With the rising medical costs, buying an individual health insurance policy in India is not just a smart choice; it has become necessary. It ensures direct access to quality healthcare and helps manage unforeseen medical expenses. So, whether you're a freelancer, entrepreneur or looking for better coverage, an individual health insurance policy ensures that you are financially prepared for any health challenges.
Remember, Individual Health Insurance is more than just coverage; it’s peace of mind for you and your family.
The following article will provide you with a detailed understanding of individual health plans and help you make an informed decision before buying one for yourself.
An individual health insurance is a type of health insurance policy customized for a young individual to safeguard and cover oneself from various illnesses, hospitalizations, child delivery expenses and other major and minor health conditions that may arise during one's lifetime.
While individual health insurance is essentially designed for young people without families, you can still customise your plan to cover your dependents, such as your senior parents, spouse and children. However, there will be separate individual plans with different coverage and benefits for each family member.
For example, Mr. Rahul, aged 30, has an Individual Health Insurance plan for himself and his spouse. He has taken an individual health insurance of ₹10 lakhs. This means he and his wife will both have ₹10 lakhs each to cover their health needs.
Remember, your health is your greatest wealth. Protect it with the right insurance, not just for you but also for those who are dependent on you.
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.
Add flexibility to your health insurance with add-ons. Digit offers the below exclusive add-ons to provide you with additional layers of protection beyond the basic coverage of your policy:
Co-payment | No |
Room Rent Capping | No |
Cashless Hospitals | 9000+ Network Hospitals across India |
Inbuilt Personal Accident Cover | Yes |
Wellness Benefits | Available from 10+ Wellness Partners |
City Based Discount | Up to 10% Discount |
Worldwide Coverage | Yes* |
Good Health Discount | Up to 10% Discount |
Consumables Cover | Available as an Add-on |
*Available only on Worldwide Treatment Plan
Individual health insurance is ideal for anyone seeking personalised health coverage tailored to their specific needs.
Whether you’re a young professional starting your career, a freelancer with no employer coverage, or a businessman looking for personal protection, an individual policy can offer different, tailored benefits. However, individuals who want better coverage options than their employers should also consider buying an individual policy.
Ultimately, if you value financial security and access to quality healthcare, you must consider buying individual health insurance.
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At Digit, our health insurance rates are divided into two zones based on healthcare prices in different cities for convenience.
Let’s look at a real-world example to understand the individual health insurance plans and the premiums charged for the particular sum insured. Ideally, we recommend for “Infinity Wallet Plan” as one of our most popular and reliable plans for every individual.
Let’s take the example of Rahul who is 25 years old and has Individual Health Insurance. He lives in Noida (Zone 2) and has chosen the Infinity Wallet plan for himself having a sum insured of ₹10 lakh. Let’s see how much annual premium he pays for this particular sum insured.
Note: The annual premium mentioned above is excluded from GST and only mentioned for Zone 2 cities. The price varies for Zone 1 cities. Also, age, plan choice, and other conditions may affect your premiums.
A ₹25 lakh sum insured is highly recommended because:
Buying a health insurance policy online is the same as booking a movie ticket. 🤩 With just a few clicks, you can compare different plans, customise your coverage, and secure your finances. For example, if you are planning to buy Digit’s Comprehensive Health Insurance Plan, follow these simple steps to get insured:
Visit Digit’s Website or App
Visit Digit Health Insurance and go to the health insurance section and enter your phone number & PIN.
Enter Basic Details
Share information like age, family members to be covered, and any medical history or pre-existing disease.
Choose Your Plan
Select your coverage amount and add any rider if needed. Proceed and fill in additional details.
Make Payment
Complete the KYC & payment. Done! Your policy will be sent via email or WhatsApp or accessible on the Digit app.
The eligibility criteria differ for different insurance companies. Before purchasing one, you must ensure you are eligible to purchase the particular policy. Here are the general eligibility criteria to get an individual health insurance.
When purchasing a health insurance policy, insurers typically require some basic documents for verification. Below is a list of optional documents that can be needed at the time of purchasing a policy:
Identity/Age Proof
Address Proof
Income Proof
Previous Medical Reports (If any)
KYC Documents
After purchasing a health insurance policy, it is essential to download and keep a copy for future reference. With us, you do not need to carry hard copies of your insurance policy. You can simply download it from our website. 🙂 Follow these simple steps to download your policy document from the Digit website or app:
Login 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.
