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Health Insurance for IVF Treatment in India

Looking for health insurance that covers IVF? You should consider a specialised health insurance plan which offers Assisted Reproductive Treatment (ART) coverage to help reduce IVF treatment costs and ease the emotional and financial stress of your parenthood journey.

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What is In Vitro Fertilisation (IVF)?

In Vitro Fertilisation (IVF) is a trusted medical procedure where the egg and sperm are fertilised outside the body in a carefully controlled laboratory setting.

If fertilisation is successful, the embryo is transferred to the woman’s uterus to support implantation and pregnancy, helping individuals and couples with infertility. It's a standard assisted reproductive technology (ART) used for various reasons, such as blocked fallopian tubes, male infertility, or unexplained infertility. It involves steps such as ovarian stimulation, egg retrieval, fertilisation, and embryo transfer.

When is IVF Treatment Required?

IVF (In Vitro Fertilisation) is often recommended when a couple has been trying to conceive naturally for quite some time without success. While some fertility issues can be addressed with medications or less invasive procedures like IUI (Intrauterine Insemination), IVF tends to be the preferred choice when natural chances are slim or other treatments haven't worked out.

If you’re wondering, "When should I consider IVF?" it really depends on personal factors such as your age, medical history, fertility test results, and how long you’ve been trying to conceive. Remember, every situation is unique, and your healthcare provider is the best person to guide you through this process.

What are the Major Causes of Infertility?

There are numerous causes of infertility. Below are the common causes of infertility that have been observed-

  • Smoking
  • Diabetes
  • Obesity
  • Frequent and excessive alcohol consumption
  • Unhealthy and sedentary lifestyle
  • Stress
  • Reproductive conditions of male or female
  • Infections
  • Irregular sleep patterns
  • Advance age of women
  • Surgical abortion
  • Genetic or hereditary reasons
  • Excessive use of emergency contraceptive pills

The causes mentioned above of infertility could encourage you to undergo assisted reproductive treatment, and knowing that an insurance plan covers IVF will keep you at peace.

IVF Success Rate in India: What You Should Know

IVF success rates in India generally range from 30-60% per cycle, influenced by factors like age, fertility diagnosis, embryo quality, clinic experience, and overall health. While IVF is a hopeful option for many couples, it’s good to keep in mind that success can differ for each person, and sometimes, several cycles might be needed.

IVF Success Rate by Age

Here's how the IVF success rate varies with age:

  • Under 35 years: 50-65% (Higher success rates due to better egg quality)
  • 35 to 37 years: 40-55% (Good success rates, but may vary with diagnosis)
  • 38 to 40 years: 25-40% (Moderate success rates; doctors may recommend faster planning)
  • Above 40 years: 5-20% (Success rates may be lower, and donor options may be suggested in some cases)

What Factors Affect IVF Success Rate?

IVF success is influenced by several factors beyond age. Here are some key elements that affect the outcome:

  • Egg & Sperm Quality
  • Fertility Condition
  • Embryo Quality & Transfer
  • Lifestyle & Overall Health
  • Clinic Experience & Lab Technology

How Much Does IVF Treatment Cost in India?

Typically, IVF treatment in India costs between Rs 80,000 and Rs 3,50,000 per cycle. Total expenses can increase with additional tests, injections, and advanced procedures. Here is an estimated range of IVF costs throughout India (per cycle):

  • IVF treatment cost in Delhi: Rs 1,00,000 to Rs 3,50,000
  • Cost of IVF treatment in Mumbai: Rs 1,00,000 to Rs 1,70,000
  • IVF cost in Bangalore: Rs 1,00,000 to Rs 2,50,000
  • Cost of an IVF cycle in Chennai: Rs 1,00,000 to Rs 2,00,000
  • IVF Treatment cost in Hyderabad: Rs 1,00,000 to Rs 3,50,000
  • IVF Treatment cost in Pune: Rs 1,00,000 to Rs 2,50,000
  • In-Vitro Fertilisation (ivf) cost in Gurgaon: Rs 1,25,000 to Rs 3,00,000

Note: Estimated costs may vary by centre, tests & medicines.

Does Health Insurance Cover In Vitro Fertilisation (IVF)?

A standard health insurance policy in India usually does not cover IVF costs, as IVF is considered an elective procedure rather than an essential medical service. However, IVF is a vital yet expensive option for many couples facing infertility. Without proper medical coverage, the costs of IVF can strain savings and affect family plans.

To help couples manage these costs and ease financial worries, Care Health Insurance provides coverage for IVF and other assisted reproductive treatments through the Care Classic plan (zone-based health insurance), depending on the terms and conditions.

