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Operation Insurance

Operation insurance is a medical cover for critical surgeries and medical procedures requiring long and expensive treatment. Health insurance for surgery lowers the financial burden that comes with major operations.

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Buy Exclusive Insurance Plan Covering Operations & Surgeries

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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.
    View Quote

    Reasons to Choose Care Health Insurance?

    • Healthcare Networks
      21,100+ CASHLESS HEALTHCAREPROVIDERS^^
    • Claim settled ratio
      95.2% INSURANCE CLAIMSETTLEMENT RATIO*
    • Claim settled
      30 LACS+ CLAIMS SETTLEDSUCCESSFULLY*

    Anyone can feel anxious about the idea of undergoing surgery. However, you can feel secure knowing that your health insurance gives you access to the most effective medical treatment possible. Surgery is a vital medical operation that is necessary as part of the treatment of many disorders.

    Surgical techniques are improving as a result of medical advances. Numerous surgeries can now be performed without the use of extensive incisions, complicated procedures, or even prolonged hospital stays. Surgery aids those who are battling a sickness or medical condition in saving their lives.

    The Care Health Insurance offers operation mediclaim, a health plan that provides complete coverage for costs associated with specific surgical procedures. This health insurance offers much-needed financial protection for your priceless savings.

    Plan Highlights of Care Operation Mediclaim

    • Get coverage for all defined surgical procedures
    • Lifetime coverage benefit with additional no-claim bonus advantage
    • Indemnity-based operations plan with flexible customisation
    • Coverage for pre and post-hospitalisation medical expenses and daycare procedures
    • Organ donor cover up to a specified amount

    Cover Highlights

    Quick Recovery Counselling

    Quick Recovery
    Counselling

    Lifelong Renewability

    Lifelong
    Renewability

    No Claim Bonus

    No Claim Bonus

    Surgical Procedures

    Surgical Procedures

    Room Rent Modification

    Room Rent Modification

    Benefits of Operation Insurance

    Benefits of Operation Insurance arrow close

    KEY FEATURES 10, 25, 50, 100 & 200 L
    In-Patient Care
    Hospitalization for at least 24 hours
    We pay for – room charges, nursing expenses and intensive care unit charges, surgeon's fee, doctor's fee, anesthesia, blood, oxygen, operation theater charges, etc.; If you are admitted to a hospital for in-patient care, for a minimum period of 24 consecutive hours.
    Hospitalization less than 24 Hours
    We cover medical expenses if you undergo a day care treatment which might not require you to stay hospitalized for 24 hours or more. As a matter of fact we cover over 540+ day care procedures.
    Upto SI
    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. As a matter of fact we cover over 540+ day care procedures.
    Listed as per the Plan, Up to Sum Insured
    Pre-Hospitalization
    We cover the relevant medical expenses such as investigative tests, routine medication, etc. incurred by you up to 30 days before your hospitalization.
    30 days
    Post-Hospitalization
    We cover the relevant medical expenses such as doctor consultation, Diagnostic tests, medications etc. incurred up to 60 days post your hospitalization.
    60 days
    Maximum up to SI
    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 hospitalization
    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 L whichever is lower
    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
    We give an Annual Health Check-Up for all insured members covered in the policy.
    Annual from 2nd Policy Year on Continuous Coverage
    No Claims Bonus(NCB)*
    We raise a cheer to good health for every year that you don't claim by increasing your Sum Insured by 10%, up to a maximum of 50% in 5 consecutive years.
    50%/25%/25%-Corresponding increase in SI for 1st,
    2nd and 3rd continuous claim-free Policy Years respectively,
    Max up to 100% of SI(50%/25/25%-Corresponding decrease in SI per Policy Year in
    case a claim has been paid; Such decrease is only in SI accrued as NCB)
    International Second Opinion
    Covers expenses for consultation from international medical experts excluding India
    Once per Covered Condition per policy year
    Health Services
    Quick Recovery Counseling
    Psychologist Counseling expenses covered
    Up to Rs 1000 Per Session, Maximum 8 Sessions Post Hospitalization in a Policy year( can be availed twice in a month)
    Health Portal Value added services through Company’s Website
    Global Coverage
    Coverage outside India - 45 continuous days in a single trip; Max. 90 days on a cumulative basis, in a Policy Year.
    Up to SI; only for SI >=1Cr (Limited to In-Patient Care and Day-Care treatment with a Co-payment of 10% per Claim
    SHOW MORE BACK TO PAGE
    Brochure

