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Individual Health Insurance

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The outbreak of Covid-19 pandemic made people realize the importance of health insurance to secure them financially against the rising healthcare costs. Thus, more and more people these days are looking for the best individual health insurance plans to allow them the monetary security against diseases and health emergencies.

What are Individual Health Insurances?

Individual Health Insurance refers to the insurance plans where an individual gets protection against numerous expenses incurred towards maintaining his/her overall health and wellbeing. Thus, individual insurance offers monetary protection against different diseases requiring hospitalization depending on the sum insured, as well as the premium amount paid by the individual. Unlike family health insurance plans, Individual plans are required to be bought individually for each of your family members. Thus, you can modify health insurance for single person as per the health requirement of the person rather than as per the needs of the family.

Thus, individual medical insurance serves as a contract between an insurer and the insured where the insurer guarantees to incur a definite amount of medical expenses of the insured person as per the amount invested in the plan. In this case, insurance companies offer individual health security for a single person covered under the policy, and he/she gains all the advantages of the plan. These individual plans offer coverage against costs such as hospitalization, ambulance charges, day care charges and many others. Further, the premium payment made for a single person health insurance plan also permits income tax benefits to the insured under Section 80D.

Best Individual Health Insurance With PayBima

Key Features of Individual Health Insurance

Given below are some of the best features of an individual health insurance policy:

  • The health insurance for individuals provides coverage solely for the insured person.
  • The insurer here protects the policyholder against certain medical expenses as per the amount of premium paid by him/her.
  • Under individual health insurance plans, hospitalization charges are covered as part of the policy.
  • The individual policies come with Lifetime renewal.
  • These plans allow tax deductions as per section 80D of Income Tax.
  • The individual plans provide coverage costs for surgeries, hospital rooms, doctor's fees and for tests done in the laboratory among others.
  • In the individual mediclaim policy, the person covered under the plan requires to pay a fixed amount called co-payment for availing health services.
  • In these plans, pre, post hospitalization costs are included.
  • They also allow coverage against critical diseases.

Benefits of Individual Health Insurance

Given below are some of the best features of an individual health insurance policy:

Under these medical insurance for individuals, the benefits of the plan can be availed only by the insured person.

The insurance plans for individuals allow the insured to take advantage of the individual assured sum as compared to a floating assured sum.

The medical insurance for individuals serve perfectly for people who have a greater risk of health due to multiple diseases.

Some insurance companies permit parents, spouse and children to add in individual medical insurance but only on an individual basis. In this case, they even offer a particular amount of family discount on such plans.

There are no maximum age restrictions for members for policy renewal under individual insurance.

Also, in case of health insurance for individual, the insured doesn't have to be concerned about making multiple claims within a year as the policy particularly provides coverage for the single person who is insured under the plan and he/she does not have to share it with anyone.

What is Covered under Individual Health Insurance Plans?

What is Not Covered under Individual Health Insurance Plans?

An Individual mediclaim policy allows the following coverage:
  • Preventive Health Examinations - covers for precautionary health checkups costs that an insured incurs.
  • Hospitalization Expenses (In-Patient) - cover costs for hospitalization including room charges, ICU charges etc., if the insured stays in the hospital for 24 hours and beyond.
  • Expenses for Pre, Post Treatment at Hospital - individual insurance plans also cover expenses undertaken by the insured for any treatment that he/she has to stand before getting hospitalized or after getting discharged from the hospital.
  • Emergency Services for Ambulance - in emergency situations on the road that calls for an ambulance service, the individual insurance plan provides coverage for such expenses.
  • Coverage for Treatment Against Covid-19 - covers expenses for treatment of Covid-19.
  • Laboratory Test Charges - covers most lab test expenses.
  • Hospital Room charge - covers room charges in case of hospitalization of the insured. Also cover doctor's fees.
  • Day Care Charges - best individual health insurance cover day care charges where less than 24 hours hospitalization is required.
  • Domiciliary Charges - cover for domiciliary charges when patient avails treatment at home.
  • Expenses Incurred for Organ Donation - cover organ harvesting charges in case of organ transplant.
  • Alternative Treatment Costs - cover for alternative care like Homeopathy, Unani, Ayurveda etc.
Individual insurance plans do not offer the following coverage:
  • Injuries Caused by Self - it doesn't cover injuries inflicted by the insured on his/her own.
  • Dental Costs - it doesn't cover costs incurred on any dental treatment.
  • Alcohol/Drugs - it doesn't cover expenses incurred for treatment of drug/alcohol abuse.
  • Obesity - it doesn't cover the amount or costs spent on treatment of obesity and related diseases.
  • Infertility - it doesn't cover any expenses incurred for the treatment of infertility in women.
  • Cosmetic Surgery - it doesn't cover any costs brought upon the insured for the treatment of cosmetic surgery.
  • Dangerous Sports - it doesn't cover injuries caused due to joining any unsafe sports.
  • HIV AIDS - it doesn't cover costs against treatment of HIV and AIDS.
  • Nuclear Weapons - it doesn't cover costs against treatment on injuries caused due to use of nuclear weapons or during war.

