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Health Insurance Premium Calculator

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Srishti Singh

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Srishti Singh

Vivek Chaturvedi

Reviewed by

Vivek Chaturvedi

Health Insurance Premium Calculator Online

What is a Health Insurance Premium Calculator?

With the advent of technology, most insurance companies have also shifted their operations online. They have subsequently introduced various useful online tools that make things significantly easier for policyholders!

The health insurance premium calculator(medical insurance premium calculator) is one such tool that allows you to calculate your insurance premium amount in a jiffy!

Since calculating the premium amount can be cumbersome, most people simply go with the amount suggested by their insurance providers. But with the help of an online health insurance calculator, the premium amount can be calculated in seconds just by entering a few details.

How Does a Health Insurance Premium Calculator Work?

Let’s understand how a medical insurance premium calculator works with Neha’s example:

Rohit, a 32-year-old man living in Pune, works in an IT company and wants to buy a health insurance plan for himself and his wife. He is unsure about how much premium he will need to pay for the right coverage.

He uses a digit’s health insurance premium calculator on his insurer’s website and enters a few basic details, such as age, gender, city, number of members to be covered, and desired sum insured, then clicks on ‘Check Premium’.

In a few seconds, Rohit gets an estimated annual premium of ₹11525 for a ₹10 lakh family floater plan covering both him and his spouse.

Why Should You Calculate Health Insurance Premium Online?

  • It allows you to save quite some time and resources. Frankly, it makes a cumbersome task a lot simpler.

  • Insurance policies can sometimes be quite complex and difficult to understand because they come with several terms and clauses. Calculating the premium amount online beforehand allows you to ensure that you are well aware of your payment liabilities for the insurance plan.
  • Further, entering accurate details eliminates the possibility of making mistakes while calculating your health insurance premium.
  • If you know your premiums in advance, you can examine different insurance offers and select the best health insurance coverage.

What are the Factors that Affect your Health Insurance Premium Cost?

Factors Related to You

Factors Related to Plans

Additional Factors

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Factors Related to You

  • Age: Due to statistically lower medical costs, younger people typically pay less premiums than older ones because of health conditions.
  • Location: The cost of healthcare in your area can have a big impact on premiums. For instance, premiums are typically higher in cities with greater medical expenses.
  • Lifestyle: High intake of tobacco use can increase the risk of health issues, ultimately leading to higher premiums.
  • Family History: Standardised plans should have little effect on your family's medical history, while it may be considered in some situations (specific chronic conditions).
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Factors Related to the Plans That Affect Premiums in Health Insurance

  • Type of Plan: Your premium payment for your health insurance policy depends, to quite an extent, on the kind of plan you choose. Ex: Individual health insurance plans are more expensive than family floater plans.
  • Add-on Covers: Add-on covers are additional coverage that increases the cost of the premium.
  • Co-payment and Deductible: With deductibles, the policyholder has to bear a part of the treatment expenses before their insurance policy kicks in, and with the co-payment clause, you will have to cover a percentage of the total treatment expense while the insurance provider covers the rest.
  • Pre-existing Disease Coverage: If you have a pre-existing disease, you have to wait as per your waiting period to avail of the benefit. You must pay a higher premium to get coverage immediately to reduce this waiting period.
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Additional Factors That Affect Premiums in Health Insurance

  • Expenses incurred for Marketing and Administration: Insurance companies incur huge expenses in administering and marketing their products. These costs trickle back to the policyholders and reflect on their premium payments.
  • Investment and Savings: Most insurance companies invest capital in various public-sector companies. These investments follow the guidelines set forth by the IRDA to ensure no compliance issues later on. Hence, the premium you pay is decided by these investments.
  • Purchasing the Insurance through a Broker: Although this does not increase your premium payment, it does increase the total amount you pay for the policy. This is because you will have to factor in the charge levied by the broker for the service they provide.
  • Mortality Rate: Premium payment depends on the mortality rate because this is the cost that insurance providers have to bear. As a result, the premium payment differs for different age groups, generally being higher for senior and super senior citizens.
  • Medical Underwriting: Each insurance company offers several types of products, such as individual policies, group policies, and family floater plans. The underwriting for these policies balances the risks from each policy and manages the insurance provider's liabilities.

What are the Information Required for Health Premium Calculation?

