Best Health Insurance Policy for Cancer Patients in India
Cancer is becoming one of the biggest health concerns in India, with the number of cases rising every year. The impact is severe, not just on patients and families but also on the healthcare system.
The cost of cancer treatment is another major challenge. From chemotherapy and radiation to surgeries and long-term medications, the expenses can be overwhelming for most families. Many patients struggle to get the care they need due to the high cost of treatment.
This is where having the right health insurance makes a difference. A cancer-specific health policy helps cover medical expenses, ensuring that patients receive timely and proper treatment without financial strain. In this article, we’ll go through some of the best health insurance plans for cancer patients in India and help you understand what to look for when choosing one.
Top 7 Health Insurance Plans for Cancer Patients in India
| Features | National Critical Illness Policy | New India Assurance Cancer Guard Plan | Reliance Nippon Life Critical Illness Policy | Royal Sundaram Critical Illness Lumpsum Plan | Niva Bupa Criticare | ManipalCigna Lifestyle Protection Critical Care | Star Cancer Care Platinum Policy |
|---|---|---|---|---|---|---|---|
| Cancer Coverage |
Cancer of Specified Severity Primarily advanced (major) stage |
Cancer-focused plan; covers all major stages |
Malignant tumors (specified severity) Generally major/advanced stage |
Malignant tumors (specified severity) | Malignant tumors (specified severity) | Malignant tumors (specified severity) | Covers all stages (early to advanced) |
| Instant Cover | No (waiting period applies) | No (waiting period applies) | No (waiting period applies) | No (waiting period applies) | No (waiting period applies) | No (waiting period applies) | No (waiting period applies) |
| Coverage for Complications | Lumpsum on diagnosis | Yes, includes coverage for in-hospital cancer treatments | Lumpsum on diagnosis | Lumpsum on diagnosis | Depends on plan (lumpsum vs. indemnity) | Lumpsum on diagnosis | In-patient, chemo, radiation, & complications |
| Cashless Facility | Not for lumpsum Critical Illness (CI) claim (cashless is for base health plans) | Yes (in network) | Not applicable for lumpsum rider unless base plan allows | Not applicable for lumpsum-only plan | Yes (if indemnity variant) | Not typically applicable for lumpsum alone | Yes (large Star Health network) |
| Pre/Post Hospitalization | Not included in lumpsum Critical Illness (CI) | Yes (30 days pre, 60 days post)* | Not applicable to lumpsum rider | Not included in lumpsum Critical Illness (CI) | Depends on variant (indemnity vs. lumpsum) | Generally lumpsum only | Yes (30 days pre, 60 days post)* |
| Coverage for OPD/Medication | Not under Critical Illness lumpsum | Some OPD for chemo/radiation (per policy T&Cs) | Not under lumpsum rider | Not under lumpsum plan | Varies by product version | Usually not under lumpsum | Yes, includes chemo/radiation day-care |
| Waiting Period (Cancer Coverage) | Typically 90 days | Typically 30-90 days (check policy schedule) | Typically 90 days | Typically 90 days | Typically 90 days | Typically 90 days | Typically 90 days |
| Network Hospitals | 3,000+ | 3,000+ | 8,000+ | 5,000+ | 8,000+ | 6,500+ | 14,000+ |
| Claim Settlement % (Overall) | ~83-90% | ~85-92% |
~98% (life) (CI ratio not separately published) |
~80-90% | ~85-90% | ~85-90% | ~90-95% |
| Unique Benefits | High sum insured (up to ₹75L) | Cancer-specific with stage-based payouts | Can be combined with life cover | One-time lumpsum for 11 CIs (incl. cancer) | Option of lumpsum or indemnity plan | Covers up to 30+ critical illnesses | Specialized for existing/new cancer patients |
| Portability | Yes (IRDAI guidelines) | Yes (IRDAI guidelines) | Rider on life plan - health portability not typical | Yes (IRDAI guidelines) | Yes (IRDAI guidelines) | Yes (IRDAI guidelines) | Yes (IRDAI guidelines) |
| Sum Insured (in ₹) | ₹1L-₹75L | ₹2L-₹50L | ₹5L-₹50L (as rider) | ₹2L-₹25L | ₹3L-₹2Cr (depending on variant) | ₹5L-₹50L (some variants up to ₹3Cr) | ₹5L-₹20L (higher if approved) |
