Women Health Insurance

Women are the backbone of any family. Whether they are working or housewives, harm to their health can totally disrupt the stability of a household. This is why Bajaj General Insurance is introducing a HERizon Care, a health insurance plan designed to address the unique healthcare needs of every woman.

Our women health insurance will not only help them to shield themselves from a possible illness but also ensure financial security at every stage of their lives. Here are complete details about our HERizon Care.

What is Women Health Insurance?

A woman's health insurance is a specialised healthcare plan designed specifically to meet the unique healthcare needs of women. From preventive to comprehensive maternity benefits, it helps women to take control of their health with full confidence. Although a standard health insurance plan or family health insurance includes women as policyholders, a women-specific healthcare policy provides more extensive insurance benefits.

For instance, in a comprehensive health insurance plan, critical illness benefits are included as an add-on coverage. But in health insurance for women, it is listed as a key coverage feature. 

Every female should have a women's healthcare plan to get financial assistance to cover their specific health issues, such as Polycystic Ovarian Disease (PCOD). Still, here is a list of women who will be highly beneficial from this policy:

1. Salaried Women: To manage medical costs alongside work and lifestyle demands.

2. Housewives: Staying financially protected despite not having employer-sponsored insurance.

3. Women Entrepreneurs: For continuous health coverage without corporate benefits.

4. Senior Citizen Women: Get protection from age-related chronic health conditions.

5. Single Mothers: Secure comprehensive health and financial protection for themselves and their kids.

What are the Features and Benefits of Women Health Insurance?

According to the National Institutes of Health, women are more likely to have a disabling chronic condition, such as arthritis, diabetes, or mental health disorders, than men. However, to protect them from these growing risks, the women-specialised feature of HERizon Care offers the following benefits.

Extensive Medical Assistance

With a women health insurance plan, you will receive extensive medical assistance with comprehensive coverage. For instance, its critical illness coverage offers medical support for 34 diseases, as well as for reproductive Technology (ART) expenses, primarily for IVF. Moreover, it also covers the cost of surrogate mothers and oocyte donors.

Financial Security

The rising health care costs in India are creating a huge financial burden on women. In fact, to get quality treatment for reproduction, they are draining their years of savings. According to the Economic Times, an IVF treatment alone costs ₹1.5–2 lakh. This is why women health insurance plans are specifically designed to protect them from rising healthcare costs.

Support for Maternity Health

A specialised add-on in the women health insurance plan, you can receive coverage for both pre- and post-natal hospital expenses. For instance, the policyholder will get complete financial assistance for invasive investigations or treatment due to complications of the unborn baby. However, the benefits will only be applicable if the baby is born during the policy period.

Flexible Add-ons

In addition to its comprehensive maternity benefits, HERizon Care offers an extensive list of add-on coverage options. They can freely choose it while purchasing or renewing their health insurance. This list of add-on coverage includes a lump sum benefit for admissible critical illness claims resulting in loss of employment, as well as expenses related to adoption. 

Cashless Treatment

One of the major benefits of purchasing health insurance for women is the cashless treatment facility at network hospitals. If an insurance provider is associated with a good number of hospitals that offer female healthcare facilities, your out-of-pocket expenses will automatically be reduced. 

Tax Benefits

Under Section 80D of the Income Tax Act, 1961, the premium amount of health insurance for women qualifies for tax deduction. This means you can obtain a wide range of healthcare benefits without the hassle of paying high taxes.

Coverage for Preventive Care

The preventative care benefit under a health insurance plan for women will ensure early detection of chronic diseases, such as breast cancer. Moreover, the insurance plan also gives you the facility to get a diet and nutrition consultation. This way, you can maintain a healthy lifestyle without any additional financial burden.

Many policyholders wonder whether there is really a need to buy women health insurance beyond the standard plan. So, here is the reason this specialised plan is needed.

Higher Health Risks

Women generally have higher healthcare costs than men due to longer life expectancies, as well as higher rates of chronic conditions and specific reproductive health needs. Therefore, they need more healthcare protection than men. 

Supports Working Women

Working women are usually more prone to high health risks due to a hectic schedule and stress. To help them manage their finances more efficiently with quality medical treatment, health insurance for women is essential.

Broader Coverage for Women-Specific Conditions

Women-centric plans cover conditions which may have limits or exclusions in regular individual plans. For instance, conditions such as PCOS, endometriosis, uterine fibroids, breast cancer, and gynaecological issues.

Ensures Peace of Mind

Knowing your medical expenses are covered under this specialised plan will help you to deal with any healthcare emergency with confidence. This way, you can access top hospitals with state-of-the-art technology and experienced doctors, ensuring proper treatment, diagnosis, and recovery.

While family plans are great for general coverage, Bajaj General Health Insurance for women (HERizon Care) is specifically designed to address unique health concerns, in ways that a standard plan can’t offer.

The table below lists the eligibility criteria for purchasing women health insurance.

Factors to Consider When Choosing Women Health Insurance

Choosing the right health insurance policy for women can often be challenging, but considering these factors can simplify your decision-making process.

