Healthcare and Insurance for U.S. Citizens and Green Card Holders in India

1. What healthcare coverage options are available for U.S. citizens and green card holders in India?

U.S. citizens and green card holders can purchase health insurance plans from both private and public insurers in India. Private insurers such as Max Bupa, HDFC Ergo, Apollo Munich, Star Health and Bajaj Allianz offer individual, family and senior citizen plans with a wide variety of options.

Public insurers such as the Employees State Insurance Corporation (ESIC) have plans for salaried employees who are registered with the organization. Additionally, some state government bodies such as the Central Government Health Scheme (CGHS) offer plans for government employees and their dependents.

2. Can U.S. citizens and green card holders purchase private health insurance in India?

Yes, U.S. citizens and green card holders can purchase private health insurance in India. However, the insurance company must be registered with the Insurance Regulatory and Development Authority of India (IRDAI) in order to be considered valid. Additionally, green card holders should check to ensure that their policy will provide coverage to them in the U.S. if they decide to return.

3. What public healthcare programs are available for U.S. citizens and green card holders in India?

U.S. citizens and green card holders in India can access certain public healthcare programs through the Indian government. These include the centrally funded Rashtriya Swasthya Bima Yojana (RSBY), which provides health insurance to families below the poverty line; the Pradhan Mantri Jan Arogya Yojana (PMJAY) program, which provides free health insurance to vulnerable populations; the National Health Mission (NHM), which provides free healthcare services at public health facilities; and the Ayushman Bharat program, which provides access to free healthcare services at private hospitals.

4. Is travel insurance available for U.S. citizens and green card holders visiting India?

Yes, travel insurance is available for U.S. citizens and green card holders visiting India. There are several companies that offer travel insurance for India, such as Allianz Global Assistance, Travel Guard, and Seven Corners.

5. Are pre-existing medical conditions covered under health insurance in India?

Yes, pre-existing medical conditions are covered in health insurance policies in India. Pre-existing conditions refer to any health issue or ailment you have been diagnosed with before buying the health insurance policy. All health insurance policies in India cover pre-existing medical conditions, provided the insurer has given prior consent. However, the coverage for pre-existing conditions may differ from policy to policy.

6. Are there any restrictions on medical care for U.S. citizens and green card holders in India?

Yes, there are restrictions on medical care for U.S. citizens and green card holders in India. According to the U.S. Embassy website, “U.S. citizens should understand that medical treatment in India is generally inferior to that available in the United States and may not meet U.S. standards. Many hospitals in India require payment in cash prior to providing services, regardless of whether you have insurance, and may not accept credit cards.” U.S. citizens should also be aware that they may not be able to access certain types of treatments or drugs in India that are available in the United States, and should research potential treatments or medications before traveling to India.

7. How does the cost of healthcare in India compare to other countries?

The cost of healthcare in India is much lower than that of most other countries. This is due to a combination of factors, including the availability of generic drugs, the ability to purchase medical supplies in bulk, and low salaries for medical staff. Additionally, India’s government has implemented subsidies and price caps to ensure that healthcare is affordable for all citizens.

8. Does the government offer subsidies for medical care in India?

Yes, the government of India provides subsidies for medical care through the Ayushman Bharat scheme. The scheme provides access to free healthcare for certain sections of the population, including vulnerable and disadvantaged groups.

9. How does health insurance coverage work for U.S citizens and green card holders living in India?

U.S citizens and green card holders living in India are not eligible to purchase health insurance coverage from U.S based insurance companies due to regulations. However, they can buy health insurance coverage through local Indian insurance companies. These policies usually cover medical expenses incurred in India, as well as emergency medical evacuation and repatriation to the United States if required. It is advisable to contact your local Indian insurance companies to find out the specific coverage they offer for U.S citizens and green card holders living in India.

10. Are there any special considerations for healthcare coverage for retired U.S citizens and green card holders living in India?

Yes, there are. U.S. citizens and green card holders who are living and/or traveling in India are eligible for Medicare coverage, provided they meet certain conditions. They must be enrolled in Original Medicare, have a valid U.S. passport, and have lived in the U.S. for at least five consecutive years prior to leaving the country. Medicare will not cover any healthcare services or treatments received outside of the U.S., however, U.S citizens and green card holders may purchase international health insurance that covers medical services in India. Additionally, some private insurance companies may provide coverage for healthcare services in India for U.S citizens and green card holders who are living abroad.

11. Does India have a law protecting citizens from high healthcare costs?

Yes, India has a law protecting citizens from high healthcare costs. The Clinical Establishment Act, which was enacted in 2010, is aimed to regulate the cost of medical services, standardize treatment protocols and ensure quality care. The Act also provides for the establishment of grievance redressal forums at the state and district levels to ensure that people are not subject to arbitrary fees charged by private healthcare providers.

12. Are prescription drugs covered under health insurance plans in India?

Yes, prescription drugs are generally covered under health insurance plans in India. There are certain plans that provide coverage for both generic and branded medication, while some plans may only cover generic medications. It is important to check with your health insurance provider for details on what is covered under your plan.

13. What is the out-of-pocket cost for U.S citizens and green card holders receiving medical care in India?

The out-of-pocket cost for U.S citizens and green card holders receiving medical care in India will vary depending on the type of treatment and the hospital they are receiving the care from. Generally, medical care in India is more affordable than in the U.S, so US citizens may be able to save money on healthcare costs.

14. Are there any government-funded clinics or hospitals available to U.S citizens and green card holders in India?

Yes, there are government-funded clinics and hospitals available to U.S citizens and green card holders in India. The United States Embassy in India provides information on these facilities, and includes a list of hospitals and clinics that are open to U.S citizens and green card holders.

15. Does India have a national health service that provides free medical care to all citizens?

No, India does not have a national health service that provides free medical care to all citizens. However, the government does provide some health services free of charge, such as immunization and basic health care for pregnant women and children.

16. Are dental services included in health insurance plans offered to U.S citizens and green card holders in India?

No, dental services are generally not included in health insurance plans offered to U.S. citizens and green card holders in India.

17. Are there any tax benefits or incentives offered to U.S citizens and green card holders to purchase health insurances in India?

No, there are no tax benefits or incentives offered to U.S citizens and green card holders to purchase health insurances in India.

18. Is mental health care covered under health insurance plans in India?

Yes, most health insurance plans in India provide coverage for mental health care. Mental health services, such as counseling and psychotherapy, may be covered under the plan or require additional premiums. Some plans may provide coverage for medication and hospitalization for mental health treatment.

19. What is the process for filing an insurance claim for medical treatment received by a U.S citizen or green card holder in India?

The process for filing an insurance claim for medical treatment received by a U.S citizen or green card holder in India is as follows:

1. Contact your insurance provider: Before seeking medical treatment in India, contact your insurance provider to understand your coverage and confirm that the services you are seeking are covered.

2. Seek medical treatment: Once you have confirmed that your insurance will cover your care, seek out a medical provider in India who is covered under your plan.

3. Gather necessary documentation: Collect copies of your medical bills, medications, and any other relevant paperwork related to your treatment.

4. Submit a claim: Submit the paperwork along with any required forms to your insurance provider, following their instructions for filing a claim.

5. Follow up on your claim: Monitor the status of your claim to ensure it is being processed and paid out in a timely manner.

20. How does the cost of healthcare compare with other countries for U.S citizens and green card holders visiting or living in India?

The cost of healthcare in India is generally lower than in the US for US citizens and green card holders visiting or living in India. Generally, the cost of healthcare services such as doctor’s visits, medical tests, and procedures is around 30-50% lower than what might be charged in the US for the same service. However, the availability of quality medical care can vary widely, so it is important to research the options available before making any decisions.