List of Health Insurance Companies in India in 2025

Your health is the most valuable possession you have, which is why you must take adequate steps to safeguard it from harm. Still, illnesses or accidents are rather common and may send you to the emergency room at any time.

With the current state and expense of healthcare in India, such unplanned visits to the hospital can leave your finances exhausted. Thankfully, individuals securing their health with medical insurance do not need to incur such unplanned expenses. A health insurance policy can help individuals finance their treatment, along with hospitalisation charges. 

In some cases, policyholders may be able to avoid spending any money from their own pockets, while seeking medical care from network hospitals and clinics. Additional benefits of health insurance plans include, pre and post hospitalisation expenses cover, daycare expenses reimbursement and attractive annual tax benefits.

Take a look at the list of health insurance companies in India.

The legal framework governing health insurance in India involves several key regulations and authorities. The primary legal environment of the sector is determined by the Insurance Act of 1938. 

The Insurance Regulatory and Development Authority Act of 1999 established the IRDAI, which oversees the insurance sector, protects policyholders' interests, and ensures market stability. Below are a few legal things to remember:

1. The IRDAI's Health Insurance Regulations of 2013 standardise terms, conditions, policy wordings, and claims procedures for transparency and fairness. Moreover, the 2013 Guidelines on Standardisation in Health Insurance make policies more understandable and comparable. 
2. The chief regulating authority for insurance in India is the Insurance Regulatory and Development Authority of India (IRDAI), responsible for granting insurance firms licences, establishing regulatory measures, and overseeing compliance with these measures. It also helps safeguard customer interests and facilitate markets. 
3. Ayushman Bharat – PM Jan Arogya Yojana and Rashtriya Swasthya Bima Yojana are significant policies in India. PM-JAY is a free healthcare scheme adapted for low-wage earners and includes hospitalisation, while RSBY is health insurance for families in the lower income bracket. 

However, ow penetration remains one of the main challenges, and much still needs to be done through awareness, especially in rural areas. Technological advancements like telemedicine are expected to drive growth.

Here are some of the new rules introduced by the Insurance Regulatory and Development Authority of India (IRDAI) for health insurance in 2024:

1. Cashless Claims Processing: Insurers must accept or reject cashless claims within one hour and settle them within three hours of discharge.
2. Age Limit Removal: Health insurance policies can now be offered to individuals of all age groups, including those above 65 years.
3. Reduced Waiting Periods: The waiting period for pre-existing diseases (PEDs) has been reduced from four years to three years. The waiting period in health insurance for specific diseases or treatments has also been reduced from four to three years.
4. Coverage for Severe Medical Conditions: Insurers cannot refuse health policies for individuals with severe medical conditions such as heart disease, renal failure, or AIDS.
5. No Sub-Limits on AYUSH Treatments: Sub-limits on AYUSH (Ayurveda, Yoga, Unani, Siddha, Homeopathy, and Naturopathy) treatments have been removed, allowing policyholders to claim expenses up to their maximum sum insured.
6. Policyholder Rewards: Insurers are required to reward policyholders with no claims during the policy period by offering either an increased sum insured or discounted premium amounts.
7. Premium Refunds: Policyholders can receive a premium refund for the unexpired policy period if they cancel it mid-way.
8. Renewability: All individual health policies are renewable and cannot be denied based on previous claims, except in cases of fraud, non-disclosures, or misrepresentation.
9. Portability Requests: Stricter timelines have been imposed on portability requests via the Insurance Information Bureau of India portal.
10. Customer Information Sheet: Insurers must include a customer information sheet in the policy document, explaining all customer-facing details such as policy type, sum assured, coverage details, exclusions, deductibles, and waiting periods.

If you keep the following things in mind, the health insurance plan you end up purchasing will likely provide sufficient financial coverage to you.

The Reputation of the Brand

You need to be able to rely on your health insurance provider during medical emergencies. Thus, checking a company’s ratings on social media and other places online is an essential part before selecting it as your insurance provider. Keep your eyes peeled for negative comments or problems, which existing customers of the company faced with its products or service.

