Health Insurance Premium Calculator 2025

Individual, Family Floater & Senior Citizen Plans

🎯 Comprehensive Calculator

3 Plan Types - Individual, Family, Senior

Add-on Riders - Critical illness, Maternity, OPD

Coverage Tips - Recommendations based on needs

Select Plan Type

Personal Details

1875

Coverage Details

Add-on Riders

Critical Illness

Coverage for 30+ critical diseases

Maternity Cover

Pregnancy & newborn expenses

OPD Cover

Doctor consultations & medicines

Personal Accident

Accidental death & disability

Annual Premium (Incl. Tax)

₹7,399

Monthly: ₹523

Adequate Coverage

Sum Insured

₹10.00 L

Base Premium

₹6,270

Riders

₹0

GST (18%)

₹1,129

💰 Premium Breakdown

Base Premium₹6,270
Premium (Excl. Tax)₹6,270
GST (18%)+₹1,129
Total Premium (Incl. Tax)₹7,399

Coverage Recommendation

Your Current Coverage:₹10.00 L
Recommended Coverage:₹10.00 L

✅ Your coverage is adequate for your needs

💡 Premium Factors:

  • • Age: 30 years - Lower premium
  • • Gender: Male -
  • • City: Metro - 1.2x multiplier
  • • Pre-existing: No impact
  • • Smoking: No impact

What is Health Insurance Premium Calculator?

A Health Insurance Premium Calculator helps you estimate the annual and monthly cost of health insurance (mediclaim) based on your age, family size, coverage amount, and add-ons. It calculates premiums for Individual, Family Floater, and Senior Citizen plans.

Our calculator includes advanced features: support for 3 plan types (Individual protection, Family Floater for shared coverage, Senior Citizen 60+ plans), 4 popular riders (Critical Illness for 30+ diseases, Maternity Cover, OPD expenses, Personal Accident), pre-existing conditions impact (25% premium increase), city-wise pricing (Metro, Tier-1, Tier-2), and automatic GST calculation (18% tax).

How to Use

  1. 1Select plan type (Individual/Family Floater/Senior)
  2. 2Enter your age and gender
  3. 3Choose city type (Metro/Tier-1/Tier-2)
  4. 4Select sum insured (₹3L to ₹1Cr)
  5. 5Add family members (for Family Floater)
  6. 6Select riders (Critical Illness, Maternity, OPD, PA)
  7. 7Get instant premium with GST breakdown

Health Insurance Plan Types: Complete Guide

Individual Plan

Coverage:

One person only

Full sum insured for you

Lower premium for young age

Customized to your needs

Family not covered

💰 ₹10L: ₹7,000-12,000/year (30-year-old)

Family Floater

Coverage:

2-6 family members (shared)

30% cheaper than individual

Covers entire family

Single premium payment

Shared sum across family

💰 ₹10L: ₹15,000-20,000/year (4 members)

Senior Citizen

Coverage:

Age 60+ years

Higher coverage limits

Pre-existing covered

No medical test initially

Much higher premium

💰 ₹5L: ₹18,000-25,000/year (65-year-old)

Health Insurance Premium: Age-wise Comparison (₹10 Lakh Coverage)

🧑

25-30 years

Best: Individual + Term
Individual:₹7,000
Family:₹15,000
👨‍👩‍👧

31-35 years

Best: Family Floater
Individual:₹9,000
Family:₹17,000
👨‍👩‍👧‍👦

36-40 years

Best: Family Floater
Individual:₹11,000
Family:₹20,000
👪

41-50 years

Best: Family + Parents
Individual:₹14,000
Family:₹25,000
👴

60+ years

Best: Senior Plan
Individual:₹22,000
Family:N/A
Senior:₹18,000

💡 Note: Premiums are approximate for Metro cities, non-smokers, no pre-existing conditions. Actual rates may vary by insurer.

Health Insurance Riders (Add-ons) Explained

💔

Critical Illness Cover

+15% premium₹5-25 Lakh

Lump sum payout on diagnosis of 30+ critical diseases like cancer, heart attack, kidney failure, stroke, etc.

💡 Worth it? Yes - Medical costs are very high for critical illnesses

🤰

Maternity Cover

+20% premium₹50K-3L

Normal & C-section delivery, pre/post natal expenses, newborn baby expenses for 90 days

💡 Worth it? Yes - If planning pregnancy within 2-3 years

🏥

OPD Cover

+10% premium₹10-50K

Doctor consultations, medicines, diagnostic tests, dental, physiotherapy without hospitalization

💡 Worth it? Maybe - If frequent doctor visits or chronic conditions

🚑

Personal Accident

+8% premium₹10-50L

Accidental death, permanent/temporary disability, medical expenses due to accidents

💡 Worth it? Yes - Affordable and provides extra protection

Frequently Asked Questions

1. How much does health insurance cost in India?

Health insurance premium depends on age, coverage, and plan type:

25-30 years (₹10L):₹7,000-12,000/year
35-40 years (₹10L):₹11,000-16,000/year
Family 4 (₹10L):₹15,000-25,000/year
Senior 60+ (₹5L):₹18,000-30,000/year

💡 Tip: Younger you buy, lower the premium for life! Buy in 20s-30s to save lakhs over lifetime.

