Health Insurance Portability: Switch Insurers Hassle-Free

Knowing how to port health insurance can help you change your insurance provider. You purchase health insurance by trusting the insurer to minimise your financial burden and ensure safety if something happens to you. Much later, you might learn that the insurer you have trusted isn't making it any easier to claim your insurance; they do not cover all medical expenses and keep increasing the premium to make the plan unaffordable. On top of that, if you switch to a new policy, you might lose all the accumulated benefits and be forced to start over with a waiting period. Health insurance portability allows you to change your insurance provider and retain the existing policy benefits. Read on to learn how to port health insurance.

Knowing how to port health insurance can help you change your insurance provider. You purchase health insurance by trusting the insurer to minimise your financial burden and ensure safety if something happens to you. Much later,...
Knowing how to port health insurance can help you change your insurance provider....
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What is Health Insurance Portability?

Health Insurance Portability in India lets you switch from one health insurance provider to another without losing your accumulated benefits. It's helpful to keep your health coverage flexible and suit your changing needs.

Let's say you're not happy with your current health insurance provider, or maybe you found a better plan elsewhere. Health Insurance Portability allows you to make that switch without any hitches.

You can apply for portability at least 45 days before your current policy expires. The new insurer will go through your application and offer a similar or better plan. Plus, your waiting period, pre-existing disease cover, and other benefits from your old policy will be carried forward. It's like moving to a new school but still having your best friends with you! Health insurance portability ensures your health coverage journey remains smooth and uninterrupted.

So, if you're looking for a change or better health insurance benefits, health insurance portability might just be your go-to option!

What Are The Common Reasons For Portability Of Health Insurance?

The portability of health insurance in India refers to the ability of policyholders to switch from one insurance company to another while retaining certain benefits like waiting period credit and no-claim bonus. Let's dive into the common reasons why people choose to switch their health insurance in India.

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Better Coverage and Benefits

People often seek health insurance policies that offer more comprehensive coverage, additional benefits, or specific treatments that their current policy may not provide. Switching to a new plan that meets their evolving needs is a common reason for portability.

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Cost-Effectiveness

A major factor in the decision to switch is cost. Individuals may find another insurer offering similar or better coverage at a more affordable premium. Saving on premiums while maintaining adequate coverage is a smart financial move.

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Customer Service

Sometimes, policyholders may be dissatisfied with the customer service of their current insurance provider. They might experience delays in claim settlement, lack of responsiveness, or other service-related issues. Opting for a new insurer with a better customer service track record is a reason for portability.

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Network Hospitals

The availability and proximity of network hospitals can influence a person's choice. Suppose they move to an area with limited or no network hospitals of their current insurer. In that case, they might consider switching to a provider with a more extensive network in that region.

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Relocation or Change in Circumstances

Changes in residency or employment often prompt a change in health insurance. Suppose someone relocates to a different city or state where their current insurer has limited coverage. In that case, they might port their policy to a company with a broader network in their new location.

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Age and Health Conditions

As people age or their health conditions change, they may seek policies that cater better to their current health needs. Some insurance providers may offer better terms for specific age groups or health situations.

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Policy Flexibility and Customization

Insurance needs vary from person to person. Some individuals might want more flexibility in choosing add-ons or riders that suit their lifestyle or health requirements. Switching to a plan that allows customisation is a valid reason for portability.

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Enhanced Sum Insured

Over time, individuals might realise the need for a higher sum insured due to increased medical costs or changing life circumstances like starting a family. Portability allows switching to a policy with a higher sum insured to ensure adequate coverage.

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Policy Exclusions and Waiting Periods

Some policies have specific exclusions or waiting periods for certain conditions. Individuals might opt for portability to escape these waiting periods or exclusions for pre-existing conditions in a new policy.

Understanding these reasons can guide individuals in making informed decisions when considering porting their health insurance policy in India.

Benefits Health Insurance Portability

Portability in health insurance is all about making your health insurance experience better, flexible, and more in line with what you need. It's like being able to tailor your healthcare plan to fit you just right! Here are the key benefits:

Freedom to Choose

Transferring your health insurance policy to another company allows you to switch from one insurance provider to another without losing out on your waiting period benefits.

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Tailored Coverage

Maybe you've moved to a new city, or your family has grown. With portability, you can choose a plan that fits your current lifestyle and health needs.

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Continuity of Benefits

Are you worried about losing your health coverage benefits? Fear not! When you port your insurance, you carry forward the waiting period benefits and other features from your previous policy.

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Better Services

If you're unhappy with the services or coverage offered by your current insurer, portability allows you to switch to a provider that treats you better.

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Competitive Premiums

Insurance providers want your business, offering competitive premiums to attract you. Portability allows you to take advantage of these offerings and save some money.