With this plan, you can get reimbursement for IVF expenses, allowing you to focus on your journey and your family’s happiness without the added worry of costs. Be sure to check your eligibility and take a moment to explore this IVF treatment health insurance policy today. The sooner you start planning, the sooner you'll be able to enjoy IVF benefits.

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Treatments Covered Assisted Reproductive Health Insurance

Treatments covered under Care Classic– Health Insurance for IVF treatment are-

  • In Vitro Fertilisation (IVF)- The procedure involves collecting eggs from the woman’s ovaries and merging them with the man’s sperm in an expert-supervised laboratory to make an embryo. Then, the embryo is transplanted into the woman’s uterus. If you have health insurance for In Vitro Fertilization, you will be saved from shelling out your savings all at once.
  • Gamete Intrafallopian Transfer (GIFT)- This is a three-step procedure that involves the removal of eggs, combining them with the sperms in a laboratory dish, and immediately placing them in the fallopian tubes. Women are also given follicle-stimulating drugs to increase their chances of producing multiple eggs.
  • Intracytoplasmic Sperm Injection (ICSI)- This procedure is a specialised kind of assisted reproductive treatment that is used for male infertility issues. In this procedure, a single sperm is injected directly into a mature egg for fertilisation.
  • Zygote Intrafallopian Transfer (ZIFT)- This procedure is similar to IVF and embryo transfer. The only difference is that the fertilised embryo is transplanted into the fallopian tube instead of the uterus. This process is called tubal embryo transfer, as the fertilised egg is directly transferred into the tubes.

Benefits of Buying Health Insurance for IVF Treatment

Having insurance that covers IVF/ART helps with planning and reduces financial stress. Benefits of insurance with IVF coverage include:

  • Lower IVF treatment costs: IVF treatment is costly, with prices in India ranging from Rs 80,000 to ₹3,50,000 per cycle, depending on location. Multiple cycles may be needed, making it hard for many couples to afford. IVF insurance plans help make treatment more accessible.
  • Covers other procedures: Many people overlook additional costs such as fertility tests, scans, consultations, and medication. IVF health insurance can help cover eligible expenses beyond the main procedure, depending on policy terms.
  • Less financial stress: IVF can be emotionally demanding, but having coverage can really make a difference by allowing you to concentrate on your treatment instead of stressing over bills.
  • Supports treatment in trusted hospitals: Having the right insurer network allows you to access quality healthcare facilities for your related treatment needs.
  • Covers related health issues: Conditions such as PCOS, thyroid imbalance, or endometriosis may need continuous care. Insurance covers these medical needs as well as fertility planning.
  • Adds security for both partners: Infertility treatment usually includes coverage for both husband and wife. A comprehensive family floater health insurance ensures protection for both partners under a single policy

Care Classic – Terms and Conditions for IVF Treatment

Understanding the terms and conditions of IVF insurance plans helps you avoid confusion when seeking support for your assisted reproductive treatments. Under the Care Classic plan, the company will indemnify the insurance holder only through a reimbursement facility of expenses related to IVF or other assisted reproductive procedures (subject to the terms and conditions). Here are some key conditions you should be aware of before proceeding with IVF treatment:p>

  • A waiting period of 36 months from the date of the first inception of this policy with the Company for the insured person.
  • This benefit is payable only once every 3-year block, subject to policy renewal.
  • To be eligible for this benefit, the couple must be continuously covered under this Policy at each block.

Exclusions Under IVF Cover Health Insurance

Like most health insurance benefits, IVF coverage also includes certain exclusions you should know in advance. Some of them are:

  • Pre and post-hospitalisation medical expenses
  • Sub-fertility services that are deemed to be unproven, experimental or investigational
  • Services not in accordance with standards of good medical practice and not uniformly recognised and professionally endorsed by the general medical community at the time they are to be provided.
  • Reversal of voluntary sterilisation
  • Treatment undergone for second or subsequent pregnancies, except where the child from the first delivery or previous deliveries is/are not alive at the time of treatment
  • Payment for services rendered to a surrogate
  • Costs associated with cryopreservation and storage of sperm, eggs and embryos
  • Selective termination of an embryo
  • Services performed at an unrecognised centre
  • Surgery or procedures that enhance fertility, such as Tubal Occlusion, Bariatric Surgery, Diagnostic Laparoscopy with Ovarian Drilling and more.

Factors to Consider While Buying Health Insurance for Infertility Treatment

You should always check your policy’s terms and conditions before you buy any plan. Not all plans cover the cost of assisted reproductive treatment; consider a plan that can help you in need. Here are some factors you must not ignore before buying health insurance that covers IVF-

  • Do not miss out on checking the eligibility criteria to get IVF health insurance coverage.
  • Check the procedures offered under the plan.
  • Check the sub-limits and other limitations under IVF insurance plans.
  • Do not ignore the waiting period for infertility treatment, as it differs from insurer to insurer.
  • Check if other types of assisted infertility treatments are covered by medical insurance that covers IVF.

