1 Crore Health Insurance

₹10 lakh cover @₹409/Month for 64 Critical Illnesses^@>

1 crore health insurance is ideal for high-net-worth individuals or individuals seeking coverage for their family under one plan. It can provide top-quality cashless coverage at network hospitals. If you and your family are at risk of contracting a critical illness, this plan can offer extensive coverage. Coverage for pre-existing diseases can be offered, subject to a waiting period. show less ...Read More

64 Critical

Illnesses Covered^@>

Tax Savings

upto ₹54,600^~#

3 Hours

Claims Promise^{^*}

99.70%

Death Claims Paid Ratio^{^}

₹10 lakh cover @₹409/Month for 64 Critical Illnesses^@>

Axis Max Life Term Insurance Plans

₹10 Lakh Cover @₹409/m

64 Critical Illnesses ^@>

Starts @ ₹578^@7/Month

₹1 Crore Term Plan

Starts @ ₹876^@8/Month

₹2 Crore Term Plan

Special Exit Value^~1 Benefit

~~18% GST~~ 0% GST

Trust of 20+ Years in Industry

Written byLakshey Bahl

Insurance Writer

Published 2nd February 2026

Reviewed byVaibhav Kumar

Last Modified 2nd February 2026

Insurance Domain Expert

Introduction

Health insurance is a crucial requirement today for individuals from all age groups due to rising medical costs. As per records, medical inflation is rising at a rate of 10-15% per year. This is making healthcare expenses unbearable, especially for low-income families.

Health insurance bears the expenses incurred for your or your family member’s treatment. A 1 crore health insurance policy with an all-inclusive health coverage could be sufficient, given the increasing medical costs.

What is 1 Crore Health Insurance?

1 crore health insurance, as the name suggests, is a health insurance policy with a sum insured of ₹1 crore. This policy can be specifically designed for high-income individuals who have dependent family members. For elderly parents, this policy can feature hassle-free treatment at top-rated hospitals.

Benefits of 1 Crore Health Insurance

Apart from hassle-free cashless treatment at network hospitals, here are some of the major benefits of a 1 crore health insurance policy:

1. Offers Comprehensive Coverage for Medical Expenses

Health insurance policies with higher sum insured coverage, such as 1 crore, ensure medical treatment without depleting your savings. You can get all-inclusive coverage for rising medical bills for all your family members.

2. Financial Assistance Against Critical Illnesses

Critical illnesses like cancer, heart issues, and chronic liver issues are increasing day by day. The treatment of such a disease can be financially exhausting. With 1 crore health insurance coverage, you get financial protection against the expenses incurred for the treatment of the following critical illnesses:

Angioplasty
Cardiomyopathy
Open Chest CABG
First Heart Attack
Cancer
Kidney Failure
Cardiovascular Issues
Stroke
Surgery on the Aorta
Blindness
Bone Marrow Transplants, etc.

3. Helps Save Tax

Buying a 1 crore health insurance plan also allows you to save on your annual income tax under Section 80D (old tax regime). The following table explains the tax benefits that an individual taxpayer can avail under different scenarios with respect to coverage.

Who can Avail Tax Benefit?	Who all can be Covered?	Annual Tax Benefit
Individuals aged less than 60 years	Self, spouse and dependent children	₹ 25,000
Individuals aged less than 60 years	Self, spouse, dependent children, dependent parents aged < 60 years	₹ 50,000
Individuals aged less than 60 years	Self, spouse, dependent children aged < 60 years. Dependent parents aged > 60 years	₹ 75,000
Individuals aged over 60 years	Self, spouse and dependent children	₹ 50,000
Individuals aged over 60 years	Self, spouse, dependent children, dependent parents aged > 60 years	₹1 lakh

Note: An individual can avail tax benefit under section 80D based on the actual amount paid as premium for the critical illness policy.

4. Purchase Early at Low Premiums

The younger you are, the lower can be you annual health insurance premium. This is particularly true because you are less likely to fall sick and thus raise a health claim. As you grow old, you tend to contact frequent health issues that may require hospitalisation. Now, if you do not have an adequate health insurance plan in place, a medical emergency may cause you to lose your savings.

Thus, purchase a health plan at an affordable price while your are young.