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How to Port Health Insurance Policy?

Porting your health insurance policy in India allows you to transfer your old coverage from one insurer to another without losing your accumulated benefits. This makes such a helpful transfer, especially when you are discontent with a provider or find a better plan that suits your needs. Here is a simple guide to help you navigate the porting process:

You should look for different health insurance providers. Choose a plan that offers all the benefits you need within budget and is efficient according to your coverage requirements.
 

Analyse their features, coverage, initial and terms of existing plans, and compare them with new plans. The new policy should provide benefits equal to or greater than the old one.

Check the waiting period of the new policy. Choose a plan in which the waiting period is the same or less than your current policy.

Instruct your current insurer that you will be porting your policy at least 45 days before your renewal date

Request a portability form from the current insurer because it will hold all the relevant data required for the transmission process and make the transfer easier.

Fill the application with all accurate information that is updated and double-check all the details so no delay or mistake could occur.

Submit the completed form to the new insurer along with the KYC document and copy of the existing policy so that it can begin the porting process.

The new insurer will consider your application and will get back to you within 15 days as to whether they agree with the portability of your policy.

If your application is accepted, the new insurer will issue you a policy. Carefully review the terms and conditions of your new coverage before finalising.

Once satisfied with the new policy, inform your old insurer to cancel your existing policy. Make sure to check that there’s no overlap or gaps in coverage.

What are the Documents Required For Porting a Health Insurance Policy?

Porting your health insurance policy to a new insurer is like giving your policy a new home while keeping your benefits intact. It's a smart move, but there's a little paperwork involved. Here are the documents you might need:

Policy Portability Form

Start by filling out a 'Portability Form' provided by your current insurer. This form declares your intention to port your policy.

Proposal Form for New Policy

You'll also need to fill out a proposal form for the new insurance company. This form helps them understand your health history and requirements.

Current Health Insurance Policy Documents

Collect all documents related to your current policy, including your policy certificate, terms, and conditions.

Claim History

Request a claim history statement from your existing insurer. It shows your claim records, which is essential for the new insurer to assess your risk profile.

KYC Documents

Provide Know Your Customer (KYC) documents like an Aadhar card, PAN card, passport, or driver's license for identification and address proof.

Age Proof

Include a document verifying your age, like a birth certificate, Aadhar card, or school leaving certificate.

Medical Reports

Submit medical reports if required by the new insurer for underwriting purposes.

Proposal Acceptance Letter

Once the new insurer accepts your proposal, they'll provide a proposal acceptance letter.

Premium Payment

Pay the premium for the new policy based on the offered terms.

Make sure you double-check with your new insurer regarding any specific documents they may require. After this, your new insurer will guide you through the rest of the process.

Health Insurance Portability Rules

Health insurance portability is designed to give you more freedom and better options. Here are the general rules that apply to health insurance portability in India:

Policy Continuation

You can shift to a new health insurance provider at the time of policy renewal while keeping the benefits and waiting period served from your old policy. 

No Loss of Benefits

You won't lose out on any no-claim bonus or waiting period benefits accumulated with your previous insurer. It's a win-win situation!

Timing Matters

Porting of health insurance is possible at least 45 days before your current policy expires. This gives the new insurer and the old one enough time to sort things out.

Similar Sum Insured

The sum insured with the new insurer should be equal to or more than the sum insured with the previous insurer. You don't want to downsize your health coverage!


 

No Extra Waiting Periods

The new insurer can't impose additional waiting periods for pre-existing diseases beyond what you've already served with the previous insurer.

Continuous Coverage 

Ensure that there's no break in your health insurance coverage. A break could mean losing out on benefits and continuity.

Documentation is Key

Keep all your documents handy, including the portability form, previous policy details, and health records. It will make the process smoother.

Insurer's Decision

The new insurer has the right to accept or reject (with a valid reason) your health insurance transfer

Disadvantages of Health Insurance Portability

While health insurance portability makes it easy to switch your insurance provider, you must decide after considering the drawbacks as well:

Limited Options

In India, the number of insurance providers offering portability is limited. So, you might not have a wide range of choices when looking to switch. This lack of options can be a drawback.

Different Coverage Terms

Each insurance company may have different terms and conditions. What was covered in your previous policy might not be covered in the new one. This can be a bit confusing.

Premium Changes

The premium you pay for your health insurance may change when you switch. It could increase based on your age, health condition, or other factors. This might make it more expensive than what you were paying before.

Claims Processing Time 

Shifting to a new insurer may lead to delays in claim settlements. The new company may take time to understand your medical history and might delay the processing of your claims.

Loss of Loyalty Benefits

If you've been loyal to your insurer for a long time, you might lose out on loyalty benefits like no-claim bonuses or accumulations that you would have earned with your previous insurer.

