Health Insurance Sum Insured Calculator
Estimate an adequate health insurance cover based on family age profiles and your preferred hospital room rent tier.
1 Family Members
Enter the current age of each family member to be insured. By default, parents and two children are included.
Age risk multiplier applied: Age 40–49: 1.25×, Age 50–59: 1.5×, Age 60+: 2.0×; Below age 40: 1.0×.
2 Preferred Hospital Room Rent
Enter the expected single private room rent per day (excluding ICU charges).
Benchmark Room Rent by City Tier
3 Choose Policy Structure
Recommended Insurance Cover Target
₹ 10,00,000
Family Floater – Shared Total Cover for the Entire Family
This is a financial planning estimate, not an insurance premium quote or policy underwriting offer.
Minimum benchmark floor for family floater coverage is ₹10 Lakh.
Member-by-Member Cover Benchmark
Recommended standalone target if each member were insured under individual policies.
| Member | Age Factor | Individual Target |
|---|
Key Checks Before Buying a Policy
Always verify whether the policy has a room rent capping or sub-limit, which can trigger severe proportional deductions across your entire medical bill. Check co-pay clauses, disease waiting periods, pre-existing condition exclusions, and cashless network hospitals.
If you have senior citizen parents (age 60+), consider purchasing a separate individual or dedicated senior citizen policy for them rather than grouping them in your young family floater to prevent premium spikes and claim pool exhaustion.
How is this estimate calculated?
Base Medical Treatment Cost = Selected single private room rent × 10 days × 5. Age risk multipliers: Below age 40: 1.0×, Age 40–49: 1.25×, Age 50–59: 1.5×, Age 60+: 2.0×.
Individual Policy Breakdown
For a Family Floater, the formula applies the age multiplier of the oldest family member, plus a 20% family expansion adjustment for each member beyond the first. A prudent minimum floor of ₹10 Lakh is enforced. For Individual policies, each member receives an independent baseline with a ₹5 Lakh minimum floor.
These calculations are rule-of-thumb planning guidelines. Actual hospitalization bills depend on ailment severity, hospital accreditation, surgical intervention, city, and policy deductibles. Existing corporate group coverage is not deducted here; verify personal top-up / super top-up policies separately.
- Calculated to ensure total coverage comfortably exceeds private hospital room rent limits and prevents proportional deduction penalties.
- Medical inflation is assumed at a sustained high rate of 10%–14% per annum.
- Benchmarks are modeled around multi-specialty private hospital treatments across metropolitan and urban healthcare centers.