A high-value health insurance of Rs 1 crore is an insurance plan that can cover exorbitant medical expenses incurred on expensive healthcare treatments. The health insurance of Rs 1 Crore covers pre-hospitalisation expenses up to 30 days and post-hospitalisation expenses up to 60 days. It also covers the expenses of an organ donor and an air ambulance. The health insurance of Rs 1 Crore can serve as a crucial financial safeguard against those life-threatening diseases which involve expensive treatments. This health insurance will not cover a pre-existing disease if kept undisclosed at the time of the purchase.
Important Update (Dated May 30, 2024) – Good news for Health Insurance policyholders! According to the Master Circular on Health Insurance Business 29052024 rolled out on May 29, 2024 by IRDAI, insurers are to decide on the request for cashless claims within 1 hour of receiving the request. Also, the final claim is to be granted within 3 hours after the policyholder’s discharge from the hospital. Insurers have been directed by IRDAI to establish necessary systems and procedures for this process by July 31, 2024.
The Master Circular on Health Insurance Business 29052024 circular is available here - https://irdai.gov.in/document-detail?documentId=4942918
In-Patient Hospitalisation |
Covered for minimum hospitalisation of 24 hours |
Pre-Hospitalisation Expenses |
Up to 30 days |
Post-Hospitalisation Expenses |
Up to 60 days |
No Claim Bonus |
10% - 50% |
Ambulance Cover |
Available |
Organ Donor Expenses |
Covered |
Automatic Restoration |
Provided |
Tax Benefits |
The premiums paid can be claimed under Section 80D of the Income Tax Act, 1961. |
Renewability |
Lifelong |
Add-On Covers Available |
Repatriation cover, critical illness cover, second medical opinion, global cover, compassionate visit, etc. |
Benefits of ₹1 Crore Health Insurance Plans
-
Availability of Add-On Covers
To ensure you have extensive coverage against any medical emergency that comes your way, add-ons are a must! With the help of add-on covers, you can get additional features under the ₹1 Crore health insurance plans that weren’t covered previously.
-
Lifelong Renewability
Many health insurance policies do not allow policyholders to renew the plan after a certain age. However, the ₹1 Crore health insurance policy provides the feature of lifelong renewability to enjoy medical coverage even when you are older.
-
Secures Hospitalisation Expenses
Be it planned treatment or an emergency medical requirement, the health insurance plan of ₹1 Crore has got your back! All the expenses resulting from hospitalisation shall be secured while you focus on recovering.
-
Tax Benefits
Save a significant amount on taxes by claiming the premiums paid towards the health policy under Section 80D of the Income Tax Act, 1961!
- In-Patient Hospitalisation
All hospitalisation expenses incurred, including the operation theatre costs, medicine bills, diagnostic tests, medical practitioner’s fees, costs of surgical or medical appliances, etc.
- Room Rent Expense
There is no room rent capping in the ₹1 Crore health insurance policy, and you can choose any hospital room of your choice.
- Daycare Procedure
All types of daycare treatments that do not require 24 hours of hospitalisation are covered under this insurance plan.
- Pre & Post-Hospitalisation
Coverage for the pre-hospitalisation cost of 60 days and the post-hospitalisation cost of 120 days is offered under such a high-value health insurance plan.
- Ambulance Cover
Expenses for an emergency road ambulance are covered.
- Air Ambulance
The cost of facilities for airlifting using medically-equipped speciality aircraft or an air ambulance will be covered without any extra premium payment.
Pre-Existing Ailments:
An undisclosed pre-existing disease will not be covered if it is not informed at the time of purchase.
Fertility Treatments:
Infertility or artificial insemination treatments, as well as treatments related to birth control, are not covered.
Pregnancy:
Hospitalisation expenses related to childbirth or pregnancy are not covered.
Surgery for Gender Reassignment:
The expenses resulting from gender reassignment surgeries or related treatment are not covered.
Plastic Surgery:
Cosmetic surgeries are not covered unless the need arises due to a medical emergency or due to accidental injury.
Dental Treatment:
Dental surgery is not covered except for accidental injuries.
Self-Inflicted Injuries:
Hospitalisation expenses incurred due to a suicide attempt are not covered.
Why Do You Need a ₹1 Crore Health Insurance Plan?
