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Health Insurance for Diabetes

Health Insurance for Diabetes protects you and your family against lifestyle diseases and provides financial freedom to pay your medical bills for diabetes treatment and medication.

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What is Medical Insurance for Diabetes?

Health insurance for diabetes is a specialised plan that offers coverage for people diagnosed with diabetes. It typically includes clinical costs such as doctor consultations, diagnostic tests, and medications. The policy helps address the unique healthcare needs of people with diabetes, providing coverage for routine check-ups, insulin, and related treatments.

According to a Lancet Study, India has more than 100 million diabetics. An inactive lifestyle, unhealthy eating habits, work pressure, and stress give rise to diabetes, hypertension & obesity. With the best health insurance for diabetics in India, people can ensure quality treatment during a medical emergency without draining their savings.

Cover Highlights

AMBULANCE COVER

AMBULANCE COVER

DIALYSIS COVER

DIALYSIS COVER

DOMICILIARY HOSPITALIZATION

DOMICILIARY HOSPITALIZATION

DAY CARE TREATMENT

DAY CARE TREATMENT

RECHARGE OF SUM INSURED

RECHARGE OF SUM INSURED

PRE AND POST HOSPITALIZATION

PRE AND POST HOSPITALIZATION

NO SUB LIMIT

NO SUB LIMIT

Reasons to Buy Diabetes Health Insurance

The key reasons to buy a medical insurance policy for diabetes include:

  • Comprehensive coverage: The policy covers complicated situations arising out of diabetes, such as kidney damage, heart issues etc. 
  • Higher treatment costs: Managing diabetes requires lifelong planning including regular check-ups, insulin shots, and expensive medications. 
  • Access to specialists: Diabetes health plan ensures quality access to endocrinologists, dietitians, and other essential care providers.
  • Emergency support: With cashless features, health insurance for diabetes provides financial support during a medical emergency.
  • Preventive care: With a preventive care benefit, coverage for routine tests (HbA1c, screenings etc.) can be availed under a diabetes health cover. 

 At Care Health Insurance, we offer diabetes coverage under Care Freedom plan to meet the medical needs of a diabetic patient. This plan not only includes routine treatments but may also offer additional benefits, such as annual health screening, wellness programs or nutritional consultations. 

 

Diabetes and Its Types

Diabetes can cause damage to the kidneys, heart, blood vessels, eyes, and nerves. The condition interferes with insulin production. Low or no insulin production can lead to glucose accumulation in the bloodstream, and an inability to use insulin effectively can cause various health problems. There are three most common types of diabetes:

type of diabetes type of diabetes

Type 1 Diabetes

Those who have Type 1 diabetes cannot produce insulin in their bodies. Their immune system targets and kills the insulin-producing cells in the pancreas. Although it can develop at any age, Type 1 diabetes is typically diagnosed in infants and young people. To stay alive, individuals who have Type 1diabetes must take insulin every day.

Type 2 Diabetes

It is the most prevalent kind of diabetes. If you have Type 2 diabetes, you may have poor insulin production or usage. Type 2 diabetes can strike anyone at any age, even in infancy. However, those in their middle years and older are most likely to develop this kind of diabetes.

Gestational Diabetes

Gestational diabetes develops during pregnancy. But in most cases, it disappears after the baby’s birth. However, if you have gestational diabetes, your risk of getting Type 2 diabetes in the future is higher. Type 2 diabetes can occasionally be detected during pregnancy.

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Who Should Buy a Diabetes Insurance Policy?

Diabetes health insurance is beneficial for:

  • People with a medical history of diabetes
  • One with high BMI
  • If the age is above 40 years
  • Women with a history of  gestational diabetes 
  • People with a sedantary lifestyle

Benefits of Medical Insurance for Diabetic Patients 

Having the right health insurance for diabetes in India has the following benefits:

  • Coverage for pre-existing conditions: Most insurers now offer medical insurance to diabetic patients, even if diabetes is a pre-existing condition; however, this is rare and varies by insurer. While some may set a waiting period, the best plans offer early coverage with minimal exclusions.
  • Customised diabetes care programs: With a dedicated Health insurance for people with diabetes, policyholders can access personalised wellness programs, including dietary consultations, fitness tracking, and diabetes understanding. 
  • Hospitalisation coverage: Medical insurance for diabetic patients ensures that emergency expenses are covered, reducing the burden on families during critical times.
  • Tax Benefits Under Section 80D: Health insurance for diabetics is not just medically sound but also economically smart. Policyholders can claim tax deductions under Section 80D of the Income Tax Act, making medical insurance for diabetic patients a triple benefit: health protection, safety & tax savings.