No amount you save will ever be enough to fulfill your healthcare bills. Still, for sufficient coverage and security, it is important to choose an accurate sum insured under your individual health insurance plan. Here are some factors that will help you choose the right sum insured:
Are you new to health insurance and confused about how cashless health insurance claims work? 🤔 Well, at Digit Insurance, the process is simple! The cashless claim is when your health insurance company directly settles the hospital bills on your behalf. Let’s walk you through how the cashless health insurance process works:
Visit a Network Hospital
Choose a hospital partnered with Digit.
Show Insurance Details
Present your health e-card or policy number and request approval.
Receive Treatment
Get treated without paying anything upfront (except deductibles).
Insurer Pays Directly
Digit will settle the bill directly with the hospital.
Pay Non-Covered Costs
Any exclusions or extra charges must be paid by you.
Get cashless treatment at 9000+ hospitals across India
A reimbursement claim is when you first pay your hospital bills out of your own pocket and later get the amount refunded by your insurance company. This usually happens when you get treated at a non-network hospital or in situations where cashless isn’t possible. Let’s understand how the reimbursement claim process works step by step:
Get Treated at Any Hospital
Choose any hospital (network or non-network) for treatment.
Pay the Bills Yourself
Settle all the medical expenses upfront from your pocket and keep the bills.
Submit a Claim to the Insurer
Fill out the claim form and send it with the required documents.
Insurer Reviews the Claim
Insurer will verify the documents and approve the claim.
Reimbursement Process
Once approved, the insurer transfers the amount to your bank account.
Are you thinking of how to file a health insurance claim? Well, if you are filing for a cashless claim, confirm if your hospital is in Digit’s Network list. Inform Digit in time, submit the pre-authorisation form via the hospital, and enjoy cashless treatment! 🙂 Here are the steps to file and track a claim:
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 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.
Renewing your health insurance on time ensures uninterrupted coverage and continued financial security in medical emergencies. Follow these simple steps to renew your Digit Health Insurance hassle-free:
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 Policy Details
Choose the health insurance policy that needs renewal and review your policy details. Modify if required.
Make 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.
So far, you might have known why an individual health insurance is essential. However, when purchasing one for yourself, you must keep some important factors in mind. Here are some things you must remember before buying any individual health insurance policy.
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Apart from safeguarding your health, an individual medical health insurance also benefits you in maximizing your savings further by giving you the benefit of tax exemptions. This can be done in the following ways:
#Remember: To claim tax exemptions on your health insurance, it’s necessary that all payments towards your health insurance premium must be made through bank transfers, debit/credit cards or online/net banking methods since cash payments won’t be considered for your tax savings.
The term "waiting period" in insurance refers to the actual length of time that you must wait before claiming any health insurance. In simple words, it describes the time you must wait from the day you have bought health insurance and the day you can begin using it. Waiting periods are included in health insurance plans to shield the insurer against immediate claims.
For instance, if your policy states a 30-day waiting period, you must wait 30 days before receiving benefits for any illness or injury.
These waiting periods are of different types, such as initial waiting period, for pre-existing disease, for a specific disease, for maternity benefit & baby cover and for accidental hospitalisation. Let’s compare the waiting periods of different insurers vs Digit.
*The 30-day waiting period is available through the Initial Waiting Period Modification add-on.
Note: These durations can vary slightly based on the insurer and the specific terms of the policy, so it is always advisable to review individual policy documents for precise details.
Health insurance has often been looked at as complex and ambiguous. More often, people have purchase health insurance policies only for tax benefits, without really looking at its other advantages, such as how it protects and safeguards you against various illnesses and medical emergencies.
However, the times have changed, and thankfully, many health insurance policies are now digital. This not only makes the entire process of buying health insurance easy but also gives you the flexibility to learn more about it, compare health insurance plans online, and customize your plans according to your personal needs with just a few clicks and no paperwork at all!
Some Benefits of Buying an Individual Health Insurance Plan Online include:
When you make a health insurance claim, especially after visiting a hospital due to an accident or illness, you can choose between a cashless or a reimbursement claim. Digit offers both claim options to give you flexibility and peace of mind during any medical emergencies.
With a cashless claim, you can receive medical care at a network hospital without paying for it out of pocket. Instead, the hospital sends the bills directly to the insurance company, which then pays them. At Digit, you may choose from 9000+ cashless hospitals in India to receive cashless services by utilizing your cashless health insurance.
If you’ve never bought health insurance online, we know this could probably get a tad bit confusing for you. But, that’s why we’ve always kept our insurance simple, and here we’ll give you a quick guide on how to compare different health insurance plans online and eventually make the right choice.
A lot of people often wonder, how is my health insurance premium calculated? Based on a combination of various factors, your health insurance premium is defined by the following: