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IRDAI LICENSE NUMBER :
20089887
CARE HEALTH PLANNER CODE :
20089887
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Our certified care health planner & get the health insurance advice best suited to your needs
Rajendra Singh Sogarwal is IRDAI certified insurance advisor with extensive experience in insurance industry. He has been part Care Health Insurance’s team since 25-05-18 and has enabled many individuals and their families get comprehensive coverage at an affordable price by helping them choose a plan, best suited to their needs, from our wide range of insurance solutions.
Care Supreme
Care Supreme
Redefine the value that you get from Your Health Insurance
Senior Premium
Redefine the value that you get from Your Health Insurance
Senior Super
Redefine the value that you get from Your Health Insurance
POS Care Supreme
POS Care Supreme
Redefine the value that you get from Your Health Insurance
POS Senior Premium
Redefine the value that you get from Your Health Insurance
POS Senior Super
Redefine the value that you get from Your Health Insurance
Ultimate Care
Ultimate Care
Feature rich Comprehensive Health Insurance Plan
POS Ultimate Care
POS Ultimate Care
Feature rich Comprehensive Health Insurance Plan
Care Supreme VFM
VFM 1
Redefine the value that you get from Your Health Insurance
VFM 2
Redefine the value that you get from Your Health Insurance
VFM 3
Redefine the value that you get from Your Health Insurance
POS Care Supreme VFM
POS VFM 1
Redefine the value that you get from Your Health Insurance
POS VFM 2
Redefine the value that you get from Your Health Insurance
POS VFM 3
Redefine the value that you get from Your Health Insurance
Care Supreme Super Saver
Care Supreme Super Saver
Redefine the value that you get from Your Health Insurance
Secure
Secure
Redefine the value that you get from Your Health Insurance
Secure Plus
Redefine the value that you get from Your Health Insurance
Secure Child
Redefine the value that you get from Your Health Insurance
Individual Health Cover
Care
Comprehensive Health Insurance Plan
Care AdvantageHigher Coverage at Affordable Premium Comprehensive Health Insurance Plan
Care Plus Complete
Feature rich Comprehensive Health Insurance Plan
Care Plus Youth
Feature rich Comprehensive Health Insurance Plan
Family Health Cover
Care
Comprehensive Health Insurance Plan
Care AdvantageHigher Coverage at Affordable Premium Comprehensive Health Insurance Plan
Care Plus Complete
Feature rich Comprehensive Health Insurance Plan
Care Plus Youth
Feature rich Comprehensive Health Insurance Plan
Care Classic
Comprehensive Health Insurance Plan
Care Classic with Instant Coverage
Comprehensive Health Insurance Plan
Senior Citizen Health Cover
Care for Senior Citizen
Comprehensive Health Insurance coverage for Senior citizens
Senior Health Advantage
Silver Plan
Pre- Existing Disease Cover
Care Freedom
Comprehensive coverage for customers with multiple existing conditions
Care Heart
Comprehensive coverage for customers with Heart Ailments
High Sum Insured Health Cover
Care AdvantageHigher Coverage at Affordable Premium Comprehensive Health Insurance Plan
Enhance
Top Up Plan
Supreme Enhance
Redefine the value that you get from Your Health Insurance
Special Product
Super Care Advantage
High coverage in India and Abroad
Critical Mediclaim
Low cost coverage for 32 Specified Major illness treatments
Cancer Mediclaim
Low cost coverage for Cancer Treatment
Heart Mediclaim
Low cost coverage for treatment of 16 Specified Heart conditions
Maternity Coverage
Joy Today
Health Insurance cover with Maternity coverage after 9 Months
Joy Tomorrow
Health Insurance cover with Maternity coverage after 24 Months
Travel
Explore
Overseas Travel Insurance for Tourist and Business Travellers
Student Explore
Overseas Travel Insurance for Students Travelling for Higher Studies
Are you Looking for an Insurance Product ?
If you are looking for an Insurance Plan, you have come to the right place. Here at our company, we offer a variety of Insurance Plans to choose from. We are confident that we have the right plan for you, and we are more than happy
to help you find the perfect fit.
Buy From our variety of Products
Care Supreme
Redefine the value that you get from Your Health Insurance
Care Advantage
Higher Coverage at Affordable Premium Comprehensive Health Insurance Plan
Care Plus Complete
Feature rich Comprehensive Health Insurance Plan
Care Plus Complete
Health Insurance with no upper age limit is exclusively designed for individuals aged 36 or above. The policy offers comprehensive inflation-proof coverage with no co-payment clause and keeps you safe against a medical crisis.
Suitable for customers with Age>36 Years
Once a Year Annual Health Check-up for all Insured Members in a Policy Year
Unlimited times Automatic Recharge for multiple claims for related or unrelated illness
Upto 200% increase in Coverage with No Claim Bonus
Features of Care Plus Complete
KEY FEATURES
3L
5L \ 7L \ 10L \ 25L
Room Rent
1% of SI
Single Private AC Room
ICU Limit
2% of SI
No Limit for SI>=5 Lacs
In-Patient Treatment
Up to SI
Up to SI
Day Care Treatment
Up to SI
Up to SI
Pre - Hospitalization Expenses
60 Days
60 Days
Post -Hospitalization Expenses
90 days
90 days
Road Ambulance Cover
Up to Rs.2,000 per hospitalization
Up to Rs.2,000 per hospitalization
Organ Donor Cover
Up to SI
Up to SI
Domiciliary Hospitalization
Up to SI
Up to SI
Second Opinion
Once in a policy year for specified Critical Illness
Once in a policy year for specified Critical Illness
Annual Health Check-up
Available for all members insured as adult
Available for all members insured as adult
No Claim Bonus
50% increase/Decrease in SI per Policy Year; maximum Increase up to 200% SI
50% increase/Decrease in SI per Policy Year; maximum Increase up to 200% SI
Alternative Treatments ( AYUSH)
10% of SI
10% of SI
Air Ambulance Cover
Upto SI or 5 Lacs, whichever is lower
Upto SI or 5 Lacs, whichever is lower
Unlimited Automatic Recharge
Up to SI (unlimited times, applicable for same illness as well)
Up to SI (unlimited times, applicable for same illness as well)
No Claim Bonus Protection
No Loss of NCB at renewal if claim amount in a policy year <25% of SI
No Loss of NCB at renewal if claim amount in a policy year <25% of SI
OPD Coverage
Out-patient Consultations
Up to Rs.1,500 (SI=5L& 7L)
Up to Rs.2,500 (SI=10L &25L)
Limit per consultation is Rs.350/-
Out-patient Dental and Ophthalmic Treatments
Up to Rs.1,500 (SI=5L & 7L);
Up to Rs.2,500 (SI=10L & 25L);
Personal Accident Cover for Primary Insured Member
100% of SI on Accidental Death or Upto 100% of SI on PTD ( amount as per PTD table)
100% of SI on Accidental Death or Upto 100% of SI on PTD ( amount as per PTD table)
Inflation Shield
Increase in SI every Year based on CPI Inflation in Previous Year
Increase in SI every Year based on CPI Inflation in Previous Year
New Age Benefit
Unlimited E-Consultation : Available for General Physicians
Earn and Burn Wellness program to Earn and Burn the reward points
Health Services/Health Portal Healthy tips reminder, Digital locker for medical records, etc. Discount Connect – Discounts on services at our network
Unlimited E-Consultation : Available for General Physicians
Earn and Burn Wellness program to Earn and Burn the reward points
Health Services/Health Portal Healthy tips reminder, Digital locker for medical records, etc. Discount Connect – Discounts on services at our network
Care Plus Youth
Youth Health Insurance is one of the promising health insurances that start safeguarding the insured at an early age. You need not think twice if you wish to buy health insurance that protects your youth as well as adulthood.
Once a Year Annual Health Check-up for all Insured Members in a Policy Year
Unlimited times Automatic Recharge for multiple claims for related or unrelated illness
Upto 200% increase in Coverage with No Claim Bonus
Automatic Increase in coverage on renewal based on average CPI Inflation
Features of Care Plus Youth
KEY FEATURES
3L
5L \ 7L \ 10L \ 25L
Room Rent
1% of SI
Single Private AC Room
ICU Limit
2% of SI
No Limit for SI>=5 Lacs
In-Patient Treatment
Up to SI
Up to SI
Day Care Treatment
Upto SI
Upto SI
Pre - Hospitalization Expenses
60 Days
60 Days
Post -Hospitalization Expenses
90 days
90 days
Road Ambulance Cover
Up to Rs.2,000 per hospitalization
Up to Rs.2,000 per hospitalization
Organ Donor Cover
Up to SI
Up to SI
Domiciliary Hospitalization
Up to SI
Up to SI
Second Opinion
Once in a policy year for specified Critical Illness
Once in a policy year for specified Critical Illness
Annual Health Check-up
Available for all members insured as adult
Available for all members insured as adult
No Claim Bonus
50% increase/Decrease in SI per Policy Year; maximum Increase up to 200% SI
50% increase/Decrease in SI per Policy Year; maximum Increase up to 200% SI
Alternative Treatments ( AYUSH)
10% of SI
10% of SI
Air Ambulance Cover
Upto SI or 5 Lacs, whichever is lower
Upto SI or 5 Lacs, whichever is lower
Unlimited Automatic Recharge
Up to SI (unlimited times, applicable for same illness as well)
Up to SI (unlimited times, applicable for same illness as well)
No Claim Bonus Protection
No Loss of NCB at renewal if claim amount in a policy year <25% of SI
No Loss of NCB at renewal if claim amount in a policy year <25% of SI
OPD Coverage
Out-patient Consultations Up to Rs.1,500 (SI=5L& 7L); Up to Rs.2,500 (SI=10L &25L); Limit per consultation is Rs.350/-
Out-patient Dental and Ophthalmic Treatments Up to Rs.1,500 (SI=5L & 7L); Up to Rs.2,500 (SI=10L & 25L);
Personal Accident Cover for Primary Insured Member
100% of SI on Accidental Death or Upto 100% of SI on PTD ( amount as per PTD table)
100% of SI on Accidental Death or Upto 100% of SI on PTD ( amount as per PTD table)
Inflation Shield
Increase in SI every Year based on CPI Inflation in Previous Year
Increase in SI every Year based on CPI Inflation in Previous Year
New Age Benefit
Unlimited E-Consultation : Available for General Physicians
Earn and Burn Wellness program to Earn and Burn the reward points
Health Services/Health Portal Healthy tips reminder, Digital locker for medical records, etc. Discount Connect – Discounts on services at our network
Unlimited E-Consultation : Available for General Physicians
Earn and Burn Wellness program to Earn and Burn the reward points
Health Services/Health Portal Healthy tips reminder, Digital locker for medical records, etc. Discount Connect – Discounts on services at our network
Care Advantage
A 1 crore health insurance policy is all you need to meet the comprehensive healthcare needs of the entire family. The policy secures expansive healthcare benefits while ensuring lifelong coverage.
Upto 6 Cr Coverage in India and Abroad
Planned Hospitalization for diseases/illness diagnosed in India for SI 25L/50L/100L
Planned and Unplanned for diseases/illness out of India
Option to choose Worldwide or worldwide excluding USA Coverd
All Category Rooms allowed
AYUSH Coverage in India
Upto 50% Increase in coverage for treatment in India with NCB Super
Upto additional 100% Incresae in Coverage for treatment in India with NCB Super
Automatic Recharge once in a year for related and unrelated illness in India
Features of Care Advantage
Sum Insuredon annual basis (in Rs.)
25 L / 50 L / 100 L
200 L / 300 L / 600L
Room Rent / Room Category
No Sub-limit
No Sub-limit
ICU Charges
No Sub-limit
No Sub-limit
In-Patient Care
Up to SI
Up to SI
Day Care Treatment
Up to SI
Up to SI
Pre-Hospitalization Medical Expenses and Post-Hospitalization Medical Expenses
Pre-Hospitalization for 60 days &Post-Hospitalization for 180 days; Maximum up to SI
Pre-Hospitalization for 60 days & Post-Hospitalization for 180 days; Maximum up to SI
Ambulance Cover
Up to SI
Up to SI
Organ Donor Cover
Up to SI
Up to SI
No Claims Bonus (NCB)
10% increase in SI per Policy Year in case of claim-free year; Max up to 50% of SI (10% decrease in SI per Policy Year in case a claim has been paid; Such decrease is only in SI accrued as NCB)
10% increase in SI per Policy Year in case of claim-free year; Max up to 50% of SI (10% decrease in SI per Policy Year in case a claim has been paid; Such decrease is only in SI accrued as NCB)
Automatic Recharge
Up to SI
Up to SI
AYUSH treatment
Up to SI
Up to SI
Health Services
Health Portal- Healthy tips reminder, etc. Discount Connect - Discounts on services such as consultations, diagnostics, maternity etc at our network
Health Portal- Healthy tips reminder, etc. Discount ConnectDiscounts on services such as consultations, diagnostics, maternity etc at our network
Unlimited E-Consultations
Available for Consultations with General Physicians at our network
Available for Consultations with General Physicians at our network
Add-on Protect Plus with Global Cover*
Global Coverage#
Optional
. World wide exc. USA, Canada included
1. World wide excluding India; or 2. World wide exc. USA , Canada, India
2. Option to opt for World wide excluding India
Coverage
Only Planned Hospitalization is covered
All Planned Hospitalization + Emergency Hospitalization
In-patient Hospitalisation
Up to SI
Up to SI
Advance Technology Methods
Upto 10% of SI
Up to SI
Organ Donor Cover
N/A
Up to SI
Room Rrent/ ICU
No Limit
No Limit
re-Hospitalization Medical Expenses and Post-Hospitalization Medical Expenses
30 days and 60 days respectively; Covered Up to Sum Insured
60 days and 120 days respectively; Covered Up to Sum Insured
Local Road Ambulance
Up to SI
Up to SI
Air Ambulance
N/A
Up to SI
Repatriation of Mortal Remains
N/A
Upto 5 Lakh
Compassionate Visit
N/A
upto SI; Min. Hospitalization required is 5 days
Care Advantage-Optional covers*
No Claims Bonus Super (NCBS)
50% increase in SI per Policy Year in case of claim-free year; Max up to 100% of SI (50% decrease in SI per Policy Year in case a claim has been paid; Such decrease is only in SI accrued as NCBS)
Air Ambulance Cover
Up to Rs 5 Lacs
Smart Select
For listed Hospitals : Up to SI; Other Hospitals : Up to SI with an additional co-payment of 20% per claim
Reduction in PED Wait Period
Applicable PED Wait Period of 3 Years, will be reduced to 2 Years
Co-Payment Option
Option to opt 5% / 10% / 15% / 20% per claim, for all customers whose entry age is below 61 years
Co-Payment Waiver
Option to waive off the mandatory 20% co-pay per claim for customers whose entry age is 61 years and above.
Annual Health Check-up
Annual
Room Rent Modification
Single private room category
*Optional Covers will not applicable to benefits offered under Add-on policy Protect Plus
Wait Periods:
Base Sum Insured (SI) - on Annual Basis (in Rs.)
25 L / 50 L / 75 L / 100 L / 200 L / 300 L / 600 L
30 Days Initial Waiting Period
Yes
24 Months Specific Diseases Waiting Period
Yes
36 Months Pre-existing Diseases Waiting Period
Yes
Note: In case of portability policy, Insured is required to serve full waiting period under Protect Plus Add-on Cover.
waiting period will be applicable on the benefits offered under Care Advantage and Add-on policy Protect Plus.
Care
The family mediclaim policy looks after the entire family's healthcare needs, including your spouse, children, parents, and in-laws.
