Are pre-existing diseases covered?

Yes, after a waiting period of 2–4 years, depending on the insurer’s policy terms and medical underwriting.

What is the initial waiting period?

All new policies have a standard 30-day waiting period, except accidental hospitalizations which are covered immediately.

Does the plan offer cashless treatment?

Yes, cashless treatment is available at network hospitals, allowing you to receive medical care without paying upfront.

Are day-care procedures included?

Yes, hundreds of day-care procedures like dialysis, cataract, chemotherapy, and minor surgeries are covered without 24-hour hospitalization.

Can I cover my family under this plan?

Yes, family floater options allow coverage for spouse and children under a single ₹5 Lakhs sum insured.

How much is the premium for a ₹5 Lakhs policy?

Premiums vary by age and health, generally ranging from ₹6,000 to ₹70,000 per year depending on age and medical risks.

Does the plan cover maternity expenses?

Maternity is usually not included but can be added through a rider, which comes with a waiting period of 2–4 years.

What is a ₹5 Lakhs health insurance policy?

A plan that covers hospitalization, surgeries, treatments, and medical expenses up to ₹5 Lakhs per year, protecting your finances during medical emergencies.

Who should buy a ₹5 Lakhs plan?

Ideal for young individuals, couples, and small families looking for affordable yet balanced medical coverage with essential hospitalization benefits.

Is ₹5 Lakhs coverage enough?

Yes, for basic and moderate treatments. However, metro city residents or families with higher risks may consider higher coverage.

What does the plan typically cover?

Covers hospitalization, room rent, ICU, surgeries, medicines, diagnostics, day-care procedures, ambulance charges, and pre- and post-hospitalization expenses.

Are OPD consultations covered?

Standard plans don’t cover OPD visits. You need an OPD add-on to include doctor consultations and basic outpatient care.

What treatments are excluded?

Standard plans don’t cover OPD visits. You need an OPD add-on to include doctor consultations and basic outpatient care.

Can I port my ₹5 Lakhs policy to another insurer?

Yes, you can port your policy at renewal while retaining completed waiting periods, provided there is no break in coverage.

Do insurance plans cover AYUSH treatments?

Most modern plans cover Ayurveda, Homeopathy, Unani, and Siddha treatments when received at approved AYUSH hospitals or centers.

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5 Lakhs Sum Assured Health Insurance

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Customer Testimonials

Real experiences from our valued customers who have chosen our insurance coverage.

Have been associated with Ruchir and his team… They have provided me excellent guidance in choosing the right plans for myself and my family……always been available to assist with any insurance/claim queries.

Nakul N

I want to sincerely thank Sunad for being there for me throughout the entire claim process. He helped me through so many ups and downs, always patient and ready to support when things got tough. I honestly don’t know how I would have managed without his guidance and encouragement. Sunad made a difficult situation feel a lot less stressful, and I’m truly grateful for his kindness and steadfast help.

Prashant Pandey

Had a great experience with them during a difficult time. After my mother’s accident, we had to pay the hospital bill upfront, as cashless wasn’t available. They guided us through the reimbursement process, helped file the claim, and consistently followed up with the insurer until it was settled. Their support with the post-hospitalization claim was equally prompt and thorough.

Jatin Gala

Have been associated with Ruchir and his team… They have provided me excellent guidance in choosing the right plans for myself and my family……always been available to assist with any insurance/claim queries.

Nakul N

I want to sincerely thank Sunad for being there for me throughout the entire claim process. He helped me through so many ups and downs, always patient and ready to support when things got tough. I honestly don’t know how I would have managed without his guidance and encouragement. Sunad made a difficult situation feel a lot less stressful, and I’m truly grateful for his kindness and steadfast help.

Prashant Pandey

Had a great experience with them during a difficult time. After my mother’s accident, we had to pay the hospital bill upfront, as cashless wasn’t available. They guided us through the reimbursement process, helped file the claim, and consistently followed up with the insurer until it was settled. Their support with the post-hospitalization claim was equally prompt and thorough.

Jatin Gala

My heartfelt thanks to the OneAssure team for making my insurance claim process effortless. Right from the very first interaction, they demonstrated professionalism, clear communication, and an impressive command of the procedures involved. Their swift updates, timely guidance, and persistent follow-through removed all the stress from what could have been a complicated experience.

Anju Renjith

I am truly grateful for the support and guidance I received in settling my insurance claim. The entire process was handled with great professionalism, clarity, and efficiency. Their prompt response, deep knowledge of the procedures, and consistent follow-ups ensured a smooth and hassle-free experience.Thank you once again for your invaluable help, highly recommended!

