What is the right sum insured for health insurance in India?

For individuals living in metro cities like Mumbai, Delhi, or Bengaluru, a minimum sum insured of ₹10–15 lakhs is recommended. For families, opt for ₹20–25 lakhs or higher, given rising hospitalisation costs and medical inflation averaging around 14% annually. If you have a family history of critical illness, consider a higher base cover supplemented with a super top-up plan.

What is a family floater health insurance policy?

A family floater policy provides a shared pool of sum insured that any covered member - typically self, spouse, children, and dependent parents - can utilise during the policy year. It is cost-efficient for younger families where all members are unlikely to make claims simultaneously. However, as parents age, it becomes more economical to move them to a separate senior citizen plan.

What are the different waiting periods in health insurance?

Health insurance policies in India typically have three types of waiting periods: 1. Initial Waiting Period (30–90 days): No non-accidental claims are covered in the first 30–90 days after policy inception. 2. Pre-Existing Disease (PED) Waiting Period (1–4 years): Conditions you had before buying the policy are not covered until this period lapses. 3. Specific Illness Waiting Period (1–2 years): Certain conditions like cataracts, hernia, or joint replacement have their own waiting periods even without being pre-existing.

What is No Claim Bonus (NCB) in health insurance?

NCB is a reward given by insurers for each claim-free policy year. It typically results in an increase in your sum insured by 10–50% at no additional premium, or sometimes a discount on the renewal premium. Accumulated NCB can effectively double your coverage over several years - making it one of the most valuable long-term benefits of a health insurance plan.

Can I buy health insurance online without a medical test?

Yes. Most health insurance plans allow online purchase without a pre-issuance medical examination for individuals below the age of 45–55, subject to clean health declarations on the proposal form. However, if you declare a pre-existing condition or are above the insurer's age threshold, you may be required to undergo a medical test before the policy is issued (NSTP cases).

What documents are required to buy health insurance online?

Most online purchases are completely paperless. You will typically need: Aadhaar or PAN card for KYC, age proof (DOB as per Aadhaar is usually sufficient), and medical records only if you have declared a pre-existing condition. In most STP cases, OTP-based verification on your mobile is all that's required.

What is the difference between a TPA and insurer-managed claims?

A Third Party Administrator (TPA) is an IRDAI-registered intermediary that manages cashless claim authorisation and reimbursement processing on behalf of the insurer. Some insurers have moved to in-house claim settlement, which often results in faster processing and better claim experience. When comparing plans, check whether the insurer uses a TPA or manages claims internally.

Buyer's Guide · Updated April 2026

How to Buy Health Insurance Online in 2026 - A Complete Step-by-Step Guide

From choosing the right sum insured to completing secure payment - here's everything you need to make a confident, informed decision when purchasing health insurance online in India.

10 min readBy CreditMitraLast updated: April 6, 2026IRDAI compliant information

Talk to us about health insurance

₹10L+

Recommended Min. Sum Insured (Metro)

30 Days

Initial Waiting Period (Most Plans)

98%+

Top Insurer Claim Settlement Ratio

5 Steps

To Buy Online in Under 20 Minutes

Buying health insurance online is faster and more transparent than ever - but speed should never come at the cost of a poor coverage decision. This guide walks you through every step, with the key features and red flags to watch out for, so you choose a plan that truly protects your family.

Define Your Health Insurance Requirements

health insurance for familyindividual vs family floatersum insured calculator

Before you start comparing plans, invest a few minutes in clearly defining your coverage needs. A well-defined requirement set is the single most effective filter - it eliminates irrelevant plans and ensures you spend time only on policies suited to your situation.

Type of Coverage

Choose between an individual plan or a family floater policy. Floaters share the sum insured across all members and are cost-efficient for younger families.

City of Residence

Medical costs vary significantly across cities. Metro residents (Mumbai, Delhi, Bengaluru) need a higher sum insured than Tier-2 city residents to cover equivalent hospitalisation bills.

Age of All Members

Age is a primary driver of premium. Adding a parent above 60 to a floater plan significantly increases cost - consider a separate senior citizen health plan for parents.

Sum Insured

Opt for a minimum of ₹10–15 lakhs for individuals and ₹20–25 lakhs for families in metros. Factor in medical inflation (~14% annually) when deciding.

Pro tip

If both parents are above 60, do not add them to a family floater plan - the premium spike is not worth it. Buy a separate senior citizen health insurance policy for better coverage and cost efficiency.

Evaluate Health Insurance Plan Features

room rent limit health insuranceNCB in health insurancerestoration benefitnetwork hospitals

Once you have a filtered list of plans, evaluate each one based on its feature set - not just its premium. A plan with a lower premium but restrictive sub-limits can end up costing you far more at the time of a claim.

