Health Insurance for
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  • Need for a women centric plan
  • Plans with infertility & maternity coverage
  • Best womens health insurance plans
Health Insurance for Women
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Health Insurance for Women in India

Health insurance for women is a specialized form of medical coverage designed to address the specific healthcare needs and challenges faced by women throughout their lives. It encompasses various services and benefits tailored to promote and protect women's physical, mental, and reproductive well-being.

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 to keep 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.

Health insurance for women promotes preventive care and offers support for reproductive health, maternity care, mental health, chronic conditions, and infertility treatments. By prioritizing women's health, women health insurance plans empower women to make informed decisions about their well-being and lead to better overall health outcomes.

Additionally, it encompasses specialized treatments and therapies for conditions unique to women,such as menstrual health management, menopause support, and gender-specific cancers. Women health insurance plans are generally comprehensive and often include access to preventive care such as annual or bi annual gynecological examinations, breast cancer screenings, contraception, and prenatal care and many more.

Top 5 Health Insurance Plans for Women in India 2023

  • Care Joy Plan
  • Star Women Care Plan
  • My:health Women Suraksha
  • Cholamandalam Sarv Shakti Plan
  • New India Asha Kiran Mediclaim Policy

A maternity health insurance plan with child cover. This plan protects individuals and families during medical emergencies.

Unique Benefits

  • 100% increase in SI as NCB
  • Newborn Cover
  • 541 day care treatments covered

Care Joy (Pros)

  • 2 Plan Variants
  • Maternity Plan
  • New Born Baby Cover
  • Day Care Treatment
  • Modern Treatment Cover

Care Joy (Cons)

  • Change of Gender Treatments
  • Obesity Treatment Unavailable
  • Hazardous Activity Not Covered
  • HIV/AIDS not covered
  • Cosmetic Surgery unavailable

Care Joy (Other Benefits)

  • Long term discount
  • Congenital Disease Cover
  • 100% increase in SI
  • Ambulance Cover
  • Lifelong Renewability

Care Joy (Eligibility Criteria)

  • Entry Age - 1 Day
  • Max Entry Age - 65 Years
  • SI - 3 L/5 L
  • Waiting Period - 30 Days

A special plan designed for women, wherein women can avail multifold benefits along with the coverage to the whole family.

Unique Features

  • Coverage for Modern Treatments
  • Coverage during Pregnancy
  • Preventive Health Check Up

Star Women Care Plan(Pros)

  • Designed for Women's Care
  • Cancer cover optional
  • Bariatric Surgery Cover
  • Mid-term inclusions
  • High SI

Star Women Care Plan (Cons)

  • Obesity Treatment Unavailable
  • Hazardous Activity not covered
  • HIV/AIDS not covered
  • Cosmetic Surgery unavailable
  • Congenital Disease Cover

Star Women Care Plan (Other Benefits)

  • 10% long-term discount
  • 10% Air Ambulance Cover
  • Pain Management Cover
  • Assisted Reproduction
  • Automatic Restoration

Star Women Care Plan (Eligibility Criteria)

  • Entry Age - 91 Days
  • Max Entry Age - 75 Years
  • SI - 5 L to 1 Cr
  • Waiting Period - 30 Days

HDFC ERGO My:health Women Suraksha

Women-oriented health plan providing comprehensive medical insurance with major illnesses cover, and cancer cover all under a single plan but different variants.

Unique Features

  • Maternity complications
  • SI options from 3L - 1 Cr
  • Free preventive health checkup

My:health Women Suraksha (Pros)

  • AYUSH Benefit
  • Alternative Treatment
  • Organ Donor Benefit
  • Domiciliary Hospitalization
  • Pre and Post Hospitalization

My:health Women Suraksha (Cons)

  • Adventure Sports Injuries
  • No Sexsually Transmitted diseases
  • No Cosmetic Surgery
  • Alcoholism issues not covered
  • No Self Inflicted Injuries

My:health Women Suraksha (Other Benefits)

  • Parent and Child care Cover
  • Child Care Benefit
  • Vaccination
  • Air Ambulance
  • Health Coach

My:health Women Suraksha (Eligibility Criteria)

  • Entry Age - 18 years
  • Max Entry Age - Lifetime Entry
  • SI - 1 L to 1 Cr
  • Waiting Period - 30 Days

Cholamandalam Sarv Shakti Plan

A special healthcare plan designed for women offering protection against cancer and 39 other illnesses.

