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What is Health Insurance?
Health insurance is like a safety net that helps you pay for medical care when you are sick or injured. You pay a certain amount regularly (called a premium) to the insurance company, and in return, they help cover the costs when you visit the doctor, undergo tests, or require treatment.
This includes expenses incurred in pre and post-hospitalisation, annual health check-ups, psychiatric support, critical illnesses and organ donor expenses, as per your health insurance plan coverage.
Health insurance policies in India are regulated by the Insurance Regulatory and Development Authority of India (IRDAI), which lays down guidelines to protect policyholders and promote fair and transparent insurance practices.
Note: The GST on health insurance policies, was reduced to 0% with effect from 22nd September 2025. This change was introduced following the recommendations of the 56th GST Council and applies to both new and renewal premiums of health insurance policies. However, this GST benefit does not apply to group or corporate policies which still have 18% GST.
Why Do You Need Health Insurance?
Health insurance helps you manage medical expenses and ensures you get the best medical care when needed. Here are some key reasons why health insurance having is important:
Being healthy and having savings is great, but it’s not a substitute for health insurance. Medical expenses are unpredictable, and the cost of treatment is rising fast. According to the NSSO, 62% of Indians rely on personal savings for healthcare, and IRDAI reports that hospitalisation in private hospitals now costs more than ₹50,000+ on average.
Hence, buying a health policy while you’re young and healthy means lower premiums, better benefits, and uninterrupted coverage. Besides, one does not need to wait for a medical emergency to realise its value.
Shubham Sinha
Product Manager - Health
What are the Different Types of Health Insurance Policies in India?
Health insurance plans come in different types because everyone's healthcare needs are different. It includes individual, family floater, senior citizen, critical illness, group and super top up health insurance. The right plan for you depends on factors such as your age, family size, medical history, and budget. Here are the most common types of health insurance plans available in India.
Why Choose Digit Health Insurance?
What are the Health Insurance Plans Offered by Digit?
Digit offers a range of health insurance plans to suit different healthcare needs and budgets. Whether you're looking for basic medical coverage, protection for your entire family, higher coverage amounts, or support for serious illnesses, you can choose a plan that matches your requirements.
Compare Digit Health Insurance Plans Online
Coverages
Double Wallet Plan
Infinity Wallet Plan
Worldwide Treatment Plan
Important Features
This covers for all hospitalisation expenses including due to an Illness, Accident, Critical Illness or even pandemics like Covid 19. It can be used to cover for multiple hospitalisations, 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 hospitalisations 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 hospitalised.
This cover is for all expenses before and after hospitalisation 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 1-3 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 the pre and post hospitalisation 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 hospitalisation for this treatment is for cosmetic reasons.
If due to a trauma, a member has to be hospitalised 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 hospitalisation, 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.
What’s Covered in the Health Insurance Plans Offered by Digit?
Health Insurance plans are designed to help you manage a wide range of medical expenses. While each Digit health insurance plan comes with its own set of benefits, here's the coverages and features available across Digit's health insurance plans.
What’s Not Covered in Health Insurance Plan by Digit?
What are Add-on Options for Individual Health Insurance with Digit?
Enhance your health insurance policy with add-ons at Digit. These add-ons are subject to underwriting approval and your eligibility at the time of purchase or renewal. Here’s a list of add-ons in health insurance available that provide additional layers of protection beyond the basic coverage of your policy:
What Customers Have to Say About Digit Health Insurance?
Which Health Insurance Plan Should You Choose at Different Life Stages?
The right medical insurance plan often depends on where you are in life. A plan that works well in your 20s may not provide the same level of protection when you have a family or approach retirement.
Understanding your healthcare needs at different life stages can help you choose suitable coverage and stay financially prepared for medical expenses.
Medical Insurance Buying Tips for All Stages of Life
* Get insurance early in life, even if you're healthy.
* Opt for a higher sum insured plan starting with ₹10 lakhs.
* Don't rely only on your employer's health insurance.
* Look for low premiums and no co-payment clause.
* Ensure that all family members are covered.
* Choose a higher sum insured, such as ₹15-25 lakh or more.
* Check the waiting periods for all benefits being offered.
* If you include your parents, check if daycare treatment like knee replacement and cataract surgery are covered.
