Discover the top health insurance plans in Mumbai with comprehensive coverage and affordable premiums.
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Mumbai, the financial capital of India, is a city that never stops moving. From its vibrant culture and food to the endless opportunities, it truly lives up to the title of the “city of dreams.” But life in Mumbai also comes with challenges. It is densely populated, expensive to live in, and healthcare costs can quickly drain your savings. Thus it is essential to have a good health insurance plan in Mumbai for you and your family. With an adequate cover, like ACKO’s ₹1 crore health insurance, you can access quality treatment and focus on your health without worrying about financial stress.
Here is some data about people's overall health in Mumbai.
Heart disease is responsible for about 1 in 4 deaths in Mumbai.
Lifestyle conditions are rising, nearly 1 in 5 adults has diabetes, and many more are at risk.
High blood pressure affects every third adult in the city.
Almost half of Mumbaikars are overweight.
Cases of malaria, dengue, and chikungunya are on the rise, especially during the monsoon.
A large share of residents lead inactive lifestyles, adding to the city’s health risks.
Here are the reasons why health insurance is a must in Mumbai.
Health issues like diabetes and hypertension are common in Mumbai. Their treatment is expensive and long-term. This strains savings. With the right health insurance plan, people can manage the expenses without financial issues.
Flooding and stagnant water make Mumbai a hotspot for dengue and malaria. Severe cases may even require ICU care. A health plan with cashless hospitalisation ensures timely treatment at network hospitals.
Mumbai has some of the highest healthcare expenses in the country, with costs nearly doubling in the last five years. Even the treatment for critical illnesses is getting expensive by the day. On average, residents spend close to 10% of their annual income on medical needs. Family health insurance can shield you from both planned and emergency treatment costs.
Many people compromise on care due to high hospital charges. With mediclaim insurance, you don’t have to choose between quality and affordability, you can get the best treatment without worrying about the bills.
Additionally, you can avail tax benefits for buying a health insurance plan. This comes under section 80D of the Income Tax Act. You can also make claims for minor medical procedures under the daycare treatment coverage.
Following are some of the major health problems in Mumbai.
A large section of Mumbaikars struggle with weight issues, with nearly 60% of the population affected. Reduced physical activity in daily life has made obesity one of the most common health concerns in the city.
Deaths from liver ailments in Mumbai have risen in recent years, driven by obesity-linked fatty liver and alcohol-related disease.
About 18–20% of adults in Mumbai have diabetes, while another 15–16% are pre-diabetic, closely tied to rising obesity.
High blood pressure is another widespread issue. It affects roughly 1 in 3 adults in Mumbai, often going undetected until complications arise. This significantly raises the risk of strokes and related complications.
Heart ailments are the leading cause of death in the city, responsible for nearly one in every four fatalities. Rising cases of diabetes and hypertension are key drivers behind this trend.
Cancer cases are also on the rise. In 2022, Mumbai reported over 10,000 cancer-related deaths, marking a 10% increase from the previous year. Sedentary habits, smoking, and worsening air quality are seen as major causes.
Mosquito-borne diseases like dengue and malaria surge during monsoons, with year-on-year case spikes seen in recent data.
Mumbai’s healthcare is among the most expensive in India, so it’s important to choose a health insurance policy that can fully cover your medical expenses. Experts recommend selecting a sum insured that can handle the cost of any major treatment in the city,ideally, at least half of your annual income.
Considering rising medical costs, an individual in Mumbai should have a health insurance plan with a minimum coverage of ₹10 lakh. For families, a family floater policy of ₹30 lakh or more is advisable to ensure everyone is adequately protected.
For older adults, a senior citizen health insurance plan with at least ₹20 lakh coverage is recommended, as age-related illnesses are more common and may require frequent hospital visits or claims.
Here are common types of health insurance plans available in Mumbai.
Individual Health Insurance Plans help protect your finances from the high cost of medical treatments. Premiums are based on age and gender, so it’s advisable to get coverage early to enjoy maximum benefits and long-term financial security.
A family health insurance plan provides coverage for all members under a single policy, making it easy to protect everyone. The sum insured applies to the entire family, and premiums are generally lower per person compared to individual plans, helping you manage healthcare costs without stress.
Senior Citizen Health Insurance Plan are specifically for those above 60, this plan offers coverage for pre-existing conditions and regular treatments, ensuring that your parents or elderly family members receive financial protection for their healthcare needs.
Ideal for life-changing illnesses like cancer, kidney failure, or heart disease, this plan provides a lump-sum payout upon diagnosis. It can be purchased as a standalone policy or added to your existing health insurance, reducing financial strain during critical treatments.
Illness-specific health insurance plans (example: Corona Kavach, etc.)
Inclusions
Exclusions
Here are the coverage details of our Rs. 1 crore Health Insurance Plan.