Numerous factors are considered when determining the premium for health insurance, and these factors may change throughout insurance companies. Here are the basic requirements you must fill in for premium calculation:

Information Required

Description

Age & Pincode

Your age is important because older people may have varying premium rates. Additionally, the PIN is considered, possibly because of regional variations in healthcare expenses.

Number of People Covered

The number of people covered by the policy is considered when calculating premiums for family health insurance.

Type of Plan Selection

Important considerations include the policy period (tenure) and the type of health insurance coverage you select (individual, family, etc.).

Sum Insured

The amount of coverage you desire, or the money insured, has a big impact on the rate.

Medical History

Your medical history is evaluated, including any critical illnesses or pre-existing conditions which ultimately influence the premium.

Riders or Add-Ons

Your policy's total premium will be influenced by any extra riders or coverage you add.

PAN Card & Contact Details

PAN details and contact details are required to verify the user and send the policy details. 

Health Insurance Premium Chart For Families with Different Age Groups

Premium Illustration representing how the prices would vary for different family composition according to different age groups and policy types is mentioned below:

Note: Premium figures are for Digit Health Insurance Plus Policy (UIN: GODHLIP23073V012223) containing features which are typically opted for by our website customers. Premium rates specified in the below illustration shall be standard premium rates without considering any loading. Also, the premium rates shall be exclusive of taxes applicable.

Plan Name Double Wallet Plan
Family Composition 2A+1C
Sum Insured 3,00,00,000
Policy Type Floater Individual Ratio
Age of the members insured Consolidated Premium for all members of the family Premium Consolidated Premium for all members of the family  
18

 

 

34,789

15,472

 

 

54,560

 

 

64%

38 19,544
43 19,544

Premium Illustration representing how the prices would vary for different family composition according to different age groups and policy types is mentioned below.

Note: Premium figures are for Digit Health Care Plus Policy (UIN: GODHLIP21486V022021) containing features which are typically opted for by our website customers. Premium rates specified in the below illustration shall be standard premium rates without considering any loading. Also, the premium rates shall be exclusive of taxes applicable.

Plan Name Double Wallet Plan
Family Composition 2A+2C
Age of the members insured 51 48 22 18 Remarks
Coverage opted on Individual basis covering each member of the family separately (at a single point in time)
Premium (separate policies for each member)

 

8,162

 

7,014

 

3,268

 

3,268

Total premium for all members of the familyi s Rs. 21,713, when each member is covered separately.
Sum Insured available for each individual is Rs. 5,00,000
Coverage opted on Individual basis covering multiple members of the family under a single policy (Sum Insured is available for each member of the family)
Premium (after 10% discount - 1 family policy with seprate sum insured)

 

7,346

 

6,313

 

2,941

 

2,941

Total premium for all members of the family is Rs. 19,541, when they are covered under a single policy.
Sum Insured available for each family member is Rs. 5,00,000.
Coverage opted on family floater basis with overall Sum Insured (Only one sum insured is available for the entire family)
Consolidated Premium (Family floater plan with shared sum insured)

 

14,568

Total premium when policy is opted on floater basis is Rs. 14,568.
Sum Insured of Rs.5,00,000 is available for the entire family

Plan Name Double Wallet Plan
Family Composition 2A
Age of the members insured 62 66 Remarks
Coverage opted on Individual basis covering each member of the family separately (at a single point in time)
Premium (separate policies for each member)

 

11,048

 

13,403

Total premium for all members of the familyi s Rs. 24,451, when each member is covered separately.
Sum Insured available for each individual is Rs. 3,00,000
Coverage opted on Individual basis covering multiple members of the family under a single policy (Sum Insured is available for each member of the family)
Premium (after 5% discount - 1 family policy with seprate sum insured)

 

10,496

 

12,733

Total premium for all members of the family is Rs. 23,228, when they are covered under a single policy.
Sum Insured available for each family member is Rs. 3,00,000.
Coverage opted on family floater basis with overall Sum Insured (Only one sum insured is available for the entire family)
Consolidated Premium (Family floater plan with shared sum insured)

 

20,104

Total premium when policy is opted on floater basis is Rs. 20,104.
Sum Insured of Rs.3,00,000 is available for the entire family

How to use the Digit Health Insurance Premium Calculator?

Calculating your medical insurance premium payable by using a health insurance calculator is pretty simple! You only need to follow a few steps, enter your details correctly and voila! You will have the premium payable for health insurance coverage. Take a look!

