Care Health Insurance

Care Top-Up health insurance

Care health insurance has designed Enhance - a customized deductible health insurance for you and your family. Care top-up policy insurance for alreday insured from any company. Buy this policy for higher coverage at lesser premiums.

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Care health insurance - Key highlights

  • Covers more than 540 Day Care treatments
  • Inbuilt Maternity coverage of upto ₹ 1 lac under specific plans
  • Life Time Renewal of all policies + No Upper Entry Age limit for all plans
  • Avail treatment anywhere in the world for 12 defined major illnesses under "Care Anywhere" on Cashless basis
  • Additional Features like Tax Benefit under section 80D , Auto Recharge of Policy Sum Insured, as well as an option to avail Personal Accident Cover
  • Covers Non Allopathic treatment like Ayurveda, Homeopathy, Unani & Sidha (AYUSH)
  • Coverage for Modern Treatments like Robotic Surgery, HIV/AID
  • Up to 150% increase in Sum Insured With No Claim Bonus with NCB Super in 5 consecutive claim free years
  • Cashless & Hassle-free direct claim settlement with us at 7400+ Hospitals

Care Health Insurance Review

Care Health Insurance
Sum Insured
4 lacs - 600 lacs
Claims Incurred Ratio *
59.00%
Tenure Options
1, 2, 3 years
Claims Settlement Ratio **
86.63%
List of Network Hospitals
19,000+ hospitals
Number of Policies issued *
1,178,380
Maximum Family Floater Coverage
Self, Spouse + dependent children + dependent parents
Number of Lives Covered *
7,342,207
* As per IRDAI report for 2020-21   |  ** As per NL25 data published on the Insurance Company website

Care health insurance - Enhance review

  • Highlights
  • Features
  • Benefit table
  • Exclusion

Care Enhance insurance highlights

Minimum entry age Individual - Adult : 18 years and above, children : 5 years to 24 years
Floater - Adult : 18 years and above, children : 1 day to 24 years with at least 1 member of age 18 years or above
Maximum age No age bar
Renewal lifelong renewabilty The policy can be renewed under the then preveling Health Insurance Product or its nearest substitute approved by IRDAI.
Renewal premium Premium payable on renewal and on subsequent continuation of cover arc subject to change with prior approval from IRDAI.
Co-payment (Sum Insured 5 lakhs & above) If you enroll at the age of 61 years or more, you will have to pay 20% of the claim amount under the policy. We pay the rest.
Waiting period 30 days for any illness except injury
Waiting period (Named ailments) Two years of continuous coverage
Waiting period for pre-existing illnesses Four years of continuous coverage
Change in sum insured You can enhance your sum insured under the policy only upon renewal
Grace period 30 days from the date of expiry to renew the policy
Underwriting loadings Based on the assessment of the extra risk on account of medical conditions by the underwriter, the premium shall be loaded accordingly (15%, 30% or 50%)
Group discount 5 to 20%, depending upon the group size.
Complete care After 4 years of continuous coverage, you have an option to convert your deductible plan to Comprehensive Health Insurance Plan (without any deductible)

Care Enhance insurance features

No Sub-Limits !
As far as we are concerned, it is your money – All our plans come without any cap on vital expenses like doctor/surgeon fees, operation theater & allied charges, to name a few. No room rent limit charges plans start from 5 lakhs.

Avail Health Check-ups, every year
Our wish is your good health. To pre-empt your ever having to visit a hospital, you can avail our comprehensive health check-ups for yourself and adult members of your family covered by the policy, every year. Even if you make a claim with us! Just call our call center anytime, to schedule your appointment. Its simple.

Hospitalization & Day Care Treatment
If you are admitted to a hospital for in-patient care, for a minimum period of 24 consecutive hours, we pay from room charges to operation theatre charges and more. We also pay for your medical expenses if you undergo even a day care treatment at a hospital that requires hospitalization for less than 24 hours - we cover a comprehensive range of 170 day care treatments, the highest in industry. You will also get cashless treatment at our over 3500+ network hospitals and reimbursement in any other hospital of your choice.

Pre & Post hospitalization
We cover the medical expenses incurred by you even 30 days before your hospitalization. There may also be follow-up visits to your medical practitioner, medication that is required etc. We cover the related medical expenses incurred by you after your hospitalization also, for a period of 60 days.

Avail Treatment anywhere in the World
Our care knows no boundaries; literally. So, while we ensure you have access to the best healthcare services, we leave it to your discretion whether you would wish to avail certain specialized treatments in India or abroad and reimbursed as per policy. Available for sum insured of 50 and 60 lakhs plans.

