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Health Insurance in Kerala

With rising healthcare costs in the country, the importance of health insurance cannot be overstated. The southern state of Kerala is no exception. Considering the aging population and unaffordable healthcare, buying health insurance in Kerala is a lon

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Health Statistics of Kerala

  • The majority of Kerala’s population has lifestyle diseases such as diabetes and hypertension.   
  • The cancer mortality rate in the city is1 significantly higher than the national average, particularly among males. 
  • Cardiovascular diseases (CVDs) account for2 more than 40% of total deaths in the state. 

Major Health Problems in Kerala

Here are some of the major health problems in Kerala; 

Diabetes

Several studies indicate that diabetes3 prevalence in Kerala ranges from 17 to 24%, making it one of the highest in India. This high prevalence is associated with lack of physical activity and obesity. 

Hypertension

A 2022 study by the National Library4 of Medicine revealed that hypertension was three times more common in males than females. Some key risk factors include urban residence, high cholesterol levels and obesity. 

Obesity 

The ‘Women and Men in India 2023’ reported that the proportion of adult males increased from 3.8 % in 2015-16 to 6.7% in 2019- 21, whereas for females, the proportion increased from 6.4 to 9.8%.

Cancer 

Between the years 2022 to 23, Malabar Cancer Centre in Kannur reported 7,795 new cancer cases in Kerala. The high cancer mortality in the state becomes a significant reason to secure a medical insurance policy. 

Types of Health Insurance in Kerala

Before choosing the best health insurance in Kerala, it's essential to understand the different types of plans available.

Type Description
Individual Health Insurance Provides coverage for individual medical expenses
Family Floater Health Insurance Medical expenses of the entire family are covered
Senior Citizen Health Insurance Covers medical expenses of individuals aged 60 years and above.
Group Health Insurance Provides coverage for employees and their families
Critical Illness Insurance Life-threatening diseases such as stroke and cancer are covered.
Personal Accident Insurance Medical costs of accidental injuries are covered.

Need for Health Insurance in Kerala

The following aspects indicate the need for purchasing a medical insurance in Kerala:

  • Rising Healthcare Costs: Healthcare costs in Kerala are considerably higher than the national average, with an out-of-pocket expenditure of ₹8,655 per household in rural areas and ₹10,341 in urban areas. 
  • Lifestyle Diseases: Nearly 47% of Kerala’s population have lifestyle diseases like hypertension, diabetes and heart diseases, making medical coverage necessary for managing healthcare costs. 
  • Aging Population: The population of elderly citizens in Kerala is comparatively higher than in other Indian States. Since they are already at a higher risk of lifestyle diseases, securing medical insurance in Kerala becomes necessary. 

Select from Our Best Health Insurance Plans in Kerala 

For meeting the ever growing needs of Kerala residents, Care Health Insurance offers wide range of plans suitable for individuals and their families. Here are our most promising plans: 

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Look for the best health plan that suits your need!
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Care Supreme

Ideal for families looking for capless coverage

  • 500% Boost in Coverage in 5 Years
  • Unlimited Automatic Recharge
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Care Advantage

Health insurance for domestic and global coverage up to 6 crore

  • Global Health Cover 
  • 10% No Claim Bonus every year, max. Up to 50%
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Care Supreme-Senior

Health insurance for elderly with no pre-policy checkup.

  • Room rent Modification
  • 30% Renewal Discount under Wellness Benefit
KNOW MORE

List of Cashless Network Hospitals in Kerala

Name Address City State Pincode Map
A.J. Hospital Kazhakuttom, Opp. Village Office, Thiruvananthapuram Kerala 695582 Locate
Aarya Medical Centre 2nd Floor, Pallithamam Building, Thrissur Kerala 680020 Locate
ABATE EYE HOSPITAL Arayadathu Palam Junction, Calicut Calicut Kerala 673004 Locate
Ahalia Diabetes Hospital-Elappully Kozhipara PO, Palakkad Dist, Palakkad Kerala 678557 Locate
Ahalia Foundation eye Hospital-Attingal SAROZ ARCADE BUILDING N H ROAD OPP LIC Attingal Kerala 695101 Locate
Ahalia Foundation eye Hospital-Calicut Opp. Aditya Honda Showroom, West Nadakkavu, Kozhikode Kerala 673001 Locate
Ahalia Foundation eye Hospital-Changnasserry A C Road Perunna Changanacherry Kerala 686102 Locate
Ahalia Foundation eye Hospital-Irinjalakuda Kattungachira, Irinjalakuda North, Irinjalakuda Kerala 680125 Locate
Ahalia Foundation eye Hospital-Kalpetta Near Municipal Bus Stand, Kalpetta Wayanad Kerala 673121 Locate
Ahalia Foundation eye Hospital-Kanalpirivu PB No. 120, Naer Walayar, Palakkad Kerala 678557 Locate

Voice of our Customers

Sulbha Ravindra

format_quote The customer support is really good and fast. It made the experience of buying a family health insurance plan really hassle-free.

