What does Care Health Insurance Coverage include?

Care Health Insurance Coverage includes hospitalisation, day-care procedures, pre- and post-hospitalisation expenses, ambulance services, ICU charges, and treatments for major illnesses as per the plan selected.

Does Care Health Insurance cover cashless treatment?

Yes, Care offers cashless treatment at thousands of network hospitals across India under Care Health Insurance Coverage.

Is maternity covered under Care Health Insurance Benefits?

Yes, maternity and newborn cover is available in select plans after a waiting period of 9 months to 4 years, depending on the variant.

Does Care Health Insurance cover day-care procedures?

Yes, more than 500 day-care treatments—including cataract, dialysis, and minor surgeries—are covered without needing 24-hour hospitalisation.

Are ambulance charges included in Care Health Insurance Coverage?

Yes, emergency ambulance expenses are covered. Some plans also include air ambulance benefits for critical cases.

Is mental health treatment covered under Care Health Insurance Benefits?

Yes, Care covers hospitalisation for mental illnesses as per IRDAI guidelines, depending on the specific plan.

Does Care Health Insurance provide annual health check-ups?

Many plans offer free annual health check-ups under Care Health Insurance Benefits, helping customers track and maintain their health.

Are alternative treatments like Ayurveda or Homeopathy covered?

Yes, AYUSH treatments (Ayurveda, Yoga, Naturopathy, Unani, Siddha, Homeopathy) are covered in several Care plans.

Does Care Health Insurance cover organ donor expenses?

Yes, expenses related to organ donor treatment and surgery are covered according to policy terms.

Are OPD expenses included in Care Health Insurance Coverage?

OPD coverage is available as an add-on to cover doctor consultations, medicines, and diagnostic tests conducted outside the hospital.

Does Care Health Insurance cover COVID-19 and infectious diseases?

Yes, Care Health Insurance Coverage includes treatment for COVID-19 and other infectious diseases requiring hospitalisation.

What is not covered under Care Health Insurance Benefits?

Exclusions typically include cosmetic procedures, unproven treatments, injuries from alcohol/drug misuse, and illnesses during the waiting period.

Does Care Health Insurance offer restoration of sum insured?

Many plans come with automatic restoration benefits, ensuring the sum insured is refilled if it gets fully used during the policy year.

Can I customize Care Health Insurance Coverage with add-ons?

Yes, Care offers several customisation options like critical illness cover, OPD, no-claim bonus boosters, and global treatment benefits.

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Q: Are pre-existing diseases covered under Care Health Insurance Benefits?

Yes, pre-existing diseases are covered after completing the applicable waiting period, usually 24–48 months depending on the plan.

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96%+

Claim Settlement Ratio

19,000+

Network Hospitals

18+ Lakh

Claims Settled

96%+

Claim Settlement Ratio

19,000+

Network Hospitals

18+ Lakh

Claims Settled

Care Health Insurance & Coverage Benefits

Customer Testimonials

Real experiences from our valued customers who have chosen our insurance coverage.

Have been associated with Ruchir and his team… They have provided me excellent guidance in choosing the right plans for myself and my family……always been available to assist with any insurance/claim queries.

Nakul N

I want to sincerely thank Sunad for being there for me throughout the entire claim process. He helped me through so many ups and downs, always patient and ready to support when things got tough. I honestly don’t know how I would have managed without his guidance and encouragement. Sunad made a difficult situation feel a lot less stressful, and I’m truly grateful for his kindness and steadfast help.

Prashant Pandey

Had a great experience with them during a difficult time. After my mother’s accident, we had to pay the hospital bill upfront, as cashless wasn’t available. They guided us through the reimbursement process, helped file the claim, and consistently followed up with the insurer until it was settled. Their support with the post-hospitalization claim was equally prompt and thorough.

Jatin Gala

Have been associated with Ruchir and his team… They have provided me excellent guidance in choosing the right plans for myself and my family……always been available to assist with any insurance/claim queries.

Nakul N

I want to sincerely thank Sunad for being there for me throughout the entire claim process. He helped me through so many ups and downs, always patient and ready to support when things got tough. I honestly don’t know how I would have managed without his guidance and encouragement. Sunad made a difficult situation feel a lot less stressful, and I’m truly grateful for his kindness and steadfast help.

