Health Insurance: How To Choose The Right Coverage Amount For Your Insurance?


What is sufficient today could not be sufficient tomorrow. You care about your family and want to keep them safe in case the unthinkable occurs. Thus, it is crucial to consider how much health insurance you need, especially if you are responsible for supporting family members.

An insurance plan for health care can assist in paying for necessary medical costs, including those associated with planned hospitalization, medical crises, and non-hospitalization medical treatment.

Your health insurance should provide more comprehensive coverage and the security of significant financial security. This article will assist you in determining how much health policy you may need to safeguard your family and yourself.

How to choose the right coverage Amount for your Health Insurance?

Your family’s needs are specific, so your health insurance should cover these specific demands. Depending on where you live, a simple heart condition therapy now may cost around Rs. 5 lakhs; however, in another 5 or 10 years, this may not be the case. Choosing the amount of coverage you require is one of the first stages in purchasing health policy. Before choosing the best strategy, consider the following advice.

  • Evaluate all Policies available in the Market:

    • Understanding the different types of health insurance policies in the market will help you match them with your anticipated healthcare needs.
    • Since all members would be sharing the aggregate insured amount, a Family Floater plan should offer more coverage than an Individual plan.
    • To choose the best plan, you must determine if you require Individual, Family Floater, or Senior Citizen health insurance.
  • Determine prospective illness-related medical costs:

    • Some of the serious diseases you can contract in the future include kidney failure, heart problems, cancer, stroke, etc.
    • Consider these uncertainties before deciding the total level of coverage for your health plan.
    • To supplement your basic coverage, you can choose a critical illness plan.
  • Your preferred hospital:

    • To access cashless treatment, look for health insurance plans that include your desired hospital among their network of hospitals.
    • Additionally, to determine how much coverage you need, find out the general cost of hospitalization at the hospital of your choice or in your area.
  • Any supplemental health insurance:

    • If you have group insurance via your company, knowing how much coverage you need for a private or individual health insurance plan will be easier.
  • Family medical history:

    • Hereditary factors can occasionally be involved in the development of several diseases, including diabetes and hypertension.
    • Consider the potential that you or a member of your family could get genetic disorders in the future while choosing the plan that gives the benefit.
  • Lifestyle:

    • People often get illnesses as a result of poor lifestyle decisions.
    • Sedentary lifestyles and bad eating patterns are significant contributing factors to high cholesterol, hypertension, organ failure, diabetes, etc.
    • Stress and poor sleeping patterns can also lead to lifestyle disorders.
    • Make sure your health policy will continue to provide coverage for these conditions in the future.
  • Age:

    • As people age, they are more likely to develop certain age-related ailments.
    • So, if you need to provide for senior persons like your parents or parents-in-law, you might want to think about getting health insurance that includes ailments specific to the elderly.
    • However, the likelihood of illness in young adults (between 20 and 30 years old) is reduced.
    • Choose a health insurance plan that provides adequate coverage while remaining reasonably priced.
  • Your ability to pay the premium:

    • This is a crucial consideration when determining how much health policy you require.
    • When you can’t afford it, it is pointless to choose a greater sum insured because it entails a higher premium.
    • Consider your financial situation before selecting a plan.
  • Benefits related to taxes:

    • If you are purchasing health insurance to take advantage of tax advantages, determine how much of a tax deduction you would like to receive through the insurance plan before selecting the plan that best suits your needs.
  • Covers high-priced medical procedures:

    • One of the simplest methods to choose the best health insurance coverage is to make sure the amount covered is sufficient to cover the cost of procedures like artery bypass in the hospital of your choice.

Factors to Consider while Choosing coverage for Health Insurance?

  • The price of medical care varies greatly depending on the facility and amenities used. For instance, if you choose an imported implant over a local one, the cost of a knee replacement surgery practically doubles.
  • Your health policy should be proportionate to your salary.
  • There are two generally acknowledged market norms regarding the quantum of health insurance policies, even though no optimal sum is assured.
    • At least 50% of your annual income should be your coverage for health insurance.
    • The insurance plan needs to at least pay for a coronary artery bypass transplant at a hospital of your choosing.
  • The majority of personal finance experts advise having at least Rs 5 lakh in health insurance. You can add your family members in a FAMILY FLOATER with a similar amount assured.
  • Because of the escalating cost of medications and treatments, your personal health insurance may not be sufficient to cover all costs.
  • Basic insurance may not cover recovery-related costs including intensive nursing care, therapy sessions, and rehabilitation. But with options like Riders and Top-Ups, you can significantly improve your health coverage over and above your standard insurance without paying a corresponding increase in the price.
  • A Rider is an addition that provides you with further advantages.
    • Some of the riders that are frequently included with insurance policies include HOSPITALIZATION, but only after reaching the deductible amount.
    • Deductibles are not covered by the insurance provider; the insured is responsible for paying them.
    • Because the lower claims do not have to be covered by the insurer, the deductible provision makes the TOP-UP PLANS affordable.
    • You require a top-up cover when the severity of the ailment is great (like a heart condition), which might increase your basic treatment cost to Rs 5 lakh or more.


In conclusion, the actual amount of health coverage depends on case to case basis. It must be decided considering the holistic picture of one’s life & the conditions that surround it. Also, read this article on the Comparison Between Family Floater vs Individual Health Insurance.

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