Health Insurance in Kerala

Know everything about health insurance plans in Kerala, from features and benefits to buy and claim process.
Check Health Insurance Plans
3 min
04-October-2024

Health insurance in Kerala has become an essential safeguard for residents, offering comprehensive coverage against rising medical costs. With a well-established healthcare system, the state provides a variety of insurance plans tailored to meet diverse needs, from basic coverage to specialized policies. These plans not only ensure access to quality healthcare but also provide financial protection during emergencies. As awareness grows, more individuals and families in Kerala are investing in health insurance to secure their well-being and peace of mind. Also, explore the various health insurance plans offered through Bajaj Finance and the steps to buy these policies without any paperwork.

Health statistics of Kerala

Kerala boasts some of India's best health statistics, reflecting its strong healthcare infrastructure. The state has the highest life expectancy in the country, with an average of 75 years, and a low infant mortality rate. Kerala also excels in maternal health. High literacy rates and widespread healthcare access contribute to low disease prevalence and a higher overall standard of health compared to other Indian states.

Here are key health statistics for Kerala

  • Kerala boasts one of the highest life expectancies in India.
  • The state's infant mortality rate is the lowest in the country, reflecting excellent healthcare for new borns.
  • Kerala ranks first in human development indices, including health.
  • It leads the country in literacy and awareness about health insurance.
  • A high percentage of the population is insured, with many opting for comprehensive health plans​.

Bajaj Finance along with reputed insurance companies offers multiple affordable health insurance plans that cater to individual requirements.

Why do you need health insurance in Kerala?

The increasing costs of medical treatments and the growing prevalence of diseases underscore the importance of health insurance in Kerala. Health insurance acts as a financial safety net during medical emergencies, allowing you to access top-quality care without the burden of expenses. It covers hospitalisation, pre-and post-hospitalisation costs, and even provides cashless treatment at network hospitals, among other advantages. In today’s digital age, purchasing health insurance is straightforward; you can easily compare and buy the most suitable plans online through providers like Bajaj Finance.

1. Rising out-of-pocket healthcare costs

Healthcare expenses in Kerala have significantly increased due to rising hospital charges, diagnostic tests, and specialist consultations. Many residents face high out-of-pocket costs for treatments, especially during emergencies. Health insurance helps cover these expenses, reducing financial burdens and ensuring access to quality care.

2. Growing prevalence of waterborne diseases

Kerala experiences frequent outbreaks of waterborne diseases like cholera, typhoid, and diarrhea, particularly during monsoon seasons. Health insurance becomes essential to cover hospitalisation and treatment costs for such ailments, providing financial security in case of unexpected health issues.

3. Increasing incidence of lifestyle-related illnesses

As lifestyle diseases like diabetes, hypertension, and heart conditions become more common in Kerala, health insurance is crucial to cover expensive treatments, doctor consultations, and medications. It helps manage long-term healthcare costs for chronic illnesses that require ongoing care.

4. Ensuring no compromise on medical treatments

In Kerala, where quality medical treatments can be expensive, having health insurance ensures individuals do not compromise on receiving the best possible care. It allows access to advanced treatments and specialists without worrying about immediate financial strain, ensuring health priorities come first.

Check your body mass index ratio, using BMI calculator

Key features and benefits of buying health insurance in Kerala

Buying health insurance in Kerala offers several key features and benefits that are crucial for securing your and your family's health and financial well-being. For those seeking health insurance plans for family in Kerala, Bajaj Finance offers comprehensive coverage that caters to the diverse healthcare needs of families in this region. Here are some notable features and benefits of health insurance plans offered through Bajaj Finance:

1. Cashless treatment:

Health insurance plans in Kerala often feature cashless treatment options, enabling you to receive necessary medical care without upfront payments. This is particularly advantageous during emergencies, as the insurance provider directly settles the bills with the hospital.

2. Comprehensive coverage:

Most plans in Kerala offer extensive coverage, including hospitalisation, pre-and post-hospitalization expenses, daycare treatments, OPD expenses, maternity benefits, and more. This ensures you're well-prepared for various medical needs.

3. Tax benefits:

Health insurance in Kerala also provides tax benefits under Section 80D of the Income Tax Act, allowing you to save money while securing health coverage.

4. Network of hospitals:

Choose insurance plans that offer a wide network of hospitals across Kerala, ensuring you have access to quality healthcare facilities nearby. This is essential for cashless treatment and timely medical care.