5 Lacs to 75 Lacs Coverage options to choose depending upon family size, city of residence or financial status.
Once a Year Annual Health Check-up for all Insured Members in a Policy Year
Automatic Recharge upto Sum Insure for multiple claims for unrelated illness
Upto 150% increase in Coverage with No Claim Bonus Super
Features of Care
KEY FEATURES
5/7/10 Lacs
15/20/25/30/40 Lacs
50/60/75 Lacs
PRE-HOSPITALIZATION
30 Days
30 Days
30 Days
POST HOSPITALIZATION
60 Days
60 Days
60 Days
DAY CARE TREATMENT
Yes
Yes
Yes
ROOM RENT
Most Economical Single Private Room
Most Economical Single Private Room Upgradable to Next Level
Most Economical Single Private Room Upgradable to Next Level
ICU CHARGES
No Limit
No Limit
No Limit
AMBULANCE COVER
Upto Rs2000 per hospitalization
Upto Rs2500 per hospitalization
Upto Rs3000 per hospitalization
DOMICILIARY HOSPITALIZATION
Upto 10% of SI
Upto 10% of SI
Upto 10% of SI
ORGAN DONOR COVER
UP TO Rs.1,00,000
UPTO Rs.2,00,000
UPTO Rs.3,00,000
ANNUAL HEALTH CHECK-UP
For All Insured Members
For All Insured Members
For All Insured Members
ALTERNATIVE TREATMENT
Up to Rs20,000
Up to Rs. 30,000
Up to Rs. 40,000
SECOND OPINION
Yes
Yes
Yes
NO CLAIM BONUS*
Up to 150% of SI
Up to 150% of SI
Up to 150% of SI
RECHARGE OF SUM INSURED
Up to SI
Up to SI
Up to SI
CARE ANYWHERE
-
-
Yes
MATERNITY COVER
-
-
Up to Rs.1,00,000
Co-Payment
Applicable at Age>=61 Years. Option to issue new policy or renew a existing policy with Co-payment or without co-payment
Wait Period
30 Days Initial Wait Period 24 Months Wait Period for Named Ailments 36 Months Wait Period for declared Pre Existing Disease
Ultimate Care
Redefine the value that you get from Your Health Insurance
Premium Payback Option : Policy is eligible for refund of first year Premium after every 5 Claim Free
Years.In case SI is reduced then the refund amount will be as per Reduced SI. Refund Amount will not
include the amount paid for Riders and GST
Cumulative Bonus : Policy Coverage will be increased by 50% of SI. Max Increase is 100% of SI. Claims
will have No Impact on the Cumulative Bonus
Infinity Bonus Option: Policy Coverage will increase by 100% of SI on every Renewal. There is No Max
Limit to the amount that can be accrued under this benefit.Claim will have No Impact on Infinity Bonus
Loyalty Benefit : Additional amount equal to the SI opted in the first Policy Year will be added in the Policy
Coverage after 7 claim free Year. Cumulative Bonus/Infinity Bonus etc.. will be calculated on Base Policy SI
Long Policy Tenure : Option to purchase Policy for 1 Year/2 Year/3 Year/4 Year & 5 Year Term
Early Renewal Discount : Policy is eligible for discount of 5% for renewing policy 30 Days before the due
date and 2.5% for renewing the policy within 30 Days of Due Date
Wellness Discount : Policy is eligible for discount upto 30% based on the Health Days accumulated in the
Policy. The discount is applicable on the premium paid at the time of Renewal
Welcome Discount : All New policy purchases are eligible for welcome discount. 30% Discount is
applicable in First Policy Year, 20% Discount applicable in Second Policy Year and 10% Discount applicable
in third Policy Year
Instant Cover Option : Coverage of Complications related to Diabetes/Hypertension/
Hyperlipidemia/Asthma/Obesity/Hypothyroidism/Cornary Artery Disease ( Only for One Stent in Heart
between 12 Months to 84 Months). Customer has to declare the Medical Condition at the time of Login and
Company has to accept the Medical condition as PED. Option has to be Opted
Modification of PED wait Period Option : Proposer has the option to modify PED wait Period to 2 Years or 1
Year. Option has to be added at the time of First Policy Purchase
Renewal Reward : Policy is eligib;e for 2 Discount Vouchers at the time of first Renewal. Discount Vouchers
will be worth Rs.250/- each
Claim Shield Option : Option to cover Non-Payable items mentioned in List 1, List 2 , List 3 and List 4 of
Annexure 1
Care OPD Option : The option will provide
Reimbursement of 4 Physical Consultation per Insured Per Year. MAx Amount per Consultation will
be Rs.500/
Reimbursement of 4 Physical Consultation from 12 Specified Specialist per Insured Per Year. Max Amount per
Consultation will be Rs.500/-
Features of Ultimate Care
Key Features
SI Options
5L \7L \10L \15L\25L\50L\1Cr
In-Patient Care/ Day Care Treatment
Up to SI
Room Rent
All Category Rooms Allowed
ICU
No Limit
Pre-Hospitalization Medical Expenses
Up to SI, upto 60 days prior to hospitalization
Post Hospitalization Medical Expenses
Up to SI, upto 90 days after discharge
AYUSH Treatment
Up to SI
Domiciliary Hospitalization
Up to SI
Organ Donor Cover
Up to SI
Road Ambulance Cover
Up to SI; Any mode of transport such as Road/ Air/Train/Boat etc.
Cumulative Bonus
50% of SI per year, max up to 100% of SI; Claim will not reduce Bonus Accrued
Unlimited Automatic Recharge
Available for unlimited times for unrelated or same illness.
Loyalty Boost
Additional SI equal to Base SI opted in First Year will be added in the policy after 7 Claim Free Years. Loyalty Boost will be given Once in a Policy Year
Renewal Reward
2 pharmacy vouchers of Rs. 250 each per Policy shall be provided on 1st renewal with the Company
Return Of Premium*
In case no Claim is made for the preceding 5 consecutive Policy Years, then 1st Policy Year premium shall be refunded in every block of 5 years
Wellness Benefit*
Upto 30% discount on Renewal Premium
New Born – Wait Period Benefit
Wait Period as per current policy will be applicable to the new born if added within 90 days of birth.
Unlimited E-Consultations
Available for Consultations with General Physicians
Health Services
Discount Connect – Discounts on services such as consultations, diagnostics, etc at our network.
Eligibility Conditions
Entry Age – Minimum
Adult: 18 years Child: 5 years
Entry Age – Maximum
Adult: No Upper Age Limit Child: 24 Years
Exit Age
Adult: Lifelong Child: 25 Years
Cover Type
Individual: max up to 6 persons Floater: max up to 2A2C
Tenure Options
1/2/3/4/5 Years
Pricing
Zone 1: Delhi NCR, Surat, Mathura, Aligarh Zone 1A: Telangana, Mumbai (MMR), Ahmedabad, Vadodra, Nashik Zone 2: Pune, Indore, Bengaluru Urban, Rest of Gujarat Zone 3: Rest of India Note – Cities above means adjoining cities also
Relationship Allowed
Self, Spouse/Live-in partner/Same sex partner, Son, Daughter, Father, Mother, Mother-in-law, Father-in law, Grand - Father, Grand – Mother and as per insurable interest
Initial Waiting Period
30 Days for all Hospitalization except Accidental Hospitalization
Named Ailment Waiting Period
24 months
Pre-Existing Diseases Waiting Period
36 months
POS Ultimate Care
Redefine the value that you get from Your Health Insurance
Premium Payback Option : Policy is eligible for refund of first year Premium after every 5 Claim Free Years.In case SI is reduced then the refund amount will be as per Reduced SI. Refund Amount will not include the amount paid for Riders and GST
Cumulative Bonus : Policy Coverage will be increased by 50% of SI. Max Increase is 100% of SI. Claims will have No Impact on the Cumulative Bonus
Infinity Bonus Option: Policy Coverage will increase by 100% of SI on every Renewal. There is No Max Limit to the amount that can be accrued under this benefit.Claim will have No Impact on Infinity Bonus
Loyalty Benefit : Additional amount equal to the SI opted in the first Policy Year will be added in the Policy Coverage after 7 claim free Year. Cumulative Bonus/Infinity Bonus etc.. will be calculated on Base Policy SI
Long Policy Tenure : Option to purchase Policy for 1 Year/2 Year/3 Year/4 Year & 5 Year Term
Early Renewal Discount : Policy is eligible for discount of 5% for renewing policy 30 Days before the due date and 2.5% for renewing the policy within 30 Days of Due Date
Wellness Discount : Policy is eligible for discount upto 30% based on the Health Days accumulated in the Policy. The discount is applicable on the premium paid at the time of Renewal
Welcome Discount : All New policy purchases are eligible for welcome discount. 30% Discount is applicable in First Policy Year, 20% Discount applicable in Second Policy Year and 10% Discount applicable in third Policy Year
Instant Cover Option : Coverage of Complications related to Diabetes/Hypertension/Hyperlipidemia/Asthma/Obesity/Hypothyroidism/Cornary Artery Disease ( Only for One Stent in Heart between 12 Months to 84 Months). Customer has to declare the Medical Condition at the time of Login and Company has to accept the Medical condition as PED. Option has to be Opted
Modification of PED waitPeriod Option : Proposer has the option to modify PED wait Period to 2 Years or 1 Year. Option has to be added at the time of First Policy Purchase
Renewal Reward : Policy is eligib;e for 2 Discount Vouchers at the time of first Renewal. Discount Vouchers will be worth Rs.250/- each
Claim Shield Option : Option to cover Non-Payable items mentioned in List 1, List 2 , List 3 and List 4 of Annexure 1
Care OPD Option : The option will provide
Reimbursement of 4 Physical Consultation per Insured Per Year. Max Amount per Consultation will be Rs.500/
Reimbursement of 4 Physical Consultation from 12 Specified Specialist per Insured Per Year. Max Amount per Consultation will be Rs.500/-
Features of Ultimate Care
Key Features
SI Options
5L \7L \10L \15L
In-Patient Care/ Day Care Treatment
Up to SI
Room Rent
All Category Rooms Allowed
ICU
No Limit
Pre-Hospitalization Medical Expenses
Up to SI, upto 60 days prior to hospitalization
Post Hospitalization Medical Expenses
Up to SI, upto 90 days after discharge
AYUSH Treatment
Up to SI
Domiciliary Hospitalization
Up to SI
Organ Donor Cover
Up to SI
Road Ambulance Cover
Up to SI ;Any mode of transport such as Road/ Air/Train/Boat etc.
Cumulative Bonus
50% of SI per year, max up to 100% of SI; Claim will not reduce Bonus Accrued
Unlimited Automatic Recharge
Available for unlimited times for unrelated or same illness.
Loyalty Boost
Additional SI equal to Base SI opted in First Year will be added in the policy after 7 Claim Free Years. Loyalty Boost will be given Once in a Policy Year
Renewal Reward
2 pharmacy vouchers of Rs. 250 each per Policy shall be provided on 1st renewal with the Company
Return Of Premium*
In case no Claim is made for the preceding 5 consecutive Policy Years, then 1st Policy Year premium shall be refunded in every block of 5 years
Wellness Benefit*
Upto 30% discount on Renewal Premium
New Born – Wait Period Benefit
Wait Period as per current policy will be applicable to the new born if added within 90 days of birth.
Unlimited E-Consultations
Available for Consultations with General Physicians
Health Services
Discount Connect – Discounts on services such as consultations, diagnostics, etc at our network.
Plus Benefit
Additional coverage equal to 40% or 100% or 200% of Base SI( i.e 5L) from Day 1. All waitinng period will be applicable on the additional coverage
Optional Benefits
1. Cumulative Bonus Booster
This benefit will remove the limit on cumulative bonus and provide Cumulative Bonus 100% of SI per year irrespective of claim for unlimited times on continuous renewal of Policy.
2. Return of Premium
In case no Claim is made for the preceding 5 consecutive Policy Years, then 1st Policy Year premium shall be refunded in every block of 5 years.
3. Unlimited E-Consultations
Available for Consultations with General Physicians and Specialist
4. Instant Cover
No PED wait period (for Diabetes/ Hypertension/ Hyperlipidimia / Asthma /Obesity / Hypothyroidism/Coronary Artery Disease (PTCA prior 1 year)) If Insured Person has these Pre-Existing Diseases at the time of issuance of first Policy with us, the applicable PED wait period shall be waived off on Diabetes/ Hypertension/ Hyperlipidimia / Asthma / Obesity / Coronary Artery Disease (PTCA prior 1 year)
5. Claim Shield
List of items as per annexure I (list I, II, II and IV) that are non-payable shall be covered up to applicable base policy Sum Insured
6. Be-Fit Plus Benefit
Unlimited visits to Fitness centres can be availed by Insured Person aged above 12 years
7. Smart Select
For listed Smart Select Hospitals : Up to SI Other than listed Smart Select Hospitals : Up to SI with an additional co-payment of 20% per claim
8. Room Rent Modification
General Ward max. up to Rs. 3000 per day/ General ward/Twin Sharing Room /Single Private Room
8. PED Wait Period Modification
PED wait period shall be modified to 1 year / 2 Years
8. Deductible
25k
8. Co-payment
20%
9. Physical Consultations with General Physicians
Max. 4 physical consultations per Insured per Policy Year with General Physicians. Subject to Maximum Rs.300/500-1000 (in multiples of 100) per consultation in Policy Year. Co-payment of 10% per claim is applicable if per consultation limit opted is greater than Rs.500
9. Physical Consultations with Specialist Doctors
Max. 4 physical consultations per Insured per Policy Year with any specialist doctors as defined in Appendix-III. Subject to Maximum Rs.500-2000 (in multiples of 100) per consultation in a Policy Year. Co-payment of 5% per claim is applicable if per consultation limit opted is greater than or equal to Rs.1000.
Eligibility Conditions
Key Features
Entry Age – Minimum
Adult : 18 years
Child : 5 years
Entry Age – Maximum
Adult : No Upper Age Limit
Child : 24 Years
Exit Age
Adult : Lifelong
Child : 25 Years
Cover Type
Individual : max up to 6 persons
Floater : max up to 2A2C
Tenure Options
1/2/3/4/5 Years
Pricing Zones
Zone 1 - Delhi NCR, Surat, Mathura, Aligarh;
Zone 1A – Mumbai (MMR), Rest of Gujarat;
Zone 2 - Pune, Indore, Nashik, Telangana;
Zone 3 - Rest of India.
Note – 1. Cities above means adjoining cities also
2. Delhi- NCR, Mumbai (MMR), is as defined by Government
Relationship Allowed
Self, Spouse/Live-in partner/Same sex partner, Son, Daughter, Father, Mother, Mother-in-law, Father-in law, Grand-Father, Grand-Mother and as per insurable interest
Initial Waiting Period
30 Days for all Hospitalization except Accidental Hospitalization
Named Ailment Waiting Period
24 months
Pre-Existing Diseases Waiting Period
36 months
Care Classic
Zone-based health insurance covers your healthcare expenses with an affordable premium based on your city of residence. The policy promises access to quality healthcare facilities no matter where you live or avail of treatment.
Affordable Premium
Premium based on City of Residence
Unlimited Automatic Recharge for multiple hospitalization for related/Unrelated illness
Upto 150% increase in coverage with No Claim Bonus
Features of Care Classic
KEY FEATURES
5L \ 7L \ 10L \ 15L
Room rent
Most Economical Single Private A/C Room
ICU Charges
No limit
In-Patient Care
Up to SI
Day Care Treatment
All Day Care Procedures
Pre-Hospitalization Expenses
Up to 60 days
Post Hospitalization Expenses
Up to 90 days
AYUSH Treatment
up to 10% of SI; Max Rs.50,000/year
Domiciliary Hospitalization
Up to SI if hospitalization exceeds 3 days; AYUSH Treatment is part of Domiciliary Hospitalisation SI
Organ Donor Cover
Up to 10% SI
Ambulance Cover
Up to Rs.1,000 per policy year
Second Opinion
Once per Policy Year per Insured Person for each Major illness/injury
Annual Health Check-up*
Once in a year for all Insured Members.
No Claims Bonus
25% of SI for every claim free year, Max 150% of SI,
Unlimited Automatic Recharge
unlimited times in a Policy Year; Not applicable on Advanced Technology Methods
Assisted Reproductive Treatment
Upto 2 Lacs per policy Year, Available with SI>5 Lacs, Once in every block of 3 years
Compassionate Travel
Up to Rs.5,000 per policy year
Unlimited E-Consultations
Consultations with General Physicians
Other Value Added Services
Discount Connect – Discounts on services at our network.
Wait Period
30 Days Initial Wait Period24 Months Wait Period for Named Ailments 36 Months Wait Period for declared Pre-existing Disease36 Months for IVF Treatments
Co-Payment
Applicable at Age>=61 YearsOption to renew existing policy or issue a new policy with or without co-payment
Cataract Sublimit
For SI 5 LAcs : Up to 40,000 per eye, Max 60,000 per policy yearFor SI 7 Lacs to 15 LAcs : Up to 50,000 per eye, Max 75,000 per policy year
Sub-limits on Advanced Technology Methods
Maximum 5% to 25% of SI Payable for treatments taken using Advanced Technology Methods. Please chaeck Policy T&C for more details
Care Classic with Instant Coverage
Comprehensive Health Insurance Plan that provides instant coverage for hospitalization related to Asthama, Diabeties, Hypertension or Hyperlipidimia.
Affordable Premium
Premium based on City of Residence
Instant Cover – Coverage for Diabetes, Asthma, Hypertension and Hyperlipidaemia after 30 Days wait period.
Unlimited Automatic Recharge for multiple hospitalization for related / Unrelated illness
Features of Care Classic with Instant Coverage
KEY FEATURES
5L \ 7L \ 10L \ 15L
Room rent
Most Economical Single Private A/C Room
ICU Charges
No limit
In-Patient Care
Up to SI
Day Care Treatment
All Day Care Procedures
Pre-Hospitalization Expenses
Up to 60 days
Post Hospitalization Expenses
Up to 90 days
AYUSH Treatment
up to 10% of SI; Max Rs.50,000/year
Instant Cover*
Instant coverage available for Diabetes, Hypertension, Hyperlipidemia & Asthma. Claim Can be made after Initial wait period of 30 Days
Domiciliary Hospitalization
Up to SI if hospitalization exceeds 3 days; AYUSH Treatment is part of Domiciliary Hospitalisation SI
Organ Donor Cover
Up to 10% SI
Ambulance Cover
Up to Rs.1,000 per policy year
Second Opinion
Once per Policy Year per Insured Person for each Major illness/injury
Annual Health Check-up*
Once in a year for all Insured Members.
No Claims Bonus
25% of SI for every claim free year, Max 150% of SI,
Unlimited Automatic Recharge
unlimited times in a Policy Year; Not applicable on Advanced Technology Methods
Assisted Reproductive Treatment
Upto 2 Lacs per policy Year, Available with SI>5 Lacs, Once in every block of 3 years
Compassionate Travel
Up to Rs.5,000 per policy year
Unlimited E-Consultations
Consultations with General Physicians
Other Value Added Services
Discount Connect – Discounts on services at our network.
Wait Period
30 Days Initial Wait Period 24 Months Wait Period for Named Ailments 36 Months Wait Period for declared Pre-existing Disease 36 Months for IVF Treatments
Co-Payment
Applicable at Age>=61 Years Option to renew existing policy or issue a new policy with or without co-payment
Cataract Sublimit
For SI 5 LAcs : Up to 40,000 per eye, Max 60,000 per policy yearFor SI 7 Lacs to 15 LAcs : Up to 50,000 per eye, Max 75,000 per policy year
Sub-limits on Advanced Technology Methods
Maximum 5% to 25% of SI Payable for treatments taken using Advanced Technology Methods. Please chaeck Policy T&C for more details
Care for Senior Citizen
Care Senior Citizen offers comprehensive coverage at affordable premium for senior citizens in your family.