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Step 1

Visit our Health Insurance Policy page and enter your PIN code and mobile number in the designated space.

Step 2

Select the family members to be covered, enter their details along with the age of the eldest member, disclose any pre-existing conditions (if any), and click “Continue” to proceed to the plan customization page.

Step 3

Choose your Sum Insured in health insurance and your preferred Plan. Here, you will find a list of features under the different plans.

Step 4

Next you will see our exclusive discounts listed. City Discount will be automatically applied if your entered pin code falls in the eligible category. For good health discount, you will need to enter your healthy habits details. You can also choose any additional benefits like the consumables cover.

Step 5

Next, enter your Name and PAN Card details to find out the health insurance tax benefits of paying premiums.

Step 6

Enter the complete details of the members you are looking forward to insuring and your complete contact details. Finally you will receive your annual premium payment amount to purchase health insurance coverage based on your chosen options.

Key Benefits of Using Health Insurance Calculator

Using a health insurance policy online before purchasing a policy provides you with numerous benefits. Here is a list of benefits that you can avail:

Financial Planning

This health insurance calculator will give you an accurate estimate of your premium amount before you purchase your policy. It will help you plan your finances more effectively for the future.

Make Better Decision

The health insurance premium calculator allows you to adjust various parameters until you arrive at an affordable plan that easily suits your coverage requirements.

Customisation Option

The medical insurance premium calculator displays all the add-on covers for a health insurance policy that can help you meet your financial necessities. It can thus help you calculate the premium payable if you avail of add-on coverage with your health insurance policy.

Choosing the Best Health Insurance Policy

The mediclaim policy calculator displays the health insurance policies from different insurance providers and allows you to compare between them. This makes the process of availing a suitable insurance policy much easier.

Saves You Effort and Time

Health insurance plan calculators save you time by automating the premium calculation process. These calculators can also easily evaluate multiple plans, saving time and work compared to manually doing the math.

Tips to Reduce/Lower Your Health Insurance Premium

Who wants to pay a higher premium? No one! Here are some ways you can reduce the cost of health insurance premiums:

Opt for Deductibles/Co-payment

Opting for deductibles and co-payment allows you to reduce the premium on your insurance policy. While deductibles and co-payment clauses require you to cover a portion of your treatment costs, they subsequently reduce the premium paid towards your insurance policy.

Choose Add-on Covers Wisely

Be careful while choosing your add-on covers to ensure you are not paying more for your health insurance policy. Selecting the ones you don’t require will only lead you to incur more cost for your insurance coverage than necessary.

Purchase Directly from your Insurance Provider

Purchasing your insurance policy through a broker will make your insurance policy more expensive. This is because you will be liable to pay the charges for their service, as well. You can purchase the insurance policy directly from your insurance provider to avoid this.

Prefer Family Floater Plans

Opting for a family floater plan instead of individual plans, where two or more people are covered under one plan, allows you to reduce its premium cost.

Choose Top-up Plans

Since opting for a high coverage amount means a higher premium payment, you can seek a policy with lower coverage. Further, to make sure that your financial liabilities for seeking treatment remains low, you can avail a top-up on your insurance plan, which will come into effect when the base-sum insured is exhausted.

Avail a Policy at a Young Age

One of the most effective ways to save on health insurance premiums is to opt for coverage at a younger age. Most insurance companies' premiums increase as a person ages since they are more prone to illnesses. Also, if you are purchasing the policy for your parents, make sure you do so before they turn 60, as the premium payment for health insurance for senior citizens is higher.

Opt No Claim Bonus Policy

No claims in the Policy year? You get a bonus -an additional amount in your total sum insured for staying healthy & claim-free! This bonus, also known as the Cumulative Bonus, is a certain percentage of the Base Sum Insured for every claim-free year. As a result, your total sum insured increases. However, this bonus gets nullified if you fail to renew your insurance policy after it expires.

Choose the Plan According to Your Zone

Suppose you live in a Zone B city, where treatment costs are much lower than in Zone A cities. The premium you pay for your health insurance policy to cover treatment costs in a Zone B city should, thus, also be less than that of the other two.

Why You Should Get Your Health Insurance Policy From Digit?

