5 Best Diabetes Health Insurance in India 2023 – Top Plans, Cover and Benefits Offered
Diabetes Health Insurance plans are specifically designed insurance covers for people who have diabetes. Diabetes is a dangerous and often life-threatening condition. Thus, it’s important to opt for a diabetes medical insurance plan that covers the expenses for managing your condition. These comprehensive plans help you cover the high costs of treatment, including hospitalisation expenses for type 1 and type 2 diabetes, and manage the long-term costs associated with it.
This blog answers all of your diabetes-related questions and recommends the best diabetes health insurance plans in India. Let’s dive in!
5 Best Diabetes Health Insurance Plans 2023
| Diabetes Health Insurance Plans | Sum insured |
| Navi Health Insurance | Up to Rs. 1 crore |
| Apollo Munich Energy Plan | Sum insured ranges from Rs. 2 lakh to Rs. 10 lakh |
| National Varistha Mediclaim Policy | Rs. 1 lakh, which can go up to Rs. 2 lakh with critical illness cover |
| HDFC Ergo Energy Health | Sum insured ranges from Rs. 2 lakh to Rs. 50 lakh |
| Star Health Insurance Diabetes Safe | Rs. 3 lakh, Rs. 4 lakh, Rs. 5 lakh and Rs. 10 lakh, based on the plan you choose |
5 Best Diabetes Health Insurance Plans – Detailed Overview
Here is the detailed overview of the best diabetes health insurance plans 2023:
It is a comprehensive insurance plan dedicated to improving the lives of policyholders. It is one of the best health insurance plans for diabetes since it provides policyholders with access to a range of resources, including coverage for high cost treatments, a network of top-rated 10,000+ hospitals, 100% coverage of hospitalisation expenses, and more. The Navi Health Insurance plan fits the unique medical and financial needs of each policyholder. The premiums start at Rs. 235 per month. The option of paying premiums in EMIs is also available.
Minimum age: Anyone between 91 days old and 70 years old can be insured. The maximum age for a dependent child in Navi Health Insurance is 30 years.
- The insurance policy offers coverage for up to Rs. 1 crore.
- You can get unlimited online consultations.
- 100% hospitalisation expenses are covered for 90 days prior to hospitalisation and 180 days after hospitalisation.
- Medical treatments at home for 3 or more days are covered.
- Organ donor expenses are also covered.
- The plan also offers coverage for an air ambulance for up to Rs. 5 lakh.
- Under Section 80D of the Income Tax Act, the premiums paid for this policy are allowed as deductions for up to Rs. 25,000 for individuals under 60 years of age. Senior citizens can claim a deduction of up to Rs. 50,000.
Exclusions
- Expenses incurred on OPD treatment, dental procedures, eyesight correction, treatment of drug or substance abuse, and cosmetic surgeries are not covered.
2. Apollo Munich Energy Plan
Apollo Munich Health Insurance Company offers a diabetes health insurance plan – Energy – for people with diabetes. The diabetes health insurance plan is part of a wellness management program by Apollo Munich for people with type 2 diabetes, impaired glucose tolerance (IGT), impaired fasting glucose (IFG), and hypertension. The diabetes health insurance plan not only provides coverage for diabetes treatment but also promotes a healthy lifestyle through its wellness program. The program offers rewards and points that can be redeemed for medical consultations and medication.
Minimum age: 18 years
Key features and Benefits of Apollo Munich’s Diabetes Health Insurance Plan:
- The policy is valid for 1 year.
- Two options are available under the plan – Silver and Gold.
- There is no waiting period.
- You get 1-day coverage for hospitalisation due to diabetes and hypertension.
- In-patient hospitalisation cost is covered.
- You get a 25% discount for maintaining good health.
- You get tax benefits under section 80D of the Income Tax Act, 1961, for the premiums you pay.
Exclusions
- Existing conditions are covered after a waiting period of 3 years.
- Expenses arising from HIV or AIDS, congenital diseases, mental health conditions, cosmetic surgeries, and more are not covered under the plan.
3. National Varistha Mediclaim Policy
The National Varistha Mediclaim Policy is a comprehensive plan specifically designed for senior citizens who are between the ages of 60 and 80 years. It is one of the best health insurance plans for diabetes since it covers a wide range of expenses incurred on the treatment and management of the condition. The plan is loaded with benefits for elderly people who are prone to severe health conditions and need coverage against high treatment costs of diabetes and hypertension. The policy premium starts as low as Rs. 4,100 while the sum insured falls between Rs. 1 lakh and Rs. 2 lakh.
Minimum age: 60 years
Key features and Benefits of the Policy:
- The tenure of the policy is 1 year.
- The insured can renew the policy until 90 years of age.
- The insured gets coverage of Rs. 1 lakh for hospitalisation and Rs. 2 lakh for critical illness.