Features of Medical Insurance for Diabetes

For people seeking health insurance with diabetes, several personalised plans are now available that address the unique medical requirements of those living with the condition. Here’s what makes our Care Freedom policy stand out:

 

Cashless Healthcare Facility

We offer cashless treatment to insured individuals in a vast network of 21700+ healthcare providers.

 

No Pre-policy Medical Check-ups

Under Care Freedom, you don't need to do diagnostic tests before availing of the insurance benefits. No matter your age or health problems, you can issue the policy without any delays in medical checks.

 

Recharge of Sum Insured

Don't worry if the claim amount exceeds the coverage limit of your health policy. The basic sum insured will be automatically recharged under Care Freedom so that you or other insured members can use it for further claims.

 

Life-long renewability

Looking forward to continuing your diabetes health insurance plan for an extended period? You can quickly renew your policy for lifelong coverage as per the applicable policy terms.

 

Free Look Period of 15 days

In case you disagree with any policy term or wish to upgrade the policy benefits, then you can avail of the benefits of the free-look facility. The Freelook facility gives you 15 days to check the policy details thoroughly and file an easy return in case of any dispute.

Care Freedom is an absolute protective cover for your finances when caring for a diabetic and high-BP family member. Health insurance for diabetic patients in India is indispensable due to the sedentary lifestyle. It safeguards your savings and shares the burden of hospitalisation in times of contingency.

What does a Diabetes Insurance Policy Cover?

Having multiple health issues is overwhelming, not only physically but financially, too. Given your challenges, we ensure you don't face any problems with the best diabetes health insurance plan in India. We offer long-term care through our lifelong policy renewal facility. Mentioned below is the scope of coverage under our health insurance plans for diabetes: 

  • Inpatient Hospitalisation: These include room rent, bed charges, ICU charges, surgeon fees, doctor consultation fees, nursing fees, medicines, diagnostic tests, and other related costs.
  • Pre & Post-hospitalisation: Medical insurance for patients with diabetes and hypertension includes pre- and post-hospitalisation coverage.
  • Ambulance Cover: Under our diabetes health insurance policy, policyholders can claim reimbursement for ambulance services used to transport the insured to the hospital. 
  • Domiciliary hospitalisation: Diabetes, high BP, and imbalanced BMI cause worse agony when the patients need at-home care the most. Domiciliary hospitalisation covers expenses for at-home treatment, subject to policy terms.
  • PED Coverage: After the specified waiting period, you receive medical and non-medical coverage for diabetes, high blood pressure, and high BMI, subject to the policy's terms and conditions.
  • Dialysis Cover: You receive dialysis coverage up to a specified amount per session, payable for up to 24 months. 

What is Not Covered in Medical Insurance for Diabetic Patients?

Exclusions are conditions that are not covered by health insurance for diabetic patients. Understanding exclusions helps to avoid surprises and make informed decisions. Below are some exclusions of a diabetes insurance policy:

Medical expenses incurred for diabetic footwear, crutches, glucometers/thermometers, ambulatory devices, and external durable medical equipment, such as wheelchairs, belts, collars, splints, and walkers

  • Expenses for instruments used to treat sleep apnea syndrome and oxygen concentrators for asthma, as well as the cost of cochlear implants and related surgery
  • Expenses related to pre-existing diseases up to 24-months
  • Osteoarthritis, arthritis, osteoporosis, spinal disorders, rheumatism, and joint replacement surgeries 
  • Expenses of surgical treatment of obesity, if the procedure is self-initiated
  • Expenses related to change-of-gender treatments
  • Any kind of cosmetic or plastic surgery
  • Treatment expenses from a specifically excluded hospital 
  • Treatment for alcoholism, substance or drug abuse 
  • Medical expenses related to treatment received in nature cure clinics, hydros, spas, or similar establishments 
  • Treatments received on private beds registered as a nursing home attached to such establishments, or where admission is partly or wholly arranged for domestic reasons
  • Medical expenses related to hospitalisation for enforced bed rest due to non-receipt of treatment