* If you already have a plan, you can increase its sum insured with a top-up plan.
* Opt for a plan that includes no room rent, domiciliary coverage and AYUSH coverage.
* Check if the plan you’re getting covers common treatments like knee replacement and cataract surgery.
* Consider plans that offer coverage for major illnesses and long-term treatments.
What is an Ideal Coverage for a Health Insurance Plan?
The ideal coverage for a health insurance plan depends on your age, family size, city, lifestyle, and healthcare needs. However, considering today's medical costs, many experts recommend having at least ₹10 lakh medical insurance coverage for an individual and ₹15-20 lakh or more for a family, depending on many factors.
After considered factors such as typical private-hospital treatment costs, medical inflation, family size, city category, age-related healthcare utilisation and the possibility of multiple hospitalisations, here’s the right sum insured based on your life situation in Tier 1 (Delhi, Mumbai, Bangalore, etc.) and Tier 2 cities (Jaipur, Lucknow, Mysuru, etc.):
Disclaimer: These are broad indicative ranges, not financial advice. The right sum insured depends on age, medical history, lifestyle, city of residence, premium, hospital reference, and rising healthcare costs. It is advisable to know your family’s specific needs and read policy terms before making a final decision.
Also Read: How Much Health Insurance Coverage is Enough in India?
Why Should You Consider a ₹25 Lakh Health Insurance Cover?
The amount of health insurance you need depends on factors such as your age, family size, city, lifestyle, and healthcare needs. However, as medical costs continue to rise, many people are choosing higher coverage amounts to reduce the financial impact of a major medical emergency.
You must consider having ₹25 Lakhs coverage if you:
- Live in a metro or Tier 1 city, where treatment costs are generally higher
- Want protectection against major surgeries, such as cancer, bypass procedures, etc
- Need coverage for a family of 3-4 members under a policy
- Want to reduce out-of-pocket expenses during multiple hospitalisations
- Ensures peace of mind during medical emergencies
Tip: If you're buying health insurance at a younger age, opting for a higher sum insured early can help you stay protected as healthcare costs increase over time.
What Expenses You May Still Pay During a Health Insurance Claim?
Many Medical insurance policyholders assume that their insurer will cover the entire hospital bill. However, certain policy conditions, coverage limits, exclusions, and treatment-related expenses may still require you to pay some amount from your own pocket.
Here are the most common factors that can increase your out-of-pocket expenses during a health insurance claim.
Many people think that once they have a health insurance policy, they won’t have to spend a single rupee during hospitalisation, but that’s not always the case. If you’re not careful while choosing your plan, you might still end up paying out of your own pocket.
You can minimise your out-of-pocket expenses by:
- - Choosing a plan with adequate coverage, no co-payment, and no room rent restrictions wherever possible.
- - Understand your policy's waiting periods, exclusions, and claim conditions before a medical emergency arises.
- - Opting for treatment at a network hospital, maintaining proper medical records, and choosing plans with restoration benefits can also help reduce unexpected expenses.
Take a few extra minutes to understand what the policy truly offers and what it doesn’t. That way, when you actually need to use your health insurance, you won’t be unprepared by unexpected expenses.
Vivek Chaturvedi
CMO & Head of Direct Sales
Digit Health Insurance in News
How Much Does Health Insurance Cost in India?
The cost of health insurance in India varies from person to person. Your health insurance premiums depend on several factors, including your age, lifestyle, location, and the type of coverage you select.
Here is how premiums vary at Digit, based on different zone, age, sum insured, and your policy type:
Health Insurance Premium for Different Sum Insured Options
The premium you pay for health insurance depends largely on the sum insured you choose. While a lower sum insured may cost less, a higher coverage amount can provide better financial protection against rising healthcare costs and major medical expenses.
Here is an example of how premium varies depending on the sum insured for a 35-year-old unmarried man residing in Bangalore (Zone 2 city) who has opted for Digit’s 'Infinity Wallet Plan’.
Health Insurance Premiums for Different Age Group
Health insurance premiums generally increase with age because the likelihood of needing medical care tends to rise over time. Younger individuals often pay lower premiums, while older adults may pay more due to higher health risks and healthcare costs.
