Tamil Nadu is famous for its cultural heritage, classical music & dance forms, ancient temples, historic landmarks and diverse traditions. Besides, the state has a well-developed healthcare infrastructure with high medical tourism. Even so, 39% of the households in the state are financially burdened due to out-of-pocket expenses. Read on to know why health insurance in Tamil Nadu is a must for all citizens.
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Take a look at the reasons why buying health insurance in Tamil Nadu is a good investment:
6,52,50,000 Families have Trusted Policybazaar India No. of Claims Settled 8 Lakh Claim Amount Settled 4,007 Crore Check claims in your city Data Source: Policybazaar’s actual data of claims settled by its partnered insurers between 2018 and 2026.
The incidence of lifestyle diseases, such as hypertension, cancer, diabetes, obesity, etc., is increasing in Tamil Nadu. More and more people are being diagnosed with lifestyle diseases that involve expensive long-term treatment. If you do not want to exhaust your savings in paying for the treatment of these diseases, you must buy a critical illness insurance policy.
Healthcare services are becoming increasingly expensive in Tamil Nadu, thanks to the high rate of medical inflation. A single hospitalization can deplete your savings substantially. The only way to protect your savings from unforeseen medical expenses is by buying a medical insurance policy.
Vector-borne diseases, such as dengue, filariasis, etc., have a wide presence in Tamil Nadu, especially in coastal areas. In severe cases, these diseases may lead to emergency hospitalization, creating a financial burden. However, people with health insurance for vector-borne diseases do not worry about hospital bills as it is paid by their insurer.
With the cost of medical facilities increasing every year, not everyone in Tamil Nadu can afford the best quality treatment. Instead, many people compromise on their treatment by going for an affordable one. However, you can avoid this situation and get the best available treatment with a mediclaim insurance policy.
Here are some of the major health problems in Tamil Nadu:
Cancer is slowly growing as a major lifestyle disease in Tamil Nadu. As per the data from the Indian Council of Medical Research Cancer Registry, the state reported 93,536 new cases of cancer in 2022. In fact, it also reported the 5th highest number of deaths due to cancer in India in 2022.
Diabetes has a 14.4% prevalence in Tamil Nadu. As per the National Family Health Survey data, the prevalence of diabetes in adults has increased to 12-14% in urban areas and 8% in rural areas. In fact, experts believe the numbers are said to rise with more children becoming obese.
Obesity is becoming a major cause of concern in Tamil Nadu. According to the data from the National Family Health Survey, 33.6% of women and 33.1% of men in urban areas of Tamil Nadu are obese. In fact, Tamil Nadu has one of the highest prevalence of abdominal obesity among Indian women.
Hypertension is highly prevalent in Tamil Nadu. In fact, 55.1 lakh new cases of hypertension have been reported in Tamil Nadu since 2021. However, hypertension has a lower prevalence in rural areas as compared to urban areas of the state.
Filariasis is highly prevalent in Tamil Nadu. In 2022, more than 8000 cases of filariasis were detected in the state. The presence of culex mosquitoes that transmits filariasis in the state is a major reason behind the spread of the disease.
Dengue is a huge menace in Tamil Nadu. The state reported 6430 dengue cases in 2022, which was the highest since 2019. The frequent floods in Chennai & nearby areas along with stagnant water are one of the biggest reasons for surging dengue cases in the state.
Leptospirosis is a common disease in the southern state of Tamil Nadu. About 2612 cases of leptospirosis were diagnosed in 2022. In fact, the number of leptospirosis cases has doubled in Tamil Nadu over the last 4 years.
Avg. claim ₹3 L
₹467 Cr
11 K Claims
Avg. claim ₹72 K
₹442 Cr
60 K Claims
Avg. claim ₹1 L
₹437 Cr
22 K Claims
Avg. claim ₹1 L
₹389 Cr
27 K Claims
Avg. claim ₹1 L
₹319 Cr
31 K Claims
Avg. claim ₹1 L
₹295 Cr
28 K Claims
Avg. claim ₹76 K
₹252 Cr
33 K Claims
Avg. claim ₹2 L
₹227 Cr
10 K Claims
Avg. claim ₹62 K
₹154 Cr
24 K Claims
Avg. claim ₹54 K
₹68 Cr
12 K Claims
Avg. claim ₹1 L
₹66 Cr
5 K Claims
Avg. claim ₹38 K
₹885 Cr
2 L Claims
Data Source: Policybazaar’s actual data of claims settled by its partnered insurers between 2018 and 2026.
Check out some of the health statistics on Tamil Nadu:
Kokilaben Hospital ₹30 Cr KIMS Hospitals ₹21 Cr Dr B L Kapur Memorial Hospital ₹20 Cr Yashoda hospital ₹17 Cr Deenanath Mangeshkar Hospital ₹15 Cr Apollo Spectra Hospitals ₹14 Cr Data Source: Policybazaar’s actual data of claims settled by its partnered insurers between 2018 and 2026.
People residing in Tamil Nadu should buy health insurance for a sum insured that sufficiently covers all their medical expenses. Generally, health insurance coverage amount of at least half of your annual income is recommended. Make sure that the coverage amount is enough to cover the treatment of a major illness in Tamil Nadu.
Keeping in mind the medical inflation in Tamil Nadu, citizens of the state should buy a health insurance policy of at least Rs 10 lakh. If you want coverage for your entire family in Tamil Nadu, you should buy family health insurance of Rs 15 lakh or more.
Moreover, senior citizens in Tamil Nadu should buy a senior citizen health insurance policy of Rs 20 lakh and above.
