Top 10 Health Insurance Plans Under ₹5 Lakh in India (2025)

Top 10 Health Insurance Plans Under ₹5 Lakh in India (2025)

1. HDFC ERGO Optima Secure

  • Sum Insured: ₹5 lakh – ₹2 crore
  • Key Features: 100% sum insured restoration, no room rent capping, access to 10,000+ network hospitals
  • Premium: Approx. ₹10,000/year for a 30-year-old individual
  • Ideal For: Those seeking extensive network coverage and automatic sum restoration

2. Niva Bupa ReAssure 2.0

  • Sum Insured: ₹5 lakh – ₹3 crore
  • Key Features: Unlimited reinstatement, OPD cover, no-claim bonus booster
  • Premium: Starts from ₹9,000/year
  • Ideal For: Individuals desiring comprehensive coverage with added OPD benefits

3. Care Health Insurance – Care Supreme

  • Sum Insured: ₹5 lakh – ₹1 crore
  • Key Features: Annual health check-ups, wide hospital network, free health tracking app
  • Premium: From ₹8,500/year
  • Ideal For: Those looking for preventive healthcare benefits and extensive network access

4. Aditya Birla Activ Fit / Activ One

  • Sum Insured: ₹2 lakh – ₹6 crore
  • Key Features: Wellness points, 100% no-claim bonus, cashless wellness tests
  • Premium: ₹7,500 – ₹25,000/year
  • Ideal For: Health-conscious individuals seeking rewards for maintaining a healthy lifestyle

5. Bajaj Allianz Health Guard Gold

  • Sum Insured: ₹1.5 lakh – ₹1 crore
  • Key Features: Maternity cover after 2 years, AYUSH treatment, pre and post-hospitalization
  • Premium: Starts from ₹6,000/year
  • Ideal For: Families looking for comprehensive coverage with maternity benefits

6. Onsurity Group Health Plan (for Freelancers/Startups)

  • Sum Insured: ₹5 lakh – ₹1 crore
  • Key Features: Instant policy, OPD, gym & wellness discounts, 0 waiting period
  • Premium: Starts at ₹125/month
  • Ideal For: Freelancers and startups seeking affordable and immediate coverage

7. ICICI Lombard Complete Health Insurance

  • Sum Insured: ₹5 lakh – ₹2 crore
  • Key Features: Day-care procedures, lifelong renewability, free health checkup
  • Premium: ₹10,000–₹18,000/year
  • Ideal For: Individuals seeking comprehensive coverage with added preventive care

8. Star Health Family Health Optima

  • Sum Insured: ₹3 lakh – ₹25 lakh
  • Key Features: Family floater, newborn cover from 16th day, ambulance benefit
  • Premium: ₹9,000 – ₹16,000/year (family of 3)
  • Ideal For: Families desiring extensive coverage with added newborn benefits

9. SBI Arogya Supreme

  • Sum Insured: ₹1 lakh – ₹5 crore
  • Key Features: No room rent limit, global coverage for emergencies
  • Premium: ₹6,500 – ₹20,000/year
  • Ideal For: Individuals seeking global coverage with no room rent restrictions

10. TATA AIG MediCare Premier

  • Sum Insured: ₹5 lakh – ₹3 crore
  • Key Features: Worldwide coverage, maternity cover, high NCB (No-Claim Bonus)
  • Premium: ₹7,000 – ₹22,000/year
  • Ideal For: Those desiring global coverage with added maternity benefits

Comparison Table:

Plan NameSum Insured RangeKey FeaturesIdeal For
HDFC ERGO Optima Secure₹5L – ₹2Cr100% sum insured restoration, no room rent cappingExtensive network coverage seekers
Niva Bupa ReAssure 2.0₹5L – ₹3CrUnlimited reinstatement, OPD coverComprehensive coverage with OPD benefits
Care Health Insurance – Care Supreme₹5L – ₹1CrAnnual health check-ups, wide hospital networkPreventive healthcare enthusiasts
Aditya Birla Activ Fit / Activ One₹2L – ₹6CrWellness points, 100% no-claim bonusHealth-conscious individuals
Bajaj Allianz Health Guard Gold₹1.5L – ₹1CrMaternity cover after 2 years, AYUSH treatmentFamilies seeking maternity benefits
Onsurity Group Health Plan₹5L – ₹1CrInstant policy, OPD, gym & wellness discountsFreelancers and startups
ICICI Lombard Complete Health Insurance₹5L – ₹2CrDay-care procedures, lifelong renewabilityComprehensive coverage seekers
Star Health Family Health Optima₹3L – ₹25LFamily floater, newborn cover from 16th dayFamilies desiring extensive coverage
SBI Arogya Supreme₹1L – ₹5CrNo room rent limit, global coverageGlobal coverage seekers
TATA AIG MediCare Premier₹5L – ₹3CrWorldwide coverage, maternity coverGlobal coverage with maternity benefits

Key Considerations:

  • Premium Affordability: Ensure the premium fits within your budget while providing adequate coverage.
  • Network Hospitals: Check if your preferred hospitals are part of the insurer’s network for cashless treatment.
  • Additional Benefits: Look for added benefits like maternity cover, wellness programs, and no-claim bonuses.
  • Claim Settlement Ratio (CSR): A higher CSR indicates better claim settlement performance by the insurer.

If you have specific requirements or need further assistance in choosing the right plan, feel free to ask!

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