What does Magma Health Insurance generally cover?

Magma health insurance coverage includes hospitalisation expenses, room rent, ICU charges, doctor fees, medicines, diagnostics, day-care procedures and pre- & post-hospitalisation costs. The exact Magma health insurance benefits vary based on the plan you choose.

Are pre-hospitalisation expenses covered?

Yes. Under Magma health insurance coverage, all necessary pre-hospitalisation tests, consultations and investigations are covered for 30–60 days before admission, depending on the policy.

How many days of post-hospitalisation expenses are covered?

Post-hospitalisation care such as follow-up consultations, medicines and diagnostic tests is included in Magma health insurance benefits for 60–90 days after discharge.

Does Magma cover day-care procedures?

Yes. Day-care treatment is a major part of Magma health insurance coverage, including procedures like dialysis, cataract surgery, chemotherapy, radiotherapy and more—without needing 24-hour hospitalisation.

Is cashless hospitalisation available under Magma Health Insurance?

Absolutely. One of the key Magma health insurance benefits is cashless treatment at network hospitals across India. You only need to submit your e-card for approval.

Does Magma cover pre-existing diseases?

Yes. Pre-existing illnesses are covered under Magma health insurance coverage once you complete the mandatory waiting period of 2–4 years, depending on the chosen plan.

Are maternity and newborn expenses covered?

Some plans offer maternity-related Magma health insurance benefits like delivery charges, C-section, and newborn medical care. However, waiting periods apply, so check the specific policy details.

Does the policy cover ambulance charges?

Yes. Emergency ambulance expenses are included in Magma health insurance coverage up to the specified limit, helping you handle urgent medical transportation costs.

Is AYUSH treatment covered under Magma Health Insurance?

Yes. AYUSH treatments are part of Magma health insurance benefits when taken at government-recognised or NABH-approved AYUSH hospitals.

Does Magma provide No Claim Bonus (NCB)?

Yes. A No Claim Bonus is offered as part of Magma health insurance benefits. Your sum insured increases every claim-free year without a rise in premium, depending on the plan.

Are domiciliary treatments covered?

Yes. Domiciliary treatment—medical treatment taken at home due to lack of hospital access or patient condition—is covered under Magma health insurance coverage, subject to policy terms.

Does Magma cover organ donor expenses?

Yes. Organ donor medical and surgical costs form part of Magma health insurance benefits, covering the donor’s hospitalisation expenses related to the organ donation procedure.

What illnesses or treatments are not covered?

Exclusions under Magma health insurance coverage include cosmetic procedures, weight-loss surgeries, dental treatments (unless accidental), infertility treatments, self-harm injuries and conditions still in their waiting period.

Can I upgrade my sum insured at renewal?

Yes. You can enhance your sum insured at renewal. However, additional waiting periods may apply before you can fully enjoy the expanded Magma health insurance benefits.

Are annual health check-ups included?

Many plans offer preventive health check-ups as part of Magma health insurance benefits after completing one policy year, encouraging early detection and better long-term health.

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Cover up to 5 Crore

97.30%

Claim Settlement Ratio

12500+

Network Hospitals

Cover up

Cover up to 5 Crore

Magma 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: Magma Health Insurance Coverage

Pros

Restoration benefit helps replenish coverage when the sum insured gets used up.

Flexible sum insured options with both individual and family-floater plans.

Annual health check-ups and wellness rewards add strong preventive value.

Broad coverage including hospitalisation, organ donor expenses, day-care, and modern treatments.

Cons

Certain treatments still carry waiting periods

Consumables and non-medical items may not be fully covered.

Some variants include co-payments or deductibles.

Pre-existing disease waiting periods can be long.

Pros

Restoration benefit helps replenish coverage when the sum insured gets used up.

Flexible sum insured options with both individual and family-floater plans.

Annual health check-ups and wellness rewards add strong preventive value.

Broad coverage including hospitalisation, organ donor expenses, day-care, and modern treatments.

Cons

Certain treatments still carry waiting periods

Consumables and non-medical items may not be fully covered.

Some variants include co-payments or deductibles.

Pre-existing disease waiting periods can be long.

Final Verdict

Magma HDI Health Insurance offers well-rounded protection with generous coverage features, making it a solid choice for families and individuals seeking dependable healthcare security. Its benefits—like restoration, wellness rewards, and extensive hospitalisation coverage—add strong value. However, longer waiting periods for pre-existing and specified diseases, along with possible co-pays and exclusions...

Magma HDI Health Insurance offers well-rounded protection with generous coverage features, making it a solid choice for families and individuals seeking dependable healthcare security. Its benefits—like restoration, wellness rewards, and extensive hospitalisation coverage—add strong value....

