Asthma is a chronic respiratory disease most prevalent in India, with millions of adults and children contracting the disease annually. Although the condition can be controlled, the cost of drugs, doctor consultations, emergency treatment, and preventive care can burden families in the long run. It is here that the selection of the appropriate health insurance plans becomes critical- not only to cover the cost, but to provide long-term respiratory health management.
Here, in a step-by-step guide, we discuss the health effects of asthma, what to consider in asthma insurance, and why specialised chronic disease insurance can be of significance. We will also examine the coverage of asthma and respiratory ailments by ManipalCigna, particularly under its new Sarvah range.
Understanding Asthma and Its Health Impact
Asthma is a long-term inflammatory disorder, which involves the airways and causes them to be swollen, narrow and very sensitive. These airways further tighten during an asthma attack, which causes difficulty in breathing, wheezing, chest tightness and cough. Asthma can be managed by medication and lifestyle changes, but it needs to be observed constantly and treated in the long term.
Health impact of untreated or poorly managed asthma:
- Reduced lung function over time
- Frequent hospital visits or emergency care
- Dependency on daily medications, such as inhaled corticosteroids
- Greater risk of severe respiratory complications
- Impact on daily activities, exercise tolerance, and productivity
Asthma is a lifelong disease, and therefore, the medical spending is likely to rise progressively as a person grows up. It is therefore necessary to possess an effective health insurance coverage that covers respiratory illnesses, outpatient services and management of chronic illnesses.
Common Symptoms and Triggers of Asthma
While each individual’s asthma experience is unique, most patients show predictable symptoms:
- Persistent cough
- Wheezing or whistling sound while breathing
- Chest tightness or heaviness
- Breathlessness, especially during exertion
- Night-time coughing spells
Asthma triggers may include:
- Dust, smoke, or pollution
- Cold weather
- Pollen and outdoor allergens
- Respiratory infections
- Stress or anxiety
- Vigorous exercise
- Pet dander
Knowing these triggers can be used to personalise treatment, yet it also explains why asthma patients need funds for OPD visits, inhalers, nebulization, and in-hospital emergency services.
Why Health Insurance Is Important for Asthma Patients
Asthma treatment is a long-term process, and costs are incurred slowly yet steadily. Quality treatment involves diagnostics, a pulmonologist visit, inhalers, nebulisers, spirometry examination, allergy examination and even hospitalisation.
A comprehensive health insurance plan helps by:
- Reimbursement of hospitalisation in case of a serious asthma attack.
- The cost of diagnostic tests and respiratory tests.
- Giving sum insured restoration benefits on multiple admissions.
- Providing benefits for chronic disease management.
- Pre-existing asthma is covered beyond the waiting period.
- Assistance to patients in getting cashless treatment.
The selection of an appropriate policy will guarantee financial stability and peace of mind in the event of a chronic respiratory condition.
Does Health Insurance Cover Asthma?
Yes, most standard health insurance plans cover asthma as part of general hospitalisation coverage. Asthma becomes eligible for coverage under:
- Inpatient hospitalisation for asthma attacks
- Emergency room treatment
- Nebulization is administered in hospital settings
- Respiratory support, such as oxygen therapy
Nonetheless, in most instances, asthma is treated as a pre-existing disease (PED). This implies that insurers use a period of waiting, which in most cases is between and -4 years. There are also other insurers who offer OPD or chronic care add-ons, which include inhalers, doctor consultations or diagnostics.
Best Health Insurance Plans for Asthma Patients
While many insurers offer coverage, the best health insurance plans for asthma patients are those that include:
- Comprehensive hospitalisation coverage: Should contain pre- and post-hospitalisation, emergency treatment, oxygen supply, and ICU expenses.
- Chronic disease management benefits: Strategies that provide disease-specific treatment of asthma, COPD, or bronchitis are helpful.
- Short waiting periods for pre-existing conditions: Some modern plans reduce waiting periods for mild-to-moderate chronic illnesses.
- Affordable premiums with optional add-ons: Such add-ons as OPD cover, pharmacy benefits, or wellness benefits are very helpful.
- Specialised plans such as ManipalCigna Sarvah: The Sarvah range by ManipalCigna is especially appropriate since it provides coverage for conditions such as asthma with short waiting durations through optional benefits.
In general, the most suitable asthma plan is one that is a combination of affordability, chronic-care assistance, and wide-range medical coverage.
Key Exclusions and Waiting Periods
Every asthma patient should carefully check policy exclusions and waiting periods.
