Maternity health insurance - JOY
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Care(formerly Religare) health insurance - Care
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Healthline
Value
Freedom
Enrich
Privilege
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Flexi Health
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Arogya Sanjeevani
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In-patient Treatment | ||||
Covered | Covered | Covered | Covered | Covered |
Room Rent | ||||
Single private room with AC | 3 & 4 Lakhs: 1% of sum insured per day 5 to 10 Lakhs: Single private room 15 to 75 Lakhs: Single private room,upgradable to next level |
Single occupancy AC room is allowed for all Sum Insured except for Rs. 1 Lakh / 2Lakhs. For Rs. 1 Lakh / 2Lakhs Sum Insured the maximum room rent allowed is Rs.1,500 and Rs.3,000 per day respectively. |
NIL Room Rent restrictions | Covered |
ICU Charges | ||||
Covered | 3 & 4 Lakhs: 2% of sum insured per day 5 to 75 Lakhs: No limit |
Covered | Not Covered | Not Covered |
Pre-hospitalization | ||||
30 days before the date of admission to the hospital | Up to 30 days | Value Healthline: 30 days before the date of admission to the hospital Freedom, Enrich, Privilage Healthline: 60 days before the date of admission to the hospital |
30 days | 30 days |
Post-hospitalization | ||||
60 days after discharge from the hospital | Up to 60 days | Value Healthline: 60 days before the date of admission to the hospital Freedom, Enrich, Privilage Healthline: 90 days before the date of admission to the hospital |
60 days | 60 days |
Day Care Procedures | ||||
Covered | Covers more than 540 day Care treatments | Covered | Covered | All day care procedures covered |
Domiciliary Treatment | ||||
Not Covered | Up to 10% of sum insured | Covered (Maximum 7 days) | Covered | Covered |
Emergency Ambulance | ||||
Up to a limit of Rs.1,000 per claim | 3 & 4 Lakhs: Rs.1,500 per hospitalisation 5 to 10 Lakhs: Rs.2,000 per hospitalisation 15 to 40 Lakhs: Rs.2,500 per hospitalisation 50 to 75 Lakhs: Rs.3,000 per hospitalisation |
Value Healthline: Rs.1,000 per hospitalisation Freedom & Enrich Healthline: Rs.2,000 per hospitalisation Privilage Healthline: Rs.5,000 per hospitalisation |
Up to 1% of SI subject to a maximum of `2,000/- per hospitalisation | Maximum of Rs. 2000 per hospitalisation |
Dental Treatment | ||||
Not Covered | Not Covered | Value,Freedom & Enrich Healthline: Not Covered Privilage Healthline: Rs.10,000 every 2 Years (Additional benefit) |
Not Covered | Covered |
Bariatric Surgery | ||||
Not Covered | Not Covered | Not Covered | Not Covered | Not Covered |
Ayush Benefit | ||||
Not Covered | Covers Non Allopathic treatment like Ayurveda, Homeopathy, Unani & Sidha | Covered | Covered | Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homeopathy |
Maternity Benefits | ||||
3 Lakhs: Up to Rs.35,000 5 Lakhs: Up to Rs.50,000(Waiting period: 9 months) |
3 to 40 Lakhs: Not Covered 50 to 75 Lakhs: Covered (Waiting period: 24 months) |
Value,Freedom & Enrich Healthline: Not Covered; Privilage Healthline: Up to Rs.1 Lakh Per delivery (Up to 2 deliveries, after 3 consecutive renewals) |
Not Covered | Covered |
New Born baby cover | ||||
3 Lakhs: Up to Rs.30,000 5 Lakhs: Up to Rs.50,000 |
Not Covered | Value,Freedom & Enrich Healthline: Not Covered Privilage Healthline: Covered up to Sum Insured of Mother / Floater Sum Insured |
Coverage from day one subject to mother being covered under the policy for 12 months continuously from policy commencement date | Not Covered |
Vaccination of the new born baby | ||||
Not Covered | Covered | Not Covered | Not Covered | Not Covered |
Daily Cash for Accompanying an Insured Child | ||||
Not Covered | Not Covered | Value Healthline& Freedom Healthline: Not Covered Enrich Healthline : Rs 500 per day for 7 days Privilage Healthline: Not Covered (Additional benefit) |
Not Covered | Not Covered |
Organ Donor Expenses | ||||
Not Covered | 3 & 4 Lakhs: Up to Rs.50,000 5 to 10 Lakhs: Up to Rs.100,000 15 to 40 Lakhs: Up to Rs.200,000 50 to 75 Lakhs: Up to Rs.300,000 |