The table below illustrates the starting premium amounts for ₹10 lakhs sum insured under Digit’s Infinity Wallet Plan, varying by age group.
How to Calculate Your Health Insurance Premium Online?
To know your premium in minutes, you can always use a health insurance premium calculator to get quick and accurate estimates. Here are the steps to calculate health insurance premiums.
- Step 1: Log in on Digit - Log in to your Digit account by entering your PIN code and mobile number.
- Step 2: Enter Details - Provide details of your family members, including the age of the eldest, then click "Continue" to customise your plan by choosing your sum insured, type of plan and add-ons.
- Step 3: Apply Discount to Check Premium - Review and apply any available discounts and enter further contact details. You can now see your customised premium amount.
How to Choose the Best Health Insurance Plan in 2026?
The best health insurance plan is one that matches your healthcare needs, budget, and lifestyle. Instead of choosing a plan based only on the premium, look at the coverage, benefits, and overall value it offers. Here are some tips for choosing the best medical insurance plan:
How to Buy/Renew a Health Insurance Policy Online?
Buying or renewing health insurance policy online is quick and convenient. You can compare plans, choose the coverage that suits your needs, and complete the process from the comfort of your home. Follow these simple steps to buy or renew a health insurance plan at Digit:
Enter Basic Details
Visit the Digit app or website. Enter your PIN code and mobile number, select your preferred health insurance plan and provide age details, family members covered, etc.
Choose Plan & Add Member Details
Compare & select the plan, sum insured, add-on covers and apply any available discounts to get the final premium amount. Further provide the member details for everyone you’re covering.
Make Payment & Submit KYC
Once done, proceed to make the premium payment and submit your KYC documents to complete the purchase process.
Final Review & Processing
Now, your application undergoes a brief review process. Digit may request a health declaration, lifestyle information, or medical details & reports if required. Based on your medical underwriting, your policy will be issued and sent to your email. You can also access it anytime through the Digit app.
Tip: Always try to renew your health insurance policy before the renewal due date. Renewing on time helps you maintain continuous coverage and allows you to continue enjoying benefits you've built over the years, such as waiting period credits and cumulative bonus available under your policy.
What are the Documents Required to Buy a Health Insurance Online?
When purchasing a health insurance policy, insurers typically require some basic documents for verification. Below is a list of optional documents that may be needed at the time of purchasing a policy:
Identity/Age Proof
Address Proof
Income Proof
Previous Medical Reports (If any)
KYC Documents
How to Download Your Health Insurance Policy Document via the Digit App?
Downloading your health insurance policy document online at Digit is quick and easy. Follow the steps below to download your medical insurance policy document in just a few minutes.
Log in to Your Account
Visit the Digit website or app and click on ‘Login’ at the top-right corner. Enter your registered mobile number and verify with OTP.
Visit ‘Active Policies’
Once logged in, navigate to the Active/My Policies section. Here, you can check the policy number, end date & start date.
Download the Policy
Done! You can save, share, print or email the policy for future reference anytime, anywhere.
How to Add or Remove Members from the Health Insurance Policy?
To add or remove members from your Digit Health Insurance policy, follow these steps:
- Contact Customer Support: Reach out to our customer support via the helpline or email to inform them about adding or removing a member.
- Submit Required Details: Provide necessary documents such as identity proof, relationship proof, and medical history of the member to be added or details like policy number and other information for the member to be removed.
- Fill Out Form and Pay for Member Addition: Complete the member addition form if applicable and pay the additional premium for the new member.
Once processed, you will receive a confirmation.
How to File & Track Health Insurance Claim with Digit?
Whether you choose cashless treatment at a network hospital or file a reimbursement claim after treatment, understanding the claim process can help you avoid delays and ensure a smooth experience. Here's a step-by-step guide on how to file reimbursement claim and track any claim on Digit:
Get Treated & Save Everything
Visit any hospital, pay the bills upfront, and collect all the necessary documents (bills, reports, prescriptions, discharge summary, etc).
Open Digit App & File Claim
Log in to the Digit App. Navigate to the ‘File a Health Claim’ section on the app. Choose the policy & type of claim (cashless, reimbursement, OPD, etc) you are filing and other details.
