Medical costs in India rise 10-15% every year — being underinsured can wipe out years of savings in one hospitalization. Enter your details to estimate a reasonable sum insured and premium range.
Estimate Your Health Cover
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Recommended Sum Insured
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Estimated Annual Premium Range
How to Use This Health Insurance Calculator
Enter your age (or the eldest member's age for a family plan).
Select your city type — metro cities have higher treatment costs.
Choose how many family members need coverage.
Indicate any pre-existing conditions, which typically raise premiums.
Tap Calculate to see a recommended sum insured and premium range.
How Sum Insured is Estimated
Base Cover = ₹5-10 lakh per adult (metro) or ₹3-5 lakh (tier 2/3)
Family Floater = Base × Family Size Factor
Example: A 30-year-old in a metro city covering a family of 4 would typically need a ₹15-20 lakh family floater plan, given rising treatment costs and the shared limit across members.
Recommended Sum Insured by City & Family Size
Family Size
Metro City
Tier 2/3 City
Individual
₹5-10 lakh
₹3-5 lakh
Couple
₹10-15 lakh
₹5-10 lakh
Family of 4
₹15-20 lakh
₹10-15 lakh
Family of 6 (with parents)
₹25-30 lakh+
₹15-20 lakh
Approximate Annual Premium by Age (₹10 Lakh Cover)
Age Group
Individual Premium (approx)
18-30
₹5,000 - ₹8,000
31-40
₹8,000 - ₹14,000
41-50
₹14,000 - ₹25,000
51-60
₹25,000 - ₹45,000
60+
₹45,000 - ₹80,000+
Actual premiums vary significantly by insurer, city, pre-existing conditions and policy features — treat this as a rough planning range, not a quote.
Tips for Choosing Health Insurance
Buy young. Premiums are lower and pre-existing condition waiting periods (typically 2-4 years) start earlier when you're healthy.
Check room rent limits. Some policies cap room rent as a % of sum insured, causing proportionate deduction on the whole bill if you exceed it — look for "no room rent capping" plans.
Look for no-claim bonus. Many insurers increase your sum insured by 10-50% each claim-free year at no extra premium.
Separate policy for senior parents. Combining elderly parents with young family members in one floater can exhaust the cover quickly — consider a separate policy for them.
Check the claim settlement ratio and network hospitals. A high settlement ratio and wide cashless hospital network matter more than a slightly lower premium.
Frequently Asked Questions
How much health insurance sum insured do I need?
A common guideline is ₹5-10 lakh per person in metro cities and ₹3-5 lakh in smaller towns, adjusted upward for family floater plans and rising healthcare inflation of 10-15% annually.
Family floater vs individual health policy — which is better?
A family floater is usually cheaper for young, healthy families since the sum insured is shared. Individual policies suit older members or those with health conditions, where a floater's shared limit could run out faster.
Does employer health insurance mean I don't need a personal policy?
Employer cover typically ends when you leave the job and is often insufficient (₹2-5 lakh). A personal policy that continues regardless of employment is strongly recommended alongside employer cover.
What is a waiting period in health insurance?
A period (often 30 days for illness, 2-4 years for pre-existing conditions) during which certain claims aren't payable. Buying early reduces the time you're exposed without coverage for existing conditions.
Should I buy a super top-up policy?
Yes, for cost-effective additional cover. A super top-up kicks in after your base policy's sum insured is exhausted (or a deductible is crossed), giving large additional cover at a much lower premium than increasing the base sum insured.
Are pre-existing conditions always excluded?
Not permanently — most insurers cover them after a waiting period (commonly 2-4 years) of continuous policy renewal without a break, though premiums may be higher for disclosed conditions.
What is cashless treatment?
At network hospitals, the insurer settles the bill directly with the hospital, so you don't pay upfront and claim reimbursement later. Always check if your preferred hospitals are in the insurer's network.
Does health insurance premium increase every year?
Yes, typically with age-based slabs and occasional insurer-wide rate revisions due to medical inflation. This is normal and expected — budget for gradually rising premiums over time.
Is health insurance premium tax deductible?
Yes, under Section 80D of the old tax regime — up to ₹25,000 for self/family (₹50,000 if senior citizen), plus an additional deduction for parents' premiums. This benefit doesn't apply under the new tax regime.
What if I need to switch insurers later?
You can port your policy to another insurer without losing waiting period credits already served, provided you apply for portability at least 45-60 days before your renewal date.
Premium and sum insured figures are illustrative estimates only and vary by insurer, health status and policy features. Always get a personalized quote before purchasing.