Best individual health insurance plans Online in India

Below are the top 4 Individual Health Insurance Plans available Online in India:

1. Niva Bupa (Formerly known as Max Bupa) Health Insurance

Plan Name - Niva Bupa Health Premia Individual Health Insurance Plan

Key Features:

  • In-Patient Hospital Expenses
  • Pre, Post Hospitalization Charges
  • Maternity and Newborn Expense
  • Organ Transplant Coverage
  • Alternative Treatment Cost Coverage
  • OPD and Diagnostic Charges (Available with Platinum Plan)
  • Optional Coverage Benefits (Personal Accident Cover, Critical Illness Cover etc.)
  • Offer High Ratio of Claim Settlement

2. Star Health Insurance

Plan Name - Star Medi Classic Insurance Policy

Key Features:

  • Cover in patient hospitalization for 24 hours and beyond.
  • Cover fee for Specialist, Surgeon, Anesthetist, etc.
  • Cover ambulance charges of over 750 rupees (one time) during emergencies for transferring the insured patient to the hospital.
  • Room rent and nursing expenses are also covered.
  • Coverage for Alternative Treatment is also included.
  • Offer High Ratio of Claim Settlement

3. Bajaj Allianz Health Ensure Health Insurance

Plan Name - Bajaj Allianz Individual Health Guard

Key Features:

  • Offers High Ratio of Claim Settlement
  • Offer cashless hospitalization
  • Cover pre, post hospitalization expenses
  • Cover day care procedure costs

4. ICICI Lombard

Plan Name - Personal Protect Insurance Policy

Key Features:

  • Offer cover against Permanent Total Disablement (PTD) or Death in case of an accident.
  • Cover against injury due to violence/terrorism.
  • No prior health check required to buy this policy.
  • No age restriction and lifetime renew option.

How to buy a Health Insurance for Individual Plans from Paybima

Here are the steps to buy Individual Health Insurance cover from Paybima by Mahindra Insurance Brokers Ltd. (MIBL)

Affordable Premiums


Visit and click on the ‘health’ tab.

Helps in Tax Savings


Provide your basic details like Type of Policy required, Sum Insured, Gender of Primary Insured, Age of Primary Insured, and Pin Code of Primary Insured.

Option to Add Riders


Now, provide other details like your Name, Email id and Mobile number.

Provides Financial Security


You will be able to see a list of different plans available as per your requirement.

Provides Financial Security


You can check the details of each plan offered by different insurance companies.

Provides Financial Security


Here you can compare the plans and choose the one that suits your requirement.

Provides Financial Security


Once you select the individual insurance plan, you can make the payment online.

Provides Financial Security


Your policy will be issued within minutes.

What is the difference between Group and Individual Health Insurance?

Individual insurance plans permit individuals to earn coverage on his/her health for the amount of money or sum insured under the particular plan that the person is availing. Here, each individual in a family can get protection on an individual basis.

On the other hand, in case of group or family health insurance plans, the coverage on health is shared by all the members of a family in a single plan. So, here the sum insured can be used on a sharing basis among all members insured under the policy.

Thus, in case of a personal health insurance plan, only the policyholder can get coverage and gain out of it, whereas in case of Group health plans, each and every member included in the policy gets coverage as part of the plan.

Health Insurance companies

Difference between Group and Individual Health Insurance with PayBima

Frequently Asked Question

An Individual health insurance policy is the one that is bought by an individual personally to cover his/her own self. Individual policies cover only one person who gains protection offered by the policy. Some individual policies offer cover for individuals alone, while there are some policies which offer protection for other members of a family on an individual basis.

Top 5 individual health insurance plans are:

  • ICICI Lombard - Personal Protect Insurance Policy
  • Bajaj Allianz - Individual Health Guard
  • Oriental Health Insurance - Individual Mediclaim
  • Star Health Insurance - Medi Classic Insurance
  • Niva Bupa - Health Premia Individual Health Insurance Plan

You can search for the best individual health insurance plans through We have a range of best individual plans to cover your health. Our team can guide you through the top plans on individual health insurance to help you choose the best one.

Both the plans have their own merits. The best thing about an individual health insurance plan is that it offers extensive coverage. In individual plans every person has a particular sum insured that they can use to incur costs of their own health. This is not the same in family floater plans where the amount of sum insured is actually shared between all the members in the family who are insured as part of the plan.

An individual mandate in health insurance is a condition as part of the Affordable Care Act and it require the insured to buy minimum coverage that is essential, else they might have a go through a penalty in the form of tax.

It varies. For instance, for an individual health plans of rupees 5 lakh plan, you might have to pay between rupees 4,000-7,000 per year if you buy it at the age of 35.

There are many online and offline ways to buy individual health insurance. You can directly visit insurers website, visit the branch personally. Or you can visit to look for the best personal medical insurance and get proper guidance by our team to choose the best one.

Here are some tips:

  • Look for the right policy coverage.
  • Choose an affordable plan within your budget.
  • Choose the right plan - family or individual.
  • Opt for a plan with lifetime renewability option.
  • Compare quotes online before buying the plan.
  • Look for the network hospital coverage.
  • Look for high claim settlement ratio.
  • Finally, select the right plan and enter your details to make the purchase