✅Pre and post-hospitalisation beyond the usual: A planned surgery may require pre and post hospitalisation and this is covered under health insurance for a minimum of 30 and 90 days respectively. But our cover goes beyond the standard timeline. We offer 60 days of pre-hospitalisation and 120 days of post-hospitalisation benefits.
✅In-patient hospitalisation: This coverage refers to the cost related to the hospitalisation in case of either a planned surgery or an emergency. We will cover hospitalisation expenses for medically necessary treatment.
✅Daycare treatments: Medical procedures or surgeries that require less than 24 hours of hospitalisation come under daycare coverage. These are included in ACKO Health Insurance Policy.
✅Emergency transport: During an emergency, it is possible that a necessary medical facility is not accessible. Here, we can help set up urgent transportation to the location with the required equipment. Transportation avenues include trains, ambulances, and special aeroplanes with medical equipment.
✅Ambulance costs: Usually, insurance companies offer coverage for only one ambulance trip per claim under their insurance plans. But with our policy, you get multiple ambulance trips up to the sum insured during a medical emergency.
Following are the exclusions under our Rs. 1 crore Health Insurance Plan.
❌Undisclosed medical conditions: You must disclose pre-existing diseases and current medical status while buying the policy. Otherwise, the related treatment is not covered.
❌Dental and cosmetic surgery: Routine dental or cosmetic treatment is not covered unless required as a result of an accident.
❌Infertility or sterility treatment: The cost of infertility, sterility, or related treatments is not covered.
❌Weight loss surgery: Any cost related to weight control procedures is not covered unless it is medically necessary and advised by a certified doctor.
❌Supplements and hormonal therapy: The cost of supplements, vitamins, or hormonal therapy is not covered.
❌Suicide attempt: Costs related to resuscitation and treatment related to a suicide attempt are not covered.
❌Maternity and childbirth: Expenses related to delivery are not covered.
❌Prosthetics and other devices: The cost of prosthetics or other devices like hearing aids, spectacles, etc., are not covered.
❌Vision correction: Correction surgeries for eyesight lower than 7.5 dioptres are excluded from this health plan.
❌Gender correction surgery: Expenses related to gender-correction treatment and surgery are not covered.
Note: Please find the complete list of inclusions and exclusions of the ACKO Health Insurance Policy in the policy wordings.
Non-Resident Indians (NRIs) can purchase health insurance from Indian insurers to stay protected during their visits or stays in Mumbai. Such a policy can cover both planned and unexpected medical expenses, and it remains useful if they decide to move back to India in the future.
NRIs can also buy health insurance for their parents living in Mumbai, ensuring medical expenses are taken care of even from afar. Additionally, premiums paid for these policies are eligible for a tax refund, offering extra financial benefit.
The Maharashtra Government launched the Mahatma Jyotirao Phule Jan Arogya Yojana (MJPJAY) in July 2012 to provide cashless hospitalisation for specific illnesses. While it offers valuable support to beneficiaries, it may not fully cover the high medical expenses in Mumbai.
Category | MJPJAY | Private Health Insurance |
---|---|---|
Scope of Coverage | Covers identified illnesses under 34 medical specialties | Covers all diseases and medical conditions across all specialties |
Sum Insured | ₹1.5 lakh (₹2.5 lakh for renal transplant) | Up to ₹6 crore, depending on the plan |
Procedures Covered | 996 surgical and medical procedures + 121 follow-up procedures | Surgical procedures, day care, pre- and post-hospitalisation, OPD treatment (varies by plan) |
Eligibility | Families with ration cards (yellow, white, orange, Antyodaya, Annapurna), government orphanage children, senior citizens in old-age homes, construction workers’ families, DGIPR-approved journalists with families, female inmates of Government Mahila Ashram, and Ashram Shala students | Anyone can buy based on age and medical condition |
Network Hospitals in Mumbai | 57 hospitals | Hundreds of hospitals across the city |
MJPJAY is helpful for basic medical support, but private health insurance offers broader coverage, higher sum insured, and access to more hospitals, making it a better choice to manage medical costs in Mumbai.
Here are some significant reasons why buying health insurance online is more fruitful as compared to purchasing the plan offline or from traditional insurance companies.
Comparing health plans online will help you get an idea about coverages, additional services, and premiums for health plans from different insurers without much effort. You can thus make an informed decision on which plan to buy.
You can complete the process quickly when you buy a health insurance plan online. This is because digital insurance is available 24x7x365. You don't have to wait to meet an intermediary or worry about public holidays. Simply go online, choose coverage, review terms, and make payment.
Some part of the premium goes towards commissions while buying a policy offline. But when you buy online health insurance in Mumbai directly from us, there’s no commission. Thus, low premiums.
While buying ACKO Health Insurance Policy from Mumbai, you are not required to submit physical copies of documents. You can scan or click clear pictures of the necessary documents and upload them while sharing details about you and the dependants.
Here are some tips to stay healthy in Mumbai.
