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What you actually need in a health policy

3 min readReviewed 2026-05-01SEBI-advisor reviewed

A health insurance policy reimburses hospitalisation expenses (or pays the hospital directly via cashless). For most urban Indians, ₹10 lakh sum insured is the practical minimum given private hospital rates. Beyond the sticker price, the things that matter: room rent caps (avoid these), disease-wise sub-limits (avoid these too), pre-existing disease waiting period (shorter is better), no-claim bonus, and the network hospital list near you.

An Indian example

A 5-day ICU stay at a Tier-1 metro hospital today runs ₹4 to ₹8 lakh. A ₹5 lakh policy with a 1% room rent cap means even if your room costs ₹6,000 (the cap pays ₹5,000), every other cost (drugs, surgeon, ICU) is proportionally cut by the same ratio. Your ₹5 lakh cover effectively pays out ₹4 lakh and you write the rest.

The common mistake

Relying only on your employer's group cover. It vanishes the day you switch jobs or get laid off, exactly when you cannot afford a new policy with fresh waiting periods. Always carry a personal policy alongside.

Inside Finlo

A 60-second lesson on this, with a worked drill in rupees, lives inside the Finlo app. Free, forever, on the basics.

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