For Health Insurance Agents

Health Insurance Agent CRM — Manage Mediclaim, Family Floater & Renewals in One App

Smart Agent is the purpose-built health insurance agent CRM India trusts — family floater tracking, cashless hospital networks, WhatsApp renewal reminders and commission reports. From ₹999/yr.

🏥 Family Floater + Individual
💊 Cashless Hospital Network
📲 Mediclaim Renewal Alerts
💰 Auto Commission Tracker
Specialised Features

Built for Health Insurance Agents — Not Retrofitted

Every field a mediclaim agent needs, none that they don't

Health insurance in India is different from motor or life — the data shape, renewal behaviour and claim support model all look different. A single mediclaim policy may cover a family of four with separate sum insured, add-ons like critical illness riders, hospital cash benefits and room-rent caps. A cashless hospitalisation request can arrive at any hour, and your client expects you to know which hospital in their city is in-network with their insurer. Smart Agent has been designed around these realities — so a health insurance agent in Delhi, Pune or Bhubaneswar can run an efficient practice from day one.

Inside the app, a health policy record captures: insurer, product name, sum insured, family members covered with age and gender, premium, commencement and expiry dates, add-ons, pre-existing disease waiting periods and the insurer's cashless hospital list. Every field is searchable. Every policy is tied to the client record. Every renewal triggers a WhatsApp reminder automatically. The effect is transformative — clients feel looked-after, policies renew on time and cashless claims become smoother.

Core Capabilities

Family Floater & Individual Plan Management

The two main structures covered completely

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Family Floater

Capture primary insured, spouse, kids, dependent parents with age, sum insured and relationship. Perfect for family mediclaim.

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Individual Mediclaim

Single-life policies with sum insured, pre-existing disease waiting periods and add-on riders recorded cleanly.

Top-Up & Super Top-Up

Handle top-up and super top-up policies alongside base mediclaim with deductible thresholds and coverage details.

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Senior Citizen Plans

Dedicated fields for senior citizen mediclaim — pre-existing disease disclosure, co-pay, room rent limits.

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Group Health (GMC)

Manage corporate group medical cover lists with employee master, dependents and per-head sum insured.

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Critical Illness Riders

Attach critical illness and personal accident riders to the parent policy, with their own expiry tracking.

Network

Cashless Hospital Network Tracking

Help clients find in-network hospitals in seconds

A major value-add a health insurance agent offers post-sale is hospital network guidance. When a client or their family member is facing hospitalisation, they usually call the agent before the insurer's TPA. Smart Agent lets you link each policy to its insurer's cashless hospital network — so when a client calls, you can immediately search by city, hospital name or speciality and confirm whether it is in-network. This single capability often decides client retention, because your clients remember you were the one who helped during a stressful moment. All plans come with a secure document vault where you can also store the insurer's hospital list PDFs for quick reference.

Pricing

Pricing for Health Insurance Agents

Silver ₹999/yr (150 policies) • Gold ₹1,499/yr (800 policies) • Diamond ₹2,499/yr (1,500 policies) • Platinum ₹3,499/yr (3,000 policies). Unlimited clients, free Android app, WhatsApp reminders and agent website in every plan.

See Full Pricing → 🚀 Start Free Trial
FAQ

Health Insurance Agent CRM — Common Questions

Smart Agent is an excellent option for health insurance agents in India — it supports family floater and individual mediclaim, tracks sum insured, cashless hospital networks and policy expiry, and starts at ₹999/yr with a free Android app and WhatsApp reminders.

Yes. Smart Agent handles family floater policies with full member details — primary insured, spouse, children, dependent parents — along with sum insured, premium due dates and cashless hospital information.

Yes. Automated WhatsApp and SMS reminders are sent 30, 15 and 3 days before any health policy expires. Messages are pre-filled with client name, policy number and premium due — ideal for reducing mediclaim lapses.

Yes. Smart Agent allows you to tag each policy with its insurer's cashless hospital network. When a client calls with a hospitalisation query, you can quickly look up the relevant network list and respond.

Health insurance commissions in India vary by insurer and product — typically 15–20% on first year premium and 10–15% on renewal premiums for retail policies. Smart Agent lets you configure exact percentages per insurer and auto-calculates your earnings.

Grow your health insurance practice

5 free RC checks + 10 free policies. No card needed.