Securing your loved one’s health against rising medical expenses is now easy! Get comprehensive health insurance for Young Couple starting @Rs. 20/per day*
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If you have landed on this page, we assume you are a newly married individual looking for financial security in the form of health insurance. So, first of all congratulations for starting a new chapter in life! For many young couples, buying health insurance may not be a priority but it is amazing that you are already thinking about creating a financial back-up.
Let us take you through what’s in store for young couples in terms of health insurance. In this article we will discuss ideal plans, how much sum insured you need, how much you need to pay, and much more. Let’s get started.
A young couple must consider health insurance a prudent investment against medical emergencies that may arise across life stages. Health insurance premiums paid to get continuous coverage are an indispensable long-term financial safety net against the towering costs of hospitalisations, surgeries, diagnostics, etc, that may hit without warning. Further, policies also provide tax savings under Section 80D up to Rs. 25,000 based on the coverage chosen.
When it comes to health insurance for young couples in India, there are several types of plans available
A Family Health Insurance plan covers the entire family (self, spouse, children, parents) under a single policy and sum insured.
Critical Illness Insurance plan provides a lump sum benefit if the insured person is diagnosed with a specified critical illness like cancer, heart attack, kidney failure, etc. The payout can be used to cover treatment costs, recuperation expenses, and income loss.
Usually Group Health Insurance plan offered by employers to their employees, these plans cover a group of people under a master policy. They generally have lower premiums compared to individual or family floater plans, as the risk is spread across a large group.
A Super Top-up Health Insurance plan is a cost-effective way to increase your health insurance coverage beyond your existing policy. It has a deductible (threshold) amount and only pays for claims exceeding that amount up to the sum insured limit.
For most young couples and families, a family floater plan is often the ideal solution. A family floater health insurance policy provides coverage for the entire family under a single plan and sum insured. This includes the policyholder, their spouse, dependent children, and sometimes even dependent parents or in-laws. The key advantage is that the total sum insured floats over the entire family and can be utilised by any member for medical treatment as needed. This provides greater flexibility and coverage compared to individual plans.
Our premium plan with unrivalled benefits:
Zero Deductions - Pays full approved claims, unlike others with room/treatment caps. No unexpected costs.
Day 1 Illness Cover - Immediate coverage for pre-existing ailments without waiting periods. Critical for chronic conditions.
Flexible Sum Insured - The entire amount can be reinstated in a year. Maximises usable coverage.
Balances protection with affordability via:
14,300+ Network - Wide pan-India cashless access to hospitals for seamless claims processing.
Inpatient and Day Care - More comprehensive cover than peers for day procedures and modern treatments.
Additional Covers - Critical illness insurance at low premiums boosts safety nets.
A wise coverage booster:
Augments Basic Plan - Functions as its policy, unlike regular top-ups, only reducing deductibles.
ACKO health plans offer several distinctive features that are not commonly seen among other insurance providers. Plans provide lifetime renewability, ensuring coverage throughout one's life without premium increase, unlike competitors that may cancel policies after a certain age. ACKO's consolidated digital platform further enhances user experience through seamless online claims, doctor consultations, and wellness services - amenities lacking with traditionally structured insurers. ACKO has successfully conducted a differentiated health insurance model
Enhance your health insurance by exploring these unique benefits | ||||
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Here are some tips to select your ideal sum insured under health insurance for a young couple.
As a basic rule of thumb, choose a sum equal to at least an additional 30-50% of your current annual income. For example, if your combined income is Rs. 20 lakhs, Rs. 20-25 lakhs coverage would suffice.
Starting with a minimum of Rs. 10 lakhs, the sum insured provides a decent basic safety net against hospitalisation expenses.
Factors like your city of residence (medical costs vary significantly in metros), family medical history, and plans for kids should influence your decision.
Since you're both relatively young now but medical inflation is steep, opting for a higher sum of Rs. 50 lakhs or even Rs. 1 crore ensures lifelong protection without future premium increases.
Reviewing plans upon renewals allow adjusting coverage in line with inflation and protection needs as the family expands/ages. This future-proofs the policy.
Weighing these criteria helps choose the optimal insured amount, securing your family's healthcare needs both now and longer term.
The ideal sum insured for a young couple depends on various factors such as your age, health conditions, living location, and financial capacity. Here is an example with estimated costs:
For a young, healthy couple, a sum insured of Rs. 5-10 lakhs could be sufficient. A basic plan with a Rs. 5 lakh cover may cost around Rs. 8,000-12,000 annually, while a Rs. 10 lakh cover could be in the range of Rs. 12,000-18,000 per year.
calculate your health insurance needs with health insurance premium calculator.
Investing in a higher coverage plan can be a wise long-term decision for young couples:
Medical inflation: Healthcare costs are rising rapidly, and a higher sum insured ensures that you are adequately covered in case of expensive treatments or hospitalizations.
Lifestyle diseases: With changing lifestyles, critical illnesses like cancer, heart disease, and diabetes are becoming more common. A higher cover provides better protection against such high-cost treatments.
Financial security: A serious illness can drain your savings and investments. Having a robust health insurance cover helps protect your financial goals and ensures that you don't have to dip into your retirement or children's education funds.
Wider coverage: Higher sum insured plans often come with additional benefits like international coverage, annual health check-ups, and restoration of sum insured, providing more comprehensive protection.
check out how much sum insured is needed based on your profession | ||||
Disclose any pre-existing medical conditions upfront during enrollment. This ensures transparent premium pricing based on actual health risks.
