Health Insurance in Gwalior

Gwalior is a major industrial and tourist destination in Madhya Pradesh. Renowned for its rich cultural history, the city boasts of magnificent forts, palaces, and Havelis. Despite advancements in the city's healthcare infrastructure, the high cost of quality medical care remains a significant concern for residents. If you do not want costly hospital bills to burn a hole in your pocket, it is wise to purchase health insurance in Gwalior.

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      Health Statistics of Gwalior

      Following are some of the current health statistics of Gwalior:

      • Gwalior contributes to every 11th case of oral cancer in India.
      • Anaemia affects 78% of children and 62% of women in Gwalior.
      • Gwalior reported the highest number of dengue cases in Madhya Pradesh by September 2024.
      • Over 1.29 lakh women in Gwalior suffer from hypertension.
      • Gwalior was the most polluted city in Madhya Pradesh in November 2023.
      • 26% of women in Gwalior are overweight/obese.

      Why Do You Need Health Insurance in Gwalior?

      Here are some of the reasons why purchasing health insurance in Gwalior is a good idea:

      1. Increasing Lifestyle Diseases

        Lifestyle diseases like obesity/overweight and hypertension have a huge burden in Gwalior. As per the National Family Health Survey-5, more than 1.6 lakh women in Gwalior, falling in the age group of 15-49 years, are overweight/obese. Moreover, 20% of women in the same age group are affected by hypertension. Treating severe lifestyle diseases can strain your finances, but with a mediclaim insurance plan, you can access quality treatment without depleting your savings.

      2. High Incidence of Cancer

        Cancer is a significant health issue among Gwalior residents. According to National Center for Informatics and Disease Research (NCDIR) data, 19% of men in Gwalior are suffering from oral cancer. Cancer treatment is often prolonged and expensive. If you do not wish to exhaust your savings, it is ideal to buy health insurance for cancer patients so that your insurer covers all your treatment expenses.

      3. Poor Air Quality

        Gwalior has one of the worst air quality levels in Madhya Pradesh. In fact, central and state pollution control board officials have warned that if the situation does not improve, it could become as severe as Delhi's air pollution crisis. According to the official report, Gwalior recorded an alarming Air Quality Index (AQI) of 338 in November 2023. Poor air quality can lead to a rise in respiratory illnesses in the city. Since hospitalisation for such diseases might be expensive, buying the best health insurance plan can help you cover the medical costs with ease.

      4. Prevalence of Vector-Borne Diseases

        Gwalior regularly faces outbreaks of vector-borne diseases, especially dengue, during the monsoon season. As per official data, Gwalior has reported more than 500 dengue cases in 2024 as of September 23. While mild cases can be cured at home, severe cases may require ICU admission, which can be expensive. Opting for a dengue health insurance plan allows you to get the necessary treatment on time without any financial stress.

      5. Rise in Medical Costs

        Medicare in Gwalior is expensive due to the limited availability of quality healthcare facilities. For instance, the minimum cost of a Coronary Artery Bypass Graft surgery in Gwalior is around ₹1.27 lakh. Such high medical expenses can be overwhelming for many residents. However, with health insurance plans offering coverage between ₹5-10 lakh, your insurer can take care of these high medical costs.

      Major Health Problems in Gwalior

      Check out some of the health problems prevalent in Gwalior:

      1. Anaemia

        Anaemia is a prevalent health issue among women and children in Gwalior. As per the NFHS-5 data, over 4 lakh women aged 15-49 years and around 1.5 lakh children below the age of 5 are anaemic in Gwalior. The primary causes of anaemia in the city include a lack of iron-rich and vitamin C-rich foods in daily diets.

      2. Hypertension

        Hypertension is another cause of concern in Gwalior. As per the fifth rough of the National Family Health Survey, more than 1.29 lakh women in Gwalior, falling in the age group of 15-49 years, are suffering from hypertension. Such a high number of hypertension cases in the city are due to unhealthy eating habits and sedentary lifestyles.

      3. Cancer

        The incidence of cancer, especially among men, is rising in Gwalior. According to the NCDIR data, every 11th oral cancer patient in India is from Gwalior. Factors such as high tobacco use, alcohol consumption, pollution, and obesity are most likely contributing to this surge in cancer cases in the city.

      4. Asthma

        Asthma has become a common respiratory problem in Gwalior. A news report from May 2022 highlighted a 20% increase in asthma cases in Gwalior over the past five years. The rising air pollution levels in the city are majorly responsible for this increase.

