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Health Insurance

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HEALTH INSURANCE

In today’s fast paced lives that we live and in a race to excel in everything, we forget one of the most important asset we own i.e. our health. Due to various habits & changing lifestyles, health related concerns have just become increasingly alarming.

OUR BEST HEALTH INSURANCE PLAN

OPTIMA RESTORE

First of a kind Optima Restore plan offers a unique Restore benefit that automatically reinstates the floater sum insured in case you exhaust it in a policy year.

Synopsis

First of a kind Optima Restore plan offers a unique Restore benefit that automatically reinstates the floater sum insured in case you exhaust it in a policy year.

Highlight:

Restoration of the entire Sum Insured if used in the middle of the year at no additional cost

No claim bonus increases the insurance cover by 50% for one claim free year and then 100% for the consecutive claim free year

No sub-limits on hospital room rent or co-pay required

No loading on renewal premiums if a claim is made

Free Health Check up after every 2 Years

Daily Cash benefit to support Miscellaneous expenses

Family discount of 10% is available

Up to 10% discount at Apollo pharmacies

Get 7.5% discount by opting for two years policy

Life long policy renewal is available

Healthline service is also available free of cost which includes primary consultation, health related counseling, Nutrition and Diet

Free Health Risk Assessment which helps to profile your health status and provide recommendations on nutrition, diet and lifestyle

Tax rebate available as per provision of Income Tax Rules under section 80-D

Benefit:

Room Rent Limit

No Limit

Pre-Hospitalization Expenses

60 days

Automatic Restoration of Sum Insured

Yes, 100% of S.I

Pre-Existing Disease / Illness coverage

After 36 months, 24 months for specific diseases

Waiting Period for New Policy

30 days

Free Health Checkup

For SI 3 Lakh NA, For SI 5 Lakh Rs 1500, For SI 10 Lakh Rs 2000, For SI 15Lakh Rs 4000, For SI 20 Lakh, 25 Lakh, 50 Lakh Rs 5000

Ambulance Expenses

Up to 2000

Daily Hospitalization Allowance

Covered

Donor Expenses

Covered

No Claim Bonus

Up to 50% of basic sum insured, Max 100%

Day Care Procedure Coverage

All procedures covered.

Post Hospitalization Expenses

180 days

Minimum Hospitalization Period

24 Hrs

COMPREHENSIVE

Comprehensive Health Insurance is policy which offers exhaustive benefits for the entire family designed to eliminate your health worries. This plan would go a long way in alleviating your financial burden.

Synopsis

Comprehensive Health Insurance is policy which offers exhaustive benefits for the entire family designed to eliminate your health worries. This plan would go a long way in alleviating your financial burden.

Highlight:

Accidents are covered from Day 1

More than 400 Day Care procedures are covered

Coverage for Domiciliary hospitalization treatments

Expenses for delivery of Child is covered

Pre and Post birth expenses are included

Automatic coverage of new born

Automatic restoration of Sum Insured

Facility of Second Opinion from a Doctor in Company’s Network

No Medical tests are required up to 65 years of age

Life long policy renewal is available

No third party Administrator, direct in-house claims settlement

Network of more than 6000 Hospitals accorss India

Free medical consultation available over phone 24X7 Toll free helpline

Tax rebate available as per provision of Income Tax Rules under section 80-D

Benefit:

Room Rent Limit

No capping on room rent Treatment at Single Standard A/C room.

ICU Daily Rent Limit

Actual

Pre-Hospitalization Expenses

60 days

Post Hospitalization Expenses

90 days

Minimum Hospitalization Period

24 Hrs

Day Care Procedure Coverage

All day care procedures Covered

Automatic Restoration of Sum Insured

Automatic Restoration can be used for Same illness & diseases

Pre-Existing Disease / Illness coverage

After 36 months of continuous coverage. By paying extra premium PED waiting period can be reduced to 12 months

Waiting Period for New Policy

30 days

Co-Payment

Up to 10% for age above 60 years

Medical Screening

No Medical required for age upto 65

Free Health Checkup

Health Check up for every claim free year

Ambulance Expenses

Available

Non-Allopathic Treatments

AYUSH treatment is covered

New Born Baby Cover

Covered

Donor Expenses

Special SI for Organ donor cover, covers Redo surgery and ICU admission for donor

Nursing Allowance

Covered

No Claim Bonus

100% Increase in Sum Insured upon a claim free renewal.

