₹10 Lakh Health Insurance
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Is a 10 Lakh Health Insurance Plan Enough?
A ₹10 lakh health insurance plan can be a good starting point, but for most people in Tier 1 cities like Mumbai, Bengaluru, or Delhi, it’s not enough. The reason is because medical costs in these cities are significantly higher, and even a single major treatment can exhaust this limit quickly.
For example, a planned surgery in a private hospital, combined with a few days of ICU stay, diagnostics, and post-hospitalisation care, can easily cross ₹15-20 lakh. Beyond just treatment costs, there are hidden expenses like consumables, specialist consultations, and follow-up treatments that add up quickly. This means that while health insurance plan can cover basic medical needs, it may fall short when you need financial protection during serious or unexpected health events.
When ₹10 lakh health insurance may be enough:
- Age: Early 20s with no medical history
- Location: Tier 2/3 cities where treatment costs are lower
- No Serious Illnesses: You don’t have any major health conditions
- Have an Employer Insurance: If you are already covered under a comprehensive group health insurance
Medical costs in India are rising rapidly. A major surgery or critical illness treatment in a metro city can easily cost ₹8 - 15 lakh. Even a short hospital stay in a private hospital often exceeds ₹50,000. That’s why relying solely on ₹10 lakh coverage can be risky, especially for families or those living in urban areas.
If you’re buying a family floater plan, remember that multiple claims can quickly exhaust ₹10 lakh. Similarly, if you have pre-existing conditions or a family history of chronic illnesses, higher coverage becomes essential.
Hence, starting with a 10 lakh sum insured plan is beneficial, but considering ₹15 - 20 lakh coverage or adding a top-up plan for extra protection is highly recommended. This ensures you’re prepared for unexpected medical expenses without compromising on quality care.
Tanya Marwah
Head of Marketing
Who Should and Shouldn't Consider a ₹10 Lakh Health Insurance Plan?
₹10 lakh health insurance is enough for low-risk individuals or smaller cities, but insufficient for metro residents, families, or high-cost treatments. Above all, a ₹10 lakh health insurance plan isn’t one-size-fits-all but here is who should and shouldn’t consider having a ₹10 lakh plan.
Note: If you fall mostly in the left column above, ₹10 lakh can be a practical starting point. But if even 2 - 3 factors from the right column apply to you, relying only on ₹10 lakh can expose you to significant out-of-pocket costs.
How to Choose Between a 5 Lakh Sum and a ₹10 Lakh Health Insurance?
Choosing between a ₹5 lakh and ₹10 lakh health insurance plan should be based on factors like your location, family size, and age, as these directly impact your medical expenses and risk level.
Scenario: You are a 27-year-old working professional from Jaipur looking to buy health insurance for yourself. You earn ₹12 lakh annually and want to avoid large out-of-pocket medical expenses. Here is how you must decide between the two:
- Choose ₹5 lakh Coverage: If you are only planning for smaller hospitalisations like minor surgeries or short stays, where costs are relatively controlled.
- Choose ₹10 lakh Coverage: For major treatments like cardiac procedures, or accidents, ₹10 lakh offers significantly better financial protection.
- Consider City-based Cost Reality: In Tier 2 cities, a single major surgery can cost ₹5 - 7 lakh (1). In such a case, choosing ₹5 lakh could leave you paying ₹2–3 lakh from your savings in a single hospitalisation.
- Consider Health and Risk Factors: If you have a family history of conditions like diabetes, heart disease, or other lifestyle risks, opting for ₹10 lakh improves financial preparedness.
Note: In such a case, a ₹10 lakh should be considered the minimum baseline, not an upgrade. In certain situations, even this ₹10 lakh sum insured will not be enough. Hence, for better protection, pairing it with a ₹30 - ₹50 lakh super top-up plan is a more future-ready approach.
Why Choose 10 Lakh Health Insurance from Digit?
- Simple Online Processes - From the process of buying a health insurance policy to making claims is paperless, easy, quick and hassle-free! No hard copies, even for claims!
- No Age-Based or Zone-Based Co-Payment - 10 lakh health insurance at Digit comes with no age-based or zone-based co-payment clause. This means that during health insurance claims, you need not pay anything from your savings.
- Cumulative Bonus - Up to 50% cumulative bonus for every claim-free year (with a maximum benefit of 100%). This increases your total coverage over time without increasing your premium, helping you handle larger medical expenses.
- No Room Rent Restriction - We understand that everyone has different preferences. That’s why we have no room rent restrictions. Choose any hospital room you prefer. It helps avoid hidden cost deductions that usually happen when room rent limits indirectly cap during a claim.
- Get Treated at any Network Hospital - Choose from 9000+ network hospitals in India for a cashless treatment or opt for a reimbursement. This becomes especially important as it provides quick access to a nearby hospital during emergencies.
- Add-Ons or Riders: Digit health plans include optional add-ons or riders that policyholders can customise to suit their needs. Some popular add-ons such as consumable cover, PED waiting period modification, and network hospital discount.
- Wellness Benefits - Get exclusive 12+ wellness benefits in health insurance on the Digit App in collaboration with top-rated health and wellness partners.
What’s Covered in the 10 Lakh Health Insurance Offered by Digit?
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 Not Covered under 10 Lakh Health Insurance Plan?
