Lijiye Advantage, ₹1 cr Health Cover Ka

Key Features of Care Advantage Health Insurance Policy

Care Advantage helps you and your loved ones sail through the most difficult medical situations by offering you 1 Crore Family Health Insurance cover along with two more health cover options with a sum insured of Rs 25 Lakh and Rs 50 Lakh, respectively. It includes the below-mentioned features:

• Individual or Floater Option
• Cover for Hospitalization Expenses
• Daycare Treatment Cover
• Pre-and Post-Hospitalization Medical Expenses Cover
• Ambulance Cover
• Organ Donor Cover
• No Claims Bonus
• Tax Benefits under Section 80 D
• Automatic Recharge

Factors to consider while buying Health Insurance for 1 Crore, 50L or 25L

The following are some vital points to consider when opting for a health cover:

• Assess Healthcare Needs: Before opting for a health insurance policy, you must assess your healthcare needs by considering factors such as age, the number of family members, medical history, etc. Consider opting for a cover of 1 Crore, 50L, or 25 L, depending on the medical expenses you have estimated.
• Premium: Going for an increased coverage under your existing health policy may cost you additional charges on the premium. However, by opting for a policy with a high sum insured like a customised 1 Crore Health Insurance Policy, you can look forward to an affordable premium rate.
• Buy Health Insurance Online: Technology has made buying health insurance easy and convenient. You now have the option to review the best policies comfortably from your mobile or computer screen. Also, you can make premium payments and raise a claim request through an online method.

 

Why do you need Health Insurance Cover with Higher Coverage?

Lifestyle diseases are on a constant rise. While we ensure to follow a healthy lifestyle and healthy diet, it is crucial to be financially prepared for any health emergency. Medical conditions are not always due to poor lifestyle. It may be due to hereditary factors as well. Thus, a health insurance policy with higher coverage, for instance, Rs 1 Crore Health insurance, would serve as a financial cushion. All your major expenses entailing hospitalisation, daycare treatment, as well as pre and post hospitalisation medical expenses, will be covered under your policy. You get coverage for certain specific ailments and pre-existing diseases after the waiting period is over, subject to policy terms and conditions.

Things to Keep in Mind While Buying Health Insurance with High Sum Insured

Before making a judicious choice for the preferred health insurance policy, it is important to consider certain factors as listed below:

• Expenses covered: At the time of selecting a health insurance plan, one should select the amount wisely as it covers the medical expenses for a year. Make sure you chose a sum insured which won’t fall short in case of an emergency and the premium for which is not too exorbitant. For protection from huge medical expenses, you can depend on the health insurance 1 Crore coverage under Care Advantage while you also have two more sum insured options to choose from – health insurance with Rs 25L and Rs 50L cover. Make sure you read the policy features to know about the expenses which are covered.
• Waiting Period: When opting for a health insurance policy, you must check for the waiting period before making a claim. With Care Advantage, we offer coverage with an initial 30 days waiting period for any claim due to illnesses, except injury. There is a waiting period of 48 months for pre-existing diseases and 24 months for specific diseases.
• Network Hospitals: One should always check the Cashless Network Hospitals of the insurance company. At the time of a medical emergency or hospitalization, the hospitals in the network offer cashless treatment options under this facility; the insurer settles the medical bills directly with the hospital, subject to policy terms and conditions. We, at Care Health Insurance (formerly known as Religare Health Insurance Company Limited), offer cashless treatment at more than 7900 hospitals across India.
• Lifetime Renewal: Look for health policies that offer lifetime renewability. There is a higher chance of suffering from diseases and illnesses when you are old. It is advisable to buy a health policy offering lifetime renewability.
• No Claim Bonus: No claim bonus in health insurance refers to the additional coverage provided by the insurer to the insured if no claim has been made during the year. We, at Care Health Insurance (formerly known as Religare Health Insurance Company Limited), offer 10% increase in sum insured per policy year if you had a claim-free year; the maximum limit to this increase is 50% of the sum insured.

Tax Benefits of Care Advantage

A Health insurance policy not only covers your medical expenses but also offers you tax benefits under Section 80D of the Income Tax Act. As per this provision, you are eligible to claim a tax deduction of Rs 25,000 in a financial year for the premium you pay towards the policy. In case you have senior citizen parents covered under the policy, you get an additional deduction of Rs 50,000 under Section 80D tax benefits.

Claim Settlement Process for 1 Crore Health Insurance Policy

In case of emergency hospitalization, reach out to our customer support team and inform us within 24 hours of your admission to the hospital. In case of planned hospitalization, inform us 48 hours prior to admission.

Cashless Hospitalization Claim Process

• Submit the duly filled and signed pre-authorization form to the hospital insurance desk.
• An approval letter will be sent by our claim management team.
• If required, a query might be raised from the side of our claim management team.
• After the approval, your bills will be directly paid to the hospital.

Reimbursement Claim Process

• Submit the duly completed and signed Health Insurance claim reimbursement form along with all the required documents:
• You are required to submit the following documents:
  • Valid photo-id proof
  • Medical certificate issued by the hospital/doctor
  • Original bills, receipts, discharge form issued by the hospital/doctor
  • Other documents, as requested by the insurer
• Our claim management team may raise a query if required
• An approval letter will be sent by the claim management team
• We will communicate in case of any rejection.

Exclusions in Care Advantage

Exclusions are the diseases that are not covered under the policy. Some common exclusions for Health Insurance Policy are listed below:

• Self-Inflicted injuries and suicide attempts
• Injuries due to consumption of alcohol
• IVF or infertility treatment
• Hospitalization due to war or nuclear threat
• Plastic surgery and cosmetic treatment
• Other permanent exclusions