Yogesh Meena

I recently had the pleasure of purchasing health insurance for my parents through this company, and my experience has been exceptional...The team was incredibly patient and took the time to explain every detail to me. No matter how many times I asked questions, they were always calm and thorough in their explanations. Their professionalism and dedication made a significant difference in helping me make an informed decision.

Akash Kumar

OneAssure helped me understand my needs and choose a product that was right for me. There was no pressure tactics or mis-selling. This experience was respectful, informed, and completely stress-free.

Shreya Goyal

Had a great experience with OneAssure during my insurance claim process. A special shoutout to Sunad Raj for his exceptional support, he was professional, responsive, and guided me every step of the way. Thanks to his consistent follow-ups and clear guidance, the entire claim settlement was smooth and hassle-free. Highly recommend OneAssure for their service and transparency!

Sanjay Dakalia

The team is very professional and prompt. I would have all my health and life insurance needs met through them.

Harish Jindal

Very professional service from Ruchir & Aman. They were recommended by a friend who had a positive experience with them. I have taken both health and life policies through them and they have advised me well throughout the process and found the best options available in the market. I had a medical condition due to which it was difficult to find a suitable health policy in the market, however this team was able to find one for me. I would recommend their services to anyone looking to buy health or life insurance.

Siddhartha Saha

Wonderful experience with Prost. Right from suggesting the insurance products to claim process the entire experience hai been seamless. They do not mis-sell and are very transparent. Sundar Raj from the team has been wonderful and ensured prompt guidance. All the best Ruchir and keep up the good work!

Adarsh Ravindranathan

5 Lakhs Sum Assured

What Is a ₹5 Lakhs Sum Assured Health Insurance Plan?

Overview

A ₹5 Lakhs health insurance plan covers hospitalisation, surgeries, day-care procedures, and modern treatments up to ₹5 Lakhs in a policy year. It helps individuals and small families manage healthcare costs without using savings. Most plans also include pre- and post-hospitalisation expenses, diagnostics, and optional add-ons.

A ₹5 Lakhs health insurance plan covers hospitalisation, surgeries, day-care procedures, and modern treatments up to ₹5 Lakhs in a policy year. It helps individuals and small families manage healthcare costs without using savings. Most...

Wide Medical Coverage

Hospitalisation, room rent, ICU, surgeries, and day-care procedures.

Ideal for Small Families

Works well for singles, couples, or families with one child.

Pre- & Post-Hospitalisation Cover

Includes tests, consultations, and medicines around hospitalization.

Covers Day-Care & Modern Treatments

Such as dialysis, chemotherapy, robotic procedures, and advanced therapies.

Add-On Options

Maternity, OPD, personal accident, and critical illness riders.

Wide Medical Coverage

Hospitalisation, room rent, ICU, surgeries, and day-care procedures.

Ideal for Small Families

Works well for singles, couples, or families with one child.

Pre- & Post-Hospitalisation Cover

Includes tests, consultations, and medicines around hospitalization.

Covers Day-Care & Modern Treatments

Such as dialysis, chemotherapy, robotic procedures, and advanced therapies.

Add-On Options

Maternity, OPD, personal accident, and critical illness riders.

5 Lakhs Sum Assured

Factors Affecting ₹5 Lakhs Health Insurance Premium

Age

Younger buyers pay lower premiums; costs rise significantly after 40.

Pre-Existing Conditions

Diabetes, BP, asthma, or thyroid issues may increase premiums.

Lifestyle

Smoking, alcohol, and low activity levels lead to higher costs.

Location

Premiums are higher in metro cities with expensive healthcare.

Plan Type

Individual plans are cheaper; family floaters and senior plans cost more.

Add-Ons

Extra benefits like OPD, maternity, or room upgrades increase premium.

Co-Pay/Deductibles

Higher co-pay or deductible lowers annual premium.

Extra Features

Restoration benefits or higher No Claim Bonus (NCB) may raise premiums.

Age

Younger buyers pay lower premiums; costs rise significantly after 40.

Pre-Existing Conditions

Diabetes, BP, asthma, or thyroid issues may increase premiums.

Lifestyle

Smoking, alcohol, and low activity levels lead to higher costs.

Location

Premiums are higher in metro cities with expensive healthcare.

Plan Type

Individual plans are cheaper; family floaters and senior plans cost more.

