- Features & Benefits
- Infertility Coverage
- Women Health Plans
Lives In: Delhi, NCR Expertise: Health & Term Insurance Simran has an experience of 4 years in content writing. She transitioned from hospitality and digital marketing to the insurance industry after her emerging interest in how vast insurance is. With her ability to write complex insurance concepts in a simple, relatable manner, she keeps her audience hooked and solves their doubts smoothly.
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Updated on Apr 08, 2025 4 min read
Best Health Insurance for Women in India 2025
When it comes to health insurance, it has emerged as an absolute necessity in recent times. Be it a child, an occupational man or a senior citizen, we have specified plans for everyone. But, if we speak of women, we somehow lie behind in having women-centric health insurance plans compared to other nations. Women’s health insurance in India may be a concern but thankfully, more and more health insurance companies are coming up with amazing women-centric plans. These plans are designed to keep women’s health issues in mind and mostly focus on pregnancy, childbirth, and related covers. These covers are made for illnesses that women are more prone to get after a certain age.
Women’s health insurance plans are generally comprehensive and often include access to preventive care such as annual or bi-annual gynaecological examinations, breast cancer screenings, contraception, prenatal care, and many more.
This article covers all about a women’s health insurance policy, its benefits, eligibility criteria for buying it, what it covers and what are its exclusions. Keep reading further to know more about it.
Eligibility Criteria for Women’s Health Insurance
Read below the eligibility criteria for buying health insurance for women:
| Criteria | Eligibility |
|---|---|
| Age (Adult women) | 18-65 years (In some cases, up to 75 years) |
| Age (Dependent child) | 91 days to 25 years |
| Plan type | Individual plans and Family floater plans |
| Pre-existing conditions | Specialized plans with additional riders |
| Lifestyle | Alcoholism and smoking habits can affect your eligibility |
| Waiting period | Most of the plans may come with a waiting period of 1-3 years, depending upon the type of policy and the insurer |
Documents Required for Buying Women’s Health Insurance
These are the documents that a woman would require to get a health insurance policy:-
- KYC documents including your identity proofs.
- Medical reports that have been asked to test for any pre-existing conditions.
- Any further documents that are asked by the insurance provider.
Factors to Consider When Buying Women’s Health Insurance
There are so many customized health insurance plans for women that one may get confused while choosing among all. Though these policies are designed after considering women-specific diseases, and health issues that are common in women, you should only go for the suitable one. Normally, you calculate the premium, policy limit tenure and benefit while purchasing a health plan, but when it comes to women’s health insurance plan the needs and factors are a bit different.
The following are the factors to consider while choosing a health policy for women:-
Type of Plan
First of all, check if the plan is a woman-specific plan having all the benefits you can be covered with a family floater plan with required health benefits for reproductive health care and maternity cover.
Pre-Existing Cover
Most of the plans do not cover pre-existing diseases so it is important to find a plan that can offer pre-existing disease coverage.
Maternity Cover
In case you are planning for pregnancy, there are special plans that shield maternity for ladies. Few companies offer maternity coverage, but most of them come with a waiting period. Hence, it is advisable to buy a separate plan which includes only maternity.
Claim Settlement
Find an insurance company that offers a good claim settlement ratio and an easy claim process. Both factors surely give you peace of mind and speedy reimbursement when needed.
Network Hospitals For Women’s Health Issues
Circumstances of medical emergencies can occur at any time. So, make sure you have chosen insurance with a wide range of network hospitals available nearby. This will help in saving time and energy in case the lady has no one to look after. It is also important to offer a hassle-free hospitalization and medical environment where the patient can get health treatment, especially for women.
Waiting Period
Today, young girls at the age of 15 are having diseases like thyroid or other hormonal difficulties. And most of the insurance plans have a pre-existing disease waiting period of 2-5 years. Consequently, it is important to buy a health policy when you are young.
Check Value-added services
In addition to other benefits included in the health policy for women, some insurers give free medical check-ups and add-on covers which is beneficial for women who are likely to have illnesses after a certain age.
Infertility and Maternity Cover
Competing against everything, women are battling for their spaces at work, home, and maternal space and leading a stressful life. Opting for health insurance can help them fight against maternity and infertility-related illnesses and most of the plans cover them.
- Anemia screening
- Gestational diabetes screening
- Gonorrhea screening for all women at higher risk
- Syphilis screening
- Urinary tract or other infection screening
Other Benefits
- Breast cancer genetic test counselling (BRCA)
- Breast cancer chemoprevention counselling for women at higher risk
- Diabetes screening for women with a history of gestational diabetes
- HIV screening and counselling
Factors Affecting Women’s Health Insurance Policy
There are multiple factors one needs to keep in mind before investing in good health insurance for women. Since women are prone to some critical illnesses and life-threatening diseases such as breast cancer, ovarian cysts, and other ailments specific to their bodies they must select health insurance for women keeping all these factors in mind.
- Plan variant to choose from- family floater or individual plan.
- What is the waiting period for pre-existing conditions?
- How much waiting period is assigned to avail maternity benefits?
- What are the additional value-added services?
- Know about all the network hospitals the insurer offers.
- Limitation of room rent, age, and expense of treatment.
- OPD expenses/coverage.
