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Health insurance, also known as medical insurance, is a vital financial tool that provides coverage for the cost of medical treatment for injuries, illnesses, and more. There are a variety of health insurance plans available, from basic in-patient hospitalization coverage to more comprehensive policies that offer additional benefits such as preventive healthcare, death benefits, and more. Choosing the right health insurance policy or medical insurance plan can ensure you and your family are financially protected in the event of an unexpected illness or injury.
Enhance your current sum insured by opting for our super top-up plans that provide several amazing benefits like no waiting period, coverage from day one, and many built-in add-ons. Super top-up plans offer all the benefits and coverage of a health plan, with an additional sum insured amount, for that extra cushioning during medical emergencies.
At ACKO, we offer Platinum Health Insurance Plans with different sum insured amounts such as Rs. 10 lakhs, Rs. 25 lakhs, Rs. 50 lakhs, and Rs. 1 crore; we also have a plan with an unlimited amount! With ACKO Platinum Health Plans by your side, there's no need to buy multiple policies, as we offer a one-stop solution for all your medical insurance needs.
ACKO Health Insurance Categories
10L, 25L, 50L, 1Cr, Unlimited
7100+ PAN India
Included in the plan
Deductions on claims
Livemint has recognized ACKO health insurance as India's top-ranked health insurance company. We are honoured to receive this recognition and take pride in providing our customers with exceptional service and coverage. Click here to read more
Unlike motor insurance, buying health insurance is not mandatory. No one will issue a challan or impose a penalty on your name if you don't have a medical insurance policy. However, getting a health plan is no longer a choice these days but a necessity. Considering the rising healthcare costs of quality healthcare facilities, we can't stop emphasising the importance of holistic health plans. Medical insurance is essential for those who wish to avail the following.
Protection against rising medical costs (Inflation): The development of medical technology has made it possible to treat diseases that were once incurable. But because the treatment is so expensive, it is practically impossible to pay out-of-pocket. In this situation, buying health insurance is the perfect solution to the rising medical costs and inflation.
Quality medical facilities: You might have to compromise on the quality of healthcare without insurance. But if you do have health insurance, it will be easier to avail treatment in a good quality medical facility without thinking twice about the costs. The quality of treatment and timely availability can help with the patient's faster recovery thanks to coverages like pre and post-hospitalisation.
You can choose from the following sum insured options while buying ACKO Platinum Health Insurance & Super Top-up Plans.
ACKO, we offer the 10L ACKO Platinum Health Insurance Policy/Plan, which offers a sum insured of Rs. 10 lakhs. In the event that you (or a covered family member) need medical care, this 10L Medical insurance plan with a sum insured of Rs. 10 lakhs can provide enough financial support.
ACKO Platinum 10L Super Top-up Health Insurance Plans are specialised health insurance plans that can be purchased with or without primary medical insurance coverage. These insurance policies provide coverage above the selected deductible.
The days of opting for an additional policy to supplement your health insurance coverage are over! You don’t need to ever worry about buying a separate policy. ACKO’s 25L Health Insurance Plan, covers all your medically necessary hospitalisation, and includes a lot of other benefits.
Planning to Switch? Our Super Top-up Health Plan will continue to provide insurance coverage even if you change jobs, and don’t get Group Medical Coverage from the new employer.
Even your non-medical expenses are covered under this plan. Plus, you have access to multiple teleconsultations with our Rs. 50 lakhs health plan whenever you need to speak with a doctor.
Sweeten the deal by increasing your total sum insured by Rs. 50 lakhs Super Top-up plan, and get access to multiple additional benefits like Zero deductions at claim; and Zero Waiting period.
1 crore health insurance plan is designed to cover you from day one without any waiting period. We want to keep you stress-free about insurance so that you can focus on your health.
We all love a bit more for our money. Under this 1 Cr. Super Top-up Health Insurance plan, you get built-in add-ons like Non-Medical Expenses Waiver, Waiting Period Waiver, Room Rent Waiver, etc. They are a part of the policy, and you don't need to add them separately.
Expect limitless coverage with truly unlimited health insurance benefits without any caps on the sum insured amount. We will cover an approved claim no matter how large the expenses are.
This ultimate Super Top-up plan covers your medical expenses without any upper limit on the sum insured. We will cover the costs under an approved claim, no matter how expensive the treatment is.
As per the study by the Public Health Foundation of India, approx. 55 Million (4% of India's population) were pushed towards poverty due to high out-of-pocket expenses in 2017. We don’t mean to scare you but not having the right health plan in place can lead to financial and emotional stress. Even though medical insurance is not mandatory like motor insurance in India, everyone should ideally buy an all-inclusive health plan to save hospitalisation costs, stay worry-free and reduce out-of-pocket expenses.
