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icon Health Insurance icon Gurugram

Health Insurance in Gurugram

Previously called “Gurgaon”, Gurugram is the cocktail capital of India. This millennium city is one of the most populous cities in India. The city is famous for attracting young minds for job opportunities and career growth. It has a great private healthcare system as well. Gurugram hosts over 50 hospitals, catering to both residents and medical tourists. The private healthcare market in the city is valued at approximately ₹6,800 crore, with specialized hospitals performing over 500 complex surgeries monthly (Study by TR Life Sciences in 2023). Even though the healthcare system sounds excellent, it is expensive and the ever growing health concerns in the city makes it difficult to access this healthcare system. Health insurance is the key here. You can get the best health insurance deals on Coverfox in Gurugram. So let's delve into the world of health insurance in Gurugram.

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Common Health Issues in Gurugram

Here are the common health concerns that are growing in Gurugram:

  • Lifestyle Diseases

  • These include hypertension, obesity and diabetes. As most of the population is in the working field, inactivity, junk food and sedentary lifestyle has given rise to these diseases. In Gurgaon, a significant number of children and adults are overweight or obese. Data from the NITI Aayog report shows that in 2020, 4% of children under 5 were overweight/obese, and 9% of women aged 15-49 were overweight/obese. Approximately 10% of men and women have been diagnosed with high or very high blood sugar levels (NFHS 4).

  • Dengue

  • Mosquitoes' prevalence in Gurugram is quite high and dengue is one of the major threats to the city. As per data from the Municipal Corporation in Gurugram, 175 cases were recorded in 2024 for dengue, with areas like Om Nagar, Kadipur, Anjana Colony and Manesar majorly affected. This is due to constant water logging during rainy seasons and collecting stagnant water.

  • Influenza

  • Influenza or particularly H3N2 influenza has a high prevalence in the city. There was a surge in Influenza cases in the year 2023 (30% in government hospitals and 40% in private hospitals) as per data. The influenza A was seen to be more dominant than the B variant, showcasing the urge of concern amongst the citizens.

  • Typhoid

  • Water-borne diseases have seen a surge in the city of Gurugram, mainly due to contamination of water. A recent incident in Gurugram's Sector 89 highlighted water contamination issues, leading to multiple cases of typhoid, stomach infections, and diarrhoea among residents. The water samples were collected by the health department for checking and this report was given by them.

  • Respiratory Disorders

  • Gurugram is infamous for its AQI. Air pollution is the major culprit for respiratory disorders like COPD, Asthma and bronchitis in Gurugram. In 2024, there was a surge in the respiratory-related conditions seen in the hospitals of Gurugram (over 100 cases were logged in a week).

List of Diseases Covered by Health Insurance in Gurugram

Asthma
Asthma
Dengue
Dengue
Diabetes Mellitus
Diabetes Mellitus
Malaria
Malaria
Thyroid
Thyroid

Reasons to Buy Online Health Insurance in Gurugram

Healthcare insurance plans help you out financially when you need medical assistance. Here is why you should get health insurance in Gurugram:

  • Expensive Healthcare

  • With inflation on the rise, getting healthcare is expensive. Just a trip to the hospital for a treatment can take thousands from your bank account in an instant. But, that can be resolved with health insurance.

  • Quality Healthcare

  • People tend to compromise on health because of the treatment costs. This is a grave mistake, and can be avoided if you have health insurance. At least the money part of the problem will be covered. Get quality healthcare treatments and the burden of finance will be taken care of by healthcare insurance.

  • Critical Illness

  • One of the major wallet-busting expenses are the critical illnesses. Cost of treatments, medicines, hospitalisation costs will not just leave a hole, but would probably take a lump-sum amount of savings from your account. Critical illness plans help you tackle diseases like chronic respiratory disorders, cancers, cardiovascular diseases, etc.

  • Lifestyle Diseases

  • The prevalence of lifestyle diseases in Gurugram is getting higher and higher. These diseases do not just go away with a single treatment. It requires long-term treatments, especially for conditions like obesity and diabetes. You will require long term medications, constant monitoring devices and consultations on a regular basis for these diseases. Having health insurance gives you a little bit of peace, so that you just have to worry about the diseases, not the cost.

  • Cashless Claims

  • Visiting a network hospital for treatment or diagnosis ensures cashless claims, the amount will be settled by the insurer and the hospital. You do not have to worry about carrying cash, paying the bill, etc. But only if you have health insurance.

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Types of Health Insurance in Gurugram

Types of Health Insurance in Gurugram There are different types of health insurance available in Gurugram, catering to different needs of the policyholder. These include:

  • Family Floater Plans

  • This type of coverage plan covers health insurance for your entire family.

  • Individual Health Insurance

  • This type of insurance covers an individual person only.

  • Critical Illness Insurance

  • In case of severe diseases like strokes, organ failure, cancer, etc. a critical illness insurance policy is needed.

  • Senior Citizen Health Insurance

  • Insurance plan catering specially for elderly and aged people.

