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Care Heart Mediclaim is a comprehensive heart care plan programme that pays for inpatient costs related to heart conditions so that you recover quickly.
The essential body part that continuously operates for you is your heart. A healthy heart beats approximately 115,000 times each day and pumps approximately 2,000 litres of blood. It supplies all other body parts with blood and oxygen. Your heart's health is, therefore, of the highest importance. Our Care Heart Mediclaim was created exclusively to cover heart conditions. The policy exclusively covers 16 common cardiac conditions. It is easily available with an EMI option as well.
Cover Highlights
KEY FEATURES | BENEFITS | ||
---|---|---|---|
Sum Insured Options | 10 Lakh | 25 Lakh | 50 Lakh | 1 Crore | 2 Crore. | ||
Covered Conditions | 16 Specified Heart Related Ailments. | ||
In-Patient Hospitalization
If you are admitted to a hospital for in-patient care, for a minimum period
of 24 consecutive hours, we cover for your treatment expenses - right from
room charges, nursing expenses and intensive care unit charges to surgeon's
fee, doctor's fee, anaesthesia, blood, oxygen, operation theatre charges,
etc.
|
Up to Sum Insured | ||
Day Care Treatment
We cover medical expenses if you undergo a day care treatment which might not require you to stay hospitalized for 24 hours or more.
|
Plan specific, Up to Sum Insured | ||
Pre Hospitalisation
We cover the relevant medical expenses such as doctor consultation, Diagnostic tests, medications incurred up to 30 days before your hospitalization.
|
30 Days | ||
Post Hospitalisation
We cover the relevant medical expenses such as doctor consultation, Diagnostic tests, medications incurred up to 60 days post your hospitalization.
|
60 Days. | ||
Ambulance Cover
In an emergency, we reimburse expenses incurred by you for availing a domestic road ambulance during your
hospitalization.
|
Up to Rs. 3000 per Hospitalisation | ||
Organ Donor Cover
We reimburse you the medical expenses that are incurred by an organ donor while undergoing the organ transplant surgery.
|
Up to SI or 15 Lakh, Whichever is Lower. | ||
Alternative Treatments
Covers Ayurveda, Unani, Sidha and Homeopathy treatment
|
Up to 25% Sum Insured. | ||
Second Opinion
If you feel uncertain about your diagnosis, you can opt for a second opinion, arranged by us.
|
Once Per Covered Condition Per Policy Year | ||
Annual Health Check-up
Annual health check-up for insured member.
|
Annual from 2nd Policy Year on Continuous Coverage. | ||
No Claims Bonus(NCB)* | 50% / 25% / 25%-Corresponding Increase in SI for 1st, 2nd and 3rd Continuous Claim-Free Policy Years Respectively, Max up to 100% of SI. | ||
Health Services | |||
Quick Recovery Counseling
Psychologist Counseling Expenses Covered
|
Up to Rs. 1000/- Per Session; Maximum 8 Per Policy Year (Twice a Month). | ||
Doctor on Call
Consult doctors on a call
|
Available (Telephonic/Online Mode). | ||
Global Coverage
Avail Hospitalization expenses outside India with a mandatory co-payment of 10 % per claim.
|
Up to SI; only for SI >=1Cr (Limited to In-Patient Care and Day-Care treatment) with a Co-payment of 10% per Claim | ||
OPD Expenses | 1% of Sum Insured; Max. up to Rs. 25000/- | ||
International Second Opinion# | Once Per Covered Condition Per Policy Year. | ||
Air Ambulance# | Up to Rs. 5 Lakhs. | ||
Room Rent Eligibility | Single Pvt. Room / No Limit^. | ||
ICU Charges | No Limit. | ||
Initial Waiting Period | 90 days. | ||
Specific Ailment Waiting Period | Not Applicable. | ||
PED Waiting Period | 4 Years. |
*50%/25%-Corresponding decrease in SI per policy year in case a claim has been paid; Such decrease is only in SI accrued as NCB.
*Optional Benefit
*with optional benefit Room Rent Modification.
Note: Other SI / Age band options are also available.
Download the Brochure for Heart Mediclaim Complete Plan Details
Download Heart Mediclaim complete plan details
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Most Frequently Asked Questions
Yes, indeed. We reward policyholders with a No Claim Bonus (NCB) if they do not file a claim in a policy year under their cancer cover health insurance plan. The amount insured is increased by a specified percentage for each completed and continuous policy year under this benefit. Please see the terms and conditions of the cancer insurance policy to know more.
Our cancer care coverage is an indemnity-based health plan. We will cover the actual medical costs you incur during your cancer care within the policy period on a reimbursement or cashless basis, subject to policy terms and conditions.
