Since India's public health schemes exclude foreigners, private international health insurance is effectively mandatory for expats — plans start around €85/month, with major insurers like Allianz Care offering annual coverage limits up to USD 5,000,000 and AXA up to USD 8,000,000. Direct-billing/cashless arrangements are widely available at JCI-accredited hospitals (57+ in India) and most NABH-accredited Tier-1 private facilities, letting insured patients avoid large upfront deposits. Without insurance, private hospitals typically require a 25,000–100,000 INR (~$300–$1,200) admission deposit before treatment.