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Zone Based Health Insurance

If you are living in Tier-1 or 2 cities and are worried about the availability of health insurance, here’s the zone-based health insurance. Such a health insurance promises you quality healthcare with affordable premium based on your city of residence.

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  • 58 Lakh+ Insurance Claims Settled**
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Sejal Singhania
Written by:
Sejal Singhania
Sejal Singhania
Sejal Singhania

Content Manager Care Health Insurance

Sejal is a skilled content writer & insurance expert who strives to give a unique perspective to every piece she delivers. With 6+ years of experience in content writing, her dedication to creating impactful content remains unwavering, from compelling brand stories to SEO-driven blogs. She is passionate, detail-oriented, and always ready to bring ideas to life. Her curiosity and ambition keep her going, and she strives to improve personally and professionally.

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Munmi Sharma
Munmi Sharma
Munmi Sharma

Care Health Insurance

Munmi is an editor cum writer with a passion for storytelling and keen eye for detail. With 10+years of experience in the digital marketing industry, her expertise in the marketing domain combines with experience and perfection in refining written content. When not crafting and editing a piece of content, she also loves to colour the canvas, explore new places and people, binge watching, cooking and playing badminton.

What is Zonal-based Health Insurance?

Zonal-based Health Insurance offers coverage and premiums dependent on your city or region. Insurers categorise areas into zones based on the local cost of healthcare services.

At Care Health Insurance, we introduce the most comprehensive zone-based health insurance plans for families residing across cities in India. This city-based health insurance policy ensures our customers receive the right coverage at an affordable premium, regardless of their city zone.

Our zone-based health coverage helps families feel secure with affordable medical insurance, regardless of where they live or seek healthcare. By selecting a zone-based pricing provision, you can enjoy even greater savings on your health insurance policy while broadening your coverage throughout India.

Select from Our Best Health Insurance Plans in India

As one of the best health insurance companies in India, Care Health Insurance guarantees that you and your loved ones obtain optimal healthcare coverage, accompanied by an affordable premium. Here are some of the best Zone-based health insurance plans in India offered by Care Health Insurance:

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Look for best health plan that suits your need!
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Zone Based Health Plan

Zone-Based Plans with Affordable Premium in Your City

  • Zone-Based Premium Calculation to Reduce Payouts
  • Assisted Reproductive Treatment Cover
KNOW MORE
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Care Supreme

Ideal for families looking for capless coverage

  • 500% Boost in Coverage in 5 Years
  • Unlimited Automatic Recharge
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Care Supreme-Senior

Health insurance for elderly with no pre-policy checkup.

  • Room rent Modification
  • 30% Renewal Discount under Wellness Benefit
KNOW MORE

What are Zones in Health Insurance?

In health insurance, 'zones' refer to the classification of cities and regions based on healthcare costs. Health insurance companies in India use zones to adjust premiums and policies based on the insured person's location. This could ensure that customers in various cities can pay a fair premium for their health coverage.

Health Insurance Zones List in India

The health insurance zone list in India is divided into Zone A, Zone B and Zone C based on healthcare costs and infrastructure. This zone list helps you identify your city zone based on your city's PIN Code. Check out the table below to find out which zone your city belongs to:

Zones Cities Name
Zone 1 Delhi (including Faridabad), Mumbai, Surat, Thane, Gurgaon, Ghaziabad, Noida, Ahmedabad, and Baroda.
Zone 2 Pune, Bangalore, Nasik, Rest of Gujarat
Zone 3 The rest of the cities in India

NOTE: These zones can vary depending on the policy terms and conditions.

Key Features of Health Insurance Zones Plan

The Care zone-based medical insurance policy provides comprehensive coverage for your entire family. Some of the exclusive healthcare plan offers several valuable features, such as:

  • Zone-based premium calculation to reduce insurance payouts.
  • Available on a family floater basis.
  • Flexibility to upgrade your zone.
  • Inclusive Annual Health Check-up Benefit.
  • OPD care (Optional Benefit), including consultation & diagnostic charges.
  • A wide range of sum insured options from 5 Lakh to 1 crore.
  • Coverage for compassionate travel.
  • Unlimited E-Consultations with General Physicians.
  • Cashless hospitalisation facility across 21700+ network hospitals.
  • PAN India treatment access.