Submit all the Documents
Fill out the type of treatment, symptoms, hospital details etc. Scan and submit all the necessary documents in the desired format.
Register Claim & Relax
Click ‘Register Claim.’ We’ll review everything, and once approved, the amount will be reimbursed directly to your bank account.
Digit's Cashless Network Hospitals
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What are the Documents Required to File a Health Insurance Claim?
When you file a health insurance claim, you need to submit certain documents to ensure a smooth and hassle-free process. Below is a list of essential documents that may be required while filing a health insurance claim at Digit:
Hospitalisation Documents
Cashless Documents
KYC Documents
What is the Difference Between a Cashless and Reimbursement Health Insurance Claim?
A cashless health insurance claim allows the insurer to directly settle eligible hospital bills with a network hospital, while a reimbursement health insurance claim requires you to pay the treatment expenses first and then claim the eligible amount from the insurer later.
Here are the main differences between cashless claim and reimbursement claim in health insurance:
How to Avoid Health Insurance Claim Rejections?
A health insurance claim can be rejected for several reasons, such as non-disclosure of medical conditions, submitting incorrect information, claiming during a waiting period, or seeking coverage for treatments not included in the policy.
Here are some reasons for claim rejections in health insurance policy and some practical tips to help prevent medical insurance claim rejections:
- Medical Information Disclosure: Be transparent about your medical history. Disclose any existing illnesses or conditions, even those you’ve recovered from. Non-disclosure can lead to claim rejection.
- Know What’s Not Covered: Before finalising your health insurance plan, look for the policy’s exclusions and limitations. Take the time to thoroughly read your insurance policy documents. Being aware helps prevent surprises during the claim settlement process.
- Incorrect Information or Documents: Errors in claim forms, missing documents, mismatched medical records, or incorrect policy details can delay or even lead to claim rejection. Double-check all information before submission.
- Inform the Insurer on Time: For planned hospitalisations and emergency treatments, notify your insurer within the timelines specified in the policy. Delayed intimation may complicate the claim process.
- Waiting Period Not Over: Many medical insurance policies have waiting periods for pre-existing diseases, specific illnesses, maternity benefits, and certain procedures. Claims made during the waiting period are generally not covered.
Understand Complex Health Insurance Concepts in Minutes with Digit
What are the Wellness Benefits Available with Digit Health Insurance?
Wellness benefits in health insurance are additional features offered by Digit that reward you for maintaining a healthy lifestyle. Unlike regular health insurance benefits that help pay for treatment after an illness or accident, wellness benefits focus on preventive healthcare, healthy habits, and overall well-being.
These benefits are designed to go beyond traditional coverage; wellness benefits offer access to preventive care, mental health resources, fitness programs, tele-consultations, and even discounts on dental care.
What Wellness Benefits Can You Access with Digit Health Insurance?
With your Digit’s Health Insurance, you can get exclusive access to a wide range of wellness perks, making taking care of yourself easier and more affordable.
Note: Please refer to the respective Service Provider’s T&Cs before availing services. Offers, including discounts or complimentary access, are subject to change.
What are the Tax Benefit Under Section 80D of the Income Tax?
Section 80D of the Income Tax Act allows taxpayers to claim a tax deduction on the health insurance premiums paid for themselves, their spouse, dependent children, and parents. Depending on the age of the insured members and the premiums paid, the total tax deduction can go up to ₹1 lakh in a financial year.
However, this tax benefit is available only under the old tax regime and cannot be claimed if you opt for the new tax regime. The amount of tax deduction you can claim depends on who is covered under the policy and the age of the insured members.
How Much Tax Deduction Can You Claim on Health Insurance Under Section 80D?
You can claim a tax deduction of up to ₹25,000 for health insurance premiums paid for yourself, your spouse, and dependent children. If you also pay premiums for your parents, your total deduction can go up to ₹50,000, ₹75,000, or even ₹1 lakh per financial year, depending on the age of the insured members.
Here are the maximum deductions available under Section 80D:
6 Most Common Myths About Health Insurance
Health insurance is often surrounded by misconceptions that can lead people to delay buying a policy, choose inadequate coverage, or face surprises during claims. Here are some of the most common health insurance myths and the facts behind them.