When Can Health Insurance Portability Be Denied?

Here are reasons why medical insurance portability can be denied.

Incomplete Documentation

Make sure you provide all the necessary documents when applying for portability. If you miss out on important paperwork, the insurance company might deny your request.

Non-Payment of Premiums

It's crucial to pay your premiums on time. If you have outstanding premium payments or have not paid premiums for a considerable period, your request for portability can be rejected.

Policy Violations

If you have violated the terms and conditions of your current policy, such as fraudulent claims or providing incorrect information, the new insurance company might deny your request for portability.

Late Application

Apply for portability within 45 days before the policy renewal date. If you apply after this period, your request might not be accepted.

Policy Lapse

Ensure that your existing policy is active when you apply for portability. If your policy has lapsed or expired, your request for portability could be denied.

Substandard Policy

If the policy you wish to port to is not up to the standard set by the IRDAI, your request may be denied.

Waiting Periods

Some policies have waiting periods for specific illnesses or conditions. If you're still in the waiting period for certain ailments, the new insurer might reject your portability request related to those conditions.

Porting from Group Health Insurance to Individual Cover

Switching from a group health insurance plan to an individual cover in India is a smart move to take control of your health coverage. Let's break it down into simple steps.

Firstly, take a good look at your group health insurance policy. Understand what it covers, the benefits, and limitations. This will help you decide what you need in your individual plan.

Think about your specific health needs. Do you have a pre-existing condition or anticipate any particular health requirements in the future? Understanding this will help you in choosing the right individual health insurance plan.

Start exploring different individual health insurance plans available in the market. Look for plans that align with your health needs and financial capabilities. Compare features, premiums, coverage, and exclusions.

Reach out to insurance providers and get detailed information about the plans you're interested in. Understand the terms and conditions, especially regarding waiting periods, exclusions, and claim procedures.

Based on your research and understanding, choose the health insurance plan that suits you best. Ensure it covers all the essential aspects that are important to you.

Fill out the application form for the selected individual health insurance plan. Submit all required documents and complete any medical tests if necessary.

Once you've applied, the insurance company will review your application. Approval times vary, so be patient. In the meantime, ensure you've cancelled your group insurance.

Once your individual health insurance is approved, it's time to switch over completely. Inform your employer or group insurance provider about your decision and confirm the cancellation of your group insurance.

Things to Remember While Porting For Health Insurance

Here are some important things to keep in mind while porting your health insurance:

Research Thoroughly

Look for health insurance plans that match your needs and requirements. Compare different policies, their coverage, premiums, and additional benefits.

Check Waiting Periods

Understand the waiting periods for pre-existing conditions in the new policy. Knowing if the waiting period will be carried forward from your existing policy is important.

Policy Terms and Conditions

Read and understand the terms and conditions of the new health insurance policy. Be aware of any limitations, exclusions, and inclusions.

Network Hospitals

Ensure that the new insurance company has a good network of hospitals in your area. This will make it convenient for you to avail cashless treatment.

Premium Calculation

Calculate the premium for the new policy based on your age, health conditions, and coverage requirements. Ensure it fits within your budget.

No Claim Bonus (NCB) Transfer

Inquire if you can transfer the No Claim Bonus (NCB) you have accumulated in your existing policy to the new one. This can lower your premium.

Policy Portability Process 

Understand the process of porting your health insurance policy. Complete the necessary paperwork and documentation accurately to avoid any delays.

Timeline for Porting 

Stick to the porting timelines provided by the IRDAI. Initiating the porting process well in advance is advisable.

Consider Future Needs

Focusing only on current needs can lead to inadequate coverage in the future. Opt for a policy that has the flexibility to upgrade coverage based on the changes in your needs.

Health Check-up Requirements 

Be aware if a health check-up is necessary for porting to the new policy. Complete any required tests on time.

Contact Customer Support

Reach out to the insurer of the new if you have any queries or concerns. Clear all doubts before making a decision.

Wrapping up! Consider Future Needs:

Focusing only on current needs can lead to inadequate coverage in the future. Opt for a policy that has the flexibility to upgrade coverage based on the changes in your needs.

  • Health Check-up Requirements: Be aware if a health check-up is necessary for porting to the new policy. Complete any required tests on time.
  • Contact Customer Support: Reach out to the insurer of the new if you have any queries or concerns. Clear all doubts before making a decision.

Health insurance portability greatly relieves people who are unsatisfied with their current health plan or searching for better health coverage. It helps people easily transition to a new health provider who can offer them much better health coverage without losing some precious benefits. Indeed, portability provides apparent benefits, but thoughtful analysis while considering and avoiding any waiting period will help maximise your health insurance to provide maximum protection, flexibility, and value.

