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  • star-check.svg 96.6% Claims Settlement Ratio~~
  • building.svg 22100+ Cashless Healthcare Providers^^
  • file.svg 74.5 Lakh+ Insurance Claims Settled**
  • 5/5
    Trusted by People
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.

Reviewed by:
Munmi Sharma
Munmi Sharma
Munmi Sharma
Sr. Health Insurance Expert at Care Health Insurance

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

Updated on Updated on:
14 Oct 2026
Reviewed on Reviewed on:
14 Oct 2026

Summary

Care Health Insurance’s Heart Insurance for cardiovascular diseases provides financial support for eligible medical expenses related to cardiac conditions and treatments. Depending on the policy, coverage may include hospitalisation, ICU expenses, day care procedures, ambulance services, pre- and post-hospitalisation expenses, and other eligible healthcare costs. People with pre-existing heart conditions or a history of cardiac procedures may also be eligible for coverage, subject to underwriting criteria, applicable waiting periods and policy terms. This page explains heart health insurance coverage, benefits, eligibility, sum insured options, waiting periods, exclusions, claim procedures and important factors to consider before buying a policy.

Key Takeaways

  • Understand how health insurance for heart patients can cover eligible expenses arising from cardiac treatments, procedures and hospitalisation.
  • Learn how people with pre-existing heart conditions, previous angioplasty, bypass surgery or other cardiac procedures may get health insurance, subject to eligibility and underwriting criteria.
  • Explore important coverage benefits, waiting periods, exclusions, co-payment, sub-limits and cashless treatment options to understand how a heart insurance policy works.
  • Get guidance on choosing a suitable sum insured based on your age, heart condition, medical history, family needs, preferred hospitals and expected healthcare needs.
  • Compare heart health insurance plans, explore coverage and premiums, and buy a suitable policy online with ease.

What is Health Insurance for Heart Patients?

Health insurance for heart patients helps you manage eligible medical expenses if you have an existing or previous heart condition. Depending on the policy, it covers hospitalisation, ICU care, day care treatments, ambulance services, and pre- and post-hospitalisation expenses.

 

If you already have a heart condition, the policy may cover it after the applicable waiting period. Co-payment, sub-limits, and exclusions may also apply, as per the policy terms and conditions. Before buying a plan, check the coverage, waiting periods and policy terms carefully to choose health insurance that suits your healthcare needs.

Can Heart Patients Get Health Insurance in India?

Yes, heart patients can get health insurance in India, subject to the insurer’s eligibility and underwriting criteria. Your age, current heart condition, medical history, and previous cardiac treatments or procedures can affect your eligibility, coverage, and premium.

 

If you already have a heart condition, the insurer may treat it as a pre-existing disease (PED) and cover it after the applicable waiting period. Care Health Insurance plans for heart patients are specially designed for people with certain pre-existing heart conditions or a history of cardiac procedures.

 

When buying health insurance for heart patients, always share your complete medical history, including previous diagnoses, surgeries and treatments. Accurate disclosure helps the insurer assess your application correctly and reduces the chances of claim-related issues later.

Have a Heart Condition? You May Still Get Covered!

Explore our plans & check premiums for health insurance designed for cardiac care.

Why Should Heart Patients Buy Health Insurance?

Heart conditions may require regular monitoring, tests, hospitalisation or cardiac procedures. Health insurance can help you prepare for these expenses while protecting your savings.

Manage Heart Treatment Costs

Cover eligible expenses for cardiac treatments, procedures and hospitalisation without putting extra pressure on your savings.

Access Cashless Cardiac Care

Access eligible cashless treatment at network hospitals and reduce the need to pay covered hospital bills upfront.

Prepare for Future Heart Care

Prepare financially for unexpected cardiac hospitalisation and covered treatments that may arise in the future.

Support Your Heart Care

Benefit from annual cardiac health check-ups and the Disease Management Program (DMP) for hypertension, as per policy terms.

Who Can Consider a Heart Insurance Policy Coverage?

Medical insurance for heart patients is designed for people with certain heart conditions or a history of cardiac procedures. You may consider this plan if you:

  1. Have undergone PTCA (angioplasty) for a heart condition.
  2. Have undergone CABG (bypass surgery) in the past.
  3. Have corrected heart conditions such as Atrial Septal Defect (ASD), Ventricular Septal Defect (VSD), and Patent Ductus Arteriosus (PDA).
  4. Have undergone RF Ablation to treat certain heart rhythm problems.
  5. Have undergone an angiogram without requiring further medical intervention.