    Download the Brochure for Operation Mediclaim Complete Plan Details

    Download Operation Mediclaim complete plan details

    Read Through it!
    Get Complete Policy Details in the Brochure With Our Expert Assistance!

    Care Operation Mediclaim Details

    The Insured Person may access health related information and services such as health risk assessment, Doctor on chat, Special rates for OPD, Diagnostics and Pharmacy through Network Providers , etc as available on the Company's website.

    SALIENT FEATURES

    • Search the best deal in your location

    • Discount on all Healthcare and wellness services like Doctor Consultations, Diagnostics, Pharmacy, Dental Consultation and treatment

    • Comprehensive details on Doctors like qualification & appointment details.

    • Access to Right Healthcare Service, at right time and place.

    • Symptom tracker

    • Ailment to specialty tracker

    • Automated discount coupon download

    • 24x7 on call support

    Health Portal
    • Entry Age Minimum is 5 years Individual Basis
    • Entry Age Maximum is 50 years on Individual Basis
    • Cover Type Individual: Maximum up to 6 Persons
    • Initial Waiting Period 90 days from any illness
    • Pre-existing Disease Waiting Period: 48 months of continued coverage
    Download Terms & Conditions
    • Any item or condition or treatment specified in List of Non-Medical Items
    • Any treatment arising from or traceable to pregnancy (including voluntary termination), miscarriage (unless due to an Accident), childbirth, maternity (including caesarian section), abortion or complications of any of these.
    • Treatment taken from anyone who is not a Medical Practitioner or from a Medical Practitioner who is practicing outside the discipline for which he is licensed or any kind of self-medication.
    • Unproven/Experimental or investigational treatments. Any Illness or treatment which is a result or a consequence of undergoing such experimental or unproven treatment.
    • Charges incurred in connection with routine eye examinations and ear examinations, dentures, artificial teeth and all other similar external appliances and / or devices whether for diagnosis or treatment.
    • Treatment of mental illness or psychological disorders or Parkinson's or Alzheimer's disease even if caused or aggravated by or related to an Accident or Illness.
    • Expenses for cosmetic or plastic surgery or any treatment to change appearance unless for reconstruction following an Accident, Burn(s) or Cancer or as part of medically necessary treatment to remove a direct and immediate health risk to the insured. For this to be considered a medical necessity, it must be certified by the attending Medical Practitioner.
    • Treatment taken from anyone who is not a Medical Practitioner or from a Medical Practitioner who is practicing outside the discipline for which he is licensed or any kind of self-medication.
    • Act of self-destruction or self-inflicted Injury, attempted suicide or suicide while sane or insane or illness or injury attributable to consumption, use, misuse or abuse of intoxicating drugs, alcohol,tobacco(smoking/non-smoking)or hallucinogens.
    • All preventive care (except eligible and entitled for Benefit 9: Annual Health Check-up), Vaccination, including Inoculation and Immunizations (except in case of post-bite treatment), vitamins and tonics.
    • Expenses for treatment directly arising from or consequent upon any Insured Person committing or attempting to commit a breach of law with criminal intent
    • Investigation and evaluation
      • Expenses related to any admission primarily for diagnostics and evaluation purposes only are excluded.
      • Any diagnostic expenses which are not related or not incidental to the current diagnosis and treatment are excluded.

    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

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