Diseases Covered Under Health Insurance

With medical debts becoming a major reason for poverty in India, health insurance offers a reliable solution to avoid emergency medical expenses. If you're considering buying a health plan, take a look at the list of diseases covered under most health insurance policies in India.

Read More

Policybazaar exclusive benefits
30 minutes claim support##
(In 120+ cities)
Relationship manager
For every customer
24*7 claims assistance
In 30 mins. guaranteed*
Instant policy issuance
No medical tests~
People trust Policybazaar^
7.7 crore
Registered consumers
50
Insurance partners
4.2 crore
Policies sold
Policybazaar is one of India's leading digital insurance platform
0%
Find affordable plans with up to 25% Discount**

Select members you want to insure

  • More Members
  • Back
    Continue
    By clicking on “Continue”, you agree to our Privacy Policy and Terms of use
    Maximum child sum can be 4
    This will help us calculate the premium & discounts for your family
    Previous step
    Continue
    This will help us to find the network of Cashless Hospitals in your city

      Popular Cities

      Previous step
      Continue
      Get to plans directly next time you visit us
      Please provide your active international number
      Previous step
      Continue
      We will find you the plans that cover your condition.

      Do any member(s) have any existing illnesses for which they take regular medication?

      Get updates on WhatsApp

      Previous step

      When did you recover from Covid-19?

      Some plans are available only after a certain time

      Previous step

      What are the Diseases Covered by Health Insurance?

      The list of diseases covered under your health insurance policy will vary from insurer to insurer and the type of plan, whether it is a mediclaim policy, individual health insurance plan or senior citizen health insurance. The following diseases are usually covered under major health insurance plans in India:

      High Blood Pressure

      Also called hypertension, high BP is a serious condition that can lead to lethal health conditions like stroke, heart attack and other cardiac diseases. The treatment consists of prolonged medication or surgery, which is a considerable financial burden for many people and their families. Most health plans cover the treatment expenses for high BP and the complications caused directly.

      Cataract

      Cataract surgery is among the most common surgical procedures in India, with over 14 million surgeries conducted annually. The surgery can cost anywhere between 15,000 and Rs. 1 lakh depending on the procedure and complication. Most health insurance plans cover cataracts after an initial waiting period.

      Heart Diseases

      The heart is among the most important and tricky organs of our body. Cardiovascular diseases hamper the normal function of your heart and affect the whole body, which can often be fatal. Most medical insurance plans in India cover several medical expenses for heart diseases including cardiomyopathy, refractory heart failure, etc. Many policies also cover cardiac health checkups.

      Cancer

      Cancer is a deadly disease threatening many people. Medical advancements have improved the chances of recovery from many types of cancer but the cost of these treatments continue to skyrocket. Luckily, several types of cancer and their treatment expenses are covered by many health insurance plans. Coverage can range from hospitalisation, chemotherapy, medication and other procedures as per the policy terms.

      Diabetes

      As per the International Diabetes Federation, India had ~72.9 million diabetic patients in 2017. A silent killer, diabetes is a lifestyle disease that affects the whole body. It can lead to fatal conditions like damage to blood vessels, strokes, kidney failure, and problems with eyes, nerves, feet etc., leading to several chronic disorders and premature deaths. It is covered by several insurers in India.

      COVID-19

      Who hasn't been affected by the coronavirus? COVID-19 is an extremely contagious disease caused by the SARS-CoV-2 virus. The effects can range from mild flu-like symptoms to life-threatening conditions including pneumonia, multiple organ failure and more. Many plans offer coverage for hospitalisation, and other medical expenses if you get infected with the coronavirus.

      HIV AIDS

      People suffering due to HIV/AIDS have to live with a compromised immune system and are prone to several issues. Treating it can burn a hole in any middle-class Indian's pocket. Luckily, many insurance plans in India provide financial support for the treatment of HIV/AIDS. Hospitalisation expenses, treatment costs, day care treatment and several other expenses are covered under different comprehensive health insurance plans.

      Critical Illnesses

      There are special health insurance plans to cover the high expenditure risks in case of critical disease. These diseases are not only life-threatening but also extremely time and money consuming.

      Many lifestyle and genetic conditions have increased the probability of such risks and cost tremendously. Opting for a critical illness health insurance plan is an affordable way to cover a variety of serious diseases such as cancer, multiple sclerosis, Parkinson's disease, paralysis, myocardial infarction etc.

      What are the Diseases Not Covered by Health Insurance?

      With so many health insurance companies in India, you can opt for any policy depending on your needs. However, there are certain cases and diseases that aren’t covered by health insurance plans. Some of these are listed below:

      • Cosmetic surgery, unless for reconstruction purposes
      • Health issues caused by consumption of alcohol, drugs etc.
      • Infertility treatments such as IVF
      • Self-inflicted injuries
      • Pre-existing illnesses, unless the insurer provides coverage through additional premium or add-ons

      Wrapping it Up,

      As per a study, around 80% of the medical costs in India are paid out of pocket. Lack of financial backup or sufficient funds often proves fatal to the patient. This plunges 4 to 6 crore Indians into poverty due to healthcare debts every year. Having a comprehensive health insurance plan will secure people from such financial catastrophes, loss of income, the demise of the earning member. The plans can be purchased at a nominal premium and offer protection against medical emergencies.

      book-home-visit
      Search
      Disclaimer: The list mentioned is according to the alphabetical order of the insurance companies. Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by any insurer. For complete list of insurers in India refer to the Insurance Regulatory and Development Authority of India website www.irdai.gov.in

      Health insurance Articles

      • Recent Article
      • Popular Articles
      10 Jan 2025

      Benefits of Health Insurance

      In today's fast-paced world, changing lifestyles have led to a

      Read more
      10 Jan 2025

      Human Metapneumovirus (HMPV): All You Need to Know

      The world experienced a crisis of a lifetime in 2020, with the

      Read more
      30 Dec 2024

      Importance of Health Card

      A health card is an important component of your medical insurance

      Read more
      17 Dec 2024

      How to File a Claim for Maternity Health...