Myth 1: "I'm Young and Healthy, So I Don't Need Health Insurance"
Fact: Medical emergencies, accidents, and sudden illnesses can happen at any age. Buying health insurance early can also help you get lower premiums and complete waiting periods before you actually need coverage.
Myth 2: “My Employer is Taking Care of my Health Insurance. I don’t Need Another”
Fact: Employer-provided coverage may not always be sufficient for major medical expenses. Additionally, an employer's health insurance coverage typically extends only during your tenure with the company. Once you switch jobs and if there is a break between the next employer's coverage, you are left without any insurance coverage in that period.
Myth 3: "Health insurance covers all medical expenses"
Fact: Every policy comes with specific inclusions, exclusions, waiting periods, and limits. Some treatments, non-medical expenses, or pre-existing conditions may not be covered immediately.
Myth 4: "₹5 Lakh coverage is more than enough for any medical emergency."
Fact: A single major surgery, cancer treatment, prolonged ICU stay, or treatment in a metro city can exhaust ₹5 lakh much faster than most people expect.
Myth 5: "If you have savings, health insurance isn’t important"
Fact: While our savings can help us in time of need, the limit of the same can never be foreseen. The best health Insurance on the other hand is a dedicated investment you make solely towards your health so you don’t need to shell out your savings or face any financial pressure in the future.
Myth 6: “The cheapest health insurance plan is the smartest financial decision"
Fact: A low premium can sometimes mean lower coverage, fewer benefits, higher out-of-pocket expenses, or limitations that only become visible at claim time. You must evaluate your requirements and health needs to choose the right health insurance.
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FAQs about Health Insurance Policy
What is the difference between a life Insurance and a health insurance?
Life Insurance is a long-term policy that helps pay out the claim amount to the insured person’s family after death. One of the most popular and affordable types of life insurance is a term insurance plan, which provides coverage for a specific period and ensures financial security for your loved ones in case of an untimely demise.
Whereas health insurance is to help pay for healthcare and medical expenses of the insured, that can occur due to illnesses, diseases, and accidents.
What is the best Health Insurance Plan in 2026?
Is a medical test mandatory to buy a health insurance policy?
Should I buy Personal Health Insurance even if I have the corporate health insurance by my employer?
Do I need to prove my Zone of Residence at any point to avail the Zone based discount?
No, you don't need to submit any proof for availing the zone based discount in your premium. However, during the time of claim, you will be required to give us address proof confirming that you are in zone B, and then no copayment will be charged.
You can also read about Zone Based Health Insurance to understand how zone works.
Can I be admitted in a non-network hospital?
Who should I call at the time of emergency hospitalisation for health insurance?
Can any health insurance claim be rejected or refused?
Can I start using my health insurance policy from day one?
What is a free-look period in health insurance?
Can I still claim if hospitalisation is less than 24-hours?
What is the IRDAI specified time limit for settlement of claim by the Insurance company?
What is the time limit for filing health insurance claims?
Can I claim my health insurance multiple times a year?
Do we get money back in health insurance if we don't claim?
Do I need to compulsorily buy health insurance at an early stage?
What is the best age to buy Health Insurance in 2026?
Can I have more than one health insurance policy?
Can an NRI take health insurance in India?
What happens if I miss paying my renewal premium on time?
Can I avail Health Insurance plan if I am not an Indian national but live in India?
What is the tenure of Grace Period in Health Insurance?
Does Digit Health Insurance provide an option of Portability?
How to add my family members to my existing medical policy?
Instead of Porting, can I just change my plan with my current health insurance provider?
My wife and children reside in Mysore while I live in Bangalore. Can I cover all of us in one policy?
Do I need to declare any changes in the health status of existing members?
Is ₹10 lakh health insurance enough for a family?
Should I buy personal health insurance even if I have corporate health insurance from my employer?
Does a health insurance plan cover outpatient (OPD) expenses?
Does medical insurance cover 100% of the treatment cost?
How do I add my family members to my existing medical policy?
What is the role of a Third-Party Administrator (TPA) in health insurance?
Why should I prefer buying health insurance online?
Can I still claim if hospitalisation is less than 24 hours?
How long should I keep my medical bills and documents after getting discharged from the hospital?