      5. Obesity/Overweight

        Obesity/Overweight is also becoming a growing concern in Gwalior, particularly among women. The NFHS-5 data shows a 12% increase in obesity/overweight rates among Gwalior women aged between 15-49 years. This increase is largely due to poor dietary habits, stress, and a lack of physical activity.

      6. Dengue

        Dengue remains one of the most widespread vector-borne diseases in Gwalior. According to official data, 246 dengue cases were recorded in Gwalior in just 18 days of September 2024. The rise in dengue cases is attributed to inadequate sanitation, stagnant water, and a surge in mosquito breeding.

      How Much Health Insurance Coverage Do You Need in Gwalior?

      As per experts in the insurance industry, health insurance coverage should be at least 50% of your yearly income.Furthermore, it is advisable to choose a medical policy that can handle the high costs of treating critical illnesses like stroke, cancer, kidney failure, etc., especially if they are common in your area.

      Due to the escalating healthcare costs in Gwalior, individual mediclaim insurance with a sum insured of ₹5-10 lakh is suitable. For your family's medical needs, a family health insurance plan with coverage of at least ₹20 lakh is recommended. Moreover, elderly residents in Gwalior must purchase a senior citizen health insurance policy that offers a minimum ₹15 lakh coverage.

      Health Insurance in Gwalior for NRIs

      Non-Resident Indians (NRIs) from Gwalior can buy health insurance from any insurer in India. Whether they visit Gwalior for a short duration or decide to stay for a longer period, this health insurance for NRIs policy will cover all medical expenses throughout their stay. In fact, if NRIs wish to settle back in Gwalior after a few years, they can continue using the same policy without worrying about serving any extra waiting periods.

      NRIs can also purchase health insurance for parents living in Gwalior to protect them from the financial burden of covering unexpected medical costs. Moreover, NRIs are eligible to receive an 18% GST refund on health insurance premiums paid in India, provided they comply with the tax regulations in their country of residence.

      People also read: GST Refund on Health Insurance for NRIs

      Is Government Health Insurance Enough to Cover Medical Expenses in Gwalior?

      No.

      The Madhya Pradesh government launched the Deendayal Antyodaya Upchar Yojana in September 2004 to provide financial support for low-income families in the state, including those in Gwalior. This scheme aims to offer free medical treatment and diagnostic services at government hospitals to its beneficiaries. However, it does not cover all the medical expenses of Gwalior residents.

      Refer to the table below to learn why the Deendayal Antyodaya Upchar Yojana is not sufficient to meet all your healthcare needs in Gwalior:

      Category Deendayal Antyodaya Upchar Yojana Private Health Insurance
      Sum Insured The Yojana provides health cover of up to ₹30,000 per family annually. The private health insurance plan provides coverage up to ₹6 crore, depending on the plan you choose.
      Scope of Coverage Various medical treatments and investigation facilities are covered under the Deendayal Antyodaya Upchar Yojana. It covers several procedures, including modern treatments, inpatient treatments, up to 100 critical illnesses, pre and post-hospitalisation expenses, outpatient treatments, diagnostic tests, etc.
      Eligibility Criteria The applicant must be a Madhya Pradesh resident.
      Families living below the poverty line (BPL) are eligible.
      The annual family income should not exceed ₹6 lakh.
      STs and SCs are eligible.
      Individuals with disabilities are eligible.
      On the basis of age, health status and budget, anyone in Gwalior can buy private medical insurance.
      Hospitals Covered Only government hospitals are covered under the Deendayal Antyodaya Upchar Yojana. Private health plans provide cashless treatment options across all hospitals in Gwalior.

      Wellness and Prevention Tips in Gwalior

      Take a look at the wellness and prevention tips in Gwalior:

      • Use mosquito repellents and wear long-sleeved clothing, especially during the rainy season in Gwalior.
      • Keep your home dust-free and avoid exposure to smoke and pollution.
      • Avoid tobacco and limit alcohol consumption to reduce cancer risks in Gwalior.
      • Include iron-rich foods, like spinach, jaggery, and lentils, in your diet.
      • Keep water storage containers covered to prevent mosquito breeding in Gwalior.
      • Reduce salt intake and avoid processed foods in Gwalior to manage blood pressure.
      • Engage in daily physical activity for at least 30 minutes.
      • Use air purifiers at home to minimise indoor air pollutants in Gwalior.
      • Include vitamin C-rich foods like citrus fruits to improve iron absorption.
      • Practice relaxation techniques, like deep breathing or meditation, in Gwalior.
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      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

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      *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.

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