Prashant Pandey

Had a great experience with them during a difficult time. After my mother’s accident, we had to pay the hospital bill upfront, as cashless wasn’t available. They guided us through the reimbursement process, helped file the claim, and consistently followed up with the insurer until it was settled. Their support with the post-hospitalization claim was equally prompt and thorough.

Jatin Gala

My heartfelt thanks to the OneAssure team for making my insurance claim process effortless. Right from the very first interaction, they demonstrated professionalism, clear communication, and an impressive command of the procedures involved. Their swift updates, timely guidance, and persistent follow-through removed all the stress from what could have been a complicated experience.

Anju Renjith

I am truly grateful for the support and guidance I received in settling my insurance claim. The entire process was handled with great professionalism, clarity, and efficiency. Their prompt response, deep knowledge of the procedures, and consistent follow-ups ensured a smooth and hassle-free experience.Thank you once again for your invaluable help, highly recommended!

Yogesh Meena

I recently had the pleasure of purchasing health insurance for my parents through this company, and my experience has been exceptional...The team was incredibly patient and took the time to explain every detail to me. No matter how many times I asked questions, they were always calm and thorough in their explanations. Their professionalism and dedication made a significant difference in helping me make an informed decision.

Akash Kumar

OneAssure helped me understand my needs and choose a product that was right for me. There was no pressure tactics or mis-selling. This experience was respectful, informed, and completely stress-free.

Shreya Goyal

Had a great experience with OneAssure during my insurance claim process. A special shoutout to Sunad Raj for his exceptional support, he was professional, responsive, and guided me every step of the way. Thanks to his consistent follow-ups and clear guidance, the entire claim settlement was smooth and hassle-free. Highly recommend OneAssure for their service and transparency!

Sanjay Dakalia

The team is very professional and prompt. I would have all my health and life insurance needs met through them.

Harish Jindal

Very professional service from Ruchir & Aman. They were recommended by a friend who had a positive experience with them. I have taken both health and life policies through them and they have advised me well throughout the process and found the best options available in the market. I had a medical condition due to which it was difficult to find a suitable health policy in the market, however this team was able to find one for me. I would recommend their services to anyone looking to buy health or life insurance.

Siddhartha Saha

Wonderful experience with Prost. Right from suggesting the insurance products to claim process the entire experience hai been seamless. They do not mis-sell and are very transparent. Sundar Raj from the team has been wonderful and ensured prompt guidance. All the best Ruchir and keep up the good work!

Adarsh Ravindranathan

verdict

Our Verdict: Care Health Insurance Coverage

Pros

Value-added benefits like no-claim bonuses, automatic sum-insured recharge, and online health check-ups.

Coverage for hospitalisation, day-care procedures, modern treatments, ambulance, and pre-/post-hospitalisation expenses.

Wide range of plans including individual, family floater, senior, critical illness, and maternity.

Extensive network of 19,000+ cashless hospitals across India.

Cons

Premiums may be higher for seniors or high-risk individuals.

Strict document requirements can delay claims.

Maternity and some add-ons not available in all plans.

Co-payments or room rent sub-limits may increase out-of-pocket costs.

Pros

Value-added benefits like no-claim bonuses, automatic sum-insured recharge, and online health check-ups.

Coverage for hospitalisation, day-care procedures, modern treatments, ambulance, and pre-/post-hospitalisation expenses.

Wide range of plans including individual, family floater, senior, critical illness, and maternity.

Extensive network of 19,000+ cashless hospitals across India.

Cons

Premiums may be higher for seniors or high-risk individuals.

Strict document requirements can delay claims.

Maternity and some add-ons not available in all plans.

Co-payments or room rent sub-limits may increase out-of-pocket costs.

Final Verdict

Care Health Insurance provides strong protection with flexibility across life stages, covering hospitalisation, advanced treatments, day-care procedures, and ambulance services. Its large cashless network and plan variety ensure easy access to healthcare. Added benefits like no-claim bonuses and automatic sum-insured recharge enhance value. However, co-payments, room rent sub-limits, and limited...