Affordable premiums
Tele underwriting based hassle free policy issuance
Once a Year Annual Health Check-up for all Insured Members in a Policy Year
Automatic Recharge upto Sum Insure for multiple claims for unrelated illness
Features of Care for Senior Citizen
KEY FEATURES
3 Lacs
5,7,10 Lacs
IN PATIENT /DAYCARE HOSPITALIZATION
Up to Sum Insured
Up to Sum Insured
PRE-HOSPITALIZATION
30 days
30 days
POST - HOSPITALIZATION
60 Days
60 Days
ROOM RENT
1% SI per day
Most Economical Single Private Room(Max. up to 1% of SI per day)
ICU CHARGES
2% SI per day
2% of SI per day
DAILY ALLOWANCE
Rs. 500 per day; max. 5 days
NA
AMBULANCE COVER
Up to Rs. 1500 per hospitalization
Up to Rs.2,000 per hospitalization
DOMICILIARY HOSPITALIZATION
Up to 10% of SI
Up to 10% of SI
ANNUAL HEALTH CHECK-UP
Yes, all members
Yes, all members
AUTOMATIC RECHARGE
Yes, Once in a Policy Year
Yes, Once in a Policy Year
NO CLAIM BONUS*
10%, max. up to 50% SI
10%, max. up to 50% SI
ORGAN DONOR COVER
Up to Rs. 50000
Up to Rs.100,000
SECOND OPINION
Yes
Yes
ALTERNATIVE TREATMENTS
Up to Rs. 15000
Up to Rs. 20,000
Co-Payment
Applicable at Age>=61 YearsOption to issue a new Policy or renew existing policy with or without co-payment
Applicable at Age>=61 YearsOption to issue a new Policy or renew existing policy with or without co-payment
Wait Period
30 Days Initial wait Period24 Months Named Ailment Wait Period 36 Months for declared Pre-existing Disease
30 Days Initial wait Period24 Months Named Ailment Wait Period 36 Months for declared Pre-existing Disease
Sub-Limits
Treatment of Cataract
Up to Rs. 20,000 per eye
Up to Rs. 30,000 per eye
Treatment of Total Knee Replacement
Up to Rs. 80,000 per knee
Up to Rs. 1,00,000 per knee
Treatment for each and every Ailment / Procedure mentioned below:-
Surgery for treatment of all types of Hernia
Up to Rs. 50,000
Up to Rs. 65,000
Hysterectomy
Up to Rs. 50,000
Up to Rs. 65,000
Surgeries for Benign Prostate Hypertrophy (BPH)
Up to Rs. 50,000
Up to Rs. 65,000
Surgical treatment of stones of renal system
Up to Rs. 50,000
Up to Rs. 65,000
Treatment for each and every Ailment / Procedure mentioned below:-
Treatment of Cerebrovascular and Cardiovascular disorders
Up to Rs. 2,00,000
Up to Rs. 2,50,000
Treatments/Surgeries for Cancer
Up to Rs. 2,00,000
Up to Rs. 2,50,000
Treatment of other renal complications and Disorders
Up to Rs. 2,00,000
Up to Rs. 2,50,000
Treatment for breakage of bones
Up to Rs. 2,00,000
Up to Rs. 2,50,000
Senior Health Advantage
Senior Health Advantage provides basic health insurance to senior citizens in a pocket friendly price.
Low cost Coverage option
Digital Purchase discount in first Year
Tele underwriting based hassle free policy issuance
Just 2 Years wait Period for Pre-Existing Disease
Features of Senior Health Advantage
KEY FEATURES
5L \ 10L
Pre-hospitalization Medical Expenses
30 Days
Post-hospitalization Medical Expenses
60 Days
Room Rent
Twin Sharing Room
ICU Charges
Up to 2% of Sum Insured per day
In Patient Care Treatment
Up to Sum Insured
Day Care Treatments
All Day Care Procedures
Sub-Limit on Hospitalization related Expenses
Surgeon, Anaesthetist, Medical Practitioner, Consultants, Specialist Fees subject to a maximum up to 25% of the SI per hospitalisation
Advance Technology Methods
Covered as per applicable Sub-Limits on treatments
Domiciliary Hospitalization
Covered Up to Sum Insured, if hospitalization exceeds 3 days.
Organ Donor Cover
Covered Up to Sum Insured
AYUSH Treatment
Covered Up to Sum Insured
Road Ambulance Cover
Up to 1% of SI or Rs.5000 whichever is lower per hospitalisation
No Claim Bonus
10% of SI for every claim free year, Max up to 50% of SI
Annual Health Check-up
Available from Day 1 for All Insured Members,
Unlimited E-Consultations
Consultations with General Physicians on Mobile Application
Other Value Added Services
Discount Connect – Discounts on services at our network.
Co-Payment
50% on all claims made till age 70 Years. 60% co-payment on all Claims made after Age >70.
Wait Period
30 Days Initial Wait Period 24 Months Named Ailment Wait Period 24 Months wait Period for Pre-existing Disease
Treatment of Cataract
Up to Rs.40,000
Up to Rs.40,000
Treatment of Total Knee Replacement
Up to Rs.100,000
Up to Rs.120,000
Treatment for each and every Ailment / Procedure mentioned below:- i. Cerebrovascular Accident and Cardio vascular Diseases ii. Cancer (Including Chemotherapy / Radiotherapy) iii. Medical Renal Diseases (Including
Dialysis) iv. Treatment of Breakage of Long Bones
Up to Rs.2,00,000
Up to Rs.2,50,000
Care Freedom
Health Insurance for Diabetes. High BP and High BMI protect you and your loved ones against the most common lifestyle diseases and provides you with the financial freedom to pay your medical bills for treatment and medication.
Tele-underwriting based Hassel Free policy issuance
No premium increase or premium Loading due to existing Medical conditions.
Just 2 Years Wait period for declared Pre Existing Disease
Once in year Annual Health Check-up for Adult insured members every Policy Year
Features of Care Freedom
KEY FEATURES
3 Lacs
5 Lacs
7Lacs / 10 Lacs
IN-PATIENT HOSPITALIZATION
Up to Sum Insured
Up to Sum Insured
Up to Sum Insured
DAY CARE TREATMENT
Up to Sum Insured
Up to Sum Insured
Up to Sum Insured
ROOM RENT
Twin Sharing up to 1% Sum Insured per day
Twin Sharing
Single Private Room
ICU CHARGES
Up to 2% of SI per day
No Limit
No Limit
PRE-HOSPITALIZATION & POST- HOSPITALIZATION
Up to 7.5% of payable hospitalization expenses
Up to 10% of payable hospitalization expenses
Up to 10% of payable hospitalization expenses
CONSUMABLE ALLOWANCE
Rs.750 daily, Maxi7 Days
Rs.1000/- daily, Maxi7 Days
Rs.1000/- daily, Maxi7 Days
COMPANION BENEFIT
Rs.10,000 if hospitalization exceeds 10 Days
Rs.15,000 if hospitalization exceeds 10 Days
Rs.15,000 if hospitalization exceeds 10 Days
AMBULANCE COVER
Up to Rs.1000 per hospitalization
Up to Rs.1000 per hospitalization
Up to Rs.1000 per hospitalization
DOMICILIARY HOSPITALIZATION
Up to 10% of Sum Insured
Up to 10% of Sum Insured
Up to 10% of Sum Insured
RECHARGE OF SUM INSURED
Up to 100% of Sum Insured
Up to 100% of Sum Insured
Up to 100% of Sum Insured
DIALYSIS COVER
Up to Rs.1000 per sitting. Maxi 24 Months
Up to Rs.1000 per sitting. Maxi 24 Months
Up to Rs.1000 per sitting. Maxi 24 Months
ANNUAL HEALTH CHECK-UP
Every Year for Insured Adult Members
Every Year for Insured Adult Members
Every Year for Insured Adult Members
Co-Payment
20% for all customers enrolling in the policy 30% for all customers enrolling in policy after attaining Age>=71 Years
20% for all customers enrolling in the policy 30% for all customers enrolling in policy after attaining Age>=71 Years
20% for all customers enrolling in the policy 30% for all customers enrolling in policy after attaining Age>=71 Years
Wait Period
30 Days Initial Wait Period 24 Months Named Ailment Wait Period 24 Months wait Period for Pre-existing Disease
30 Days Initial Wait Period 24 Months Named Ailment Wait Period 24 Months wait Period for Pre-existing Disease
30 Days Initial Wait Period 24 Months Named Ailment Wait Period 24 Months wait Period for Pre-existing Disease
Treatment of Cataract(Per Eye)
Up to Rs.20,000
Up to Rs.30,000
Up to Rs.30,000
Treatment of Total Knee Replacement (Per Knee)
Up to Rs. 80,000
Up to Rs. 1,00,000
Up to Rs.1,20,000
Treatment for each and every Ailment / Procedure mentioned below:-
Surgery for treatment of all types of Hernia
Up to Rs. 50,000
Up to Rs. 65,000
Up to Rs.80,000
Hysterectomy
Surgeries for Benign Prostate Hypertrophy (BPH)
Surgical treatment of stones of renal system
Treatment for each and every Ailment / Procedure mentioned below:-
Treatment of Cerebrovascular and Cardiovascular disorders
Up to Rs. 2,00,000
Up to Rs. 2,50,000
Up to Rs.3,00,000
Treatments/Surgeries for Cancer
Treatment of other renal complications and Disorders
Treatment for breakage of bones
Care Heart
Heart Health Insurance has got you covered if you are diagnosed with a cardiac ailment or have undergone surgery in the past. Acquiring heart insurance beforehand saves you from paying hefty hospital bills in an emergency.
Tele-underwriting based Hassel Free policy issuance
No premium increase or premium Loading due to existing Medical conditions
Just 2 Years Wait period for declared Pre Existing Disease
Upto 50% increase in coverage with No Claim Bonus SUPER
Features of Care Heart
KEY FEATURES
3 Lacs
5 Lacs
7 Lacs
10 Lacs
In Patient /Day Care Treatments
Upto Sum Insured
Upto Sum Insured
Upto Sum Insured
Upto Sum Insured
Room Rent charges
Up to 1% of SI per day
Single Private Room
Single Private Room
Single Private Room
ICU Charges
Up to 2% of SI per day
No Limit
No Limit
No Limit
Pre- hospitalization Expenses
30 Days
30 Days
30 Days
30 Days
Post-Hospitalization Expenses
60 Days
60 Days
60 Days
60 Days
Alternative Treatments
Up to 25% of SI
Up to 25% of SI
Up to 25% of SI
Up to 25% of SI
Ambulance Cover
Up to Rs 2,000 per hospitalization
Up to Rs 2,000 per hospitalization
Up to Rs 3,000 per hospitalization
Up to Rs 3,000 per hospitalization
Domiciliary Hospitalization
up to 100% of Sum Insured covered after 3 days
up to 100% of Sum Insured covered after 3 days
up to 100% of Sum Insured covered after 3 days
up to 100% of Sum Insured covered after 3 days
Automatic Recharge
upto Sum Insured
upto Sum Insured
upto Sum Insured
upto Sum Insured
No Claim Bonus
Upto 50%
Upto 50%
Upto 50%
Upto 50%
Cardiac Health Check-up
Annually
Annually
Annually
Annually
Co-Payment
20% per claim for all Insured members upto 70 Years 30% per claim for all inusred member with Age>70 Years
20% per claim for all Insured members upto 70 Years 30% per claim for all inusred member with Age>70 Years
20% per claim for all Insured members upto 70 Years 30% per claim for all inusred member with Age>70 Years
20% per claim for all Insured members upto 70 Years 30% per claim for all inusred member with Age>70 Years
Wait Period
30 Days Initial Wait Period24 Months Named Ailment Wait Period24 Months wait Period for Pre-existing Disease
30 Days Initial Wait Period24 Months Named Ailment Wait Period24 Months wait Period for Pre-existing Disease
30 Days Initial Wait Period24 Months Named Ailment Wait Period24 Months wait Period for Pre-existing Disease
30 Days Initial Wait Period24 Months Named Ailment Wait Period24 Months wait Period for Pre-existing Disease
Treatment for each and every Ailment / Procedure mentioned below:- i. Surgery for treatment of all types of Hernia ii. Hysterectomy iii. Surgeries for Benign Prostate Hypertrophy (BPH) iv. Surgical treatment of stones of renal system
Up to RS 50,000
Up to Rs 65,000
Up to Rs 80,000
Up to Rs 80,000
Treatment for each and every Ailment / Procedure mentioned below:- i. Treatment of Cerebrovascular disorders ii. Treatments / Surgeries for Cancer iii. Treatment of other renal complications and Disorders iv. Treatment for breakage of bones
Up to Rs 200,000
Up to 250,000
Up to Rs 300,000
Up to Rs 300,000
Treatment of Cataract (per Eye)
Up to Rs. 20,000
Up to Rs. 30,000
Up to Rs. 30,000
Up to Rs. 30,000
Treatment of Total Knee Replacement(per Knee)
Up to Rs80,000
Up to Rs 1,00,000
Up to Rs.1,20,000
Up to Rs.1,20,000
Enhance
If you think your current health insurance coverage is insufficient to meet your healthcare needs, you can choose a super top-up health plan to supplement your coverage. It enhances health coverage by increasing the sum insured and
benefits to provide maximum protection against medical expenses.
Annual Health Chec-up for all insured members
No Loading for customers with Pre-existing disease
Choice of Optional Covers to enhance coverage
Income Tax rebate under Section 80C
Features of Enhance
KEY FEATURES
Product Details
Deductible(or existing Policy Sum Insured)
1L to 30L
Sum Insured
1L to 30L
In Patient Care
Up to Sum Insured
Pre Hospitalization
30 Days
Post Hospitalization
60 Days
Day Care Treatment
Yes
Room Rent Category
Single Private Room
ICU Charges, Doctor's Fee etc.
No Limit
Health Check-Up
Yes
Organ Donor Cover
No Limit
Care with Global Coverage
Comprehensive Health Insurance coverage for Planned and unplanned treatments in India and Outside India ( As per geographical scope opted)
Covers Planned and unplanned treatment in India and Outside India
Upto 6Cr coverage option
Coverage for Treatment outside India even if the disease is diagnosed outside India
Once a Year Annual Health Check-up for all Insured Members in a Policy Year
Features of Care with Global Coverage
KEY FEATURES
1cr / 2cr / 3cr / 6cr
PRE-HOSPITALIZATION
30 Days
POST - -HOSPITALIZATION
60 Days
IN-PATIENT/DAYCARE TREATMENT
Upto SI
ROOM RENT
Single Private Room Upgradable to Next Level
ICU CHARGES
No Limit
ALTERNATIVE TREATMENTS
Up to Rs 50,000
MATERNITY COVER
Upto Rs.2 Lacs
AIR AMBULANCE COVER
Upto Rs.5,00,000
ROAD AMBULANCE
Up to Rs.5,000
DOMICILIARY HOSPITALIZATION
Up to 10% of SI
ANNUAL HEALTH CHECK-UP
Yes for All Insured Member's
AUTOMATIC RECHARGE
Yes, upto SI
NO CLAIMS BONUS
Upto 50% of Sum Insured
ORGAN DONOR EXPENSES
Up to Rs.5 Lacs
VACCINATION COVER
Up to Rs.10,000 for children up to 18 years of age.
INTERNATIONAL SECOND OPINION
Yes
Co-Payment
Applicable at Age>=61 Years. Option to issue new policy or renew a existing policy with Co-payment or without co-payment 10% Mandatory Co-Payment on all claims taken outside India
Wait Period
30 Days Initial Wait Period24 Months Wait Period for Named Ailments 36 Months Wait Period for declared Pre Existing Disease
COVERAGE DURATION OUTSIDE INDIA
45 days in a Single Trip & 90 days on a Cumulative Basis in a Policy YearNo limit on number of trips in a Year
GEOGRAPHICAL SCOPE OF COVERAGE OUTSIDE INDIA
Customer can choose between• Worldwide coverage including USA• Worldwide coverage excluding USA
EXTENSION OF GLOBAL COVERAGE DURATION OUTSIDE INDIA (Optional Benefit)
90 days in a Single Trip & 180 days on a Cumulative Basis in a Policy YearNo limit on number of trips in a Year
Critical Mediclaim
An affordable comprehensive health insurance plan covering hospitalization expenses for 32 Major Illness.
Low cost coverage for 32 Specified Major Illness diagnosed after policy issuance
90 Days Wait Period on all treatments
2.5% Discount on second member in the same policy
Upto 100% No Claim Bonus in 3 claim free years
Features of Critical Mediclaim
KEY FEATURES
32 CRITICALL ILLNESS
IN-PATIENT HOSPITALIZATION
Up to Sum Insured
DAY CARE TREATMENT
Up to Sum Insured
ROOM RENT ELIGIBILITY
Single Pvt. Room (for 10 Lacs SI) & All Categories (for SI > = 25 Lakh)
ICU CHARGES
No Limit
PRE HOSPITALIZATION/POST-HOSPITALIZATIUON
30 Days Pre-hospitalization & 60 Days Post Hospitalization
CHEMOTHERAPY & RADIOTHERAPY COVER
Up to Sum Insured , Not Available
DIALYSIS COVER
Up to SI , Not Available
AMBULANCE COVER
Up to Rs. 3000 per hospitalization
ORGAN DONOR COVER
Up to Sum Insured or 15 Lakh which ever is lower
ALTERNATIVE TREATMENTS
Up to 25% Sum Insured , Not Available
SECOND OPINION
Once per Covered Condition per policy year
ANNUAL HEALTH CHECK-UP
Every Year on Renewal
NO CLAIM BONUS
Upto 100% of SI
QUICK RECOVERY COUNSELLING
Up to Rs. 1000/- per session; Maximum 8 sessions Post Hospitalization
DOCTOR ON CALL
Yes ( Telephonic/Online)
GLOBAL COVERAGE
Upto Sum Insured ( for SI>=1 Crore)
OPD EXPENSES
1% of Sum Insured; Max. up to 25000/- , Not Available
INTERNATIONAL SECOND OPINION
Once per Covered Condition per policy year (for SI>=50 Lakh)
AIR AMBULANCE
Up to 5 Lacs for SI >=50 Lakh
Wait Period
90 Days Initial Wait Period 4 Years for declared Pre Existing Disease
Super Care Advantage
A product preposition designed for customer exploring high coverage in India and out of India covereage for 32 specified critical illness out of India.