Add-Ons

Extra benefits like OPD, maternity, or room upgrades increase premium.

Co-Pay/Deductibles

Higher co-pay or deductible lowers annual premium.

Extra Features

Restoration benefits or higher No Claim Bonus (NCB) may raise premiums.

5 Lakhs Sum Assured

Benefits of a ₹5 Lakhs Health Insurance Policy

Covers Major Hospitalisation

Pays for room rent, ICU, medicines, diagnostics, and surgeries up to ₹5 Lakhs per year.

Cashless Treatment

Access network hospitals without upfront payment.

High-Cost Treatment Support

Covers cardiac care, cancer treatments, orthopaedic surgeries, and other major procedures.

Good for Individuals & Small Families

Suitable for singles, couples, or small families with one child.

Pre & Post-Hospitalisation

Covers expenses before admission and after discharge.

Day-Care Procedures

Includes treatments like dialysis, chemotherapy, cataract, and minor surgeries.

Customisable Add-Ons

Maternity, OPD, critical illness rider, personal accident, etc.

Protects Savings

Prevents unexpected medical bills from draining your finances.

Covers Major Hospitalisation

Pays for room rent, ICU, medicines, diagnostics, and surgeries up to ₹5 Lakhs per year.

Cashless Treatment

Access network hospitals without upfront payment.

High-Cost Treatment Support

Covers cardiac care, cancer treatments, orthopaedic surgeries, and other major procedures.

Good for Individuals & Small Families

Suitable for singles, couples, or small families with one child.

Pre & Post-Hospitalisation

Covers expenses before admission and after discharge.

Day-Care Procedures

Includes treatments like dialysis, chemotherapy, cataract, and minor surgeries.

Customisable Add-Ons

Maternity, OPD, critical illness rider, personal accident, etc.

Protects Savings

Prevents unexpected medical bills from draining your finances.

5 Lakhs Sum Assured

Who Should Buy a 1 Crore Health Insurance Policy?

Young Professionals (20s–30s)

Affordable coverage with low premiums.

Small Families

Suitable for couples or families with 1–2 children looking for balanced protection.

Urban Residents

Ideal for people in metro cities with higher treatment costs.

Those with Family Medical History

Offers added security for risks like diabetes, heart disease, or cancer.

First-Time Buyers

A practical entry-level option with adequate benefits.

Middle-Aged Individuals (40s–50s)

Helps manage increasing medical risks with steady coverage.

Young Professionals (20s–30s)

Affordable coverage with low premiums.

Small Families

Suitable for couples or families with 1–2 children looking for balanced protection.

Urban Residents

Ideal for people in metro cities with higher treatment costs.

Those with Family Medical History

Offers added security for risks like diabetes, heart disease, or cancer.

First-Time Buyers

A practical entry-level option with adequate benefits.

Middle-Aged Individuals (40s–50s)

Helps manage increasing medical risks with steady coverage.

5 Lakhs Sum Assured

Premium for ₹5 Lakhs Health Insurance Policy

Top Insurers offering 5 Lakhs Sum Assured Health Insurance

ICICI Lombard

TATA AIG

Niva Bupa

HDFC ERGO

Care

Star

Aditya Birla

Bajaj

ManipalCigna

Digit

ICICI Lombard

TATA AIG

Niva Bupa

HDFC ERGO

Care

5 Lakhs Sum Assured

Insurer Comparison Table – ₹5 Lakhs Sum Assured Health Insurance

Insurer	Room Rent	Best Suited	OPD/Dental	Maternity	Global Cover
ICICI Lombard	Up to single private AC room	Individuals, families, senior citizens	Not covered	Add-on Rider	Not specified
TATA AIG	All room categories	Individuals & Families	Optional add-on	Add-on Rider	Not specified
Niva Bupa	No room rent limit	Individuals & Families	Not covered	Add on Rider	Not specified
HDFC ERGO	Single private AC room	Individuals & Families	Optional	Available in maternity plans	Not specified
Care	No room rent capping	Individuals, Families, Senior Citizens	Not covered	Add-on rider	Not specified
Star	Single private AC room	Individuals & Families	Not covered	Add-on rider	Not specified
Aditya Birla	Up to single private room	Individuals, Families & Senior Citizens	Optional add-on	Add-on Rider	Not specified
Bajaj	All category rooms	Individuals & Families	Optional	Add-on Rider	Not specified
ManipalCigna	No room rent restriction	Individuals, Families, Senior Citizens	Optional	Add-on Rider	Not specified
Digit	No room rent capping	Individuals, Families, Senior Citizens	Not covered	Add-on Rider	Not specified
ICICI Lombard	Up to single private AC room	Individuals, families, senior citizens	Not covered	Add-on Rider	Not specified
TATA AIG	All room categories	Individuals & Families	Optional add-on	Add-on Rider	Not specified
Niva Bupa	No room rent limit	Individuals & Families	Not covered	Add on Rider	Not specified
HDFC ERGO	Single private AC room	Individuals & Families	Optional	Available in maternity plans	Not specified

