Galaxy Health Insurance Company Limited is a newly launched IRDAI-licensed standalone health insurer, co-promoted by the TVS family’s Shri. Venu Srinivasan and Shri. V. Jagannathan’s family, the founder of Star Health. Established in March 2024, the company aims to revolutionize India’s health insurance landscape with tech-driven, customer-centric solutions. Backed by a capital of ₹300 crore, Galaxy Health focuses on retail health insurance and the SME segment in group insurance, offering innovative products designed to simplify claims and enhance service efficiency.
With India’s health insurance market growing at a 20% CAGR, Galaxy Health is poised to capture a significant share and contribute to IRDAI’s “Health Insurance for All by 2047” vision. Their strategy includes multi-line distribution, deep penetration in smaller towns, and leveraging technology for seamless customer experiences.
The actual “best” plan can vary based on individual needs, so it’s critical to do personal research or, better yet, speak to one of Ditto’s IRDAI-certified experts and get solid insurance advice. Book a 30-minute call with us today!
Top Health Insurance Plans Offered by Galaxy Health Insurance
1. Galaxy Promise
Galaxy Promise is Galaxy’s flagship health insurance plan. It has three variants: Signature, Elite, and Premier.
a. Galaxy Promise- Signature Variant
The Signature variant is the most comprehensive plan under Galaxy Promise, designed for individuals seeking extensive health coverage without cost-sharing limitations. It offers unlimited sum insured restoration, ensuring that policyholders are never short of coverage, even after multiple claims. There are no co-payment requirements or disease-wise sub-limits, making it a solid choice for those who want complete financial protection during medical emergencies. The plan covers modern treatments, daycare procedures, and pre-existing diseases (PED) with an optional buy-back feature, reducing the waiting period. For higher sum insured options (₹25 lahks and above), any room type is allowed, while lower sum insured options (₹5 lakh-₹20 lakh) cover a Deluxe room, making hospitalization cost-efficient. It also comes with the following add-ons:
- Consumables
- Premium Promise (Fixed premium until first claim or age 55)
- Insta Care Cover (ABC Cover)
- Room Rent Enhancement
- PED Buy-Back
- Personal Accident
- Hospital Cash
- Option to Choose Aggregate Deductible
- Per Claim Deductible
Drawbacks: While the Signature variant is feature-rich, the premium is on the higher side, especially for individuals opting for lower sum insured amounts.
b. Galaxy Promise- Signature Variant
The Elite variant is a well-balanced health insurance plan offering essential benefits at a slightly lower premium compared to the Signature variant. It includes sum-insured restoration for unrelated illnesses, allows access to a Deluxe room type for hospitalization for lower sum-insured options, and has no room rent limits for higher sum-insured options. Like the Signature plan, there is no co-payment, ensuring policyholders are not burdened with additional expenses. The plan also covers modern treatments and daycare procedures, making it a suitable choice for individuals or families looking for a cost-effective yet comprehensive health insurance plan. It also offers the following add-ons:
- Consumables
- Premium Promise (Fixed premium until first claim or age 55)
- Room Rent Enhancement
- Personal Accident
- Hospital Cash
- Option to Choose Aggregate Deductible
- Per Claim Deductible
Drawbacks: While the Elite variant offers strong coverage, it lacks the unlimited sum insured restoration feature that the Signature variant provides. Additionally, the sum insured options are relatively lower, making it less suitable for those seeking high-value coverage (above ₹20 lakh).
c. Galaxy Promise - Premier Variant
The Premier variant is the most budget-friendly option under the Galaxy Promise lineup, designed for those seeking essential coverage at an affordable premium. It does not offer sum-insured restoration but includes coverage for modern treatments, daycare procedures, and pre-existing diseases (after the standard waiting period). Unlike the higher variants, the Premier plan has some cost-sharing elements, making it more accessible to individuals looking for a basic yet effective health insurance policy. Enhanced Optional Covers are not applicable for the Premier Plan variant.