Upto 1 Cr Comprehensive Health Insurance Coverage with Additional 1 Cr Coverage for Specified 32 Critical Illness
Double Coverage For 32 Specified Critical Illness
Out of India Coverage For 32 Specified Critical Illness
No Sub-Limit on Treatment Using Advanced Technology Methods
Features of Super Care Advantage
KEY FEATURES
Comprehensive Health Coverage
Additional coverage for 32 Critical Illness
Sum Insured
1 Cr
1 Cr
Room Rent
All Category Rooms in India
All Categories Room in India
ICU Charges
No Sub Limit
No Limit
In Patient & Day Care Treatment Expenses
Up to Sum Insured
Up to Sum Insured
Pre-Hospitalisation
30 Days
30 Days
Post Hospitalisation
60 Days
60 Days
Ambulance Cover
Up to Sum Insured
Up to Rs. 3000 per hospitalization
Organ Donor Expenses
Up to Sum Insured
Up to 15 Lakh
No Claim Bonus
Upto 50%
Upto 100% of SI
Automatic Recharge
Yes, once in a Policy Year
Yes, once in a Policy Year
AYUSH TREATMENT
NA
Up to 25% Sum Insured
SECOND OPINION
NA
Once per Covered Condition per policy year
ANNUAL HEALTH CHECK-UP
NA
Every Year on Renewal
QUICK RECOVERY COUNSELLING
NA
Up to Rs. 1000/- per session; Maximum 8 sessions Post Hospitalization
DOCTOR ON CALL
NA
Yes from General Physician
GLOBAL COVERAGE
NA
Upto Sum Insured;10% Co-payment Pre/Post Hospitalisation expenses not covered outside India Single Private Room allowed for claims outside India
OPD EXPENSES
NA
1% of Sum Insured; Max. up to 25000/-Available only after Specified Critical Illness Hospitalisation in a Policy Year
Cancer Mediclaim
An affordable comprehensive health insurance plan covering hospitalization expenses for Cancer .
Low cost coverage for Cancer diagnosed after policy issuance
90 Days Wait Period on all treatments
2.5% Discount on second member in the same policy
Upto 100% No Claim Bonus in 3 claim free years
Features of Cancer Mediclaim
KEY FEATURES
Cancer
IN-PATIENT HOSPITALIZATION
Up to Sum Insured
DAY CARE TREATMENT
Up to Sum Insured
ROOM RENT ELIGIBILITY
Single Pvt. Room (for 10 Lacs SI) & All Categories (for SI > = 25 Lakh)
ICU CHARGES
No Limit
PRE HOSPITALIZATION/POST-HOSPITALIZATIUON
30 Days Pre-hospitalization & 60 Days Post Hospitalization
CHEMOTHERAPY & RADIOTHERAPY COVER
Up to Sum Insured
DIALYSIS COVER
Up to SI , Not Available
AMBULANCE COVER
Up to Rs. 3000 per hospitalization
ORGAN DONOR COVER
Up to Sum Insured or 15 Lakh which ever is lower
ALTERNATIVE TREATMENTS
Up to 25% Sum Insured
SECOND OPINION
Once per Covered Condition per policy year
ANNUAL HEALTH CHECK-UP
Every Year on Renewal
NO CLAIM BONUS
Upto 100% of SI
QUICK RECOVERY COUNSELLING
Up to Rs. 1000/- per session; Maximum 8 sessions Post Hospitalization
DOCTOR ON CALL
Yes ( Telephonic/Online)
GLOBAL COVERAGE
Upto Sum Insured ( for SI>=1 Crore)
OPD EXPENSES
1% of Sum Insured; Max. up to 25000/-
INTERNATIONAL SECOND OPINION
Once per Covered Condition per policy year (for SI>=50 Lakh)
AIR AMBULANCE
Up to 5 Lacs for SI >=50 Lakh
Wait Period
90 Days Initial Wait Period4 Years for declared Pre Existing Disease
Heart Mediclaim
An affordable comprehensive health insurance plan covering hospitalization expenses for 16 Specified Heart Ailments.
Low cost coverage for 16 Specified Heart Ailments diagnosed after policy issuance
90 Days Wait Period on all treatments
2.5% Discount on second member in the same policy
Upto 100% No Claim Bonus in 3 claim free years
Features of Heart Mediclaim
KEY FEATURES
16 Heart Ailments
IN-PATIENT HOSPITALIZATION
Up to Sum Insured
DAY CARE TREATMENT
Up to Sum Insured
ROOM RENT ELIGIBILITY
Single Pvt. Room (for 10 Lacs SI) & All Categories (for SI > = 25 Lakh)
ICU CHARGES
No Limit
PRE HOSPITALIZATION/POST-HOSPITALIZATIUON
30 Days Pre-hospitalization & 60 Days Post Hospitalization
DIALYSIS COVER
Up to SI , Not Available
AMBULANCE COVER
Up to Rs. 3000 per hospitalization
ORGAN DONOR COVER
Up to Sum Insured or 15 Lakh which ever is lower
ALTERNATIVE TREATMENTS
Up to 25% Sum Insured
SECOND OPINION
Once per Covered Condition per policy year
ANNUAL HEALTH CHECK-UP
Every Year on Renewal
NO CLAIM BONUS
Upto 100% of SI
QUICK RECOVERY COUNSELLING
Up to Rs. 1000/- per session Maximum 8 sessions Post Hospitalization
DOCTOR ON CALL
Yes ( Telephonic/Online)
GLOBAL COVERAGE
Upto Sum Insured ( for SI> =1 Crore)
OPD EXPENSES
1% of Sum Insured Max. up to 25000/- , Not Available
INTERNATIONAL SECOND OPINION
Once per Covered Condition per policy year (for SI> =50 Lakh)
AIR AMBULANCE
Up to 5 Lacs for SI > =50 Lakh
Wait Period
90 Days Initial Wait Period 4 Years for declared Pre Existing Disease
Joy Today
Comprehensive Health Insurance Plan that also covers Maternity expenses incurred after 9 Months of purchasing the policy.
Suitable for Single Lady looking for Maternity coverage plan
Delivery Expenses covered after 9 Months wait period
Covers Pre-Natal and Post Natal expenses
Automatic New-Born Baby Coverage for first 90 Days
Features of Joy Today
KEY FEATURES
3 Lac
5 Lac
Pre hospitalisation
30 days
30 days
Post hospitalisation
60 days
60 days
Day Care treatment
Yes
Yes
In-patient hospitalisation
Up to sum insured
Up to sum insured
Room rent
Single private room with A/C
Single private room with A/C
ICU
No limit
No limit
Ambulance
Up to Rs. 1000 per claim
Up to Rs. 1000 per claim
Maternity Benefit (including pre natal & post natal expenses)
Up to Rs 35,000
Up to Rs 50,000
New born baby cover
Up to Rs 30,000
Up to Rs 50,000
No claim bonanza ( Optional Cover)
yes
Yes
Wait Period
30 Days Initial Wait Period24 Months Wait Period for Named Ailments 36 Months Wait Period for declared Pre Existing Disease 9 Months for Maternity
30 Days Initial Wait Period24 Months Wait Period for Named Ailments 36 Months Wait Period for declared Pre Existing Disease 9 Months for Maternity
Joy Tomorrow
Comprehensive Health Insurance Plan that also covers Maternity expenses incurred after 24 Months of purchasing the policy.
Suitable for Single Lady looking for Maternity coverage plan
Delivery Expenses covered after 24 Months wait period
Covers Pre-Natal and Post Natal expenses
Automatic New-Born Baby Coverage for first 90 Days
Features of Joy Tomorrow
KEY FEATURES
3 Lac
5 Lac
Pre hospitalisation
30 days
30 days
Post hospitalisation
60 days
60 days
Day Care treatment
Yes
Yes
In-patient hospitalisation
Up to sum insured
Up to sum insured
Room rent
Single private room with A/C
Single private room with A/C
ICU
No limit
No limit
Ambulance
Up to Rs. 1000 per claim
Up to Rs. 1000 per claim
Maternity Benefit (including pre natal & post natal expenses)
Up to Rs 35,000
Up to Rs 50,000
New born baby cover
Up to Rs 30,000
Up to Rs 50,000
Wait Period
30 Days Initial Wait Period24 Months Wait Period for Named Ailments 36 Months Wait Period for declared Pre Existing Disease 24 Months for Maternity
30 Days Initial Wait Period24 Months Wait Period for Named Ailments 36 Months Wait Period for declared Pre Existing Disease 24 Months for Maternity
Explore
Comprehensive coverage for Medical expense coverage and Non-medical expense coverage for Trip Cancellation, loss of passport etc. coverage while travelling out of india.
Single Trip Plan Suitable for travellers travelling for Holiday, visiting friends or relative or business travel
Multi Trip Plan suitable for frequent business travellers
Instant Policy Issuance
No Pre-policy Medicals required for Policy Issuance
Features of Explore
Kindly enter the location to view the plan features
Asia
KEY FEATURES
Deductible
US $ 10k, 25K, 50K & 100K
US $ 25K, 50K & 100K
US $ 25K, 50K & 100K
€ 30K & 100K
US $ 50K & 100K
US $ 25K, 50K & 100K,200k
US $ 50K, 100K, 200k,300K & 500K
US $ 50K, 100K, 300K 500K
Hospitalization Expenses
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
-In-patient Care
US $ 100 / € 75
Up to SI
Up to SI
Up to SI
Up to SI
Up to SI
Up to SI
Up to SI
Up to SI
-Out-patient Care
US $ 100 / € 75
Up to SI
Up to SI
Up to SI
Up to SI
Up to SI
Up to SI
Up to SI
Up to SI
Daily Allowance
2 days
US $ 25 per day, max 5 consecutive days
US $ 25 per day, max 5 consecutive days
US $ 25 per day, max 5 consecutive days
US $ 25 per day, max 5 consecutive days
US $ 25 per day, max 5 consecutive days
US $ 25 per day, max 5 consecutive days
US $ 25 per day, max 5 consecutive days
Compassionate Visit
N.A.
r
r
r
NA
NA
NA
NA
Up to US $ 5,000
Return of Minor Child
NA
r
r
r
NA
NA
NA
NA
Up to US $ 2,000
Up-gradation to Business Class
N.A.
Up to US $ 1,000
Up to US $ 1,000
Up to US $ 1,000
Up to US $ 750
Up to US $ 1,000
NA
Up to US $ 1,000
Up to US $ 1,000
Dental Treatment
US $ 100 / € 75
Up to US $ 300
Up to US $ 300
Up to US $ 300
Up to € 300
Up to US $ 300
Up to US $ 300
Up to US $ 400
Up to US $ 500
Common Carrier Accidental Death and Disability
N.A.
r
r
r
NA
NA
NA
NA
Up to US $ 5,000
Personal Accident
N.A.
US $ 15,000
US $ 15,000
US $ 15,000
€ 10,000
US $ 15,000
US $ 15,000
US $ 20,000
US $ 25,000
Trip Cancellation
N.A.
Up to US $ 1,000
Up to US $ 1,000
Up to US $ 1,000
Up to US $ 750
Up to US $ 1,000
N.A.
Up to US $ 1,000
Up to US $ 1,000
Trip Interruption
N.A.
Up to US $ 500
Up to US $ 500
Up to US $ 500
Up to US $ 300
Up to US $ 500
N.A.
Up to US $ 500
Up to US $ 500
Trip Delay
$25 per each set of 4 hours delay; Up to 150 $
$25 per each set of 4 hours delay; Up to 150 $
$25 per each set of 4 hours delay; Up to 150 $
$25 per each set of 4 hours delay; Up to 150 $
$25 per each set of 4 hours delay; Up to 150 $
$25 per each set of 4 hours delay; Up to 150 $
$25 per each set of 4 hours delay; Up to 150 $
Loss of Checked-in Baggage
$50/€30
Up to US $ 500
Up to US $ 500
Up to US $ 500
Up to $ 300
Up to US $ 500
NA
Up to US $ 750
Up to US $ 1000
Delay of Checked-in Baggage
12 hours
US $ 100
US $ 100
US $ 100
€ 100
US $ 100
NA
US $ 100
US $ 100
Loss of Passport and/or International Driving License
N.A.
US $ 300; Max. US $ 100 in case of loss of IDL
US $ 300; Max. US $ 100 in case of loss of IDL
US $ 300; Max. US $ 100 in case of loss of IDL
€ 200; Max. € 75 in case of loss of IDL 200
US $ 300; Max. US $ 100 in case of loss of IDL
NA
US $ 300; Max. US $ 100 in case of loss of IDL
US $ 300; Max. US $ 100 in case of loss of IDL
Personal Liability
US $ 100 / € 75
Up to US $ 100,000
Up to US $ 100,000
Up to US $ 100,000
Up to US $ 100,000
NA
Up to US $ 100,000
Up to US $ 100,000
Hijack Distress Allowance
NA
$100 per day for max. 5 consecutive days
$100 per day for max. 5 consecutive days
$100 per day for max. consecutive 5 days
$100 per day for max. 5 consecutive days
€75 per day for max. 5 consecutive days
NA
$100 per day for max. 5 consecutive days
$100 per day for max. 5 consecutive days
Missed Flight Connection
6 hours
Up to $300
Up to $300
Up to $300
Up to €200
Up to $300
NA
Up to $300
Up to $300
Automatic Trip Extension
$100/€75
Up to 7 consecutive days
Up to 7 consecutive days
Up to 7 consecutive days
Up to 7 consecutive days
Up to 7 consecutive days
Up to 7 consecutive days
Up to 7 consecutive days
Up to 7 consecutive days
Air fare Allowance
USD 300/EUR 300
USD 300/EUR 300
USD 300/EUR 300
USD 300/EUR 300
USD 300/EUR 300
USD 300/EUR 300
USD 300/EUR 300
USD 300/EUR 300
USD 300/EUR 300
Alternate transport expenses
USD 500/EUR 500
USD 500/EUR 500
USD 500/EUR 500
USD 500/EUR 500
USD 500/EUR 500
USD 500/EUR 500
USD 500/EUR 500
USD 500/EUR 500
USD 500/EUR 500
Care Supreme
Redefine the value that you get from Your Health Insurance
Features of Care Supreme
Benefit Name
Coverage
SI Options
7L/10L/15L/25L/50L/1Cr
Room Rent /ICU
No limit
In-Patient Care
Up to SI
Day Care Treatment
All Day Care Procedures
Advance Technology Methods
Up to SI
Pre-Hospitalization Medical Expenses
Up to SI, Pre-Hospitalization expense cover for 60 days prior to hospitalization
Post Hospitalization Medical Expenses
Up to SI, Post-Hospitalization expense cover for 180 days after discharge
AYUSH Treatment
Up to SI
Domiciliary Hospitalization
Up to SI
Organ Donor Cover
Up to SI
Road Ambulance Cover
For SI < 15 lac SI – up to Rs. 10,000
For 15 lac and above SI - Up to SI
Cumulative Bonus
50% of SI per year, max up to 100% of SI;
Note: Shall not reduce in case of claim
Unlimited Automatic Recharge
Available for unlimited times for unrelated or same illness.
Unlimited E-Consultations
Available for Consultations with General Physicians
Wellness Benefit
Upto 30% discount on Renewal based on meeting Healthy Days criteria
Air Ambulance
Upto Rs.5L
Health Services
Health Portal- Doctor on chat, Healthy tips reminder, etc.
Discount Connect – Discounts on services such as consultations, diagnostics,maternity etc at our network.
Initial Wait Period
30 Days
Named Ailment Wait Period
24 Months
PED Wait Period
36 Months
Optional Benefits
PED Wait Period
Modification
PED wait period shall be modified to 1 year/2 years
Named Ailment Wait Period
Modification
Named Ailment wait period shall be modified to 1 year
Instant Cover
No PED wait period (for Diabetes/ Hypertension/ Hyperlipidemia / Asthma) If Insured Person
has these Pre-Existing Diseases at the time of issuance of first Policy with us, the applicable
PED wait period shall be waived off on Diabetes/ Hypertension/ Hyperlipidemia / Asthma.
Cumulative Bonus Super
Up to 100% of Base SI per year, Max up to 500% of Base SI ;Note: Shall not reduce in case of claim
Annual Health check up
Once for all Insured every policy year on our Network . Appointment can be booked from Mobile Application
Be-Fit Benefit
Unlimited visits to Fitness centres can be availed by Insured members aged above 12 years
Care OPD(Add-on Policy)
Will allow the Insured members to get re-imbursement for
4 General Physician Consultations. Max Amount will not exceed Rs.500/-
per consultation
4 Specialist Consultations. Max Amount will not exceed Rs.500/- per
consultation
ELIGIBILITY
Age of Proposer
18 years or above
Entry Age - Minimum
Adult : 18 years; Child : 90 Days
Entry Age - Maximum
Adult: Lifelong; Child: 24 Years (last birthday)
Exit Age
Adult: Lifelong; Child: 25 Years
Cover Type
Individual: max up to 6 persons
Floater: max up to 2A2C
Tenure Options
1/2/3 Years
Pre-policy Issuance Medical Check up
As per Underwriting Guidelines
Pricing
Zone 1 - Delhi NCR, Surat, Mathura, Aligarh.
Zone 1A - Mumbai (MMR),Rest of Gujarat.