5. Pre and Post-hospitalisation Cost

Health insurance plans often cover both pre- and post-hospitalisation medical bills, to a certain limit, though, provided these expenses are related to the cause of hospitalisation. However, the coverage may be subject to various terms and conditions, associted with your health plan.

Check your policy documents to know the details of the applicable inclusions and exclusions. If you are purchasing a new health plan, look for one that covers these expenses.

6. Maternity-related Expenses

Health insurance policies generally do not offer maternity cover in the base coverage. However, this coverage can be availed as an add-on for additional premium to cover the cost associated with childbirth, including hospital visits and natural or cesarean delivery.

Expectant parents, therefore, can focus on both mother and child’s health rather than the cost of the procedure.

Reasons to Buy 1 Crore Health Insurance

Here are some of the reasons why you should buy health insurance for 1 crore:

1. Rising Medical Inflation

Medical expenses are soaring, with a 10% to 15% rise in treatment costs every year, which can burn a hole in your pocket. A 1 crore health insurance plan provides extensive coverage for all medical expenses.

2. High Cost of Advanced Treatments

Advancements in medical technology have significantly improved treatment procedures. This has led to the discovery of treatments for various incurable diseases. However, these advancements come at a price that can be burdensome without having health insurance with adequate coverage. 1 crore health insurance provides high coverage, so you can afford the best treatments without any financial strain.

3. Financial Security During Medical Emergencies

Medical expenses in metropolitan cities, including hospital bills, ICU charges, and other procedures, often go above ₹20-30 lakhs. With its substantial coverage amount, a 1 crore health insurance policy can reduce the burden of your unforeseen healthcare expenses.

4. Family Floater Policy Benefits

By paying a single 1 crore health insurance premium, you can get medical coverage for your spouse, children, and parents. This high coverage enables you to make multiple claims within a policy year for all covered members.

What is Covered in a 1 Crore Mediclaim Policy?

Here are the inclusions of a 1 crore health insurance:

1. Hospitalisation Expenses

A 1-crore health insurance plan covers medical expenses arising out of hospitalisation due to a covered disease/ailnment or an accidental event. Most health insurance plans also cover planned hospitalisation at a network hospital for the treatment of an existing covered medical condition up the the limit of the sum insured.

2. Surgical and Diagnostic Expenses

Health insurance plans often feature annual medical tests at their network hospitals to diagnose a recently contracted disease at an early stage. Here, the aim is the early diagnosis of a conditions so that insured individuals can avail the necessary treatment in time.

3. Ambulance and Emergency Medical Transportation

A 1-crore health plan covers emergency medical transportation if deemed necessary by a medical practitioner for the effective treatment of a serious condition. However, these costs often have a limit corresponding to the sum insured, and you have to pay the remaining amount out of your own pocket.

4. Pre-existing Disease Coverage

With a 1 crore health insurance policy, you can get coverage for pre-existing diseases. However, the coverage can be availed after a pre-disclosed waiting period.

5. Pre and Post-hospitalisation Expenses

Health insurance plans generally cover pre- and post-hospitalisation medical expenses for up to 30 and 60 days, respectively. Expenses like medicine, post-procedure consultation at a network hospitals, etc. incurred must be related to the cause of planned or recent hospitalisation.

6. Maternity Benefits

A 1-crore health insurance plan with a maternity benefit add-on helps a family by reducing the financial burden of pregnancy-related medical expenses.

7. Cost of Organ Transplant

In India, most comprehensive health insurance plans cover organ transplant expense and related expenses, such as hospitalisation, surgery, and often the donor’s cost. Sometimes, the policy applies a waiting period of up to 24 months to pre-existing conditions. Therefore, if you have such a condition, you must have a policy that covers it.

8. Outpatient Department (OPD) Treatment

This policy also covers OPD treatment costs that include diagnostic tests, consultation fees, and minor treatments. With this coverage, you can avoid out-of-pocket expenses for routine doctor visits and health check-ups.

9. Day-care Procedures

Medical procedures like minor surgeries or diagnostic interventions that require hospitalisation for less than 24 hours are considered day-care procedures. 1 crore health insurance covers the expenses of day-care procedures. This reduces the need for extended hospital stays to be eligible for insurance claims.

