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With the rising medical costs, buying an individual health insurance policy in India is not just a smart choice; it has become necessary. It ensures direct access to quality healthcare and helps manage unforeseen medical expenses. So, whether you're a freelancer, entrepreneur or looking for better coverage, an individual health insurance policy ensures that you are financially prepared for any health challenges.
Remember, Individual Health Insurance is more than just coverage; it’s peace of mind for you and your family.
The following article will provide you with a detailed understanding of individual health plans and help you make an informed decision before buying one for yourself.
An individual health insurance is a type of health insurance policy customized for a young individual to safeguard and cover oneself from various illnesses, hospitalizations, child delivery expenses and other major and minor health conditions that may arise during one's lifetime.
While an individual health insurance is essentially designed for young people without families, you can still customize your plan to cover your dependents, such as your senior parents, spouse and children. However, there will be separate individual plans with different coverage and benefits for each family member.
For example, Mr. Rahul, aged 30, has an Individual Health Insurance plan for himself and his spouse. He has taken an individual health insurance of ₹10 lakhs. This means he and his wife will both have ₹10 lakhs each to cover their health needs.
Remember, your health is your greatest wealth. Protect it with the right insurance, not just for you but also for those who are dependent on you.
Coverages
Double Wallet Plan
Infinity Wallet Plan
Worldwide Treatement Plan
Important Features
This covers for all hospitalization expenses including due to an Illness, Accident, Critical Illness or even pandemics like Covid 19. It can be used to cover for multiple hospitalizations, as long as the total expenses are up to your sum insured.
You need to wait for a defined period from the first day of your policy to get covered for treatment related to any non-accidental illness. This is the Initial Waiting period.
Exclusive Wellness Benefits like Home Healthcare, Tele consultations, Yoga and Mindfullness and many more available on our App.
We provide a back-up Sum Insured which is 100% of your Sum Insured amount. How does Sum Insured Back Up work? Suppose your policy Sum Insured is Rs. 5 lac. You make a claim of Rs.50,000. Digit automatically triggers the wallet benefit. So you now have 4.5lac + 5 lac Sum Insured available for the year. However, one single claim, cannot be more than the base Sum Insured as in the above case, 5 lac. .
No claims in the Policy year? You get a bonus -an additional amount in your total sum-insured for staying healthy & claim free!
Different categories of rooms have different rents. Just like how hotel rooms have tarrifs. Digit plans give you the benefit of having no room rent cap, as long as it is below your Sum Insured..
Health insurance covers medical expenses only for hospitalizations exceeding 24 hours. Day care procedures refer to medical treatments undertaken in a hospital, requiring less than 24 hours due to technological advancement such as cataract, dialysis etc.
Get a world class treatment with the Worldwide Coverage! If your doctor identifies an illness during your health examination in India and you wish to get a treatment abroad, then we’re there for you.You’re covered!
We pay for your health check-up expenses upto the amount mentioned in your Plan. No restrictions on the kind of tests! Be it ECG or Thyroid Profile. Make sure you go through your policy schedule to check the claim limit.
There may be emergency life-threatening health conditions which may require immediate transportation to hospital. We absolutely understand this and reimburse for expenses incurred for your transportation to a hospital in airplane or helicopter.
Co-Payment means a cost sharing requirement under a Health Insurance Policy that provides that the Policyholder/Insured will bear a specified percentage of the admissible claims amount. It does not reduce the Sum Insured. This percentage depends on various factors like age, or sometimes also on your treatment city called zone based copayment. In our plans, there is no age based or zone based Co payment involved.
Get reimbursed for the expenses of road ambulance, in case you are hospitalized.
This cover is for all expenses before and after hospitalization such as for diagnosis, tests and recovery.
Other Features
The disease or condition that you are already suffering with and have disclosed to us before taking the policy and has been accepted by us has a waiting period as per plan opted and mentioned in your Policy Schedule.
This is the amount of time you need to wait for, until you can make a claim for a specific illness. At Digit it is 2 years and starts from the day of policy activation. For the full list of exclusions, read Standard Exclusions (Excl02) of your policy wordings.
