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Health Insurance Sum-Insured

Hospitalisation costs in metros routinely cross ₹5–10 lakh. Tier-1: ₹10–20L individual; Tier-2: ₹5–10L; Tier-3: ₹3–7L. Family floater: 1.5–2× individual cover.

Tier 1: metros (Mumbai, Delhi, Bangalore...). Tier 2: state capitals. Tier 3: smaller towns.

3 people
40 yrs
Recommended cover
₹15,00,000
Minimum (avoid below)₹10,50,000
Optimal (super-top-up)₹22,50,000

Tip: ₹10L base + ₹15L super-top-up is often cheaper than ₹25L base — same effective cover.

FAQ

Family floater or individual policies?

Floater is cheaper for healthy young families. Individual makes sense for elderly (premiums rise sharply with age). Many split — floater for self+spouse+kids, separate cover for parents.

What is super top-up vs top-up?

Both kick in above a deductible. Top-up resets per claim. Super top-up is annual aggregate — once you cross the deductible in total claims, it covers everything else. Always pick super top-up.

Are pre-existing diseases covered?

After 2-4 year waiting period (varies by insurer). Disclose them honestly — non-disclosure = claim denial. Look for "day-1 PED cover" plans if you have pre-existing conditions.