'No Co-Payment' Plans
Co-payment means the insured would have to pay a part of the claim amount. Generally, companies ask for 20%. But ALL of our plans are 'No Co-payment' plans for entire life, if the person to be insured is less than 61, at the time of 1st buy of the policy. If the person is more than 61 yrs at the time of 1st buy of policy, they can choose 3 or 4 lakhs to have 'No Co-Payment' Option plan.

No 'Claim-based' loading & Get Lifetime Renewability
We want you there for you, for your entire life. That's why none of our plans have any 'Claim-based loading' of premiums at the time of renewals. The Policy can also be renewed lifelong under the prevailing Health Insurance Product or its nearest substitute approved by IRDAI.

Review your decision
After purchasing your policy, if you find it unsuitable, you can cancel the same with us. Our policy comes with a free look period of 15 days.

Other great benefits you also get are-
There's still lot more we have for you! All our policies are eligible for claiming deduction for Tax Benefit under section 80D, Floater Cover, Ambulance expenses covered, Organ donor medical expenses covered, Domiciliary hospitalization covered, Increase your Policy’s Sum Insured even later, 7.5% Discount on 2 year policy terms, online instant health insurance buy and more.

Care Enhance insurance benefit table

Plan Options
Features/plan (Sum Insured) Enhance 1 Enhance 2
Sum Insured Rs.1 lakh to Rs.25 lakhs (As multiple of 1,2,3,4 or 5 time of deductible)
Rs.6 lakhs to Rs.30 lakhs (As multiple of 1,2 or 3 time of deductible)
Rs.30 lakhs, Rs.35 lakhs, Rs.40 lakhs, Rs.45 lakhs, Rs.50 lakhs, and Rs.55 lakhs
Deductible(or existing Policy Sum Insured)
Sum InsuredDeductible
Rs.1 lakh to Rs.25 lakhsRs.1 lakh, 2 lakhs, 3 lakhs, 4 lakhs or 5 lakhs
Rs.6 lakhs to Rs.30 lakhs6 lakhs, 7 lakhs, 8 lakhs, 9 lakhs or 10lakhs
Sum InsuredDeductible
Rs.45 and Rs.55 lakhsRs.5 lakhs
Rs.40 and Rs.50 lakhsRs.10 lakhs
Rs.35 and Rs.45 lakhsRs.15 lakhs
Rs.30 and Rs.40 lakhsRs.20 lakhs
In patient Care Up to Sum Insured Up to Sum Insured
Pre Hospitalization Up to 30 Days Up to 30 Days
Post Hospitalization Up to 60 Days Up to 60 Days
Day Care Treatment Yes Yes
Room Rent Category Single Private Room with A.C Single Private Room with A.C., upgradable to next level
ICU charges, Doctor's fee etc. No Limit No Limit
Health check-up Yes Yes
Organ Donor Cover Yes Yes
Expert Option Yes Yes
Enhance Anywhere No Yes

Care Enhance insurance exclusion

  1. Any pre-existing ailment/injury that was diagnosed /acquired within 48 months prior to issuance of the first policy.
  2. Any diseases contracted during first 30 days of the policy start date except those arising out of accidents.
  3. Non-allopathic treatment.
    Expenses attributable to self-inflicted injury (resulting from suicide, attempted suicide).
  4. Expences arising out of or attributable to alcohol or drug use/misuse/abuse.
  5. Cost of spectacles/contact lenses, dental treatment.
    Medical expenses incurred for treatment of AIDS.
  6. Treatment arising from or traceable to pregnancy and childbirth, miscarriage, abortion and its consequences.
  7. Congenital disease.
  8. Tests and treatment relating to infertility and in vitro fertilisation

Care health insurance FAQ's

Under their most comprehensive “Care Plan”, the sum insured options range from ₹4 lacs to ₹600 lacs (6 crs)

Care has an extensive network of 7400+ network hospitals across India and this number has been growing steadily over the years. Hence it is important while seeking treatment following a sickness or an accident to ideally get admitted to a network hospital. One can get the hospital closest to them by going through the Care network hospital list available on Care health insurance.

Yes, Care Health offers Cashless treatment for inpatient hospitalisation of the insured. The important criteria to avail of the cashless facility is to seek admission into one of Care’s network hospitals across the country. Subject to the claim being admissible under the policy, Care will offer cashless settlement upto the policy limits of the insured’s policy.

Brochure

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Proposal form

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Policy wordings

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Network hospitals

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CIN: U66000KA2018PTC117713 | IRDAI Web aggregator License Code Number: IRDAI / INT / WBA /53/ 2018, Valid till 07/08/2025
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