Health insurance is an investment for one's parents to shield their old age well-being and security. With increasingly high medical bills, coverage will provide peace of mind concerning medical bills and ensure accessibility to good quality care. One must select a policy that is in line with the needs of their parents. This may comprise coverage of pre-existing conditions as well as critical illnesses, thus putting health insurance for one's parents on the frontline to secure their health is the time of need.

Frequently Asked Questions (FAQs)

You may need to pay a nominal fee to port your health insurance policy. The exact premium varies depending on your insurance provider and policy terms.

The process of porting usually takes around 15 to 45 days, from the time you submit the porting request to the approval and transfer of your policy.

Yes, you can purchase health insurance online through your insurance provider's website or by contacting their customer service for assistance in the online porting process.

Migration refers to shifting to a different plan within the same insurance provider, whereas portability is transferring your policy from one insurance provider to another while retaining your accumulated benefits.

Yes, you can port your group health insurance policy to an individual policy with another insurance company, subject to their terms and conditions.

Generally, the new insurer will consider the waiting period already served with the old insurer during porting. However, it's advisable to confirm this with your new insurance provider.

Porting an existing plan is often more convenient as it allows you to retain accumulated benefits. However, buying from two different providers could provide broader coverage. 

When considering porting health insurance, here are some key rules:

  • You can port only during policy renewal.
  • The new policy's sum insured can't exceed the sum insured of the old policy.
  • Submit the porting request at least 45 days before the renewal date.
  • Ensure you have paid all premiums and have no outstanding dues on the existing policy.
  • Complete the proposal form for the new insurer accurately and honestly.
  • The decision to accept or reject the porting request lies with the new insurer based on their underwriting process.

Yes, it is possible to switch to a new health insurance policy offered by the existing insurance company. This process will not take as much time as switching to a new insurance company because your current insurer already has all the details required to make a switch.

Probably not. If the applicable waiting period for a specific condition is similar to that of the old policy, then you may only have to serve the remaining waiting period under the new plan. However, this solely depends upon the terms and conditions of the new health insurance company.

You should port your health insurance policy if you are not happy with the services provided, coverage, or premium with respect to the current insurance company and your health insurance policy.

A person who holds a policy should request to transfer it at least 45 days prior to the date of renewal.

No, there is no need to pay any extra fees to transfer your health insurance policy as portability does not entail any charges. You only need to pay the premium for the new health policy.

You have the option to transfer your health insurance policy multiple times as long as the new insurance provider agrees to accept your transfer request. However, it's only possible to transfer the policy during the renewal of the existing policy.

Yes, a policyholder's age is a vital factor while porting the policy. The older the person, the higher the health insurance premium. An insurance company may also reject a proposal based on the risk factor associated with a policyholder's age.

Buying health insurance from two different insurers depends upon the coverage being purchased. There is no point in buying similar coverage from multiple insurers. Instead, consider buying different coverages to create a comprehensive health insurance portfolio. This can provide all-around coverage in the time of a medical emergency.

Some of the disadvantages of porting health insurance are:

  • Loss of loyalty benefits
  • Change in premiums
  • Medical tests (depending upon the terms and conditions of the insurer)
  • Limited coverage options

You can begin the porting process 45 days before the expiry of your current health plan.

Yes, employers can port a group health plan depending upon the terms and conditions of the policy. It is also possible to port from a group policy to an individual plan by paying the difference in premium.

Term Insurance: A Smart Addition to Your Health Insurance Strategy

The portability of health insurance guarantees continuity and flexibility, but it's also critical to think about using term insurance to protect your family's financial future.  A term insurance premium is typically affordable, allowing you to secure a significant sum assured, such as a 1 cr term insurance plan, for your family’s future.

Use a term insurance calculator to find the best plan with an affordable rate based on your age, income, and liabilities. Term insurance guarantees your family's income replacement in your absence, while health insurance covers medical crises.

Choosing a plan with affordable life insurance premiums is wise for a secure future. Examine your options today and secure a plan that provides complete family protection.

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Written by Roocha Kanade

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Reviewed by Rupinderjit Author info Icon

A content enthusiast who turns complex topics into easy, binge-worthy reads—fueled by SEO, creativity, and way too much chai! Loves juggling multiple projects, cracking impossible deadlines, and sprinkling humor into the mix. When not geeking out over digital trends, you'll find her lurking on Quora and Reddit, planning the next getaway, or passionately decoding all things health and insurance!

Disclaimer: The content on this page is generic and shared only for informational and explanatory purposes. It is based on industry experience and several secondary sources on the internet, and is subject to changes. Please go through the applicable policy wordings for updated ACKO-centric content, and before making any insurance-related decisions.