Drawbacks: The Premier variant, while affordable, comes with more limitations compared to the Signature and Elite variants. It does not offer room rent flexibility beyond its predefined limits, making it less suitable for those who prefer higher-category hospital rooms. Additionally, the absence of Enhanced Optional Covers means that policyholders cannot customize their coverage with add-ons like PED Buy-Back, Hospital Cash, or Personal Accident Cover. This makes the plan less comprehensive, particularly for those who want flexibility and enhanced benefits.
Let’s use a table to understand the differences between their offerings:
Comparison Table of the Variants of Galaxy Promise Plan:
| Feature | Signature | Elite | Premier |
|---|---|---|---|
| Sum Insured | ₹5 lakhs to ₹1 crore | ₹5 lakh to ₹50 lakh | ₹3 lakh to ₹25 lakh |
| Co-payment | No | No | No |
| Room Rent Limit | Sum insured ₹ 5L to ₹20Ls - Covered up to Deluxe room Sum insured ₹25L & above - Covered up to any room |
Sum insured ₹ 5L to ₹20L - Covered up to Deluxe room Sum insured ₹25L & above - Covered up to any room |
Sum insured - ₹3 & ₹4L - 1% of sum insured Sum insured - ₹5L to ₹10L - 1% of Sum Insured maximum up to ₹7,500/- Sum insured - ₹15L & above - maximum up to ₹10,000/- |
| Daycare Procedures | Covered | Covered | Covered |
| AYUSH Treatments | Covered up to the sum insured | Covered up to the sum insured | Covered up to the sum insured |
| Pre- and Post-hospitalization | 90 days and 180 days, respectively | 60 days and 90 days, respectively | 30 days and 60 days, respectively |
| Domiciliary Hospitalization | Covered up to the sum insured | Covered up to the sum insured | Covered up to the sum insured |
| Sub-limits | Not Applicable | Yes, Cataract Sum insured - ₹ 5L - Covered up to ₹ 60,000/- | Sum insured - ₹7.5L & above - Covered up to ₹ 75,000/- Modern Treatments: Up to the sum insured |
Cataract Sum insured ₹3L & ₹4L- covered up to ₹25,000/- Sum insured ₹5 L - covered up to ₹35,000/- Sum insured ₹7.5 L& above - covered up to ₹50,000/- Modern Treatments: Covered up to sub-limits |
| Restoration | Unlimited times for any disease and upon partial as well as complete exhaustion of cover | Up to 100% of the sum insured once in a policy year (applicable only for different diseases and upon complete exhaustion of base sum insured) | Unavailable |
| Cumulative Bonus | 100% of the sum insured after completion of the first claim-free year, 25% of the sum insured for every subsequent claim-free year subject to a maximum of 500% | 50% of the sum insured after completion of the first claim-free year, 25% of the sum insured for every subsequent claim-free year subject to a maximum of 150% | 25% of the sum insured after the completion of the first claim-free year, 10% of the sum insured for every subsequent claim-free year, subject to a maximum of 100% |
| Maternity Cover | Covered up to ₹2 Lakhs, based on the sum insured (either Normal / Cesarean delivery) | Unspecified | Unspecified |
| Newborn Baby Cover | Covered up to ₹5 lakhs based on the sum insured | Covered up to ₹ 1 lakh based on the sum insured | Covered up to ₹ 50,000- based on the sum insured |
| Premium Promise | No change in the premium till the insured makes a claim or up to 55 years of age, whichever is earlier | Unspecified (available as an add-on) | Unspecified |
| Wellness Program (Gala Fit) | Discount available up to 20% on renewal premium | Discount available up to 20% on renewal premium | Discount available up to 20% on renewal premium |
2. Galaxy Guardian
Galaxy Guardian is a budget-friendly health insurance plan offering sum insured options of ₹3 lakh and ₹5 lakh. It is designed to provide essential medical coverage with structured benefits. The policy includes hospitalization coverage, with a room rent limit of 1% of the sum insured per day, while ICU expenses are covered at actual costs. Pre-hospitalization expenses are covered for 30 days, and post-hospitalization expenses for 60 days. The plan also includes coverage for daycare procedures, domiciliary hospitalization, organ transplantation, and modern treatments, with specific sub-limits applied.