Being healthy is of utmost importance for you and your family. But sometimes unpredictable medical emergencies or illnesses can come up. Here's where medical insurance is beneficial to cover such healthcare costs. Buying the best health insurance cover in India can help meet personal medical emergency requirements. And with the right health policy, you can get best-in-class healthcare without worrying about further expenses.
A comprehensive medical insurance plan has become a necessity due to the ever-increasing costs of medical care. Without a medical insurance plan, the out-of-pocket expenses will be too high, and your financial planning can go for a toss. You may even have to borrow funds for the unexpected hospitalisation. A good medical policy ensures that your savings and finances are not heavily affected.
Hospitalisation can be an emotionally and financially disturbing experience. If your medical bill is significantly high and there is a need to arrange funds, it can further amplify the stress. Cashless treatments help you access quality treatment and reduce the worry of arranging funds for quality healthcare. In cashless treatment, the entire hospitalisation expenses are borne by the insurer.
Comprehensive health plans help cover hospitalisation costs and even other costs related to it — think medicines, diagnostic tests, doctor’s consultation fees, pre & post hospitalisation expenses, etc. Such benefits help you cover medical expenses in case of health issues.
In the recent past, the Insurance Regulatory and Development Authority of India (IRDAI) has taken many measures to simplify health plans to make them accessible and affordable for all. Considering its importance, the government offers tax benefits (under Section 80D of the Income Tax Act, 1961) on the premium paid to encourage everyone to purchase it.
Several organisations provide a Group Health Insurance Plan to their employees. However, this type of insurance is usually not customised according to your requirements. Having additional medical insurance is helpful in case you lose your job or move to a different organisation.
Comparing Health insurance plans can vary significantly in terms of coverage, benefits, and cost. It's important to compare different plans to find the one that meets your specific healthcare needs and budget.
ACKO Platinium super top-up
Initial waiting period
30 DAYS -
Initial waiting period
Diseases-specific waiting period
1-2 YEARS -
Diseases-specific waiting period
Of all your bills covered
YOU PAY~15% -
Of your non-medical expenses
ALWAYS STAY COVERED -
After switching jobs
CAN’T CHANGE COVERAGE -
After switching jobs
Room rent limit
PAY EXTRA -
For room upgrades
Inclusions are one of the most important aspects of a health insurance policy. These situations help you understand when you can raise a claim against your policy. Here are the general inclusions or coverages of an Individual Health insurance policy. However, this may vary for different health insurance plans.
✅ In-patient Treatment: This covers the cost of hospitalisation for the policyholder. Things like room rent, nursing charges, ICU charges, doctor visits, etc. are included under the in-patient treatment.
✅ Daycare Procedures: Minor surgeries like cataract, tonsil removal, or similar procedures that do not require more than 24 hours of hospitalisation are covered under daycare procedures.
✅ Pre-hospitalisation: Some surgeries or medical issues require a patient to avail treatment before getting hospitalised. The cost of such treatments can be availed under health insurance as per the terms and conditions of the policy.
✅ Post-hospitalisation: The cost of follow-up treatment is covered under individual health insurance plans as per the terms and conditions of the policy.
✅ Domiciliary Treatment: The cost of receiving treatment at home can be covered under special circumstances for a predetermined number of days.
✅ Organ Donation: The cost of medical treatment related to donating an organ is covered as per the policy terms.
✅ Ambulance: The cost of hiring an ambulance for transportation to the hospital will be borne as per the terms and conditions of the policy.
✅ AYUSH Benefits: The cost of availing Ayurveda, Unani, Sidha or Homeopathy (AYUSH) treatment can be claimed as per the policy document.
✅ Maternity and Newborn Coverage: Coverage for the cost of childbirth and insurance coverage for the newborn baby is covered as per the policy terms.
✅ Daily Cash Benefit: Normally, it comes as an add-on cover. This amount can be used to buy medicines or other things as required by you.
Every insurance company has a set of situations where the policyholder cannot raise a claim. These situations are called exclusions. Here is a list of exclusions of individual medical insurance policy that you should know.
❌ Intentional Injuries: The cost of treating intentional injuries in attempting suicide is excluded from the policy.
❌ Adventure Sports: Injuries arising out of taking part in adventure sports are not covered.
❌ Criminal Activities: Medical attention required because of taking part in criminal activity is not covered.
❌ Cosmetic/Dental Surgeries: The cost of cosmetic and dental surgeries unless required due to an accident is excluded.
❌ Infertility Treatment: Health insurance does not usually cover the cost of treatment for infertility.
❌ Not Mentioned in Policy: Any other medical treatments/surgeries that are not mentioned in the policy document will not be covered.
Note: Please find the full list of inclusions and exclusions in the policy wordings of the ACKO health plan.
ACKO Health Insurance Policy is practically a one-stop solution for your medical insurance needs. You don't have to create a whole portfolio for the family. You spend less money on this plan as compared to buying separate health policies for each family member, like separate Senior Citizen plans for parents. Likewise, since we cover parents-in-law in the same plan, you don't have to worry about buying another policy for them.