5. Additional coverage options:

Depending on your specific needs, you can enhance your coverage with add-on riders, such as maternity riders to cover pregnancy and newborn expenses. This customisation allows your policy to fit your unique requirements.

6. Lifetime protection:

Many insurance providers in Kerala offer plans with lifetime renewability, ensuring you can renew your policy indefinitely and maintain lifelong coverage.

7. Coverage for lifestyle diseases:

As lifestyle diseases like diabetes, hypertension, and cholesterol become more common, comprehensive health insurance plans in Kerala cover these chronic conditions, offering financial relief from high treatment costs. Some plans also cover pre-existing conditions after a waiting period.

8. Financial security:

The primary advantage of health insurance is the financial security it provides during medical emergencies, helping you manage the rising costs of healthcare without depleting your savings.

9. Early age benefits:

Securing health insurance at a young age in Kerala typically means lower premiums. Younger individuals also tend to have fewer pre-existing conditions, making it easier and more affordable to obtain comprehensive coverage.

When choosing a health insurance plan in Kerala, it's important to consider these features and benefits. Evaluate your family's health needs, compare different plans, and select one that offers the best combination of coverage.

Also, read: Individual Health Insurance

Major health problems in Kerala

Kerala grapples with several health challenges that require comprehensive healthcare planning. Predominant health concerns include lifestyle diseases such as diabetes and hypertension, respiratory issues driven by pollution, and vector-borne diseases like dengue and chikungunya. Having a mediclaim policy in Kerala is crucial to tackling these challenges, offering financial coverage for treatments and hospitalisation, thus enabling residents to manage their health without the burden of financial stress.

Key health challenges in Kerala include:

1. Diabetes

Kerala has a high prevalence of diabetes, largely attributed to sedentary lifestyles, unhealthy diets, and genetic predispositions. The state's urban population is particularly vulnerable, and managing diabetes requires long-term medical care, making it a significant public health challenge.

2. Cancer

Cancer rates in Kerala are rising due to factors such as increased tobacco use, late detection, and environmental pollutants. Breast, lung, and gastrointestinal cancers are particularly prevalent, requiring awareness and early screening for better outcomes.

3. Heart diseases

Heart disease is a leading cause of death in Kerala, driven by risk factors like hypertension, diabetes, and high cholesterol. Sedentary lifestyles and unhealthy diets have exacerbated the incidence of cardiac conditions across various age groups.

4. Hypertension

Hypertension, or high blood pressure, is common among Kerala’s aging population, often linked to stress, poor dietary habits, and lack of exercise. It increases the risk of heart attacks and strokes, making it a critical public health issue.

5. Obesity

The incidence of obesity is rising in Kerala due to sedentary lifestyles and high consumption of unhealthy, calorie-dense foods. Obesity is linked to numerous health issues, including diabetes, heart disease, and joint problems, and requires lifestyle interventions.

6. Dengue

Dengue fever outbreaks are frequent in Kerala, especially during the monsoon season. Mosquito-borne diseases pose a significant threat to public health, leading to hospitalisations and placing stress on the healthcare system.

7. Leptospirosis

Leptospirosis is a waterborne bacterial infection that is common during Kerala's rainy season. The disease can lead to severe complications if not treated early, highlighting the need for preventive measures and prompt healthcare responses.

8. Waterborne diseases

Waterborne diseases like cholera, typhoid, and gastroenteritis are prevalent in Kerala, especially in flood-prone areas. Poor sanitation and contaminated water supplies increase the risk, making public health interventions and access to clean water essential.

How to buy health insurance in Kerala?

Purchasing health insurance in Kerala involves researching various policies, comparing their features, and choosing one that best suits your needs. Alongside health insurance, it is crucial to consider accident insurance in Kerala to provide additional coverage for unforeseen accidents. You can buy insurance directly from insurance companies, through agents, or online platforms that offer the ability to compare different policies. Important factors to consider include the sum insured, premium amount, coverage, network hospitals, and the claim settlement ratio of the insurer.

Also, read about health insurance renewal.

What is covered in health insurance in Kerala?