IRDAI Approval is Must

The Insurance Regulatory and Development Authority of India is a government entity, which is responsible for the regulation of insurance companies in India. Companies registered under it must abide by its guidelines, maintaining sufficient transparency in their activities. Thus, it is always wiser to stick to such IRDAI approved companies when availing medical insurance for yourself or your family.

Track Record of Claim Settlement

During a medical emergency, you may have extremely limited scope or time to arrange funds for treatment. At such a time, you require an insurance company that is quick to approve claim requests, providing the necessary financial assistance to ensure that proper care is not delayed. Before picking your insurance company, check its claim settlement ratio. It should give you a fair idea about the percentage of claims the company settles out of the ones it receives. Needless to say, higher ratios are desirable.

Network Hospitals

Policyholders can avail cashless treatment at an insurance company’s network hospitals and clinics. In these cases, one does not need to file an insurance claim or follow a reimbursement procedure to acquire financial compensation. Instead, medical bills accrued are directly settled between the insurer and the hospital in question. Look for companies with a maximum number of network outlets, so that you can avail cashless treatment every time.

Hassle-free Claims Process

A complicated claim filing procedure can leave you bogged down with formalities during an emergency. When a medical emergency strikes, you cannot afford to fill piles of paperwork to acquire the financial assistance you deserve. Therefore, before picking your health insurance company, always ensure that the provider follows a simple and hassle-free claims procedure, which is not time-consuming or confusing.

Health Insurance Premiums

The amount of money you pay to afford medical coverage is another important factor to consider before purchasing a plan. Nevertheless, do not go by price alone. Instead, look for the policy with the best value for money. Compare prices while also considering the policy inclusions and exclusions. Doing so should help you pick an economic plan without compromising financial security during medical emergencies.

Perhaps the most important bit of advice for a potential health insurance buyer is to stick to purchasing such policies directly from the insurance company.

Many prefer to go through agents when buying medical insurance as they have their own trusted resources helping them with crucial financial decisions.

However, many don't prefer to buy through agents.

Let’s learn why!

The following are some of the benefits of buying health coverage from a company, as opposed to from sources or brokers:

Choose from Various Options

Brokers or agents often do not reveal all of the health insurance products available from a particular company. They try to limit your knowledge to just the costlier options since they can secure a greater commission from such options. Direct purchase from insurers prevents such limitations.

Customising Insurance Plans As Per Your Needs

Insurance companies offer a range of customisation options to its policyholders, using which you can modify health insurance policies to suit your specific needs. A broker, selling you a plan, may not disclose such customisations due to which you would be stuck with a basic policy.

No Commission Payments

Agents or brokers act as mediating parties between you and the company offering medical coverage. When you decide to buy from such a broker, you are paying an additional fee as part of your policy premium, which is pocketed by this agent as commission. Thankfully, no such fee is necessary when you deal directly with the insurance company.

Compare Various Products

Brokers will scarcely offer you a chance to look at all your options. Instead, they will hurry you along to purchase the insurance policy they have to offer. When you approach companies directly, you can take your time to compare and research the various plans available to you. Only after you make an informed selection do you need to sign the policy documents.

A health insurance policy can be the difference between life and death. Therefore, do not take decisions related to such coverage lightly.

Read all terms and conditions in your policy documents to understand what it covers and what it does not. Doing so will help you maximise its benefits in the long term.

Simplified Process

• Easy Online Access: Seamless is an online platform for purchasing and managing policies.
• Minimal Paperwork: Reduced paperwork for a more efficient experience.

Customer-Centric Approach

• Transparent Policies: Clear terms and conditions for better understanding.
• Customer Support: Robust support to assist with queries and issues.

Innovative Products

• Diverse Offerings: Range of products, including term insurance and group credit protection.
• Customisable Plans: Policies tailored to individual needs for flexibility.

Competitive Pricing

• Affordable Premiums: Competitive pricing for broader accessibility.
• Value for Money: Affordable premiums with comprehensive coverage.

Technological Integration

• Digital Tools: Technology for monitoring policies, making claims, and receiving updates.
• User-Friendly Interface: Intuitive platform for easy navigation.