Common Exclusions:
- Treatment or hospitalisation during the waiting period
- Non-prescription inhalers or OTC medication
- Preventive treatment, unless covered under OPD add-ons
- Experimental or unapproved respiratory therapy
- Homenebulisers (some plans cover only hospital-administered nebulisation)
Waiting Periods for Asthma:
- Standard PED Waiting Period: 24–48 months for asthma
- Reduced Waiting Period Plans: Some insurers reduce the waiting period 1to 2 months
- Zero Waiting Period Plans: Available only under premium chronic disease insurance plans
Understanding these terms helps avoid claim rejection and ensures smooth treatment access.
Benefits of Asthma and Chronic Disease Insurance
Choosing a plan designed specifically for chronic conditions offers extra advantages:
- Affordable long-term treatment costs
- Coverage for pre-existing disease after reduced waiting
- OPD benefits for routine check-ups with pulmonologists
- Coverage for inhalers, preventive therapy, and diagnostics (in specific plans)
- Access to disease management programs
- Better claim support and continuity of care
These benefits help asthma patients manage their condition with confidence and continuity.
How to Choose the Right Health Insurance Plan
To select the right plan, evaluate:
- Waiting Period for Asthma: Shorter waiting periods are beneficial for chronic disease patients.
- OPD and Pharmacy Coverage: Helps cover inhalers, spirometry tests, and frequent doctor visits.
- Sum Insured: A minimum of ₹5 lakh is recommended for urban asthma patients due to rising healthcare costs.
- Room Rent Limits: Choose plans with no room rent capping for better comfort during emergencies.
- Restoration Benefits: Allows policyholders to reuse the sum insured during multiple hospitalisations.
- Cashless Hospital Network: A wide network ensures quick access during asthma attacks.
- Add-on Riders: Chronic care add-ons, wellness coverage, and disease management support should be considered.
ManipalCigna’s Coverage for Asthma and Respiratory Conditions
ManipalCigna’s new Sarvah health insurance range offers significant advantages for asthma patients.
1. Sarvah Pratham
Suitable for people looking for essential coverage against major illnesses and respiratory emergencies.
2. Sarvah Uttam
A comprehensive plan with:
- Broad hospitalisation coverage
- Coverage for pre-existing respiratory illnesses
- Optional Sarathi Benefit, offering coverage for asthma and respiratory PEDs from day 31
- Pre- and post-hospitalisation coverage up to 90 and 180 days
- Restoration of the sum insured for multiple admissions
This makes it one of the strongest choices for asthma patients seeking a flexible and robust plan.
3. Sarvah Param
For those who want the highest level of protection, including:
- Minimal or zero waiting periods, depending on the benefits chosen
- Advanced chronic-care coverage
- High sum insured options
Overall, ManipalCigna provides some of the best health insurance plans for asthma patients, particularly due to shorter waiting periods and strong respiratory coverage options.
Tips to Manage Asthma Effectively
Along with the right insurance, daily management helps prevent severe flare-ups:
- Identify and avoid triggers
- Keep your inhaler accessible at all times
- Follow your doctor’s asthma action plan
- Use preventive inhalers regularly
- Get annual flu and pneumonia vaccinations
- Maintain a clean environment
- Practice breathing exercises
- Track symptoms through a diary or mobile app
- Maintain regular follow-ups with a pulmonologist
Consistent management reduces emergency hospital visits and improves quality of life.
Conclusion
Asthma is a chronic but controllable respiratory disease. As healthcare costs continue to increase, the appropriate health insurance policy will be a key step in eliminating financial pressures and receiving quality care. Plans that have the characteristics of chronic care, short waiting time, OPD coverage, and restoration benefits are the most helpful in supporting asthma patients.
The Sarvah plans of ManipalCigna, in particular, Sarvah Uttam with Sarathi benefit, offer good coverage of asthma and respiratory diseases and are therefore appropriate to families who require specialised protection against chronic diseases and overall healthcare support.
FAQs on Asthma Health Insurance
Does health insurance cover asthma treatment and medication costs?
Yes, health insurance covers asthma treatment when hospitalisation is required. Medication coverage, like inhalers, depends on the policy and is usually included in plans with OPD or chronic disease insurance add-ons.
Are inhalers and nebulisers covered under asthma insurance plans?
Hospital-administered nebulization is generally covered. Personal nebulisers or inhalers are covered only if OPD or pharmacy benefits are included in the plan.
What waiting period applies to pre-existing asthma conditions?
Most insurers apply a 1–4 year waiting period. Other plans, such as ManipalCigna Sarvah (with Sarathi benefit), have a waiting period as low as 30 days, on a select range of chronic respiratory illnesses.
Can asthma be covered under chronic disease insurance?
Yes, most chronic disease insurance covers asthma with added benefits such as OD visits, medication coverage, and a disease management program.
Are emergency hospitalisations for asthma attacks covered?
Yes. Emergency treatment due to asthma attacks is covered under standard health insurance and chronic disease plans, including ICU care, oxygen therapy, and inpatient monitoring.