| Entry Age | 18-65 years | 18-65 years | 18-55/60 years (varies by base life plan) | 18-65 years | 18-65 years (some child options) | 18-65 years (child add-ons vary) | 18-65 years |
| Policy Type (Individual / Floater) | Individual for Critical Illnesses | Both (individual/family) options | Individual | Individual lumpsum | Both (individual/family) | Both (individual/family) | Individual coverage |
| Policy Tenure | 1 or 2 years (renewable) | 1 or 2 years (renewable) | Tied to base life policy term | 1 or 2 years (renewable) | 1 or 2 years (some multi-year) | 1 or 2 years (renewable) | 1 year (renewable) |
| Refill / Restoration Benefit | Not applicable to lumpsum | Not typical in lumpsum Cancer Guard | Not applicable in lumpsum rider | Not applicable in lumpsum | Only in indemnity variants | Some variants may partially allow | Not offered (indemnity limit applies) |
| No Claim Bonus | Not common in lumpsum CI | May have small increase if no claims | Not common for lumpsum rider | Not common for lumpsum | Possible in select indemnity variants | Certain variants offer incremental SI | Not typically available |
* Please read the disclaimer at the end of this page before purchasing this policy.
Our Top 4 Picks for Cancer Patient Health Insurance
Star Cancer Care Platinum Policy
The Star Cancer Care Platinum Policy is designed for individuals who have already been diagnosed with cancer. It covers treatment at all stages, including chemotherapy, radiation, surgeries, and hospitalisation. Upon diagnosis, a lump-sum amount is paid out, and treatment can be done cashlessly at over 14,000 hospitals. This makes access to care much easier. However, there is a 90-day waiting period, and the plan is only for cancer treatment. If you need coverage for other health conditions, this may not be the best fit.
Why It Stands Out
Specially designed for individuals who have already been diagnosed with cancer.
Covers treatments across all stages, including chemotherapy, radiation, surgeries, and hospitalisation.
Provides a lump sum payout upon diagnosis to help with immediate medical costs.
Access to cashless treatment at 14,000+ hospitals, making the process hassle-free.
Includes OPD and daycare coverage for chemotherapy and radiation, reducing out-of-pocket expenses.
Potential Limitations
A 90-day waiting period applies before the coverage starts.
Only available to individuals who have already been diagnosed with cancer.
Does not include coverage for other critical illnesses.
New India Assurance Cancer Guard Plan
If affordability and quicker access to benefits are what you need, the New India Assurance Cancer Guard Plan is a budget-friendly choice. The waiting period is shorter, between 30 and 90 days, making it possible to use benefits sooner. It covers major cancer treatments and allows cashless treatment at over 3,000 hospitals. While it does not offer restoration benefits and outpatient coverage is limited, it still provides straightforward protection for those focused on cancer treatment.
Why It Stands Out
Offers coverage for all major stages of cancer, from early detection to advanced treatment.
Covers hospitalisation, chemotherapy, radiation, and select OPD treatments.
More budget-friendly premium options compared to similar plans.
Cashless treatment available at 3,000+ network hospitals for easier access to care.
Shorter waiting period (30–90 days), allowing quicker access to benefits.
Potential Limitations
Limited OPD coverage for chemotherapy and radiation.
Does not include other critical illnesses apart from cancer.
Once the insured sum is used, no restoration benefits are available.
Niva Bupa Criticare Health Insurance
For those who want flexibility and higher coverage limits, the Niva Bupa Criticare Health Insurance Plan is worth exploring. It offers both lump-sum and indemnity-based payouts, so financial needs can be managed in different ways. Coverage goes up to ₹2 crore, and treatment can be done ceaselessly at over 8,000 hospitals.