You may think a high-value insurance policy is not necessary. Many questions arise when you think of getting a health insurance cover worth ₹1 Crore. Here is why you should buy a high-value health insu Read Morerance cover: Read Less
Rising Medical Inflation
Medical costs in our country are rising day by day. Financing expensive treatments without a medical cover leaves you at risk of draining your pockets. The lockdown and its aftermath have put a strain Read Moreon medical facilities and further resulted in the rise of medical expenses, making health insurance mandatory in our daily lives. To secure your future and finances, a health insurance policy of high value is necessary. Read Less
Increasing Number of Critical Illnesses
Life-threatening illnesses such as cancer, cardiac arrests, tumours, etc., have been increasing. Irrespective of their age, everyone is susceptible to these major ailments. This could leave your financ Read Moreial future in uncertainty, and health insurance of high value can help avoid such situations. Read Less
Provides Adequate Coverage for Dependents
In case you purchase a family health policy, the high-value insurance plan can offer adequate coverage against medical emergencies. Thus, you or your dependents do not have to compromise on health Read Morecare! Read Less
Acts as a Strong Backup
The high coverage of ₹1 Crore acts as a strong backup in the event of a medical emergency. Instead of worrying about your finances, you can prioritise your health and opt for timely medical treatments.
Eligibility Criteria
The entry age is between 18 years to 65 years.
The age of dependent children or grandchildren must be between 3 months to 25 years.
Documents Required to apply for this Insurance are:
Age proof
Identity proof
Address proof
Medical reports
Passport-size photographs
Age of Policyholder |
Cost (Per Month)* |
261-35 years |
₹630-₹796 |
36-45 years |
₹921-₹1108 |
46-65 years |
₹2880-₹5973 |
*Indicative figures. Pricing will vary depending upon the insurance company you pick and the terms of your policy.
Here are a few factors to take into account before buying a high-value health insurance policy:
Age Criteria
While purchasing a health insurance policy, do keep in mind the age of the family members who need to be insured. This is because, in a family floater policy, the premium cost would depend on the age of the eldest family member.
Medical History
Any past history of a hereditary illness in your family or any ailment that you may have suffered earlier can increase the premium of a health cover. Avoid hiding such medical details and disclose them to the insurer to steer clear of claim rejections or policy cancellations.
Lifestyle Habits
An unhealthy lifestyle with habits like smoking and drinking puts you at risk of developing chronic illnesses, and this can increase your ₹1 Crore health insurance policy premium. Make sure you understand the clauses well before purchasing a health policy.
Add-On Covers
As the insurance coverage of your ₹1 Crore health plan is higher, it is bound to affect the premium cost. A higher sum insured and additional add-on covers can together lead to a higher insurance rate. This is why it is crucial to only opt for add-ons that meet your insurance needs!
It is hard to predict the exact sum insured that might work for you. However, in the following cases, it is advisable to opt for a higher sum insured:
If you have a family history of any critical illness.
If you work in a hazardous work environment.
If you do not have other investments to help take care of possible medical requirements in the future.
If you want to safeguard your assets and keep your investments intact in case of any health emergency.
Here is a step-by-step guide to help you purchase the best ₹1 Crore health insurance plans:
Step 1: Go to the ‘Health Insurance Premium Calculator’ page.
Step 2: Enter the required details like the age, gender, coverage needed, etc.
Step 3: Browse through various plans and compare them.
Step 4: Choose a plan that suits your medical requirements.
Step 5: Pick any add-on covers in case you require them.
Step 6: Pay your health insurance premium online.
Your health insurance plan shall be issued soon!
Who Should Buy One Crore Health Insurance?
Although the medical insurance cover of ₹1 Crore is suitable for most individuals, people falling in the below categories should definitely consider such a plan:
Individuals Over 40 Years of Age
The chances of experiencing health issues increase with age, and thus, individuals over the age of 40 years should consider a high-value insurance policy of ₹1 Crore.
Sole Earners of the Family
To avoid spending your savings on covering medical bills, purchasing a health insurance plan of ₹1 Crore is a must as the sole earner in the family. You can also safeguard your dependents with a family Read More floater plan. Read Less
Individuals With a Medical History
The most suitable health insurance option for people with a medical history is a high-value policy. It not only financially protects you against treatment costs but also gives you access to better medi Read Morecal facilities that might be expensive. Read Less
FAQs on ₹1 Crore Health Insurance Policy
Is it possible to buy health insurance with ₹1 Crore health cover online?
Yes, buying health insurance online is certainly possible. In fact, most health insurance providers offer a wide variety of medical insurance plans online.
What is the grace period on a ₹1 Crore Plan?
Generally, the grace period for a ₹1 Crore health insurance plan will vary from 15 to 30 days. However, the grace period clause varies from one insurance provider to the other. Therefore, you should carefully review your policy document to ascertain the duration of this period and its allied penalties.
Is there a limit on how much I can claim at one go if I purchase a health insurance policy for ₹1 Crore?
No. There is no real cap on the amount you can claim in one go. However, your claim should be within the sum insured limits, i.e., ₹1 Crore. You can file claims against your ₹1 Crore medical insurance plan as long as you don’t exhaust your sum insured reserve.