10. Alternative Treatments Coverage

Some insurers even cover the treatment expenses of alternative therapies such as Ayurveda and homeopathy. This inclusion supports traditional treatment preferences along with modern medicine for overall health management.

What is not Covered in 1 Crore Mediclaim Policy?

Here are the exclusions of a 1 crore health insurance policy:

The list of exclusions for a 1 crore health insurance policy will tend to vary across insurers. However, some common ones are:

Treatment in unrecognised hospitals
Genetic disorders
HIV/AIDS treatment
Hospitalisation due to adventure or hazardous sports
Treatment for alcohol or drug use
Self-inflicted injuries
Plastic surgery (for cosmetic reasons)

1. Pre-Existing Medical Conditions

Medical insurance does not cover any health issues that you already have while purchasing the policy. Some health insurance companies offer coverage for pre-existing medical conditions after a 2- to 4-year waiting period, depending on the disease.

2. Pregnancy and Childbirth

Maternity-related medical conditions are typically excluded by regular health insurance unless you choose it as an additional benefit. These conditions can be childbirth, complications arising from pregnancy, miscarriages, and termination of pregnancy.

3. Dental Treatments

Standard health insurance policies exclude dental treatments, as they do not involve hospitalisation. However, dental procedures are covered only if they are needed after an accidental injury.

4. Diagnostic Tests

Diagnostic tests are usually not covered by insurance unless they are part of an approved hospitalisation. These tests can be blood tests, CT scans, and X-rays. Additionally, items such as spectacles, contact lenses, and hearing aids are excluded.

5. Cosmetic Procedures

Cosmetic procedures are considered a luxury rather than an essential medical condition. Therefore, health insurance companies do not cover them, as they are a personal choice rather than a health necessity.

Who Needs a 1 Crore Health Insurance Policy?

A 1 crore health insurance policy is ideal for the following categories:

Individuals Living in Metro Cities

Healthcare expenses in metro cities are rising rapidly owing to advances in treatment procedures and medical inflation. When compared with health insurance coverage of ₹5 lakhs or ₹10 lakhs, a 1 crore health insurance premium is not even thrice their annual premium.

High Net-worth Individuals

High-net-worth individuals incur higher medical expenses because they receive treatment from top facilities. They visit hospitals that adopt advanced treatment procedures and techniques. This makes a 1 crore health insurance plan ideal for them.

Individuals Looking for a Comprehensive Family Floater Plan

A 1 crore health insurance plan can cover your entire family, including your spouse, children, and parents. For a family including multiple members having lifestyle diseases like diabetes, heart disease, and obesity, a ₹1 crore health insurance policy is recommended.

How to Choose the Best 1 Crore Health Insurance Plan in 2026?

To choose a 1 crore health insurance plan, you must adhere to the following guidelines:

Assess Your Health Needs

Consider your family’s medical history, pre-existing diseases, lifestyle factors, etc. Check if the health insurance plan covers critical illnesses that can break your bank. If you are planning a new family member, seek coverage for maternity-related costs.

Higher Sum Insured

While choosing health insurance plans for 2025-2026 or beyond, you should opt for higher insurance coverage (1 crore). This ensures that you have enough coverage for all your healthcare needs.

Coverage Options and Riders

Before choosing a 1 crore health insurance plan, check what all it covers. Some of the crucial inclusions are pre- and post-hospitalisation costs, ambulance cover, OPD care, cashless treatment, preventive health check-ups, etc.

Consider add-ons like maternity cover, critical illness riders, etc., which match your lifestyle and medical needs.

Claim Settlement Ratio (CSR)

It is advisable to choose an insurer with a higher claim settlement ratio (CSR). This indicates that the company settles maximum claims. You should also check the claim assessment procedure of the insurance provider you are zeroing in on. Online claims acceptance is advisable. This helps you ensure that they offer digital claim facilities to maintain a seamless and cashless process.

How to Buy a 1 Crore Health Insurance Plan Online?

Though the procedure may vary from one insurer to another, here is a basic guide to buy a 1 crore health insurance plan online:

Login
Login to your preferred health insurance provider’s website.
Select 1 Crore Health Insurance
Select the 1 crore health insurance plan & check your insurance premium.
Provide Necessary Details
Add your details like name, age, health condition, etc., as asked by the provider.
Pay Premium & Submit Application
Make health insurance premium payment to submit the application successfully.

