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Renewals

Does Health Insurance Premium Increase Every Year on Renewal?

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Health insurance premiums do not necessarily increase every year, but they can increase during renewal due to several factors, such as age, medical inflation, revised policy terms, increased coverage, additional members, add-ons, and in some cases, claim history. Hence, reviewing your coverage, benefits, and premium before renewal can help you understand any increase and ensure your policy continues to meet your healthcare needs.
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What Factors Can Increase Your Health Insurance Premium at Renewal?

Several factors can increase your health insurance premium at renewal, including moving to a higher age bracket, increasing your sum insured, adding family members, purchasing add-on covers, rising healthcare costs, and insurer-wide premium revisions.

To estimate how these changes may affect your renewal cost, you can use a health insurance premium calculator, which helps you compare different coverage options and understand their impact on your premium before renewing your policy.

Here are the most common reasons why your renewal premium may increase:

1. Healthcare Inflation

Medical treatments, hospital charges, and healthcare services have become more expensive over time. According to an article in The Hindu, inflation in healthcare is growing at a rate of 14% every year. 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, insurers may increase premium rates in health insurance during renewal, even if your individual policy has not changed.

What can you do about it?

While healthcare inflation is largely beyond your control, you can review your coverage periodically to ensure it remains adequate for current treatment costs. The good news is that some insurers may offer renewal benefits, such as cumulative bonus or renewal discounts, depending on your policy terms and claim history, which can help avoid a part of the premium increase over time.

2. Moving to a Higher Age Bracket

Age is one of the most important factors that insurers consider while calculating premiums in health insurance plan during renewal. As people grow older, the likelihood of developing health conditions such as diabetes, hypertension, heart disease, arthritis, and other age-related illnesses generally increases.

Hence, if you move into a higher age bracket at the time of renewal, your premium may increase. For example, a person who purchased a policy at age 28 may pay a different premium after turning 38.

What can you do about it?

You can’t turn back time and turn younger, but what you can do is be mindful. Check your insurer premium chart before renewal and plan for the increase in advance. This can help you avoid last-minute surprises and budget accordingly.

3. 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. If you choose to increase this coverage at renewal, your premium is likely to increase as well.

For example, you might decide to increase your sum insured in health insurance policy if you've been diagnosed with a condition that needs extra care. This will ultimately increase your sum insured.

What can you do about it?

Review whether your current sum insured is enough to cover treatment costs in your city. If healthcare costs have risen significantly since you purchased the policy, increasing your coverage may offer better financial protection despite the higher premium.

4. Adding Family Members to the Policy

If you add a spouse, newborn child, parents, or other eligible dependents to your policy at renewal, your premium may increase.

The extent of the increase depends on factors such as: 

  • Number of members added
  • Their age
  • Their health profile
  • Type of policy (individual or family floater)
  • Sum Insured 

What can you do about it?

Compare the cost of adding a family member to your existing policy versus buying a separate policy. This is especially important when covering parents or senior citizens, as a separate senior citizen health insurance plan may sometimes be more suitable.

5. Purchasing Additional Covers or Add-Ons

Many insurers offer optional benefits, commonly known as add-ons in health insurance, that can be purchased at renewal for enhanced protection.

These may include critical illness cover, maternity cover, consumable cover, OPD cover, etc.

Since these benefits expand the scope of coverage, they are usually available at an additional cost, which increases your premium.

What can you do about it?

Choose add-ons based on your actual healthcare needs rather than selecting every available option. Focus on benefits that are relevant to your life stage and family situation.

6. 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.

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.

How to Reduce Health Insurance Premium at the Time of Renewal?

At the time of renewing health insurance policy, there are several ways you can 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:

Strategy How Can It Help?
Opt for a Higher Deductible Choosing a higher deductible can lower your premium because you agree to bear a larger portion of the medical expenses before insurance coverage kicks in.
Review Your Coverage and Add-ons Evaluate whether your current sum insured, riders, and add-ons still match your needs. Removing benefits you no longer require can help reduce your premium.
Consider a Co-payment Option Opting for a co-payment in health insurance means you agree to pay a percentage of admissible claims. Since the insurer shares less risk, the premium may be lower.
Evaluate a Family Floater Plan If multiple family members are covered under separate policies, a family floater plan may sometimes be more cost-effective than maintaining individual covers.
Compare Plans Before Renewal If your renewal premium has increased significantly, compare plans across insurers. However, look beyond price and assess coverage, waiting periods, exclusions, and benefits before making a switch.
Choose a Longer Policy Tenure (If Available) Some insurers offer discounts or better pricing for multi-year policies compared to annual renewals, which may help reduce long-term insurance costs.
Maintain a Healthy Lifestyle Some insurers like Digit provide wellness benefits or rewards for healthy behavior, such as regular health check-ups, fitness activities, or participation in wellness programmes.

What Should You Check Before Renewing Your Health Insurance Policy?

At least two months before your existing health insurance policy is going to expire, it’s a good idea to consider some important things to check before renewing a health insurance policy:

Review Your Sum Insured

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.  Hence, it is important to check whether your current coverage is still enough for today's medical costs and your family's healthcare needs.

