Financial Calculators
Health Insurance Cover Calculator
Size the policy for the hospital bill you will face in five years, not the one you would face today.
Sum insured to aim for
₹22,02,927
₹8,81,171 per episode in 5 years, x 2.5 for the family
- Existing cover
- ₹5,00,000
- Additional cover to buy
- ₹17,02,927
Sizes the policy for a serious hospitalisation a few years out, not this year's premium. The family factor assumes a floater is shared, not multiplied. Employer cover ends with the job; ECHS covers empanelled care. A base policy plus a super top-up is usually the cheapest way to reach a large sum insured.
These figures are for illustrative purposes only and are not investment advice. Please consult your investment adviser for investment related advice.
The sum insured erodes every year
A health policy bought for five lakh a decade ago now covers a fraction of a serious hospitalisation. Medical costs have compounded at 10-14% a year, and a policy's sum insured does not. The right way to size cover is to take today's cost of a serious episode, inflate it to the middle of the policy's useful life, and allow for the family sharing a floater.
The calculator does exactly that and subtracts cover you already have from an employer or a service scheme, leaving the amount to buy. A base policy with a super top-up is usually the cheapest route to a large sum insured.
Inflate one episode, scale for the family
Future cost = today's cost x (1 + medical inflation)^years\nSum insured = future cost x (1 + 0.5 x (members - 1))\nGap = sum insured - existing coverWorked example: if a serious hospitalisation costs Rs 5,00,000 today and medical inflation runs at 12%, it will cost Rs 8,81,171 in 5 years. For a family of four on a floater (factor 2.5) that suggests a sum insured of Rs 22,02,927; with Rs 5,00,000 of existing cover, the gap is Rs 17,02,927.
Frequently asked questions
Why not just multiply by the number of members?
Because a floater is shared and the odds of every member being hospitalised in the same year are low. Half a share per additional member is a common planning factor; raise it for elderly members or chronic conditions.
I am covered by ECHS or CGHS. Do I need more?
Those schemes cover treatment at empanelled facilities within their rules. A private policy adds choice of hospital, room and treatment, and covers gaps. Many retired personnel keep a modest private policy alongside.
Employer cover is enough for now, isn't it?
It ends with the job and may be inadequate anyway. Buying a personal policy while young and healthy locks in insurability and completes waiting periods before you need them.
What is a super top-up?
A policy that pays hospital bills above a threshold (the deductible), which your base policy or employer cover handles. It adds a large sum insured at low cost, which is how most families reach the figure this calculator suggests.
Cover the bill you will actually get.
We review existing health cover, size the gap, and structure base plus top-up for the family.