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Care Heart Mediclaim

Care Heart Mediclaim - medical insurance that offers protection against 16 common heart conditions and procedures. This plan offers individual coverage and a lifelong renewability option.

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A Customised Heart Mediclaim for 16 Heart Conditions

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    Who is not eligible for Global Coverage add-on?
    NRI/NRO/OCI/PIO/Individuals with dual citizenship/Foreign Nationals/People employed or planning overseas employment/Students enrolled or planning to register with foreign universities will not be offered Global coverage as per current Underwriting rules of the company.
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    Reasons to Choose Care Health Insurance?

    • Healthcare Networks
      22900+ Cashless Healthcare Providers^^
    • Claim settled ratio
      38 Lakh+Insurance Claims Settled**
    • Claim settled
      24*7Claim and Customer Support

    What is Care Heart Mediclaim?

    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

    Covering 16 Major Heart Ailments

    Covering
    16 Major
    Heart Ailments

    Doctor on Call

    Doctor on Call

    No Claims Bonus

    No Claims Bonus

    Quick Recovery Counseling

    Quick Recovery
    Counseling

    Lifelong Renewability

    Lifelong
    Renewability

    Benefits of Heart Patients Health

    See all Sum Insured Options arrow close

    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.
    SHOW MORE BACK TO PAGE

    *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.

    Plan Highlights of Care Heart Mediclaim

    Brochure

    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!

    Care Heart Mediclaim Plan Details

    • Minimum Entry Age :

      • Child: 91 days to 5 years with at least 1 member of age 18 years or above is covered or 5 years on an individual basis.

      • Adult: 18 years and above

    • Maximum Entry Age: 50 Years

    • Exit Age: No Exit Age

    • Age of Proposer(Adult): 18 years or above

    • Coverage: Individual basis (maximum up to 6 persons having same/different sum insured)

    Download Terms & Conditions
    • Act of self-infliction, including suicide attempts or actual suicide
    • Any illness directly linked to the use of tobacco, alcohol, or cigarettes, etc. any other sexually transmitted illness, such as HIV/AIDS
    • Cosmetic or plastic procedures, or similar therapies
    • Abortion, motherhood, childbirth, miscarriage, or complications of any of these, including C-section delivery
    • All the medical interventions necessary as a result of engaging in risky activities
    • Injuries causing  by nuclear, chemical, or biological weapons or attacks
    • Illness or injuries brought on by the insured's violation of any law

    To file claims for Care Heart Mediclaim Plan, follow the steps below:

    STEP 1

    Emergency

    Intimate within 24 hours of your hospitalization

    Planned Hospitalization

    Intimate us 48 hours prior to your hospitalization

    STEP 2

    Cashless

    Request for pre-authorization

    Reimbursement

    Claim from submission

    Complete the pre-authorization form available
    at the hospitals insurance/TPA Desk and send us through fax.

    Approval

    Approval

    Approval letter sent by the claim management team

    Query

    Query

    Hospital/Insured to response to the query raised by the claim management team

    Rejected

    Rejected

    You may initiate the treatment and file for reimbursement claim

    Submission of claim form along with required
    documents, as per the policy terms & conditions

    Approval

    Approval

    Approval letter sent by the claim management team

    Query

    Query

    Insured to response to the query raised by the claim management team

    Rejected

    Rejected

    We will communicate the reason in case of rejection

    22900+ Health Care Providers Serving Cashless Medical Services Across The Globe

    Look for hospitals around you

    Detailed Hospital List
    22900+ Health Care Providers Across The Globe
    22900+ Health Care Providers Across The Globe

    Voice of Our Customer

    Soni Singh

    review Cancer insurance plan from Care health insurance worked wonders for us. I bought it for myself because of my family history with this disease. Glad that I could afford the best treatment under this plan!

    Smita Reddy

    review Care health insurance has been my go-to insurance partner. Its cancer insurance policy is like made for us. Got help with its pre- and post-hospitalization expense cover when my wife was diagnosed with cancer.

