Does Health Insurance Premium Increase Every Year on Renewal?

Yes, health insurance premiums can increase every year due to several factors. These include medical inflation, the policyholder's age, the number of claims made, changes in lifestyle, and new regulations or coverage adjustments by insurers.

While premium increases are common, the extent of the hike can vary. Some insurers may offer policies with fixed premiums for a specific term, providing some predictability.

#1 Healthcare Inflation

According to the Economic Times, inflation in healthcare is growing at a rate of 12 to 18%! This includes overall costs such as the cost of medicines, hospital admission charges, the cost of various treatments, medical advancements, and so on.

Due to the rise in these expenses, your insurer, too, needs to increase your sum insured every year i.e., coverage to be able to cover for these costs when you make a claim.

This is primarily why there is consequently an increase in your health insurance premium too when you renew for the new policy year.
What can you do about it?

The bad news is that, given that this is directly related to medical expenses, and the required increase in your sum insured in health insurance, there isn’t too much you can do about this.

However, the good news is that some insurers do offer renewal discounts and bonuses depending on your claim history.

So, check with your insurer (or just check your policy document) to see if you have any of these benefits in your plan. In case you have Digit health insurance – you can check your policy summary for the same.

However, yes, we do offer a cumulative bonus benefit for those who’ve not made any claims in the previous year. This means we increase your sum insured without any increase in your health insurance premium! 😊

Think of it as a little reward for taking such good care of your health!

Additionally, we also offer an add-on cover where you can customize your plan to be inflation-proof by automatically increasing your sum insured by ₹25,000 or ₹50,000 every year!

This is irrespective of whether you’ve made claims or not, and the increase in premium for this benefit will only be applicable at the time of renewal.

#2 Your Claim History

Some insurers do increase your health insurance premium depending on the number and amount of claims you’ve made during the year. However, this may not be the case with all health insurers.

To check whether your health insurance increases your premium based on your claim history, open your policy document and check your claims section, or the section where your terms and conditions are displayed.

If you have Digit’s health insurance policy, then you don’t need to worry as we don’t increase your health insurance premium based on the number or amount of claims you’ve made. 

What can you do about it?

If your insurer does increase your premium based on your claim history, then there isn’t much you can do about it with your existing insurer as it is part of their terms and conditions.

However, you can consider porting to a different health insurer that doesn’t come with this condition. Porting is something you can only do during renewal, so evaluate other options and make your decision accordingly.

#3 Your Age

You may already know that your health insurance premium is generally dependent on various factors, including your age.

In some cases, an increase in age can also affect your health insurance premium on renewal. This is especially true for those approaching 60 years of age during or just before renewal.

What can you do about it?

You can’t turn back time and turn younger, but what you can do is be mindful of the sum insured you go for. If you’re relatively young, you probably don’t need a lot of coverage but say if you have a health insurance plan for your senior parents, they may need higher coverage.

So, always customize your and your family’s sum insured based on their age and healthcare needs as well.

#4 Change in Coverage Benefits

During your health insurance renewal, you can choose to make changes in your coverage and benefits, depending on your insurer’s terms and conditions.

You might decide to update your health insurance for more coverage if your situation changes—like wanting maternity benefits or if you've been diagnosed with a condition that needs extra care. If you add extra coverage or increase the total amount your insurance covers, your premium—what you pay for the insurance—will go up accordingly.

What can you do about it?

The best thing to do in this case is to review your health insurance plan in detail. This way, you can see what your coverage and benefits are and if they make sense for your increasing health needs or not. You can explore and upgrade to other plan options, too with your current insurer.

Another thing you could do is, compare other health insurance plans online – just to see if there’s any other plan out there that is better suited for your current situation.

#5 Your Health and Wellbeing

Now, you already know that the general case is that your health insurance premium will at least increase a bit due to inflation. However, most health insurers also consider how healthy you’ve been in the previous year and reward you accordingly.

For example: At Digit, if you haven’t made any claims during the year – we give you a cumulative bonus benefit i.e., we increase your coverage without any increase in your premium during renewal!

