Managing diabetes means monitoring your health closely every day. From regular check-ups to medicines and emergencies, the costs can add up quickly. This is when diabetes health insurance helps.
Diabetes health insurance ensures you get the necessary care without worrying about big medical bills. Whether you have just been diagnosed or have been living with diabetes for years, the right insurance plan can make all the difference.
It covers doctor visits, treatments, and unexpected expenses so you can focus on staying healthy. So, let us explore how diabetes health insurance can help you manage your health without financial stress.
Key Things You Need to Know About Diabetes Health Insurance
Here is an overview of the diabetes health insurance:
- Coverage: This policy is for both Type II and Type I diabetes health insurance and covers other diseases and complications that are accompanied by diabetes.
- Eligibility: A person suffering from Type I or Type II diabetes within the age group of 18-65 years can avail this health insurance scheme.
- Policy Type: You can purchase this policy on an individual or floater basis. The floater plan is available for families with at least two members.
- Policy Plans: The policy offers flexible options, including Plan A and Plan B, which differ based on the requirement for pre-policy medical check-ups.
- Outpatient: The limit mentioned in the policy clause covers outpatient expenditure incurred at network diagnostic centres and hospitals.
- Restoration: The sum insured is automatically 100% restored once, on exhaustion, during the policy period or year.
- Instalment: The policy premium can be paid every 6 months, once in 2 years (biennial), or once in 3 years (triennial) basis.
- Accident Cover: One person at no additional cost will be allowed to avail of worldwide personal accident cover.
However, are you aware of the process for claiming your insurance?
How to Claim Diabetes Health Insurance?
The claim process for diabetes health insurance includes the following:
- Informing the Insurer: The insurance company must be informed 48 hours before hospitalization and 24 hours in case of emergencies.
- Choosing the Claim Type: You can choose cashless claims at network hospitals or pay bills first and then submit documents for reimbursement.
- Submitting Documents: You have to submit the required documents within 15 days of discharge to settle claims.
However, in case of confusion and queries, it is a smart choice to contact the customer support or help desk of the insurance company.
What does the Health Insurance for Diabetes Policy Cover?
The best health insurance for type 1 diabetes in India and also type 2 provides coverage for both hospitalization and outpatient expenses:
- Hospitalization Costs: Covers room charges, doctor fees, surgery, ICU, and medical supplies.
- Pre- and Post-Hospitalization: Pays for tests, medicines, and follow-up care, which is 30 days before and 60 days after hospitalization.
- Ambulance Service: Covers emergency ambulance costs up to ₹2000 per policy period.
- Dialysis and Kidney Transplant: Provides ₹1000 per dialysis session and covers donor expenses for kidney transplant.
- Outpatient Benefits: Covers diabetes test HbA1C, fasting, postprandial, and doctor consultations.
- Modern Treatments: Includes robotic surgery, oral chemotherapy, and stem cell therapy.
- Personal Accident Cover: Provides financial protection in case of accidental deaths.
What does the Health Insurance for Diabetes Patients Exclude?
Some treatments and expenses that are not covered even in the best health insurance for type 2 diabetes or type 1 diabetes are:
Non-Medical Expenses: Items like food, toiletries, and administrative charges are not covered.
Unproven Treatments: Experimental or alternative therapies are not included.
Self-Inflicted Injuries: If the insured causes harm intentionally, treatment is not covered.
Weight Control Procedures: Obesity-related treatments and bariatric surgery are excluded.
Hospitalization Without Need: Admissions only for observation or rest may not be covered.
What are the General Terms and Conditions of Diabetes Health Insurance Policy?
The general terms and conditions of diabetes health insurance policy state that:
- Waiting Period
Plan A does not have any waiting period for diabetes and related complications. However, under Plan B, the waiting period is 12 months.
- Review Period
A review period of 30 days from the date of receipt is applicable only on new health insurance policies and not on renewals.
You need to provide a written request to cancel the policy within the period specified in the policy.
If no claims have been made during the free look period, the insured will get a refund, unless the insurer has incurred expenses for medical examination of the insured.
However, if you have already made a claim, you cannot cancel the policy under the free look period.
- Policy Renewal
This policy has guaranteed lifetime renewals. The grace period to apply for renewal is within 30 days from the policy expiration date.
What are the Benefits of Choosing Star Health Insurance?
The numerous benefits of choosing Star Health Insurance policies are:
- Large Hospital Network: You can get cashless treatment at over 14000 hospitals across India.
- No Pre-Medical Check-ups: Most of the plans do not ask for health tests if you are below 50 years old.
- Covers Pre-Existing Diseases: After a specific waiting period, even long-term illnesses are covered.
- Quick and Easy Claims: The claim process is simple, ensuring you get help without much delay.
- Extra Benefits: Some insurance plans include free health check-ups and personal accident coverage.
Key Takeaways
Managing diabetes comes with challenges, but the right diabetes health insurance ensures you get the best care without any sort of financial stress. Regular check-ups, timely treatments, and a reliable insurance plan can make diabetes management smoother.
The key is to always keep your documents handy, renew your policy on time and stay informed about the policy updates. Considering the health of your entire family, a family mediclaim policy can provide comprehensive coverage and peace of mind.
Good health is not only about managing diabetes but also about living a life focusing on mental and physical health without unnecessary financial worries.
