Medical Insurance Coverage Calculator
Calculate how much medical insurance coverage you need based on your family size, age profile, city, and additional requirements.
How much medical insurance do you need?
Protect your family’s health and your savings.
Coverage Calculator
Fill in your details to calculate recommended medical insurance coverage
Coverage Breakdown
Fill in your details to see a visual breakdown of your coverage
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Understanding Medical Insurance Coverage
TL;DR
- Base coverage should be at least ₹5 lakhs per person or 3x annual income
- Consider your city tier - metro cities need 20% higher coverage
- Add critical illness coverage if any member is above 45
- For families of 4 or more, OPD coverage can help manage regular expenses
- Keep an emergency fund of at least 10% of your coverage amount
Key Features of Medical Insurance
- Covers hospitalization expenses and medical treatments
- No claim bonus for claim-free years
- Cashless treatment at network hospitals
- Tax benefits under Section 80D
- Coverage for pre and post hospitalization expenses
- Day care procedures covered
How the Calculator Works
Coverage Calculation
- Evaluates family size and age profile
- Considers city tier and medical costs
- Factors in annual income and savings
- Adjusts for inflation over time
Add-on Benefits
- Maternity coverage for family planning
- Critical illness buffer for serious conditions
- Personal accident coverage for disabilities
- OPD coverage for regular medical expenses
Coverage Planning
Essential Expenses to Cover
- Hospitalization and room charges
- Surgical procedures and ICU costs
- Medicines and consumables
- Diagnostic tests and doctor fees
- Ambulance charges
Additional Considerations
- Pre-existing conditions
- Waiting periods
- Network hospitals in your area
- Sub-limits and co-payment
- Claim settlement ratio
Pro Tip
Review your coverage needs annually, especially after major life events like marriage, childbirth, or job changes. Medical inflation typically increases costs by 10-15% annually.