  • Top-Up & Super Top-Up Plans

  • Customise your base insurance plan with add-ons like Room Rent Waiver, OPD Cover, Accidental Disability Cover, etc.

Types of Health Insurance Available in Gurugram

Individual Health Insurance
Individual Health Insurance Plan
Family Health Insurance
Family Health Insurance Plan
Group Health Insurance
Group Health Insurance Plan
Critical Illness Insurance
Critical Illness Insurance Plan
Personal Accident Insurance
Personal Accident Insurance Plan
Maternity Health Insurance
Maternity Health Insurance Plan
Health Insurance for Senior Citizens
Health Insurance Plans for Senior Citizens
Women Health Insurance
Women Health Insurance Plan
Cancer Insurance
Cancer Insurance Plan
Children Health Insurance
Children Health Insurance Plan
Health Insurance for Parents of NRIs
Health Plan for Parents of NRIs
Health Insurance for Smokers
Health Plans for Smokers
Health Insurance for Diabetics
Health Plans for Diabetics
Family Floater Health Plans
Family Floater Health Insurance Plans

Health Insurance Inclusions and Exclusions in Gurugram

Here is what is covered under health insurance and what is not, in Gurugram:

What is Covered What is Not Covered

Sum Insured: ₹5 lakh to ₹6 crore

Pre-existing conditions during the waiting period

Hospital & Treatment Expenses: Includes day care procedures, maternity expenses, OPD cover, ICU charges, and ambulance charges

Cosmetic surgeries and aesthetic treatments
Pre & Post Hospitalisation (30 to 60 days) Dental and oral treatments (unless due to an accident)

Facility Benefits: Covers room rent, pre & post-existing diseases (as per terms), organ donor expenses, and free health check-up

Illnesses during the initial waiting period (30–90 days)

Add-ons: Optional and customisable

Injuries due to war, terrorism, or hazardous activities

Tax Benefits: Under Section 80D

Substance abuse-related complications

Claim Process: Easy cashless transactions through network hospitals or reimbursement process

Non-medical expenses like toiletries or administrative charges

How to Buy a Health Insurance Policy in Gurugram?

Buy health insurance policy in Gurugram from Coverfox by following these steps:

  1. Head Over to Coverfox website
  2. Navigate to “Insurance > Health Insurance” Tab
  3. Enter your mobile number
  4. Enter your age
  5. Select the type of insurance you are looking for
  6. Select Sum insured, Room Rent Limit, Insurer preference, NCB, PED Waiting Period
  7. Add additional features if required
  8. Compare the different health insurance policies in Gurugram
  9. Select the best option and Pay the prescribed fees
  10. After Payment, your policy will be mailed to you.

NOTE :You can ask for a call from Coverfox to help and guide you in buying a health insurance policy. Just click on “Call me” to connect to an excellent support staff.

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How to Renew Health Insurance Policy in Gurugram?

If you wish to renew your health insurance policy in Gurugram, all you have to do is follow these simple steps:

  1. Visit your insurer’s website
  2. Head over to the renewal section
  3. Enter your previous policy details
  4. Check for any upgrades if you wish
  5. Check for NCB benefits
  6. Pay online using UPI/Debit/Credit Card/Net Banking
  7. Get your renewed policy on your email
  8. You can renew/compare/purchase another policy from Coverfox as well.

Documents Required for Buying/Renewing Health Insurance Policy in Gurugram

You would need these documents in order to buy or renew health insurance plan in Gurugram:

  • Age proof like passport, birth certificate, etc.
  • Identity proof like passport, Aadhaar Card, etc.
  • Address proof like passport, DL, utility bills, etc.
  • Previous Insurance Policy/Policy Number (For renewals).

How to Claim Health Insurance in Gurugram?

In Gurugram, there are 2 types of claims that you can file for which include:

1. Cashless Health Insurance Claims in Gurugram

  1. Inform the insurer about the claim
  2. Submit a pre-authorisation request at a network hospital
  3. Once approved, receive treatment without paying anything
  4. The insurer settles the bill directly with the hospital
  5. You will only need to pay non-covered expenses at the hospital.

2. Health Insurance Reimbursement in Gurugram

  1. You have to pay the bill at the hospital
  2. After you pay the bill, collect the receipt from the hospital
  3. Submit the necessary documents to the insurer, including the receipt
  4. The insurer verifies and transfers the claim amount to your bank account.

Documents Required for Claim Process of Health Insurance in Gurugram

  • A duly filled and signed claim form
  • Recent passport-size photo
  • All the hospital bills, receipts, documents, reports, prescriptions
  • Pre-authorised claim form for cashless claim
  • Identity proof

Tips for Finding the Best Health Insurance Policy in Gurugram

These tips will help you find the best healthcare insurance policy in Gurugram:

  • Inclusions & Exclusions

  • Know what’s covered and what’s not

  • Waiting Periods

  • Check for pre-existing conditions, maternity, and specific treatments

  • Network Hospitals

  • Look out for cashless hospitals that are available in your area

  • Sum Insured

  • Sum insured should cover for entire treatment, so choose accordingly

  • Premium vs. Benefits

  • Balance cost with the coverage offered

  • Claim Settlement Ratio

  • Go for insurers with high claim success rates

  • Add-On Covers

  • Consider critical illness, maternity, or room rent waivers

  • Portability Options

  • Check if you can switch plans without loss of benefits

  • Free Health Check-Ups

  • Look for annual check-up benefits.

