Health Insurance Plans For Diabetes Patients – Features, Benefits And Claim Process

Health insurance for diabetes patients is a comprehensive insurance plan that covers the cost of medical care, including hospitalisation expenses for the treatment of diabetes.  

Diabetes Mellitus, commonly known as diabetes, is a chronic health condition that can become life-threatening due to a lack of quality treatment. It can lead to fatal health conditions like kidney failure, heart disease, blindness and even amputation. As a chronic illness, this disease requires continuing medical attention.

Health insurance plans for diabetes act like an added layer of financial protection during a medical emergency. 

Read along to find out more about the necessity of medical insurance for diabetic patients.

Importance of Medical Insurance for Diabetes Patients

Diabetes is a growing health concern in India. According to the 2021 survey, more than 77 million adults are living with the disease. Out of this, approximately 57% of cases remain undiagnosed. 

This disease can lead to several health complications, as previously mentioned. In addition, a diabetic patient has to undergo long term medication to keep the disease under control.

Listed below are some indispensable reasons why a diabetes insurance plan is essential:

1. The cost of hospitalisation due to diabetes can be high. However, a health insurance policy for diabetes patients can provide sufficient coverage for medical expenses.
2. Certain health insurance policies also cover the cost of periodic consultations with doctors, diagnostic tests and expensive medicines for diabetes. This way, you can concentrate on your treatment and not worry about the expenses. 
3. A comprehensive health insurance policy will take into account the type of diabetes and cover the treatment costs accordingly. Such a policy provides coverage for everything essential as per the patient’s requirements. 
4. A diabetic patient is more at risk of contracting critical illnesses. Therefore it is necessary to opt for periodic check-ups. The benefits of a health insurance plan for diabetes patients may include free health check-ups at regular intervals. 

Also Read: https://navi.com/blog/tpa-in-health-insurance/ 

Features of a Health Insurance Plan for Diabetes Patients 

Knowing about every detail of your insurance coverage is necessary as various complications could arise owing to diabetes.  In that regard, let’s take a look at some essential features of a comprehensive health insurance plan for diabetes:

Cashless hospitalisation

A health insurance plan offering coverage for diabetes provides a cashless hospitalisation facility. On account of this feature, you do not have to worry about finances during medical emergencies. The insurance provider directly settles the medical bills with the network hospital. 

Pre and post hospitalisation

The healthcare plan for diabetes patients also covers expenses arising from several tests and medical procedures before and after hospitalisation.

Day-care procedure coverage

A comprehensive healthcare plan also covers the cost of treatment procedures that require hospitalisation for less than 24 hours. 

Facilities under a Medical Insurance Plan for Diabetic Patients

Here are some benefits of health insurance for diabetes patients:

• In-patient treatment
• Ambulance charges
• Coverage for diagnostic tests and doctor’s consultations
• Health check-ups
• Domiciliary treatment
• Benefits of porting health insurance policy
• AYUSH treatment (Ayurveda, Yoga, Unani, Siddha and Homeopathy) coverage
• Restore benefit

Factors to Consider before Buying a Health Insurance Plan for Diabetes Patients

Eligibility and entry-exit age

It is necessary to check the entry and exit age limits in relation to a specific health insurance plan for diabetes patients before making a purchase. 

Premium to be paid and sum insured

These two factors are essential when buying medical insurance for diabetes. Keeping in mind the expensive medication and treatment procedures, the premium amount and sum insured are two aspects that determine how suitable the plan is for the policyholder’s requirements. 

Waiting period

Often, a health insurance plan for diabetes patients comes with a fixed waiting period. On account of this, the policyholder might have to wait for 2-4 years to get coverage. However, some insurance providers waive this clause for a fee or a higher premium. It would be best if you considered this aspect before choosing a plan. 

Term of policy and coverage

A long policy term and broad coverage enable you to avail of necessary treatment benefits for an extended period. 

Facilities offered

Before choosing a suitable health insurance plan for diabetes patients, it is essential to read the policy wordings carefully. Furthermore, you must check all the benefits of the policy. 

Network hospitals:

When purchasing health insurance for diabetes patients, you must make sure to choose an insurance provider that has a large number of network hospitals, for example, Navi. This insurer has more than 10,000 network hospitals across over 400 locations in India. Navi approves cashless claims within 20 minutes. So, visit Navi Health Insurance today (Terms & Conditions Apply).

Policy term

This refers to the duration for which a policy remains active. In other words, it is the time period during which the insurance company provides guaranteed coverage. Accordingly, by opting for a health insurance plan with a longer policy term, you will get coverage for a longer period. 

Also Read: https://navi.com/blog/best-health-insurance-plans-for-parents-in-india/

What is the process to file a claim?

To file a claim, follow these easy steps:  

Reimbursement Claim Process:

• After discharge, collect all the necessary medical documents, including the ones that require doctor certification 
• Inform your insurance provider ahead of time. It helps to accelerate the claim process. 
• Get the claim form from the insurer’s website. You can also obtain it from their office.
• After filling out the form, submit it along with the required documents to the Third Party Administrator (TPA). 
• Your insurance provider will settle the claim after reviewing it. In case the insurer rejects your claim, you will be notified. 

Cashless Claim Process: 

• Go to a network hospital nearest to your residence. Make sure to refer to your insurance company’s network hospital list. 
• Collect the pre-authorisation form available at the hospital.
• Fill out the form with the required details and then submit it to the hospital authorities.
• After the insurance company gives approval, the claim will be settled as per the terms and conditions of your health insurance policy. 

Final Word

By opting for health insurance for diabetes patients, you can financially secure yourself during a medical emergency that may arise due to this disease. That said, before making a purchase, you must weigh the pros and cons of different policies for finding out which one is the most suitable option.  

Frequently Asked Questions

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