Additionally, Galaxy Guardian offers coverage for bariatric surgery (up to 30% of the sum insured) and home care treatment (up to 10% of the sum insured). Newborn baby coverage is included at 10% of the mother’s sum insured. The plan applies a 10% co-payment on all claims. A cumulative bonus of 10% for every claim-free year, up to a maximum of 50%, is also provided.
Drawbacks:
While Galaxy Guardian provides a structured and affordable health insurance option, it has several limitations. The room rent cap (1% of the sum insured per day) may restrict hospital room choices, leading to out-of-pocket expenses if a higher-category room is selected. The 10% co-payment on all claims means that policyholders must bear a portion of their medical bills, which could be a concern for those seeking zero co-payment plans. Additionally, modern treatment coverage comes with sub-limits, potentially reducing the reimbursement amount for expensive procedures. The sum insured options are relatively low (₹3 lakh and ₹5 lakh), which may not be sufficient for individuals needing extensive medical care.
3. Galaxy Smart Outpatient Rider - Comprehensive OPD Coverage
The Galaxy Smart Outpatient Rider is a health insurance add-on designed to cover outpatient (OPD) expenses, including doctor consultations, diagnostic tests, and prescribed pharmacy costs. It is available as an individual, multi-individual, or floater policy and follows the base policy terms. The rider applies a 20% co-payment on all reimbursement claims and is valid across India.
The rider’s benefits vary by tier (Silver, Gold, Platinum, and Diamond):
- Unlimited teleconsultations with general practitioners and specialists.
- In-clinic doctor consultations range from ₹5,000 to ₹10,000 per policy year (based on tier).
- Prescribed diagnostic tests are covered on a cashless and reimbursement basis.
- Prescribed pharmacy benefit of ₹2,000, but only for the Diamond variant.
This rider offers a well-rounded outpatient care solution, ensuring policyholders can access essential healthcare services without hospitalization.
Drawbacks: While the Galaxy Smart Outpatient Rider is a strong OPD coverage option, it has certain limitations. The 20% co-payment on all reimbursements increases out-of-pocket expenses, making the cashless facility more favorable. Additionally, the pharmacy benefit is limited to the Diamond variant, leaving Silver, Gold, and Platinum tiers without medication cost coverage. This may not be ideal for policyholders seeking full OPD expense protection. Lastly, in-clinic doctor consultation limits vary by tier, meaning lower-tier plans may run out of coverage faster than expected.
4. Galaxy Top - Up
Galaxy Top-up is a comprehensive top-up health insurance plan by Galaxy Health Insurance Company Limited, designed to provide additional financial protection at an affordable premium. It offers sum insured options ranging from ₹5 lakh to ₹2 crore with an aggregate deductible between ₹5 lakh and ₹25 lakh, making it ideal for those looking to enhance their existing coverage. The plan includes essential benefits such as a single private A/C room, ICU coverage with modern technological integration, pre- and post-hospitalization expenses (60 and 90 days, respectively), road ambulance (₹3,000 per hospitalization), and air ambulance (10% of the sum insured for plans ₹15 lakh and above). Additionally, it covers advanced treatments like nanotechnology (25% of the sum insured), 68 consumables, modern treatments, organ transplantation, bariatric surgery, AYUSH treatments, and delivery expenses (₹50,000 for normal and cesarean deliveries). The policy allows for individual or floater coverage (up to 2 adults and 3 children), with entry ages ranging from 16 days to 65 years (25 years for dependent children). It includes the following add-ons:
- Premium Promise – No change in the premium until the insured makes a claim or reaches 55 years of age, whichever is earlier.