Similarly, some health insurers could also increase your health insurance premium on renewal if you’ve recently been diagnosed with a critical illness or disease that will require more coverage.

What can you do about it?

The obvious answer to this is to ensure you’re taking good care of your health! However, we do understand that life is uncertain and sometimes, no matter how careful you are, things do happen!

One recommendation to benefit from advantages like cumulative bonuses is that you can perhaps avoid making small claims during the year.

For example; say you’ve got a fracture during the year – you can choose not to make a claim for the same (since the cost wouldn't be as high as well).

This way, you’ll have no claim history during the year and can get rewarded with an increase in your sum insured, without any increase in your premium.

At the time of renewing your health insurance policy, there are several options you can consider to reduce your premium while staying within the guidelines set by the Insurance Regulatory and Development Authority of India (IRDAI). Here's how you can achieve this:

• Opt for a Higher Deductible

At renewal, you can choose a higher deductible amount. A higher deductible lowers your premium since you're agreeing to pay more out-of-pocket before the insurance coverage starts.

• Adjust Your Coverage

Review and possibly reduce your sum insured or remove any unnecessary riders or add-ons that you may no longer need. For example, if you previously added maternity benefits but no longer require them, removing such add-ons can reduce the premium.

• Utilize the No-Claim Bonus (NCB)

If you haven't made any claims during the policy term, your insurer may offer a No-Claim Bonus (NCB), which can either increase your coverage without raising the premium or directly reduce your premium amount.

• Consider Co-Payment Options

At the time of renewal, you can opt for a co-payment clause, where you agree to pay a certain percentage of the claim amount. This reduces the premium since you're sharing the risk with the insurer.

• Switch to a Family Floater Plan

If you have individual policies for each family member, consider switching to a family floater plan at renewal. Family floater plans often come with lower premiums compared to the total premium of individual plans.

• Port Your Policy to Another Insurer

If your current insurer’s renewal premium is too high, you can port your policy to another insurer offering similar or better benefits at a lower premium. IRDAI allows you to carry forward accrued benefits, like the No-Claim Bonus, when you switch insurers.

• Choose a Lower Sum Insured

If your current sum insured is higher than what you realistically need, consider lowering it at renewal. This will directly reduce your premium.

At least two months before your existing health insurance policy is going to expire, it’s a good idea to review your plan and consider a few things before you just blindly renew your plan as it is. Some of the things you should consider while renewing your health insurance policy are:

• Is your Sum Insured sufficient?

Maybe you opted for the minimum sum insured at the time of purchase or higher, and you realize your coverage is either too little or too much for your needs.

Most insurers will give you the option to increase your sum insured at the time of renewal. They may ask your reasons and, based on the same, increase your health insurance premium basis how much you decide to increase your sum insured.

• Would You Like to Add Any Family Members?

Perhaps you’ve just started a family or have decided that you want to add your spouse to your health insurance plan as well. Consider these things, and let your insurer know about any new member additions.

You can also choose between either including family members within your plan by shifting to a family floater option or simply buying individual plans for each member. 

• What About Add-ons?

Another thing to consider during your renewal is whether you’d like to opt for new add-on covers or not. For example: Maybe until now, you didn’t opt for any add-ons in your plan but would like to opt for the maternity and newborn baby cover. In this case, let your insurer know and add it to your health insurance plan during renewal. 

• Are You Happy With Your Existing Health Insurer? Do You Want to Consider Porting?

Many people port their health insurance plans when they’re not happy with their existing insurer. This could be due to the coverage benefits or simply because of its service and processes.

However, porting can only be done at the time of renewal. Most importantly, you have to let your current insurer know about the same at least 45 days before the expiry date so that they can make the change.

In case you’re not happy with your insurer, evaluate and compare health insurance plans online and port to a plan and insurer that works best for you. 

• Do You Want Changes in Your Coverage?

Now, apart from your sum insured and opting for new covers, you should also review your health insurance plan overall to see if you would like any other changes in your coverage or not.

For example: Say you’ve opted for a basic coverage plan and now want to shift to a comprehensive plan with more benefits. In this case, you can check with your insurer if you can change your choice of plan and get it done accordingly at the time of your health insurance renewal.