Care Health Insurance provides strong protection with flexibility across life stages, covering hospitalisation, advanced treatments, day-care procedures, and ambulance services. Its large cashless network and plan variety ensure easy access to healthcare. Added benefits like...

Key Coverages & Benefits Offered Under Care Health Insurance

Care Health Insurance offers wide medical protection with high sum-insured options, comprehensive hospitalisation benefits, and multiple add-ons to support long-term, family-focused healthcare needs.

Inclusions

Optional maternity, newborn, OPD, and wellness benefits depending on the plan.

Organ donor medical and surgical costs.

AYUSH treatment coverage across Ayurveda, Yoga, Unani, Siddha, and Homeopathy.

Ambulance expenses for medical emergencies.

Coverage for 540+ day-care procedures that don’t need 24-hour admission.

Pre- and post-hospitalisation expenses for a defined number of days.

In-patient hospitalisation including room rent, ICU, surgery, medicines, and doctor fees.

Exclusions

Experimental or unapproved medical procedures.

War, nuclear events, or hazardous activity–related injuries.

Routine dental, vision, and OPD expenses unless covered by add-ons.

Pre-existing diseases until waiting period completion.

Self-inflicted injuries or illnesses caused by alcohol/drug misuse.

Infertility treatments, IVF, or assisted reproductive procedures.

Cosmetic or aesthetic treatments unless required due to accidents.

Inclusions

Optional maternity, newborn, OPD, and wellness benefits depending on the plan.

Organ donor medical and surgical costs.

AYUSH treatment coverage across Ayurveda, Yoga, Unani, Siddha, and Homeopathy.

Ambulance expenses for medical emergencies.

Coverage for 540+ day-care procedures that don’t need 24-hour admission.

Pre- and post-hospitalisation expenses for a defined number of days.

In-patient hospitalisation including room rent, ICU, surgery, medicines, and doctor fees.

Exclusions

Experimental or unapproved medical procedures.

War, nuclear events, or hazardous activity–related injuries.

Routine dental, vision, and OPD expenses unless covered by add-ons.

Pre-existing diseases until waiting period completion.

Self-inflicted injuries or illnesses caused by alcohol/drug misuse.

Infertility treatments, IVF, or assisted reproductive procedures.

Cosmetic or aesthetic treatments unless required due to accidents.

Claims Process

How to file Care claims?

Care Health Insurance & Coverage Benefits

How Coverage and Benefits Vary in Care Health Insurance

Sum-Insured Options Across Plans

Care offers a wide range of sum insured, from basic ₹3 lakh coverage to high-value covers up to ₹6 crore, allowing customers to choose protection based on budget and healthcare needs.

Difference in Room Rent & Hospitalisation Limits

Basic plans may offer shared/standard rooms, while higher-tier plans provide single private rooms or no room rent capping, along with broader ICU and in-patient coverage.

Day-Care, Domiciliary & AYUSH Coverage

Most Care plans include a large number of day-care procedures, home-care treatment (domiciliary), and AYUSH coverage, but the extent varies by plan type.

Add-Ons and Optional Benefits

Care offers multiple add-ons like OPD care, maternity cover, personal accident cover, global treatment, and annual health check-ups, each available only in select plans or as optional add-ons.

No-Claim Bonus & Restoration Benefits

Higher plans offer strong NCB benefits, up to 200% or 300%, and multiple restoration options, while basic plans provide lower NCB or limited restoration.

Family Floater vs Individual Coverage

Coverage varies depending on whether the policy is individual or floater. In floaters, the sum insured is shared among members, while individual plans give full coverage per person.

Special Benefits in Premium Plans

Top-tier plans include features like global coverage, unlimited restorations, second medical opinions, wellness rewards, and enhanced pre- and post-hospitalization durations.

Sum-Insured Options Across Plans

Care offers a wide range of sum insured, from basic ₹3 lakh coverage to high-value covers up to ₹6 crore, allowing customers to choose protection based on budget and healthcare needs.

Difference in Room Rent & Hospitalisation Limits

Basic plans may offer shared/standard rooms, while higher-tier plans provide single private rooms or no room rent capping, along with broader ICU and in-patient coverage.