2. Which is better - Individual or Family Floater plan?

✅ Choose Individual if:

  • You're single/unmarried
  • Want higher coverage (₹20L+)
  • Different health needs in family
  • Each person needs full sum insured

Cost: ₹10L = ₹10K/year (30-year-old)

✅ Choose Family Floater if:

  • Married with kids/dependents
  • Want cost savings (30% cheaper)
  • Family is generally healthy
  • Single premium for whole family

Cost: ₹10L = ₹17K/year (4 members)

💚 Best Strategy: Individual for self (₹20L) + Family Floater for spouse & kids (₹10L) = Comprehensive protection!

3. How much coverage (sum insured) do I need?

Recommended coverage based on city and age:

Age/CityMetro CitiesTier-1/2 Cities
20-30 years₹5-10 Lakh₹3-5 Lakh
31-40 years₹10-20 Lakh₹5-10 Lakh
41-50 years₹20-50 Lakh₹10-20 Lakh
60+ years₹5-10 Lakh₹3-5 Lakh

💡 Rule of Thumb: Medical costs in Metro = 2-3 days ICU = ₹2-3L. Surgery = ₹5-10L. Always go for ₹10L minimum!

4. Are riders (add-ons) worth the extra cost?

Rider-by-rider analysis:

✅ Critical Illness (+15%)

YES! Provides lump sum ₹5-25L on cancer, heart attack, etc. Medical costs for critical illness can exceed basic coverage. Highly recommended.

✅ Maternity (+20%)

YES if planning pregnancy. Covers delivery (₹50K-2L), pre/post natal. Pays for itself with one delivery. Skip if family complete.

⚠️ OPD Cover (+10%)

Maybe. Good if frequent doctor visits, chronic conditions. Not worth if only 1-2 visits/year. Do cost-benefit analysis.

✅ Personal Accident (+8%)

YES! Just 8% more for ₹10-50L accident cover. Covers death/disability. Very affordable protection.

5. What factors increase health insurance premium?

Age (Biggest Factor)

25 years = Base | 35 years = +30% | 45 years = +80% | 60 years = +250%

Pre-existing Conditions (+25%)

Diabetes, hypertension, thyroid, asthma increase premium. Declare honestly to avoid claim rejection.

City Type

Metro cities = Base | Tier-1 = -10% | Tier-2/3 = -20% (lower medical costs)

Smoking/Tobacco (+15%)

Smokers pay 15% more. Quit smoking for 12+ months to get non-smoker rates.

Sum Insured

₹5L = Base | ₹10L = 2x | ₹20L = 3.5x | ₹50L = 7x (not linear, economies of scale)

💚 Pro Tip: Buy health insurance young (20s-30s), maintain healthy lifestyle, compare 3-4 insurers for best rates!

About Health Insurance Premium Calculator India 2025

Our Health Insurance Premium Calculator is the most comprehensive mediclaim calculator in India that helps you estimate premiums for Individual plans, Family Floater plans, and Senior Citizen plans with complete customization options including riders, pre-existing conditions, city-wise pricing, and GST calculations.

The calculator features three plan types: Individual Health Insurance (single person coverage with full sum insured, customized benefits, lower premium for young age, ideal for unmarried or those wanting dedicated coverage), Family Floater Plan (2-6 family members sharing sum insured, 30% cheaper than individual policies for all members, single premium payment, option to include parents 60+ years, best for families wanting cost-effective coverage), and Senior Citizen Plan (specialized for 60+ years age group, higher coverage limits, pre-existing conditions covered after waiting period, no initial medical tests, tailored benefits for elderly medical needs).

Advanced features include 4 popular riders: Critical Illness Cover (lump sum payout for 30+ diseases including cancer, heart attack, kidney failure, stroke, +15% premium, coverage ₹5-25 lakh), Maternity Cover (normal & C-section delivery expenses, pre/post natal care, newborn baby coverage for 90 days, +20% premium, coverage ₹50K-3L), OPD Cover (doctor consultations, medicines, diagnostic tests, dental & physiotherapy without hospitalization, +10% premium, coverage ₹10-50K), and Personal Accident (accidental death, permanent/temporary disability, medical expenses from accidents, +8% premium, coverage ₹10-50L).

Perfect for all demographics whether you're young professionals in 20s-30s planning first health insurance, married couples with kids needing family floater, mid-career professionals upgrading coverage, parents buying for senior citizen parents, or anyone comparing individual vs family plans. The calculator includes premium estimation based on age (18-75 years with age-wise multipliers), gender differences, city type (Metro 20% higher, Tier-1 10% higher, Tier-2 base rate), smoking status (+15% for smokers), pre-existing conditions impact (+25% premium), sum insured options (₹3L to ₹1Cr), rider selection with cost breakdown, GST calculation (18% tax), monthly premium option, and coverage adequacy recommendations. Use this tool for getting accurate premium quotes, comparing individual vs family floater costs, understanding rider benefits and costs, evaluating impact of pre-existing conditions, planning family health insurance budget, or deciding optimal sum insured amount. 100% free, no registration, mobile-responsive, completely private calculations, updated for 2025 with latest rates and GST.