      Maternity insurance is one of the best investments married couples

      Read more
      03 Dec 2024

      Health Insurance Checklist

      Health insurance is a crucial investment you can make to secure

      Read more

      Best Health Insurance Plans for Senior Citizens

      Senior citizens are the most prone to diseases. Considering the medical inflation in India, buying health insurance

      Read more

      How to Apply for Ayushman Bharat Pradhan Mantri...

      Ayushman Bharat Yojana is a flagship health insurance scheme launched by the Government of India to offer universal

      Read more

      Zero Waiting Period in Health Insurance Plans

      Every medical insurance plan comes with a few terms & conditions, and the waiting period is one of them. A

      Read more

      How to Cancel Your Health Insurance Policy &...

      Having a health insurance policy is not a choice but a necessity today. It ensures the right health coverage for you

      Read more

      *We will respond in the first instance within 30 minutes of the customers contacting us. 30-minute claim support service is for the purpose of giving reasonable assistance to the policyholder in pursuance of the claim. Settlement of claim (including cashless claim) is the responsibility of the insurer as per policy terms and conditions. The 30- minute claim support is subject to our operations not being impacted by a system failure or force majeure event or for reasons beyond our control. For further details, 24x7 Claims Support Helpline can be reached out at 1800-258-5881.

      *Product information is authentic and solely based on the information received from the Insurer. Policybazaar is acting only as a facilitator and claims settlement shall be at the sole discretion of the Insurer. Policybazaar does not provide any medical or surgical advice or diagnosis and is not responsible for your interactions / treatment by a medical practitioner/hospital. Please consult a registered medical practitioner for any medical or surgical advice. The Information that you obtain or receive from Policybazaar, and its employees, or otherwise on the Website is for informational purposes only. As per the Insurance guidelines, you are allowed to cancel the policy with-in 30 days from the date of Issuance of policy.This option is available incase of policies with a term of one year or more.

      *All the health insurance plans cover hospitalization expenses including COVID-19 treatment cover up to the specified limits. You can also buy specific COVID-19 health insurance policies such as Corona Kavach Policy and Corona Rakshak policy.

      **All savings and online discounts are provided by insurers as per IRDAI approved insurance plans. #Tax Benefits are subject to changes in tax laws. GST Exemptions depend on fulfilment of qualification criteria and submission of relevant documents.

      *₹1748/month is the starting price for a 1 crore health insurance for an 18-year-old male, with no pre-existing diseases. Discount on renewal premium is subject to the number of wellness points earned in the health insurance policy. For more details about the plans, please read the sale brochure carefully to get upto 100% discount on renewal premium.

      *₹400/month is the starting price for ₹ 5 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹541/month is the starting price for ₹ 10 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹762/month is the starting price for ₹ 1 Crore Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹243/month(₹ 8/day) is the starting price for a 5 lakh health insurance for a 20-year-old male, non-smoker, living in Bengaluru with no pre-existing diseases

      *₹2020/month is the starting price for ₹ 1 Cr Health insurance for a 50 year old male & 50 years old female, living in Bangalore with no pre-existing diseases rounded off to nearest 10.

      *₹390/month (₹13 per day) is starting price for 1 cr. Health insurance for 25 years old male, with pre-existing diseases, residing from tier 1 city rounded off to the nearest 10.

      *No medical tests are required unless requested by the insurer’s underwriter. In-case of pre-existing diseases relevant medical proof would be required as per the terms and condition of the policy opted.

      *The values taken for effective cost calculation are indicative values and may change as per the selected plan.

      *Coverage upto double the amount of Sum Insured is available on certain covers for a minimum plan of Rs. 5 Lakh on the first claim only to an individual of upto 45 years of age with no pre-existing diseases. The benefit is available with or without extra cost depending on the plan chosen.

      *Coverage of pre-existing diseases is provided by insurer as per their underwriting policy.

      *The scope of coverage may vary from plan to plan.

      ~Source: Google Review Rating available on:- http://bit.ly/3J20bXZ

      ##On ground claim assistance is available in 114 cities

      Tax Benefits are subject to changes in tax laws. GST Exemption depends on fulfilment of qualification criteria and submission of relevant documents as required by the insurers. For more details on risk factors, terms and conditions, please read the sales brochure and applicable rules and regulation carefully before concluding a sale.

      STANDARD TERMS AND CONDITIONS APPLY. For more details on risk factors, terms and conditions, please read the sales brochure carefully before concluding a sale.

      Policybazaar is a registered Composite Broker |Registration No. 742, Valid till 09/06/2024, License category- Composite Broker| Visitors are hereby informed that their information submitted on the website may be shared with insurers.

      Policybazaar Insurance Brokers Private Limited | CIN: U74999HR2014PTC053454 | Registered Office - Plot No.119, Sector - 44, Gurgaon, Haryana - 122001 Contact Us | Legal and Admin Policies

      © Copyright 2008-2024 policybazaar.com. All Rights Reserved.

      top
      Close
      Download the Policybazaar app
      to manage all your insurance needs.
      INSTALL