Key Coverages & Benefits Offered Under Magma Health Insurance

Get a clear picture of what Magma Health Insurance covers and what it doesn’t so you can choose confidently.

Inclusions

Wellness benefits including annual health check-ups and no-claim bonus (as per plan terms).

Modern treatments such as robotic surgery and other advanced medical procedures.

Organ donor expenses for in-patient medical costs during organ transplant.

AYUSH in-patient care under Ayurveda, Homeopathy, Unani, and Siddha systems.

Domiciliary treatment when treatment at home becomes medically necessary.

Day-care procedures that don’t require 24-hour hospital stays.

Pre- & post-hospitalisation expenses for tests, consultations, and treatment for a defined number of days.

In-patient hospitalisation including room rent, ICU, nursing, doctors’ fees, medicines, and procedures.

Exclusions

Rest cure, rehabilitation, observation-only admissions without active treatment are not covered.

Unregistered or non-approved hospitals/practitioners are excluded.

Treatments for STDs, substance abuse, or related complications are not covered.

Cosmetic or plastic surgery unless medically required after an accident.

Infertility, IVF, and reproductive treatments are permanently excluded.

Pre-existing diseases covered only after the applicable waiting period.

Waiting periods for specified illnesses like cataract, hernia, and similar conditions.

Initial 30-day waiting period for most illnesses (accidents covered from day one).

Inclusions

Wellness benefits including annual health check-ups and no-claim bonus (as per plan terms).

Modern treatments such as robotic surgery and other advanced medical procedures.

Organ donor expenses for in-patient medical costs during organ transplant.

AYUSH in-patient care under Ayurveda, Homeopathy, Unani, and Siddha systems.

Domiciliary treatment when treatment at home becomes medically necessary.

Day-care procedures that don’t require 24-hour hospital stays.

Pre- & post-hospitalisation expenses for tests, consultations, and treatment for a defined number of days.

Exclusions

Rest cure, rehabilitation, observation-only admissions without active treatment are not covered.

Unregistered or non-approved hospitals/practitioners are excluded.

Treatments for STDs, substance abuse, or related complications are not covered.

Cosmetic or plastic surgery unless medically required after an accident.

Infertility, IVF, and reproductive treatments are permanently excluded.

Pre-existing diseases covered only after the applicable waiting period.

Waiting periods for specified illnesses like cataract, hernia, and similar conditions.

Claims Process

How to file Magma claims?

Magma Health Insurance Coverage & Benefits

How Coverage and Benefits Vary in Magma Health Insurance

Different Plan Variants Offer Different Sum Insured & Limits

Magma Health Insurance has multiple plan variants like Support, Secure, Shield, and Premium. Higher variants provide larger sum insured amounts, no room rent caps, and better financial protection for major medical expenses.

Coverage for Treatments Varies by Plan

All variants cover hospitalisation, day-care procedures, and pre- & post-hospitalisation expenses, but sub-limits differ. Advanced treatments, AYUSH procedures, and maternity benefits may have higher coverage in premium plans.

Value-Added Benefits Differ Across Plans

Higher variants offer extra features such as sum insured restoration, cumulative bonus for claim-free years, free annual health check-ups, and wellness rewards. Lower variants have fewer of these additional benefits, making premium plans more comprehensive.

Different Plan Variants Offer Different Sum Insured & Limits

Magma Health Insurance has multiple plan variants like Support, Secure, Shield, and Premium. Higher variants provide larger sum insured amounts, no room rent caps, and better financial protection for major medical expenses.

Coverage for Treatments Varies by Plan

All variants cover hospitalisation, day-care procedures, and pre- & post-hospitalisation expenses, but sub-limits differ. Advanced treatments, AYUSH procedures, and maternity benefits may have higher coverage in premium plans.

Value-Added Benefits Differ Across Plans

Higher variants offer extra features such as sum insured restoration, cumulative bonus for claim-free years, free annual health check-ups, and wellness rewards. Lower variants have fewer of these additional benefits, making premium plans more comprehensive.

How to Choose

How to Choose the Right Health Insurance Coverage

What is the Waiting Period in Magma Health Insurance?

A waiting period is the minimum time you must complete after buying your Magma Health Insurance policy before certain illnesses, treatments or pre-existing conditions become eligible for claims. Any claim related to conditions still under the waiting period will not be approved.
Below is the accurate and updated breakdown of waiting periods under Magma (Cholamandalam) Health Insurance:

Initial Waiting Period – 30 Days

For all illnesses, there is a standard 30-day waiting period from the start date of the policy. This does not apply in case of accidental hospitalisation; accidents are covered from day one.

Pre-Existing Disease (PED) Waiting Period

The PED waiting period varies based on the plan variant you choose under Magma OneHealth:

Support Variant: 48 months

Secure / Support Plus / Shield: 36 months

Premium Variant: 24 months

This applies only if the pre-existing disease was declared at the time of buying the policy.