Members above 45 years must undergo medical screening, i.e. per-policy medical checkup (PPMC) before the policy begins. Note that ACKO Health Insurance Policy does not have any exit age. So, if your policy is approved, you can get insurance for senior citizens without worrying about the exit age (usually 65 to 75 years, depending on the insurer's terms). We will continue to cover elder people without an exit age.
You can add up to 6 members to your ACKO Platinum Health Insurance Plan. The list would look like this — two adults and up to four children. You can buy or get insured under the plan if you are above 18 years of age. Dependent children between the ages of 03 months to 25 years are eligible.
Insured members: 6
Policyholder’s age: 18 years and older
Dependent spouse’s age: 18 years and older
Dependent children’s age: 3 months - 25 years
You should buy medical insurance at an early age because of the following reasons.
The policy may cost less: Health insurance companies tend to personalise quotes based on the applicant's age, among other factors. When you buy early, you might have a low-risk profile, and the quotes will most likely be less than the quotes for someone buying the policy at a later stage of their life.
You may have fewer health issues: Generally, people suffer from fewer health issues in their 20s as compared to those above thirty years of age. Thus, your chances of getting insured comprehensively increase when you have fewer or no pre-existing conditions.
Completing the waiting period is easy: Around four types of waiting periods are applicable on a health insurance plan. And you cannot raise a claim when a waiting period is active on your policy. When you buy early, the chances of you raising a claim are less compared to later in life. So it becomes easier to complete the waiting period.
For example, you buy health insurance when you are 20 years old. The plan has a waiting period of 3 years for diabetes coverage. The chances of you suffering from this disease at the age of 20 years are less. So you can easily complete this 3 year-waiting period without making a claim for diabetes.
However, if you buy a health plan later in life when the chances of having diabetes increase, you must bear the cost of treatment (if you are diagnosed with it) until you complete the 3-year waiting period.
Lower chances of policy rejection: An insurer may reject your health insurance application if you suffer from a major pre-existing disease. The chances of this are less when you are younger.
Better coverage: When you buy health insurance early, your insurer might offer more coverage options than buying the policy in your 50s. For example, your insurer may include common health issues like diabetes, high blood pressure, or cataracts in the policy. This is because you might be less risky to insure than others.
Add-ons increase the benefits of a basic health insurance plan. Here is a list of additional coverages you get with our medical insurance policy.
These expenses are usually not covered under a basic health insurance policy - for example, expenses for admission charges, surgical kits, syringes, etc., are not covered. But with our health plan, such non-medical expenses are also covered.
With the room rent waiver add-on, you can stay in any hospital room without worrying about how the additional charge will affect the claim amount. It won’t! Our health insurance plan covers the full cost of room rent irrespective of its type.
Generally, insurance companies don’t cover the cost of hospitalisation for pre-existing diseases up to a predefined time limit. This time limit is referred to as a waiting period, and it can range from a few months to a few years. However, this clause does not apply to ACKO Health Insurance Policy. Under our health plan, we will cover the cost of hospitalisation due to a pre-existing disease** from day 1.
Teleconsultations have gained prominence during the COVID-19 pandemic. It's easier to contact a doctor via phone call or a video call and get a remote consultation instead of personally visiting the clinic. Under this plan, we have added the doctor on call add-on where you can easily call a doctor and we will cover the cost.
You can settle your claims through two approaches — "cashless" and "reimbursement"
When you get admitted to any of our network hospitals, only pay the amount that ACKO does not cover at the time of discharge. If the expenses are covered as per policy, We will pay the amount directly to the hospital. Cashless claims allow you to stay worry-free as there is no need to arrange funds for the hospitalisation.
In case of a reimbursement claim, you pay the entire medical bill on discharge when you get admitted to any hospital (not necessarily a network hospital). Post-discharge, you can request reimbursement from ACKO by registering a claim and sharing the required hospitalisation-related documents. If the claim is approved, we will compensate as per policy terms.
Here's an example to illustrate how health insurance works in India.
Priya, a 27-year-old teacher, bought the Rs. 10 Lakh ACKO Platinum Health Insurance Plan. During the policy period, she fell ill and was diagnosed with a serious condition that required hospitalisation and medical treatment.
Thanks to her health insurance coverage, Priya could receive the medical treatment she needed without paying any additional cost out-of-pocket. Since her claim was approved, ACKO covered the entire cost of her medical treatment.
In this scenario, Priya was able to receive timely medical treatment without paying the full cost of treatment, as she received treatment under the Cashless Claim facility in a Network Hospital.
Thus, ACKO Platinum Health Insurance Plans help people like Priya get the necessary medical care and reduce their financial burden during emergencies.