Update Family Details (if needed)

Perhaps you’ve just started a family or have decided that you want to add your spouse to your health insurance plan as well. Hence, consider adding your spouse, newborn child, or other eligible dependents if your family circumstances have changed.

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.

Reassess Add-on Covers

Another thing to check 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.

Review Your Plan Benefits

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: You’ve opted for a basic coverage plan and now want to shift to a comprehensive health insurance 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.

Review Your No Claim Benefits

If you've had a claim-free year, check whether you've earned a No Claim Bonus (NCB) or any other renewal benefits under your policy. Your insurer might provide you with a discount on your premium amount or increase your sum insured under your health insurance policy as a reward for making no claims. 

Verify Network Hospital List

Check if your preferred hospitals are still part of the insurer’s cashless network of hospitals. These hospitals may be added or removed during the year. Currently, Digit has 9000+ network hospitals that offer smooth, cashless treatment.

Evaluate Your Current Insurer

Many people port their health insurance plans when they’re not happy with their existing insurers. Consider the insurer's service, claim experience, coverage benefits, and overall policy value before renewing.

However, porting health insurance 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 to port to an insurer and plan that better suits your needs.

5 Common Myths About Health Insurance Renewal Premiums

Many policyholders worry when their health insurance premium changes at renewal. However, several assumptions about renewal premiums are based on misconceptions. Understanding the facts can help you make more informed decisions about your coverage.

Myth 1: My Premium Will Always Stay the Same If I Don't Make a Claim

Fact: A claim-free year does not guarantee that your premium will remain unchanged. Renewal premiums may increase due to factors such as age progression, healthcare inflation, changes in coverage, or insurer-wide premium revisions.

Myth 2: Making One Claim Will Automatically Increase My Premium

Fact: In health insurance, a single claim does not automatically lead to a premium increase. Renewal premiums are influenced by multiple factors, including the insurer's pricing structure, age, coverage level, and overall claims experience.

Myth 3: The Cheapest Renewal Premium is Always the Best Option

Fact: A lower premium may come with lower coverage, higher deductibles, co-payments, exclusions, or fewer benefits. When comparing plans, evaluate the overall coverage and benefits instead of focusing only on the premium amount.

Myth 4: Health Insurance Renewal is Automatic, So There's Nothing to Review

Fact: Ideally, there are very few insurers who provide auto renewal options. Even if your insurer offers auto-renewal, you should still review your sum insured, add-ons, deductibles, family details, and renewal benefits before renewing.

Myth 5: Younger People Don't Need to Worry About Renewal

Fact: Even young policyholders should review their policy at renewal. Life events such as marriage, starting a family, or increasing healthcare costs can affect the type and amount of coverage required.

FAQs about Health Insurance Premiums Increase on Renewal

Is it normal for my health insurance premium to increase every year?

Yes, it is normal for health insurance premiums to increase annually. This increase is driven by factors such as the rising cost of healthcare, the age of the insured, and the overall risk assessment of the insurance pool.

How much does inflation typically affect health insurance premiums?

Inflation significantly impacts health insurance premiums. The rate of medical inflation in India often exceeds general inflation, which means healthcare costs rise faster than other consumer goods and services. As healthcare costs rise, insurance companies adjust premiums to cover the increased risk of paying out higher claims amounts.

Do all insurers raise premiums based on claims history?

No, not all insurers raise premiums based on claims history, but many do, as it reflects a higher risk to the insurer.

If I'm getting older, will my premium automatically increase?

Yes, as you age, your health insurance premium often increases due to the higher risk of health issues.

Can I switch insurers to avoid premium increases?

Yes, as per IRDAI, you can port your health insurance policy to another insurer at renewal. Before switching, compare coverage, waiting periods, exclusions, benefits, and service quality rather than focusing only on the premium.

How can I prepare for the rising Health Insurance costs as I age?

To be prepared for the rising health insurance costs, you should consider increasing your coverage early, exploring supplemental insurance, and saving specifically for healthcare costs.

Can You Add Family Members During Health Insurance Renewal?

Yes, depending on the policy terms, you may be able to add eligible family members such as a spouse or child at the time of renewal.

When Should You Renew Your Health Insurance Policy?

It is advisable to start reviewing your policy at least 30-45 days before renewal. This gives you enough time to compare plans, review coverage, request changes, or explore portability options if needed.

Does health insurance premium increase with age during renewal?

Yes, health insurance premiums generally increase with age upon renewal. This is because older individuals are statistically more likely to require medical care, leading to higher risk for the insurer.

Can health insurance companies raise premiums without notice in India?

No, in India, health insurance companies cannot raise premiums without notice. The IRDAI requires insurers to provide clear communication about any premium changes at the time of renewal. Additionally, policyholders have the right to cancel the policy or switch insurers if they do not agree with the new premium rates.

Why does my health insurance premium keep going up every year? Are life insurance policies similar?

Health insurance premiums rise due to factors such as medical inflation (increasing healthcare costs), your age (being older means a higher risk), and sometimes your claims history. Premiums of Life insurance policies also increase with age because the risk of a payout rises as you get older, but term insurance often has a fixed premium for the chosen term