**Please read the policy terms and conditions for further detailed information on exclusions and permanent exclusions.

Add-on Benefits under Health Insurance for Diabetic Patients

Add benefits help to updagare the basic policy coverage under duabetes health plan. Here are few add-ons offered under Care health insurance with diabetes:

  • OPD Coverage: Get coverage for OPD consultations from 4 General and 4 Specialists up to a defined limit.
  • Home Care: Covera expenses incurred for hiring a qualified nurseat home under the recommendation of a treating medical pratictioner u to a limit as per the policy terms.
  • Health check-up: With this add on you can easily upgrade your annual health check-up to diabetic or cardiac health check-up. 

Eligibility for Medical Insurance for Diabetics

Health insurance plans for people with diabetes help safeguard them in emergencies. Our diabetes healthcare plan includes the following eligibility criteria:

Entry Age - Minimum

  • Care Freedom Plan - 3 lacs and 5 lacs - Adult: 18 years and Child 91 days (floater)
  • Care Freedom Plan - 7 lacs and 10 lacs – Eldest Insured Person: 46 years and Child 91 days (floater) & Other Adult: 18 years.
  • Entry Age - Maximum Adult Lifelong and Child 24 years

How to File a Claim for a Diabetes Health Plan?

Filing a claim for diabetes health insurance with us is quick and easy. Just follow the below steps to claim the policy hassle-free:

Cashless Claim Reimbursement Claim
Emegency case-Intimate us within 24 hours Planned hospitalistaion-48 hrs before admission. Notify us about the hospitalisation.
Fill the pre-authorisation form and send it to us for approval Pay the bills upfront and fill up the reimbursement claim form.
Upon approval, avail cashless diabetes treatment from the hospital Submit the form along with required documents such as discharge summary, medical bills, diagnostic reports etc.
We will settle the bill directly with the hospital. We’ll verify the documents and reimburse the claim amount upon approval. In case of claim rejection, the reason will be communicated accordingly.

How to Buy the Best Medical Insurance for Diabetic Patients?

Purchasing a diabetes health policy with us is a simple process. Follow these simple steps to get our policy online hassle-free:

  • Go to the official website.
  • Click on “health insurance for diabetes” from the drop-down
  • On the quote page, review the sum insured and coverage options, then click the Buy Now button.
  • On the newly appeared page, enter the proposer's details and click the “Next” button when finished.
  • On the following pages, complete the insured member’s details and, if applicable, provide their medical history.

Complete your purchase by paying. The policy documents will be sent to your registered email address and phone numbers. 

Why Should You Compare Pre-existing Disease Health Plans Online?

When buying health coverage for yourself or your entire family, it is essential to carefully review all the benefits and offerings under a given policy. Every family member's health condition may differ, from that of a heart patient to someone who goes through all the benefits and offerings under a given policy. The health condition of every family member may differ, with one being a heart patient to another with weight issues. While comparing health insurance online, you should consider maximum coverage for members with pre-existing diseases.

It is crucial to compare mediclaims based on all the expenses related to pre-existing conditions, especially for obese, diabetic, and high-BP patients. You should carefully compare the coverage for hospitalisation expenses, doctor's consultations, COVID-19 treatment, domiciliary care, daycare treatments, and other allowances for non-medical costs. These minor medical costs for pre-existing ailments snowball into a huge amount yearly.

With Care Freedom, we make your comparison of pre-existing disease health covers easier by offering comprehensive coverage from hospitalisation to consumable allowances for diabetes, hypertension, and high BMI patients. Here's how online comparison of pre-existing disease covers helps you-

Simplifies Policy Terms:

At Care Health Insurance, we ensure precise communication of all the policy terms across our website. While studying our medical plans for diabetes and blood pressure treatment, you can find a clear description of covered expenses and benefits to help you understand policy terms easily.

Makes Decision-making Convenient:

Digital comparison of pre-existing diseases helps you evaluate and choose the best health insurance plans for diabetics and blood pressure health cover from the comfort of your own place. Also, at Care, we facilitate a digital premium calculator to help you approximate the cost of diabetes health insurance while customising your plan with members and add-on covers.

