Home Care Services Covered Under Health
  • Coverage under Home Health Care Services
  • Domiciliary Hospitalization
  • Exclusion under Home Healthcare Services
home care services covered under health insurance
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Home Care Services Covered Under Health Insurance

Today, when health issues are on the rise and the cost of healthcare facilities is inflating, a health insurance policy becomes a crucial thing for every individual. In case of a medical emergency, you may face a financial crisis due to the rising costs of medical services. So, purchasing health insurance provides you the coverage for your hospital bills and pre-and post-hospitalization expenses.

Many health insurance providers offer home health care services in their health insurance plans as people wish for health care treatments in a comfortable environment like their homes. So, here’s everything about home health care services in health insurance.

Home Care Services

A Home Care Service allows an individual to get the treatment in their home. It is suitable for older people, people who are recovering from surgery, or suffering from chronic diseases. The main benefit of Home Care Service is to avoid unnecessary hospitalization.

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Treatments Covered Under Home Health Care Services

Insurance companies cover various home health care services that are prescribed by doctors. Let's take a look at some of the most common home healthcare procedures.

  • Respiratory tract infection
  • Bronchopneumonia
  • Gastroenteritis
  • Dengue
  • Pancreatitis
  • Hepatitis
  • Chronic Obstructive Pulmonary Disease (COPD) management
  • Fever management

Home Health Care Services Offered by Insurance Companies

Here are some of the Home Health Care services offered by Health Insurance Companies:

  • Domiciliary Hospitalization

    It allows policyholders to be treated at home if they are unable to visit a hospital or obtain medical facilities for specific treatments. Domiciliary Hospitalization can also be suggested by a doctor in case of non-availability of rooms, medical facilities, etc.

  • OPD Treatments

    OPD treatments include minor medical procedures that do not require hospitalization but can be costly. Some insurance companies offer coverage for OPD (out-patient department) home care services like routine consultations, check-ups and physiotherapy.

  • Pre and Post Hospitalization

    Pre and Post Hospitalization expenses are also covered under home health care services as well as under standard health insurance policies. The coverage period for pre and post-hospitalization can vary from insurer to insurer.

  • Daycare Treatment

    These treatments do not require hospitalization of 24 hours and can be treated at the home of the patient. Treatments falling under this category can be expensive in nature. Some of the Daycare Treatments include Cataract Treatments and Chemotherapy, etc.

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Exclusion Under Home Healthcare Services

Any treatment taken by the patient that is not related to the disease for which the patient is hospitalized or the medical procedure which is not prescribed is not covered by Home Health Care Services. Acupuncture, acupressure, naturopathy, etc. are some of the treatments that are not covered under the Home Health Care services.

Factors to be considered before opting for Home Healthcare Service

There are several factors that every policyholder should consider before opting for home healthcare services:

  • Opt Home healthcare service only after consulting with the insurance provider.
  • Always check the exclusion of the policy.
  • Check whether the intended treatment is covered under the policy.


Home Health Care insurance is the best choice for domiciliary medical procedures, child treatment, and treatments for senior citizens. It allows you to get quality healthcare services at your home. If you're seeking health insurance that includes home healthcare services, then do your research and pick the best suitable health insurance plan to avoid any problems later.

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Durgesh Kumar


March 25, 2023

Best health insurance claim mere leg ka surgery hui h 22.03.2023 ko 2 hrs m claim approval aa gya tha mari policey ko 7 month hi hua h mera claima 44000 rupaye ka tha 100% company n pay kiya h ...

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March 24, 2023

Bad experience operate 6th jan 2023 my claim no 31418820 Ajay Kapoor mob 7838722273 till date 24 mar 2023. No reimburse ment amount 67367 not recd . always demand new query. I send you after op...

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March 5, 2023

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January 12, 2023

Dnt buy any policy from Star health They are big fraud my father is admitted in hospital crucial stage they reject our claims without reason i will filled case against company in consumer court...

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December 9, 2022

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December 9, 2022

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Naval Goel

Reviewed By : Naval Goel

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.