines or waiting times during the change process. 

Get help from a professional at Paybima to determine which new individual health insurance plan best fits your long-term healthcare goals. 

Getting individual health insurance is a smart way to protect your health and your funds. Take a look at these reasons: 

  • It helps protect your finances against rising medical costs and sudden situations. 
  • Individual health insurance gives people access to high-quality medical care and care that doesn't cost money at an extensive network of hospitals. 
  • Because the plans are very flexible, you can choose the amount of coverage and extra perks that work best for you. 
  • Having fitness programs and yearly checkups as part of individual health insurance makes it easier to get preventive care. 
  • By covering a lot of different methods, it also helps keep long-term healthcare costs down. 

Ultimately, getting individual health insurance gives you peace of mind, a safe financial future, and a better way of life. 

After buying a health insurance plan, there may be a waiting time during which some services or benefits are not covered. To get good service, you need to know about the waiting time. 

  • For most treatments, this time frame is between 30 and 90 days, but it can be longer or shorter depending on the disease. 
  • For significant treatments like joint replacement surgeries, you might have to wait up to 4 years. 
  • People with gallstones, cataracts, piles, fistulas, and hernias usually have to wait 1 to 2 years before they can get treatment. 
  • If the health insurance plan covers pregnancy, the wait time can be between 9 months and 6 years. After this time, maternity costs are no longer paid. 

These waiting times help ensure the health insurance plan is used for actual medical needs and not just for quick claims. 

When buying an individual health insurance plan online in India, it is essential to find the right site. Paybima is a well-known and trusted site that makes the process easier and offers reasonable rates. Here's what to do: 

  • Check out the plants at Paybima to learn about the different insurance plans and rates. 
  • Carefully read customer reviews and policy information to understand what the coverage covers and what it doesn't cover. 
  • You can use the platform's compare tools to find the health insurance plan that best meets your needs. 
  • Speak to an expert at Paybima who will guide you to buy the individual health insurance plan online. 
  • Ensure the payment method is safe for online deals and gives you several ways to pay. 
  • Lastly, fill out the rest of the application with the correct medical and personal information to activate the individual health insurance plan online. 

When picking an individual health insurance plan, knowing if it covers pre-existing illnesses is essential. Many plans cover diseases that people already have, but restrictions and waiting times may exist. Think about these things: 

  • Most insurance companies have a waiting time before covering pre-existing illnesses, usually between 12 and 36 months. 
  • As per the recent update from the IRDAI, the maximum waiting period for pre-existing ailments have been reduced to 36 months from the erstwhile 48 months. 
  • Carefully read the policy to learn what conditions are considered "pre-existing" and what conditions may not be covered. 
  • Some individual health insurance plan only cover part of the cost of medical care or charge higher fees for people who already have certain illnesses. 
  • If you have some medical issues, you can get personalised help from the insurance company's customer service. 
  • Check out a few different plans to find the one that gives you the most for your money. 
  • Keep up with any changes to the terms of your policy that might affect your benefits. 

Getting the most out of your Indian health insurance plan can protect your finances and ensure you get medical care when needed. Here's how to get the most out of your coverage: 

  • Learn about the perks of your health insurance plan in the policy paper. These may include hospital stays, outpatient care, and preventive services. 
  • Use the network of hospitals and clinics that are part of your plan to get help without paying cash. 
  • To help file claims, keep your medical papers, bills, and medications in order. 
  • Your insurance company will tell you how often to get checkups and other preventive screenings. 
  • In an emergency, you should immediately call your insurance company to start the claim process. 
  • Keep up with changes to the policy and new perks that the insurance adds. 

If you take the proper steps, getting rewards from your individual health insurance plan in India is easy. What you need to do is: 

  • Immediately notify your insurance company after hospitalisation or treatment to begin the claims process for your individual health insurance plan. 
  • Get all the papers you need, like medical records, hospital bills, medications, and summaries of your release. 
  • Either fill out the claim form online or at your insurance company's office. 
  • Send in the form and any supporting papers, and make sure you keep copies for your notes. 
  • Keep in touch with the insurance company to see how your claim is going. 

If the insurance company asks for more information, you should give it to them immediately so the claim payment goes smoothly. 

In India, you can buy an individual health insurance plan online easily. Getting policies has become easier with the digital method, making purchases safer. Here's what to do next: 

  • On the Paybima home page, find the "Product" dropdown menu and click on the "Individual Health Insurance" tab. 
  • Fill in the necessary information and ask for a return. 
  • A Paybima expert will help you choose the best plan for you. 
  • You can also call us at 1800 267 67 67 between 10 AM and 7 PM. 
  • You can also go to a nearby Paybima store. 

Thanks to this improved process, getting your individual health insurance plan online is now easier and more convenient. 

An individual health insurance policy offers medical coverage to one person, ensuring the full sum insured is available exclusively for their healthcare needs. Unlike a family floater plan, the coverage is not shared among multiple members.

An individual health insurance plan is ideal for those who want dedicated coverage, such as self-employed individuals, young professionals, or anyone with a higher personal health risk or pre-existing conditions.

Most individual health insurance plans cover hospitalization expenses, surgery,diagnostics, doctor consultations, pre- and post-hospitalization, ambulance charges, and day care treatments. Some also offer annual health check-ups and optional riders.

Yes, you can hold multiple medical insurance policies. During a claim, you can either claim from one insurer or split the claim between insurers, as per IRDAI guidelines.

Premiums depend on age, medical history, lifestyle, sum insured, location (metro or non-metro), and selected add-on covers. Younger and healthier individuals usually pay lower premiums.

Yes, but most health insurance policies have a waiting period before pre-existing conditions are covered. Be sure to disclose your medical history honestly at the time of purchase.

Absolutely. Under IRDAI rules, you can port your existing policy to an individual health insurance plan without losing benefits like waiting period credits or no-claim bonus.

Yes. Premiums paid for individual health insurance are eligible for tax deduction under Section 80D of the Income Tax Act up to ₹25,000 (or ₹50,000 for senior citizens).