Best Health Insurance In Mumbai 2024

Updated On: 2023-03-30

Author : Team Policybachat

Health insurance is the most searched keyword on search platforms after the Corona virus pandemic hit India at the end of 2019. Health insurance is being seriously considered by many Indians after the entry of corona virus.

Rising health care costs are forcing many people to think of good health insurance policy within their affordability. People who thought of visiting government hospitals earlier have also started thinking of visiting private hospitals in case of any medical emergency. Best Health Insurance in Mumbai can be found online on by comparing different health insurance plans offered by different insurance companies.

Health insurance is an agreement between the insurance company and the customer in which the insurance company agrees to settle the health insurance claim of the customer in case of hospitalization subject to the receipt of premium from the customer in regular intervals.

The premium paid by the customer for the health insurance policy depends on many factors such as the sum insured selected, add-ons opted and other terms and conditions mentioned in the policy. The premium in health insurance varies from company to company and also depends on the service levels provided by the company.

Best health insurance policy should have the maximum coverage with reasonable premium when compared with the other insurance companies in the market and with no hidden clauses in the policy. Health insurance premium can be paid in instalments as per the directive of the Insurance Regulatory and Development Authority of India if the customer is not able to pay the premium at once.

This option enables customer to convert the premium payment into monthly EMI options and at the same time avail higher coverage which would otherwise be difficult if the premium has to be paid lump sum.

Health insurance policy should be purchased after checking the terms and conditions mentioned under the policy and at the same time the claim settlement ratio and the claim acceptance time in case of cashless claim should be compared before deciding on the best health insurance company.

We at PolicyBachat offer the comparison of different health insurance policies from different insurance companies and the coverage offered by them.

Best Health Insurance Plans in Mumbai:

Best health insurance plans in Mumbai are classified based on the data provided by the insurance companies. The Health Insurance Quotes from different insurance companies can be seen on the portal after entering the basic details required for quote generation such as Age of the customer, sum insured required, number of members to be covered, location pin code, gender of the members to be covered, extra coverage in the form of add-ons etc.

Health insurance premiums are calculated for a 30 year old Male with 26 year old Spouse, Sum insured Rs.5 Lac and the policy period taken as 1 year. Location of the customer is taken as Mumbai for the purpose of premium calculation.

Company Plan Coverage Premium
Raheja QBE QuBE Super Saver 5,00,000 4,740
Raheja QBE QuBE Basic 5,00,000 5,882
Raheja QBE QuBE Comprehensive 5,00,000 7,518
Edelweiss Silver 5,00,000 7,557
Edelweiss Silver with Health 241 Add-on 5,00,000 9,446
Edelweiss Gold 5,00,000 10,406
Edelweiss Gold with 241 Add-on 5,00,000 13,008
Care NCB Super 5,00,000 10,885
Care NCB &UAR 5,00,000 11,627
Care NCB &Everyday Care 5,00,000 16,881
  • The premiums mentioned above differ with the coverage and other terms and conditions mentioned in different health insurance policies.
  • Conditions such as No claim bonus, Room rent, ICU rent, waiting period, Co-pay, Health check up options are considered before arriving at the final premium.
  • Customers are advised to examine the terms and conditions thoroughly before deciding on the purchase or have an interaction with our health insurance expert before proceeding with the purchase.

How to decide the best health insurance policy in Mumbai?

Best health insurance policy can be decided after considering the below factors:

  1. Coverage vs Premium:

    The most commonly compared thing when deciding on the health insurance policy is the coverage offered by the insurance company against the premium charged for the coverage. People tend to make mistake by comparing the coverage with the premium charged by the insurance companies.

    A health insurance policy consists of many things such as Inpatient hospitalization, Ayush treatment and domiciliary hospitalization and other terms and conditions which should be thoroughly checked before purchasing it. Simple analysis of comparing different health insurance policies against the premium from different insurance companies can only result in disappointment at the time of claim settlement. The best health insursance policy consists of good coverage at a reasonable premium.

  2. No Claim Bonus/ Renewal Bonus:

    No claim bonus or the renewal bonus is the increase in sum insured at the time of renewal provided by the insurance company for no claims made in the previous policy year. The maximum renewal bonus or No claim bonus provided by the insurance companies would not exceed 100% of the basic sum insured.

    There are few health insurance products which provide 10% to 50% renewal bonus for each claim free year. Higher the renewal bonus percentage each year, higher would be the sum insured at the time of renewal. The best health insurance policy in Mumbai is the one which provides up to 100% renewal bonus or no claim bonus for each claim free year.

  3. Network Hospitals:

    Network or tie-up hospitals are the hospitals with which the insurance companies enter into an agreement to provide cashless hospitalization service to its customers. Customers availing treatment through network or tie-up hospitals need not pay medical bills to the hospital, as it would be taken care of by the insurance company up to the sum insured mentioned in the policy.

    The best health insurance policy in Mumbai is the one which has the more number of network hospitals. Mumbai being a metro city would have more number of network hospitals for treatment of various diseases.

  4. Co-pay:

    Co-pay is the amount of claim which is to be borne by the insured customer at the time of claim settlement. Most of the health insurance policies have co-pay clause if there are senior citizens included in the policy. Higher the co-pay amount selected by the customer, lower would be the health insurance premium.

    Co-pay is the way of making customer liable and participating in the claim settlement process. The best health insurance policy in Mumbai is the one which doesn’t have the co-pay at the time of claim settlement.

  5. Pre-existing waiting period:

    Any illness or disease which exists prior to the inception of the health insurance policy is known as pre-existing disease. Health insurance policies usually have a waiting period only after which the health insurance claim for the existing diseases would be paid.

    The pre existing waiting period would normally range between 2 years to 4 years for different health insurance products available in the market. Higher the pre existing waiting period, higher would be the time before the claim is settled for pre existing conditions. The best health insurance policy in Mumbai is the one with 2 years or less pre existing waiting period.

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