- Room Rent Enhancement – Insured can opt for any room type.
- Durable Medical Equipment / CAPD – Covered up to 10% of the sum insured or ₹1,00,000, whichever is less.
Waiting periods include 30 days for initial coverage, one year for pre-existing diseases, specified diseases, organ transplantation, and bariatric surgery, and two to four years for maternity benefits. Discounts such as a long-term discount (10% for two-year policies, 12.5% for three-year policies), an online purchase discount (5%), and the Gala Fit wellness program (up to 10% discount at renewal) make the plan cost-effective.
Drawbacks: While Galaxy Top-Up offers extensive coverage and affordability, it comes with a few limitations. The policy activates only after the chosen aggregate deductible is met, making it less useful for smaller medical expenses and requiring a strong base health plan. It also has waiting periods, including one year for pre-existing diseases, specified diseases, organ transplants, and bariatric surgery, while maternity benefits require a 2–4 year waiting period, which may not be ideal for those planning a family soon.
5. Galaxy Personal Accident Shield
Galaxy Personal Accident Shield is a comprehensive accident insurance plan designed to provide financial security in case of accidental death, permanent total disablement (PTD), or permanent partial disablement (PPD). Beyond core accident coverage, the plan includes additional benefits such as educational support for children (₹25,000 per child, up to three children), ambulance and funeral expenses, home and vehicle modifications, and artificial limb coverage. The policy offers flexible sum insured options ranging from ₹5 lahks to ₹75 lahks, determined based on the policyholder’s income. Discounts are available for long-term policies, online purchases, and existing Galaxy Health customers, making the plan a cost-effective choice.
The plan also features a cumulative bonus of 5% per claim-free year (up to 50%) or a no-claim discount on renewal premiums. Additionally, in the event of the policyholder’s accidental death, their family is granted a one-year premium waiver. With installment payment options and coverage tailored to post-accident financial and medical needs, Galaxy Personal Accident Shield protects individuals and families against unforeseen mishaps. The following add-ons are also available:
- Comprehensive Medical Expenses Extension – Covers inpatient treatment due to accidental grievous injury, with coverage ranging from ₹1,00,000 to ₹5,00,000 in ₹1,00,000 increments. Room rent is capped at 2% of the sum insured, and OPD expenses are covered up to ₹5,000 per policy period.
- Hospital Cash – Provides ₹1,000 per completed day of hospitalization, up to 15 days per occurrence and 75 days per policy period.
- Home Convalescence – Offers ₹500 per completed day of home recovery, up to 15 days per occurrence, and 60 days per policy period.
- Loss of EMI / Loan Protector / Loss of Income – Covers up to six EMIs, with a maximum limit of ₹25,000 per EMI.
- Enhanced Education Benefit – Covers up to 10% of the sum insured, with a maximum of ₹10,00,000 per child (up to two children).
Drawbacks: While Galaxy Personal Accident Shield provides strong financial protection, it has certain limitations. The room rent limit of 2% of the sum insured under the medical expenses extension may restrict access to premium hospital rooms. OPD coverage is capped at ₹5,000 per policy period, which may not be sufficient for extensive outpatient treatments. Additionally, artificial limb coverage is lower compared to some other accident insurance plans. Although the plan offers income protection and educational benefits, some payouts have predefined limits, making it better suited for individuals looking for broad but capped accident coverage rather than unlimited financial support.
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Conclusion
Galaxy Health Insurance is still in its early days, so we don’t yet have key performance metrics like Incurred Claim Ratio (ICR), Claim Settlement Ratio (CSR), or complaint volume to assess its track record. Additionally, its network hospital coverage is still growing, which may concern those prioritizing cashless claims. The plans are also unavailable for online comparison or premium calculation.
However, what stands out is the insurer’s comprehensive and well-structured products, which come with thoughtful benefits, flexible coverage, and a competitive pricing model. While it's too soon to gauge its long-term reliability, Galaxy’s approach shows strong potential in the market.
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