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Health Bima for Women Special Needs

An exclusive health product designed to meet the needs of today's women and her family, by the way of providing cover for regular hospitalization and comprehensive maternity-related benefits. This product comes with a host of special features such as no pre-acceptance medical screening, entry during pregnancy. 

A plan specifically built for women. It extends coverage for assisted reproductive treatments (upto a certain limit). It pays out specific amounts for surrogacy, IVF, Oocyte donor care and other related treatments after you serve a three year waiting period. And it offers meaningful coverage in other areas too.

Women who are at least 18 years old are eligible for this plan. The maximum entry age for women care Insurance plan is 75 years. The insured may also include their spouses and dependent children in the coverage.
Pregnant women can also purchase this policy. At the time of inception of the policy, the mother has to submit the scan reports taken during the 12th and 20th week of her pregnancy and the same has to be  accepted by the company for issuance of the policy.

Accessible to pregnant women
Contrary to other health insurance plans, this one allows pregnant women to purchase it as long as they provide scan results from between the 12th and 20th week of pregnancy.


Benefits of maternity
A wide range of maternity-related benefits is covered, including delivery costs, infant coverage, assisted reproductive technology, in-utero foetal surgery or repair or unintentional miscarriage, etc. subject to completion of the waiting period.

Automatic restoration of Sum Insured
If the sum insured is used partially or in whole, the amount will be immediately restored by 100% once during the policy’s period.

Benefit of shared accommodation
Daily allowance of Rs 2000 is payable if the Insured occupies the shared accommodation room category. The policy holder can receive this benefit for a maximum of seven days. But this benefit is not available for ICU or NICU.

Cashless Hospitalisation
A policyholder can use cashless hospitalisation facility at over 14,000 network hospitals across India.

No pre-acceptance medical examination
No pre-acceptance medical examination is required for women in this health plan.

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Special mother cover
If the covered child under the age of 12 is admitted to the ICU, it will cover the cost of a single private AC room in a hospital for the mother’s stay.

Day care procedures
It pays for daycare procedures that don’t necessitate a hospital stay for more than 24 hours.

Non-medical items
It covers the price of the non-medical things mentioned and used while a patient is hospitalized.

Treatment for assisted reproduction
In cases of sub-fertility, it pays for assisted reproduction therapy once each policy year on completion of the waiting period.

Ante-natal Care
Following the confirmation of the pregnancy, it pays for the outpatient medical costs associated with antenatal care.

Costs for road ambulances
It pays for the costs of a road ambulance used to get the covered person to or from the hospital.

Charges for air ambulances
In the event of a health condition that poses a risk to one’s life, it covers the expense of using emergency air ambulance services.

Pre-hospitalisation Expenses
It pays for medical expenses incurred up to 60 days prior to hospital admission.

Post-hospitalisation Expenses
It covers the medical costs incurred for up to 90 days following hospital discharge.

In Utero Foetal Surgery/Repair
It pays for the expense of in-utero foetal operations and treatments, such as open foetal surgery, the EXIT procedure, foetal image-guided surgery and fetendo surgery after a waiting period.

Accident-related miscarriage
If a pregnant insured person miscarries due to an accident, it offers her a lump sum payment. This coverage is only payable after a waiting period once in life time.

Voluntary Sterilisation Expenses
If the insured person is married and at least 22 years old, it will cover the medical costs associated with vasectomy and tubectomy, which are forms of voluntary sterilisation.

OPD Medical Consultations
It pays for the cost of OPD medical consultations received by female policyholders. Additionally, it provides unrestricted access to gynaecologist consultations via the Star telehealth app.

Charges for organ donors
Inpatient hospitalization expenses incurred for Organ transplantation from the Donor to the Recipient insured are payable provided the claim for transplantation is payable.

In addition, the expenses incurred by the Donor, (If any) for the complications that necessitate a Redo surgery / ICU admission will be covered.

AYUSH treatment
It pays for in-patient Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy treatment care at a hospital except Yoga and Naturopathy.

Delivery expenses
For up to two births in the policy’s lifetime, it will cover the costs of giving birth naturally or by caesarean, including prenatal and postnatal expenses upto the specified limits and waiting period.

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