Women are the backbone of a family. They hold the family together, providing strength and stability. So it is essential that they are in the best of their health for the welfare of the family and society. The cost of treating women specific illnesses are increasing at an alarming rate1. This should not discourage one from accessing quality health care.

Therefore, it is imperative that every women in the country buys a women health insurance policy, to shield themselves from a possible illness with preventive health check-ups, and to recover from a illness with quality healthcare.

What is women's health insurance?

Women's health insurance plans address the unique health and financial needs of women. These plans provide financial protection for medical expenses such as hospitalisation, preventive check-ups, surgeries, medications and more.

They may cover women-specific chronic illnesses like breast cancer, as well as lifestyle disorders such as diabetes and hypertension, among several others. It is always advisable to check the plan details to know more about the illnesses covered.

Why is it important for women to buy specialised health insurance plans?

Cashless hospitalisation

Women’s health insurance may offer convenient features like cashless hospitalisation. In this arrangement, the patient may seek treatment at a network hospital without having to pay the fees upfront. The insurance company settles the bill with the hospital while the patient focuses on their health.

Higher medical costs

Women's health insurance plans may provide high coverage that covers the costs of expensive treatments, hospitalisation, medication and more. These plans may also help combat medical inflation.

Maternity Cover

It is important to have health insurance for pregnant women. Women’s health insurance plans may offer a maternity cover that covers pregnancy and childbirth-related expenses.

Annual health check-up

Women’s health plans may cover` preventative healthcare like annual check-ups to help women stay healthy and take proactive steps toward maintaining their well-being.

Pre and post-hospitalisation expenses

These plans may offer coverage for pre and post-hospitalisation expenses, ensuring comprehensive financial protection against all potential costs.

Customised benefits

Women’s health insurance may be customised to suit every woman’s needs. Women can select suitable coverage, policy duration and riders to ensure complete financial protection according to their requirements.

 

What are the benefits of buying health insurance plans for women?

Quality healthcare

The expenses are settled between the hospital and the insurer with cashless hospitalisation. So, women can easily admit herself in one of the network hospitals and get access to quality healthcare even if her family cannot afford at that moment.

Peace of mind

Women's health insurance provides you with peace of mind and assurance. With high coverage and comprehensive protection, these plans help women take charge of their health. Moreover, with cashless hospitalisation, after the discharge from the hospital, the patient can completely focus on recovery rather than worrying about the reiumbursement of money from the health insurance company.

Lump-sum payouts

Some women’s health insurance plans may offer lump sum payouts, ensuring you have the necessary financial liquidity during a medical crisis. You should refer the policy documents to understand the conditions specified for the lump-sum payouts.

Maternity coverage

These plans may provide maternity coverage` to expecting mothers, ensuring access to optimal healthcare facilities during pregnancy and childbirth.

Tax benefits

Women’s health insurance plans qualify for tax benefits under Section 80D* of The Income Tax Act, 1961.

Who should buy health insurance for women?

  • Working women
  • Self-employed women
  • Housewives
  • Single mothers
  • Senior citizens

What is covered under women's health insurance plans?

Most of the women’s health insurance plans will provide coverage` for the following:

  • Hospitalisation and in-patient treatments
  • Pre-hospitalisation and post-hospitalisation expenses
  • Coverage for maternity-related expenses, including medical costs for miscarriage or pregnancy termination
  • Care for newborns, including congenital conditions
  • Voluntary sterilisation procedures
  • Coverage for critical illnesses
  • Emergency ambulance services
  • Outpatient care and consultations
  • Preventive health screenings
  • Coverage for bariatric surgeries
  • Ayurveda, Yoga and Naturopathy, Unani, Siddha, Sowa Rigpa and Homoeopathy (AYUSH) treatments
  • Daycare procedures and minor surgeries
  • Organ donor-related expense

 

What is not covered under women's health insurance plans?

Most of the women’s health insurance plans do not provide coverage` to the following medical expenses. 

  • Self-inflicted injuries or harm
  • Pre-existing conditions
  • Participation in naval, military or air force operations during peacetime
  • Health issues arising due to war, invasion, mutiny, civil war, revolution, foreign hostilities, riots, rebellion, military or usurped power, insurrection or civil commotion
  • Health conditions due to participation in any flying activity, unless as a bona fide, fare-paying passenger or part of the regular aircrew of a recognised airline
  • Health conditions because of service in the armed forces police or any international peacekeeping body during wartime
  • Pregnancy complications or congenital anomalies related to fertility treatments such as IVF, artificial insemination and gestational surrogacy
  • Conditions caused by excessive alcohol or drug use
  • Injuries from high-risk or adventurous sports
  • Medical treatments obtained outside the country
  • Treatment for sexually transmitted infections
  • Domiciliary hospitalisation

How can women maximise health insurance benefits?

Evaluate needs

Assess your health requirements to choose a plan that provides the necessary financial coverage.

Buy early

Purchase a health plan as early as you can to secure financial protection from a young age.

Adequate sum insured

Select a plan with a suitable sum insured to cover healthcare expenses and keep pace with medical inflation.

Policy coverage

Carefully review the policy’s coverage to ensure it meets your needs and includes financial protection for all types of medical issues.

Ensure annual health check-ups

Ensure your health insurance policy covers the cost of annual health check-ups to support preventive care.

Avail tax deductions

Remember to take advantage of the tax benefits under Section 80D* of The Income Tax Act, 1961, available with your health plan to save money each year.

Frequently Asked Questions

Are regular health check-ups included in women's health insurance?

Yes, regular health check-ups` may be included in women’s health insurance to ensure women can access preventative care.

What is the waiting period for women-specific health insurance?

The waiting period depends on the health insurance plan typically ranging from 30 days to 4 years`.

Are mental health treatments covered under women's health plans?

Yes, most women's health insurance plans cover mental health treatments.

What documents are required to purchase a women's health insurance policy?

The required documents may typically include proof of age, proof of identity and proof of address, passport-size photographs and medical reports. The exact details of the documents may depend on the underwriting policy of the insurance company.

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*Tax benefits under the policy are subject to conditions under Sections 80D and other provisions of the Income Tax Act, 1961. Goods and Services Tax and Cesses, if any will be charged extra as per applicable rates. Tax laws are subject to amendments from time to time. Please consult your tax advisor for more details.

1Rising cost of having baby pushes insurance demand - https://timesofindia.indiatimes.com/business/india-business/rising-cost-of-having-baby-pushes-insurance-demand/articleshow/110021392.cms#:~:text=MUMBAI%3A%20The%20rising%20cost%20of,from%20online%20distributor%20PolicyBazaar%20showed.

Medical Inflation In India: Current Rate, Causes and Impacts - https://www.onsurity.com/blog/medical-inflation-in-india/

Need of the hour: Enhancing women’s healthcare in India- https://timesofindia.indiatimes.com/blogs/voices/need-of-the-hour-enhancing-womens-healthcare-in-india/

`The coverages, exclusions and waiting periods mentioned are for general informational purposes only and may vary across insurers, plans and policy terms. Please refer to the specific policy brochure, terms and conditions provided by the insurer before making any purchase decision. Coverage is subject to underwriting guidelines and policy exclusions

 

COMP/DOC/May/2025/215/0315

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