Benefits of Buying Zone-based Health Insurance

Buying health insurance is crucial for your financial well-being. However, choosing zone-based health insurance will bring you the following benefits:

  • Affordable Premium: With this plan, you pay a lower premium if you reside in a city with affordable healthcare (Zone B and Zone C) without compromising coverage.
  • Extensive Coverage: Our zonal health plan offers comprehensive coverage during an emergency or planned hospitalisation. It provides comprehensive insurance coverage from pre- and post-hospitalisation medical expenses to domiciliary hospitalisation and a no-claim bonus.
  • Flexibility to Upgrade Zone: You can easily upgrade your health insurance if you move to another city, ensuring full claim coverage.
  • Cashless Facility: Every Care Health Insurance plan is associated with 21700+ cashless network hospitals. No need to pay big hospital bills; we will directly settle your insurance claim with our network of hospitals across India.
  • Better Value for Families: Zone-based health insurance premiums allow families to save more by covering multiple members under one policy.
  • Easy Claim Settlement: You can rely on Care for hassle-free claims. We’ve made filing a medical insurance claim super easy with just a few simple steps, for immediate financial assistance in emergencies.
  • Add-on Benefits: These zone-based health policies provide optional benefits, such as OPD care, daycare treatments, a No-Claim Bonus, an Annual Health Check-up, and pre- and post-hospitalisation expenses.
  • Unlimited E-Consultations: A health insurance policy allows unlimited online consultations with general physicians at no additional cost.
  • Tax Benefit: Under section 80D of the Income Tax Act of India, you can now avail yourself of up to Rs. 75,000 in tax benefits with this family health insurance

Recommended Health Insurance Plans Based On Zone 1, Zone 2 and Zone 3

Choosing the right zone-based policy can help you save 10 to 20% on premiums while providing nationwide coverage. Additionally, you can upgrade your zone if you frequently travel to or receive treatment in more expensive cities (at the time of renewal).

City Zone Recommended Plan Why This Plan?
Zone 1 Care Supreme / Care Advantage / Ultimate Care Best for high-cost treatments and premium hospitals.
Zone 2 Care Supreme / Care Advantage / Care Classic Balanced premium with many features.
Zone 3 Care Classic Affordable premiums for smaller cities with basic to moderate healthcare needs.

What is Covered under Zone-Based Health Insurance Plans?

Securing your health with our zone-based insurance plan is better than dealing with emergencies. Zone-based health insurance offers comprehensive coverage at an affordable premium. Here’s what the policy covers:

  • In-patient Care: We cover expenses associated with inpatient care, including physician fees, ICU costs, operating room charges, medical tests, and room rents.
  • Pre- and Post-hospitalisation Expenses: Coverage for medical costs before and after hospitalisation. (Pre- and post-hospitalisation days can vary according to policy).
  • Daycare Treatments: You can get daycare treatments requiring hospitalisation for less than 24 hours. We cover all daycare procedures under our zone-based insurance plan.
  • AYUSH Treatment: If you believe in Ayurveda, you can confidently pursue AYUSH (Ayurveda, Unani, Siddha, and Homoeopathy) treatment, as we cover its costs under the policy.
  • Domiciliary Hospitalisation: We cover expenses up to the sum insured (SI) if your condition prevents you from visiting a hospital or if no beds are available nearby.
  • Ambulance Cover: Coverage is provided for the all-road emergency ambulance. Some policies also cover the air ambulance.
  • No Claim Bonus: We offer a no-claim bonus for each claim-free year, up to 150% SI, reducing claims at the same rate as accrued.
  • Family Floater Options: Individual and family coverage are available under a single plan across different zones.

What is Not Covered in Zone Insurance?

The following items are excluded from coverage under family health insurance plans:

  • Any diagnosis of diseases / undergoing surgery/ occurrence of an event whose signs or symptoms first occur within 30 days of the policy period start date
  • Expenses for self-inflicted injuries, including those resulting from suicide or attempted suicide
  • Expenses resulting from the use, misuse, or abuse of alcohol or drugs
  • Treatment related to pregnancy, childbirth, miscarriage, abortion, and their complications

How is the Premium Calculated under Zone-based Health Insurance Policies?