Day-Care, Domiciliary & AYUSH Coverage

Most Care plans include a large number of day-care procedures, home-care treatment (domiciliary), and AYUSH coverage, but the extent varies by plan type.

Add-Ons and Optional Benefits

Care offers multiple add-ons like OPD care, maternity cover, personal accident cover, global treatment, and annual health check-ups, each available only in select plans or as optional add-ons.

No-Claim Bonus & Restoration Benefits

Higher plans offer strong NCB benefits, up to 200% or 300%, and multiple restoration options, while basic plans provide lower NCB or limited restoration.

Family Floater vs Individual Coverage

Coverage varies depending on whether the policy is individual or floater. In floaters, the sum insured is shared among members, while individual plans give full coverage per person.

Special Benefits in Premium Plans

Top-tier plans include features like global coverage, unlimited restorations, second medical opinions, wellness rewards, and enhanced pre- and post-hospitalization durations.

How to Choose

How to Choose the Right Health Insurance Coverage

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What is the Waiting Period in Care Health Insurance?

A waiting period is the duration after your policy begins during which certain illnesses, treatments, or pre-existing conditions cannot be claimed. Accidental hospitalisation is generally covered from day one.

Initial Waiting Period (30 days)

Most illnesses are covered only after the first 30 days of the policy. Illness-based claims cannot be made during this time.

Pre-Existing Disease (PED) Waiting Period (Up to 36 months)

Health conditions you already had before buying the policy are covered only after completing up to 3 years of continuous policy renewal.

Specific Illness / Procedure Waiting Period (24 months)

Treatments like cataract surgery, hernia, joint replacement, and other listed conditions usually have a 2-year waiting period depending on the plan you choose.

Maternity & Newborn Waiting Period (9 months to 4 years)

Plans offering maternity benefits come with a waiting period that typically ranges from 9 months to 4 years. The duration varies by plan type and whether both parents are covered.

Optional Cover Waiting Periods (12 to 24 months)

Add-ons such as OPD, dental, or critical illness riders may have their own waiting periods, generally between 12 and 24 months.

Restoration & Other Benefit Waiting Periods

Features like no-claim bonus or sum-insured restoration usually apply from the second policy year, depending on the specific plan.

Initial Waiting Period (30 days)

Most illnesses are covered only after the first 30 days of the policy. Illness-based claims cannot be made during this time.

Pre-Existing Disease (PED) Waiting Period (Up to 36 months)

Health conditions you already had before buying the policy are covered only after completing up to 3 years of continuous policy renewal.

Specific Illness / Procedure Waiting Period (24 months)

Treatments like cataract surgery, hernia, joint replacement, and other listed conditions usually have a 2-year waiting period depending on the plan you choose.

Maternity & Newborn Waiting Period (9 months to 4 years)

Plans offering maternity benefits come with a waiting period that typically ranges from 9 months to 4 years. The duration varies by plan type and whether both parents are covered.

Optional Cover Waiting Periods (12 to 24 months)

Add-ons such as OPD, dental, or critical illness riders may have their own waiting periods, generally between 12 and 24 months.

Restoration & Other Benefit Waiting Periods

Features like no-claim bonus or sum-insured restoration usually apply from the second policy year, depending on the specific plan.

Diseases Covered/not Covered

Diseases Covered/Not Covered Under Care Health Insurance

Diseases Covered

Day-Care Procedures

Maternity & Newborn Care (Plan-Specific)

Infectious Diseases

Accidental Injuries

Critical Illnesses (Plan-Based)

Lifestyle Diseases

Chronic Conditions (After Waiting Period)

Common Illnesses & Hospitalisation

Diseases Not Covered

Illnesses Within Waiting Period

War, Nuclear, or Hazardous Activity Injuries

Dental & Vision Treatments (Routine)

Unproven or Alternative Treatments Not Listed

Self-Inflicted Injuries

Infertility & Assisted Reproduction

Cosmetic & Aesthetic Procedures

Undisclosed Pre-Existing Diseases

Diseases Covered

Day-Care Procedures

Maternity & Newborn Care (Plan-Specific)