ACKO offers various health plans that cover hospitalisation costs as well as coronavirus expenses.
Arogya Sanjeevani Policy by ACKO is a basic and straightforward health plan. Get it if you wish to secure yourself and the loved ones from unforeseen medical costs at an affordable premium. It is perfect for someone looking for a plan that fits their budget and meets insurance requirements.
The Corona Kavach Policy by ACKO is designed to secure your family against soaring COVID-19 medical costs. If you wish to buy an indemnity-based health policy to cover medical expenses due to COVID-19 treatment, ACKO's Corona Kavach policy is an option.
Apart from being a dependable insurer, you can get a comprehensive health insurance plan from ACKO for the following reasons.
Network hospitals let you avail of cashless claims. We have a tie-up with more than 7100+ top-rated hospitals. Fortis, Apollo Hospitals, and Multi Super Speciality hospital Medanta are a few of them. See the network hospital list →
Being a digital-first insurer, our primary focus is to provide an exceptional online experience via the ACKO app. You have access to features like claim registrations, teleconsultations, 24x7x365 customer support, discounts on lab tests, medicine delivery, tracking claim status, and more. Download the app →
ACKO is catering to the insurance needs of over 7.7 crore customers and this number continues to increase. Not only medical insurance but ACKO successfully provides for your car and bike insurance needs as well.
India's medical inflation has been at an all-time high. According to the Ministry of Statistics and Programme Implementation (MOSPI) report, medical inflation in 2021 was at 14%, and PwC's Health Research Institute (HRI) report shows a projected 6.5% increase in medical costs in 2022. Health insurance can help reduce the impact of medical inflation on your finances and out-of-pocket expenses, especially with features like Inflation Protect and Zero Deductions at Claim.
|Parameter||ACKO Inflation Protect||No Claim Bonus|
|Sum Insured||Every year irrespective of claim in previous year||Only if you did not claim in previous year|
|Upper limit on Sum insured||Capped at 100%||Capped at 50-100%|
|Increment %||10% fixed increment every year||Resets to zero if you claim and then starts again|
Our health insurance policy is straightforward and easy to understand. It offers extensive coverage and valuable services. Here are the two significant features of the ACKO health plan.
✅ ACKO will cover your hospitalisation costs from day 1.
A waiting period on medical insurance has always put people in a soup. Anyone would naturally expect their insurer to cover the cost of treating a pre-existing disease** and get disappointed when their claim is rejected because of a waiting period. This is about to change. With ACKO Health Insurance Policy, we will cover the cost of hospitalisation due to a pre-existing disease** from day 1.
Learn more about the waiting period for health insurance.
✅ ACKO will pay your entire hospital bill.
There are many factors at play when you make a claim. Things like co-pay, room rent capping, deductibles, non-payable expenses, etc. are a few of the many things that increase your out-of-pocket expenses by a great deal. When you are covered under ACKO medical insurance policy, your out-of-pocket expenses are reduced. We don’t have a cap on room rent, and you can choose any hospital room you wish. Neither do we consider things like co-pay, deductibles, etc. while calculating the claim amount. So practically, zero deductions.
Yes, there are more! With ACKO health plan, you get the following additional benefits.
|KEY FEATURES||ACKO ADVANTAGE||What It Is?|
|Co-pay||0%||You get a “0% co-pay” benefit. Usually, other plans have a co-pay clause, which means you will need to pay a certain percentage of every hospital bill out of your pocket.|
|Room rent||Up to your Sum Insured||There are no room rent limits; you can choose a suitable hospital room for the insured members, and we will cover the expenses up to your sum insured. Other plans have room rent limits, which means part of your bill will not be covered if you go for an expensive room; it's not just the additional cost of the room, but many other costs will not be covered too.|
|Network hospitals||7100+ Hospitals||Receive cashless treatments at over 7100+ network hospitals with best-in-country processing time (60 mins on average).|
|COVID-19 treatment||Up to your Sum Insured||All COVID-19-related (any variant) hospitalisations are covered.|
|AYUSH treatment||Up to your Sum Insured||AYUSH (Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy) treatments that require overnight hospitalisation are covered.|
|Teleconsultations (Through ACKO app)||Up to your Sum Insured||Teleconsults with General physicians or Specialists are covered, as long as you initiate the teleconsult from the ACKO app.|
|Preventive health checkup||Annually (for insured members above the age of 18 years)||1 annual health check-up for all insured members above 18 years is covered. You can visit a lab of your choice and get a preventive health checkup done.|
|Inflation protect||Annual sum insured increases by 10%||With this feature, you get something better than NCB (No Claim Bonus). Here, your sum insured will be increased by 10% every year, regardless of whether you raise a claim or not.|
|Pre-hospitalisation||(upto 60 days before)||All costs associated with your medical condition (e.g., doctor's visit, lab tests, medicines) in the days leading up to your hospitalisation are covered. Most insurers will only cover a few days before hospitalisation.|
|Post-hospitalisation||(up to 120 days after)||All costs associated with your medical condition (e.g., doctor's visit, lab tests, medicines) after discharge from the hospital are covered. Most insurers will only cover a few days after hospitalisation.|
|ICU fees||Up to your Sum Insured||All ICU fees are covered.|
|Ambulance charges||Up to your Sum Insured||All charges to transport the insured members to the hospital (via roadways) are covered.|
|Day-care treatment||All treatments covered up to your Sum Insured||All hospitalisations that last less than 24 hours (as long as they are medically necessary) are covered, for example, Cataract, Coronary angiography, Haemodialysis, Chemotherapy, Ligament tear/meniscus tear surgery, and Radiotherapy (for cancer).|
Yes, buying a health insurance policy online is more convenient and cheaper when compared to purchasing a similar policy offline. This is mainly due to the digital infrastructure of online medical insurance companies.