If You sustain an Accidental Bodily Injury during the Policy Period, which is the sole and direct cause of Your Death within twelve (12) months from the date of accident, then We will pay 100% of the Sum Insured as mentioned in Policy Schedule against this cover and as per plan opted.
Your organ donor gets covered in your policy. We also take care of the pre and post hospitalization expenses of the donor. Organ donating is one of the kindest deeds ever and we thought to ourselves, why not be a part of it!
Hospitals can go out of beds, or the patient’s condition may be rough to get admitted in a hospital. Don’t panic! We cover you for the medical expenses even if you get treatment at home.
Obesity may be the root cause of so many health issues. We absolutely understand this, and cover for Bariatric Surgery when it is medically necessary and advised by your doctor. However, we DONOT cover if hospitalization for this treatment is for cosmetic reasons.
If due to a trauma, a member has to be hospitalized for a psychiatric treatment, it will be covered under this benefit, upto INR 1,00,000. However, OPD consultations are not covered under this. The waiting period for Psychiatric Illness Cover is same as Specific Illness waiting period.
Before, during & after hospitalization, there are many other medical aids & expenditures such as walking aids, crepe bandages, belts, etc.,which need your pocket’s attention.This cover takes care of these expenses that are otherwise excluded from the policy.
*Available only on Worldwide Treatment Plan
Individual health insurance is ideal for anyone seeking personalized health coverage tailored to their specific needs.
Whether you’re a young professional starting your career, a freelancer with no employer coverage, or a businessman looking for personal protection, an individual policy can offer different tailored benefits. However, individuals wanting better coverage options than what their employer offers should also consider buying an individual policy.
Ultimately, if you value financial security and access to quality healthcare, you must consider buying an individual health insurance.
At Digit, our health insurance rates are divided into two zones based on healthcare prices in different cities for convenience.
Let’s look at a real-world example to understand the individual health insurance plans and the premiums charged for the particular sum insured. Ideally, we recommend for “Infinity Wallet Plan” as one of our most popular and reliable plans for every individual.
Let’s take the example of Rahul who is 25 years old and has Individual Health Insurance. He lives in Noida (Zone 2) and has chosen the Infinity Wallet plan for himself having a sum insured of ₹10 lakh. Let’s see how much annual premium he pays for this particular sum insured.
Note: The annual premium mentioned above is excluded from GST and only mentioned for Zone 2 cities. The price varies for Zone 1 cities. Also, age, plan choice, and other conditions may affect your premiums.
A ₹10 lakh sum insured is highly recommended because:
With all digital friendly and hassle-free process, buying Insurance at Digit is as easy as A.B.C. with just a few simple steps:
On the Digit app or website, enter your PIN Code and Mobile Number, and click ‘View Prices’.
Select family members to insure, add age of the eldest member and click ‘Continue' to choose your Sum Insured, Plan and Add-ons.
Next, enter the details of each family member and click ‘Pay Now' to complete the payment and mandatory KYC verification process.
You’re done! You’ll receive the policy document via email, SMS and WhatsApp. Also, you can access it 24X7 on the Digit App.
The eligibility criteria differ for different insurance companies. Before purchasing one, you must ensure you are eligible to purchase the particular policy. Here are the general eligibility criteria to get an individual health insurance.
In order to buy an individual health insurance plans in India, you need to submit certain documents for verification. These documents are essential to verify your age, identification and residence. Documents include:
Disclaimer: To purchase a Digit Health Insurance plan, you must provide the above documentation. However, depending on the specifics of each case, the terms of the policy, and the underwriting standards, more documentation might be required. Kindly contact the insurance company for an exhaustive list of necessary paperwork.
You don’t need to carry a stack of papers to get your insurance policy anymore. Sounds amazing, right? At Go Digit, we simplify the process by helping you go completely paperless. You can download your health insurance policy directly from our website or app.
Simple, hassle-free, and eco-friendly!