Zone 2 - Pune, Indore, Nashik, Telangana.
Zone 3 - Rest of India.
Note – 1. Cities above means adjoining cities also
2. Delhi- NCR , Mumbai (MMR), is as defined by Government
Who are covered (Relationship with respect to the Proposer)
Self, Spouse/Live-in partner/Same sex partner, Son, Daughter, Father,
Mother, Mother-in-law, Father-in law, Grand - Father, Grand -
Mother
Care Supreme VFM 1
Redefine the value that you get from Your Health Insurance
Unlimited Automatic Recharge of SI to cover multiple hospitalizations for related
and unrelated illness
Coverage will increase by 50% Increase in coverage with Cumulative Bonus . Max
100% Increase in SI. Claims will have no Impact on Cumulative Bonus
Coverage will Increase by 100% Increase in Coverage with Cumulative Bonus
Super. Max 500% of SI. Claim Claims will have no Impact on Cumulative Bonus
Upto 30% Discount on Renewal Premium with Wellness Benefit
Smart Select is pre-added in Policy. Customer are eligible for 15% discount by
opting for cashless Treatment in Value for Money Hospital network. 20% Co-
Payment will be applicable on all treatments taken in a hospital which is not part of
Value For Money Network Hospital. List of Hospitals under Value for Money Network
available in www.careinsurance.com.
Instant Cover Option: Coverage of Complications related
Diabetes/Hypertension/Asthma /Hyperlipidemia after serving Initial wait period of 30
Days. Customer will have to declared the Pre Existing Ailments and company will
have to accept the same for coverage to be applicable
PED Modification to 1 Year or 2 Years – Option to reduce PED wait Period to 1 Year
or 2 Year
Annual Health Check-up- One Health Check-up for all insured members in a Policy
Year. List of Test covers are available in T&C. Tests have to be pre-booked from
Mobile Application. No Reimbursement of expenses allowed under this benefit
Befit- One Visit to Fitness centres on Network per day for Insured Members . Insured
members with age upto 12 Years not covered under this benefit
Claim Shield- Coverage of 68 Non Payable items as per List 1 of Annexure 1
Care OPD befit offers following benefits:
Reimbursement of 4 General physician consultations per Policy year per
insured; Max amount payable per consultation is Rs.500/-
Reimbursement of 4 Specialist Consultations ( from the list of 12 specified
specialists) per insured per policy Year. Max amount payable per consultation is
Rs.500/-
Features of Care Supreme VFM 1
Benefit Name
Coverage
In-Patient Care
Up to SI
Day Care Treatment
All Day Care Procedures
Room Rent
All Category Rooms Allowed
ICU
No Limit
Advance Technology Methods
Up to SI
Pre-Hospitalization Medical Expenses
Up to SI, upto 60 days prior to hospitalization
Post Hospitalization Medical Expenses
Up to SI, upto 180 days after discharge
AYUSH Treatment
Up to SI
Domiciliary Hospitalization
Up to SI
Organ Donor Cover
Up to SI
Road Ambulance Cover
Up to Rs.10,000 per year for SI<15 Lacs, Upto SI for SI>=15 Lacs
Cumulative Bonus
50% of SI per year, max up to 100% of SI; Claim will not reduce Bonus Accrued
Unlimited Automatic Recharge
Available for unlimited times for unrelated or same illness.
Unlimited E-Consultations
Available for Consultations with General Physicians
Health Services
Discount Connect - Discounts on services such as consultations, diagnostics, maternity etc at our network.
ELIGIBILITY
Age of Proposer
18 years or above
Entry Age - Minimum
Adult : 18 years; Child : 5 years
Entry Age - Maximum
Adult: 60; Child: 24 Years
Exit Age
Adult: Lifelong; Child: 25 Years
Cover Type
Individual: max up to 6 persons;Floater: max up to 2A2C
Tenure Options
1/2/3 Years
Pricing
Delhi NCR, Mumbai Metropolis Area (including Mumbai suburban, Thane, Palghar, Raigad, any other city defined by Government ), Gujarat State, Aligarh, Mathura Delhi NCR includes Delhi, Baghpat, Bulandshahr, Gautam Buddh Nagar, Ghaziabad, Hapur, Meerut, Muzaffarnagar, Shamli, Charkhi Dadri, Faridabad, Gurugram, Jhajjar, Jind, Karnal, Mahendragarh, Nuh, Palwal, Panipat, Rewari, Bhiwani, Alwar, Bharatpur, Rohtak , Sonipat , any other city defined by Government) Zone 2: Rest of India
Who are covered (Relationship with respect to the Proposer)
Self, spouse/live-in partner/same sex partner, son, daughter, father, mother, mother-in-law, father-in law, Grand father, grand mother
Initial Waiting Period
30 Days
Named Ailment Waiting Period
24 months
Pre-Existing Diseases Waiting Period
36 months
Care Supreme VFM 2
Redefine the value that you get from Your Health Insurance
Unlimited Automatic Recharge of SI to cover multiple hospitalizations for related
and unrelated illness
Coverage will increase by 50% Increase in coverage with Cumulative Bonus. Max
100% Increase in SI. Claims will have no Impact on Cumulative Bonus
Coverage will Increase by 100% Increase in Coverage with Cumulative Bonus
Super. Max 500% of SI. Claim Claims will have no Impact on Cumulative Bonus
Upto 30% Discount on Renewal Premium with Wellness Benefit
Smart Select is pre-added in Policy. Customer are eligible for 15% discount by
opting for cashless Treatment in Value for Money Hospital network. 20% Co-
Payment will be applicable on all treatments taken in a hospital which is not part of
Value For Money Network Hospital. List of Hospitals under Value for Money Network
available in www.careinsurance.com.
Room eligibility modified to Most Economical Single Pvt AC Room using Room rent
Modification rider.
Instant Cover Option: Coverage of Complications related
Diabetes/Hypertension/Asthma /Hyperlipidemia after serving Initial wait period of 30
Days. Customer will have to declared the Pre Existing Ailments and company will
have to accept the same for coverage to be applicable
PED Modification to 1 Year or 2 Years – Option to reduce PED wait Period to 1 Year
or 2 Year
Annual Health Check-up- One Health Check-up for all insured members in a Policy
Year. List of Test covers are available in T&C. Tests have to be pre-booked from
Mobile Application. No Reimbursement of expenses allowed under this benefit
Befit- One Visit to Fitness centres on Network per day for Insured Members . Insured
members with age upto 12 Years not covered under this benefit.
Claim Shield- Coverage of 68 Non Payable items as per List 1 of Annexure 1
Care OPD befit offers following benefits:
Reimbursement of 4 General physician consultations per Policy year per insured;
Max amount payable per consultation is Rs.500/-)
Reimbursement of 4 Specialist Consultations ( from the list of 12 specified
specialists) per insured per policy Year. Max amount payable per consultation is
Rs.500/-
Features of Care Supreme VFM 2
Benefit Name
Coverage
In-Patient Care
Up to SI
Day Care Treatment
All Day Care Procedures
Room Rent
All Category Rooms Allowed
ICU
No Limit
Advance Technology Methods
Up to SI
Pre-Hospitalization Medical Expenses
Up to SI, upto 60 days prior to hospitalization
Post Hospitalization Medical Expenses
Up to SI, upto 180 days after discharge
AYUSH Treatment
Up to SI
Domiciliary Hospitalization
Up to SI
Organ Donor Cover
Up to SI
Road Ambulance Cover
Up to Rs.10,000 per year for SI<15 Lacs, Upto SI for SI>=15 Lacs
Cumulative Bonus
50% of SI per year, max up to 100% of SI; Claim will not reduce Bonus Accrued
Unlimited Automatic Recharge
Available for unlimited times for unrelated or same illness.
Unlimited E-Consultations
Available for Consultations with General Physicians
Health Services
Discount Connect - Discounts on services such as consultations, diagnostics, maternity etc at our network.
ELIGIBILITY
Age of Proposer
18 years or above
Entry Age - Minimum
Adult : 18 years; Child : 5 years
Entry Age - Maximum
Adult: 60; Child: 24 Years
Exit Age
Adult: Lifelong; Child: 25 Years
Cover Type
Individual: max up to 6 persons;Floater: max up to 2A2C
Tenure Options
1/2/3 Years
Pricing
Delhi NCR, Mumbai Metropolis Area (including Mumbai suburban, Thane, Palghar, Raigad, any other city defined by Government ), Gujarat State, Aligarh, Mathura Delhi NCR includes Delhi, Baghpat, Bulandshahr, Gautam Buddh Nagar, Ghaziabad, Hapur, Meerut, Muzaffarnagar, Shamli, Charkhi Dadri, Faridabad, Gurugram, Jhajjar, Jind, Karnal, Mahendragarh, Nuh, Palwal, Panipat, Rewari, Bhiwani, Alwar, Bharatpur, Rohtak , Sonipat , any other city defined by Government) Zone 2: Rest of India
Who are covered (Relationship with respect to the Proposer)
Self, spouse/live-in partner/same sex partner, son, daughter, father, mother, mother-in-law, father-in law, Grand father, grand mother
Initial Waiting Period
30 Days
Named Ailment Waiting Period
24 months
Pre-Existing Diseases Waiting Period
36 months
Care Supreme VFM 3
Redefine the value that you get from Your Health Insurance
Unlimited Automatic Recharge of SI to cover multiple hospitalizations for related and unrelated illness
Coverage will increase by 50% Increase in coverage with Cumulative Bonus . Max 100%
Increase in SI. Claims will have no Impact on Cumulative Bonus
Coverage will Increase by 100% Increase in Coverage with Cumulative Bonus Super;
Max 500% of SI. Claim Claims will have no Impact on Cumulative Bonus
Upto 30% Discount on Renewal Premium with Wellness Benefit
Smart Select is pre-added in Policy. Customer are eligible for 15% discount by opting for
cashless Treatment in Value for Money Hospital network. 20% Co-Payment will be
applicable on all treatments taken in a hospital which is not part of Value For Money
Network Hospital. List of Hospitals under Value for Money Network available in www.careinsurance.com.
Room eligibility modified to General Ward using Room rent Modification rider.
Instant Cover Option: Coverage of Complications related Diabetes/Hypertension/Asthma
/Hyperlipidemia after serving Initial wait period of 30 Days. Customer will have to declared
the Pre Existing Ailments and company will have to accept the same for coverage to be
applicable
PED Modification to 1 Year or 2 Years – Option to reduce PED wait Period to 1 Year or 2
Year
Annual Health Check-up- One Health Check-up for all insured members in a Policy Year.
List of Test covers are available in T&C. Tests have to be pre-booked from Mobile
Application. No Reimbursement of expenses allowed under this benefit
Befit- One Visit to Fitness centres on Network per day for Insured Members . Insured
members with age upto 12 Years not covered under this benefit
Claim Shield- Coverage of 68 Non Payable items as per List 1 of Annexure 1
Care OPD Benefits:
Reimbursement of 4 General physician consultations per Policy year per insured;
Max amount payable per consultation is Rs.500/-
Reimbursement of 4 Specialist Consultations ( from the list of 12 specified specialists) per
insured per policy Year. Max amount payable per consultation is Rs.500/-
Features of Care Supreme VFM 3
Benefit Name
Coverage
In-Patient Care
Up to SI
Day Care Treatment
All Day Care Procedures
Room Rent
All Category Rooms Allowed
ICU
No Limit
Advance Technology Methods
Up to SI
Pre-Hospitalization Medical Expenses
Up to SI, upto 60 days prior to hospitalization
Post Hospitalization Medical Expenses
Up to SI, upto 180 days after discharge
AYUSH Treatment
Up to SI
Domiciliary Hospitalization
Up to SI
Organ Donor Cover
Up to SI
Road Ambulance Cover
Up to Rs.10,000 per year for SI<15 Lacs, Upto SI for SI>=15 Lacs
Cumulative Bonus
50% of SI per year, max up to 100% of SI; Claim will not reduce Bonus Accrued
Unlimited Automatic Recharge
Available for unlimited times for unrelated or same illness.
Unlimited E-Consultations
Available for Consultations with General Physicians
Health Services
Discount Connect - Discounts on services such as consultations, diagnostics, maternity etc at our network.
ELIGIBILITY
Age of Proposer
18 years or above
Entry Age - Minimum
Adult : 18 years; Child : 5 years
Entry Age - Maximum
Adult: 60; Child: 24 Years
Exit Age
Adult: Lifelong; Child: 25 Years
Cover Type
Individual: max up to 6 persons;Floater: max up to 2A2C
Tenure Options
1/2/3 Years
Pricing
Delhi NCR, Mumbai Metropolis Area (including Mumbai suburban, Thane, Palghar, Raigad, any other city defined by Government ), Gujarat State, Aligarh, Mathura Delhi NCR includes Delhi, Baghpat, Bulandshahr, Gautam Buddh Nagar, Ghaziabad, Hapur, Meerut, Muzaffarnagar, Shamli, Charkhi Dadri, Faridabad, Gurugram, Jhajjar, Jind, Karnal, Mahendragarh, Nuh, Palwal, Panipat, Rewari, Bhiwani, Alwar, Bharatpur, Rohtak , Sonipat , any other city defined by Government) Zone 2: Rest of India
Who are covered (Relationship with respect to the Proposer)
Self, spouse/live-in partner/same sex partner, son, daughter, father, mother, mother-in-law, father-in law, Grand father, grand mother
Initial Waiting Period
30 Days
Named Ailment Waiting Period
24 months
Pre-Existing Diseases Waiting Period
36 months
Care Supreme Super Saver
Redefine the value that you get from Your Health Insurance
Features of Care Supreme Super Saver
Benefit Name
Coverage
SI Options
5L/7L/10L
Deductible
Rs. 25,000 Deductible on per Year
Room Rent /ICU
No Limit
In-Patient Care
Up to SI
Day Care Treatment
All Day Care Procedures
Advance Technology Methods
Up to SI
Pre-Hospitalization Medical Expenses
Up to SI, Pre-Hospitalization expense cover for 60 days prior to hospitalization
Post Hospitalization Medical Expenses
Up to SI, Post-Hospitalization expense cover for 180 days after discharge
AYUSH Treatment
Up to SI
Domiciliary Hospitalization
Up to SI
Organ Donor Cover
Up to SI
Road Ambulance Cover
For SI < 15 lac SI – up to Rs. 10,000
For 15 lac and above SI - Up to SI
Cumulative Bonus
50% of SI per year, max up to 100% of SI;
Note: Shall not reduce in case of claim
Unlimited Automatic Recharge
Available for unlimited times for unrelated or same illness.
Unlimited E-Consultations
Available for Consultations with General Physicians
Wellness Benefit
Upto 30% discount on Renewal based on meeting Healthy Days criteria
Air Ambulance
Upto Rs.5L
Health Services
Health Portal- Doctor on chat, Healthy tips reminder, etc.
Discount Connect – Discounts on services such as consultations, diagnostics, etc at our network.
Initial Wait Period
30 Days
Named Ailment Wait Period
24 Months
PED Wait Period
36 Months
Mandatory Optional Benefit
Air Ambulance
Lower of 5Lor SI
Wellness
Upto 30% discount on Renewals
Deductible
Rs.25000/- Aggregate Deductible per year;
Optional Benefits
Benefit
Coverage
PED Wait Period Modification
PED wait period shall be modified to 1 year/2 years
Named Ailment Wait Period Modification
Named Ailment wait period shall be modified to 1 year
Instant Cover
No PED wait period (for Diabetes/ Hypertension/ Hyperlipidemia / Asthma) If Insured Person has these Pre-Existing Diseases at the time of issuance of first Policy with us, the applicable PED wait period shall be waived off on Diabetes/ Hypertension/ Hyperlipidemia / Asthma.
Cumulative Bonus Super
Up to 100% of Base SI per year, Max up to 500% of Base SI; Note: Shall not reduce in case of claim
Annual Health check up
Once for all Insured every policy year on our Network. Appointment can be booked from Mobile Application
Be-Fit Benefit
Unlimited visits to Fitness centres can be availed by Insured members aged above 12 years
Care OPD(Add-on Policy)
Will allow the Insured members to get re-imbursement for:
4 General Physician Consultations. Max Amount will not exceed Rs.500/- per consultation
4 Specialist Consultations. Max Amount will not exceed Rs.500/- per consultation
INSTANT COVER
SI Sourcing Rules
Zone 1 : 7L & 10l For New Business; 10L for Portability( Internal and External)
Zone 2 : 5L & 7L for New Business; 7 L for Portability(Internal and External)
Location
New
Port
Faridabad
10 Lakhs
10 Lakhs
Ahmedabad
-
10 lakhs
Telangana
-
10 lakhs
Bangalore
-
7 lakhs
Delhi NCR
-
10 lakhs
Hyderabad
-
10 lakhs
Kerala
-
10 lakhs
Kolkata
10 lakhs
Indore
-
10 Lakhs
Mumbai
-
10 lakhs
Nashik
7 Lakhs
10 lakhs
Pune
-
10 lakhs
Rest of Gujarat
-
10 lakhs
Ahmednagar
-
10 Lakhs
Surat
-
10 lakhs
UP West
-
10 Lakhs
Rest of Haryana
-
10 Lakhs
ELIGIBILITY
Criteria
Details
Age of Proposer
18 years or above
Entry Age - Minimum
Adult: 18 years; Child: 90 Days
Entry Age - Maximum
Adult: Lifelong; Child: 24 Years (last birthday)
Exit Age
Adult: Lifelong; Child: 25 Years
Cover Type
Individual: max up to 6 persons
Floater: max up to 2A2C
Tenure Options
1/2/3 Years
Pre-policy Issuance Medical Check up
As per Underwriting Guidelines
Pricing
Zone 1 - Delhi NCR, Surat, Mathura, Aligarh.
Zone 1A - Mumbai (MMR),Rest of Gujarat.