HAPPY FAMILY FLOATER

Happy Family Floater health insurance policy covers medical expenses incurred by the entire family under a single sum assured. Family includes self, spouse, children, parents and parent-in-laws

Synopsis

Happy Family Floater health insurance policy covers medical expenses incurred by the entire family under a single sum assured. Family includes self, spouse, children, parents and parent-in-laws

Highlight:

Mediclaim insurance cover for treatment against illnesses

Also Covers for accidental injuries and surgery requirement

No medical tests required up to 60 Years of Age

Cash allowance for the days admitted

Attendance allowance if a child between 3 months to 10 years is admitted

Add on option of Personal accident for self and dependents

Tax rebate available as per provision of Income Tax Rules under section 80-D

Benefit:

Room Rent Limit

1% for Silver and Gold Plan & For Diamond Plan: Rs.10,000 + 0.5% of the Sum Insured

ICU Daily Rent Limit

2% for Silver and Gold Plan & For Diamond Plan Rs.20,000 + 1% of the Sum Insured

Pre-Hospitalization Expenses

30 days

Post Hospitalization Expenses

60 days

Minimum Hospitalization Period

24 Hrs

Day Care Procedure Coverage

Yes

Pre-Existing Disease / Illness coverage

After 48 months

Waiting Period for New Policy

30 days

Co-Payment

10% Co Pay under Silver plan

Ambulance Expenses

Up to 1000 per illness, max 1% or 3000

Donor Expenses

Yes

Nursing Allowance

Silver:-1 % of the SumInsured per day Gold:-1 % of the SumInsured per day Diamond-Rs.10,000 + 0.5% of theSum Insured above Rs.10lacs, per day

HEALTH COMPANION

Health Companion is a smart health Insurance plan which gives you the Option to Choose from a wide range of Benefits depending upon your need.

Synopsis

Health Companion is a smart health Insurance plan which gives you the Option to Choose from a wide range of Benefits depending upon your need.

Highlight:

Option to choose from a wide range of Cover from 2 lacs to 1 crore.

No limit on Day Care procedures.

Covers as many as 19 Relationships of the same Family.

Complimentary Health Check up as per the Plan eligibility.

Covers for Family members at any Age, no age Restriction.

Tax saving U/S 80D of the Income Tax act.

Get added benefit of in- patient Treatment under Ayurveda, Unani, Siddha & Homeopathy.

Avail cashless facility in across 3500 quality hospitals.

Benefit:

Room Rent Limit

Covered upto Sum Insured

ICU Daily Rent Limit

Covered

Pre-Hospitalization Expenses

30 days

Post Hospitalization Expenses

60 days

Minimum Hospitalization Period

24 Hrs

Day Care Procedure Coverage

Covered upto sum insured

Automatic Restoration of Sum Insured

Upto sum insured

Pre-Existing Disease / Illness coverage

For SI upto 4 Lac after 48 Month of continuous coverage. For SI more than 4 Lac after 36 months of continuous coverage

Waiting Period for New Policy

30 days

Free Health Checkup

Variant I: Once in two years. Variant II and Variant II: Annual as per annexture

Ambulance Expenses

upto 3000

Non-Allopathic Treatments

Covered upto Sum Insured

Daily Hospitalization Allowance

upto 4000 per day

Donor Expenses

Covered

Attendant Allowance

NA

Nursing Allowance

Covered

No Claim Discount

NA

No Claim Bonus

happy-family-floater

MEDICARE FLOATER

Policy that that provides comprehensive health coverage.

Synopsis

Policy that that provides comprehensive health coverage.

Highlight:

Range of benefits: Indemnity based health insurance cover with range of benefits without any sub-limit unless otherwise mentioned.

4000+ networked hospitals across India.

Lifelong renewal

Sum Insured Restore Benefit

Consumables Benefit

Cumulative bonus

Tax Benefit under section 80 D of Income tax act.

Benefit:

Room Rent Limit

Covered

ICU Daily Rent Limit

Covered

Pre-Hospitalization Expenses

30 days

Post Hospitalization Expenses

60 days

Minimum Hospitalization Period

24 Hrs

Day Care Procedure Coverage

Covered

Automatic Restoration of Sum Insured

Automatically restore the Basic Sum Insured upon exhaustion of the Sum Insured and accrued Cumulative Bonus, during the policy period.

Pre-Existing Disease / Illness coverage

Covered after 48 months of continuous coverage have elapsed.

Waiting Period for New Policy

30 days

Co-Payment

10% of the admissible claim if room category is higher than shared accomodation.

Medical Screening

Pre-Policy Check-up at our network may be required based upon the age and/or Sum Insured.

Free Health Checkup

At the end of a block of every continuous four claim free years, upto 1%of Sum Insured will be paid.

Ambulance Expenses

Covered

Non-Allopathic Treatments

Covered

Donor Expenses

The Medical and surgical Expenses of the organ donor for harvesting the organ where an insured person is the recipient.