Note: Eligibility depends on the policy terms and underwriting criteria. Always share your complete medical history while applying for any health insurance plan.

Find the Best Heart Health Insurance Plans in India

  • Care Heart
  • Heart Mediclaim
Care Heart

Specialised Health Plan for Cardiac Conditions!

  • Designed for individuals with heart conditions who have undergone cardiac surgery.
  • Automatic recharge restores your exhausted sum insured once per policy year.
  • Enjoy cashless cardiac health check-ups for specified tests at a network hospital once a year.
  • No sub-limits on expenses for Day care treatment, AYUSH treatment, domiciliary hospitalisation, or in-patient care.
  • Cover Amount: โ‚น 3 lakh
  • Starting at Rs 16/day1

Benefits of Heart Health Insurance Plans

Heart conditions can affect both your health and your finances, especially when treatment involves costly procedures or hospitalisation. The best medical insurance for heart patients can help manage eligible medical expenses and keep you financially prepared for cardiac care. Here are some key benefits of choosing a heart health insurance plan:

  1. Financial protection: Helps manage eligible expenses for cardiac treatments, procedures and medical care.
  2. Cashless treatment: Access eligible cashless cardiac treatment at network hospitals without upfront payment for covered expenses.
  3. Pre-existing disease cover: Covers specified pre-existing heart conditions after completing the applicable waiting period.
  4. Cardiac care support: Covers expenses arising from unexpected heart-related treatments and hospitalisation.
  5. Lifelong renewability: Renew your policy regularly to continue your health coverage for life.
  6. Tax benefits: Claim eligible tax deductions on premiums under Section 80D when opting for the old tax regime.

What is Covered and Not Covered Under Health Insurance for Heart Patients?

  • Covered
  • Not-Covered

Our best health insurance plan for heart patients offers comforting financial support for those with pre-existing heart conditions. Understand what our heart insurance plan covers and what it excludes.

In-Patient Hospitalisation

Get coverage for eligible hospital expenses, including room rent, ICU charges, doctor fees and diagnostic tests.

Day Care Treatments

Get coverage for eligible treatments that require less than 24 hours of hospitalisation.

Pre-and Post-Hospitalisation

Cover eligible medical expenses before and after hospitalisation, including doctor consultations, diagnostic tests and follow-up care, as per policy terms.

Annual Cardiac Health Check-up

Regular heart check-ups help you stay informed about your heart health. Heart Mediclaim includes an annual cardiac health check-up as specified under the policy.

Quick Recovery Counselling

Get recovery counselling, doctor-on-call and digital health support for your healthcare needs.

Organ Donor Expenses

Covers eligible organ donor expenses when an organ transplant is required for covered heart treatment.

Global Coverage

Get coverage for eligible heart-related hospitalisation expenses outside India, subject to policy terms and limits.

International Second Opinion

Get expert medical opinions from international specialists once per illness or surgery during each policy year.

AYUSH Treatment

Get coverage for eligible hospitalisation expenses under Ayurveda, Yoga, Unani, Siddha and Homoeopathy.

Domiciliary Hospitalisation

Get coverage for eligible treatment at home when hospitalisation isn’t possible, subject to the prescribed conditions.

Ambulance Cover

Coverage for eligible ambulance expenses up to the specified limit per hospitalisation, as per the applicable policy limit.

Pregnancy & Childbirth

The policy does not cover pregnancy and childbirth expenses unless your chosen plan or benefit specifically includes them.

Self-Inflicted Injuries

The policy does not cover medical expenses resulting from intentional self-inflicted injuries, as per the policy terms.

Cosmetic Treatments

The policy does not cover treatments performed mainly for cosmetic or aesthetic purposes unless specifically included.

Gender Change Treatments

The policy does not cover expenses related to gender reassignment or gender change procedures, as per the policy terms.

War & Related Events

The policy excludes medical expenses arising from war, invasion, civil unrest, nuclear incidents or other specified events.

Dental Treatment

The policy does not cover routine dental treatment unless your chosen plan specifically includes it.

 

Note: Plan features, benefits, coverage, and underwriting of claims are subject to policy terms and conditions. Please refer to the brochure, sales prospectus, and policy documents carefully.

Does Health Insurance Cover Pre-existing Heart Disease?

Yes, health insurance may cover pre-existing heart disease, depending on the policy terms. If you had a heart condition before buying the policy, the insurer may consider it a pre-existing disease (PED). Coverage for such conditions usually starts after you complete the applicable waiting period.

 

Health insurance for heart patients is designed to cover the healthcare needs of people with certain existing cardiac conditions. However, not every heart condition or medical expense gets covered from day one.

 

Before buying a policy, check the waiting period, eligibility criteria, exclusions, co-payment and coverage terms. Also, disclose your complete medical history so you clearly understand what the policy covers and avoid claim-related issues later.

How Much Health Insurance Does a Heart Patient Need?

The right sum insured depends on your age, heart condition, medical history and family members you cover. Choose adequate coverage to manage rising cardiac treatment costs while protecting your savings.

โ‚น5 Lakh to โ‚น10 Lakh

Suitable for individuals seeking essential coverage or those with pre-existing heart conditions who need financial protection for eligible cardiac treatments and hospitalisation expenses.

โ‚น15 Lakh and Above

Suitable for senior citizens, families covering members with cardiac conditions, or individuals who prefer higher coverage for expensive heart treatments and hospitalisation.

 

Tip: Consider your age, heart condition, previous procedures, family size, preferred hospitals and medical inflation before choosing your sum insured. Also, check waiting periods, co-payment and treatment-specific limits.

Your Heart Deserves the Right Cover!

Stay prepared for eligible cardiac treatment expenses with health insurance designed around your healthcare needs.

Heart Diseases Covered Under Health Insurance for Heart Patients

Some of the heart conditions typically covered by health insurance policies for heart patients include:

Pulmonary Thromboembolism Carotid Artery Surgery
Primary (Idiopathic) Pulmonary Coronary Artery Bypass Graft
Infective Endocarditis Pericardectomy
Heart Valve Replacement/repair Surgery to Place Ventricular Assist
Surgery of Aorta Devices or Total Artificial Hearts
Cardiomyopathy Myocardial Infarction
Surgery for cardiac arrhythmia Implantation of Pacemaker of Heart
Angioplasty Implantable Cardioverter Defibrillator
Balloon Valvotomy/Valvuloplasty  
 

Note: Coverage of these heart diseases depends on the approval of the underwriting team. Read the terms and conditions before buying.

Other Treatments & Surgeries Covered Under Health Insurance for Heart Patients

  1. Surgery for the treatment of all types of Hernia
  2. Hysterectomy
  3. Surgeries for Benign Prostatic Hyperplasia (BPH)
  4. Surgical treatment of stones of the renal system
  5. Treatment of Cerebrovascular Disorders
  6. Treatments/Surgeries for Cancer
  7. Treatment of other renal complications and Disorders
  8. Therapy for the breakage of bones
  9. Treatment of Cataract
  10. Treatment of Total Knee Replacement

What is the Waiting Period for Pre-existing Heart Conditions?

A waiting period is the time you need to wait before certain health conditions or treatments become eligible for coverage. For heart patients, the waiting period can vary based on the type of coverage, existing heart condition and the policy terms.

Type of Waiting Period What It Means
Initial Waiting Period You may need to wait for a specified period before claiming for certain non-accidental medical conditions.
Pre-existing Disease Waiting Period Existing heart conditions may get covered after you complete the applicable waiting period.
Specific Disease/Treatment Waiting Period Certain listed conditions, treatments or procedures may have a separate waiting period.
 

Note: Health insurance may not cover an existing condition or planned treatment immediately. Coverage starts as per the applicable waiting periods, eligibility criteria and policy terms. Always review the latest policy details to understand when your heart-related treatment becomes eligible for coverage.

Things to Check Before Purchasing Heart Health Patient Insurance

Choosing the right health insurance for heart patients is crucial, given that cardiac treatments can be costly and require lifelong management. An effective plan should cover major surgeries and provide continuous care, offering financial security and peace of mind. Here are the key things to check before buying health insurance for heart patients in India:

  1. Heart Condition Coverage: Check if your existing cardiac condition is covered.
  2. Waiting Period: Know when coverage for pre-existing conditions begins.
  3. Sum Insured: Choose enough coverage for potential cardiac treatment costs.
  4. Co-payment: Check how much you need to pay during a claim.
  5. Room & ICU Limits: Review applicable room rent and ICU charges limits.
  6. Treatment Sub-limits: Check for limits on specific cardiac treatments.
  7. Cashless Hospitals: Look for network hospitals with cardiac care facilities.
  8. Pre & Post-hospitalisation: Check coverage for eligible expenses before and after hospitalisation.
  9. Exclusions: Know what the policy does not cover.
  10. Renewal Terms: Review the conditions for continuing your policy.

