Save tax up to ₹75,000~ u/s 80D

Individual Health Insurance

Individual health insurance is a medical cover providing healthcare and financial security to a single person against medical emergencies. The policy includes an affordable premium while offering lifelong renewability.

Reasons to Choose Care Health Insurance?

  • 22100+ Cashless Healthcare Providers^^
  • 63 Lakh+ Insurance Claims Settled**
  • 24*7 Claim and Customer Support

Get Higher Coverage at an Affordable Premium

Get Quote In 1 Minute

Save up to 15% on Multi-Year Policy

arrow_back Select Family members you want to cover

arrow_back Select the age of each family member

arrow_back Where do you live? Help us with your city pincode

Note: To check other product- click here
Ritika Malik
Written by:
Ritika Malik
Ritika Malik
Ritika Malik

Insurance Expert at Care Health Insurance

A highly skilled Insurance Specialist with a strong background in writing and research across various sectors, including medical and insurance fields. Expert at creating clear, engaging content that simplifies complex terminology while adhering to industry standards. Specialises in producing informative articles, blog posts, and marketing materials that effectively connect with the intended audience.

check_circleReviewed by:
Munmi Sharma
Munmi Sharma
Munmi Sharma

Sr. Health Insurance Expert at Care Health Insurance

Munmi is an insurance expert with a passion for storytelling and keen eye for detail. With 10+years of experience in the digital marketing industry, her expertise in the insurance domain combines with experience and perfection in refining written content. When not crafting and editing a piece of content, she also loves to paint the canvas, explore new places and people, binge watching, cooking and playing badminton.

What is an Individual Health Insurance?

Individual Health Insurance is a medical policy designed to protect just one person. The entire Sum Insured is yours alone. Unlike a family plan, which shares coverage among members, this plan provides a dedicated coverage amount reserved exclusively for your treatment. The policy pays for hospital stays, surgeries, doctor fees, and medical bills incurred before and after hospitalisation.

Care Health Insurance offers multiple individual health insurance plans, including Ultimate Care, Care Supreme, Care Supreme VFM, Care Advantage, and more.

Why Choose an Individual Health Plan?

The benefits of buying a health insurance plan for individuals are:

  • Zero-stress hospital visits: Get treated at a network hospital without paying a single rupee first (Cashless Facility).
  • Coverage for big expenses: Covers all high costs, including your hospital room, surgical fees, and doctor fees.
  • Complete care (Before & After): Covers your medical bills from just before you are admitted and for a short time after you leave the hospital.
  • Reward for being healthy: Get extra coverage or a discount on your premium if you don't make any claim (No Claim Bonus).
  • Save on Taxes: The amount you pay for this policy may also help you save on your income tax (under Section 80D).

Select from the Best individual Health Insurance Plans

At Care Health Insurance, we meet the diverse healthcare needs of every household with some of our best individual health insurance plans in India. Here are some of our top-selling individual mediclaim plans:

Man Illustration
Look for best health plan that suits your need!
Preffered Product Image
Ultimate Care

India's First Money Back Health Insurance Plan

  • 100% Coverage Boost Upon Each Renewal
  • Tenure Multiplier for Multi-year Policy
KNOW MORE
Product Image
Care Supreme-Value for Money

A health plan designed for middle-aged individuals.

  • Up to 100% Cumulative Bonus 
  • Unlimited Automatic Recharge
KNOW MORE
Product Image
Care Supreme

Ideal for families looking for capless coverage

  • 500% Boost in Coverage in 5 Years
  • Unlimited Automatic Recharge
KNOW MORE

Features of Individual Health Insurance

The key features of our individual health insurance plans are: 

  • Sum Insured: Comprehensive coverage up to 6 cr
  • In-patient Hospitalisation: Up to sum insured
  • Pre and Post Hospitalisation: Up to 60/90 days, respectively
  • Day Care Treatment: Coverage for all daycare treatment
  • Advanced Treatment Cover : Up to SI
  • Domiciliary hospitalisation: Up to SI
  • Zero sub-limits: No sub-limits on treatment (subject to policy terms)
  • Cumulative Bonus: 50% increase in SI up to 100%, irrespective of claims made
  • AYUSH Treatment: Hospitalisation coverage up to SI in AYUSH-certified hospitals
  • Global Coverage: Available in the Care Advantage plan with SI 2/3/6 cr.
  • Unlimited E-consultation: Free consultations with general physicians through our mobile app

Benefits of Individual Health Insurance

Individual health insurance offers personalised coverage, guaranteeing access to essential clinical care when needed. Here are other benefits our health insurance plan provides that you must know before buying self-health insurance:

  • 0% GST on Premium: The GST Council has exempted GST on Individual, Family, Health Insurance for seniors, and reinsurance policies. All individual health insurance are exempted from 18% GST, resulting in lower premium costs.
  • Cashless Hospitalisation:With our vast network of 22100+ cashless healthcare providers.you get quality medical care without having to pay cash upfront and draining your savings.
  • Cost-effective Plans:Get comprehensive protection for medical emergencies without paying high premiums.
  • Customisable Health Benefits: Pick the coverage amount, duration, and extra benefits that best fit what you need.
  • Lifelong Protection:Once you have the plan, you can renew it for your entire life, no matter your age.
  • Tax Benefit:If you insure yourself under an individual health insurance plan, you will be able to save tax on the premium you pay and on your savings.
  • Essential for working professionals: Secure yourself against high medical costs and lifestyle diseases. Unlike a company plan, your individual policy offers lifelong coverage even if you change jobs.
  • Coverage for pre-existing diseases: Wait for a defined period and get coverage for pre-existing illnesses as well.

Types of Individual Health Insurance Plans

Individual health insurance plans are categorised into six different types of personal health insurance plans, including:

The Indemnity Plan

The indemnity plan reimburses the insured for hospitalisation and medical treatment expenses up to the sum insured's limit. The insured pays upfront and then submits a claim for reimbursement as per the policy terms.

Maternity Coverage

Pays for expenses related to pregnancy, childbirth, and postnatal care. These plans typically have a waiting period.

Top-up Plans (Extra Protection)

This gives you additional coverage above what your current health policy covers. They have lower premiums because you agree to pay a set amount (the deductible) yourself first.

Senior Citizen Plans

It is health insurance specifically for people aged 60 and above. It covers common age-related medical issues like heart conditions and arthritis, and helps with hospitalisation, surgery, and critical illness.

Mediclaim Health Insurance

Mainly covers your costs during a hospital stay, such as room charges, doctor fees, and surgical costs. It can be a good option if you need health insurance for a single person.

Personal Accident Cover

Pays out for injuries, disability, or in case of death caused by an accident. It's an inexpensive way to add significant financial protection for accidents to your current health insurance.

 

What is Covered under Health Insurance for Individuals?

At Care Insurance, we offer comprehensive and customised policies 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 60-day pre and 90-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.

What is Not Covered in Individual Health Insurance

Your individual health plan generally will not pay for medical bills related to the following everyday situations:

  • Self-inflicted harm: Injuries resulting from intentionally hurting yourself, attempting suicide, or committing suicide.
  • Lifestyle-related issues: Illnesses linked directly to using alcohol, tobacco, or cigarettes, as well as any sexually transmitted diseases.
  • Appearance procedures: Cosmetic or plastic surgery and related treatments.
  • Maternity and childbirth: Costs associated with pregnancy, miscarriage, standard and C-section childbirth, abortion, or complications from any of these events.
  • Dangerous hobbies: Injuries or treatments needed because you were participating in hazardous activities (like professional adventure sports).
  • Catastrophic events: Harm or illness caused by nuclear, chemical, or biological weapons or attacks.
  • Legal violations: Injuries or illnesses that happen while the insured person is breaking the law.

Eligibility Criteria

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 Age 18 years
Maximum Entry Age No upper age limit
Renewal Lifelong renewability
Waiting Period
  • 30 days for all illnesses, except for accidental injury
  • 2 years for Named Ailments
  • 3 years for pre-existing illnesses
Tenure Options 1/2/3/4/5 Years
Co-payment Clause While renewing or purchasing individual health insurance at the age of 61 years or 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 Options Cashless and Reimbursement

How Does Health Insurance for Individuals Work?

Health insurance for policyholders provides coverage for clinical expenses, guaranteeing that the individual's fees are secure in case of a medical crisis such as illness or injury. You should follow this step-by-step guide to understand how an individual health insurance plan works:

  • Purchase Individual Health Insurance: The first step is choosing an individual health policy that fits your needs. Differentiate between various plans, emphasising coverage, benefits, exclusions, and premium costs.
  • Pay the Premium:After choosing an individual health insurance plan, you must pay a premium, depending on the terms, such as monthly, quarterly, or annually. The premium depends on age, medical history, coverage amount, and policy duration. You can pay the premium directly through the insurer's website or through an agent.
  • Seek Medical Treatment: Once the policy is in place, you will be covered under the plan. You can instantly seek treatment at a network hospital if you experience any illness or injury or need medical attention.
  • File a Claim: If you plan to undergo any treatment under your policy coverage, you can file a claim. The insurance service provider may provide you with cashless treatment at a network hospital for hospitalisation. If you're receiving treatment at a non-network hospital, you may have to pay upfront and file for reimbursement later.
  • Claim Settlement: After you file a claim, the insurer will review the provided documentation, such as medical reports, bills, and prescriptions. If your claim fulfils all the terms and conditions in the policy, the insurer will approve and settle the bill through direct payment at the hospital in case of a cashless claim or will reimburse the amount into the bank.