There are two ways to buy health insurance plans in India — offline and online. The offline method is more cumbersome as it involves exhaustive paperwork and efforts. Plus, it is time-consuming as you need to visit an agent's or insurer's office.
The online method is easy, quick and seamless. All you have to do is visit the insurer's website (for example, ACKO), select the policy, and make the payment. Plus, online platforms also allow you to renew and raise claims digitally.
You and the family members can get insured under the best health insurance plan in India by following the below-mentioned steps.
Step 1 - Visit the platform: Visit www.acko.com or download the mobile app.
Step 2 - Share details: Enter a few details such as your age, dependent’s details, and some other personal information to get a health insurance quote.
Step 3 - Get policy: Pay the premium and receive the policy document instantly at the registered email address.
Here’s how you can renew health insurance on ACKO.
To avail of a medical insurance policy, below is the list of documents required.
Proof of age: Driving Licence, Voter’s ID, Passport, Birth Certificate, etc.
Identity proof: PAN card, Passport, Driving Licence, Voter’s ID, etc.
Proof of address: Ration card, Passport, Voter’s ID, Aadhaar card, bank statement, telephone/electricity bill, etc.
Medical test report: If you are asked to furnish, then you’ll have to undergo a medical check-up and submit the report.
Note: The exact set of documents may vary depending upon the nature of claim.
Below is the list of documents required while raising a claim with your medical insurance provider.
Duly filled health insurance claim form
Prescription and cash invoice
Copy of your insurance card
Medico-Legal Certificate (MLC) or FIR in case of an accident
Investigation report (X-Ray/ECG/Scan/Laboratory)
Original medical bills and receipts
Cancelled cheque in case of reimbursement
Any other document as requested by your insurer
Mediclaim insurance is essential. Thus, the Government of India encourages everyone to buy the best health insurance plan by offering tax benefits on the premium paid under Section 80D of the Income Tax Act, 1961.
Apart from receiving all the health insurance benefits provided by the policy, you can also save a significant amount of tax on the premium. To save tax on health policies, produce an insurance certificate while filing tax for the current assessment year. Then, you will receive tax benefits (as per the prevailing tax regulations) depending upon the number of insured members under the health plan.
You can save additional tax by opting for a preventive health check-up during the corresponding assessment year. By doing so, you receive a dual benefit — the latest status update of your health and an additional tax benefit. The tax deduction will be under Section 80D of the Income Tax Act.
There are a plethora of health plans in India. Here are some tips for choosing the best health insurance policy that caters to your healthcare needs and fits the budget.
It is essential to select the correct sum insured amount. Hence, buy a plan depending on your age, medical conditions, location and healthcare needs. An insurance plan with a low sum insured may not support you adequately during a medical emergency.
Individual plans are suitable for individuals who prefer health insurance only for themselves. However, if you want medical insurance covering loved ones, choose the Family Floater plan. It offers maximum benefits at a competitive price. Again, it is crucial to assess personal requirements and budget before deciding on the right plan.
Yes, it is vital to ensure that a health insurance plan doesn’t burn a hole in your pocket. However, it is more important to look beyond the premium amount and check for benefits and services that an insurer offers. For example, look for insurers that embrace the digital approach to help you save time, have positive customer reviews, and offer you comprehensive coverage.
Start by going through the list of the insurer's network of hospitals. Locate the nearest one beforehand so that you don't have to bear the hassle of finding one during an emergency. If a good hospital in your vicinity is listed as a network hospital, it will help you access cashless treatment and reduce stress. See ACKO network hospitals →
Many health plans come with a waiting period for different types of ailments. It is advisable to select a health policy with a lower waiting period for pre-existing conditions and diseases. Note: There is no waiting period under ACKO Health Insurance Policy. So you get coverage from day 1 if you disclose all pre-existing conditions you are suffering from.