- 50% of the sum insured covers the cost of medicine, drugs, oxygen, blood, diagnostic charges, etc.
- 1% of the sum insured covers hospitalisation expenses.
- 25% of the sum insured covers the fees of anaesthetists, surgeons, consultants, medical practitioners, etc.
- Emergency ambulance charges are covered up to Rs. 1,000 for each policy year.
- Critical illnesses, including cancer, multiple sclerosis, stroke, etc., are covered even without the hospitalisation of the insured.
- Pre-hospitalisation expenses are covered 30 days prior to hospitalisation, while post-hospitalisation expenses are covered for 60 days.
- The premiums paid for this diabetes health insurance plan are allowed as deductions under Section 80D of the Income Tax Act for up to Rs. 20,000 for senior citizens.
Exclusions
- The treatment of benign prostatic hyperplasia, cataract, and organ transplant are covered to a certain limit.
- Expenses incurred on treatment within the first 30 days of issuance of the policy are not covered.
- Exclusions for the first year include joint replacement, benign prostatic hypertrophy, cataract, hernia, piles, fistula, congenital internal disease, hydrocele, sinusitis, pilonidal sinus, stone disease, and more.
- Cosmetic surgeries are not covered under the plan.
4. HDFC Ergo Energy Health
This health insurance for diabetic patients not only covers the costs of treatment related to the condition but also helps individuals lead a healthy life. HDFC Ergo Energy Health covers the high costs of treating and managing type 2 diabetes and hypertension. The plan also comes with a personalised wellness and management program to help individuals successfully live with diabetes. The sum insured ranges between Rs. 2 lakh and Rs. 10 lakh.
Minimum age: 18 years
Key Features and Benefits of HDFC Ergo Energy Health plan:
- The plan offers coverage for individuals up to 65 years of age.
- Pre-hospitalisation expenses incurred 30 days before hospitalisation are covered, while post-hospitalisation expenses are covered for 60 days.
- Daycare treatments in a hospital or daycare centre are covered.
- Emergency ambulance expenses are covered up to Rs. 2,000 for each hospitalisation.
- Medical and surgical organ donor expenses are covered.
- This diabetes health insurance plan comes with lifelong renewability.
- You can save up to Rs. 75,000 in taxes.
- The plan also offers 25% discounts on renewals, depending on your medical tests and critical health parameters, including BP, BMI, HbA1c, cholesterol, etc.
Exclusions
- Pre-existing conditions other than diabetes and hypertension are covered after two years from the date of issuance of the policy.
- Self-inflicted injuries are not covered.
- Claims arising due to wars are not covered.
- Cosmetic surgeries and treatment of obesity are not covered.
- Venereal or sexually transmitted diseases are not covered.
5. Star Health Insurance Diabetes Safe
It is a specialised health insurance policy designed specifically for individuals with diabetes. This diabetes health insurance plan offers comprehensive coverage for diabetes-related conditions, treatments, and hospitalisation, ensuring that the insured can receive the best possible care without any financial burden. With its unique features and benefits, Star Health Insurance Diabetes Safe is a must-have for anyone living with diabetes, providing peace of mind and the assurance that their health is in good hands. The plan covers complications arising from type 1 and type 2 diabetes. Moreover, the insured can avail of the policy as an individual plan or on a floater basis.
Minimum age: 18 years
Key Features and Benefits of Star Health Insurance Diabetes Safe:
- The plan offers you coverage till you are 65 years of age.
- Pre-hospitalisation expenses are covered for 30 days prior to hospitalisation, while post-hospitalisation expenses are covered for 60 days.
- Over 400 daycare procedures are covered.
- The plan covers a network of 6000 hospitals in India.
- The premiums paid towards the policy are allowed as deductions under Section 80D of the Income Tax Act.
Exclusions
- The plan does not cover the costs of immune-suppressive drugs, Diabetes Mellitus Type II, Diabetic Nephropathy, Diabetic Retinopathy, Diabetic foot ulcer, and Chronic Renal failure.
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Benefits of Diabetes Health Insurance
A diabetic individual can avail of a host of advantages with a dedicated diabetic insurance policy. These include:
1. Extensive Financial Coverage
Treatment of diabetes can be a lengthy and costly affair. Diabetes mellitus is a chronic disease that requires frequent doctor consultation, medications, insulin, diagnostic tests, and even hospitalisation. A diabetes insurance policy will provide extensive financial coverage to help you manage all these expenses.
2. Wellness Programs with Coaches
Almost all diabetes insurance plans include a wellness program that motivates diabetic individuals to lead a healthy lifestyle. Such programs also come with a wellness trainer or coach to monitor and assess the policyholders’ progress.
3. Rewards
As a diabetes insurance policyholder, you are also eligible for no-claim bonus or reward points to stay fit and active. You can later use these reward points or discounts to reduce the cost of health insurance policies.