Inclusions and Exclusions of Women’s Health Insurance
However, women’s health insurance plans have numerous benefits that can help you in times of need. But, there might be some conditions that are not covered under women’s insurance. Here is what’s covered and what’s not covered in women’s health insurance:-
| Inclusions | Exclusions |
| Hospitalization Pre and post-hospitalization expenses are covered in the health plan for women. | Cosmetic surgery Any kind of cosmetic surgery is not covered under women’s health insurance. However, in cases of accident or injury when plastic surgery is a requirement, it can be covered. |
| Teleconsultations If you need to monitor your regular health, women’s health insurance plans cover the teleconsultation costs and all the expenses related to online consultations with your doctor. | Dental, Hearing, and Vision Both dental and vision procedures are not covered by health women’s insurance plans as they do not require hospitalization. It is best to check with your health insurance provider about this clause for exceptions. |
| Cashless treatment The insured women can receive cashless treatment at the networking hospitals of the insurance company. All the medical expenses related to your hospitalization and treatment are settled between the insurer and the hospital. | Permanent Exclusions There are some permanent exclusions like injuries in war, HIV, intentional injuries, congenital diseases, etc. |
| Maternity Care There are many insurance companies that provide maternity coverage along with the women’s health plan. But you must check if it’s covered in your policy or not. If maternity care is not included in your base health plan, you can buy an additional rider for pregnancy as well. | Congenital Diseases Congenital diseases such as functional and structural anomalies, after-birth defects, heart-related issues, down syndromes, etc are not covered in women’s health plans. |
Conclusion
In this changing time of uncertainty, the prices for healthcare for women are skyrocketing which can break your savings in no time. In such conditions of an emergency or planned medical care, a women’s health insurance plan can save you money and effort. As a health plan for women can provide comprehensive coverage for many health conditions, you can buy the best health insurance for women now, from our website PolicyX.com.
To learn about the top 10 health insurance companies, insurers that provide women-centric plans, etc, you must schedule an appointment with us today.
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Health Insurance for Women: FAQs
1. Top 5 women health insurance plans in India based on claim settlement ratio.
The following are the top 5 women insurance plans in India based on the latest claim settlement ratio (CSR) for the year 2021–22: Care Supreme Health Planc Niva Bupa Reassure 2.0 Star Health Youngstar Plan Aditya Birla Activ Health Platinum Enhance ManipalCigna Prime Advantage
2. Does all the best health insurance for women cover critical illnesses that are specific to women, such as breast cancer or cervical cancer?
Yes, many health insurance plans for women provide coverage for critical illnesses specific to women, such as breast cancer and cervical cancer, including their diagnosis, treatment, and post-treatment care.
3. Does health insurance for women cover fertility treatments?
Fertility treatment coverage varies, depending entirely on the insurer. Some plans may provide limited coverage for certain procedures, while others may offer more comprehensive coverage.
4. Are cosmetic procedures, such as breast augmentation or liposuction, covered under health insurance for women?
Generally, cosmetic procedures are not covered under women& 039;s health insurance plans , as they are considered elective and not medically necessary.
5. Are pre-existing conditions covered under women health insurance plans?
Coverage for pre-existing conditions can vary among health insurance plans. Some plans may provide coverage for pre-existing conditions after a waiting period, while others may exclude them altogether.
6. Are mental health services covered by women health insurance?
Yes, mental health services are typically covered by women health insurance plans, including therapy and counselling.The coverage totally depends upon the insurer.
7. Why do I need specific Health Insurance for women?
Women are more prone to some illnesses than males, such as arthritis, urinary infections, anaemia, and so on. As a result, they should obtain comprehensive health insurance coverage as soon as possible to prevent paying out of pocket in the event of an emergency.
8. What does women health insurance cover?
Women health insurance policies protect women from several illnesses, diseases, and accidents. Certain women-specific health insurance policies additionally cover critical illnesses that are included in the policy.
9. How is buying women-specific health insurance beneficial for me?
Along with offering coverage to you against several critical illnesses, the health plans for women also come with several benefits such as: Cover for maternity expenses Cover for expenses related to a newborn baby Cover for preventive health check-ups Several Value-added services
10. How can I choose the best women health plan for my wife?
For choosing the best health insurance plan for your wife you need to first evaluate your wife health status. Based on her healthcare needs and your budget, you can then compare all the plans available in the market and can choose the best suitable plan for her.
11. Can an unmarried woman get benefitted from women health insurance plans?
Yes, no matter whether a woman is married, unmarried, or single, a women insurance plan will offer you a comprehensive coverage including annual check-ups, maternity coverage, and so on.
12. How can I get maximum coverage with my health insurance plan?
You can customize your health plan to get maximum benefits out of it, like you can buy an add-on rider for an enhanced coverage.
13. What are additional coverage I an get from a health plan?
Some of the insurane companies offer women health insurance with additional coverage related to wellness programs, ambulance services, and critical illness etc.
14. What is the best age to buy a women insurance?
It always suggested to buy a health insurance as soon as possible. But in case, if you dont have a plan yet, its suggested that you buy a health insurance under the age of 35-40 years.
15. Where can I compare and buy the best health insurance for women?
Policyx.com gives you the best platform with a seamless online support where you can compare multiple plans at one place. It will help you buy only one of the best women& 039;s health insurance.
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Written By: Simran Nirala
Lives In: Delhi, NCR Expertise: Health & Term Insurance Simran has an experience of 4 years in content writing. She transitioned from hospitality and digital marketing to the insurance industry after her emerging interest in how vast insurance is. With her ability to write complex insurance concepts in a simple, relatable manner, she keeps her audience hooked and solves their doubts smoothly.
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