Ganesh Kumar

format_quote Good customer service by Nadeem ! Prompt answers to all the queries related to family health insurance product.

Gopinathan Pillai

format_quote It was an awesome experience. I have purchased my family health insurance policy using the app in 10 minutes. The app is so smooth. Keep it up.

Avinash Tiwari

format_quote Hassle Free insurance buying process. Highly Recommend Care.

Priyanka Singh

format_quote Excellent health insurance plan! Covers annual health check-up for all family members.

Zeroing in on a health insurance plan for your family is a tricky choice, given the number of insurers in the market who offer similar policies. It is not wise to simply choose the policy with the lowest amount of premium. You need to compare different policies, their features and benefits. Care Health Insurance (CHI) is a specialist Health Insurer and offers products keeping in mind the needs of a customer in the event of a medical exigency. CHI offers a distinct set of benefits giving a clear choice for providing you with the best possible health insurance.

Awarded As Claims

Best Health Insurance
Company of the Year*

Total Claims Paid

48 Lakh + Claims Settled**

Cashless Claim

24800+
CASHLESS HEALTHCARE PROVIDERS^^

**Number of claims settled as of 30th March 2024     *India Insurance Summit & Awards 2023

What is Covered in the Care Health Insurance Plan in Kerala? 

Here are the aspects covered in our medical insurance in Kerala : 

  • In-patient Hospitalisation
  • 60-Day Pre and 180-Day Post-Hospitalisation
  • Ambulance Charges
  • Day Care Treatments
  • AYUSH Treatment
  • Annual Health Check-up
  • Coronavirus Treatment
  • Domiciliary Hospitalisation
  • Advanced Medical Treatment

What is Not Covered in the Care Health Insurance Plan in Kerala? 

Below is the list of permanent exclusions which are not covered in our medical insurance in Kerala : 

  • Self-Inflicted Injury
  • Sexually Transmitted Diseases (STDs)
  • Cosmetic Surgery 
  • Maternity-related expenses 
  • Naturopathy Treatment
  • Congenital Diseases (Birth Defects)
  • War, riots or nuclear weapon-induced hospitalisation

Benefits of Buying Health Insurance in Kerala

Here are the top benefits of buying a health insurance policy in Kerala:

  • Financial Protection: Securing health insurance in Kerala comes with a solid financial backup against lifestyle diseases, life-threatening diseases and accidental injuries. So, your insurance plan has your back whenever a medical emergency strikes. 
  • Peace of Mind: Knowing that you won’t have to dig up your savings during medical emergencies, you can rest assured and focus on your recovery instead of worrying about the finances. 
  • Tax Benefits: Section 80 D of the Income Tax Act makes you eligible for receiving tax deductions on the premiums paid for the health insurance policy

How Much Health Insurance Coverage Do You Need in Kerala? 

The amount of medical coverage you need in Kerala depends on numerous factors, including your family's healthcare needs, pre-existing conditions in the family, medical inflation in Kerala, the number of dependents, and the cost of hospitalisation. 

Considering the rising healthcare costs in the city, a health insurance policy of at least 5 to 10 lakh sum insured would be sufficient for an individual. On the other hand, the coverage amount of 10 to 20 lakh would be sufficient for your family. 

Why Choose Care Health Insurance? 

Purchasing health insurance in Kerala requires clarity about your insurance needs and opting for a plan that matches with these needs. At Care Health Insurance, we customise our plans to meet your healthcare goals. Here are the top reasons for choosing us:

  • Quality Healthcare at Top Network Hospitals: Having a wide network of 24800+ network hospitals, we ensure quality treatment without burning a hole in your pocket. 
  • Comprehensive Healthcare Coverage: We offer comprehensive coverage including pre and post-hospitalisation expenses, in-patient care, day care treatment, road ambulance, organ donor, etc. 
  • 48 Lakhs+ Claims Settled: With a decent experience of settling the highest number of claims across cities, we bring the same credibility to Kerala residents. Irrespective of the type of hospitalisation involved, we ensure a seamless claim settlement process. 
  • Rewards and Bonus: Cumulative bonus, Cumulative bonus super, no claim bonus, wellness benefits, loyalty booster, etc. 
  • Additional Benefits: You also get a chance to choose from several add-ons as per your needs. These include smart select, instant cover, room rent modification, newborn cover, annual health check-up, room rent modification, PED wait period modification, etc. 

Reasons to Buy Online Health Insurance in Kerala 

Here are some key reasons to buy health insurance online in Kerala:

  • Easy Comparison: Online comparison allows you to analyse the coverage, costs and benefits of health insurance policies. Based on this, you can confidently choose a medical insurance by comparing all the available options
  • Zero Paperwork Required: You don’t need to submit the copies of documents by physically visiting the insurance office. All the required documents of you and your dependents can be uploaded online. 
  • Convenience: Buying a health insurance plan online ensures a quick renewal process due to the availability of health insurance at your fingertips.  