Feature	What to Look For	Red Flag
Room Rent Limit	No sub-limit or 1% of SI/day minimum	Fixed caps (e.g., ₹3,000/day) in a metro
No Claim Bonus (NCB)	10–50% SI increase per claim-free year	NCB resets to zero after first claim
Restoration Benefit	100% restoration, unlimited times/year	Single restoration or only for unrelated illnesses
Network Hospitals	5,000+ hospitals, top-tier hospitals covered	Limited network, preferred hospitals excluded
Pre & Post Hospitalisation	60 days pre / 180 days post hospitalisation	Only 30/60 days covered
Daycare Procedures	All daycare treatments covered	Only specific listed procedures
OPD Coverage	Available as add-on or in-built	Not available or premium-heavy

Watch out

Room rent sub-limits are one of the most common reasons for partial claim settlements. A ₹3,000/day room rent cap in a hospital charging ₹8,000/day can proportionally reduce your entire claim - including surgeon fees, nursing, and medicines.

Compare Health Insurance Policies Side by Side

health insurance comparisonclaim settlement ratio 2026waiting period health insurance

Never buy the first plan you see. Comparing at least 3–5 policies across multiple insurers is essential to identify the best value - and to uncover exclusions that may not be obvious at first glance.

Premium vs. Benefits: A lower premium often means stricter sub-limits, lower NCB, or longer waiting periods. Evaluate total value, not sticker price alone.
PED Waiting Period: Pre-existing disease waiting periods range from 1 to 4 years. Opt for insurers offering shorter PED waiting periods where possible.
Specific Illness Waiting Periods: Conditions like hernia, cataracts, or joint replacement may have 1–2 year specific waiting periods. Always check the policy wordings.
Initial Waiting Period: Most plans won’t cover non-accidental hospitalisation in the first 30–90 days after policy inception.
Claim Settlement Ratio (CSR): A CSR above 95% indicates insurer reliability. Cross-reference with IRDAI’s annual report for the most accurate figures.
Incurred Claims Ratio (ICR): A ratio between 50–80% is considered healthy — too low may indicate claim rejection issues; too high may indicate financial strain on the insurer.
Exclusions: Review permanent exclusions (cosmetic surgery, self-inflicted injuries) and temporary exclusions tied to waiting periods.
Customer Support: 24x7 claim assistance, TPA quality, and digital claim submission capability significantly affect your experience during hospitalisation.

Expert insight

The Claim Settlement Ratio alone can be misleading. Always pair it with the Incurred Claims Ratio and average claim processing time for a full picture of insurer reliability.

Fill the Health Insurance Proposal Form Accurately

health insurance proposal formpre-existing disease disclosurenon-disclosure claim rejection

The proposal form is a legally binding document that forms the basis of your policy contract. Inaccuracies - even unintentional ones - can result in claim rejection at the worst possible moment. Fill it with complete honesty.

Personal Details

Ensure name, date of birth, and contact information exactly match your Aadhaar / PAN records used for KYC verification.

Physical Details

Provide accurate height and weight. Incorrect BMI can affect premium loading decisions and may be flagged during medical underwriting.

Medical History

Disclose all pre-existing diseases, past surgeries, hospitalisation history, and ongoing medications - even conditions that appear minor.

Lifestyle Habits

Declare tobacco usage, alcohol consumption, and high-risk occupation accurately. Non-disclosure here is a leading cause of claim repudiation.

Critical warning

Non-disclosure of pre-existing conditions is the #1 reason for claim rejection in India. Insurers have the right to repudiate claims - even years into the policy - if material facts were concealed at the time of purchase. Always disclose, always protect your claim.

Complete the Online Payment Process Securely

health insurance payment onlineUPI health insurancemulti-year health insurance discount

After reviewing your proposal details, the final step is payment. Most insurers and aggregators support instant issuance via secure digital payment gateways - your policy document arrives in your inbox within minutes.

UPI

Debit Card

Credit Card

Net Banking

EMI Options

Review premium breakdown: Confirm the base premium, GST (18%), and any add-on rider costs before proceeding to payment.
Check the policy start date: Ensure it aligns with your needs, especially if you're replacing an existing policy.
Instant policy issuance: For STP (Straight Through Processing) cases - typically younger, healthy individuals - your e-policy is issued immediately post-payment.
NSTP cases: Some applications may be flagged for medical underwriting, requiring document submission or a medical examination before final issuance.
Consider multi-year policies: Locking in for 2–3 years protects against annual premium hikes and often comes with a discount of 5–10%.
Save your policy document: Download and store your e-policy PDF, policy schedule, and insurer's claim helpline number in a safe, accessible location.

Money-saving tip

Paying a 2-year or 3-year premium upfront can save you 7–10% versus annual renewals, while also protecting you from mid-term rate revisions by the insurer.

Frequently Asked Questions

Everything you need to know about buying health insurance online in India - answered.