Health Cover Gap Calculator

The sum insured you bought a few years ago was sized for prices from a few years ago. Private medical costs in India have been compounding at roughly 12–14% a year — this tool projects what your cover needs to be today to keep up, and shows the gap against what you actually hold.

Step 1

Cost of a major treatment today

Prefilled by city tier — edit freely if you have a better estimate for your family's likely treatment needs.

Step 2

Assumptions

Default 12% reflects 2025–26 industry surveys (Aon, WTW) of private treatment costs — well above official CPI health inflation, which mostly tracks regulated and basic items.

Larger families sharing one sum insured get a planning buffer added below, for the (rare but real) risk of overlapping claims.

Includes parents / senior citizens (60+)?

Step 3

What you have today

Count an employer-provided policy too?

Your Cover Gap

fill in the fields above and hit Calculate

Recommended
Your cover

Recommended cover

₹0

Your current cover

₹0

Treatment cost today

₹0

Family floater buffer

+0%

YearProjected treatment cost

Why your old sum insured quietly stops being enough

Medical inflation runs 3–4× general inflation

Everyday inflation has been sitting around 3–5% in recent years, so a ₹5 lakh cover from a few years ago doesn't feel obviously wrong. But private hospital costs have compounded closer to 12–14% annually — nearly triple the general rate — because they're driven by hospital tariffs, specialist fees, and imported medical technology, not the basket of goods CPI tracks. The gap compounds quietly until a real claim exposes it.

A floater isn't automatically "enough" for a family

A family floater pools one sum insured across everyone on the policy. That's efficient most years, since it's unlikely everyone falls ill together. But it also means one large claim — a surgery, a long ICU stay — can exhaust the whole pool for the rest of the year, leaving other family members effectively uninsured until renewal.

The honest takeaway: the cheapest way to close a cover gap is almost always a super top-up layered on your existing base policy, not a bigger new base policy. Top-ups charge for the layer above a threshold, so the same additional cover typically costs a fraction of what it would to buy that amount as fresh base cover.

Employer cover is a bridge, not a foundation

Group health cover from your employer is valuable, but it usually ends the day you resign, get laid off, or retire — often at the exact life stage when you're hardest to newly insure. Treat it as a supplement on top of a personal policy you control, not a replacement for one.

For education only. This calculator projects the future cost of a single major hospitalisation from the medical inflation rate and horizon you enter, compounded annually, plus a planning buffer for larger families sharing one floater. It does not name or recommend any insurer or product. Treat the output as a planning estimate for a conversation with an advisor, not a guaranteed figure — actual treatment costs and inflation will vary.
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