Here are key features of individual health insurance in India:

1. Coverage for Individual:

   • Individual health insurance plans cover a single policyholder. The policyholder is typically the person who purchases the insurance.

2. Sum Insured:

   • The sum insured is the maximum amount that the insurance company will pay for covered medical expenses during the policy period. Individual health insurance plans offer a lump-sum sum insured for the policyholder.

3. Inclusions:

   • Individual health insurance typically covers hospitalization expenses, pre and post-hospitalization costs, day-care procedures, maternity expenses, ambulance charges, and more. The specific inclusions can vary among insurance providers.

4. Preventive Care:

   • Some individual health insurance plans offer coverage for preventive healthcare services, including health check-ups and vaccinations.

5. Deductibles and Co-payment:

   • Deductibles are the initial expenses that the insured has to bear before the insurance coverage kicks in. Co-payment is the portion of the medical expenses that the insured has to pay out of pocket. These factors can influence premium costs.

6. Network Hospitals:

   • Insurance providers often have a network of hospitals where the insured can avail of cashless treatment. Choosing a hospital within the network can result in a smoother claims process.

7. Renewability:

   • Individual health insurance plans are generally renewable annually. Continuous renewal is essential to maintain coverage without a break.

8. Waiting Periods:

   • Some individual health insurance plans have waiting periods for specific illnesses or pre-existing conditions. It’s important to be aware of these waiting periods.

9. Premiums:

   • Premiums for individual health insurance plans are based on factors such as the sum insured, age of the policyholder, medical history, and the chosen coverage options.

10. Flexibility:

    • Individual health insurance plans provide flexibility in terms of choosing coverage options based on the specific healthcare needs of the policyholder.

Before purchasing an individual health insurance plan, it’s crucial to carefully read and understand the policy terms and conditions, coverage details, and any exclusions. Comparing plans from different insurance providers can help in choosing a policy that best suits the healthcare needs of the individual. It’s also advisable to consider factors such as the network of hospitals, claim settlement history of the insurer, and customer reviews when selecting a health insurance plan.