Premiums are calculated based on the unique characteristics and healthcare costs of Zone A, Zone B and Zone C in health insurance. Below are the factors that affect zonal premium calculations:

  • Healthcare Expenses: Higher medical expenses in a specific area lead to increased premiums.
  • Number of Insured Persons: An increase in family members results in a higher premium.
  • Risk Assessment: Premiums are generally higher in areas with higher health risks or more widespread diseases.
  • Demographics: Age distribution and population health metrics within a zone impact premium costs.
  • Claim History: Past claim data from a zone can affect future premium pricing.

Insurance providers ensure the zonal health policy is reasonable and covers policyholders' healthcare needs in each zone.

How do you choose between Zone A, Zone B, and Zone C?

Picking the best zone-based policy helps you pay less premium and get the needed coverage. Here is a comparison to determine what best suits your city and healthcare needs.

Factors Zone A Zone B Zone C
City Type Metropolitan Cities Tier 2 cities Tier 3 cities
Cities Delhi, Mumbai, Surat, Ahmedabad and more cities. Pune, Bangalore, Nasik, and the Cities of Gujarat. Rest of India.
Healthcare Cost High Moderate Low
Premium Range Higher Premium Balanced Premium Affordable Premium
Cashless Network Access Nationwide, with top-tier hospitals Regional network (Can access Zone 1 hospital treatments in emergencies) Access in small cities or towns. (Can access any Zone hospital treatments only in an emergency)

NOTE: These zone factors and services can vary depending on the policy terms and conditions.

How to Buy a Zone-based Health Insurance Plan Online?

We guarantee you can effortlessly select any health insurance policy through Care’s online portal. You may choose the Zone-based Health Insurance plan online by following these easy steps:

Step 1: Go to our official website and select the best Health Insurance plan.

Step 2: Enter the required details, including mobile number and PIN code.

Step 3: Click on "Get the Quote".

Step 4: Choose the plan that suits your health insurance needs.

Step 5: Customise your policy by selecting the ideal policy tenure, the sum insured, and optional benefits.

Step 6: Fill in the relevant details, such as age, occupation, pre-existing diseases, etc.

Step 7: Submit the documents if required.

Step 8: You can choose convenient payment modes using any secured payment mode, like net banking, debit or credit card, or payment wallet, and pay your health premium online.

Step 9: You will receive a health insurance policy document, including your policy numbers and e-card, on your registered email ID.

Why Choose Zone-based Health Insurance Plans from Care Health Insurance?

Choosing the right health insurance is crucial, especially with zone-based options. Here’s why Care Health Insurance is a wise and dependable choice for you and your family:

Customizable Zone-based Plans: Care Health Insurance provides reliable, zone-based plans to maximise savings while ensuring comprehensive health coverage.

  • Wide Cashless Network: Access over 21,700+ cashless hospitals across all zones from Zone A, Zone B and Zone C.
  • Affordable Premiums: Whether in an expensive metropolitan area or a smaller town, Care Health Insurance offers a zone-based plan that suits your budget.
  • Transparency: Understand precisely how your premium is determined in your city, with no hidden costs, just transparent protection.
  • Easy to Process: You can easily compare, customise, and purchase your favourite zone-based health insurance plan online at www.careinsurance.com.
  • Multiple Plan Options: Choose from Ultimate Care, Care Supreme, Care Advantage, or Care Classic, all offered with zone-based pricing to enhance your control over healthcare costs.
  • PAN India Coverage: Regardless of your location in India, Care Insurance guarantees coverage that accompanies you wherever you go.

21700+ Healthcare providers offering cashless treatment across the country

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Voice of Our Customers

MV
Martin Varkey April 29, 2025
Care Classic
5

Reimbursement perfectly done

I had already wrote a review when I discharged from the hospital after the surgery, the claim was settled in 5 min from the upload of the claim itself. Now I want to add my experience with pre and post hospitalisation expenses. I had filed the claim with the original bills and in 5 days I had the prehospitalisation expenses are reimbursed and in 7 days the post surgery expenses. I had got reimbursed all the expenses. Thank you Care Health insurance Team.
R
rahul yadav December 04, 2023
Care Classic
4

