Health Insurance

Health insurance product overview β€” plans, features, quote generation flow, and coverage details

Health Insurance

Wealthy offers health insurance from 5 insurers with 19+ plans, covering individuals, families, and senior citizens. Customers can compare plans side-by-side and purchase online.

Quote Generation Flow

The health insurance quote journey has three steps:

Step 1: Browse Available Plans

The customer sees all available health insurance plans with:

  • Insurer name and logo
  • Plan name (e.g., Care Supreme, Reassure 3.0 Elite)
  • Claim settlement ratio of the insurer

Plans are filtered based on runtime configuration β€” insurers/plans can be enabled or disabled without any code changes.

Step 2: View Product Details

Before getting quotes, the customer can explore detailed product information for each plan:

  • Highlights β€” Key selling points (e.g., “Unlimited Sum Insured Recharge”, “AYUSH Treatment Coverage”)
  • Features β€” Detailed feature list (cashless hospitals, claim support, cumulative bonus)
  • Quick Comparison β€” Feature checklist (day care, e-consultation, hospitalization at home, health checkup)
  • Exclusions β€” What’s NOT covered (obesity treatment, self-inflicted injuries, substance abuse treatment)
  • Why Choose This Plan β€” Differentiators

Step 3: Get Premium Quotes

The customer provides their details and gets real-time premium quotes:

Input Required:

  • Policy type β€” Individual or Family Floater
  • Family members β€” Who to cover (self, spouse, children, parents, in-laws)
  • Age & gender of each member
  • Sum insured preference β€” Desired coverage amount
  • Policy term β€” 1 to 5 years
  • Pincode β€” For location-based pricing
  • Pre-existing diseases β€” Heart, Diabetes, Others, or None

Two modes of quote generation:

  1. Compare All Plans β€” Fetches premium quotes from ALL active insurers simultaneously. Used for the comparison view where the customer sees all available options.

  2. Detailed Single Plan Quote β€” When the customer selects a specific plan, fetches a detailed quote WITH available riders/add-ons for that plan.


Available Plans

ManipalCigna Health (7 Plans)

Sarvah Series:

  • Sarvah Param β€” Comprehensive coverage
  • Sarvah Uttam β€” Enhanced coverage

ProHealth Series:

  • ProHealth Protect β€” Standard protection plan
  • ProHealth Advantage β€” Mid-tier plan with added benefits
  • ProHealth Active β€” Wellness-focused plan

Lifetime Series:

  • Lifetime India β€” Long-term coverage for India
  • Lifetime Global β€” International coverage

Care Health (3 Plans)

  • Care Supreme β€” Flagship plan with unlimited sum insured recharge, AYUSH treatment, organ donor cover, domiciliary hospitalisation. 24,800+ cashless hospitals.
    • Riders: Air Ambulance, Wellness Benefit, Cumulative Bonus Super, Unlimited Care, Claim Shield, Care OPD, and more
  • Care Senior Super β€” Designed for senior citizens
  • Care Senior Premium β€” Premium senior citizen plan

Niva Bupa Health (7 Plans)

Reassure (Legacy):

  • Reassure Bronze β€” Entry-level plan
  • Reassure Platinum β€” Mid-tier plan
  • Reassure Titanium β€” Top-tier plan

Reassure 3.0 (Latest):

  • Reassure 3.0 Select β€” Entry-level
  • Reassure 3.0 Classic β€” Standard
  • Reassure 3.0 Black β€” Premium
  • Reassure 3.0 Elite β€” Top-tier

HDFC Ergo Health (1 Plan)

  • Optima Secure β€” Comprehensive health plan from HDFC Ergo

ICICI Lombard Health (1 Plan)

  • Elevate β€” ICICI Lombard’s health insurance plan

Policy Types

Type Description Use Case
Individual Separate policy for each member When covering a single person
Family Floater Single policy covering the entire family When covering multiple family members under one sum insured

Covered Family Members

Member Age Range Notes
Self 18–100 years Primary insured
Spouse 18–100 years
Children 0–25 years Multiple children can be added
Father 40–100 years
Mother 40–100 years
Father-in-law 40–100 years
Mother-in-law 40–100 years

Pre-Existing Disease Handling

Customers declare pre-existing conditions during quote generation:

  • Heart conditions
  • Diabetes
  • Others
  • None

This affects premium calculation and may trigger additional waiting periods depending on the insurer’s policy.

Riders & Add-ons (Plan-Specific)

Riders are optional add-on benefits available on specific plans. Common riders include:

Rider Description
Air Ambulance Covers medical expenses for air ambulance services
Wellness Benefit Up to 30% discount on renewal premiums for maintaining healthy lifestyle
Cumulative Bonus Sum insured increases up to 500% over 5 claim-free years
Unlimited Care Full coverage with no limit on any single claim
Claim Shield Covers items used during hospitalization not normally covered
OPD Cover Coverage for outpatient consultations and tests
Instant Cover Waives pre-existing disease waiting period for diabetes, hypertension, asthma
Annual Health Check-up Free preventive health check-up every year
Be-Fit Benefit Unlimited visits to fitness centres for members above 12 years

Rider availability and premium impact varies by insurer and plan. Riders are shown after selecting a specific plan in the detailed quote view.

Plan Comparison

Customers can compare multiple plans side-by-side on:

  • Premium amount
  • Sum insured options
  • Key features coverage (day care, e-consultation, hospitalization at home, health checkup)
  • Claim settlement ratio
  • Available riders
  • Exclusions

Pincode-Based Pricing

Some insurers factor in the customer’s location for premium calculation. The platform supports pincode lookup to determine city and state, which feeds into the quote generation for location-sensitive plans.