Health insurance policies in Kerala typically cover the following medical-related expenses:

  1. Hospitalisation expenses: Your policy generally covers costs associated with hospital stays, from room charges to surgical procedures.
  2. Pre-and post-hospitalisation: Expenses for diagnostic tests, consultations, and medications before and after hospitalisation are often included in the coverage.
  3. Daycare treatments: Medical procedures that don't require overnight stays, like chemotherapy or minor surgeries, are covered.
  4. Domiciliary treatment: Health insurance plans cover at-home medical care for specific conditions, ensuring patient comfort. Bajaj Finance offers coverage for treatment at home due to unavailability of hospital beds or if the patient is unable to travel.
  5. Ambulance charges: Emergency ambulance services for transportation to the hospital are typically covered by health insurance plans.
  6. Organ donor expenses: Costs related to organ transplantation, including surgery and post-operative care, are often included in the coverage.
  7. Additional benefits: Besides the above coverages, health insurance plans through Bajaj Finance also offer maternity benefits, newborn care, and preventive health check-ups.

Also, read: Senior Citizens Health Insurance

What is not covered in health insurance in Kerala?

While health insurance offers comprehensive coverage, certain conditions and treatments are generally excluded. To find the best health insurance in Kerala, it's essential to review the policy's exclusions carefully. Common exclusions include:

  • Pre-existing diseases (covered after a waiting period)
  • Cosmetic surgeries like bariatric surgery
  • Dental treatments
  • Injuries due to participation in high-risk activities

Reading the policy document carefully is crucial to understand the coverage and exclusions.

How to claim health insurance in Kerala?

Claiming health insurance involves two main types of claims:

Cashless claims:

  • Inform your insurer: Notify your insurance provider in advance about planned hospitalisation.
  • Choose a network hospital: Seek treatment at a hospital within your insurer's network.
  • Submit documents: Provide your health insurance card and relevant documents like doctor's prescriptions and diagnostic reports.
  • Approval: The insurer verifies your details and approves cashless treatment directly with the hospital.
  • Get the treatment: Receive treatment without paying upfront (except for non-medical expenses).

Reimbursement claims:

  • Pay upfront: Cover your medical expenses and keep all bills, receipts, and medical reports.
  • Inform your insurer: Notify your insurer about the treatment and expenses incurred.
  • Submit documents: Fill the reimbursement claim form and attach all original bills and documents.
  • Review and approval: The insurer will assess your claim and approves reimbursement based on policy terms.
  • Receive payment: Once approved, the insurer reimburses the eligible expenses.

Understanding these processes ensures a smooth claim experience and timely reimbursement or cashless treatment under your health insurance policy.

Things to consider when choosing the most suitable health insurance in Kerala

When choosing medical insurance in Kerala, consider the following factors:

  1. Coverage scope:
    Evaluate the extent of coverage provided by the health insurance policy. Ensure it includes hospitalisation, daycare procedures, treatment for pre-existing conditions, and critical illnesses to meet your comprehensive healthcare needs.
  2. Network hospitals:
    Verify the list of network hospitals associated with the insurance provider. A wide network ensures easier access to cashless treatment, minimizing out-of-pocket expenses and streamlining your healthcare experience.
  3. Premiums and deductibles:
    Compare different policies to find a balance between premiums and deductibles. Aim for an affordable premium while ensuring the deductible does not compromise your coverage benefits or lead to high out-of-pocket costs.
  4. Claim process:
    Assess the efficiency of the claim process, including the availability of cashless treatment and the speed of reimbursement. An efficient claim process can significantly reduce stress and ensure timely access to funds when needed.
  5. Additional benefits:
    Explore additional benefits offered by the policy, such as wellness programs, preventive care services, and maternity coverage. These extras can enhance your overall health management and provide added value beyond standard coverage.
  6. Waiting periods:
    Understand the waiting periods for pre-existing conditions, maternity benefits, and specific treatments. Knowing these waiting times helps in planning your healthcare and avoiding unexpected delays in claim approvals.
  7. Renewal age and lifetime renewability:
    Ensure the health insurance policy provides lifelong renewability and check the maximum renewal age. This guarantees continued coverage as you age, avoiding potential gaps in your health insurance.
  8. Exclusions:
    Familiarise yourself with the policy’s exclusions to avoid unexpected issues during claim settlement. Knowing what is not covered helps you select a policy that aligns with your specific health needs.
  9. Customer service:
    Evaluate the insurer’s reputation for customer service, including responsiveness to queries and efficiency in handling claims. Good customer service ensures you receive timely assistance and support throughout your policy tenure.