Choosing Digit for your health insurance brings many advantages that make managing your healthcare more convenient while fulfilling long-term promises of protection. The following are the most important benefits:

  • Clear and Straightforward Policies: Digit uses simple language to describe coverage, exclusions, and claims processing. You always know what you're covered for.
  • Large Cashless Hospital Network: With hundreds of partner hospitals across India, Digit ensures you get the cashless treatment you need when in a hurry, without slowing down your finances.
  • Flexible Coverage Plans: You can customise your plan by selecting sum insured, optional coverage such as maternity or critical illness, and co-payment options.
  • Digital-First Processes: All processes in policy purchasing, policy renewals, or claiming are completed online, where your claims can be processed faster and save paper.
  • Transparent Claims Process: Digit is known for having a simple, fair claims process, and their reports on their site detail how the claims process works publicly, making you feel secure and trust in their insurance process as a whole.
  • World-Wide Coverage: With Digit health insurance, you'll be covered not just in India, but emergencies abroad. This will help provide peace of mind when you're travelling.

How to Buy/Renew a Health Insurance Policy Online?

Buying health insurance online is quick, convenient, and hassle-free. With Digit, you can compare plans, customize coverage, and secure your health in just a few simple steps:

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Visit Digit’s Website or App

Go to Digit’s Health Insurance page and enter your pincode and phone number.

Enter the Basic Details

Provide key information such as your age, the number of family members to be covered, and any existing medical conditions or history.

Select Your Plan

Select your coverage amount and add any rider if needed. Proceed and fill in additional details.

Make Payment & Complete KYC

Proceed to payment and complete the KYC process. Once done, your policy will be instantly shared via email, WhatsApp, or accessible through the Digit app.

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Log In to Your Account

Visit the Digit website or app, log in using your registered mobile number and navigate to the ‘My Policies’ section.

Review Your Policy

Choose the health insurance policy that needs renewal and review your policy details. Modify if required.

Make the Payment

Proceed to pay the renewal premium securely online via UPI, net banking, credit/debit card, etc.

Get Renewal Confirmation

Once payment is successful, you will receive a renewal confirmation and updated policy details via email and WhatsApp.

Role of the Medical Insurance Calculator in Financial Planning

A mediclaim premium calculator will help you plan your health expenses by giving you the exact insurance premium cost. Here are the main benefits that will help with less financial stress:

Budget Match

The calculator shows the precise premium before you purchase, so you can know if it fits your monthly budget without putting yourself into financial stress later.

Policy Comparison

It allows for comparing costs with other insurers and plans. This will enable you to review your options to select a policy that meets your coverage benefits, while being a manageable price for your budget.

Estimating Future Costs

Premiums may increase with age or added coverage, and the calculator allows you to calculate those costs in advance so that you have time to plan for your medical expenses.

Perspective on Customisation

The premium amount adjusts so you can design a plan most suitable for your financial and health situation whenever you change one of the variables, such as age, sum insured, or add-ons.

Help with Tax Planning

The visible premium amounts can also represent amounts you can deduct under Section 80D of the Income Tax Act. Hence, the health insurance policy calculator helps you plan the health coverage you want while simultaneously helping you reduce taxable income.

Health Insurance Tax Benefit Under Section 80D of Income Tax Act

You can avail of tax benefits on your health insurance policy through provisions under Section 80D of the Income Tax Act, 1961. Following is a table illustrating the tax benefits that you can avail on your health insurance policy:

Eligibility Exemption Limit in Section 80D (INR)
For self and family (spouse, dependent children) Up to ₹25,000
For self, family + parents (below 60 years of age) Up to (₹25,000 + ₹25,000) = ₹50,000
For self and family (where the eldest member is below 60 years of age) + parents (above 60 years) Up to (₹25,000 + ₹50,000) = ₹75,000
For self and family (eldest member is above 60 years of age) + parents (above 60 years of age) Up to (₹50,000 + ₹50,000) = ₹1,00,000

 

A health insurance premium calculator is a helpful tool that allows you to estimate the cost of your health insurance policy based on factors like age, medical history, coverage amount, and family size. With just a few clicks, you can customise your cover, balance your budget, and avoid surprises later. In a world where health is wealth, this tiny tool is your first step toward big protection. 🙂

Thus, if you are still wondering whether you should purchase a health insurance policy, stop! Purchase one today!

FAQs about Health Insurance Premium Calculator