Specified Diseases / Procedures Waiting Period – 24 Months

Certain listed conditions and treatments come with a 24-month waiting period. These typically include, Cataract, Hernia, Joint replacement, ENT surgeries, Internal congenital conditions, and Arthritis and other specific surgeries. The exact list may vary slightly by plan.

Maternity Waiting Period – 4 Years

For Magma health plans that include maternity and newborn benefits, the waiting period is 4 years. Only after completing this duration can you claim for Normal delivery, C-section, Newborn cover (where applicable). This benefit is only available in select variants like Gold or Premium.

Other Applicable Waiting Periods

Depending on the plan variant, there may be additional waiting periods, such as:

90 days for critical illness cover
3 years for LASIK, bariatric surgery, or mental health treatments (if included in the plan)

These apply only if your specific plan includes these benefits.

Initial Waiting Period – 30 Days

For all illnesses, there is a standard 30-day waiting period from the start date of the policy. This does not apply in case of accidental hospitalisation; accidents are covered from day one.

Pre-Existing Disease (PED) Waiting Period

The PED waiting period varies based on the plan variant you choose under Magma OneHealth:

Support Variant: 48 months

Secure / Support Plus / Shield: 36 months

Premium Variant: 24 months

This applies only if the pre-existing disease was declared at the time of buying the policy.

Specified Diseases / Procedures Waiting Period – 24 Months

Certain listed conditions and treatments come with a 24-month waiting period. These typically include, Cataract, Hernia, Joint replacement, ENT surgeries, Internal congenital conditions, and Arthritis and other specific surgeries. The exact list may vary slightly by plan.

Maternity Waiting Period – 4 Years

For Magma health plans that include maternity and newborn benefits, the waiting period is 4 years. Only after completing this duration can you claim for Normal delivery, C-section, Newborn cover (where applicable). This benefit is only available in select variants like Gold or Premium.

Other Applicable Waiting Periods

Depending on the plan variant, there may be additional waiting periods, such as:

90 days for critical illness cover
3 years for LASIK, bariatric surgery, or mental health treatments (if included in the plan)

These apply only if your specific plan includes these benefits.

Pre-existing Diseases

Pre-Existing Diseases Covered Under Magma Health Insurance

Heart & Cardiac Disorders

Conditions such as coronary artery disease, past cardiac surgeries, and cardiac complications become eligible after serving the PED waiting period.

Chronic Lifestyle Conditions

Pre-existing issues like diabetes, hypertension, and related complications are covered once you complete the mandatory waiting period.

Respiratory Diseases

Asthma, COPD, chronic bronchitis, and other long-term respiratory conditions are covered after the waiting duration.

Thyroid & Hormonal Disorders

Hypothyroidism, hyperthyroidism, and other endocrine-related illnesses get covered once the waiting period ends.

Joint & Musculoskeletal Issues

Arthritis, osteoarthritis, spondylosis, and similar chronic joint conditions are included after completing the PED wait.

Digestive & Gastrointestinal Conditions

GERD, chronic acidity, ulcers, IBS, and other persistent digestive issues are covered post waiting period.

Kidney & Liver Disorders

Chronic kidney disease, kidney stones, hepatitis, liver dysfunction, and related complications are included after the PED waiting period.

Mental Health Conditions

In-patient psychiatric illnesses that existed before policy purchase are covered once you complete the waiting duration applicable to your plan.

Heart & Cardiac Disorders

Conditions such as coronary artery disease, past cardiac surgeries, and cardiac complications become eligible after serving the PED waiting period.

Chronic Lifestyle Conditions

Pre-existing issues like diabetes, hypertension, and related complications are covered once you complete the mandatory waiting period.

Respiratory Diseases

Asthma, COPD, chronic bronchitis, and other long-term respiratory conditions are covered after the waiting duration.

Thyroid & Hormonal Disorders

Hypothyroidism, hyperthyroidism, and other endocrine-related illnesses get covered once the waiting period ends.

Joint & Musculoskeletal Issues

Arthritis, osteoarthritis, spondylosis, and similar chronic joint conditions are included after completing the PED wait.

Digestive & Gastrointestinal Conditions

GERD, chronic acidity, ulcers, IBS, and other persistent digestive issues are covered post waiting period.

Kidney & Liver Disorders

Chronic kidney disease, kidney stones, hepatitis, liver dysfunction, and related complications are included after the PED waiting period.

Mental Health Conditions

In-patient psychiatric illnesses that existed before policy purchase are covered once you complete the waiting duration applicable to your plan.

Customize Plan Options

How to Customize Magma Health Insurance for Maximum Coverage

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Magma 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.

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