Documents Required for 1 Crore Mediclaim Policy

Individuals buying a 1 crore health insurance policy need to produce the following documents:

Identity Proof (Aadhaar Card, Voter Card, Passport, etc.)
Address Proof
Age Proof (Birth Certificate)
Passport-Size Photo
Medical Reports

Depending on your insurance provider, this list may vary.

Eligibility Criteria for 1 Crore Health Insurance Plan

To buy a 1 crore health insurance policy, you need to fulfil some eligibility requirements:

Entry Age

The entry age for a health insurance policy with healthcare benefits and coverage is 18 years for adults.

Pre-Existing Conditions

Before buying the 1 crore health insurance policy, if you have been diagnosed with any ailments, they are considered pre-existing conditions. In such cases, you can get coverage for these conditions under your health insurance plan, but after a specific waiting period.

Additionally, pre-existing conditions may increase the policy premium to cover the additional risk.

Factors Affecting 1 Crore Health Insurance Premium

The premium of your 1 crore health insurance policy may vary depending on the following factors:

Age

After a certain age, you may acquire some age-related health conditions that require medical supervision. These expenses add up to your health insurance plan, increasing the premium.

Gender Impact

The gender of an individual also influences the insurance premium. As men have shorter life spans than women, the premiums for men are lower than those for women. This is because women need health insurance coverage for longer periods.

Smoking Habits

Smokers have an increased risk of respiratory diseases, lung cancer, cardiac issues, etc. Health insurance providers consider such individuals as high-risk profiles. They are likely to make more insurance claims and therefore pay higher insurance premiums.

Drinking Habits

Similar to smoking habits, individuals with excessive drinking habits are also prone to diseases like high blood pressure, liver issues, etc. Such individuals need to pay higher premiums to balance out the higher risk to the insurer.

Family Medical History

In some families, specific diseases are passed down to new generations, increasing the risk of health problems. Such a medical history can lead to increased health insurance premiums, considering the high risk of certain diseases.

Occupation

Some individuals are exposed to challenging or stressful working environments. Therefore, they may often develop health risks leading to certain diseases or illnesses. This also increases your health insurance premium due to higher health risks.

How to Make a Claim Against a 1 Crore Health Insurance Policy?

There are two types of health insurance claims: cashless and reimbursement. Here is an overview of both:

Cashless Claims

In this case, you don’t need to incur any out-of-pocket expenses to avail the treatment. You need to submit your Aadhaar card and health insurance card/policy number to the TPA at a network hospital. TPA, along with hospital authorities, will help you make a direct claim to your insurance provider. Your insurer will settle the claim by paying the medical bills directly to the network hospital.

Reimbursement

Here, you need to pay the medical bills upfront. Such cases generally involve treatment taken at a non-network hospital. After discharge, you need to submit all treatment-related documents and payment slips to the insurance provider. These are in addition to your policy documents and ID proof. You will receive the reimbursement amount in your bank account after certain deductions.

You can make both these claims online via the insurance provider’s portal.

Conclusion

1 crore health insurance is crucial to avail comprehensive medical coverage for you and your family. The sum insured of 1 Cr may seem high, but the monthly premium is not so high compared to individual health plans for each family member.

With this policy, you can get maximum coverage for a wide range of illnesses, pre- and post-hospitalisation costs, critical illnesses, and more. Considering the rising medical inflation, this policy provides crucial medical coverage for all your healthcare needs.

FAQs

What is the GST on 1 Crore health insurance?

From September 2025, GST on a 1 crore health insurance policy is zero, which used to be 18% previously. So, you don’t need to pay any GST on health insurance.

Should I buy a 1 Crore health insurance policy?

You can buy a health insurance policy of 1 crore, depending on your needs. If you need extensive coverage for the whole family with special requirements for critical illnesses, maternity benefits, etc., you should buy this plan.

Are pre-existing conditions covered in a 1 Crore health insurance plan?

Yes, 1 crore health insurance covers pre-existing conditions, but there is generally a waiting period. This duration tends to vary across insurers.

What is the cost of 1 Crore health insurance?

