Health Insurance Costs in Kolkata: Premium, Deductible and Cover

When comparing health insurance in Kolkata, separate the price of the policy from the amount it may pay for an eligible claim. A lower premium can come with different limits or a larger share of expenses for you. A larger sum insured does not make every hospital bill payable.

Three amounts to understand

• Premium: the price charged for the insurance. Compare quotations for the same people, benefits and policy period.
• Sum insured: the stated cover amount. Under an indemnity health policy, payment is for eligible medical expenses within the available cover and policy conditions.
• Deductible: the specified amount that applies before the insurer pays an eligible claim. Check whether it applies to each claim or to an aggregate of claims during the policy period.

A co-payment is different: it is a specified share of an admissible claim. See IRDAI's explanations of deductibles and co-payments.

A simplified deductible example

Assume one claim has eligible expenses of ₹3,00,000, a deductible of ₹50,000 and sufficient available sum insured. For this illustration only, assume there is no co-payment, room-rent deduction, other sub-limit or excluded expense.

• Eligible expenses: ₹3,00,000.
• Your deductible: ₹50,000.
• Insurer's portion in this example: ₹3,00,000 − ₹50,000 = ₹2,50,000.

The result is ₹2.5 lakh. This is arithmetic under stated assumptions, not a quotation or assurance of payment. A real hospital bill may contain expenses that are not eligible, and an exhausted cover limit can change the result. Ask the insurer how each condition applies to the particular claim.

Compare the documents, not just the headline price

Read the Customer Information Sheet and policy wording for waiting periods, exclusions, co-payments, room-rent limits and other sub-limits. Confirm cashless arrangements for the hospitals you would use. These checks follow IRDAI's health insurance guidance.

Write down the questions you want answered before applying: which expenses would you pay yourself, how does the deductible work, and which document confirms each benefit? Keep the written quotation with the terms you compared.

You can explore health insurance with Beema1 and request a conversation. An enquiry does not create cover or guarantee a claim outcome.