Before buying, carefully read the Customer Information Sheet (CIS), policy brochure and prospectus. This helps you understand the coverage, waiting periods, limits and exclusions and choose a plan that suits your healthcare needs.

How to Buy Heart Health Insurance Online?

You can buy a heart cover health policy online by following these simple steps:

Step 1

Compare plans based on cardiac coverage, sum insured, waiting periods, co-payment, exclusions and premium.

Step 2

Provide accurate information about your heart condition, previous cardiac procedures, ongoing treatment and other medical history.

Step 3

Fill out the proposal form, provide the required KYC and medical details, and complete any required medical tests.

Step 4

Carefully check the coverage, waiting periods and policy terms before making payment online.

Step 5

Once the insurer approves your application, you will receive your policy documents digitally, subject to underwriting and policy terms.

Documents Required to Buy a Heart Insurance Plan with Care Health Insurance

To make the process of purchasing health insurance for cardiac patients smooth and hassle-free, you need to provide the following documents:

  1. Valid proof of age, such as a birth certificate, Aadhaar card, or passport.
  2. A government-issued ID, such as a PAN card, Aadhaar card, or voter ID, to verify your identity.
  3. Documents such as a utility bill, Aadhaar card, or rental agreement for address verification.
  4. Salary slips, bank statements, or income tax returns to verify your financial stability.
  5. Passport-sized photographs for official documentation.
  6. Any existing medical records or diagnostic reports related to your health conditions.

*Other necessary documents for health insurance for heart patients, as requested by the insurer.

How to File a Claim Under Health Insurance for Pre-existing Heart Disease?

Filing a medical insurance claim for heart patients is similar to submitting a claim for a regular health plan. At Care Health Insurance, you can effortlessly start a cashless or reimbursement claim by following these easy steps.

Please notify our claims team within 24 hours if there is an emergency hospitalisation, and at least 48 hours before any planned hospitalisation.

Cashless Claim Process Reimbursement Claim Process
Step 1: Please notify our team about your claim, or download the Care Health Insurance App.
Step 2: Go to any network hospital and complete the pre-authorisation process.
Step 3: Once approved, proceed to complete the necessary medical treatment.
Step 4: Our claims team will examine your records and bills and process payments to the hospital.
Step 1: Submit your claim form and other required documents.
Step 2: The policyholder gets approval after receiving a verification letter.
Step 3: Respond to the claim management team's questions.
Step 4: Once approved, the insurance company will process the payments. If the claim is rejected, the claims team will explain the reasons to you.

Why Choose Heart Health Insurance Plans from Care Health Insurance?

Choosing the right health insurance is crucial, especially for individuals with heart conditions. Here’s why opting for Care Health Insurance is a wise and dependable choice for you and your family:

  1. Get comprehensive health coverage at lower premiums.
  2. Choose from Care Heart and Heart Mediclaim plans, customised with the best pricing to manage healthcare costs.
  3. Access to a vast cashless network with over 22,100 hospitals across PAN India.
  4. Easily compare, customise, and buy the best health insurance for heart patients online at www.careinsurance.com.
  5. Get a quick, fast, and simple claim process (cashless or reimbursement) with 24/7 support.

How We Verify Our Data & Metrics

All metrics on this page are verified directly through our internal operational records and IRDAI filings. Our claim counts (74.5+ Lakhs) and network hospital numbers (22,100+) reflect real-time, actively settled cases and empanelment records across India. Starting rates (e.g., โ‚น11/day) are calculated using base annual premiums for entry-level plans before applicable taxes and individual plan customisations.

How We Ensure Our Information is 100% Reliable

Your family’s safety comes first. Here is how we guarantee accurate details:

  1. Fact-Checked: Sourced directly from official insurance and medical guidelines.
  2. Expert-Approved: Reviewed by certified health insurance professionals before publishing.
  3. Always Fresh: Regularly updated with live hospital lists, claim numbers, and Section 80D tax rules.
  4. Simple Language: Clear, honest guidance you can trust with minimum jargons.

Editorial Policy

The content is intended to provide general information about health insurance and should not be considered legal, financial, or medical advice. Please refer to the policy documents for complete terms, conditions, and exclusions. Click here to view our editorial policy.