Why It Stands Out
Provides both lump sum and indemnity-based coverage, allowing more flexibility.
Higher sum insured options (₹3L – ₹2Cr) for broader financial protection.
Cashless treatment at 8,000+ hospitals, making access to healthcare smoother.
Covers multiple critical illnesses beyond
cancer.
Some variants offer a restoration benefit, ensuring continued protection.
Potential Limitations
Coverage terms depend on whether lump sum or indemnity is chosen.
Some indemnity plans have sub-limits for specific treatments.
Higher sum insured options may require medical approval before coverage starts.
ManipalCigna Lifestyle Protection Critical Care Plan
If you want coverage that includes cancer along with other critical illnesses, the Manipal Cigna Lifestyle Protection Critical Care Plan is a good option. It provides coverage for multiple serious health conditions, not just cancer. High sum insured options are available, and cashless treatment can be accessed at over 6,500 hospitals. While there are no specific outpatient benefits for cancer, the lump-sum payout and restoration features make it a good choice for those who want a more extensive health plan.
Why It Stands Out
Covers a wide range of critical illnesses, including cancer.
Lump sum payout on diagnosis helps with immediate medical costs.
Offers cashless treatment at 6,500+ hospitals for more convenience.
Provides high sum insured options (₹5L – ₹50L, with some variants extending up to ₹3Cr).
Certain versions include a restoration benefit, allowing continued financial coverage.
Potential Limitations
A 90-day waiting period applies before claims can be made.
Does not offer specific OPD benefits for cancer treatments.
Cancer coverage is included as part of a broader critical illness plan, rather than a dedicated cancer-only policy.
When selecting a health insurance plan for cancer, it’s important to consider factors like waiting periods, coverage limits, and whether the plan meets individual medical and financial needs. Understanding the terms and consulting an insurance expert can help in making a well-informed decision that ensures the best possible support during treatment.
Why is Specialised Health Insurance Important for Cancer?
Having a specialised health insurance plan for cancer is important because cancer treatment can be very expensive and often lasts for a long time. This illness not only affects a person’s health but also puts a strain on their family emotionally and financially. Regular health insurance may not cover all the costs of cancer treatment, and even if it does, there may be certain conditions based on the stage of cancer. A cancer-specific insurance plan helps ease the financial burden, allowing patients to focus on their treatment without worrying about expenses.
Why Should You Consider Cancer Insurance?
Cancer treatment can be very expensive, and medical costs keep rising. A patient undergoing treatment may have to pay anywhere between Rs. 2.5 lakh to Rs. 20 lakh over six months for diagnosis, surgery, chemotherapy, radiation, and hospital stays. These costs can put a heavy financial burden on families. Having an insurance plan that covers cancer can help manage these expenses. It is especially important for those with a family history of cancer, as they may have a higher risk of developing the disease.
Who Should Get Cancer Insurance in India?
As discussed earlier, cancer insurance is especially important for those who may be at higher risk. If there is a history of cancer in your family, you should consider getting covered. People living in areas with high cancer rates should also think about it. Age is another factor. Those above 45 years old are generally at a greater risk and may benefit from having this coverage.
Types of Cancer Covered by Cancer Insurance Plans in India
Cancer insurance plans in India usually provide coverage for several types of cancer. These plans help policyholders manage medical expenses related to diagnosis, treatment, and recovery. Some of the cancers commonly covered include:
Lung Cancer
One of the most common types of cancer, lung cancer can be caused by smoking, pollution, or exposure to harmful chemicals. Cancer insurance helps cover the cost of diagnosis, treatment, and hospital stays.
Ovarian Cancer
This type of cancer affects the ovaries and is often detected at later stages. Treatment may involve surgery, chemotherapy, or radiation, all of which can be expensive. A cancer insurance plan helps ease the financial strain of these treatments.
Breast Cancer
Breast cancer is one of the most frequently diagnosed cancers in women. The cost of treatment, including surgery, chemotherapy, radiation, and targeted therapy, can be high. Cancer insurance provides financial support for these treatments.
