Best Health Insurance Companies in India

Quick Take: You must consider operational efficiencies, net promoter score, claim settlement rates, network hospitals, corporate track record, business scale, and product portfolio when comparing health insurance firms in India. You can then rank insurers according to the criteria you wish to give priority to after you have this data.

These are the top health insurance providers in India in 2025, in our opinion, based on our subjective evaluation.

Top Health Insurance Companies in India 2025

Company CLAIM SETTLEMENT RATIO(avg. of last 3 years) Network Hospitals Gross Written Premium (2023-24) Track Record Rating out of 10
HDFC Ergo 98% 13,000+ ₹5,942.58 Cr 22 years 9.2
Aditya Birla 95% 12,000+ ₹3,447.15 Cr 8 years 6.7
Bajaj Allianz 95% 12,000+ ₹6,522.38 Cr 23 years 6.7
Care 90% 11,400+ ₹6,545.58 Cr 12 years 5
Niva Bupa (erstwhile Max Bupa) 91% 10,000+ ₹5,494.43 Cr 16 years 3.3

In India, there are thirty health insurance providers. There are 24 general insurers and 6 independent health insurers.

Insurance firms that just offer health plans are known as standalone health insurance companies. The first organization in India to establish a stand-alone health insurance business was Star Health Insurance in 2012. Five other businesses have followed suit since then. Additionally, they jointly promote numerous insurance with a wide range of features and coverage.

businesses that experiment with health, auto, and other non-life insurance are known as general health insurance businesses. However, we will limit the analysis in this part to general health insurance providers that offer at least one policy.

Difference between Standalone health insurance companies and general insurance companies

When comparing health policies offered by independent health insurers and general insurance firms, there aren't many differences from the standpoint of the buyer. For example, just because a separate health insurer specializes in this area doesn't mean that they would provide a better experience. In our experience, general insurance firms have consistently outperformed independent health insurance providers. Thus, there are many problems with that analysis.

It should be mentioned, though, that a general insurance business might not offer as many goods as a standalone health insurer, which is likely to have a superior suite of products for a wider consumer base. Therefore, you would be better off using a stand-alone health insurance provider if you're trying to get a coverage for a very specific use case.

After taking care of the fundamentals, let's examine the following item.

How to compare health insurance companies?

Prior to making a final decision, you must rank several health insurance providers based on a number of objective criteria. How do these metrics appear? Let's begin with the fundamentals.

1. Historical Track Record:

Consider a business that has only existed for a few strange months. Determining the insurer's potential is nearly impossible. Therefore, choosing a policy from their basket is probably a risk. On the other hand, you can create a thorough evaluation if your business already has a long history.

For example, a startup business with only a few years of experience may have outstanding claim settlement rates and provide exceptional customer support. However, as they grow their firm, it's feasible that these figures will change drastically. On the other hand, you may anticipate that an insurance firm that has been in operation for a long time would continue to publish comparable data. Additionally, you don't have to be concerned about possible problems that can arise as their company grows. Therefore, we advise you to constantly consider a company's history before choosing an insurer.

Here is a list of the top 5 insurance firms in India with the longest track records in case you are having problems accomplishing this yourself.

Company Track Record
National Insurance 118 years
New India Assurance 105 years
United Insurance 86 years
Oriental Insurance 77 years
IFFCO Tokio 24 years

You will notice an odd pattern if you glance at the table above. Since the insurance industry in India was only privatized in 2000, all of these businesses are state-run. In other words, the majority of private businesses have fewer than 24 years of experience. Any business with ten years or more of experience, though, would be a wise choice. A business that has been in business for five years or more is respectable. Additionally, we typically advise customers to stay away from any business that has less than five years of experience.

2. Operational Proficiency:

Given their long history, you would expect state-run businesses are a better option based on the rating above. However, the reality is that state-owned businesses typically have a negative image in the sector. They process applications quite slowly. Reaching customer service executives in these big public companies is really difficult. Additionally, the claim settlement procedure is time-consuming. Therefore, one could contend that unless you consider additional criteria, such as operations efficiencies, the preceding table is worthless.

However, what does the term "operational proficiency" actually mean? Operational proficiency, thus, addresses the entire process, from completing the application to submitting the claim. You could say that an insurer is operationally sound if they provide a seamless experience from start to finish. On the other side, it's easy to assume that they won't score highly on operational efficiency if you observe client complaints, slow response times, and inadequate claim settlement procedures.

Additionally, private insurers typically outperform state-run insurance in this area.

However, even among private insurers, there are some who are more sensitive to their clients and others who are less concerned. Once again, it’s not easy to tell them apart. However, you may search the internet for some information. Online resources include data on social media acceptance, performance evaluations, and customer complaints. And in order to make a decision, you might need to combine them all. Conversely, you could seek our assistance in this situation by speaking with insurance professionals, such as our advisors at Ditto.