How Does Diabetes Health Insurance Work?
- Diabetes insurance in India covers medical expenses that occur as a result of diabetes, as well as medical expenses that occur because of complications from diabetes.
- Regular health insurance plans do not usually cover pre-existing diabetes, but there are some plans that are specifically designed to cover high blood sugar levels and related illnesses.
- Most insurers provide coverage for both Type 1 diabetes and Type 2 diabetes, but it is important to read the inclusions and exclusions before finalizing the plan.
- You can also choose Individual or Family Floater plans based on your specific needs. Besides hospitalization, health insurance for diabetes plans may also include outpatient expenses, such as medical consultation and diagnostic tests.
- You might also be covered for Personal Accident cover, which provides compensation for the accidental death of the insured person.
How to File a Claim for Diabetes Insurance Policy?
Filing a claim for diabetes insurance is similar to any other health insurance. You can either receive reimbursement for medical expenses or a direct payment is made to the hospital under a cashless policy.
Here are the two ways to file a claim for a diabetes health insurance plan:
1. Cashless Claim
You can opt for a cashless claim if you are admitted to one of the network hospitals covered in the health insurance plan. You don’t have to pay the bills from your pocket since the insurance provider directly settles the medical bill with the hospital. The claim process will vary for each plan. However, you can follow the steps listed below to file a claim:
Step 1: Inform the insurer and submit a request for a cashless claim at the insurance desk in the hospital.
Step 2: Submit the completed pre-authorization form.
Step 3: The form will be processed, and you will receive a confirmation with the maximum treatment amount.
2. Reimbursement Claim
You will have to opt for a reimbursement claim if your insurance provider does not offer a cashless claim or if the hospital you are admitted to is not covered in the network of hospitals. The process for reimbursement claims is simple. You pay the medical bills at the hospital and file a claim with your insurance provider for reimbursement of the same.
Step 1: Contact the insurance provider.
Step 2: Place a request for reimbursement.
Step 3: Submit the required documents, including medical bills, discharge summaries, prescriptions, etc.
Step 4: The reimbursement claim will be processed and the amount will be disbursed. It usually takes 15 to 20 days from the date on which all documents are submitted.
What to Consider While Choosing a Health Insurance for Diabetes?
The market is flooded with numerous insurers providing diabetes health insurance policies. However, finding the one that best suits your requirements can be a bit confusing. Keeping the following pointers in mind will help you in your quest to find the best health insurance for diabetes in India:
1. Waiting Period
Diabetes is a chronic disease that requires constant medical attention. Therefore, it is crucial to find a diabetes insurance policy with a low waiting period. Insurers offering diabetes insurance plans usually offer a lower waiting period. Make sure to compare across various insurers to find a policy that offers a low or no waiting period.
2. Wellness Plans
Since the recovery of diabetes is connected with your lifestyle, it cannot be cured with only medications and treatments. It requires constant effort to stay healthy. Most diabetes insurance policies come with a wellness program and coach to help patients stay fit and healthy. Such plans also offer benefits and rewards. Try to find a policy that comes with a suitable wellness program.
3. Maximum Renewable Age
Most diabetes insurance policies provide policy renewal of up to 60 years. Make sure to find an insurance policy that offers a high renewable age.
Final Word
It is usually beneficial for diabetic individuals to opt for a specially curated diabetes insurance plan instead of a regular health insurance plan. However, you need to keep in mind all the key points while looking for the best health insurance for diabetics in India. Make sure to compare and assess all the offerings of insurers before making a decision.
Medical emergencies are a hassle, save yourself from extra cost and time and get a Navi Health Insurance today. What do you get? Cashless claims settled in 20 minutes at 10,000+ network hospitals across India and other benefits such as 100% coverage of hospital bills, unlimited online consultations, medical treatment at home, etc.
FAQs
You need to submit the following documents while buying health insurance for diabetes:
-Proof of identity
-Residence proof
-Photographs
-Age proof
-Income proof of the insured individual
-Health-related documents asked by the company
-Other documents as requested
Ans: Usually, most insurance companies cover the treatment for both types of diabetes. However, you must check the policy thoroughly as some policy providers might cover only Type 2.
Yes, you are allowed to purchase multiple health insurance policies for diabetes from either the same or different insurance companies. But, you need to inform all existing policies to the other insurance providers while making a claim.
Yes, you can file for tax exemption under Section 80D of the Income Tax Act against the premiums that you have paid.
Before you go…
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Disclaimer: This article has been prepared on the basis of internal data, publicly available information and other sources believed to be reliable. The information contained in this article is for general purposes only and not a complete disclosure of every material fact. It should not be construed as investment advice to any party. The article does not warrant the completeness or accuracy of the information, and disclaims all liabilities, losses and damages arising out of the use of this information. Readers shall be fully liable/responsible for any decision taken on the basis of this article.
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