5 Lakhs Sum Assured

Cashless vs Reimbursement Claims

Cashless Claims

Minimises paperwork and faster claim approval compared to reimbursement.

Ideal for emergencies, offering quick, stress-free hospitalisation.

Requires pre-authorization from the insurer before admission (for planned treatments).

The insurer directly settles the medical bills with the hospital.

Get treatment at any network hospital without paying upfront.

Reimbursement Claims

Suitable when a cashless facility isn’t available or pre-authorization isn’t approved.

Offers greater flexibility in selecting hospitals or specialists.

Involves more paperwork and processing time for claim settlement.

Pay medical bills first and submit documents for reimbursement later.

You can choose any hospital, whether it’s in the insurer’s network or not.

Cashless Claims

Minimises paperwork and faster claim approval compared to reimbursement.

Ideal for emergencies, offering quick, stress-free hospitalisation.

Requires pre-authorization from the insurer before admission (for planned treatments).

The insurer directly settles the medical bills with the hospital.

Get treatment at any network hospital without paying upfront.

Reimbursement Claims

Suitable when a cashless facility isn’t available or pre-authorization isn’t approved.

Offers greater flexibility in selecting hospitals or specialists.

Involves more paperwork and processing time for claim settlement.

Pay medical bills first and submit documents for reimbursement later.

You can choose any hospital, whether it’s in the insurer’s network or not.

Related Plans

Related Health Insurance Plans

Senior Citizen Health Plan

Secure against age-related medical costs
Tailored for seniors healthcare needs

Family Health Plan

One policy covers the entire family
High sum insured with cashless care
Multiple coverage options based on your family needs

Maternity Health Plan

Covers delivery, newborn care, and maternity expenses
Reduces financial stress of childbirth costs

Senior Citizen Health Plan

Secure against age-related medical costs
Tailored for seniors healthcare needs

Family Health Plan

One policy covers the entire family
High sum insured with cashless care
Multiple coverage options based on your family needs

Maternity Health Plan

Covers delivery, newborn care, and maternity expenses
Reduces financial stress of childbirth costs

5 Lakhs Sum Assured

Waiting Period & Pre-Existing Disease Coverage

nitial Waiting Period (30 Days)

All health insurance plans have a standard 30-day wait from the policy start date. Only accidental hospitalisation is covered during this time.

Pre-Existing Diseases (PED)

Health issues like diabetes, hypertension, thyroid disorders, or heart conditions are typically covered after 2–4 years, depending on the insurer and plan. Some plans allow shorter PED waiting periods with optional add-ons.

Specific Ailments & Procedures

Treatments such as cataract, hernia, joint replacement, piles, fissure, or ENT procedures may have a separate waiting period of 1–3 years.

Continuation & Portability

Consistent policy renewal helps reduce your remaining waiting periods. If you port to another insurer without a break, your completed waiting periods are usually honoured under portability rules.

nitial Waiting Period (30 Days)

All health insurance plans have a standard 30-day wait from the policy start date. Only accidental hospitalisation is covered during this time.

Pre-Existing Diseases (PED)

Health issues like diabetes, hypertension, thyroid disorders, or heart conditions are typically covered after 2–4 years, depending on the insurer and plan. Some plans allow shorter PED waiting periods with optional add-ons.

Specific Ailments & Procedures

Treatments such as cataract, hernia, joint replacement, piles, fissure, or ENT procedures may have a separate waiting period of 1–3 years.

Continuation & Portability

Consistent policy renewal helps reduce your remaining waiting periods. If you port to another insurer without a break, your completed waiting periods are usually honoured under portability rules.

5 Lakhs Sum Assured

How to Choose the Best ₹5 Lakhs Health Insurance Plan

1-5 of 8 Steps

5 Lakhs Sum Assured

Common Inclusions & Exclusions of 5 Lakhs Health Insurance Plans

Inclusions

Organ donor expenses (as per policy terms).