Zone 2 - Pune, Indore, Nashik, Telangana.
Zone 3 - Rest of India.
Note – 1. Cities above means adjoining cities also
2. Delhi- NCR , Mumbai (MMR), is as defined by Government
Who are covered (Relationship with respect to the Proposer)
Optional Benefit : As per existing sourcing guidelines of Care Supreme applicable on the PIN Codes
DEDUCTIBLE RATES:
Deductible/ SI
5,00,000
7,00,000
10,00,000
15,00,000
20,00,000
25,00,000
50,00,000
75,00,000
1,00,00,000
6,00,00,000
25,000
-19.00%
-15.50%
-12.25%
-9.25%
-8.75%
-8.25%
-7.25%
-6.75%
-6.50%
-6.00%
ELIGIBILITY
Optional Benefit/
Premium Value
Deductible
Smart Select
Yes
Room Rent Modification
Yes
PED Wait Period Modification
Yes
Named Ailment Wait Period Modification
Yes
Instant Cover
Yes
Deductible
-
Co-Payment
Yes
New Born Cover
Yes
Plus Benefit
Yes
Cumulative Bonus Super
Yes
Annual Health Check Up
No
Be Fit Benefit
No
Wellness Benefit
No
Air Ambulance
Yes
Women Care
No
Mental Health Well Being
No
Claim Shield
Yes
POS Care Supreme VFM 1
Redefine the value that you get from Your Health Insurance
Unlimited Automatic Recharge of SI to cover multiple hospitalizations for related
and unrelated illness
Coverage will increase by 50% Increase in coverage with Cumulative Bonus . Max
100% Increase in SI. Claims will have no Impact on Cumulative Bonus
Coverage will Increase by 100% Increase in Coverage with Cumulative Bonus
Super. Max 500% of SI. Claim Claims will have no Impact on Cumulative Bonus
Upto 30% Discount on Renewal Premium with Wellness Benefit
Smart Select is pre-added in Policy. Customer are eligible for 15% discount by
opting for cashless Treatment in Value for Money Hospital network. 20% Co-
Payment will be applicable on all treatments taken in a hospital which is not part of
Value For Money Network Hospital. List of Hospitals under Value for Money Network
available in www.careinsurance.com.
Instant Cover Option: Coverage of Complications related
Diabetes/Hypertension/Asthma /Hyperlipidemia after serving Initial wait period of 30
Days. Customer will have to declared the Pre Existing Ailments and company will
have to accept the same for coverage to be applicable
PED Modification to 1 Year or 2 Years – Option to reduce PED wait Period to 1 Year
or 2 Year
Annual Health Check-up- One Health Check-up for all insured members in a Policy
Year. List of Test covers are available in T&C. Tests have to be pre-booked from
Mobile Application. No Reimbursement of expenses allowed under this benefit
Befit- One Visit to Fitness centres on Network per day for Insured Members . Insured
members with age upto 12 Years not covered under this benefit
Claim Shield- Coverage of 68 Non Payable items as per List 1 of Annexure 1
Care OPD befit offers following benefits:
Reimbursement of 4 General physician consultations per Policy year per
insured; Max amount payable per consultation is Rs.500/-
Reimbursement of 4 Specialist Consultations ( from the list of 12 specified
specialists) per insured per policy Year. Max amount payable per consultation is
Rs.500/-
Features of POS Care Supreme VFM 1
Benefit Name
Coverage
In-Patient Care
Up to SI
Day Care Treatment
All Day Care Procedures
Room Rent
All Category Rooms Allowed
ICU
No Limit
Advance Technology Methods
Up to SI
Pre-Hospitalization Medical Expenses
Up to SI, upto 60 days prior to hospitalization
Post Hospitalization Medical Expenses
Up to SI, upto 180 days after discharge
AYUSH Treatment
Up to SI
Domiciliary Hospitalization
Up to SI
Organ Donor Cover
Up to SI
Road Ambulance Cover
Up to Rs.10,000 per year for SI<15 Lacs, Upto SI for SI>=15 Lacs
Cumulative Bonus
50% of SI per year, max up to 100% of SI; Claim will not reduce Bonus Accrued
Unlimited Automatic Recharge
Available for unlimited times for unrelated or same illness.
Unlimited E-Consultations
Available for Consultations with General Physicians
Health Services
Discount Connect - Discounts on services such as consultations, diagnostics, maternity etc at our network.
ELIGIBILITY
Age of Proposer
18 years or above
Entry Age - Minimum
Adult : 18 years; Child : 5 years
Entry Age - Maximum
Adult: 60; Child: 24 Years
Exit Age
Adult: Lifelong; Child: 25 Years
Cover Type
Individual: max up to 6 persons;Floater: max up to 2A2C
Tenure Options
1/2/3 Years
Pricing
Delhi NCR, Mumbai Metropolis Area (including Mumbai suburban, Thane, Palghar, Raigad, any other city defined by Government ), Gujarat State, Aligarh, Mathura Delhi NCR includes Delhi, Baghpat, Bulandshahr, Gautam Buddh Nagar, Ghaziabad, Hapur, Meerut, Muzaffarnagar, Shamli, Charkhi Dadri, Faridabad, Gurugram, Jhajjar, Jind, Karnal, Mahendragarh, Nuh, Palwal, Panipat, Rewari, Bhiwani, Alwar, Bharatpur, Rohtak , Sonipat , any other city defined by Government) Zone 2: Rest of India
Who are covered (Relationship with respect to the Proposer)
Self, spouse/live-in partner/same sex partner, son, daughter, father, mother, mother-in-law, father-in law, Grand father, grand mother
Initial Waiting Period
30 Days
Named Ailment Waiting Period
24 months
Pre-Existing Diseases Waiting Period
36 months
POS Care Supreme VFM 2
Redefine the value that you get from Your Health Insurance
Unlimited Automatic Recharge of SI to cover multiple hospitalizations for related
and unrelated illness
Coverage will increase by 50% Increase in coverage with Cumulative Bonus. Max
100% Increase in SI. Claims will have no Impact on Cumulative Bonus
Coverage will Increase by 100% Increase in Coverage with Cumulative Bonus
Super. Max 500% of SI. Claim Claims will have no Impact on Cumulative Bonus
Upto 30% Discount on Renewal Premium with Wellness Benefit
Smart Select is pre-added in Policy. Customer are eligible for 15% discount by
opting for cashless Treatment in Value for Money Hospital network. 20% Co-
Payment will be applicable on all treatments taken in a hospital which is not part of
Value For Money Network Hospital. List of Hospitals under Value for Money Network
available in www.careinsurance.com.
Room eligibility modified to Most Economical Single Pvt AC Room using Room rent
Modification rider.
Instant Cover Option: Coverage of Complications related
Diabetes/Hypertension/Asthma /Hyperlipidemia after serving Initial wait period of 30
Days. Customer will have to declared the Pre Existing Ailments and company will
have to accept the same for coverage to be applicable
PED Modification to 1 Year or 2 Years – Option to reduce PED wait Period to 1 Year
or 2 Year
Annual Health Check-up- One Health Check-up for all insured members in a Policy
Year. List of Test covers are available in T&C. Tests have to be pre-booked from
Mobile Application. No Reimbursement of expenses allowed under this benefit
Befit- One Visit to Fitness centres on Network per day for Insured Members . Insured
members with age upto 12 Years not covered under this benefit.
Claim Shield- Coverage of 68 Non Payable items as per List 1 of Annexure 1
Care OPD befit offers following benefits:
Reimbursement of 4 General physician consultations per Policy year per insured;
Max amount payable per consultation is Rs.500/-)
Reimbursement of 4 Specialist Consultations ( from the list of 12 specified
specialists) per insured per policy Year. Max amount payable per consultation is
Rs.500/-
Features of POS Care Supreme VFM 2
Benefit Name
Coverage
In-Patient Care
Up to SI
Day Care Treatment
All Day Care Procedures
Room Rent
All Category Rooms Allowed
ICU
No Limit
Advance Technology Methods
Up to SI
Pre-Hospitalization Medical Expenses
Up to SI, upto 60 days prior to hospitalization
Post Hospitalization Medical Expenses
Up to SI, upto 180 days after discharge
AYUSH Treatment
Up to SI
Domiciliary Hospitalization
Up to SI
Organ Donor Cover
Up to SI
Road Ambulance Cover
Up to Rs.10,000 per year for SI<15 Lacs, Upto SI for SI>=15 Lacs
Cumulative Bonus
50% of SI per year, max up to 100% of SI; Claim will not reduce Bonus Accrued
Unlimited Automatic Recharge
Available for unlimited times for unrelated or same illness.
Unlimited E-Consultations
Available for Consultations with General Physicians
Health Services
Discount Connect - Discounts on services such as consultations, diagnostics, maternity etc at our network.
ELIGIBILITY
Age of Proposer
18 years or above
Entry Age - Minimum
Adult : 18 years; Child : 5 years
Entry Age - Maximum
Adult: 60; Child: 24 Years
Exit Age
Adult: Lifelong; Child: 25 Years
Cover Type
Individual: max up to 6 persons;Floater: max up to 2A2C
Tenure Options
1/2/3 Years
Pricing
Delhi NCR, Mumbai Metropolis Area (including Mumbai suburban, Thane, Palghar, Raigad, any other city defined by Government ), Gujarat State, Aligarh, Mathura Delhi NCR includes Delhi, Baghpat, Bulandshahr, Gautam Buddh Nagar, Ghaziabad, Hapur, Meerut, Muzaffarnagar, Shamli, Charkhi Dadri, Faridabad, Gurugram, Jhajjar, Jind, Karnal, Mahendragarh, Nuh, Palwal, Panipat, Rewari, Bhiwani, Alwar, Bharatpur, Rohtak , Sonipat , any other city defined by Government) Zone 2: Rest of India
Who are covered (Relationship with respect to the Proposer)
Self, spouse/live-in partner/same sex partner, son, daughter, father, mother, mother-in-law, father-in law, Grand father, grand mother
Initial Waiting Period
30 Days
Named Ailment Waiting Period
24 months
Pre-Existing Diseases Waiting Period
36 months
POS Care Supreme VFM 3
Redefine the value that you get from Your Health Insurance
Unlimited Automatic Recharge of SI to cover multiple hospitalizations for related and unrelated illness
Coverage will increase by 50% Increase in coverage with Cumulative Bonus . Max 100%
Increase in SI. Claims will have no Impact on Cumulative Bonus
Coverage will Increase by 100% Increase in Coverage with Cumulative Bonus Super;
Max 500% of SI. Claim Claims will have no Impact on Cumulative Bonus
Upto 30% Discount on Renewal Premium with Wellness Benefit
Smart Select is pre-added in Policy. Customer are eligible for 15% discount by opting for
cashless Treatment in Value for Money Hospital network. 20% Co-Payment will be
applicable on all treatments taken in a hospital which is not part of Value For Money
Network Hospital. List of Hospitals under Value for Money Network available in www.careinsurance.com.
Room eligibility modified to General Ward using Room rent Modification rider.
Instant Cover Option: Coverage of Complications related Diabetes/Hypertension/Asthma
/Hyperlipidemia after serving Initial wait period of 30 Days. Customer will have to declared
the Pre Existing Ailments and company will have to accept the same for coverage to be
applicable
PED Modification to 1 Year or 2 Years – Option to reduce PED wait Period to 1 Year or 2
Year
Annual Health Check-up- One Health Check-up for all insured members in a Policy Year.
List of Test covers are available in T&C. Tests have to be pre-booked from Mobile
Application. No Reimbursement of expenses allowed under this benefit
Befit- One Visit to Fitness centres on Network per day for Insured Members . Insured
members with age upto 12 Years not covered under this benefit
Claim Shield- Coverage of 68 Non Payable items as per List 1 of Annexure 1
Care OPD Benefits:
Reimbursement of 4 General physician consultations per Policy year per insured;
Max amount payable per consultation is Rs.500/-
Reimbursement of 4 Specialist Consultations ( from the list of 12 specified specialists) per
insured per policy Year. Max amount payable per consultation is Rs.500/-
Features of POS Care Supreme VFM 3
Benefit Name
Coverage
In-Patient Care
Up to SI
Day Care Treatment
All Day Care Procedures
Room Rent
All Category Rooms Allowed
ICU
No Limit
Advance Technology Methods
Up to SI
Pre-Hospitalization Medical Expenses
Up to SI, upto 60 days prior to hospitalization
Post Hospitalization Medical Expenses
Up to SI, upto 180 days after discharge
AYUSH Treatment
Up to SI
Domiciliary Hospitalization
Up to SI
Organ Donor Cover
Up to SI
Road Ambulance Cover
Up to Rs.10,000 per year for SI<15 Lacs, Upto SI for SI>=15 Lacs
Cumulative Bonus
50% of SI per year, max up to 100% of SI; Claim will not reduce Bonus Accrued
Unlimited Automatic Recharge
Available for unlimited times for unrelated or same illness.
Unlimited E-Consultations
Available for Consultations with General Physicians
Health Services
Discount Connect - Discounts on services such as consultations, diagnostics, maternity etc at our network.
ELIGIBILITY
Age of Proposer
18 years or above
Entry Age - Minimum
Adult : 18 years; Child : 5 years
Entry Age - Maximum
Adult: 60; Child: 24 Years
Exit Age
Adult: Lifelong; Child: 25 Years
Cover Type
Individual: max up to 6 persons;Floater: max up to 2A2C
Tenure Options
1/2/3 Years
Pricing
Delhi NCR, Mumbai Metropolis Area (including Mumbai suburban, Thane, Palghar, Raigad, any other city defined by Government ), Gujarat State, Aligarh, Mathura Delhi NCR includes Delhi, Baghpat, Bulandshahr, Gautam Buddh Nagar, Ghaziabad, Hapur, Meerut, Muzaffarnagar, Shamli, Charkhi Dadri, Faridabad, Gurugram, Jhajjar, Jind, Karnal, Mahendragarh, Nuh, Palwal, Panipat, Rewari, Bhiwani, Alwar, Bharatpur, Rohtak , Sonipat , any other city defined by Government) Zone 2: Rest of India
Who are covered (Relationship with respect to the Proposer)
Self, spouse/live-in partner/same sex partner, son, daughter, father, mother, mother-in-law, father-in law, Grand father, grand mother
Initial Waiting Period
30 Days
Named Ailment Waiting Period
24 months
Pre-Existing Diseases Waiting Period
36 months
Secure
Redefine the value that you get from Your Health Insurance
Upto 100% increase of SI with Cumulative Bonus Super
Unlimited Automatic Recharge
Upto 30% discount with Wellness Benefit
No reduction of accumulated bonus due to Claim
Upto 30% discount on renewal due to Wellness Benefit
No sub-limits on Advanced Technology treatments
Features of Secure
Benefit Name
Coverage
Accidental Death
100% of Sum Insured
Permanent Total
Disablement (PTD
As per PTD Table in Annexure – I (a)
Permanent Partial
Disablement (PPD
As per PPD Table in Annexure – I (b)
Fractures
Sub-limit of Rs.
50,000 (As per
Fractures Table in
Annexure – I (c))
Sub-limit of Rs.
1,00,000 (As per
Fractures Table in
Annexure – I (c)
Sub-limit of Rs.
2,00,000 (As per
Fractures Table in
Annexure – I (c))
Sub-limit of Rs.
3,00,000 (As per
Fractures Table in
Annexure – I (c)
Child Education
10% of Sum Insured
10% of Sum Insured
10% of Sum Insured
Major Diagnostic
Tests
Up to Rs. 15,000
Up to Rs. 25,000
Up to Rs. 50,000
Disappearance
100% of SI
100% of SI
100% of SI
Mobility cover
Up to Rs. 15,000
Up to Rs. 25,000
Up to Rs. 50,000
Burns
Sub-limit of Rs.
10,00,000 (As per
Burns Table in
Annexure – I (d)
Sub-limit of Rs.
20,00,000 (As per
Burns Table in
Annexure – I (d)
Sub-limit of Rs.
25,00,000 (As per
Burns Table in
Annexure – I (d)
Domestic Road
Ambulance
Up to Rs. 5,000
Up to Rs. 5,000
Nursing Care
Rs. 1,000 per day, Max
for 15 days per Claim
Rs. 1,500 per day, Max
for 15 days per Claim
Reconstructive
Surgery
Up to Rs. 10,00,000
Up to Rs. 20,00,000
Repatriation of
Mortal Remains
2% of the Sum Insured
or Max Rs. 1,00,000;
whichever is lowe
2% of the Sum Insured
or Max Rs. 1,00,000;
whichever is lowe
Loyalty Benefit
For each continuous and completed Policy Year, on subsequent renewal, the Company will enhance the Coverage amount
of last Policy Year, pertaining to Benefit 1, Benefit 2 and Benefit 3, by flat 5% of the Sum Insured, on a cumulative basis, as
a Loyalty Bonus; Max. Increase up to 50% of Sum Insured.
ELIGIBILITY
Minimum Entry Age
91 days
Maximum Entry Age
Child : 24 years
Adult : 70 years
Maximum Renewal Age
Lifelong
Age of Proposer
18 Years or above
Relationship Covered
Legally married Spouse, Children, Parents, Brother, Sister, Parents-in-Law, Grandparents, Grandchildren,
Uncle, Aunt, Nephew, Niece and any other relationship having insurable interes
Cover Type
Individual
Policy Tenure (in Years)
1 / 2 / 3
Secure Plus
Redefine the value that you get from Your Health Insurance
Upto 100% increase of SI with Cumulative Bonus Super
Unlimited Automatic Recharge
Upto 30% discount with Wellness Benefit
No reduction of accumulated bonus due to Claim
Upto 30% discount on renewal due to Wellness Benefit
No sub-limits on Advanced Technology treatments
Features of Secure Plus
Benefit Name
Coverage
Accidental Death
100% of Sum Insured
Permanent Total
Disablement (PTD
As per PTD Table in Annexure – I (a)
Permanent Partial
Disablement (PPD
As per PPD Table in Annexure – I (b)
Fractures
Sub-limit of Rs.