No Claim Bonus

Medicare:-50% Bonus accumulating upt 100% Medicare Premier:-50% Bonus accumulating upt 100% Medicare Protect:10% accumulating upt 100%

FLOATER MEDICLAIM

New India Floater Mediclaim is a Policy designed to cover Hospitalisation expenses.

Synopsis

New India Floater Mediclaim is a Policy designed to cover Hospitalisation expenses.

Highlight:

Family discount is introduced and will be applied on the basis of the numbers of member covered.

Sum insured has been increased to 15 lakhs.

139 Day care procedures covered.

10% of Sum Insured as Additional benefit is paid in case of Critical illness is diagnosed

Benefit:

Room Rent Limit

Up to 1% of sum insured

ICU Daily Rent Limit

Up to 2% of sum insured

Pre-Hospitalization Expenses

30 days

Post Hospitalization Expenses

60 days

Minimum Hospitalization Period

24 Hrs

Day Care Procedure Coverage

139 procedures

Additional Cover for Critical Illness

Yes

Pre-Existing Disease / Illness coverage

After 48 months and claim free renewal

Waiting Period for New Policy

30 days

Co-Payment

Yes

Free Health Checkup

Up to 50% for Pre-acceptance health checkup

Ambulance Expenses

Up to 1% of Sum Insured, Max – 2500

Non-Allopathic Treatments

Up to 25% of sum insured

Donor Expenses

Covered

Nursing Allowance

Up To 1% of sum insured

HEALTH COMPARISON

Title TATA AIG HDFC HEALTH STAR HEALTH ORIENTAL INSURANCE MAX BUPA THE NEW INDIA ASSURANCE
Room Rent Limit Covered Covered No capping on room rent Treatment at Single Standard A/C room 1% for Silver and Gold Plan & For Diamond Plan: Rs.10,000 + 0.5% of the Sum Insured Covered upto Sum Insured Up to 1% of sum insured
ICU Daily Rent Limit Covered Covered Actual 2% for Silver and Gold Plan & For Diamond Plan Rs.20,000 + 1% of the Sum Insured Covered Up to 2% of sum insured
Pre-Hospitalization Expenses 30 days 60 days 60 days 30 days 30 days 30 days
Post Hospitalization Expenses 60 days 180 days 90 days 60 days 60 days 60 days
Minimum Hospitalization Period 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours
Day Care Procedure Coverage Covered Covered All day care procedures Covered Yes Covered upto Sum Insured 139 procedures
Day Care Procedure Coverage Covered Covered All day care procedures Covered Yes Covered upto Sum Insured 139 procedures
Automatic Restoration of Sum Insured Automatically restore the Basic Sum Insured upon exhaustion of the Sum Insured and accrued Cumulative Bonus, during the policy period. Yes,100% of S.I Automatic Restoration can be used for Same illness & diseases NA Up to Base Sum Insured NA
Pre-Existing Disease / Illness coverage Covered after 48 months of continuous coverage have elapsed. After 36 months, 24 months for specific diseases After 36 months of continuous coverage. By paying extra premium PED waiting period can be reduced to 12 months After 48 months For SI upto 4 Lac after 48 Month of continuous coverage. For SI more than 4 Lac after 36 months of continuous coverage After 48 months and claim free renewal
Waiting Period for New Policy 30 days 30 days 30 days 30 days 30 days 30 days
Co-Payment 10% of the admissible claim if room category is higher than shared accomodation. NA Up to 10% for age above 60 years 10% Co Pay under Silver plan NA Yes
Free Health Checkup At the end of a block of every continuous four claim free years, upto 1%of Sum Insured will be paid. For SI 3 Lakh NA, For SI 5 Lakh Rs 1500, For SI 10 Lakh Rs 2000, For SI 15Lakh Rs 4000, For SI 20 Lakh, 25 Lakh, 50 Lakh Rs 5000 Health Check up for every claim free year NA Variant I: Once in two years. Variant II and Variant II: Annual as per annexture Up to 50% for Pre-acceptance health checkup
Ambulance Expenses Covered Covered Available Up to 1000 per illness, max 1% or 3000 up to 3000 Up to 1% of Sum Insured, Max – 2500
Non-Allopathic Treatments Covered NA AYUSH treatment is covered NA Covered upto Sum Insured Up to 25% of sum insured
Donor Expenses The Medical and surgical Expenses of the organ donor for harvesting the organ where an insured person is the recipient. NA Special SI for Organ donor cover, covers Redo surgery and ICU admission for donor Yes Covered Covered
No Claim Bonus Medicare:-50% Bonus accumulating upt 100% Medicare Premier:-50% Bonus accumulating upt 100% Medicare Protect:10% accumulating upt 100% Up to 50% of basic sum insured, Max 100% 100% Increase in Sum Insured upon a claim free renewal. NA 20% of base SI, max 100% NA