Eat Smart: Reduce salt, sugar, and oil in your diet to lower the risk of diabetes, hypertension, and obesity.
Avoid Smoking and Alcohol: These increase the risk of heart disease, liver problems, and cancer.
Get Regular Check-ups: If you’re over 30, monitor your blood pressure and blood sugar levels to catch issues early.
Take Medications on Time: Consistently taking prescribed medicines for diabetes or hypertension keeps these conditions under control.
Stay Active: Walk or exercise for at least 30 minutes daily to maintain a healthy weight and strengthen your heart.
Protect Against Mosquitoes: Use repellents, nets, and cover up to prevent dengue, malaria, and other mosquito-borne diseases.
Eat More Fruits, Vegetables, and Whole Grains: A balanced diet supports overall health and reduces chronic disease risks.
Stay Hydrated: Drink 2–3 litres of water daily to flush out toxins and support kidney function.
Eliminate Stagnant Water: Remove standing water around your home to prevent mosquito breeding.
Sleep Well: Aim for 7–9 hours of sleep every night to boost immunity and help your body repair itself.
Selecting a perfect health insurance policy can be challenging, especially if this is your first plan. However, we've got your back. Here are some helpful tips that will enable you to find an appropriate and reasonably priced policy.
Understand requirements: You may be confused by the variety of health insurance policies offered in the market. Making a list of your needs and then searching for a medical insurance plan is an easy solution. Consider factors like the number of dependents, age, income, medical history, hereditary diseases in the family, etc., and once you have all the information, search for the appropriate coverage.
Check quotes: It is simple to purchase medical coverage online. You can get a potential health insurance quote using tools like a health insurance premium calculator. Then try adjusting the coverage slightly and see if the quote changes. This way, you can purchase a suitable plan by making an informed decision.
Compare health plans: By comparing plans, you can get a sense of which type of health insurance policies are available in the market. After analysing your options, you may decide which policy is the most suitable for your needs and the budget.
Minimum waiting period: Buying a plan with a minimum waiting period allows you to reduce out-of-pocket expenses during a medical emergency. Thus, it would help to find a policy with no waiting period, like ACKO Health Insurance Policy. Here you get coverage from day 01 for all disclosed health issues.
Understand inclusions and exclusions: Make sure you are always aware of the terms and conditions of the health plan. This comprises the policy's coverages, exclusions, and services as well. You can determine when to make a claim by understanding the coverages and exclusions.
More than 8 crore people trust ACKO for their insurance needs. Our health plan with a sum insured of Rs. 1 crore is useful for enveloping all your insurance needs under a single policy. You get the following benefits on buying ACKO Health Insurance Policy.
Key features | ACKO advantage |
---|---|
Co-pay | 0% |
Intensive Care Unit (ICU) charges | Up to Rs. 1 crore |
Waiting period | 0 days |
Teleconsultations | Up to Rs. 1 crore |
Critical Illness Cover | Included in the same plan |
Preventive health checkup | Every year for insured members above the age of 18 years |
Inflation protect | 10% increase of sum insured per annum (terms and conditions apply) |
Deductions at claim | Nil |
Room rent | Up to Rs. 1 crore (any hospital room without deductions) |
COVID-19 treatment | Up to Rs. 1 crore |
Network hospitals | 11,500+ hospitals |
Daycare treatment | Up to Rs. 1 crore |
Pre-hospitalisation | 60 days |
AYUSH treatment | Up to Rs. 1 crore |
Ambulance charges | Up to Rs. 1 crore |
Post-hospitalisation | 120 days |
In India, more than 11,500+ hospitals are affiliated with ACKO. Below is the list of notable hospitals in Mumbai where our policyholders can use a cashless facility.
Sai Swastik Multispeciality Hospital
Sai Leela Hospital
Satya Sai Platinum Hospital
Sumangal Hospital
Gurukrupa Hospital And Poly Clinic
Amruta Nursing Home
Global Hospital
Samarth Nethralaya-Super Speciality Eye Hospital
Vidya Hospital
Ansh Hospital
Sparsh Children Hospital
Urmi Eye Clinic And Phaco Centre
Yash Hospital
Chirayu Hospital
Sulochan Eye
Sanjeevan Nursing Home And ICCU
Optilife Multispeciality Hospital
Dr R N Patil’s Suraj Hospital
Anand General Hospital
Krishna Lila Hospital
Click here for the complete list of ACKO’s cashless hospitals.
Here are answers to some common questions about health insurance in Mumbai.
Premiums depend on age, medical history, sum insured, and the type of plan.
Usually, coverage for pre-existing conditions starts after a waiting period of 2–4 years, depending on the insurer.
Yes, online policies are convenient, customizable, and transparent, with minimal documentation.
Some plans include coverage for accident-related dental treatments and AYUSH therapies (Ayurveda, Yoga, Unani, Siddha, Homeopathy).