Also, read: Weight according to height chart

What are tips for finding a health insurance policy in Kerala?

Given below are a few key tips to be kept in mind when finding a health insurance policy in Kerala:

  • Assess your needs: Evaluate your healthcare needs and family medical history to choose a policy that covers essential treatments and conditions.
  • Compare plans: Compare different health insurance plans based on coverage, premiums, and benefits to find the best fit for your needs.
  • Check network hospitals: Ensure the policy has a wide network of hospitals in Kerala for easy access to cashless treatment.
  • Read reviews: Look for customer reviews and ratings of insurance providers to gauge their service quality and claim settlement efficiency.

How to avail cashless treatment in Kerala?

  • Check network hospitals: Verify if the hospital is part of the insurer’s network for cashless treatment.
  • Pre-authorisation: Contact the insurer or hospital to get pre-authorisation for the treatment, if required.
  • Provide documents: Submit necessary documents like the policy number and ID at the hospital’s insurance desk.
  • Treatment and billing: Receive treatment and ensure the hospital bills are settled directly with the insurer, minimising out-of-pocket expenses.

Is government health insurance sufficient for medical expenses in Kerala?

Government health insurance schemes in Kerala, like the Kerala State Insurance Scheme, provide valuable coverage but may not cover all medical expenses. These plans typically cover essential treatments but may have limitations on high-cost procedures and specific conditions. For comprehensive coverage, especially for advanced treatments and pre-existing conditions, considering additional private health insurance may be beneficial. It’s important to evaluate the extent of coverage and assess if it aligns with your healthcare needs and financial situation.

Also, read: Family Health Insurance

Health insurance in Kerala for NRIs

Health insurance options in Kerala for NRIs (Non-Resident Indians) are crucial for ensuring comprehensive medical coverage during visits or extended stays. Mediclaim in Kerala offers tailored plans that cater to the specific needs of NRIs, providing coverage for hospitalisation, emergencies, and other healthcare expenses, ensuring peace of mind while staying in Kerala.

Health and prevention tips in Kerala

  • Balanced diet: Consume traditional, nutrient-rich foods and reduce intake of processed items to prevent lifestyle diseases.
  • Regular exercise: Engage in physical activities like walking or yoga to manage weight and reduce risk of diabetes and heart disease.
  • Mosquito control: Use repellents and eliminate stagnant water to prevent diseases like dengue and malaria.
  • Timely vaccinations: Stay updated on vaccinations, especially for children, to prevent outbreaks of waterborne and infectious diseases.
  • Routine health checkups: Regular screenings for diabetes, hypertension, and cancer are crucial for early detection and management.

Conclusion

Health insurance is no longer a luxury but a necessity, especially in a city like Kerala where medical costs can quickly become a burden. With the right health insurance plan, individuals and families can safeguard their health and finances, ensuring peace of mind in times of medical emergencies. For easy and hassle-free purchase, visit Bajaj Finance Insurance Mall to compare and buy health insurance plans through a 100% digital process and no paperwork.

Read more
Health insurance in Agra Health insurance in Jaipur Health insurance in Chennai
Health insurance in Hyderabad Health insurance in Pune Health insurance in Bangalore

Frequently asked questions

What factors should I consider when choosing health insurance in Kerala?
Consider the insurance coverage, sum insured, premium cost, network hospitals, claim settlement ratio, and specific benefits like cashless treatment and health check-ups.

Are there any specific health insurance plans designed for families in Kerala?
Yes, many insurers offer family floater plans that provide coverage for the entire family under a single policy, often proving to be more cost-effective than individual plans.

How can I compare different health insurance options available in Kerala?
Use online comparison tools offered by financial advisory websites or insurance aggregators to compare policies based on coverage, premiums, benefits, and other factors.

What are the key benefits of having health insurance coverage in Kerala?
The key benefits include financial protection against high medical costs, access to quality healthcare without delay, peace of mind during health emergencies, and coverage for a wide range of medical treatments and services.

Which health insurance is best in Kerala?

The best health insurance in Kerala offers comprehensive coverage, a wide network of hospitals, affordable premiums, and efficient claim processing. Look for policies that align with your healthcare needs and provide good customer service and benefits.

Is it possible to improve the coverage of my health insurance policy in Kerala?