Infectious Diseases

Accidental Injuries

Critical Illnesses (Plan-Based)

Lifestyle Diseases

Chronic Conditions (After Waiting Period)

Diseases Not Covered

Illnesses Within Waiting Period

War, Nuclear, or Hazardous Activity Injuries

Dental & Vision Treatments (Routine)

Unproven or Alternative Treatments Not Listed

Self-Inflicted Injuries

Infertility & Assisted Reproduction

Cosmetic & Aesthetic Procedures

Pre-existing Diseases

Pre-Existing Diseases Covered Under Care Health Insurance

Diabetes (Type 1 & 2)

Covers hospitalisation, complications, and treatment related to diabetes once the pre-existing disease (PED) waiting period is completed.

Hypertension (High Blood Pressure)

Includes treatment for heart, kidney, and BP-related complications post-PED waiting period.

Thyroid Disorders

Both hypothyroidism and hyperthyroidism treatments are covered after the required waiting period.

Asthma & Chronic Respiratory Conditions

Chronic lung diseases such as asthma, bronchitis, and COPD are eligible for claims after the waiting period.

Heart-Related Conditions

Covers coronary artery disease, arrhythmia, post-angioplasty, and other stable cardiac issues once PED rules are met.

Arthritis & Joint Disorders

Osteoarthritis, rheumatoid arthritis, and other joint-related issues are covered after the waiting period.

Cholesterol & Lipid Disorders

Treatment for high cholesterol, triglycerides, and related complications becomes claimable post-waiting period.

Gastrointestinal Conditions

Chronic digestive disorders such as GERD, ulcers, and IBS are covered once the waiting period is completed.

Kidney & Liver Disorders

Covers chronic kidney disease, fatty liver, cirrhosis, and related treatments after PED waiting period.

Other Declared Chronic Conditions

Any other long-term condition disclosed honestly at the time of policy purchase becomes eligible for coverage after the waiting period.

Diabetes (Type 1 & 2)

Covers hospitalisation, complications, and treatment related to diabetes once the pre-existing disease (PED) waiting period is completed.

Hypertension (High Blood Pressure)

Includes treatment for heart, kidney, and BP-related complications post-PED waiting period.

Thyroid Disorders

Both hypothyroidism and hyperthyroidism treatments are covered after the required waiting period.

Asthma & Chronic Respiratory Conditions

Chronic lung diseases such as asthma, bronchitis, and COPD are eligible for claims after the waiting period.

Heart-Related Conditions

Covers coronary artery disease, arrhythmia, post-angioplasty, and other stable cardiac issues once PED rules are met.

Arthritis & Joint Disorders

Osteoarthritis, rheumatoid arthritis, and other joint-related issues are covered after the waiting period.

Cholesterol & Lipid Disorders

Treatment for high cholesterol, triglycerides, and related complications becomes claimable post-waiting period.

Gastrointestinal Conditions

Chronic digestive disorders such as GERD, ulcers, and IBS are covered once the waiting period is completed.

Kidney & Liver Disorders

Covers chronic kidney disease, fatty liver, cirrhosis, and related treatments after PED waiting period.

Other Declared Chronic Conditions

Any other long-term condition disclosed honestly at the time of policy purchase becomes eligible for coverage after the waiting period.

Customize Plan Options

How to Customize Care Health Insurance for Maximum Coverage

1-5 of 8

Care Health Insurance & Coverage Benefits

Related Health Insurance Plans

Senior Citizen Health Plan

Secure against age-related medical costs
Tailored for seniors healthcare needs

Family Health Plan

One policy covers the entire family
High sum insured with cashless care
Multiple coverage options based on your family needs

Maternity Health Plan

Covers delivery, newborn care, and maternity expenses
Reduces financial stress of childbirth costs

Senior Citizen Health Plan

Secure against age-related medical costs
Tailored for seniors healthcare needs

Family Health Plan

One policy covers the entire family
High sum insured with cashless care
Multiple coverage options based on your family needs

Maternity Health Plan

Covers delivery, newborn care, and maternity expenses
Reduces financial stress of childbirth costs

Coverage & Benefits

Still Confused? Get Expert Guidance

Our insurance experts are here to help you make the right choice. Get personalized recommendations based on your specific needs and budget.

