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Onsurity and Plum both deliver modern group health cover to Indian startups and SMEs. The core difference is structure: Onsurity is a monthly subscription you can start from 3 employees and cancel anytime, with wellness and OPD bundled in — while Plum runs on a traditional annual group insurance premium.

A spec-level view across the levers an SME buyer actually weighs. Where both platforms do the same thing well, we say so. Positioning reflects publicly known information as of 05-Jul-2026 — always confirm current terms with each provider before you buy.
| Dimension | Onsurity | Plum |
|---|---|---|
| Pricing model | Monthly subscriptionPay per employee, per month. No annual lump sum. | Annual premiumTraditional group insurance policy, priced and paid yearly. |
| Lock-in / cancellation | Cancel anytimeChange or stop your membership month to month. | Annual termCover runs for the 12-month policy year once bound. |
| Minimum team size | From 3 employeesFounders count toward the minimum of 3. | Small teams supportedStartup-friendly, but confirm the current minimum lives. |
| Wellness + OPD | Bundled, no extra premiumTeleconsults, medicine & lab discounts included in the membership. | Often an add-onWellness and OPD available, frequently priced separately. |
| Admin dashboard | TeamSure dashboardOnboard, offboard, track claims, billing and renewals in one place. | HR dashboardSelf-serve admin console for managing the policy. |
| Mid-cycle roster changes | Add & remove anytimeBilling adjusts on the next cycle — no re-underwriting. | Add via CD balanceEndorsements on an annual policy, typically funded by a deposit balance. |
| Claims support | Good Doctors conciergeReal doctors guide pre-auth to discharge. | Dedicated claims teamAssisted claims support through the platform. |
| Cashless network | 10,000+ hospitalsCashless settlement across a pan-India network. | Insurer networkCashless via the underwriting insurer’s hospital network. |
| Activation time | Day-1 cover optionsEligible cover can go live from the joining date. | Fast digital onboardingQuick issuance once the policy is set up. |
| Workforce types covered | FT, contract, gig, freelanceCover extends beyond full-time payroll staff. | Primarily full-timeBroader categories may need confirmation with the insurer. |
strong fit · partial / conditional · structural difference. Not a rating — a description of how each model works.
Most other rows land close. The choice that actually shapes your budget and your flexibility is how you pay for cover — and that is where the two models genuinely diverge.
You pay per employee, per month, and can cancel anytime. There is no full-year premium to fund up front, wellness and OPD are bundled in, and you add or remove people as your roster changes. Built SME-first, with a minimum of just 3 lives including founders.
Plum places a traditional group insurance policy that runs for a 12-month term, with the premium priced and committed for the year. It is a capable, digital-first platform; the trade-off for an SME is the annual commitment and wellness or OPD often layered on as add-ons.
The numbers below are illustrative — not either provider’s actual quote — and exist only to show how the two payment structures land on your working capital. Take a 25-person team with an assumed ₹6,00,000 annual benefit cost.
Onsurity subscription
Spread across the year. Adjust or cancel anytime.
Annual premium model
Committed for the 12-month policy term.
Same headline cost, very different impact on a growing company. The subscription keeps roughly ₹5,50,000 in your account through the year and lets you scale spend with headcount; the annual model front-loads the commitment. If your team grows from 25 to 40 mid-year, Onsurity simply bills the new members on the next cycle rather than requiring a mid-term endorsement and top-up.
Figures are illustrative for structure only. Your actual cost depends on team size, age mix, sum insured and co-payment choices.
Both are credible choices. The honest answer depends on how predictable your headcount is and how you want to manage cash and wellness.
You are a startup or SME that wants to avoid an annual lump sum, expects headcount to change through the year, needs to cover a blend of full-time, contract, gig or freelance staff, and wants wellness and OPD built in rather than bolted on — with the freedom to cancel anytime.
You have a stable, predominantly full-time headcount, prefer a fixed once-a-year renewal cycle, and are comfortable committing the full premium for the policy year. Plum is a capable, digital-first option in that lane.

Onsurity was built for the SME and startup buyer, not adapted down from a large-enterprise policy. That shows up in the mechanics: a monthly subscription with no annual lock-in, a minimum of just 3 employees including founders, and cashless cover at 10,000+ network hospitals settled straight to the hospital.
Wellness and OPD — teleconsults, discounted medicines and lab tests — are bundled at no extra premium, not sold as separate riders. HR runs everything from the TeamSure dashboard: onboard and offboard in minutes, add or remove employees mid-cycle, and track every claim in real time.
When someone is hospitalised, the Good Doctors concierge — real doctors — guides them from pre-authorisation to discharge, and day-1 cover options mean the benefit is live from the joining date. Cover extends to full-time, contract, gig and freelance staff, plus dependents.
It depends on your team’s size, age mix and the sum insured you choose, so a blanket “cheaper” claim would be misleading. The more useful difference is structural: Onsurity is a monthly subscription with wellness and OPD bundled in and no annual lock-in, whereas a traditional annual group policy asks for a full-year premium commitment. Compare on cash flow and total value, not headline price alone.
Yes. Because Onsurity runs as a monthly subscription starting from 3 employees, you can begin any month and use day-1 cover options so there is no gap. Most teams time the switch close to their existing policy’s renewal to avoid paying for two overlapping covers.
No. Onsurity is a month-to-month membership you can cancel or change anytime, so you are not tied to a 12-month premium commitment. That is the core structural difference from an annual group insurance policy, where cover is bound for the full policy year.
On Onsurity, wellness benefits — teleconsultations, discounted medicines and lab tests — plus OPD-style value are bundled into the membership at no extra premium. On annual group policies wellness and OPD are frequently sold as separate add-ons, so confirm what is included before comparing quotes.
Onsurity explicitly covers full-time, contract, gig and freelance staff, plus dependents. Traditional group policies are often scoped to full-time employees by default, so if you need to cover a blended workforce, confirm eligibility with any provider before you commit.
Get a group health quote and see your monthly, per-employee cost — wellness and OPD included, no annual lump sum, cancel anytime.
Get a group health quote