🇮🇳India · IRDAI Standard

Critical Illness Calculator for India

Calculate how much lump-sum critical illness cover you need — covering 36 IRDAI-standard illnesses, India treatment costs, and income replacement during recovery. All figures in ₹.

₹5–25L

Cancer treatment cost

₹3–8L

Heart bypass surgery

₹8–15L

Kidney transplant

36

IRDAI standard illnesses covered

Critical Illness Rider
Add-on benefit for critical illnesses
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The "Hidden Costs" Buffer

This calculator automatically adds a 2-month expense buffer to account for hidden costs not covered by standard health insurance: travel to specialists, experimental treatments, childcare, and home modifications.

Enter your medical exposure, living expenses, and recovery time to reveal your critical illness coverage gap.

What is Critical Illness Cover?

Unlike standard health insurance (which pays doctors and hospitals), Critical Illness insurance pays out a tax-free cash lump sum directly to you upon diagnosis of a covered condition—typically cancer, stroke, or heart attack. This money can be used at your complete discretion.

The Financial "Side Effects"

Surviving a major illness is a financial shock. While health insurance handles the immediate medical crisis, a critical illness payout ensures you don't deplete your retirement savings, allows your spouse to take unpaid time off work to care for you, and keeps your mortgage paid while you focus entirely on recovery.

Related Protection Tools

Disclaimer: This is a simplified estimation tool for educational purposes. Critical illness definitions (e.g., the specific severity required to claim for "Cancer" or "Heart Attack") vary significantly between insurers and jurisdictions. Pre-existing medical conditions may not be covered. Always review the Product Disclosure Statement (PDS) or consult a licensed financial advisor before purchasing a policy.

IRDAI Standard 36 Critical Illnesses

All IRDAI-compliant CI policies in India must cover at least these 36 illnesses using standardised definitions.

Cancer of specified severity
First heart attack
Open heart / CABG surgery
Stroke with permanent symptoms
Kidney failure
Major organ transplant
Multiple sclerosis
Motor neuron disease
Coma of specified severity
Total blindness
Deafness
Loss of speech
Aplastic anaemia
Third-degree burns (>20% body)
Parkinson's disease
Aorta graft surgery
Heart valve surgery
End-stage lung disease
End-stage liver failure
Loss of limbs
Major head trauma
Benign brain tumour
Fulminant hepatitis
Primary pulmonary hypertension
Medullary cystic disease
Systemic lupus erythematosus with renal involvement

Many plans cover 40–60 illnesses including early-stage cancer, angioplasty, and diabetic complications. IRDAI 2024-25 circular standardised definitions across all insurers.

India Treatment Costs (2025)

IllnessTreatmentTier-1 City CostIncome Loss (6mo)Recommended CI Cover
Cancer (Stage 3)Chemo + Surgery + Radiation₹8–25L₹5–15L₹25–50L
Heart AttackAngioplasty + Stent₹3–8L₹3–8L₹15–25L
CABG SurgeryOpen Heart Bypass₹4–10L₹4–8L₹20–30L
StrokeICU + Rehabilitation₹5–15L₹6–12L₹25–40L
Kidney FailureTransplant / Dialysis₹8–15L₹5–10L₹20–35L

Costs vary significantly by city, hospital tier, and stage. Figures based on 2025 average private hospital rates in Mumbai, Delhi, Bangalore.

Frequently Asked Questions