The premium for a 1 crore health insurance plan starts from approximately ₹2000-3000 per month. However, the cost may differ based on the insurance provider you choose.

Is 1 Crore health insurance good?

1 crore in health insurance is ideal for those who need comprehensive coverage and access to top-quality medical treatment. It is good for high-net-worth individuals, those living in metro cities, and those having one or more critical illnesses in the family.

ARN: Jan26/Bg/05SN

Sources:

https://economictimes.indiatimes.com/wealth/insure/health-insurance/do-you-really-need-family-health-insurance-of-rs-1-crore/articleshow/74707256.cms

https://www.moneycontrol.com/news/business/personal-finance/how-to-afford-a-rs-1-crore-health-insurance-plan-without-breaking-the-bank-13174235.html

https://economictimes.indiatimes.com/wealth/insure/do-you-need-rs-1-crore-health-cover/articleshow/57578681.cms

https://www.financialexpress.com/money/do-you-need-a-health-insurance-cover-of-rs-1-crore-684665/

https://www.zeebiz.com/personal-finance/news-health-insurance-why-going-for-a-high-insurance-sum-medical-cover-policy-may-not-be-a-bad-option-star-health-policybazaar-bajaj-allianz-digit-general-shriram-general-manipal-cigna-medical-insurance-262681

https://www.livemint.com/money/personal-finance/health-insurance-do-you-really-need-rs-1-crore-cover-151675858366624.html

https://nicportal.nic.co.in/nicportal/home/pmain/mcquote

https://economictimes.indiatimes.com/wealth/insure/health-insurance/how-to-make-a-health-insurance-claim-all-you-need-to-know/articleshow/87754856.cms

https://economictimes.indiatimes.com/wealth/insure/gst-on-health-and-life-insurance-premiums-reduced-to-zero-see-how-it-will-impact-your-policy-costs/articleshow/123682131.cms

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Age of Male Applicant	Premium Amount for Rs. 75 lakh Term Plan		Premium Amount for Rs. 1 crore Term Plan		Premium Amount for Rs. 1.5 crore Term Plan		Premium Amount for Rs. 2 crore Term Plan
Age of Male Applicant	Smoker	Non-Smoker	Smoker	Non-Smoker	Smoker	Non-Smoker	Smoker	Non-Smoker
18 Years (PPT: 67 years)	1,675/Month Total Premium: 12.75 lakh	930/Month Total Premium: 7.08 lakh	1,674/Month Total Premium: 12.74 lakh	930/Month Total Premium: 7.08 lakh	2,511/Month Total Premium: 19.11 lakh	1,395/Month Total Premium: 10.62 lakh	3,069/Month Total Premium: 23.36 lakh	1,705/Month Total Premium: 12.98 lakh
25 Years (PPT: 60 years)	2,213/Month Total Premium: 15.09 lakh	1,229/Month Total Premium: 8.38 lakh	2,292/Month Total Premium: 15.62 lakh	1,273/Month Total Premium: 8.68 lakh	3,438/Month Total Premium: 23.44 lakh	1,910/Month Total Premium: 13.02 lakh	4,138/Month Total Premium: 28.21 lakh	2,299/Month Total Premium: 15.67 lakh
35 Years (PPT: 50 years)	3,528/Month Total Premium: 20.35 lakh	1,990/Month Total Premium: 11.31 lakh	4,007/Month Total Premium: 22.77 lakh	2,226/Month Total Premium: 12.65 lakh	6,011/Month Total Premium: 34.15 lakh	3,339/Month Total Premium: 18.97 lakh	6,821/Month Total Premium: 38.76 lakh	3,790/Month Total Premium: 21.12 lakh
45 Years (PPT: 40 years)	6,722/Month Total Premium: 30.56 lakh	3,734/Month Total Premium: 16.97 lakh	7,395/Month Total Premium: 33.61 lakh	4,108/Month Total Premium: 18.67 lakh	11,093/Month Total Premium: 50.42 lakh	6,163/Month Total Premium: 28.25 lakh	14,390/Month Total Premium: 65.41 lakh	7,994/Month Total Premium: 36.34 lakh
55 Years (PPT: 30 years)	13,121/Month Total Premium: 44.73 lakh	7,289/Month Total Premium: 24.85 lakh	15,303/Month Total Premium: 52.17 lakh	8,502/Month Total Premium: 28.98 lakh	22,955/Month Total Premium: 78.25 lakh	12,753/Month Total Premium: 43.47 lakh	30,006/Month Total Premium: 102.29 lakh	16,670/Month Total Premium: 56.83 lakh
60 Years (PPT: 25 years)	18,963/Month Total Premium: 53.87 lakh	10,535/Month Total Premium: 29.93 lakh	22,272/Month Total Premium: 63.27 lakh	12,373/Month Total Premium: 35.15 lakh	33,408/Month Total Premium: 94.91 lakh	18,560/Month Total Premium: 52.73 lakh	43,123/Month Total Premium: 122.51 lakh	23,957/Month Total Premium: 68.06 lakh