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.

How to File a Claim?

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

Cashless Claim Process Reimbursement 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: When your claim is verified, you'll get an approval letter. 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 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 a personal accident
  • Death certificate

Individual vs 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:

Family Floater Plan Individual Plan
A single insurance amount (Sum Insured) is available for all enrolled family members to utilise under a family health insurance plan. Coverage is dedicated to one person only
The whole family is protected under one umbrella policy Every member of a family who buys this plan has their own distinct, private coverage limit.
The premium is mainly decided basis on the age of the eldest member of the family The cost of insurance (premium) is determined by the specific age and health condition of the individual applicant
The premium for a Family Floater is generally lower Comparatively costlier than a family plan
It's a smart option for households mindful of their expenses It is the preferred option when family members have diverse or specific medical requirements

Advantages of Buying Individual Health Insurance Online

To help you choose and buy the 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.

How to Buy Individual Health Insurance Online?

Getting your 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:

  • Choose a Policy: Visit an insurer's website and select a suitable health policy.
  • Get a Quote: Click on the 'Get Quote' option and provide your relevant personal and health details.
  • Customise & Confirm: Enter any required information to customise your policy (e.g., coverage amount, tenure) and review the final details.
  • Make Payment: Complete the purchase by making a payment through a secure digital payment mode.

Once approved, the new health policy documents will be sent to your registered email address.

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 the following 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 inpatient hospitalisation, pre- and post-hospitalisation, ambulance, second opinion, alternative treatment, and more.
  • Add-on benefits such as a no-claim bonus, automatic recharge, global coverage, and international second opinions are available to enhance coverage.
  • Check the tax exemption eligibility under individual plans.

Care Health Insurance in the Media Limelight

Cashless Claim Within An Hour! How Can Customers Take Full Benefit Of IRDAI's New Update?

Cashless claim settlements are a cornerstone of the modern insurance landscape, offering numerous benefits to policyholders and the industry alike. Irdai in a master circular released on Wednesday alerted all insurance providers...

Read more

Compare features, costs regularly to find a better health insurance

Health insurance premiums are on their way up. A survey of 11,000 owners of personal health insurance policies by LocalCircles found that 52 per cent had witnessed an over 25 per cent increase in their renewal premiums in the past 12 months...

Read more

Health Insurance for senior citizens: How the no age restriction new rules will benefit the elderly— Explained

Health Insurance for senior citizens: The recent amendments by the Insurance Regulatory and Development Authority of India (IRDAI) regarding health insurance rules are set to benefit senior citizens significantly...

Read more

Mother’s Day 2024: Understanding the significance of health insurance for women

As we celebrate Mother’s Day, it is crucial to reflect on the health-related challenges that women face. From reproductive health to mental wellness, our mothers can encounter obstacles that demand attention, care and support...

Read more

Cancer Coverage: Why Health Insurance Is Essential? Here Are 6 Key Reasons

Cancer Coverage: Ever increasing number of cancer cases in India present a challenging aspect of the nation's healthcare landscape. According to the National Cancer Registry Programme, India recorded about 1.46 million new cases of cancer in 2022....

Read more

Customise insurance riders to fit your family's medical background

A growing number of health insurance customers are nowadays supplementing their base health insurance policies with riders. According to insurance aggregator Policybazaar.com, while only 15 per cent of customers purchased riders...

Read more

 

21700+ Healthcare providers offering cashless treatment across the country

Look for hospitals around you

Detailed Hospital List
21700+ Healthcare providers offering cashless treatment across the country
Map empty

Voice of Our Customers

Reviews and ratings are coming soon. Please visit again or read all product reviews here.
Rahul Sangwan

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

Health Insurance

Samanway Barik

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

Health Insurance

Soubhagya K Kulkarni

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

Health Insurance

Vaibhav Rai

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

What do Our Customers Say?

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.

Secure Your Finances Now!

Get the best financial security with Care Health Insurance!

+91

Reach out to us at

Sales:1800-102-4499

Services: 8860402452


Buy Now

Live Chat

Ultimate Care: UIN - CHIHLIP25044V012425

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 Dec'25

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

^^Number of Cashless Healthcare Providers as of Dec'25

#The premium is calculated for an insured individual (18) who opts for a sum insured of 5 lakh in a zone 3 city.

*Premium calculated for an individual (Age 18) for sum insured 5 Lakhs in Zone 2 cities, 10% discount is applicable for a 3-year policy.