50,000 (As per
Fractures Table in
Annexure – I (c))
Sub-limit of Rs.
1,00,000 (As per
Fractures Table in
Annexure – I (c)
Sub-limit of Rs.
2,00,000 (As per
Fractures Table in
Annexure – I (c))
Sub-limit of Rs.
3,00,000 (As per
Fractures Table in
Annexure – I (c)
Child Education
10% of Sum Insured
10% of Sum Insured
10% of Sum Insured
Major Diagnostic
Tests
Up to Rs. 15,000
Up to Rs. 25,000
Up to Rs. 50,000
Disappearance
100% of SI
100% of SI
100% of SI
Mobility cover
Up to Rs. 15,000
Up to Rs. 25,000
Up to Rs. 50,000
Burns
Sub-limit of Rs.
10,00,000 (As per
Burns Table in
Annexure – I (d)
Sub-limit of Rs.
20,00,000 (As per
Burns Table in
Annexure – I (d)
Sub-limit of Rs.
25,00,000 (As per
Burns Table in
Annexure – I (d)
Domestic Road
Ambulance
Up to Rs. 5,000
Up to Rs. 5,000
Nursing Care
Rs. 1,000 per day, Max
for 15 days per Claim
Rs. 1,500 per day, Max
for 15 days per Claim
Reconstructive
Surgery
Up to Rs. 10,00,000
Up to Rs. 20,00,000
Repatriation of
Mortal Remains
2% of the Sum Insured
or Max Rs. 1,00,000;
whichever is lowe
2% of the Sum Insured
or Max Rs. 1,00,000;
whichever is lowe
Loyalty Benefit
For each continuous and completed Policy Year, on subsequent renewal, the Company will enhance the Coverage amount
of last Policy Year, pertaining to Benefit 1, Benefit 2 and Benefit 3, by flat 5% of the Sum Insured, on a cumulative basis, as
a Loyalty Bonus; Max. Increase up to 50% of Sum Insured.
ELIGIBILITY
Minimum Entry Age
91 days
Maximum Entry Age
Child : 24 years
Adult : 70 years
Maximum Renewal Age
Lifelong
Age of Proposer
18 Years or above
Relationship Covered
Legally married Spouse, Children, Parents, Brother, Sister, Parents-in-Law, Grandparents, Grandchildren,
Uncle, Aunt, Nephew, Niece and any other relationship having insurable interes
Cover Type
Individual
Policy Tenure (in Years)
1 / 2 / 3
Secure Child
Redefine the value that you get from Your Health Insurance
Upto 100% increase of SI with Cumulative Bonus Super
Unlimited Automatic Recharge
Upto 30% discount with Wellness Benefit
No reduction of accumulated bonus due to Claim
Upto 30% discount on renewal due to Wellness Benefit
No sub-limits on Advanced Technology treatments
Features of Secure Child
Benefit Name
Coverage
Accidental Death
100% of Sum Insured
Permanent Total
Disablement (PTD
As per PTD Table in Annexure – I (a)
Permanent Partial
Disablement (PPD
As per PPD Table in Annexure – I (b)
Fractures
Sub-limit of Rs.
50,000 (As per
Fractures Table in
Annexure – I (c))
Sub-limit of Rs.
1,00,000 (As per
Fractures Table in
Annexure – I (c)
Sub-limit of Rs.
2,00,000 (As per
Fractures Table in
Annexure – I (c))
Sub-limit of Rs.
3,00,000 (As per
Fractures Table in
Annexure – I (c)
Child Education
10% of Sum Insured
10% of Sum Insured
10% of Sum Insured
Major Diagnostic
Tests
Up to Rs. 15,000
Up to Rs. 25,000
Up to Rs. 50,000
Disappearance
100% of SI
100% of SI
100% of SI
Mobility cover
Up to Rs. 15,000
Up to Rs. 25,000
Up to Rs. 50,000
Burns
Sub-limit of Rs.
10,00,000 (As per
Burns Table in
Annexure – I (d)
Sub-limit of Rs.
20,00,000 (As per
Burns Table in
Annexure – I (d)
Sub-limit of Rs.
25,00,000 (As per
Burns Table in
Annexure – I (d)
Domestic Road
Ambulance
Up to Rs. 5,000
Up to Rs. 5,000
Nursing Care
Rs. 1,000 per day, Max
for 15 days per Claim
Rs. 1,500 per day, Max
for 15 days per Claim
Reconstructive
Surgery
Up to Rs. 10,00,000
Up to Rs. 20,00,000
Repatriation of
Mortal Remains
2% of the Sum Insured
or Max Rs. 1,00,000;
whichever is lowe
2% of the Sum Insured
or Max Rs. 1,00,000;
whichever is lowe
Loyalty Benefit
For each continuous and completed Policy Year, on subsequent renewal, the Company will enhance the Coverage amount
of last Policy Year, pertaining to Benefit 1, Benefit 2 and Benefit 3, by flat 5% of the Sum Insured, on a cumulative basis, as
a Loyalty Bonus; Max. Increase up to 50% of Sum Insured.
ELIGIBILITY
Minimum Entry Age
91 days
Maximum Entry Age
Child : 24 years
Adult : 70 years
Maximum Renewal Age
Lifelong
Age of Proposer
18 Years or above
Relationship Covered
Legally married Spouse, Children, Parents, Brother, Sister, Parents-in-Law, Grandparents, Grandchildren,
Uncle, Aunt, Nephew, Niece and any other relationship having insurable interes
Cover Type
Individual
Policy Tenure (in Years)
1 / 2 / 3
Senior Premium
Redefine the value that you get from Your Health Insurance
Features of Senior Premium
Benefit Name
Coverage
SI Options
5L/7L/10L/15L/25L
Co-Payment
20% on All Claims
Room Rent
Room Category modified to Most Economical Single PVT AC Room using Room Rent Modification
In-Patient Care
Up to SI
Day Care Treatment
All Day Care Procedures
Advance Technology Methods
Up to SI
Pre-Hospitalization Medical Expenses
Up to SI, Pre-Hospitalization expense cover for 60 days prior to hospitalization
Post Hospitalization Medical Expenses
Up to SI, Post-Hospitalization expense cover for 180 days after discharge
AYUSH Treatment
Up to SI
Domiciliary Hospitalization
Up to SI
Organ Donor Cover
Up to SI
Road Ambulance Cover
For SI < 15 lac SI – up to Rs. 10,000; For 15 lac and above SI - Up to SI
Cumulative Bonus
50% of SI per year, max up to 100% of SI; Note: Shall not reduce in case of claim
Unlimited Automatic Recharge
Available for unlimited times for unrelated or same illness
Unlimited E-Consultations
Available for Consultations with General Physicians
Wellness Benefit
Upto 30% discount on Renewal based on meeting Healthy Days criteria
Air Ambulance
Upto Rs.5L
Health Services
Health Portal- Doctor on chat, Healthy tips reminder, etc.
Discount Connect – Discounts on services such as consultations, diagnostics, etc at our network.
Initial Wait Period
30 Days
Named Ailment Wait Period
24 Months
PED Wait Period
36 Months
Optional Benefits
Benefit
Coverage
PED Wait Period Modification
PED wait period shall be modified to 1 year/2 years
Named Ailment Wait Period Modification
Named Ailment wait period shall be modified to 1 year
Instant Cover
No PED wait period (for Diabetes/ Hypertension/ Hyperlipidemia / Asthma) If Insured Person has these Pre-Existing Diseases at the time of issuance of first Policy with us, the applicable PED wait period shall be waived off on Diabetes/ Hypertension/ Hyperlipidemia / Asthma.
Cumulative Bonus Super
Up to 100% of Base SI per year, Max up to 500% of Base SI; Note: Shall not reduce in case of claim
Annual Health check up
Once for all Insured every policy year on our Network. Appointment can be booked from Mobile Application
Be-Fit Benefit
Unlimited visits to Fitness centres can be availed by Insured members aged above 12 years
Care OPD(Add-on Policy)
Will allow the Insured members to get re-imbursement for
4 Physical Consultation from GP. Max Rs.1000 per consultation. 10% Co-payment will apply on claim
4 Physical Consultations from 14 Specified Specialist. Max Rs.2000 per consultation. 5% Co-payment will apply on claim
Upto Rs.1000 per Year for Physiotherapy OPD
Upto Rs.1000 per Year for Psychologist consultation; Max Per session limit is Rs.800/-
Disease Management Program
4 Physical Doctor Consultation per Year related to Diabetes or Hyperlipidemia (As per Program chosen); Max amount Payable is Rs.750/- per consultation
Upto Rs.6000/- per Year Prescribed Pharmacy
Diagnostic Test at Company Network on cashless basis for
Individual: max up to 6 persons; Floater: max up to 2A2C
Tenure Options
1/2/3 Years
Pre-policy Issuance Medical Check up
As per Underwriting Guidelines
Pricing
Zone 1 - Delhi NCR, Surat, Mathura, Aligarh;
Zone 1A – Mumbai (MMR), Rest of Gujarat;
Zone 2 - Pune, Indore, Nashik, Telangana;
Zone 3 - Rest of India.
Note – 1. Cities above means adjoining cities also
2. Delhi- NCR, Mumbai (MMR), is as defined by Government
Who are covered (Relationship with respect to the Proposer having Insurable Interest)
Self, Spouse/Live-in partner/Same sex partner, Son, Daughter, Father, Mother, Mother-in-law, Father-in law, Grand - Father, Grand - Mother
Senior Super
Redefine the value that you get from Your Health Insurance
Features of Senior Super
Benefit Name
Coverage
SI Options
5L/7L/10L/15L/25L
Sub-Limit
Applicable on certain ailments/Treatments
Co-Payment
20% on All Claims
Room Rent
Room Category modified to Most Economical Single PVT AC Room using Room Rent Modification
In-Patient Care
Up to SI
Day Care Treatment
All Day Care Procedures
Advance Technology Methods
Up to SI
Pre-Hospitalization Medical Expenses
Up to SI, Pre-Hospitalization expense cover for 60 days prior to hospitalization
Post Hospitalization Medical Expenses
Up to SI, Post-Hospitalization expense cover for 180 days after discharge
AYUSH Treatment
Up to SI
Domiciliary Hospitalization
Up to SI
Organ Donor Cover
Up to SI
Road Ambulance Cover
For SI < 15 lac SI – up to Rs. 10,000; For 15 lac and above SI - Up to SI
Cumulative Bonus
50% of SI per year, max up to 100% of SI; Note: Shall not reduce in case of claim
Unlimited Automatic Recharge
Available for unlimited times for unrelated or same illness
Unlimited E-Consultations
Available for Consultations with General Physicians
Wellness Benefit
Upto 30% discount on Renewal based on meeting Healthy Days criteria
Air Ambulance
Upto Rs.5L
Health Services
Health Portal- Doctor on chat, Healthy tips reminder, etc.
Discount Connect – Discounts on services such as consultations, diagnostics, etc at our network.
Initial Wait Period
30 Days
Named Ailment Wait Period
24 Months
PED Wait Period
36 Months
Optional Benefits
Benefit
Coverage
PED Wait Period Modification
PED wait period shall be modified to 1 year/2 years
Named Ailment Wait Period Modification
Named Ailment wait period shall be modified to 1 year
Instant Cover
No PED wait period (for Diabetes/ Hypertension/ Hyperlipidemia / Asthma) If Insured Person has these Pre-Existing Diseases at the time of issuance of first Policy with us, the applicable PED wait period shall be waived off on Diabetes/ Hypertension/ Hyperlipidemia / Asthma.
Cumulative Bonus Super
Up to 100% of Base SI per year, Max up to 500% of Base SI; Note: Shall not reduce in case of claim
Annual Health check up
Once for all Insured every policy year on our Network. Appointment can be booked from Mobile Application
Be-Fit Benefit
Unlimited visits to Fitness centres can be availed by Insured members aged above 12 years
Care OPD(Add-on Policy)
Will allow the Insured members to get re-imbursement for:
4 Physical Consultation from GP. Max Rs.1000 per consultation. 10% Co-payment will apply on claim
4 Physical Consultations from 14 Specified Specialist. Max Rs.2000 per consultation. 5% Co-payment will apply on claim
Upto Rs.1000 per Year for Physiotherapy OPD
Upto Rs.1000 per Year for Psychologist consultation; Max Per session limit is Rs.800/-
Disease Management Program
4 Physical Doctor Consultation per Year related to Diabetes or Hyperlipidemia (As per Program chosen); Max amount Payable is Rs.750/- per consultation
Upto Rs.6000/- per Year Prescribed Pharmacy
Diagnostic Test at Company Network on cashless basis for:
Individual: max up to 6 persons
Floater: max up to 2A4C
Individual: max up to 6 persons
Floater: max up to 2A4C
Tenure Options
Yes, as per Appendix I
Yes, as per Appendix I
Who are covered (Relationship with respect to
the Proposer having Insurable Interest)
Self, Spouse/Live-in partner/Same sex partner, Son, Daughter, Father, Mother,
Mother-in-law, Father-in law, Grand - Father, Grand – Mother or any
relationship with whom Proposer has Insurable Interest
Premium Payment Term
Single/Monthly/Quarterly/Half-yearly
Pricing
Flat pricing
Plan A
S. No.
Base Benefit
1.
Hospitalization Expenses
- In-Patient Care
Up to SI
- Day Care Treatments
All Day Care Procedures, up to SI
- Advance Technology Methods
Up to SI
-
Pre-Hospitalization Medical Expenses and
Post-Hospitalization Medical Expenses-
base
Pre-Hospitalization expense cover for 60 days prior to hospitalization &
Post-Hospitalization expense cover for 90 days after discharge; Maximum up
to SI
- Domiciliary Hospitalization
Up to SI
- Organ Donor Cover
Up to SI
- AYUSH Treatment
Up to SI
2.
Road Ambulance Cover
Up to SI
3.
Cumulative Bonus
10% of SI per year, max up to 100% of SI;
Note: Shall not reduce in case of claim
3.
Unlimited Automatic Recharge
Available unlimited times for unrelated or same illness
Plan B
Deductible
Benefit 1: Proportionate Charges Cover
The sub limits applicable on Room Rent/Room Category and
Associated Medical Expenses as per the active base policy acts as
the deductible, thereafter this benefit will provide coverage up
to actuals over and above the mentioned sub limit.
The sub-limit on Cataract as mentioned in the active base policy
shall act as a deductible, thereafter this Benefit will provide
coverage up to Sum Insured over and above the active base
policy limit
Features
Waiting Periods
1.
Initial Waiting Period
(not applicable on accident cases)
30 Days
2.
Named Ailment Waiting Period
24 months
3.
Pre-Existing Diseases Waiting Period
36 months
Sub Limits
1.
Room Eligibility
Single Private AC Room
2.
ICU Charges
No Limit
Discounts
Discount Percentage
Discount Percentage
1.
Discount for Employee and/or their
dependents of CHIL, CHIL promoters
15.00%
2.
Tenure Discount
7.5% - on 2nd year policy term, for 2 year tenure
10% - on 3rd year policy term, for 3 year tenure
3.
Family Discount
2,3 ,4 and above members – 5 %
Not applicable on primary insured member
4.
Cross Sell Discount (in lieu of commission)
Up to 15%
5.
Discount in lieu of Commission
Up to 15%
6.
Direct discount
Fresh & renewal – up to 10%
7.
Renewal discount
Within 30 days before premium payment due date
– 1%
Between 30 days to 60 days (inclusive) before premium payment
due date – 2.5%
8.
Corporate GMC Policyholder discount
5%
9.
NRI Policyholder Discount
Up to 15%
Age
Particular
1.
Up to 65 years
No Medical Tests if no Pre-Existing declared
66 Years and above
Medical Tests as follows- MER, CBC &ESR, HBA1C, T. Cholesterol, ECG, SGPT, S. Creatinine , RUA
POS Care Supreme
Redefine the value that you get from Your Health Insurance
Features of POS Care Supreme
Benefit Name
Coverage
Base Policy SI
5L
Plus Benefit
Increase Base SI by 40%/100%/200%
Total Coverage Inclusive of Plus Benefit
5L/7L/10L/15L
Room Rent/ICU
No Limit
In-Patient Care
Up to SI
Day Care Treatment
All Day Care Procedures
Advance Technology Methods
Up to SI
Pre-Hospitalization Medical Expenses
Up to SI, Pre-Hospitalization expense cover for 60 days prior to hospitalization
Post Hospitalization Medical Expenses
Up to SI, Post-Hospitalization expense cover for 180 days after discharge
AYUSH Treatment
Up to SI
Domiciliary Hospitalization
Up to SI
Organ Donor Cover
Up to SI
Road Ambulance Cover
For SI < 15 lac SI – up to Rs. 10,000 For 15 lac and above SI - Up to SI
Cumulative Bonus
50% of SI per year, max up to 100% of SI; Note: Shall not reduce in case of claim
Unlimited Automatic Recharge
Available for unlimited times for unrelated or same illness
Unlimited E-Consultations
Available for Consultations with General Physicians
Wellness Benefit
Upto 30% discount on Renewal based on meeting Healthy Days criteria
Air Ambulance
Upto Rs.5L
Health Services
Health Portal- Doctor on chat, Healthy tips reminder, etc.
Discount Connect – Discounts on services such as consultations, diagnostics, maternity etc at our network.