Tips to Find the Best Health Insurance Company in Kerala 

Choosing a suitable medical insurance in Kerala requires you to compare plans offered by numerous health insurance companies and select the best fit. Here are the steps you need to follow to choose the best health insurance company in Kerala:

  • Evaluate Your Insurance Needs: The foremost step involves assessing your age, medical history, and existing conditions. Doing so, helps you choose the policy aligning with your healthcare and financial goals. 
  • CSR Rate: CSR stands for claim settlement ratio. This is a crucial factor to consider when purchasing health insurance in Kerala, it acts as evidence that you’re investing in a reliable insurance company. 
  • Consider the Sum Insured: Given the rising healthcare costs in Kerala, specifically in cities such as Kochi and Thiruvananthapuram, opt for plans with adequate coverage. 
  • Network Hospitals: Ensure that you check the list of network hospitals provided by the insurer before purchasing the medical policy. This way you can receive quality healthcare without the need for upfront payments.
  • Coverage for Critical Illnesses: Choose a health insurance policy that includes coverage for life-threatening conditions including heart disease, cancer, kidney and stroke. 
  • Calculate the premium: Using an online health insurance premium calculator, calculate the estimated premium offered by health insurance companies and choose the ones that match your requirements. 
  • Waiting Period: Review the waiting period of each health insurance plan and choose the one with the minimum timeframe. This ensures that you get the coverage during emergencies. 
  • Know Exclusions: Exclusions include specific medical conditions and treatments that are not covered under your health insurance policy. Knowing these, helps in avoiding surprises during claim settlements. 

Claim Process for Health Insurance in Kerala 

The claim process can vary between health insurance companies in Kerala. At Care Health Insurance, we ensure a seamless experience of filing both types of claims: cashless and reimbursement. Here are the steps for each:

Cashless Claim 

Step 1: Visit your nearest network hospital.
Step 2: Fill the pre-authorization form available at the hospital’s TPA desk and send it to our claim management team.
Step 3: Along with the claim form, submit the required documents.
Step 4: Our claim management team will carefully review your pre-authorization form and submitted documents.
Step 5: Once the verification is completed, we’ll send the approval letter for cashless treatment.

Reimbursement Claim 

Step 1: Inform us about your hospitalisation at a non-network hospital.
Step 2: Upon discharge, pay the bills upfront and collect the relevant documents. 
Step 3: After getting discharged, file a reimbursement claim and attach the collected documents. 
Step 4: After document verification, we’ll send the approval letter and your medical expenditure will be reimbursed in your bank account. 

How to Renew Your Health Insurance Policy in Kerala? 

The policy renewal process at Care Health Insurance comprises simple steps that help you continue the benefits of your insurance policy in Kerala. These steps include:

Step 1: Go to our official website
Step 2: Select the renew tab located at the top right corner, this will take you to a new page. 
Step 3: Enter your personal information, including your policy number and contact number.
Step 4: Ensure that all your policy details, such as the premium amount, are accurate.
Step 5: Proceed to the payment section and complete the policy renewal through any secure payment method. 

Note: After receiving the renewal confirmation, you can continue availing the benefits of your insurance policy. You have the option to port it to another suitable plan at the time of renewal

FAQs

Q. Does buying a health insurance plan in Kerala make me eligible for tax benefits?

Yes, purchasing health insurance in Kerala makes you eligible for tax benefits under Section 80 D of the Income Tax Act.

Q. Which is the best health insurance for families in Kerala?

Family floater plan of Care Supreme is an exceptional plan for families seeking comprehensive coverage. It comes with numerous benefits, including cumulative bonus, unlimited e-consultations and automatic recharge of sum insured.

Q. Can I receive cashless hospitalisation with health insurance in Kerala?

Yes, you can receive cashless hospitalisation at any network hospital provided by your health insurance company, which is Kerala.

Q. Does health insurance in Kerala cover alternative treatments like Ayurveda or Homeopathy?

Yes, health insurance in Kerala covers alternative treatments like Ayurveda or Homeopathy under AYUSH treatment.

Q. What are the best health insurance companies in Kerala?

Some of the best health insurance companies in Kerala include Niva Bupa, Star Health Assure, Care Health Insurance and Aspire.

Disclaimer:

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

^^Number of Cashless Healthcare Providers as of 31st March 2024

**Number of Claims Settled as of Feb 2025

#Premium calculated for an individual (Age 18) for sum insured 5 Lakhs in Zone 2 cities.

Claim Metrics

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    Claim and Customer Support

  • 48 Lakh+

    Insurance Claims Settled**

  • 2 hours

    Cashless Claims Approval

  • 21600+

    Cashless Healthcare Providers^^

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