Age of Female Applicant	Premium Amount for Rs. 75 lakh Term Plan		Premium Amount for Rs. 1 crore Term Plan		Premium Amount for Rs. 1.5 crore Term Plan		Premium Amount for Rs. 2 crore Term Plan
Age of Female Applicant	Smoker	Non-Smoker	Smoker	Non-Smoker	Smoker	Non-Smoker	Smoker	Non-Smoker
18 Years (PPT: 67 years)	1,675/Month Total Premium payable: 12.75 lakh	930/Month Total Premium payable: 7.08 lakh	1,674/Month Total Premium payable: 12.74 lakh	930/Month Total Premium payable: 7.08 lakh	2,511/Month Total Premium payable: 19.11 lakh	1,395/Month Total Premium payable: 10.62 lakh	3,069/Month Total Premium payable: 23.36 lakh	1,705/Month Total Premium payable: 12.98 lakh
25 Years (PPT: 60 years)	1,922/Month Total Premium payable: 13.10 lakh	1,068/Month Total Premium payable: 7.28 lakh	1,946/Month Total Premium payable: 13.27 lakh	1,081/Month Total Premium payable: 7.37 lakh	2,919/Month Total Premium payable: 19.90 lakh	1,621/Month Total Premium payable: 11.05 lakh	3,410/Month Total Premium payable: 23.25 lakh	1,894/Month Total Premium payable: 12.91 lakh
35 Years (PPT: 50 years)	2,946/Month Total Premium payable: 16.74 lakh	1,637/Month Total Premium payable: 9.30 lakh	3,240/Month Total Premium payable: 18.41 lakh	1,800/Month Total Premium payable: 10.23 lakh	4,860/Month Total Premium payable: 27.61 lakh	2,700/Month Total Premium payable: 15.34 lakh	5,507/Month Total Premium payable: 31.29 lakh	3,059/Month Total Premium payable: 17.38 lakh
45 Years (PPT: 40 years)	5,396/Month Total Premium payable: 24.53 lakh	2,998/Month Total Premium payable: 13.63 lakh	5,645/Month Total Premium payable: 25.66 lakh	3,136/Month Total Premium payable: 14.25 lakh	8,468/Month Total Premium payable: 38.49 lakh	4,704/Month Total Premium payable: 21.38 lakh	10,893/Month Total Premium payable: 49.51 lakh	6,051/Month Total Premium payable: 27.51 lakh
55 Years (PPT: 30 years)	10,000/Month Total Premium payable: 34.09 lakh	5,555/Month Total Premium payable: 18.94 lakh	11,269/Month Total Premium payable: 38.42 lakh	6,261/Month Total Premium payable: 21.34 lakh	16,904/Month Total Premium payable: 57.63 lakh	9,391/Month Total Premium payable: 32.01 lakh	22,227/Month Total Premium payable: 75.77 lakh	12,348/Month Total Premium payable: 42.10 lakh
60 Years (PPT: 25 years)	14,195/Month Total Premium payable: 40.33 lakh	7,886/Month Total Premium payable: 22.40 lakh	16,538/Month Total Premium payable: 46.98 lakh	9,188/Month Total Premium payable: 26.10 lakh	24,808/Month Total Premium payable: 70.48 lakh	13,782/Month Total Premium payable: 39.15 lakh	32,049/Month Total Premium payable: 91.05 lakh	17,805/Month Total Premium payable: 50.58 lakh