Many health plans come with a sub-limit on diseases, treatment and room rent. These sub-limits sometimes can turn out to be a significant amount. Hence, buying a plan that does not have sub-limits is recommended to help you reduce out-of-pocket expenses. ACKO Health Insurance Policy does not have any unhappy surprises like sublimits. Check full list of features here →
High claim settlement ratios mean a higher probability that your claim may be settled. Select an insurer with a high CSR, as it reflects that it will not reject a claim without a valid reason.
It is imperative to understand the time for which your medical plan is active. As health complications increase with age, there are high chances that you may require health insurance during old age. Hence, it is recommended to opt for a plan with lifetime renewability that reduces hassles and unforeseen medical expenses during such time.
Here are the top reasons to buy health insurance plans.
A health insurance plan can provide substantial financial protection to cover the costs of treatment. It usually offers coverage for hospitalisation costs, tests, ambulance charges, and medication expenses.
Section 80D exempts up to Rs. 25,000 in tax (subject to changes) for paying the health insurance premium. Thus, buying a health plan can decrease your overall tax obligation.
The payable premium for a health cover keeps rising as you become older. It would be wise to purchase health insurance as soon as possible because the longer you wait, the more expensive the premiums become.
These days, chronic illnesses like diabetes, heart disease, and renal ailments are becoming increasingly common. As a result, it is crucial to buy comprehensive health insurance coverage.
Here are the steps to follow if you wish to download the physical copy of your health insurance policy.
Step 1: Scroll up to the top and log in to your ACKO account. Use the registered mobile number to generate the one-time password.
Step 2: Click on your health insurance policy to open it.
Step 3: Click on download and take a printout.
You can print multiple copies of your health policy if required.
Gone are the days when you had to keep the hard copy of your health insurance policy handy. Now, you can access it anytime by simply downloading it from your ACKO account. Here is how.
Steps to download your ACKO Health Insurance Policy.
Step 1: Scroll up and click on the Login button to access your ACKO account.
Step 2: Open your health insurance policy and click on download.
Alternatively, check the inbox of your registered email address for the policy and download the attachment.
Here is a list of the three most popular medical insurance myths that some people believe are true. But in reality, they are just myths and should not be considered to be true.
Myth 1: Online health insurance is a scam - Some people prefer buying medical insurance using the traditional method—through intermediaries or by visiting an insurance company, as they might distrust online insurers. However, each insurance company (whether online or offline) must be registered with the Insurance Regulatory and Development Authority of India (IRDAI). You must cross check their registration number on the IRDAI website before purchasing insurance. By the way, ACKO’s IRDAI registration number is 157!
Myth 2: I need to pay the hospital bill for treating a pre-existing disease - Usually, insurance companies cover pre-existing diseases after a certain waiting period. However, under ACKO Health Insurance Policy, we cover pre-existing conditions from day 01. We bear the treatment costs with zero deductions on an approved claim. All you have to do is tell us about your medical history and disclose any pre-existing disease (if applicable) while buying the plan.
Myth 3: I can only claim if I was hospitalised - Under ACKO Health Insurance Policy, you get coverage for daycare procedures, emergency transport, and also pre and post-hospitalisation. These coverages are not limited to hospitalisation and extend to other medical treatments as well. So under our health plan, you can make a claim against an inclusion even if it is not related to hospitalisation.
Portability in health insurance refers to switching a health insurance plan from one insurer to another. As per this feature, you can port your existing health insurance plan to ACKO.
Note that porting your current health insurance plan to ACKO can only happen if the plan is due for renewal. So, if your plan is expiring soon, you can consider porting it to us. Here are some tips if you want to port your health plan to ACKO.
Reconsider your health insurance needs before porting the policy.
Check if the new sum insured amount is sufficient for you and your family.
Extend the coverage with a Super Top-up Plan if required.
Check the features and benefits of ACKO Platinum Health Insurance Plans.
Buying an ACKO Platinum Health Insurance Plan is possible only after a Pre-Policy Medical Check-up (PPMC). We will call you to confirm the scheduling of the PPMC once you apply for portability.
Here is a list of different types of health insurance plans.
This plan offers coverage to one individual/person. However, some insurers also allow the policyholder's spouse to be added to the policy and avail of medical insurance coverage.
Immediate family members (spouse, parents, children) can be insured under the Family-floater Health Insurance Plan. Here, insured members share the total sum insured of the policy.
This plan covers senior citizens, i.e., people above the age of 65 years. You can buy a dedicated Senior Citizen Health Insurance Plan for your elderly family members for adequate coverage.
Critical illnesses like cancer, stroke, kidney failure, major organ transplantation, heart attack, etc., are life-threatening diseases, and their medical treatment is quite expensive. You can get health insurance coverage for such specific diseases through the Critical Illness Insurance Plan. These plans are also called Fixed Benefit Health Insurance Plans, as you get a fixed lump sum amount in the case of an approved claim.