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    Care Heart: UIN - RHIHLIP21371V022021

    Disclaimer: The information above is just for reference. Kindly read the T & C of the policy thoroughly. Do refer to IRDAI guidelines for tax exemption conditions.

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

    ~~Claim Settlement Ratio for the period April 2025 to Dec 2025

    **Number of Claims Settled as of Dec 2025

    ^^Number of Cashless Healthcare Providers as of Dec 2025

    *Premium calculated for an individual (Age 18) for sum insured 3 lakhs, 10% discount is applicable for a 3-year policy

    ^The premium is calculated for an insured individual (18) who opts for a sum insured of 3 lakh in a zone 3 city.

    1. The premium is calculated for one individual aged 18, with a total coverage of โ‚น3 lakh, for a 1-year policy tenure.

    2. The premium is calculated for an individual (age 18) with a minimum sum insured of 10 lakh in a Zone 3 city for a 1-year policy tenure.

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    ๐Ÿ‡ต๐Ÿ‡ธ State of Palestine+970 PS
    ๐Ÿ‡ป๐Ÿ‡จ St. Vincent & Grenadines+1784 VC
    ๐Ÿ‡ธ๐Ÿ‡ฉ Sudan+249 SD
    ๐Ÿ‡ธ๐Ÿ‡ท Suriname+597 SR
    ๐Ÿ‡ธ๐Ÿ‡ช Sweden+46 SE
    ๐Ÿ‡จ๐Ÿ‡ญ Switzerland+41 CH
    ๐Ÿ‡ธ๐Ÿ‡พ Syria+963 SY
    ๐Ÿ‡น๐Ÿ‡ผ Taiwan+886 TW
    ๐Ÿ‡น๐Ÿ‡ฏ Tajikistan+992 TJ
    ๐Ÿ‡น๐Ÿ‡ฟ Tanzania+255 TZ
    ๐Ÿ‡น๐Ÿ‡ญ Thailand+66 TH
    ๐Ÿ‡น๐Ÿ‡ฑ Timor-Leste+670 TL
    ๐Ÿ‡น๐Ÿ‡ฌ Togo+228 TG
    ๐Ÿ‡น๐Ÿ‡ฐ Tokelau+690 TK
    ๐Ÿ‡น๐Ÿ‡ด Tonga+676 TO
    ๐Ÿ‡น๐Ÿ‡น Trinidad and Tobago+1868 TT
    ๐Ÿ‡น๐Ÿ‡ณ Tunisia+216 TN
    ๐Ÿ‡น๐Ÿ‡ท Turkey+90 TR
    ๐Ÿ‡น๐Ÿ‡ฒ Turkmenistan+993 TM
    ๐Ÿ‡น๐Ÿ‡จ Turks and Caicos+1649 TC
    ๐Ÿ‡น๐Ÿ‡ป Tuvalu+688 TV
    ๐Ÿ‡บ๐Ÿ‡ฌ Uganda+256 UG
    ๐Ÿ‡บ๐Ÿ‡ฆ Ukraine+380 UA
    ๐Ÿ‡ฆ๐Ÿ‡ช United Arab Emirates+971 AE
    ๐Ÿ‡ฌ๐Ÿ‡ง United Kingdom+44 GB
    ๐Ÿ‡บ๐Ÿ‡ธ United States+1 US
    ๐Ÿ‡บ๐Ÿ‡พ Uruguay+598 UY
    ๐Ÿ‡ป๐Ÿ‡ฎ U.S. Virgin Islands+1340 VI
    ๐Ÿ‡บ๐Ÿ‡ฟ Uzbekistan+998 UZ
    ๐Ÿ‡ป๐Ÿ‡บ Vanuatu+678 VU
    ๐Ÿ‡ป๐Ÿ‡ช Venezuela+58 VE
    ๐Ÿ‡ป๐Ÿ‡ณ Vietnam+84 VN
    ๐Ÿ‡ผ๐Ÿ‡ซ Wallis & Futuna+681 WF
    ๐Ÿ‡ช๐Ÿ‡ญ Western Sahara+212 EH
    ๐Ÿ‡พ๐Ÿ‡ช Yemen+967 YE
    ๐Ÿ‡ฟ๐Ÿ‡ฒ Zambia+260 ZM
    ๐Ÿ‡ฟ๐Ÿ‡ผ Zimbabwe+263 ZW

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