Helps You Choose the Perfect Cover:

Comparing health plans online lets you review the policy details anytime, anywhere. With complete online transparency, Care equips you with every mediclaim detail from issuance to claim settlement so you can better select the right medical cover for your diabetes and BP treatment.

Managing diabetes, high blood pressure, and obesity demands constant ongoing care and financial planning. Opting for the best health insurance plans can provide the necessary financial support. Understanding coverage specifics and comprehending policy terms and conditions is important to avoid confusion.

Why Choose Care Health Medical Insurance for Diabetic Patients?

Care Health Insurance helps individuals manage lifestyle illnesses such as diabetes by providing comprehensive coverage without requiring pre-policy medical tests, with its best health insurance plans for diabetes. Here is how our products help people deal with diabetes:

  • No need for pre-policy medical tests for people above 45 years of age, making it more comfortable to get health insurance with diabetes.
  • Provides coverage for pre-existing conditions, such as Type 1 and Type 2 diabetes, after a 24-month waiting period.
  • Includes annual health check-ups, with optional upgrades like diabetes-specific diagnostics under the Diabetes Health Plan add-on.
  • Flexible sum insured options, suitable for those seeking the best health insurance for diabetics in India.
  • Option to include OPD consultations, medicines, and diagnostics, which are essential for managing chronic conditions like diabetes.

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FAQs on Diabetes Insurance

Q. Can a High BP, diabetic, or hypertension patient get a health insurance policy in India?

Yes, a high BP, diabetic, or hypertension patient can get health insurance. Care Freedom is specially designed for people with pre-existing diseases such as hypertension & diabetes without a pre-policy medical check-up so that they can afford the best treatment and stay healthy.

Q. Do I need to bear co-payment under the diabetes health insurance plan?

Yes, as a standard, people with pre-existing ailments need to bear 20 or 30% of the final claim amount payable. We shall pay the remaining amount up to the sum insured. However, you may opt for a co-payment waiver benefit by paying a slightly higher premium according to policy terms and conditions.

Q.How does a diabetes insurance plan helps in treating Diabetic, Hypertension, and High BMI patients?

A diabetes health insurance plan is a health cover designed particularly for people suffering from lifestyle diseases such as diabetes, hypertension and high BMI. It provides complete cover for various expenses related to these diseases after the waiting period. The coverage includes in-patient care, daycare treatment, pre-and-post hospitalisation expenses, consumable allowance, ambulance cover, domiciliary hospitalisation, and dialysis procedure.

Q. What is diabetes insurance plan and know claim procedure?

The procedure for getting a claim for diabetes mediclaim policy is effortless. The insured has to submit a duly-signed claim form and essential documents like hospital bills for reimbursement claims. In case of a cashless claim, we will directly pay your bills to the hospital. Also, the policyholder should inform the insurer as per a specified time for emergency and planned hospitalisation.

Q.Why should I buy a diabetes health insurance policy?

If you have been diagnosed with diabetes, High BP, or if you are obese, then buying a health insurance policy for these pre-existing conditions will be helpful. It is essential as the costs of healthcare services in India are getting expensive, especially in private healthcare centres. A health policy will reserve your savings and help you access the best treatment without hassle.

Q.How can I buy health insurance for high BP?

You can easily buy the mediclaim for high BP online. Go to the Care Health Insurance website, click "Care Freedom," and enter your details on the form. You get the quote with a premium amount. You can pay online through our secure payment gateway and get the policy document online.

Q.What is the waiting period in mediclaim for diabetic patients?

Care Freedom Plan is one of the comprehensive health insurance for BP and diabetic patients. The waiting period for pre-existing diseases is 24 months.

Q.Is a pre-health check-up essential to get diabetes health cover in India?

No, a pre-policy medical check-up is not essential to get the best health insurance for diabetics in India. However, the underwriter may ask to go for a pre-medical policy check-up in some cases.

Q.Can I take cashless treatment under the diabetes health insurance plans?

Yes, Care offers the best health insurance for diabetes in India, with a vast network of over 21600 cashless healthcare providers.

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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.

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

**Number of Claims Settled as of Dec'24

*Premium calculated for an individual (Age 18) for sum insured 3 Lakhs in Zone 2 cities, 10% discount is applicable for a 3-year policy.

^^Number of Cashless Healthcare Providers as of Feb 2025