Prostate Cancer
This cancer affects the prostate gland in men and usually develops with age. Treatment options include surgery, radiation, hormone therapy, and sometimes chemotherapy. A cancer insurance plan helps manage these costs.
Stomach Cancer
Stomach cancer can be challenging to detect early, and treatment often includes surgery, chemotherapy, or radiation. The expenses for these treatments can be covered under a cancer insurance plan, reducing the financial burden.
Cervical Cancer
Caused by the human papillomavirus (HPV), cervical cancer is preventable with vaccination but still affects many women. Treatment costs for surgery, chemotherapy, and radiation can add up, making cancer insurance an important financial safeguard.
Hypopharyngeal Cancer
This cancer affects the lower part of the throat and can impact breathing and swallowing. Treatment may include surgery, radiation, and chemotherapy. Cancer insurance helps cover these medical expenses, ensuring patients get the necessary care without financial stress.
Features and Benefits of Cancer Insurance Plans
Cancer insurance plans come with several benefits that help policyholders manage expenses during treatment. Here’s what they typically offer:
Payout Based on Previous Claims
No Death Benefit
Waiting Period and Survival Clause
Coverage Based on Cancer Stage
Premium Waiver and Income Benefit
Increase in Coverage for No Claims
Continued Coverage After Diagnosis
Tax Benefits
What’s Not Covered in Cancer Insurance?
When buying cancer insurance, it’s important to know what’s not included. Most policies won’t provide coverage if cancer is caused by any of the following:
How to Choose the Right Plan for Cancer
Before choosing a cancer insurance plan, it’s important to take some time to understand what the plan offers. This helps in making a well-informed decision. Here are a few things to look at:
1
Sufficient Coverage Amount
Medical expenses keep increasing, and cancer treatment can be expensive. To avoid financial stress, it’s good to choose a plan that provides a high coverage amount. This ensures that if the need arises, there is enough financial support for treatment and related costs.
2
Coverage for All Stages of Cancer
Some plans only cover advanced stages, while others provide coverage from the very beginning, including early-stage and critical-stage cancer. A plan that covers all stages ensures financial support throughout the treatment process, no matter when the diagnosis happens.
3
Waiting Period and Survival Period
Every policy has a waiting period, which is the time you have to wait before the coverage starts. There is also a survival period, which means the insured person has to live for a certain period after the diagnosis to receive benefits. Checking these details beforehand helps in choosing a plan that offers timely support.
4
Extra Benefits in the Policy
Many cancer insurance plans offer additional benefits like regular payouts and premium waivers at certain stages of cancer. It’s worth looking at these features and picking a policy that provides the best coverage at an affordable cost.
5
Duration of the Policy
A plan with a longer duration means continued financial security for a longer period. Choosing a plan with a high policy term ensures that coverage is available when it’s needed, even many years down the line.
Critical Illness Insurance vs Cancer Insurance
| Criteria | Critical Illness Insurance | Cancer Insurance |
|---|---|---|
| Purpose | This insurance helps cover medical costs for certain serious diseases listed in the policy. | This insurance is designed to cover expenses related to cancer treatment. |
| Types of Illnesses Covered | Covers a specific number of illnesses, such as heart attack, stroke, kidney failure, and major organ transplants. | Covers cancer at different stages, regardless of the type. |
| Cancer Coverage | Usually covers cancer only in later stages, depending on the policy terms. | Covers cancer at all stages, from early detection to advanced treatment. |
| Payout and Claim Process | A lump sum amount is given if the illness is diagnosed and meets the policy’s terms. | A payout is made at different stages, often based on the severity of the diagnosis. |
| Waiting Period | Typically, there is a waiting period (commonly 30 days) before a claim can be made. | Most policies require the patient to survive for at least 7 days after diagnosis before a claim is valid. |
| Who Should Consider It | Suitable for those who want coverage for multiple serious illnesses that may require costly treatment. | Best for those looking for financial protection specifically against cancer and its high treatment costs. |
Disclaimer