Our cancer cover health insurance plan offers sum insured options ranging from Rs 1o lakh to Rs 2 crore. Given the potential cost of cancer care, we recommend opting for a higher amount insured. In addition to the coverage, the package also includes extra benefits such as unlimited automatic recharge, air ambulance coverage, and room rent modification at an additional premium, thus enhancing your health coverage.
The policyholder must contact us within the specified time and submit the claim form and requisite documentation for a hassle-free *claim settlement under the cancer cover policy.
We will settle the claim (or deny the claim, as the case may be) for the cancer cover insurance within 30 days of receiving all relevant documentation or details for claim settlement after verification by our claim management team. We will reimburse the medical expenses as per the policy terms and conditions within seven days after the policyholder accepts the offer of claim settlement. Please see the policy document for more information.
You do not need to get a pre-policy medical check-up before buying cancer insurance cover necessarily. However, depending on your profile, it may be up to the discretion of the underwriter to ask for a health check-up to determine your risk.
According to Section 80D of the Income Tax Act of 1961, an individual who purchases cancer mediclaim is entitled to receive an income tax deduction on the premium charged for it. These tax advantages are subject to changes in the tax laws in India.
Opting for the best cancer protection plan will assist you by covering a wide range of cancer treatment expenses. However, such plans are not available for cancer survivors. A standalone cancer cover scores over existing health insurance plans with cancer cover. Thus, you should invest in this plan and be worry-free.
When choosing the best cancer care policy, you should choose a sum insured that is large enough to cover the different medical expenses you will face in the future. It will cover hospital costs, medical tests, and medicines, among other things. Apart from the coverage level, other considerations include the waiting time, chemotherapy/radiotherapy coverage, organ donation coverage, alternative care, and so on.
Treating a critical illness like cancer can cost a lot of money. As medical costs in India continue to rise, current health policies will become insufficient in the future. As a result, choosing a policy with a large sum insured is advisable.
A high cancer treatment insurance coverage is even more important in light of medical inflation and related costs, which are not just limited to hospitalization. Therefore, depending on the current medical condition and health risks, we always suggest purchasing a policy with a higher sum insured.
You cannot opt for cancer insurance or mediclaim for existing cancer patients. To opt for a cancer plan, it is important to check the eligibility and disclose your medical history honestly.
The cost of cancer insurance depends on several factors like sum insured, your age, optional benefits chosen, etc. Before purchasing a cancer policy, review the policy benefits, waiting period, and entry age, and check the applicable premium. You can use the online insurance premium calculator to help you with the cancer insurance quotes.
If you are unable to pay the premium for your cancer insurance policy on the due date, a grace period, depending on the policy terms, will be allowed. During this grace period, you can pay the premium without any penalties. However, if you fail to pay the premium after the grace period has ended, it may lead to a policy lapse.
Policy lapse would mean that the cancer insurance is no longer in force, and you cannot avail of the benefits under the plan.
Cancer insurance is a means to protect you from the financial burden of battling critical diseases. In the case of an unmarried person, it can still be a valuable addition to the financial plan since you may have other dependents such as your parents. If not, the cancer insurance will support you to manage the treatment costs in the unfortunate case of being diagnosed with the disease and prevent your savings from depletion.
The cancer insurance policy offers lifetime renewal to the policyholders. You can renew the policy online and sum insured in a few easy steps. Access our website and go to the renew section. Enter complete details and make premium payment through any secure payment mode.
The claim settlement ratio is defined as the number of claims successfully processed against the total number of claims received by an insurance provider. An insurance provider's claim settlement ratio determines their reliability and track record.
Therefore, checking the insurer’s claim settlement ratio before buying cancer insurance is advisable.
You will have a grace period, which is generally 30 days from the policy's expiration date, to renew the plan, subject to the policy terms and conditions.
The coverage for different stages of cancer depends on the cancer insurance plan. It can vary depending on the extent of healthcare required to treat the condition.
Yes, you can buy cancer insurance for your family members, either by adding them to your policy or by purchasing a standalone policy for them. Refer to the terms and conditions of your chosen cancer insurance plan for more details.
It is not possible to get cancer health insurance for pre-existing cancer patients.
Disclaimer : Information above is just for reference. Kindly read T & C of policy thoroughly, Do refer IRDAI guidelines for tax exemption conditions.
*Source: IBAI Claims Handbook for FY 19-20 and *number of claims settled as on June 30, 2020
^^Number of Cashless Healthcare Providers till 25th March 2022
Download the Brochure for Heart Mediclaim Complete Plan Details
Download Heart Mediclaim complete plan details
Read Through it!
Get Complete Policy Details in the Brochure With Our Expert Assistance!
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