AYUSH treatments at recognised centres.

Modern treatments including robotic and advanced surgeries.

Emergency ambulance charges.

Day-care procedures like dialysis, cataract, and chemotherapy.

Pre- and post-hospitalisation costs for tests, medicines, and consultations.

Hospitalisation expenses like room rent, ICU, doctor fees, nursing care.

Exclusions

Maternity and infertility treatments unless added as a rider.

Self-inflicted injuries or suicide attempts.

Non-prescribed medicines, health supplements, or experimental treatments.

Treatment for alcohol or drug abuse.

Pre-existing diseases during the waiting period.

Dental or vision treatments not caused by accidents.

Cosmetic or plastic surgeries unless medically required.

Inclusions

Organ donor expenses (as per policy terms).

AYUSH treatments at recognised centres.

Modern treatments including robotic and advanced surgeries.

Emergency ambulance charges.

Day-care procedures like dialysis, cataract, and chemotherapy.

Pre- and post-hospitalisation costs for tests, medicines, and consultations.

Hospitalisation expenses like room rent, ICU, doctor fees, nursing care.

Exclusions

Maternity and infertility treatments unless added as a rider.

Self-inflicted injuries or suicide attempts.

Non-prescribed medicines, health supplements, or experimental treatments.

Treatment for alcohol or drug abuse.

Pre-existing diseases during the waiting period.

Dental or vision treatments not caused by accidents.

Cosmetic or plastic surgeries unless medically required.

Coverage & Benefits

Still Confused? Get Expert Guidance

Our insurance experts are here to help you make the right choice. Get personalized recommendations based on your specific needs and budget.

Claim Settlement

Frequently Asked Questions

Our insurance experts are here to help you make the right choice. Get personalized recommendations based on your specific needs and budget.

1-5 of 15

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5 Lakhs Sum Assured Health Insurance

Get a Quote

Customer Testimonials

What Is a ₹5 Lakhs Sum Assured Health Insurance Plan?

Overview

Wide Medical Coverage

Ideal for Small Families

Pre- & Post-Hospitalisation Cover

Covers Day-Care & Modern Treatments

Add-On Options

Wide Medical Coverage

Ideal for Small Families

Pre- & Post-Hospitalisation Cover

Covers Day-Care & Modern Treatments

Add-On Options

Factors Affecting ₹5 Lakhs Health Insurance Premium

Age

Pre-Existing Conditions

Lifestyle

Location

Plan Type

Add-Ons

Co-Pay/Deductibles

Extra Features

Age

Pre-Existing Conditions

Lifestyle

Location

Plan Type

Add-Ons

Co-Pay/Deductibles

Extra Features

Benefits of a ₹5 Lakhs Health Insurance Policy

Covers Major Hospitalisation

Cashless Treatment

High-Cost Treatment Support

Good for Individuals & Small Families

Pre & Post-Hospitalisation

Day-Care Procedures

Customisable Add-Ons

Protects Savings

Covers Major Hospitalisation

Cashless Treatment

High-Cost Treatment Support

Good for Individuals & Small Families

Pre & Post-Hospitalisation

Day-Care Procedures

Customisable Add-Ons

Protects Savings

Who Should Buy a 1 Crore Health Insurance Policy?

Young Professionals (20s–30s)

Small Families

Urban Residents

Those with Family Medical History

First-Time Buyers

Middle-Aged Individuals (40s–50s)

Young Professionals (20s–30s)

Small Families

Urban Residents

Those with Family Medical History

First-Time Buyers

Middle-Aged Individuals (40s–50s)

Premium for ₹5 Lakhs Health Insurance Policy

Top Insurers offering 5 Lakhs Sum Assured Health Insurance

Insurer Comparison Table – ₹5 Lakhs Sum Assured Health Insurance

Cashless vs Reimbursement Claims

Cashless Claims

Reimbursement Claims

Cashless Claims

Reimbursement Claims

Related Health Insurance Plans

Senior Citizen Health Plan

Family Health Plan

Maternity Health Plan

Senior Citizen Health Plan

Family Health Plan

Maternity Health Plan

Waiting Period & Pre-Existing Disease Coverage

nitial Waiting Period (30 Days)

Pre-Existing Diseases (PED)

What Is a ₹5 Lakhs Sum Assured Health Insurance Plan?

Factors Affecting ₹5 Lakhs Health Insurance Premium

Benefits of a ₹5 Lakhs Health Insurance Policy