Sum Insured

Choose a sum insured that corresponds to your medical needs, healthcare costs, and existing health conditions. Usually, a higher Sum Insured means you have better protection. With HERizon Care, you obtain the flexibility to choose a sum insured from 3 lakhs to 2 Crores.

Coverage Benefits and Add-ons

The coverage benefits and add-ons vary across different insurance providers. This is why, to ensure you get the best deal, compare different providers online and choose the one where you get the best value. For instance, along with critical illnesses coverage, it should include facilities, such as surrogacy, oocyte donation, egg freezing and maternity expenses.

Family Definition

You should thoroughly check the family definition mentioned in your policy documents to prevent any kind of anomalies. For HERizon Care, here is the list of relations you can declare as family: Self, Spouse(female), Live-in Partner, Sister, Mother, Mother-in-law, Daughter, Daughter-in-law, Granddaughter, Aunt, Sister-in-law, Grandmother, great granddaughter, Surrogate Mother, Oocyte Donor.

Entry Age 

The entry age in a health insurance policy for women can be different across multiple providers. With this age, insurers calculate risk and set prices. This is why you should ensure your policy provider has a minimum entry age of at least 18 years to get lower premiums and wider choices.

No of Network Hospitals

Network hospitals are directly linked with the cashless treatment benefits. Therefore, properly read your policy terms to verify if your provider is associated with your preferred hospitals. For instance, you can check the locations and reputation of the hospitals as per your requirements.  

Claim Settlement Ratio

Claim settlement ratio demonstrates the number of claims an insurance provider successfully settles in a financial year compared to the total number of claims it receives. Thus, always choose a provider who has a high claim settlement ratio in women health insurance to completely focus on your medical needs during an emergency. 

No Claim Bonus (NCB)

A no-claim bonus is basically a discount that an insurance provider gives on the premium amount for every claim-free year. As per the guidelines of the Insurance Regulatory and Development Authority of India(IRDAI), it can rise to 50%. So, if your provider does not offer this benefit, you miss a good chance to reduce your premium amount. 

What Factors Can Affect the Health Insurance Premium for Women?

While several aspects influence the cost and coverage of health insurance for women, these top the list:

1. Age: Younger women typically have to pay lower premiums due to a lower risk of medical issues. Usually, the premiums increase with age due to higher health risks.

2. Pre-existing Diseases: Existing medical conditions such as diabetes, PCOS or hypertension can lead to premiums on the higher end, and even limited coverage in some cases.

3. Tenure: Opting for longer policy tenures results in lower premiums as insurance companies give discounts if you choose to opt for a longer duration.

4. Sum Insured: A higher sum insured leads to a higher premium but also provides greater financial security.

5. Add-ons: Selecting add-ons that come with your policy gives you a broader realm of security, but also comes with certain terms & conditions and an increased premium.

6. Maternity Cover: Including Maternity benefits and newborn care increases the cost of the policy, but gives you the peace of mind you need during family planning.

How can Women Maximise Health Insurance Benefits?

Women can increase their health insurance benefits in the following ways,

Assess Your Health Care Needs

Every woman has specific healthcare requirements. So, choose a healthcare plan that aligns with your current and future healthcare needs.

Buy Early

Securing medical protection from a young age means more protection as you grow older. Along with lower premiums, there will be a shorter waiting period.

Avail Tax Deductions

You should always claim tax deductions on women health insurance premiums under applicable sections to maximise overall savings.

Choose Add-ons Wisely

Although add-ons can lead to a rise in premiums, you can still find them beneficial during an emergency, especially if it's maternity-related.

Documents Required to Apply for HERizon Policy

Check below the list of documents you will need to apply for our HERizon Policy.

1. Income Proof (e,g. Aadhaar card, PAN card, Voter ID, driving license, or passport)

2. Identity Proof (e.g. payslip, utility bill, bank statement, rent agreement)

3. Photographs

4. Previous Policy Details (If have)

Why Choose Bajaj General Women Health Insurance?

Here is why Bajaj General Insurance stands out as the best women health insurance provider in India.

Wide Network of Hospitals

Bajaj General Insurance offers cashless treatment at 18,400 + network hospitals. With an in-house health administration team, we ensure that every woman out there has access to quality healthcare.

Simple- Quick Claim Process

We work towards making the overall claim processes very quick, simple and hassle-free for everyone. You can raise a claim very smoothly through the Bajaj General App, the website or by calling the customer care.

Customisable Plans

Women health Insurance plans offered by Bajaj General are curated in a way that you can customise them as per your needs. Choose optional add-ons and a higher sum insured option to match your unique requirements.

Comprehensive Protection

With the HERizon Care policy, we offer comprehensive protection for a woman in a way that is beneficial for both them and their family. For instance, policyholders can extend the policy benefits with our add-ons covering child education, loss of job, and incidental expenses.

24/7 Customer Assistance

Our all-round customer service will always be at your service if you face any issues or have a query related to your health insurance plans. You can contact us at our toll-free number, 18002095858, or email us at careforyou@bajajgeneral.com.