Unique Features

  • Up to 2Cr SI
  • Children's education covered
  • Vehicle loan protection

A special policy designed for parents with girl children only. Two dependent daughters can be covered with Rs. 8 Lakh sum insured.

Unique Features

  • Avail 50% discount
  • Hospital Cash available
  • Avail AYUSH treatment

Importance of Woman's Health Insurance in India

According to the Insurance Awareness Survey Report released in 2012 by IRDA, fewer women opt for health policy in India. Even when the possibility of women being hospitalized is almost the same as men. Modern lifestyles and rising stress levels with dual responsibilities and physical stress, women are more prone to some diseases than men.

Whether you are single, married or retired, here some of the main reasons why being the leading lady, you must opt for a best health insurance policy.

Are you a homemaker? great! You are doing a full-time job that can cost your family if you were not doing all the stuff with full activeness. In an unfortunate event or medical emergency, your family will have to bear the added burden of taking care of the home, which means that your spouse or children may have to work harder for taking care of the house your health and so on. But if you are secured with a health insurance plan, they cannot only take good care of your but the stress of increased expenditure can be reduced.

As mentioned earlier, women need more preventive assistance than men due to the need for reproductive care and a higher possibility of chronic illness and disability. Moving further, women take major accountability for adjusting for a family member, annual health care expenses, and are more likely to encounter inconsistent insurance coverage as compared to men. Hence, having women-specific insurance can help them live a stress-free life.

Women who work may get a good financial future, but to make sure that they are stress-free in the most crucial years of their lives, either you as a child, spoke or women themselves should get medical insurance for availing health care benefits.

Things To Know Before Buying Health Insurance Plan For Women?

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. Following are the things to consider while choosing a health policy for a woman.

  1. Type of Plan

    First of all, check if the plan is a woman-specific plan having all the benefits of you can be covered with a family floater plan with required health benefits for reproductive health care and maternity cover.

  2. Pre Existing Cover

    Most of the plans do not cover pre-existing disease so it is important to find a plan that can offer pre-existing disease coverage.

  3. Maternity Cover

    In case you planned for pregnancy, there are special plans which 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.

  4. Claim Settlement

    Find an insurance company that offers a good claim settlement ratio and an easy claim process. Both the factors surely give you peace of mind and speedy reimbursement when needed.

  5. Network Hospitals For Women 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.

  6. 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.

  7. Check Value-added services

    In addition to other benefits included in the health policy for women, some insurers give free medical check-up and add-on covers which is beneficial for women who are likely to have illnesses after a certain age.

  8. 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.

    • Anemia screening
    • Gestational diabetes screening
    • Gonorrhea screening for all women at higher risk
    • Syphilis screening
    • Urinary tract or other infection screening
  9. Other Benefits

    • Breast cancer genetic test counseling (BRCA)
    • Breast cancer chemoprevention counseling for women at higher risk
    • Diabetes screening for women with a history of gestational diabetes
    • HIV screening and counseling

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- 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.

Benefits of Investing in Women's Health Insurance

Women have taken charge of their welfare and growth in all aspects of life for all-around development. By investing in the best women's health insurance plan women further solidify their financial well-being.

  • Independence from healthcare expenses When a person is unable to work due to medical conditions it is a cause for distress which is why it is necessary for women to invest in the best women's health insurance plan. It is so that they can gain financial independence and safeguard themselves from illness, avail aid and medical treatments without hiccups.
  • Avail the best Maternity care To avail of the best maternity care an individual spends a multitude of their savings and it is an expensive affair in India. With multiple components like ultrasounds, check-ups, medicines, doctor fees, pre, and post-natal care the expense list keeps on increasing.
  • Shield yourself from critical illnesses Some of the critical illnesses specifically affect women like breast cancer, ovarian cancer, uterus cancer, and more. Investing in the best health insurance for women will safeguard you from the heavy medical expenses incurred during the treatment of these diseases via a lump sum amount.
  • Tax Benefits By investing in health insurance you subject yourself to a tax benefit under section 80D of the Income Tax Act, 1961.
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What is Covered in Women's Health Insurance Policy?