3. Product Portfolio:

If you want to purchase policies for a certain use case, the product portfolio is important. Some businesses, for example, provide items for a variety of use cases. They include premium plans that cover everything, from maternity costs to dental difficulties, comprehensive plans with a wide range of essential features, and reasonably priced plans with the bare minimum of features. Some even include policies for specific use cases, such as elderly people, cancer patients, people with diabetes, and those with severe medical conditions.

Therefore, we will feature businesses with a wide range of products here.

Company Affordable Option Comprehensive Options Premium Options Diabetic Specific policy Cancer Specific policy Heart Specific policy Senior Citizen Options
HDFC Ergo None Optima Secure, Optima Super Secure, Optima Restore Optima Secure Global, Optima Secure Global Plus, Health Wallet Energy Silver, Energy Gold None None Optime Secure
Care Care Advantage Care Supreme, Care Plus None None Care Freedom Care Heart Care Supreme
Aditya Birla Activ One NXT Activ One MAX, Activ Fit Activ One MAX+, Activ One VIP, Activ One VIP+ Activ One MAX, Activ One NXT None None Activ One MAX, Activ One NXT
Niva Bupa ReAssure 2.0 ReAssure 2.0, Aspire Health Premia, Heartbeat None None None Senior First, Health Companion
Bajaj Allianz Health Guard Silver, Health Ensure Family Health Guard Gold, Platinum Health Care Supreme None None None Silver Health

4. Network Hospitals:

A few hospitals collaborate with insurance providers in an effort to provide clients with a fully cashless claim settlement experience. In other words, you could theoretically file a claim without having to pay anything out of pocket if you ever went to a network hospital. However, you would be responsible for paying the bills and waiting for reimbursement if you were admitted to a hospital that is not part of the network. which, once more, can be a laborious procedure. It is obvious that you can save a significant amount of time and money by getting admitted to a network hospital.

But not every business collaborates with every hospital in the world. More than 10,000 hospitals have cooperated with certain businesses. Less than a few thousand hospitals are listed on the platforms of even others.

Any insurer with a hospital network that includes more than 8,000 hospitals is, in our opinion, a good choice. Anything from 5,000 to 8,000 is acceptable. And under 5,000 is strictly prohibited.

Having said that, the top 10 insurers with the biggest hospital networks are listed below.

Company Network Hospitals
Digit 16,400+
Care 11,400+
Star Health 14,000+
Navi 12,000+
HDFC Ergo 13,000+
Aditya Birla 12,000+
Acko 10,000+
Niva Bupa (erstwhile Max Bupa) 10,000+
TATA AIG 11,000+
Royal Sundaram 10,000+

5. Claim Settlement Ratio:

The percentage of claims that an insurer settles during a given time period is shown by the claim settlement ratio. In other words, if the insurance business has a claim settlement ratio of 90, it means that 90 out of every 100 claims it books during the year are settled.

Claims settled / (Claims booked + Claims outstanding at the beginning — Claims outstanding at the end) is the formula used to determine the amount.

A claim settlement ratio of 90% or higher is excellent, in our opinion. An 80–90% claim settlement ratio is considered respectable. Additionally, anything below 80% is unacceptable.

This is a list of businesses having the greatest average claim settlement ratios for FY2021–2024.

Company CLAIM SETTLEMENT RATIO (avg. of last 3 years)
New India Assurance 99%
HDFC Ergo 98%
SBI 97%
Digit 97%
Oriental Insurance 96%
TATA AIG 96%
Acko 96%
Iffco Tokio 95%
Aditya Birla 95%
Universal Sompo 95%
Bajaj Allianz 95%
United India 94%
Royal Sundaram 94%
National Insurance 93%
Zuno (erstwhile Edelweiss) 92%
Niva Bupa (erstwhile Max Bupa) 91%
Manipal Cigna 90%
Care 90%
Reliance 89%
ICICI Lombard 85%
Bharti Axa 85%
Star Health 83%
Navi 64%

FAQs about Health Insurance Companies:

1. What is the number of health insurance firms in India?

There are thirty health insurance firms in India. Six of these are independent health insurance firms, while the remaining 24 are general insurance carriers.

2. Is it possible to transfer my coverage from one health insurance provider to another?

You can, indeed.
COVID-19 and medical inflation have increased the need for and dependence on financial coverage solutions for medical costs. As a result, there are currently more companies in the insurance market with a wide range of profitable offers and benefits in the coverage plans.
In 2011, the Insurance Regulatory and Development Authority, or IRDAI, made the portability option available to policyholders so they may choose the best insurance coverage.
But it's important to know the why, the how, and the when before choosing the portable choice! This comprehensive post will serve as your ideal manual!

3. Based on the Claim Settlement Ratio (CSR), which health insurance providers are the best?

A health insurance provider's greater CSR reflects the company's track record and capacity to resolve claims. When selecting your healthcare insurance partner, this is also one of the most important factors.

Based on their CSR, the top 5 health insurance companies are shown here:

Company CLAIM SETTLEMENT RATIO(avg of last 3 years)
New India Assurance 99%
HDFC Ergo 98%
Digit 97%
SBI 97%
Acko 96%
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