Add-on Options in Health Insurance Plan with Digit
Enhance your 10-lakh 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 available that provide additional layers of protection beyond the basic coverage of your policy:
Key Benefits of 10 Lakh Health Insurance by Digit
Your health insurance plan with Digit extends several exclusive benefits that enhance your coverage. Here are the key benefits:
* These add-ons are subject to underwriting approval and your eligibility at the time of purchase or renewal
What are the Benefits of Having a ₹10 Lakh Health Insurance Policy?
A ₹10 lakh health insurance policy offers a strong starting layer of surety, especially for individuals entering the insurance journey. While it may not always be sufficient in some cases, it still has several practical and high-impact benefits:
How Much Premium Do I Need to Buy 10 Lakh Medical Insurance?
A ₹10 lakh sum insured offers protection against unexpected medical expenses. However, the premium depends on factors like age, location, health condition, and policy features.
The table below shows the starting annual premium for a ₹10 lakh sum insured under Digit’s Infinity Wallet Plan for Tier 1 city, segmented by age group:
Note: The premium amounts listed above are indicative and based on publicly available data for Digit's Infinity Wallet Plan with ₹10 lakh sum insured. Actual premiums may vary depending on the applicant's age, location, medical history, lifestyle habits, and chosen add-ons.
What Factors Affect the Premium of a ₹10 Lakh Health Insurance Plan?
The premium of a ₹10 lakh health insurance plan varies based on your personal profile, age, risk level, and the choices you make while buying the policy. Two people opting for the same ₹10 lakh cover can end up paying very different premiums. Here are the key factors that actually drive the health insurance premium:
Important Things to Know About Health Insurance
What are the Eligibility Criteria for Buying Health Insurance with 10 Lakhs Sum Insured?
The insurers lay out basic eligibility conditions to purchase a health insurance plan with ₹10 lakh coverage. Here are the eligibility criteria for buying a 10 lakh sum insured health insurance plan:
How to Buy ₹10 Lakhs Health Insurance Online?
Buying health insurance online is a simple and convenient process, but it’s important to make informed decisions to ensure the policy meets healthcare needs in later years. Here’s a step-by-step process to buy ₹10 lakh health insurance 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. Now, 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.
What are the Documents Required to Buy 10 Lakh 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
Medical Reports
KYC Documents
What Mistakes to Avoid Before Purchasing a ₹10 Lakh Health Insurance Plan?
A ₹10 lakh health insurance plan is a good starting point but buying it incorrectly can leave you underinsured or financially exposed. Most mistakes happen not because of the coverage amount, but because of poor decision-making around it. Here are the key mistakes you should avoid:
- Assuming ₹10 Lakh Is Always Enough Coverage: Many individuals pick ₹10 lakh as a standard number without evaluating their actual needs. But in metro cities, a single major hospitalisation can exceed ₹10 - 15 lakh (2), which means your entire coverage could get exhausted quickly. You should assess your coverage based on your location, lifestyle risks, and whether you’re buying for yourself or your family.
- Ignoring the Need for a Super Top-up: A common mistake is treating ₹10 lakh as your final coverage limit rather than a base layer. A smarter approach is to combine your base plan with a super top-up policy, which significantly increases your total coverage at a relatively low cost.
- Choosing the Cheapest Plan Only: Focusing only on the lowest premium can lead to poor coverage quality. Cheaper plans come with hidden limitations such as room rent caps, co-pay clauses, or sub-limits on specific treatments. Instead of choosing based on price alone, it’s important to evaluate the overall coverage, benefits, and claim conditions.
- Not Checking What’s Actually Covered: Many people assume that health insurance covers all expenses. Certain costs such as consumables, specific procedures, OPD treatments, or maternity benefits may have limits or exclusions depending on the policy. It’s important to carefully review exclusions and sub-limits in health insurance before making a decision.
- Relying Only on Employer Insurance: Many young professionals depend entirely on group health insurance. While this may seem sufficient initially, it comes with limitations such as lower coverage, fewer benefits, and loss of protection when you switch jobs or take a break. Having your own ₹10 lakh policy ensures continuous coverage regardless of your employment status.
- Delaying the Purchase: Postponing health insurance is one of the costliest mistakes. As you age, premiums increase, and the likelihood of developing health conditions also rises. Additionally, waiting periods in health insurance start only after you buy the policy, so delaying means you remain unprotected for longer.
What are the Tax Benefits of a ₹10 lakh Health Insurance?
By acquiring a health insurance plan for ₹10 lakh, you can claim tax deductions under section 80D of the income tax act, for the premiums paid for the insurance for yourself, your spouse, dependent children, and parents:
- Yourself, spouse, and children: ₹25,000 (₹50,000 if senior citizens).
- Parents: ₹25,000 (₹50,000 if senior citizens).
- Maximum deduction if you and your parents are senior citizens: ₹1,00,000.
- You can also claim an additional deduction of up to ₹5,000 for any payments made for preventive health check-ups.
With rising medical costs in India, ₹10 lakh coverage may seem adequate for routine treatments and short hospital stays. However, for major surgeries, critical illnesses like cancer or heart disease, or prolonged hospitalisation in metro cities, expenses can easily exceed this limit.
If you’re young and healthy, ₹10 lakh can be a good starting point, but consider your family size, lifestyle, and future health risks. For long-term security, opting for a higher sum insured or a plan with refill and top-up options is a smarter choice to avoid out-of-pocket expenses during emergencies.