The Indian health insurance sector has experienced significant growth in recent years, driven by increasing awareness of health coverage, rising medical costs, and supportive government initiatives. Today there are several companies have distinguished themselves through comprehensive coverage options, robust claim settlement ratios, extensive hospital networks, and innovative services.
Rank | Company Name | Market Share (%) | Claim Settlement Ratio | Hospital Network | Special Features |
1 | Star Health Insurance | 12.18% | 99.21% | 14,000+ | Specialised in health-only plans, strong individual coverage |
2 | ICICI Lombard | 8.67% | 98.53% | 7,500+ | Wide-ranging digital tools, strong brand trust |
3 | Bajaj Allianz | 7.69% | 98.00%+ | 8,000+ | Flexible plans, fast digital claim processing |
4 | Go Digit | 6.00% | 96.83% | 16,400+ | Transparent pricing, digital-first approach |
5 | HDFC ERGO | 6.00% | 98.59% | 13,000+ | AI-driven claims, strong preventive care focus |
6 | Care Health Insurance | 4.00% | 95.00% | 9,400+ | Strong maternity & critical illness benefits |
7 | Niva Bupa | 3.00% | 96.00% | 10,000+ | 24×7 digital health services, global parentage (Bupa) |
8 | Aditya Birla Health Insurance | 2.00% | 99.01% | 11,000+ | Wellness reward programs, chronic care management |
9 | Reliance General Insurance | 2.00% | 100.00% | 8,200+ | 100% claims settled, wide hospital tie-ups |
10 | SBI General Insurance | 2.00% | 96.00% | 6,000+ | Backed by SBI trust, strong rural reach |
Here is an overview of the top 10 leading health insurance companies in India for 2025:
1. Star Health and Allied Insurance
Star Health and Allied Insurance has maintained a strong presence in the Indian health insurance market, holding a market share of approximately 12.18%. The company offers a wide range of health insurance products tailored to individuals, families, and senior citizens. With a network of over 14,000 hospitals, Star Health ensures extensive accessibility for policyholders. The company boasts a high claim settlement ratio of 99.21%, reflecting its commitment to efficient customer service.
2. ICICI Lombard General Insurance
As one of the leading private sector general insurance companies in India, ICICI Lombard holds a market share of 8.67%. The company offers a variety of health insurance plans designed to cater to diverse customer needs. ICICI Lombard has a network of over 7,500 hospitals and a claim settlement ratio of 98.53%, highlighting its reliability in claim processing.
3. Bajaj Allianz General Insurance
Bajaj Allianz is a prominent player in the health insurance sector, with a market share of 7.69%. The company provides a range of health insurance products, including individual, family floater, and critical illness plans. Bajaj Allianz has an extensive network of hospitals and is known for its customer-centric approach and efficient claim settlement processes.
4. Go Digit General Insurance
Go Digit has rapidly gained traction in the health insurance market, capturing a 6% market share. The company emphasizes simplicity and transparency in its products, offering customizable health insurance plans. With a network of over 16,400 hospitals and a claim settlement ratio of 96.83%, Go Digit ensures accessible and reliable services for its policyholders.
5. HDFC ERGO General Insurance
HDFC ERGO holds a 6% market share in the health insurance sector. The company offers a comprehensive suite of health insurance products, including individual and family floater plans. HDFC ERGO has a network of over 13,000 hospitals and a claim settlement ratio of 98.59%. The company leverages technology, such as AI-based chatbots and robotics process automation, to enhance customer experience and streamline operations.
6. Care Health Insurance
Formerly known as Religare Health Insurance, Care Health holds a 4% market share. The company offers a variety of health insurance plans, including coverage for critical illnesses and maternity benefits. With a network of over 9,400 hospitals and a claim settlement ratio of 95%, Care Health is recognized for its customer-focused services.
7. Niva Bupa Health Insurance
Niva Bupa, previously known as Max Bupa, has a market share of 3%. The company provides a range of health insurance products designed for individuals, families, and senior citizens. Niva Bupa has a network of over 10,000 hospitals and a claim settlement ratio of 96%, emphasizing its commitment to customer satisfaction.
8. Aditya Birla Health Insurance
Aditya Birla Health Insurance holds a 2% market share in the health insurance sector. The company offers innovative health insurance plans that focus on wellness and preventive healthcare. With a network of over 11,000 hospitals and a claim settlement ratio of 99.01%, Aditya Birla Health emphasizes holistic health management for its policyholders.
9. Reliance General Insurance
Reliance General Insurance, a subsidiary of Reliance Capital, has a market share of 2%. The company offers a diverse portfolio of health insurance products, including individual and family floater plans. Reliance General has a network of over 8,200 hospitals and a claim settlement ratio of 100%, reflecting its dedication to efficient claim processing.
10. SBI General Insurance
SBI General Insurance holds a 2% market share in the health insurance sector. The company offers a variety of health insurance products tailored to meet the needs of individuals and families. SBI General has a widespread network of hospitals and is known for its customer-centric approach and reliable claim settlement processes.
Market Trends and Outlook
The health insurance industry in India is poised for continued growth, with Standalone Health Insurance Companies (SAHIs) projected to grow at a compound annual growth rate (CAGR) of 20-22% over the next two years, outpacing the overall health insurance sector’s expected growth of 17-18%. This growth is driven by increased awareness, rising healthcare costs, and supportive regulatory initiatives. However, challenges such as maintaining policy volume growth and addressing rising competition from multi-line insurers remain.
In conclusion, the health insurance landscape in India is characterized by a mix of established players and emerging companies, each contributing to the sector’s dynamic growth. As the market evolves, these companies continue to innovate and expand their offerings to meet the diverse healthcare needs of the Indian population.