The document outlines a health care plan for adults and dependent children, offering various policy terms, types, and sum insured options. It details coverage for hospitalization, maternity, baby care, outpatient expenses, and optional covers like loss of income and international coverage. The plan includes specific waiting periods and benefits for different sum insured levels, ensuring comprehensive health care support.
The document outlines a health care plan for adults and dependent children, offering various policy terms, types, and sum insured options. It details coverage for hospitalization, maternity, baby care, outpatient expenses, and optional covers like loss of income and international coverage. The plan includes specific waiting periods and benefits for different sum insured levels, ensuring comprehensive health care support.
The document outlines a health care plan for adults and dependent children, offering various policy terms, types, and sum insured options. It details coverage for hospitalization, maternity, baby care, outpatient expenses, and optional covers like loss of income and international coverage. The plan includes specific waiting periods and benefits for different sum insured levels, ensuring comprehensive health care support.
The document outlines a health care plan for adults and dependent children, offering various policy terms, types, and sum insured options. It details coverage for hospitalization, maternity, baby care, outpatient expenses, and optional covers like loss of income and international coverage. The plan includes specific waiting periods and benefits for different sum insured levels, ensuring comprehensive health care support.
Age @ Entry Adult- 18 Yrs to 65 Yrs Dependent Child- 3 Months to 30 Yrs
Policy Term 1Year/2 Years/3 Years policy Type Individual(Max 14 Members) /Family Floater (Max 2A+4C) SI Options 3/4/5/7.5/10/15/20/25/30/35/40/45/50/75 Lacs and 1 Cr./2 Cr /3 Cr/4 Cr /5 Cr. Renewal Life Long
Upto 10 Lacs-Single Pvt A/C room/General Ward/Twin Sharing/1% of S.I. max. up to 5000/1.5% of S.I. max. 7500/2% SI max up to 7500 Room Rent SI Above 10 Lacs- At Actual Standard 60 Days- Available options as below- Pre Hospitalisation SI Below 50 Lacs-30/90/180 Days SI Above 50 Lacs-90/180/240 Days Standard 90 Days- Available options as below- Post Hospitalisation SI Below 50 Lacs-30/60/180 Days SI Above 50 Lacs-60/180/240 Days Modern Treatments At Actual up to Sum Insured Day Care All Day Care Procedures Covered Organ Donor Expenses Covered up to Sum Insured
Ayurvedic & Homeopathic
Covered up to Sum Insured Hospitalisation Expenses
Road Ambulance Covered up to Sum Insured
. Applicable for SI 5 Lacs & Above waiting period-36 months(Can be reduced to 24 months if 2/3 yrs permium paid in one go) . Covered up to 2 deliveries and up to age 45 . Covers maternity expenses incurred for the respective surrogate mother provided that the necessary documents related to surrogacy are furnished Maternity Package Expenses at the time of claims will be indemnified .SI 5-10 Lacs-Rs.50,000 .SI 15-20 Lacs-Rs.75,000 .SI above 20 Lacs- Rs.1 Lakh . Covers In-patient Hospitalization expenses for your new-born baby on the advice of a Medical Practitioner because of Illness or Injury . SI 3-4 Lacs-Rs.1 Lac Baby Care Cover . SI 5-10 Lacs-Rs.5 Lacs . SI 15-50 Lacs-Rs.10 Lacs . SI above 50 Lacs- Rs.15 Lacs
. Covered After 30 days for Non-PED and after 36 months for PED related illness . Tele consultation cover OPD Expenses . Doctor consultation cover (in-clinic) : Limit-50% of wallet (Cashless & reimbursement) . Pathology & radiology cover : Limit-50% of wallet (Cashless & reimbursement) . Annual preventive health check-up cover : 1 voucher, once in a policy year in network center
Domiciliary Hospitalization Covered up to Sum Insured Expenses
on Doctor's advice paid max up to 10 weeks
Home Nursing Benefit . SI up to 50 Lacs-Rs.5,000 per week . SI above 50 lacs- Rs.10,000 per week . SI up to 10 Lacs- Rs.10,000 Cost of Prescribed External . SI 15-50 Lacs- Rs.25,000 Medical Aid . SI above 50 Lacs- Rs.50,000 for SI 50 Lacs-1 Cr- Rs.10 Lacs Air Lift Cover for SI above 1 Cr- Rs.20 Lacs
Triggered even on partial utilization of SI and available unlimited times for SI 5 lacs n above SI Reinstatement
. S.I. 3 and 4 Lacs- 25% per annum max. 100%
Cumulative Bonus . S.I. 5 Lacs and above- 50% per annum max. 100% . For Sum Insured upto 10 Lac-Rs.25,000 Family Visit . For Sum Insured above 10 Lac-Rs.50,000 Consumable Expenses Covered upto sum insured Renewal Premium Waiver In case of Death of the proposer one subsequent renewal will be waived Benefit Optional Covers Loss of Income Cover Paid from 10k per week to 25k per week as per SI if hospitalization occurred due to any illness except infection Major Illness and Accident Due to listed Critical Illnesses or due to Accidental Bodily Injuries during the Cover Period, then the sum insured for such Major Illnesses or Injury Multiplier would be increased maximum up to two times of “Inpatient Hospitalization Treatment” Sum Insured International Cover with a 10% co-pay up to max 180 days emergancy international cover can be opted Waiting Periods 30 Days,24 Months(Can be reduced up to 12 months),PED-36 months(Can be reduced up to 12 months)