Helpful and Easy Investment

I have never understood insurance until I used Care health insurance. Their team is very helpful and cooperative.
HS
Harjot Singh December 01, 2023
Care Classic
4

happy with the customer service

claim filing was made easy through claim genie app. thank you care for such great apps
CC
chaman chheda December 01, 2023
Care Classic
4

nice team

Recently visited my local branch in mathura for policy renewal. The environment is so awesome and team is helpful that I was compelled to post review on their site. Na sirf insurance renew kiya pr online kaise kr skte hain ye bhi sikha diya.
GS
Ganeshprasad Solanki December 01, 2023
Care Classic
5

Nice company...online claim process thoda

their service and plan is very good and easy to understand. With that, the customer support team is friendly give best solution for query. Good environment and helpful people to deal with. Bas online claim process thoda aur fast ho jaye....
RP
Rohan pathak December 01, 2023
Care Classic
4

service bahut achhi hai

Claim settlement me koi dikkat nhi hue. Customer service ke logo ne pura sahyog kiya.
SK
Shashi Kant Sharma December 01, 2023
Care Classic
5

online support team is nice

Maybe this is because i called at working hours, but the online sales team was quick. I had a word with Jaya and she quickly initiated cashless hospitalisation process.
Rahul Sangwan

My appreciation for your prompt service

Recently, I’ve purchased JOY Maternity insurance for my expecting wife and my experience was excellent with the claim settlement team who helped me deal with all the formalities smoothly. Thank you for making my decision the right one!

Rahul Sangwan

Health Insurance

Samanway Barik

We will continue to avail of your scheme

I ported my healthcare plan last year; it is the wisest decision I made by choosing Care Health Insurance. I recently got admitted due to a viral infection, and all my expenses got covered under my plan.

Samanway Barik

Health Insurance

Soubhagya K Kulkarni

Everything went very smooth

Thank you for helping me when I needed help the most, being in the hospital. Buying Care’s health insurance plan is my best decision so far.

Soubhagya K Kulkarni

Health Insurance

Vaibhav Rai

Really helpful explaining the process in advance

Thank you for helping me with your fastest claim settlement process. I didn’t have to wait much for the approval. Everything was quick and seamless.

Vaibhav Rai

Health Insurance

FAQs on Zone Based Health Insurance

Q. What are Zone 1 and Zone 2 in health insurance?

Zone 1 in health insurance encompasses cities with high healthcare costs, such as Delhi (including Faridabad), Mumbai, Surat, Thane, Gurgaon, Ghaziabad, Noida, Ahmedabad, and Baroda. Conversely, Zone 2 includes cities with moderate healthcare costs, such as Pune, Bangalore, Nasik, and the Rest of Gujarat.

Q. Do all health insurance companies offer zone-based plans?

Not all insurers provide zone-based plans. Care Health Insurance offers flexible, zone-based options based on your location and healthcare costs.

Q. Can I change my zone during renewal?

You can request a zone change during renewal, particularly if you have relocated or wish to access a better healthcare facility.

Q. Should I undergo medical tests to buy Zone-based Health Insurance?

No pre-policy medical check-up is required to buy this policy. However, we may ask the insured to undergo telephone underwriting based on health conditions and past medical history.

Q. What is Zone-based pricing?

Zone-based pricing is a method in which insurance premiums are determined depending on the policyholder's geographical location, with various zones having diverse premium rates.

Q. Is the zone-based classification of cities the same for all insurers?

No, the classification of cities into zones might differ across different insurers, as each insurer may have its criteria and process for zone categorisation.

Q. How are cities classified into zones?

Cities are classified into zones based on population density, infrastructure development, healthcare facilities, and regional health risks.

Q. Can I switch to a zone-based plan if I already have health insurance?

Yes, you can switch to a zone-based plan, but it may need adjustments to your present coverage and meet specific eligibility criteria set by your insurer.

Q. Is zone-based health insurance suitable for a family

Zone-based plans allow families residing in Zone B and Zone C cities to save more on premiums while accessing comprehensive health coverage.

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Disclaimer: Information above is just for reference. Kindly read T & C of policy thoroughly, Do refer IRDAI guidelines for tax exemption conditions.

*Premium calculated for an individual (Age 18) for sum insured 5 Lakhs in Zone 2 cities with Care Classic Policy.

~Tax benefit is subject to changes in tax laws. Standard T&C Apply

**Number of Claims Settled as of Dec 2024

^^Number of Cashless Healthcare Providers till Feb 2025

^10% discount is applicable for a 3-year policy.