0-25 Yrs
Total Claims: ₹55 Cr
Avg Claim: ₹55 K
26-35 Yrs
Total Claims: ₹722 Cr
Avg Claim: ₹57 K
36-45 Yrs
Total Claims: ₹1,023 Cr
Avg Claim: ₹75 K
46-60 Yrs
Total Claims: ₹1,154 Cr
Avg Claim: ₹1 L
61 & above
Total Claims: ₹1,051 Cr
Avg Claim: ₹1 L
Data Source: Policybazaar’s actual data of claims settled by its partnered insurers between 2018 and 2026.
Non-Resident Indians or NRIs can purchase health insurance in Tamil Nadu from an Indian insurer. Health insurance for NRIs can be used to pay for medical expenses incurred during their visit or stay in Tamil Nadu. Moreover, you can rely on this policy for unforeseen medical expenses in case you plan to eventually move back to Tamil Nadu.
Moreover, NRIs can also purchase health insurance for parents residing in Tamil Nadu. This will enable them to support their parents financially during a medical emergency, even if they are not physically present. Additionally, NRIs can also get a refund on the GST paid at the time of buying health insurance in Tamil Nadu.
Know more: GST Refund on Health Insurance for NRIs
No.
The Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS), launched by the Tamil Nadu Government in January 2012, provides medical insurance to economically weaker sections of the state. However, the scheme is not enough to cover all the medical expenses of the beneficiary in Tamil Nadu.
The following table highlights the reasons why the Tamil Nadu Government’s Chief Minister’s Comprehensive Health Insurance Scheme does not provide comprehensive medical coverage:
| Categories | Chief Minister’s Comprehensive Health Insurance Scheme | Private Health Insurance |
| Eligibility | CMCHIS covers families with a yearly income of up to Rs 72,000 and members of the unorganized labour welfare boards. | All residents of Tamil Nadu can buy private health insurance plans. |
| Sum Insured | The scheme provides a sum insured of Rs 1 lakh per family per annum for 4 years. | People can choose a sum insured for up to Rs 6 crore, as per their medical needs and budget. |
| Procedures Covered | It covers 1090 procedures, 8 follow-up procedures and 52 diagnostic procedures. | It offers coverage for all day care procedures, surgical procedures, OPD treatment, pre-hospitalization expenses and post-hospitalization expenses, as per the opted plan. |
| Network Hospitals in Tamil Nadu | More than 6 empanelled hospitals are available in each district of Tamil Nadu. | A wide network of empanelled hospitals is available across Tamil Nadu. |
Here are some wellness and prevention tips that you can follow to stay away from diseases in Tamil Nadu:
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Read more*We will respond in the first instance within 30 minutes of the customers contacting us. 30-minute claim support service is for the purpose of giving reasonable assistance to the policyholder in pursuance of the claim. Settlement of claim (including cashless claim) is the responsibility of the insurer as per policy terms and conditions. The 30- minute claim support is subject to our operations not being impacted by a system failure or force majeure event or for reasons beyond our control. For further details, 24x7 Claims Support Helpline can be reached out at 1800-258-5881.
*Product information is authentic and solely based on the information received from the Insurer. Policybazaar is acting only as a facilitator and claims settlement shall be at the sole discretion of the Insurer. Policybazaar does not provide any medical or surgical advice or diagnosis and is not responsible for your interactions / treatment by a medical practitioner/hospital. Please consult a registered medical practitioner for any medical or surgical advice. The Information that you obtain or receive from Policybazaar, and its employees, or otherwise on the Website is for informational purposes only. As per the Insurance guidelines, you are allowed to cancel the policy with-in 30 days from the date of Issuance of policy.This option is available incase of policies with a term of one year or more.
*All the health insurance plans cover hospitalization expenses including COVID-19 treatment cover up to the specified limits. You can also buy specific COVID-19 health insurance policies such as Corona Kavach Policy and Corona Rakshak policy.
**All savings and online discounts are provided by insurers as per IRDAI approved insurance plans. #Tax Benefits are subject to changes in tax laws.
*₹1748/month is the starting price for a 1 crore health insurance for an 18-year-old male, with no pre-existing diseases. Discount on renewal premium is subject to the number of wellness points earned in the health insurance policy. For more details about the plans, please read the sale brochure carefully to get upto 100% discount on renewal premium.
*₹400/month is the starting price for ₹ 5 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases
*₹541/month is the starting price for ₹ 10 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases
*₹762/month is the starting price for ₹ 1 Crore Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases
*₹243/month(₹ 8/day) is the starting price for a 5 lakh health insurance for a 20-year-old male, non-smoker, living in Bengaluru with no pre-existing diseases
*₹2020/month is the starting price for ₹ 1 Cr Health insurance for a 50 year old male & 50 years old female, living in Bangalore with no pre-existing diseases rounded off to nearest 10.
*₹390/month (₹13 per day) is starting price for 1 cr. Health insurance for 25 years old male, with pre-existing diseases, residing from tier 1 city rounded off to the nearest 10.
*No medical tests are required unless requested by the insurer’s underwriter. In-case of pre-existing diseases relevant medical proof would be required as per the terms and condition of the policy opted.
*The values taken for effective cost calculation are indicative values and may change as per the selected plan.
*Coverage upto double the amount of Sum Insured is available on certain covers for a minimum plan of Rs. 5 Lakh on the first claim only to an individual of upto 45 years of age with no pre-existing diseases. The benefit is available with or without extra cost depending on the plan chosen.
*Coverage of pre-existing diseases is provided by insurer as per their underwriting policy.
*The scope of coverage may vary from plan to plan.
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