Initial Wait Period
30 Days
Named Ailment Wait Period
24 Months
PED Wait Period
36 Months
Optional Benefits
PED Wait Period Modification
PED wait period shall be modified to 1 year/2 years
Named Ailment Wait Period Modification
Named Ailment wait period shall be modified to 1 year
Instant Cover
No PED wait period (for Diabetes/ Hypertension/ Hyperlipidemia / Asthma) If Insured Person has these Pre-Existing Diseases at the time of issuance of first Policy with us, the applicable PED wait
period shall be waived off on Diabetes/ Hypertension/ Hyperlipidemia / Asthma.
Cumulative Bonus Super
Up to 100% of Base SI per year, Max up to 500% of Base SI ;Note: Shall not reduce in case of
claim
Annual Health check up
Once for all Insured every policy year on our Network . Appointment can be booked from Mobile Application
Be-Fit Benefit
Unlimited visits to Fitness centres can be availed by Insured members aged above 12 years
Care OPD(Add-on Policy)
Will allow the Insured members to get re-imbursement for
4 General Physician Consultations. Max Amount will not exceed Rs.500/-
per consultation
4 Specialist Consultations. Max Amount will not exceed Rs.500/- per
consultation
ELIGIBILITY
Age of Proposer
18 years or above
Entry Age - Minimum
Adult : 18 years; Child : 90 days
Entry Age - Maximum
Adult: Lifelong; Child: 24 Years(last birthday)
Exit Age
Adult: Lifelong; Child: 25 Years
Cover Type
Individual: max up to 6 persons; Floater: max up to 2A2C
Tenure Options
1/2/3 Years
Pre-policy Issuance Medical Check up
As per Underwriting Guidelines
Pricing
Zone 1 - Delhi NCR, Surat, Mathura, Aligarh;
Zone 1A – Mumbai (MMR), Rest of Gujarat;
Zone 2 - Pune, Indore, Nashik, Telangana;
Zone 3 - Rest of India.
Note – 1. Cities above means adjoining cities also
2. Delhi- NCR, Mumbai (MMR), is as defined by Government
Who are covered (Relationship with respect to the Proposer having Insurable Interest)
Self, Spouse/Live-in partner/Same sex partner, Son, Daughter, Father,
Mother, Mother-in-law, Father-in law, Grand - Father, Grand -
Mother
POS Senior Premium
Redefine the value that you get from Your Health Insurance
Upto 600% increase of SI with Cumulative Bonus Super
Unlimited Automatic Recharge
Upto 30% discount with Wellness Benefit
No reduction of accumulated bonus due to Claim
Upto 30% discount on renewal due to Wellness Benefit
No sub-limits on Advanced Technology treatments
Features of POS Senior Premium
Benefit Name
Coverage
In-Patient Care
Up to SI
Day Care Treatment
All Day Care Procedures
Room Rent
All Category Rooms Allowed
ICU
No Limit
Advance Technology Methods
Up to SI
Pre-Hospitalization Medical Expenses
Up to SI, upto 60 days prior to hospitalization
Post Hospitalization Medical Expenses
Up to SI, upto 180 days after discharge
AYUSH Treatment
Up to SI
Domiciliary Hospitalization
Up to SI
Organ Donor Cover
Up to SI
Road Ambulance Cover
Up to RS 10,000 per year
Cumulative Bonus
50% of SI per year, max up to 100% of SI; Claim will not reduce Bonus Accrued
Unlimited Automatic Recharge
Available for unlimited times for unrelated or same illness.
Unlimited E-Consultations
Available for Consultations with General Physicians
Health Services
Discount Connect - Discounts on services such as consultations, diagnostics, maternity etc at our network.
ELIGIBILITY
Age of Proposer
18 years or above
Entry Age - Minimum
Adult : 18 years; Child : 91 days
Entry Age - Maximum
Adult: 99; Child: 24 Years
Exit Age
Adult: Lifelong; Child: 25 Years
Cover Type
Individual: max up to 6 persons;Floater: max up to 2A2C
Tenure Options
1/2/3 Years
Pricing
Delhi NCR, Mumbai Metropolis Area (including Mumbai suburban, Thane, Palghar, Raigad, any other city defined by Government ), Gujarat State, Aligarh, Mathura Delhi NCR includes Delhi, Baghpat, Bulandshahr, Gautam Buddh Nagar, Ghaziabad, Hapur, Meerut, Muzaffarnagar, Shamli, Charkhi Dadri, Faridabad, Gurugram, Jhajjar, Jind, Karnal, Mahendragarh, Nuh, Palwal, Panipat, Rewari, Bhiwani, Alwar, Bharatpur, Rohtak , Sonipat , any other city defined by Government) Zone 2: Rest of India
Who are covered (Relationship with respect to the Proposer)
Self, spouse/live-in partner/same sex partner, son, daughter, father, mother, mother-in-law, father-in law, Grand father, grand mother
Initial Waiting Period
30 Days
Named Ailment Waiting Period
24 months
Pre-Existing Diseases Waiting Period
48 months
POS Senior Super
Redefine the value that you get from Your Health Insurance
Upto 600% increase of SI with Cumulative Bonus Super
Unlimited Automatic Recharge
Upto 30% discount with Wellness Benefit
No reduction of accumulated bonus due to Claim
Upto 30% discount on renewal due to Wellness Benefit
No sub-limits on Advanced Technology treatments
Features of POS Senior Super
Benefit Name
Coverage
In-Patient Care
Up to SI
Day Care Treatment
All Day Care Procedures
Room Rent
All Category Rooms Allowed
ICU
No Limit
Advance Technology Methods
Up to SI
Pre-Hospitalization Medical Expenses
Up to SI, upto 60 days prior to hospitalization
Post Hospitalization Medical Expenses
Up to SI, upto 180 days after discharge
AYUSH Treatment
Up to SI
Domiciliary Hospitalization
Up to SI
Organ Donor Cover
Up to SI
Road Ambulance Cover
Up to RS 10,000 per year
Cumulative Bonus
50% of SI per year, max up to 100% of SI; Claim will not reduce Bonus Accrued
Unlimited Automatic Recharge
Available for unlimited times for unrelated or same illness.
Unlimited E-Consultations
Available for Consultations with General Physicians
Health Services
Discount Connect - Discounts on services such as consultations, diagnostics, maternity etc at our network.
ELIGIBILITY
Age of Proposer
18 years or above
Entry Age - Minimum
Adult : 18 years; Child : 91 days
Entry Age - Maximum
Adult: 99; Child: 24 Years
Exit Age
Adult: Lifelong; Child: 25 Years
Cover Type
Individual: max up to 6 persons;Floater: max up to 2A2C
Tenure Options
1/2/3 Years
Pricing
Delhi NCR, Mumbai Metropolis Area (including Mumbai suburban, Thane, Palghar, Raigad, any other city defined by Government ), Gujarat State, Aligarh, Mathura Delhi NCR includes Delhi, Baghpat, Bulandshahr, Gautam Buddh Nagar, Ghaziabad, Hapur, Meerut, Muzaffarnagar, Shamli, Charkhi Dadri, Faridabad, Gurugram, Jhajjar, Jind, Karnal, Mahendragarh, Nuh, Palwal, Panipat, Rewari, Bhiwani, Alwar, Bharatpur, Rohtak , Sonipat , any other city defined by Government) Zone 2: Rest of India
Who are covered (Relationship with respect to the Proposer)
Self, spouse/live-in partner/same sex partner, son, daughter, father, mother, mother-in-law, father-in law, Grand father, grand mother
Initial Waiting Period
30 Days
Named Ailment Waiting Period
24 months
Pre-Existing Diseases Waiting Period
48 months
Student Explore
With Student Explore, you can cover all the significant aspects of the plan, including the likes of in-patient care, medical expenses, and so much more.
Instant Policy Issuance
No Pre-policy Medicals required for Policy Issuance
Coverage for Trip Cancellation, Interruption or delay
Coverage for Checked-in-baggage loss or delay
Features of Student Explore
KEY FEATURES
Explore Start
Explore Plus
Explore Super
Explore Ultra
Medical Expenses
NA
Euro 50,000 / Euro 100,000
Euro 50,000 / Euro 100,000 / Euro 300,000 / Euro 500,000
Euro 50,000 / Euro 100,000 / Euro 300,000 / Euro 500,000 / Euro 1,000,000
In-patient Care
NA
Up to SI of Medical Expenses
Up to SI of Medical Expenses
Up to SI of Medical Expenses
Pre-Existing Disease Cover in Life Threatening Medical Condition
NA
Up to 10% of SI of Medical Expenses
Up to 10% of SI of Medical Expenses
Up to 10% of SI of Medical Expenses
Extended Cover in the Country of Residence
NA
Up to SI of Medical Expenses
Up to SI of Medical Expenses
Up to SI of Medical Expenses
Out-patient Care
NA
Up to SI of Medical Expenses
Up to SI of Medical Expenses
Up to SI of Medical Expenses
Repatriation of Mortal Remains (Part of Medical Expenses)
NA
Euro 7,500
Up to SI of Medical Expenses
Up to SI of Medical Expenses
Medical Evacuation (Part of Medical Expenses)
NA
Euro 7,500
Up to SI of Medical Expenses
Up to SI of Medical Expenses
Dental Expenses
NA
Euro 250
Euro 500
Euro 750
Daily Allowance
NA
NA
NA
Euro 50 per day, max 7 days
Accidental Death Permanent Total Disablement Permanent Partial Disablement
Euro 30,000
Euro 15,000
Euro 30,000
Euro 30,000
Compassionate Visit
Euro 5,000
NA
Euro 5,000
Euro 7,500
Loss of Checked-in Baggage
Euro 1000
Euro 500
Euro 1000
Euro 2000
Delay of Checked-in Baggage
Euro 150
NA
Euro 150
Euro 150
Loss of Passport
Euro 150
NA
Euro 150
Euro 150
Loss of International driving license
Euro 100
NA
Euro 100
Euro 150
Personal Liability
Euro 100,000
Euro 100,000
Euro 100,000
Euro 100,000
Study interruption
Euro 10,000
Euro 7,500
Euro 10,000
Euro 15,000
Sponsor Protection
Euro 15,000
Euro 10,000
Euro 15,000
Euro 15,000
Bail Bond
Euro 5,000
Euro 500
Euro 5,000
Euro 5,000
University Insolvency
NA
NA
NA
Euro 7,500
Trip Delay
NA
NA
NA
Euro 200
Loss of Laptop / Tablet
NA
NA
NA
Euro 250
Emergency Cash Advance
NA
NA
NA
Euro 1,000
Coverage at home country
NA
Up to 5% of SI of Medical Expenses
Up to 5% of SI of Medical Expenses
Up to 5% of SI of Medical Expenses
Treatment for Mental and Nervous disorders (Part of Medical Expenses)
NA
NA
Euro 1,500
Euro 3,000
Treatment for Alcoholism and Drug Dependency (Part of Medical Expenses)
NA
NA
Euro 1,500
Euro 3,000
Cancer screening and Mammographic Examination (Part of Medical Expenses)
NA
NA
Euro 2,000
Euro 4,000
Supreme Enhance
Redefine the value that you get from Your Health Insurance
Upto 600% increase of SI with Cumulative Bonus Super
Unlimited Automatic Recharge
Upto 30% discount with Wellness Benefit
No reduction of accumulated bonus due to Claim
Upto 30% discount on renewal due to Wellness Benefit
Individual: max up to 6 persons
Floater: max up to 2A4C
Individual: max up to 6 persons
Floater: max up to 2A4C
Tenure Options
Yes, as per Appendix I
Yes, as per Appendix I
Who are covered (Relationship with respect to
the Proposer having Insurable Interest)
Self, Spouse/Live-in partner/Same sex partner, Son, Daughter, Father, Mother,
Mother-in-law, Father-in law, Grand - Father, Grand – Mother or any
relationship with whom Proposer has Insurable Interest
Premium Payment Term
Single/Monthly/Quarterly/Half-yearly
Pricing
Flat pricing
Plan A
S. No.
Base Benefit
1.
Hospitalization Expenses
- In-Patient Care
Up to SI
- Day Care Treatments
All Day Care Procedures, up to SI
- Advance Technology Methods
Up to SI
-
Pre-Hospitalization Medical Expenses and
Post-Hospitalization Medical Expenses-
base
Pre-Hospitalization expense cover for 60 days prior to hospitalization &
Post-Hospitalization expense cover for 90 days after discharge; Maximum up
to SI
- Domiciliary Hospitalization
Up to SI
- Organ Donor Cover
Up to SI
- AYUSH Treatment
Up to SI
2.
Road Ambulance Cover
Up to SI
3.
Cumulative Bonus
10% of SI per year, max up to 100% of SI;
Note: Shall not reduce in case of claim
3.
Unlimited Automatic Recharge
Available unlimited times for unrelated or same illness
Plan B
Deductible
Benefit 1: Proportionate Charges Cover
The sub limits applicable on Room Rent/Room Category and
Associated Medical Expenses as per the active base policy acts as
the deductible, thereafter this benefit will provide coverage up
to actuals over and above the mentioned sub limit.
The sub-limit on Cataract as mentioned in the active base policy
shall act as a deductible, thereafter this Benefit will provide
coverage up to Sum Insured over and above the active base
policy limit
Features
Waiting Periods
1.
Initial Waiting Period
(not applicable on accident cases)
30 Days
2.
Named Ailment Waiting Period
24 months
3.
Pre-Existing Diseases Waiting Period
36 months
Sub Limits
1.
Room Eligibility
Single Private AC Room
2.
ICU Charges
No Limit
Discounts
Discount Percentage
Discount Percentage
1.
Discount for Employee and/or their
dependents of CHIL, CHIL promoters
15.00%
2.
Tenure Discount
7.5% - on 2nd year policy term, for 2 year tenure
10% - on 3rd year policy term, for 3 year tenure
3.
Family Discount
2,3 ,4 and above members – 5 %
Not applicable on primary insured member
4.
Cross Sell Discount (in lieu of commission)
Up to 15%
5.
Discount in lieu of Commission
Up to 15%
6.
Direct discount
Fresh & renewal – up to 10%
7.
Renewal discount
Within 30 days before premium payment due date
– 1%
Between 30 days to 60 days (inclusive) before premium payment
due date – 2.5%
8.
Corporate GMC Policyholder discount
5%
9.
NRI Policyholder Discount
Up to 15%
Age
Particular
1.
Up to 65 years
No Medical Tests if no Pre-Existing declared
66 Years and above
Medical Tests as follows- MER, CBC &ESR, HBA1C, T. Cholesterol, ECG, SGPT, S. Creatinine , RUA
Student Explore
With Student Explore, you can cover all the significant aspects of the plan, including the likes of in-patient care, medical expenses, and so much more.
Instant Policy Issuance
No Pre-policy Medicals required for Policy Issuance
Coverage for Trip Cancellation, Interruption or delay
Coverage for Checked-in-baggage loss or delay
Features of Student Explore
KEY FEATURES
Explore Start
Explore Plus
Explore Super
Explore Ultra
Medical Expenses
NA
Euro 50,000 / Euro 100,000
Euro 50,000 / Euro 100,000 / Euro 300,000 / Euro 500,000
Euro 50,000 / Euro 100,000 / Euro 300,000 / Euro 500,000 / Euro 1,000,000
In-patient Care
NA
Up to SI of Medical Expenses
Up to SI of Medical Expenses
Up to SI of Medical Expenses
Pre-Existing Disease Cover in Life Threatening Medical Condition
NA
Up to 10% of SI of Medical Expenses
Up to 10% of SI of Medical Expenses
Up to 10% of SI of Medical Expenses
Extended Cover in the Country of Residence
NA
Up to SI of Medical Expenses
Up to SI of Medical Expenses
Up to SI of Medical Expenses
Out-patient Care
NA
Up to SI of Medical Expenses
Up to SI of Medical Expenses
Up to SI of Medical Expenses
Repatriation of Mortal Remains (Part of Medical Expenses)
NA
Euro 7,500
Up to SI of Medical Expenses
Up to SI of Medical Expenses
Medical Evacuation (Part of Medical Expenses)
NA
Euro 7,500
Up to SI of Medical Expenses
Up to SI of Medical Expenses
Dental Expenses
NA
Euro 250
Euro 500
Euro 750
Daily Allowance
NA
NA
NA
Euro 50 per day, max 7 days
Accidental Death Permanent Total Disablement Permanent Partial Disablement
Euro 30,000
Euro 15,000
Euro 30,000
Euro 30,000
Compassionate Visit
Euro 5,000
NA
Euro 5,000
Euro 7,500
Loss of Checked-in Baggage
Euro 1000
Euro 500
Euro 1000
Euro 2000
Delay of Checked-in Baggage
Euro 150
NA
Euro 150
Euro 150
Loss of Passport
Euro 150
NA
Euro 150
Euro 150
Loss of International driving license
Euro 100
NA
Euro 100
Euro 150
Personal Liability
Euro 100,000
Euro 100,000
Euro 100,000
Euro 100,000
Study interruption
Euro 10,000
Euro 7,500
Euro 10,000
Euro 15,000
Sponsor Protection
Euro 15,000
Euro 10,000
Euro 15,000
Euro 15,000
Bail Bond
Euro 5,000
Euro 500
Euro 5,000
Euro 5,000
University Insolvency
NA
NA
NA
Euro 7,500
Trip Delay
NA
NA
NA
Euro 200
Loss of Laptop / Tablet
NA
NA
NA
Euro 250
Emergency Cash Advance
NA
NA
NA
Euro 1,000
Coverage at home country
NA
Up to 5% of SI of Medical Expenses
Up to 5% of SI of Medical Expenses
Up to 5% of SI of Medical Expenses
Treatment for Mental and Nervous disorders (Part of Medical Expenses)
NA
NA
Euro 1,500
Euro 3,000
Treatment for Alcoholism and Drug Dependency (Part of Medical Expenses)
NA
NA
Euro 1,500
Euro 3,000
Cancer screening and Mammographic Examination (Part of Medical Expenses)
NA
NA
Euro 2,000
Euro 4,000
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