    Ronak Ahuja

    review I bought a Care health insurance cancer insurance plan for my father. When he was diagnosed with cancer at the initial stage, we could get the best treatment without worrying about the cost. Highly recommend it to others.

    Anubhav Das

    review Getting diagnosed with cancer was a shock for me. It is where the Care health insurance Cancer insurance plan acted as a life saviour, with its chemotherapy cover. All thanks to their team for helping me live again!

    Madhav Singh

    review Care health insurance Cancer Insurance plan is a must-have in these times when cancer risk is high. I am glad I bought it timely at a reasonable premium. Impressed by their quick claim settlement process!
    Rahul Sangwan

    My appreciation for your prompt service

    Recently, I’ve purchased JOY Maternity insurance for my expecting wife and my experience was excellent with the claim settlement team who helped me deal with all the formalities smoothly. Thank you for making my decision the right one!

    Rahul Sangwan

    Health Insurance

    Samanway Barik

    We will continue to avail of your scheme

    I ported my healthcare plan last year; it is the wisest decision I made by choosing Care Health Insurance. I recently got admitted due to a viral infection, and all my expenses got covered under my plan.

    Samanway Barik

    Health Insurance

    Soubhagya K Kulkarni

    Everything went very smooth

    Thank you for helping me when I needed help the most, being in the hospital. Buying Care’s health insurance plan is my best decision so far.

    Soubhagya K Kulkarni

    Health Insurance

    Vaibhav Rai

    Really helpful explaining the process in advance

    Thank you for helping me with your fastest claim settlement process. I didn’t have to wait much for the approval. Everything was quick and seamless.

    Vaibhav Rai

    Health Insurance

    Zeroing in on a health insurance plan for your family is a tricky choice, given the number of insurers in the market who offer similar policies. It is not wise to simply choose the policy with the lowest amount of premium. You need to compare different policies, their features and benefits. Care Health Insurance (CHI) is a specialist Health Insurer and offers products keeping in mind the needs of a customer in the event of a medical exigency. CHI offers a distinct set of benefits giving a clear choice for providing you with the best possible health insurance.

    Awarded

    Awarded as Best
    Health Insurance Company of the year^

    claims-paid

    38 Lakh+ Claims Settled*

    cashless-claim

    22900+
    CASHLESS HEALTHCARE PROVIDERS^^

    ^India Insurance Summit & Awards 2023

    FAQs About Care Heart Mediclaim

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    Most Frequently Asked Questions

    Q.How is Heart Mediclaim different from Health Insurance?

    Health insurance helps you cover medical and OPD expenses during hospitalisation, and it may not cover all critical diseases. Whereas Heart Mediclaim protects you against 16 common heart conditions and procedures.

    Q.Will I have to undergo pre-policy medical Check-up to buy Critical Mediclaim?

    Yes, you will have to undergo pre-policy medical check-up based on the Underwriting policy. The cost of the medical tests will be covered by us if your proposal is accepted by our underwriter team.

    Q.Can I buy Heart Mediclaim if I am diagnosed with a health condition related to heart?

    Yes, you can buy Heart Mediclaim if you are diagnosed with a heart condition as per underwriter’s descretion.

    Q.Will I be able to file cashless claim under Care Health Insurance’s Heart Mediclaim?

    Yes, you will be able to file cashless claim only if you take treatment from one of our 20800+ cashless healthcare providers.

    Q.Who should buy a Heart Mediclaim?

    • People over 40 years of age
    • Individuals with family history of heart ailments
    • Sole breadwinners in the family

    Disclaimer : Information above is just for reference. Kindly read T & C of policy thoroughly, Do refer IRDAI guidelines for tax exemption conditions.

    ^^Number of Cashless Healthcare Providers as of 30th June 2023
    **Number of Claims Settled as of 31st May 2023

    ##10% discount is applicable for a 3-year policy

    Brochure

    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!

    Reach out to us
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