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Health Insurance Premium

Health Insurance Premium Calculator

Estimate annual mediclaim premium for individual, family floater, and senior citizen policies. Age-band loading, city tier, sum insured, and parental coverage all factored. Shows indicative premiums across Star / HDFC ERGO / Niva Bupa / Care.

Policy Details

years
1 yr80 yrs
₹1 L₹1 Cr

₹10.0 Lakh

Health Insurance City

Add-ons & Health Profile

Health Insurance PED
Health Insurance Maternity
Health Insurance With Parents

Tax Profile (for Section 80D)

Health Insurance Senior

Total Annual Premium

Total annual premium: ₹7,030 per year, ₹586 per month

₹586₹10,00,000 coverSelf + Spouse + 2 Kids

Main policy

₹7,030

Parents floater

₹0

Maternity add-on

₹0

Section 80D tax saving

₹1,406

Section 80D tax breakdown

Premium up to ₹25,000 qualifies for deduction. Your ₹7,030 saves you ₹1,406 in tax at the 20% slab.

Section 80D is available only under the OLD tax regime. The new regime (default from FY 2023-24) does not permit this deduction.

Premium breakdown — and what comes back via 80D

Main policy₹7,030
Tax saved (80D)₹1,406

Premium per lakh of cover

₹703

How It Works

A health insurance (mediclaim) premium depends on five main levers — the age of the oldest insured person, how many family members the policy covers, the sum insured (cover amount), the city you live in, and whether anyone insured has a pre-existing disease (PED). Of these, age is by far the largest single factor — premiums roughly double every 15 years of age because the underlying claim probability and severity rise sharply with age.

The pricing model

Insurers maintain age-band rate cards (typically 5-year bands: 18-25, 26-30, 31-35, etc.) for a baseline ₹5L or ₹10L individual cover in a tier-A city. The base premium is then adjusted with a sum-insured factor (non-linear — doubling cover does NOT double premium), a family-floater discount (a single cover shared across 2-4 family members costs 15-30% less than separate individual policies), a city-tier multiplier (metros are ~15% costlier than tier-2/3 due to hospital pricing), and a PED loading (10-30% for common conditions like diabetes/hypertension).

Section 80D tax saving

Under the OLD tax regime, health-insurance premium is deductible under Section 80D up to ₹25,000 for self / spouse / children (≤60 yrs), ₹50,000 if any insured is a senior citizen, plus another ₹25,000-₹50,000 for premium paid for parents — maximum ₹1 lakh combined. This deduction is NOT available under the new tax regime, which is the default from FY 2023-24. At a 20% slab, a ₹25,000 deduction saves ₹5,000 of tax annually; at a 30% slab it saves ₹7,500.

Why this is an estimate

The numbers shown here are mid-range estimates anchored to published May 2026 brochure quotes from the five largest retail health insurers (Star Health, HDFC ERGO, Niva Bupa, Care, Manipal Cigna). Real underwritten quotes depend on the specific product variant (room-rent capping, co-payment, deductible level), medical-test results for senior insureds, declared health history, zone-loading within a tier, and any active discounts. Use this to budget; get an actual quote from at least two insurers before buying.

Frequently Asked Questions

A widely-used rule of thumb is to carry a sum insured equal to at least half your annual income, with a hard minimum of ₹10 lakh if you live in a tier-A metro (Mumbai, Delhi, Bangalore, Chennai, Hyderabad, Pune, Kolkata). Urban private-hospital bills for a major event — cardiac surgery, ICU stay, major orthopedic procedure — routinely cross ₹5-10 lakh.

For tier-B/C cities, ₹5 lakh is the practical floor. For senior citizens (60+), a ₹15-25 lakh cover is wise given higher claim probability. If the budget is tight, a base ₹5L policy plus a ₹20L super top-up over a deductible is much cheaper than a single ₹25L policy — the top-up only kicks in once the deductible is exhausted, so the per-rupee cost of additional cover is a fraction of the base.

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