Choose an adequate higher sum insured (coverage amount) per your annual household income and anticipated medical expenses. Opt for critical illness riders if required.
Assess if parents, spouses and children's needs are adequately met. You may need higher coverage based on family medical history and age.
Evaluate individual, family floater or group policies offered by your employer as per your current family structure and changing healthcare needs.
Scrutinise coverage inclusions like hospital room charges, procedures categorised as day care treatments, ambulance, attendant expenses, etc., as these may vary in different plans.
Understand any restriction periods before claims for pre-existing illnesses, as these influence realistic usage expectations from day one.
Know non-medical exclusions like cosmetic treatments to avoid misunderstandings during claim settlements.
Disclose complete medical profiles and ages while buying to ensure the right policy suiting your family's composite requirements is finalised.
Proper assessment of the above criteria facilitates customised selection of the most suitable plan addressing present and future protection necessities.
There are two main types of health insurance claims: cashless and reimbursement claims. Let's understand each of these and see which one might be more beneficial, especially for young couples.
In a cashless claim, the insurer directly settles the medical bills with the hospital. The policyholder doesn't have to pay anything upfront (except for non-admissible expenses or deductibles). However, cashless claims are only possible at network hospitals – these are hospitals that have a tie-up with the insurance company.
In a reimbursement claim, the policyholder must first pay all the medical expenses out of their pocket. They then submit the bills and required documents to the insurance company, which verifies and reimburses the eligible expenses.
For young couples, cashless claims can be more beneficial for several reasons:
Financial ease: Young couples often follow a tight monthly budget and may not have substantial savings to pay large medical bills upfront. With cashless claims, they don't have to worry about arranging funds immediately and can focus on getting the necessary treatment.
Immediate treatment: In case of emergencies or serious illnesses, immediate medical attention is crucial. With a cashless claim, the hospital can start treatment without waiting for the patient to arrange funds, as the insurer provides a guarantee of payment.
Wider network: Most insurers have a large network of hospitals across the country where cashless claims are accepted. This provides greater flexibility and choice of healthcare providers.
Simplified process: Cashless claims involve less paperwork for the policyholder as the hospital coordinates directly with the insurer. In reimbursement claims, the patient has to collect all bills, payment receipts, and documents and then apply for reimbursement, which can be time-consuming.
Prevents out-of-pocket expenses: With reimbursement claims, there's always a risk that the insurer may reject some expenses during verification. In such cases, the policyholder has to bear those costs themselves. Cashless claims reduce this risk as the insurer verifies the expenses beforehand.
As a new-age digital insurer, ACKO policies offer unmatched convenience through an integrated mobile app allowing policy purchases, claims submissions and renewals on the go. Here's how:
Paperless process: ACKO has digitised the entire insurance journey, from buying the policy to raising a claim. This means you can raise a claim online through the ACKO app or website without the need for physical documents or visits to the insurer's office.
Quick and easy claim registration: With the ACKO app, you can register a claim in just a few clicks. Simply provide the necessary details and upload relevant documents (like medical bills or hospital discharge summary), and your claim will be registered instantly.
Real-time updates: Once your claim is registered, you can track its status in real time through the app. You'll receive notifications at each stage of the claim process, keeping you informed about the progress and any additional requirements.
Faster claim settlement: ACKO's digital infrastructure enables faster verification and processing of claims. In many cases, claims are settled within a matter of hours, providing policyholders with quick access to funds when they need it the most.
24x7 support: ACKO offers round-the-clock customer support through the app, website, and toll-free helpline. If you face any issues or have queries related to your claim, you can reach out to their support team anytime for assistance.
Moreover, buying health insurance from ACKO can be more affordable compared to traditional insurers. As a digital-first company, ACKO has lower operational costs, which enables us to offer competitive premiums without compromising on coverage or service quality.
Health issues can hit like sudden shocks without warning, disrupting lives dramatically due to exorbitant treatment costs. Hence, buying adequate health insurance coverage acts like a protective shield that provides much-needed peace of mind. It ensures finances are a manageable factor in providing the best care and facilities for your loved ones should critical health crises arise.
A young couple should consider health insurance as a prudent investment against unexpected medical emergencies that may arise across different life stages. It protects them from the high hospitalisation, surgeries, and diagnostics costs and also provides tax benefits under Section 80D.
In a cashless claim, the insurer directly settles the medical bills with the hospital, and the policyholder doesn't have to pay anything upfront. In a reimbursement claim, the policyholder pays the medical expenses out of their pocket and then submits the bills to the insurer for reimbursement.
Generally, a sum insured equal to 30-50% of the current annual household income is recommended. For example, if the combined income is Rs. 20 lakhs, a coverage of Rs. 10-15 lakhs would suffice.
Factors like pre-existing medical conditions, family medical history, anticipated medical expenses, coverage inclusions and exclusions, restriction periods, and the changing healthcare needs of the family should be considered.
Disclosing complete medical profiles and ages while buying health insurance ensures that the right policy suiting the family's composite requirements is finalised and that there is a clear understanding during claim settlements.
Health insurance premiums are eligible for tax deductions under Section 80D of the Income Tax Act, up to Rs. 50,000, based on the coverage chosen.
Disclaimer: The plans, services, features, processes, and other details mentioned on this page are subject to availability and changes. Please check the applicable policy wordings before making any insurance-related decisions. Feel free to reach out to us at [email protected] for any queries.