atmasvasthA guide to ageing healthfullyThe original health budget ↗

PLAN FOR YOUR HEALTH · MUMBAI, INDIA

How much should you keep aside?

A health investment calculator for a couple, from your age today until 90.

Your health budget

All amounts for two
years

Whole years, 18–89. Both partners are assumed to be this age.

₹ / year

Total current premium for both partners, including any top-ups.

₹ / month

Combined monthly spending, including physiotherapy if needed.

₹ / month

Extra disease-related costs for either partner. Added to the fixed ₹4,000 monthly base.

% / year

After tax and investment costs. An assumption, not a promised return.

Your entries stay in this page. No diagnosis or contact details needed.

INVESTMENT NEEDED TODAY

₹3.73 crore

₹3,72,50,058 for the couple

30 yearsAge 60 to 905.5%Post-tax return

Includes rising premiums, routine health expenses, two medical contingencies and paid care. Principal is spent down by age 90.

What the investment funds

Insurance premiums
₹70.36 lakh
Base medicines, consultations & tests
₹72.14 lakh
Additional medicines
₹0.00 lakh
Exercise support
₹77.17 lakh
Expenses beyond insurance
₹97.32 lakh
Paid care
₹55.50 lakh

Amounts are investments needed today, not the sum of future bills. Routine spending starts at ₹42,000 a month.

THE PREMIUM EFFECT

Small increases compound.

If premiums rise 10% each year, your couple’s annual premium becomes:

At age 80₹8.07 lakhper year
At age 85₹13.00 lakhper year
At age 89₹19.04 lakhper year

Already included above. This is a scenario, not an insurer’s quote or a guaranteed annual increase.

See the assumptions behind your number

Current prices, future increases

Enter what you pay today. The age field changes the number of years, not the starting prices. Defaults are illustrative allowances for an upper-middle-class Mumbai couple, not age-specific quotations. Both partners are assumed to be the same age and live to 90.

  • Base medicines: ₹48,000 per year for the couple, fixed in the starting budget. Your additional medicines are added on top.
  • Consultations and appropriate tests: ₹50,000 per year. Dental and vision: ₹46,000 per year.
  • Medicines (base and additional), consultations, tests, dental and vision rise 9% annually. Exercise support rises 6%; premiums rise 10%.
  • Two expenses beyond insurance: ₹25 lakh each in today’s money, rising 9% until ages 75 and 85. If you have reached either age, that reserve is set aside immediately. Both reserves are always included.
  • Paid care: ₹40,000 per person per month in today’s money, rising 8% until ages 87–89. If you are already 88 or 89, only the years remaining to 90 are included. Longer dependence or qualified nursing can cost substantially more.

How we calculate

Each future annual cost is inflated, then discounted by your post-tax return. We add those present values. Payments begin today and continue through age 89. There is no income offset, inheritance target or guarantee of investment returns. A lower return, more expensive care or living beyond 90 can require more.

Premiums must be replaced with your actual quote. A zero premium means no premium outlay; this calculator does not estimate the larger hospital bills you may face without insurance. Keep reviewing cover adequacy as medical prices rise.

Today’s investment = Σ future annual expense ÷ (1 + net return)years from today

Ayushman Vay Vandana: a possible fallback

Under current rules, those 70 and above are eligible regardless of income, including people with private insurance. For a previously uncovered household, cover is up to ₹5 lakh per year on a family basis, for covered treatments at empanelled hospitals. Check the packages and participating Mumbai hospitals. No savings from the scheme are deducted here.

Official eligibility and family limits ↗

Sources and limits

Based on Bhavin Jankharia’s Atmasvasth health-budget framework, updated September 2026. The default age-60 result is ₹3.73 crore; the article’s rounded planning figure is approximately ₹4 crore. The calculator displays the calculation without adding an automatic safety margin.

Short-term medical trends do not predict thirty years of personal costs. This is an educational planning estimate, not an insurer’s quote, treatment recommendation or individualized investment advice.