Claim Settlement

FAQs Frequently Asked Questions

Our insurance experts are here to help you make the right choice. Get personalized recommendations based on your specific needs and budget.

1-5 of 15

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Care Health Insurance & Coverage Benefits

Get a Quote

96%+

19,000+

18+ Lakh

96%+

19,000+

18+ Lakh

Customer Testimonials

Our Verdict: Care Health Insurance Coverage

Pros

Cons

Pros

Cons

Final Verdict

Key Coverages & Benefits Offered Under Care Health Insurance

<p><span style="background-color: transparent; color: rgb(0, 0, 0);">Care Health Insurance offers wide medical protection with high sum-insured options, comprehensive hospitalisation benefits, and multiple add-ons to support long-term, family-focused healthcare needs.</span></p>

<p><span style="background-color: transparent; color: rgb(0, 0, 0);">Care Health Insurance offers wide medical protection with high sum-insured options, comprehensive hospitalisation benefits, and multiple add-ons to support long-term, family-focused healthcare needs.</span></p>

Inclusions

Exclusions

Inclusions

Exclusions

How to file Care claims?

How Coverage and Benefits Vary in Care Health Insurance

Sum-Insured Options Across Plans

Difference in Room Rent & Hospitalisation Limits

Day-Care, Domiciliary & AYUSH Coverage

Add-Ons and Optional Benefits

No-Claim Bonus & Restoration Benefits

Family Floater vs Individual Coverage

Special Benefits in Premium Plans

Sum-Insured Options Across Plans

Difference in Room Rent & Hospitalisation Limits

Day-Care, Domiciliary & AYUSH Coverage

Add-Ons and Optional Benefits

No-Claim Bonus & Restoration Benefits

Family Floater vs Individual Coverage

Special Benefits in Premium Plans

How to Choose the Right Health Insurance Coverage

What is the Waiting Period in Care Health Insurance?

<p><span style="background-color: transparent; color: rgb(0, 0, 0);">A waiting period is the duration after your policy begins during which certain illnesses, treatments, or pre-existing conditions cannot be claimed. Accidental hospitalisation is generally covered from day one.</span></p>

<p><span style="background-color: transparent; color: rgb(0, 0, 0);">A waiting period is the duration after your policy begins during which certain illnesses, treatments, or pre-existing conditions cannot be claimed. Accidental hospitalisation is generally covered from day one.</span></p>

Initial Waiting Period (30 days)

Pre-Existing Disease (PED) Waiting Period (Up to 36 months)

Specific Illness / Procedure Waiting Period (24 months)

Maternity & Newborn Waiting Period (9 months to 4 years)

Optional Cover Waiting Periods (12 to 24 months)

Restoration & Other Benefit Waiting Periods

Initial Waiting Period (30 days)

Pre-Existing Disease (PED) Waiting Period (Up to 36 months)

Specific Illness / Procedure Waiting Period (24 months)

Maternity & Newborn Waiting Period (9 months to 4 years)

Optional Cover Waiting Periods (12 to 24 months)

Restoration & Other Benefit Waiting Periods

Diseases Covered/Not Covered Under Care Health Insurance

Diseases Covered

Diseases Not Covered

Diseases Covered

Diseases Not Covered

Pre-Existing Diseases Covered Under Care Health Insurance

Diabetes (Type 1 & 2)

Hypertension (High Blood Pressure)

Thyroid Disorders

Asthma & Chronic Respiratory Conditions

Heart-Related Conditions

Arthritis & Joint Disorders

Cholesterol & Lipid Disorders

Gastrointestinal Conditions

Kidney & Liver Disorders

Other Declared Chronic Conditions

Diabetes (Type 1 & 2)

Hypertension (High Blood Pressure)

Thyroid Disorders

Asthma & Chronic Respiratory Conditions

Heart-Related Conditions

Arthritis & Joint Disorders

Cholesterol & Lipid Disorders

Gastrointestinal Conditions

Kidney & Liver Disorders

Other Declared Chronic Conditions