A group of people, for instance, a bunch of employees of the same company, can be covered under a Group Health Insurance Plan. Each member of this group has access to a fixed (separate/specific) sum insured. In some cases, the insured member can add their family members to the plan and share the allotted sum insured.
People who are already covered under a health plan or those who can bear the medical expenses up to a certain threshold can opt for a Top-up Health Insurance Plan. It provides coverage beyond a fixed threshold known as a 'deductible' in insurance parlance.
The Indian health insurance industry has gone through a paradigm shift over the last few years. Today, additional features like teleconsultations, health tracking, nudging the customer to make better changes in lifestyle, etc., are an essential part of a health policy. The end-to-end process is divided into the following stages:
At this stage, it is important to know your needs. Look for suitable coverage and a good health insurance company. The research stage is crucial as it will decide what and from whom you will be buying.
The results of your research in Stage 1 will help you find a suitable health insurance policy from a good insurer. You can make the purchase either online or offline. However, buying it online is much faster and convenient.
You need to raise a claim against a health insurance plan to get financial support from the insurance company. Some insurers need extensive paperwork for submitting claims. At ACKO, we eliminate paperwork by leveraging our digital infrastructure. This allows us to handle claims more efficiently, ensure accuracy, and achieve a faster settlement. Raise a claim through ACKO’s website or app by logging into the ACKO account. All you need to do is upload a few documents - and you’re all set!
It is necessary to renew your health insurance plan if you are looking for continued medical coverage. Renewal is also a great opportunity to review coverage and make the required changes in the policy. For example, shift your parents to a Senior Citizen Plan if they crossed the age of 65 years during the policy period. Increase the sum insured of the policy if more members are added to the family.
You should compare health insurance plans online to ensure that you buy a plan that meets your requirements without compromising the features, benefits, and services. Thus, comparing plans can ensure value for money.
Yes, most health policies cover coronavirus treatment; however, please check the applicable policy wordings to confirm the same. IRDAI has directed all general insurers to offer coverage for coronavirus treatment through health plans.
You can use a health insurance premium calculator to know the approximate cost of the policy. It is a free-to-use digital tool available on a health insurer's website. It uses factors like the type of plan, add-on covers, health conditions, age, etc., to determine your payable premium.
Here are the steps to calculate health insurance premium using a calculator.
Step 1: Visit www.acko.com, navigate to the health insurance section and enter information like your age, gender, etc.
Step 2: Decide how many individuals you wish to insure, how much coverage you need, and which add-ons you want to buy.
Step 3: Select the coverage and click "calculate" to view the payable premium for the chosen cover.
You must renew your health insurance policy if you want uninterrupted medical coverage. The renewal process offers you a chance to assess the existing coverage and update the policy as well.
The contactless online method appears to be the ideal choice for renewing health insurance coverage in light of the recent pandemic. Here are steps to renew a medical plan online.
Step 1: You will get a renewal-related email reminder (from [email protected]) before policy expiry.
Step 2: The payment link for policy renewal will be included in the email. To make the payment, just click the link.
Step 3: After making your payment, you will receive your renewed insurance plan shortly.
Here are the factors that influence health insurance premium calculation.
Age: The higher the age, the higher the premium. For instance, the age of the oldest member insured under the ACKO Platinum Health Insurance Plan plays a prominent role in premium calculation.
Sum insured: At ACKO, we offer health insurance plans with different sum insured amounts ranging from Rs. 25 lakhs to an unlimited amount. The premium of your health plan will depend on the sum insured amount you choose. For example, the premium for the 25 L ACKO Platinum Plan will be less than the Unlimited ACKO Platinum Plan.
Location: The location of your residence is considered while calculating the premium. One reason for this is the difference in the cost of medical treatment across India. For example, people living in rural areas are usually charged less premium as compared to people living in urban areas.
Number of insured members: More members results in a higher policy premium. For instance, ACKO Platinum Plans are Family-floater Health Plans. You can insure yourself, your spouse, and up to four children under our medical insurance plans. If the number of insured members is more, then you may have to pay more premium.
Medical status: Your current medical status is determined with the help of a Pre-Policy Medical Check-up (PPMC) while buying an ACKO Platinum Plan. You must also disclose your medical history when you purchase the policy. The premium will depend upon your current and past medical history.
Below are the differences between the two types of insurance policies.
The health insurance policy offers claims towards injury, illness, and other medical conditions.
Personal Accident Cover provides coverage due to accidental death while the medical insurance policy does not.
Disabilities are not covered under health insurance coverage.
Yes, you can nominate a person under Section 39 of the Insurance Act, 1938. While the policy is active, during your lifetime, you can nominate any person or persons to whom the insurance company will pay applicable benefits under the health insurance upon your unfortunate death.
Medical tests are mandatory for individuals above the age of 45 years to get coverage under ACKO Health Insurance Policy.