Yes, you can enhance your health insurance coverage by opting for additional riders or top-up plans. Review your current policy and consult with insurers to explore options that extend coverage for more treatments and conditions.

Is health insurance mandatory in Kerala?

Health insurance is not legally mandatory in Kerala. However, it is highly recommended to safeguard against unexpected medical expenses and ensure financial protection, as it helps cover various health treatments and hospitalisation costs.

Which health insurance is best in Kerala?

The best health insurance in Kerala depends on individual needs, such as coverage for hospitalisation, critical illness, maternity, and outpatient services. Opt for a plan that offers comprehensive coverage, cashless treatment, and a wide hospital network to ensure financial security during medical emergencies.

What is the health insurance scheme in Kerala?

The Karunya Health Scheme in Kerala provides financial assistance to underprivileged citizens for the treatment of critical illnesses like cancer, heart diseases, and kidney ailments. It covers the cost of treatments, including surgery and hospitalisation, helping reduce the financial burden on families.

Show More Show Less

Bajaj Finserv app for all your financial needs and goals

Trusted by 50 million+ customers in India, Bajaj Finserv App is a one-stop solution for all your financial needs and goals.

You can use the Bajaj Finserv App to:

  • Apply for loans online, such as Instant Personal Loan, Home Loan, Business Loan, Gold Loan, and more.
  • Invest in fixed deposits and mutual funds on the app.
  • Choose from multiple insurance for your health, motor and even pocket insurance, from various insurance providers.
  • Pay and manage your bills and recharges using the BBPS platform. Use Bajaj Pay and Bajaj Wallet for quick and simple money transfers and transactions.
  • Apply for Insta EMI Card and get a pre-qualified limit on the app. Explore over 1 million products on the app that can be purchased from a partner store on Easy EMIs.
  • Shop from over 100+ brand partners that offer a diverse range of products and services.
  • Use specialised tools like EMI calculators, SIP Calculators
  • Check your credit score, download loan statements and even get quick customer support—all on the app.

Download the Bajaj Finserv App today and experience the convenience of managing your finances on one app.

Do more with the Bajaj Finserv App!

UPI, Wallet, Loans, Investments, Cards, Shopping and more

Disclaimer

*T&C Apply - Bajaj Finance Limited (‘BFL’) is a registered corporate agent of third party insurance products of Bajaj Allianz Life Insurance Company Limited, HDFC Life Insurance Company Limited, Future Generali Life Insurance Company Limited, Bajaj Allianz General Insurance Company Limited, SBI General Insurance Company Limited, ACKO General Insurance Limited, ICICI Lombard General Insurance Company Limited, HDFC ERGO General Insurance Company Limited, Tata AIG General Insurance Company Limited, The New India Assurance Company Limited, Cholamandalam MS General Insurance Company Limited, Niva Bupa Health Insurance Company Limited , Aditya Birla Health Insurance Company Limited, Manipal Cigna Health Insurance Company Limited and Care Health Insurance Company Limited under the IRDAI composite CA registration number CA0101. Please note that, BFL does not underwrite the risk or act as an insurer. Your purchase of an insurance product is purely on a voluntary basis after your exercise of an independent due diligence on the suitability, viability of any insurance product. Any decision to purchase insurance product is solely at your own risk and responsibility and BFL shall not be liable for any loss or damage that any person may suffer, whether directly or indirectly. Please refer insurer's website for Policy Wordings. For more details on risk factors, terms and conditions and exclusions please read the product sales brochure carefully before concluding a sale. Tax benefits applicable if any, will be as per the prevailing tax laws. Tax laws are subject to change. Tax laws are subject to change. BFL does NOT provide Tax/Investment advisory services. Please consult your advisors before proceeding to purchase an insurance product. Visitors are hereby informed that their information submitted on the website may also be shared with insurers. BFL is also a distributor of other third-party products from Assistance Services providers such as CPP Assistance Services Pvt. Ltd., Bajaj Finserv Health Ltd. etc. All product information such as premium, benefits, exclusions, sum insured, value added services, etc. are authentic and solely based on the information received from the respective insurance company or the respective Assistance service provider company.



Note – While we have made all efforts and taken utmost care in gathering precise information about the products, features, benefits, etc. However, BFL cannot be held liable for any direct or indirect damage/loss. We request our customers to conduct their research about these products and refer to the respective product’s sales brochures before concluding their sale.

Show All Text