No amount you save will ever be enough to fulfill your healthcare bills. Still, for sufficient coverage and security, it is important to choose an accurate sum insured under your individual health insurance plan. Here are some factors that will help you choose the right sum insured:
Below is a concise overview of the essential documents required to file your claim.
Note: The documents listed above are the standard requirements for filing an insurance claim. The company might ask for additional documents based on your requirement or policy terms.
Given the importance of a health insurance, it is highly imperative that our healthcare policy is always active because we never know when we might need it. Hence, paying the health insurance premium on time is of utmost importance.
With an absolutely simple and digitally friendly process at Digit, you can renew your health insurance in just a few simple steps:
OR
You receive regular communication from Digit to renew your health insurance policy a few days prior to the renewal. These communications come with a renewal link that you can use to directly make the payment and renew your policy.
So far, you might have known why an individual health insurance is essential. However, when purchasing one for yourself, you must keep some important factors in mind. Here are some things you must remember before buying any individual health insurance policy.
Apart from safeguarding your health, an individual medical health insurance also benefits you in maximizing your savings further by giving you the benefit of tax exemptions. This can be done in the following ways:
#Remember: To claim tax exemptions on your health insurance, it’s necessary that all payments towards your health insurance premium must be made through bank transfers, debit/credit cards or online/net banking methods since cash payments won’t be considered for your tax savings.
The term "waiting period" in insurance refers to the actual length of time that you must wait before claiming any health insurance. In simple words, it describes the time you must wait from the day you have bought health insurance and the day you can begin using it. Waiting periods are included in health insurance plans to shield the insurer against immediate claims.
For instance, if your policy states a 45-day waiting period, you must wait 45 days before receiving benefits for any illness or injury.
These waiting periods are of different types, such as initial waiting period, for pre-existing disease, for a specific disease, for maternity benefit & baby cover and for accidental hospitalisation. Let’s compare the waiting periods of different insurers vs Digit.
*The 30-day waiting period is available through the Initial Waiting Period Modification add-on.
Note: These durations can vary slightly based on the insurer and the specific terms of the policy, so it is always advisable to review individual policy documents for precise details.
Health insurance has often been looked at as complex and ambiguous. More often, people have purchase health insurance policies only for tax benefits, without really looking at its other advantages, such as how it protects and safeguards you against various illnesses and medical emergencies.
However, the times have changed, and thankfully, many health insurance policies are now digital. This not only makes the entire process of buying health insurance easy but also gives you the flexibility to learn more about it, compare health insurance plans online, and customize your plans according to your personal needs with just a few clicks and no paperwork at all!
Some Benefits of Buying an Individual Health Insurance Plan Online include:
When you make a health insurance claim, especially after visiting a hospital due to an accident or illness, you can choose between a cashless or a reimbursement claim. Digit offers both claim options to give you flexibility and peace of mind during any medical emergencies.
With a cashless claim, you can receive medical care at a network hospital without paying for it out of pocket. Instead, the hospital sends the bills directly to the insurance company, which then pays them. At Digit, you may choose from 8800+ cashless hospitals in India to receive cashless services by utilizing your cashless health insurance.
If you’ve never bought a health insurance online, we know this could probably get a tad bit confusing for you. But, that’s why we’ve always kept our insurance simple and here we’ll give you a quick guide on how to compare different health insurance plans online and eventually make the right choice.
As the name suggests, a cashless claim is when you won’t be required to pay anything from your pocket. However, this is only possible if you’re being treated at one of Digit’s network hospitals.
How to Settle a Cashless Health Claim?
One of the most common claims used is the reimbursement claim. This is mainly because, whether you go to one of our network hospitals or not, this kind of claim can be used at any hospital in India. All you have to do is submit the required documents in due time and receive the reimbursement amount from us.
What is the Process of Reimbursement Claim?
If you are hospitalized, notify Digit at 1800-258-4242 or email at healthclaims@godigit.com within two days of your admittance. We will then offer you a link to upload your hospital bills and other necessary paperwork to complete the reimbursement process.
A lot of people often wonder, how is my health insurance premium calculated? Based on a combination of various factors, your health insurance premium is defined by the following: