Insurance for Diabetics

It is an irony that, though India is classified as “the diabetes capital of the world”, only a handful of insurers have come forward to specifically address the insurance needs of diabetics. Though insurance companies are quite interested in providing term insurance to diabetics, when it comes to health insurance, not many players out there are willing to provide diabetics with comprehensive coverage for the disease and its complications. The reason is quite obvious, even after taking into account the dreads of diabetes and its complications; there is a high probability that the insured will outlive the policy term. Therefore, taking into account the costs diabetics incur for their treatment and the medications required, insurers are evasive about providing these patients with comprehensive coverage that tackle such costs.Diabetics find it difficult to find an affordable health insurance plan to cover diabetes-related medical costs. Most health insurance plans extend their exclusion to not only diabetes but also to complications arising from it.


Health Insurance For Diabetics

Star Health Diabetes Safe

  • Age limit – 18 to 65 years.
  • Applicable for those already living with Diabetes Mellitus or even those at risk for Diabetes Mellitus.
  • Sum assured options from Rs.50,000 to Rs.5,00,000.
  • Available on individual and floater basis.
  • Covers all complications from diabetes from day 1 of the policy.
  • Pre-hospitalization expenses taken care of for up to 30 days prior to hospitalization.
  • Post-hospitalization expenses taken care of for up to 60 days after discharge from the hospital.
  • Automatic restoration of Basic Sum Insured by 100% (not available for floater policy).
  • Income tax benefits under Section 80D of the Income Tax Act, 1961.
  • Cashless hospitalization in over 6,000 network hospitals.
  • No TPA, direct in-house claim settlement.

National Insurance Varistha Mediclaim

  • Specially designed for senior citizens.
  • Applicable to those suffering from Type 2 Diabetes, IFG, ITG and/or Hypertension.
  • Age limit – between 60 – 80 years old.
  • Renewable up to the age of 90.
  • Sum assured is Rs.1,00,000 which can go up to Rs.2,00,000 with critical illness cover (additional).
  • Premiums start from Rs.4,100.
  • Even pre-existing diabetes is covered right from inception at 10% additional premium.
  • No medical check-up required if the insured person was covered under any policy of the National Insurance Company or other Insurance companies for the previous 3 years without any interruption.
  • Claims arising due to Cataract will be covered only up to Rs.10,000.
  • Claims arising out of Benign Prostatic Hyperplasia will be covered only up to Rs.20,000.
  • Domiciliary hospitalization will be covered only up to 20% of the sum insured.
  • Ambulance charges covered up to Rs.1,000.


ICICI Prudential Diabetes Care

  • Age limit – 25 to 60 years.
  • Applicable to those suffering from Type 2 Diabetes or Pre-Diabetes.
  • Sum assured options of Rs.3,00,000, Rs.5,00,000 and Rs.10,00,000.
  • Diabetes enhanced benefit rider: 10% of the base sum assured.
  • If you are diagnosed after 1 year of the policy being in force, you will get 100% of the sum assured. If it happens between 6 – 12 months after the policy’s start date, you will receive 50% of the sum assured and if it happens in under 6 months of the policy start date, you will receive all the premiums paid that far.
  • The policy has a fixed 5 year term.
  • The claim is payable only after 28 days of survival after the diagnosis.
  • HbA1c tests, blood pressure tests and pulse rate measuring will have to be done every 4th and 8th month of every year that the policy is in force. ICICI Prudential will sponsor these tests.
  • Reduced premiums if you are able to control and manage your diabetes.

Apollo Munich Energy Health Insurance Plan

  • Applicable to those suffering from Type 2 Diabetes, IFG, ITG and/or Hypertension.
  • Covers hospitalization expenses for periods over 24 hours.
  • Pre-hospitalization expenses covered for 30 days before hospitalization.
  • Post-hospitalization expenses covered or 60 days after discharge.
  • Medical expenses covered for over 144 day care procedures.
  • Medical expenses covered for organ harvesting from donors for organ transplantation.
  • Up to 25% reduction in premiums if you are able to control and manage your diabetes


Care Freedom Religare Health Insurance

  • Minimum entry age – 18 years for adults, Maximum age – no limit
  • Applicants with type II and type III diabetes can also avail the Religare Care Freedom health insurance scheme
  • Sum assured is a maximum of Rs.5 lakhs
  • Individual as well as floater options available for up to 6 members
  • Lifelong renewability is offered on the Care Freedom scheme from Religare
  • Day care treatment is also covered across numerous hospitals in the country
  • Ambulance cover is included in the policy
  • Companion benefit of maximum Rs.15,000 is offered to policyholders.



Feature Star Health Diabetes Safe National Insurance Varistha Mediclaim ICICI Prudential Diabetes Care Apollo Munich Energy Health Insurance Plan Care Freedom Religare Health Insurance
Eligibility Any person who is diagnosed with Diabetes Mellitus Type II Any person aged between 60 to 80 years Type 2 Diabetics or Pre-Diabetics Type 2 Diabetics Type 2 Diabetics
Entry-Exit Age 26 – 65 (Renewals can be made up to 70 years) 60 – 80 (renewed up to the age of 90) 25-60 years (Fixed policy term of 5 years ) 18-65 years (Policy term of 1 year no age limit on renewability) 18- No upper limit
Sum Assured 50,000 to 5,00,000 1,00,000 (plain cover)
2,00,000 (with critical illness cover added)
Options of 3 lakh, 5 lakh and 10 lakh Ranges from 2 lakhs to 10 lakhs 3 lac and 5 lac
Premium Starts from 9469 4100 Year 1: Rs. 12754. Year 2 (with deduction) Rs. 10,841 Rs 13,853 for Silver Plan and Rs 18,559 for Gold Plan (For Sum Insured of Rs 5 Lakh) 12132