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How Much Health Insurance Coverage Do You Need in Gurugram?

You can make as many claims as you want for health insurance, but it is capped at the sum insured amount written in your policy. To ensure optimum use of health insurance, you should have enough sum insured to cover your entire bill. Gurugram is an urban city, hence a bit expensive. In Gurugram, you should have:

  • At least ₹5-10 lakh sum insured for individuals

  • At least ₹20 lakh sum insured for families

  • At least ₹15 lakh sum insured for senior citizens

These are just assumptions made on the current costs of medical care in Gurugram, do your own research before selecting a sum insured amount.

Health Insurance in Gurugram for NRIs

An NRI can easily buy health insurance in Gurugram. But, the benefits of the policy will be applicable only in the city of Gurugram. You can get these benefits when you are visiting or relocating back to Gurugram. Similarly, you can also purchase health insurance for your family in Gurugram and enjoy benefits for your family. Buying health insurance will also fetch you some tax benefits making it a wonderful choice for you.

Benefits of Health Insurance In Gurugram

Here are the key benefits of health insurance plan in Gurugram:

  • Save Money on medical expenditure

  • Access Quality Healthcare through network hospitals of health insurers

  • Get Cashless Transactions at network hospitals of health insurers

  • Get Tax Benefits under section 80D as per Income Tax Act with health insurance

  • Critical Illness like cancer, respiratory disorders, heart diseases, etc can be covered under critical illnesses health insurance plans

  • Entire Family Coverage Plans provide financial protection to each member of the immediate family

  • NCB Benefits urges you to remain healthy, to get discounts on health insurance plans.

General Insurance Companies in India

Bajaj Allianz General Insurance
Bajaj Allianz General Insurance
ICICI Lombard General Insurance
ICICI Lombard General Insurance
Cholamandalam MS General Insurance
Cholamandalam MS General Insurance
Manipal Cigna Insurance
Manipal Cigna Insurance
Digit General Insurance
Digit General Insurance
Zuno General Insurance
Zuno General Insurance
Future Generali Insurance
Future Generali Insurance
HDFC ERGO General Insurance
HDFC ERGO General Insurance
IFFCO Tokio General Insurance
IFFCO Tokio General Insurance
Kotak General Insurance
Kotak General Insurance
L&T General Insurance
L&T General Insurance
Liberty General Insurance
Liberty General Insurance
Magma HDI General Insurance
Magma HDI General Insurance
National General Insurance
National General Insurance
New India Assurance
New India Assurance
United India General Insurance
United India General Insurance
Oriental Insurance
Oriental Insurance
Raheja QBE General Insurance
Raheja QBE General Insurance
Reliance General Insurance
Reliance General Insurance
Royal Sundaram General Insurance
Royal Sundaram General Insurance
SBI General Insurance
SBI General Insurance
Shriram General Insurance
Shriram General Insurance
Universal Sompo General Insurance
Universal Sompo General Insurance
Star Health & Allied Insurance
Star Health & Allied Insurance
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Conclusion

Gurugram is a prospering city, but along with it the rising health concerns are a major issue. Inflation has caused medical care to be limited only to people who have enough money (although government schemes help the needy, but it's not nearly enough). Health insurance comes into play here, making sure you receive proper medical care and not worry about the finances. So, get your health insured today from Coverfox!

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Frequently Asked Questions

  • Q. Does buying a health insurance plan in Gurugram make me eligible for tax benefits?

    • Ans: Yes, you get tax benefits under section 80D of Income Tax Act.

  • Q. Which is the best health insurance policy in Gurugram?

    • Ans: The best health insurance plan depends on the premium rate, coverage, type of health insurance, room rent, add-ons, critical illness plan, sum insured, etc depending on your needs.

  • Q. Is Rs. 2 lakh health insurance enough in Gurugram?

    • Ans: No, you should have at least ₹5 lakh to ₹10 lakh sum insured in Gurugram.

  • Q. Is it possible to buy multiple health insurance plans in Gurugram?

    • Ans: Yes, you can buy multiple health insurance plans in Gurugram.

  • Q. Can I buy a single health insurance plan for myself and my family in Gurugram?

    • Ans: Yes, you can.

  • Q. Can I file a claim immediately after buying the health insurance policy in Gurugram?

    • Ans: No, you cannot directly file a claim after you buy a health insurance policy in Gurugram, there is a waiting period before you can make a claim.

  • Q. What is the maximum number of claims I can raise against my health insurance policy in Gurugram?

    • Ans: You can raise as many claims as you want against your health insurance policy, but it's capped at the sum-insured under your policy.

  • Q. Is it possible to buy health insurance in Gurugram online?

    • Ans: Yes, visit Coverfox, to buy health insurance online in Gurugram.

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