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Health insurance with Rs 1 crore cover becomes new normal

Health insurance policies with a cover of Rs 1 crore is becoming the new norm in the industry. With health inflation on the rise and average out-of-pocket medical expenses on the rise, insurers are increasing their cover sizes.

February 23, 2023 / 12:58 IST

Health insurance policies with a cover of Rs 1 crore is becoming the new norm in the industry. With health inflation on the rise and average out-of-pocket medical expenses on the rise, insurers are increasing their cover sizes.

Here, both public sector insurers as well as private insurers are increasing the sum assured under the products.

Take New India Assurance, for example. The state-owned general insurer has launched a new health insurance product -- New India Premier Mediclaim. It offers cover up to Rs 1 crore. Earlier, the maximum sum assured under health insurance was Rs 30 lakh for the company.

G Srinivasan, Chairman and Managing Director of New India explained that the product was introduced since there was a need felt for a higher cover in the market and also because there was a demand from customers for this.

Anyone from the age of 18 years to 65 years can opt for the product. Here, up to six members of the family including spouse, dependent parents and children can be covered. Features include critical illness benefit, ayurvedic treatment coverage (up to 20 percent of sum insured), baby cover, infertility cover and also air ambulance cover. HIV/AIDS and psychiatric disorders will also be covered.

The yearly premium will come to about Rs 45,000-50,000 for a thirty-year-old non-smoker.

Private insurers have already taken a lead in providing high value covers. Max Bupa Health offers covers of up to RS 1 crore that cover the individual and their family members.

Aditya Birla Health Insurance offers health insurance sum assured up to Rs 2 crore, with a focus on promoting healthy living.

Mayank Bathwal, Chief Executive Officer, Aditya Birla Health Insurance said that with the increase in chronic ailments like diabetes and blood pressure on one hand and self-employed on the other, the need for higher value insurance is growing.

One to two years ago, the average sum insured for a health insurance policy stood between Rs 10 lakh and Rs 15 lakh. If any individual needed a cover above this, they usually took a super top-up or a rider along with the policy.

Insurance companies are also of the view that employer covers are going down. Bathwal said that several employers are either reducing the cover for employers under group health scheme or are introducing co-pay elements in it.

Newer standalone health insurance companies who have been set up in the last two to three years have been offering Rs 1 crore and above covers since inception. CignaTTK Health Insurance has ProHealth Premier Plan that offers coverage of Rs 1 crore. Further, it includes a worldwide emergency cover up to full sum insured.

With a higher cover, the waiting period for the diseases is also going down. Waiting period means the duration before which payouts for any medical interventions for critical illness will not be paid for by the insurer.

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