Women go through a lot of physical changes throughout their life from the menstrual cycle to pregnancy to menopause. Their bodies need regular medical attention. So, they must opt for the best health insurance that covers maximum expenses. Here are a few features a woman health insurance policy covers commonly:

  • Maternity/Pregnancy Cover: Pre and postnatal expenses are very costly. With a good health insurance plan designed for women, the mother and the child can avail the best treatment possible.
  • Pre & Post Hospitalization Cover: Pre and post-hospitalization expenses are necessary because most of the time the treatment is not confined in the hospital.
  • Daycare Treatments: Daycare treatments are generally covered so that the minor procedures can be taken care of by the insurer.
  • Domiciliary Hospitalization: Many procedures are carried at home due to the immobility of the patient. And therefore, domiciliary hospitalization is covered.
  • No Claim Bonus: Almost all of the medical insurance policies for women include No Claim Bonus so that the female policyholders can benefit from their unused insurance policies.

What is Not Covered in Women's Health Insurance Policy?

There are certain diseases or treatments that are barred from women's health insurance. So, it is important to know about the exclusions of Health Insurance for Women before buying to make an informed decision. Here are a few exclusions:

  • 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.
  • 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.
  • Permanent Exclusions: There are some permanent exclusion like injuries in war, HIV, intentional injuries, congenital diseases, etc.
  • Congenital Diseases: Congenital diseases are not covered in women's health plans.
  • Sexually Transmitted Disease: Sexually transmitted diseases such as AIDS are not covered in health insurance for women.

How to Pick the Best Health Insurance Policy for Women?

While there are many incredible health care companies out there, how will you decide which one is the best option? Here are a few factors to lead you through the method of choosing the right health care policy for a woman.

1 Choose The Right Sum Assured

Health care expenses are rising day by day. So, you must go with a policy which offers the right sum assured. If you have difficulty in estimating how much sum assured on the health insurance you need, you can use multiple online tools which can suggest you the right health insurance cost.

2 Read Reviews

This is the best thing to get the right insights even for the best policy available in the market. You can read women's health plan reviews if they are satisfied with the plan and its benefits or not.

3 Compare Plan

If you are confused between two of the best health insurance, the best way is to compare both the plan and see which one is closer to your needs and budget. If you are looking for a reliable platform where you can get an honest and unbiased comparison of health plan for women. PolicyX can help you make the right decision just by filling your details and needs.

Whether you are a single mother looking for financial security for your health treatment or young professional planning your future on your own, it is very important to read and understand the policy document as deeply as you can. And if you find any problem or question you must ask the agent so that you don't regret your decision.

Though almost every health plan covers maternity benefits such as pre and post hospitalization, ambulance cover and a wide range of women related health issues and critical illnesses, it is better to revisit the website and see what are the exclusion of the policy, you are planning to sign up for.

Conclusion

Well-planned health insurance can shield you from any unfortunate turmoils of critical illness or disease specific to women. Investing in a good women's health insurance plan is advantageous for yourself and any female member of your family. So, gift this health plan to your mother, sister, wife, or daughter and secure their healthcare needs.

Health Insurance for Women: FAQs

1. 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.

2. 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.

3. Are cosmetic procedures, such as breast augmentation or liposuction, covered under health insurance for women?

Generally, cosmetic procedures are not covered under women's health insurance plans , as they are considered elective and not medically necessary.

4. 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.

5. 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.

6. 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.

7. What does women's health insurance cover?

Women's 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.

8. 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

9. How can I choose the best women's health plan for my wife?

For choosing the best health insurance plan for your wife you need to first evaluate your wife's 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.

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Naval Goel is the CEO & founder of PolicyX.com. Naval has an expertise in the insurance sector and has professional experience of more than a decade in the Industry and has worked in companies like AIG, New York doing valuation of insurance subsidiaries. He is also an Associate Member of the Indian Institute of Insurance, Pune. He has been authorized by IRDAI to act as a Principal Officer of PolicyX.com Insurance Web Aggregator.