Best Hospitals for IVF Treatment in India!

Choosing the right IVF centre impacts your fertility journey. Success depends on factors such as experienced specialists, advanced labs, transparent planning, and strong support. Here are the top IVF hospitals in 10 major Indian cities.

States/ UT Best Fertility Hospital
Best IVF Hospitals in Delhi NCR Apollo Fertility
Cloudnine Fertility Hospital
Sir Ganga Ram Hospital
Best IVF Hospitals in Mumbai Bloom IVF, Lilavati Hospital
Nova IVF Fertility Centre
Indira IVF Fertility Centre
Best IVF Hospitals in Bengaluru Radhakrishna Multispeciality Hospital and IVF Centre
Indira IVF Fertility Centre
Mankind Maternity and Fertility Centre
Best IVF Hospitals in Chennai Maanasa Women and Fertility Clinic
Shri Sai Speciality Clinic
Promise Fertility Centre, Fertility Unit of Sri Kumaran A Speciality Hospital
Best IVF Hospitals in Hyderabad Dr Padmaja Fertility Centre & Nursing Home
Secunderabad Women's Clinic and Infertility Centre
Department of ART-Unit of Sundari Maternity and General Hospital
Best IVF Hospitals in Kolkata Abhilasha Fertility & Women's Care
Iswarya Health Private Limited
Newlife Fertility Centre
Best IVF Hospitals in Pune Femcare Fertility(Dume Healthcare Private Limited)
Nova IVF Fertility Hospital
Mothercare Hospital, IVF Centre
Best IVF Hospitals in Ahmedabad Kiranben Maternity & Nursing Home
Motherhood Womens And Child Care Hospital Pvt. Ltd
Sarvamangal Women's Hospital and IVF Clinic
Best IVF Hospitals in Jaipur Indira IVF Fertility Centre
Vansh IVF (An Advanced Fertility and Women's Wellness Centre)
Neelkanth Fertility & Women Care Hospital Private Limited
Best IVF Hospitals in Lucknow Ganga Laxmi IVF
Indira IVF Fertility Centre
Birla Fertility & IVF Centre

Disclaimer: All these hospitals are listed in the National ART & Surrogacy Registry, and you can also find other hospitals according to your state.

How to Buy an IVF Health Insurance Online?

Purchasing health insurance for IVF treatment with us is simple. Follow these steps to get our IVF cover health insurance policy online, hassle-free:

  • Visit our official website to browse IVF coverage health plans.
  • Enter your phone number and click on Get a Quote.
  • You will be redirected to the next page, then click on Calculate Premium.
  • Analyse plans and benefits to tailor them to your needs. Customise key policy aspects like tenure, sum insured, and add-ons.
  • Once selected, you will receive an instant quote for your chosen health insurance plan with IVF cover.
  • Proceed with the purchase by filling in the proposer, insured members, and KYC details.
  • Pay via secure methods such as net banking and a credit or debit card. EMI payments are also available.
  • Once payment is successful, your policy information, including your policy number, will be sent to your registered mobile number.

How to File a Claim?

Policyholders can conveniently file an IVF treatment claim through reimbursement. Here's a simple guide on how to do it:

  • Get admitted to the hospital and start treatment.
  • The policyholder has to pay the bill initially.
  • Submit all essential documents, such as medical reports and invoices.
  • The insurer will authenticate the claim.
  • After approval, the policyholder receives the final amount for incurred medical expenses.

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FAQs on IVF

Q. Is IVF covered in medical insurance?

Yes, you can consider the Care Classic plan to cover IVF treatment, which can be a great relief for those considering this important step.

Q. Can I get IVF coverage immediately?

Since IVF benefits involve a waiting period, it's important to plan ahead.

Q. Does insurance cover IVF for both husband and wife?

Certain policies require both partners to be insured under the same plan, while others do not. Eligibility is determined by the specific policy terms, conditions, and claim rules.

Q. Is IVF covered if infertility is pre-existing?

Under certain plans, it may be considered a pre-existing condition and may be excluded until the waiting period ends. It depends on the terms and conditions.

Q. Do all health insurers offer IVF coverage in India?

No. Most standard health insurance plans do not cover IVF. However, Care Classic includes cover for assisted reproductive treatment, subject to conditions.

Q. How can I get IVF covered by insurance?

To access IVF/ART coverage under Care Classic, you need to buy the policy ahead of time and fulfil the 36-month waiting period with uninterrupted coverage.

Q. Is IVF included under maternity cover?

Maternity cover generally supports pregnancy and delivery costs, not infertility treatment. IVF coverage is usually separate or part of assisted reproduction benefits.

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