| Plan Name | OPERATIONS MEDICLAIM |
|---|---|
| Sum Insured | 10 Lakh | 25 Lakh | 50 Lakh | 1 Crore | 2 Crore |
| Entry Age | 5 years to 50 Years on Individual Basis |
| Pre - policy Issuance Medical Check up | No Medicals## |
| Tenure | 1/2/3 Years |
| Premium Payment Mode *** | Single/Monthly |
| Room Rent Eligibility | Single Private Room / No limit^ |
| ICU Charges | No limit |
| Wait Period: | |
| Initial Waiting Period | 90 Days |
| Specific ailment Waiting Period | 24 months |
| PED Waiting Period | 48 months |
| *** Terms and Conditions Applicable #Optional Benefit. ^with optional benefit Room Rent Modification. ##at the discretion of the Underwriter. Note: Other SI / Age band options also available. |
|
| Plan Name | OPERATIONS MEDICLAIM |
|---|---|
| Sum Insured (all figs in ₹ INR) | 10 Lakh | 25 Lakh | 50 Lakh | 1 Crore | 2 Crore |
| Benefits | |
| In-Patient Care | Up to SI |
| Day Care Treatment | Listed as per the Plan, Up to Sum Insured |
| Pre-Hospitalization and Post-Hospitalization | 30 days / 60 days |
| Ambulance Cover | Up to ₹3000 per hospitalization |
| Organ Donor Cover | Up to SI or 15 L whichever is lower |
| Second Opinion | Once per Covered Condition per policy year |
| Annual Health Check-up | 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(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# | Once per Covered Condition per policy year |
| Room Rent Eligibility | Single Private Room / No limit^ |
| Air Ambulance Cover# | Up to Rs. 5 Lakhs |
| Health Services | |
| Quick Recovery Counselling | Up to Rs 1000 Per Session, Maximum 8 Sessions Post Hospitalization in a Policy year( can be availed twice in a month) |
| Doctor on Call | Yes(Telephonic/Online Mode) |
| 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) |
| OPD Expenses (Diagnostics + Consultations + Pharmacy ) | Up to 1% of SI ,Max up to Rs 25,000 |
|
#Optional Benefit. ^with optional benefit Room Rent Modification. |
|
Care Health is one of the leading standalone health insurance companies in India, they are also one of the fastest growing. Care offers a Wide Range Of Health Insurance Products From Individual Plans to Family Floater Schemes To Senior Citizen Health Coverage. They are also prompt at claims settlement with a 93% claims settlement over the past year.
Care Mediclaim plan takes 15 days after receiving the required documents from the insured to process a health insurance claim. However, it can take a longer time depending on the verification process conducted by our claim management team depending on the case.
In a cashless claim/hospitalisation, the insured/hospital intimates us regarding the hospitalization and submits a pre-authorization request. On authorization, the claim is directly settled with the network hospital and the insured is not required to pay any charges except for expenses not covered under the policy. Cashless facility can only be availed at a Care Health Insurance network hospital.
Review Care health insurance - Super Mediclaim Surgery brochure to understand coverage details.
Know more »Fill the online Care health insurance - Super Mediclaim Surgery proposal form.
Review Care health insurance - Super Mediclaim Surgery policy wordings which explains the terms and conditions.
Know more »You can buy insurance online by using a credit/debit card, direct funds transfer using NEFT or RTGS or by using a cheque
Know more »Care Network hospitals list. Cashless & Hassle-free direct claim settlement with us at 7400+ Hospitals
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Know more »Insurance customers can quickly compare the details of benefits offered under Indian mediclaim insurance policies.
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