Your health insurance policy offers a grace period of 30 days. However, any claims raised during these 30 days will be rejected. Additionally, if you do not renew the policy within the grace period, the policy will lapse.
Yes, you can transfer your policy from one insurance provider to another as per the circular issued by the IRDAI. This process is known as portability of health insurance plans.
Yes, you can own more than one health insurance policy. However, it is recommended to opt for another health policy only if you feel that the sum insured of your first policy is not sufficient.
You can easily calculate the premium for your medical insurance policy by using the health insurance premium calculator. This is a free, online tool that will help you understand the approximate amount you must pay for buying the policy. A premium calculator is usually a part of the process when you set out to buy health insurance.
Yes, dependent children between the age of 3 months and 25 years are eligible to be covered under the policy.
Yes, you can claim tax deductions under Section 80D of the Income Tax Act and the Finance Act, 2018. For example, it offers tax benefits of up to Rs. 25,000 for a Family Floater policy, which includes the primary policyholder, spouse, and dependent children. In case you include your parents aged below 60 years, then you can claim an additional deduction of Rs. 25,000. And, if your parents are above 60 years, the deduction is up to Rs. 50,000. Please note that tax benefits are subject to changes on an annual basis.
Diseases covered under the permanent exclusions will not be covered under the health insurance policy.
As per the terms and conditions, you can raise several claims during the policy period subject to a maximum of the sum insured.
Under the co-pay clause of the policy, the policyholder along with the insurance company must share a part of the claim amount as per the policy. Read more about Copay in Health Insurance
Note: There is no copay clause under ACKO Health Insurance Policy. With our zero-deductions-at-claim feature, you get coverage for the entire hospitalisation bill.
Any ailment, medical condition, injuries, or related medical conditions for which you have symptoms or signs, and/or diagnosed, and/or received medical treatment or advice within a stipulated time period prior to the first policy by the insurance company is considered as pre-existing diseases.
The maximum amount that the insurer will pay in case of hospitalization of the policyholder or the beneficiaries of the policy, which is as per the terms and conditions of the insurance policy, is known as the sum insured amount.
The time in which you cannot raise a claim is called a waiting period in health insurance. There are roughly three types of waiting period:
Initial waiting period
Pre-existing diseases waiting period
Specific diseases waiting period
Note: ACKO Health Insurance Policy does NOT have any waiting period. If you are honest about your medical history, we will provide health insurance coverage as soon as your policy is approved.
A hospital that has an agreement with the insurance company for offering cashless hospitalisation is called a network hospital. If treated at a non-network hospital, you must raise a claim through the reimbursement procedure.
Under the cashless treatment, you need not settle the medical bills (only pay for what's not covered). The insurance company will settle the payment for your hospitalisation as per the policy terms.
To benefit from your health insurance plan, the amount you pay to the insurance company is known as a premium amount.
Some insurance companies provide cover for general health check-ups, but it may have a waiting period before you can take advantage of the benefit. However, with ACKO Health Insurance Policy, there is no waiting period applicable.
A Family Floater health insurance plan covers you and your family members such as your spouse and dependent children. Compared to individual plans, which cater to one individual, the Family Floater is robust, offering wide coverage for the family.
Generally, the critical illness cover is offered through the insurance company’s add-ons. Under this coverage, the insurer covers the policyholder’s family against critical diseases such as stroke, heart attack, and kidney failure, among others.
No, it is not mandatory to buy a health plan when you are young. You can buy it even when you cross 50. However, many health insurance companies have minimum and maximum age criteria. Check the maximum age criteria to avoid rejection of the policy.
Buying policy at an early stage helps in many ways. As you grow older, health complications may increase. The probability of suffering from lifestyle diseases such as diabetes, hypertension or thyroid may also increase. Since ageing increases the chances of claims, the health insurance policy bought at a later stage can be costly. Thus, buy a plan as early as possible.
Mediclaim policies are designed to cover basic hospitalisation costs and specific illnesses; however, the coverage or the sum insured will be compromised. Mediclaim cover can be viewed as a low-premium health insurance policy.
On the other hand, a medical insurance policy is designed to cover you comprehensively. Apart from basic hospitalisation costs, it can cover pre and post-hospitalisation costs, critical illnesses, etc. depending upon the selected cover and policy wordings.
If you want a comprehensive health cover, health insurance offers the maximum benefits and features. However, if you want limited health coverage with a low-premium health cover, then a mediclaim policy can be an option.
Please visit our dedicated health insurance glossary page to learn about common terms related to health insurance.
*Except for exclusions like maternity benefits, undisclosed diseases, etc. Please check policy wordings for more details.
**In case the pre-existing disease surfaces after a policy is issued. However, at the time of claim, if it is found that the policyholder did not disclose any known pre-existing diseases while buying the policy, the claim may get rejected.