Covered | Covered | Not Covered |
Vaccination (In case of post bite treatment) | ||||
Not Covered | Covered | Not Covered | Covered | Not Covered |
Health Check-up | ||||
Not Covered | Covered | Value Healthline: Not Covered Freedom Healthline: Once after 3 claim free years Enrich & Privilage Healthline: Once after 2 claim free years |
health check-up - once in every 2 claim-free years | No pre-policy health check-up before 50 years of age |
Hospital daily allowance | ||||
Not Covered | Fixed lump sum amount for each completed day of hospitalisation payable for a maximum of 5 consecutive days | Value Healthline& Freedom Healthline: Not Covered Enrich & Privilage Healthline: Rs.10,000 (Minimum 10 days Hospitalization) (Additional benefit) |
Daily benefit of `500/- per day towards accompanying person expenses, up to a maximum of 10 days per policy period | Not Covered |
Co-pay | ||||
20% co-pay above 60 years | 20% co-pay above 60 years | Value Healthline: 10% on all claims Freedom, Enrich, Privilage Healthline: Not Covered(for age above 55years) |
No co-pay | Co-pay fixed at 5% for all ages/sum insureds in this policy |
Pre-existing diseases coverage | ||||
Covered after 4 years of continuous coverage | Covered after 4 years of continuous coverage | Pre-existing diseases covered after 4 years of continuous coverage | Pre-existing diseases covered after 3 years of continuous coverage | Benefits not available for any pre-existing condition(s) until 48 consecutive months of continuous coverage |
Restore Benefit | ||||
Not Covered | Recharge up to 100% of Base Sum Insured per year |
Not Covered | Covered | Not Covered |
General waiting period | ||||
30 days | 30 days | 30 days | 30 days | 30 days (not applicable on renewal and for accidents) |
Renewal Benefit / Cumulative Bonus | ||||
Covered(Optional) |
10% for every claim free year up to 50% of sum insured | Value Healthline: 5% of sum insured every claim free year subject to maximum of 25% of sum Insured Freedom Healthline: 5% of sum insured every claim free year subject to maximum of 50% of sum Insured Enrich Healthline: 50% of sum insured every claim free year subject to maximum of 100% of sum Insured Privilage Healthline: 5% of sum insured every claim free year subject to maximum of 50% of sum Insured |
10% for every claim-free year up to 50% of sum insured | Increase in the Sum Insured by 5% in respect of each claim free year subject to a maximum of 50% of SI |
Emergency Air Ambulance | ||||
Not Covered | Covered(Optional) |
Not Covered | Not Covered | Not Covered |
Available sum insured options | ||||
3 & 5 Lakhs | 3 to 75 Lakhs | Value Healthline: 1 to 10 Lakhs Freedom Healthline: 2 to 15 Lakhs Enrich Healthline: 3 to 25 Lakhs Privilage Healthline: 5 to 25 Lakhs |
Rs. 1/ 2 / 3 / 5 / 7.5 / 10 / 15 / 20 / 25 Lakhs | Minimum Sum Assured is ₹ 1 Lac Maximum Sum Assured is ₹ 5 Lacs (Sum Assured can be opted for in multiples of ₹50,000) |
Policy can be purchased for | ||||
1/2/3 years | 1/2/3 years | 1/2/3 years | 1/2/3 years | 1/2/3 years |
Eligibility criteria | ||||
Adults from 18 to 65 years (dependents 91 days to 17 years) | 5 years onwards, Dependent children between 91 days to 5 years can be covered only if both parents are covered under the policy | Adults from 18 to 65 years (dependents 90 days to 26 years) | Adults from 18 to 65 years and Children 03 months to 26 years | Adults from 18 to 65 years and Children 03 months to 25 years |
Renewability | ||||
Renewal for whole life | Renewal for whole life | Renewal for whole life | Renewal for whole life | Renewal for whole life |
Claims loading | ||||
No Loading | Loading | No Loading | No Loading | No Loading |
Portablity(At the time of renewal) | ||||
Yes | Yes | Yes | Yes | Yes |
Tax Benefits Limit | ||||
Income tax benefit under section 80D | Income tax benefit under section 80D | Income tax benefit under section 80D | Income tax benefit under section 80D | Income tax benefit under section 80D |
Useful Links | ||||
Care(formerly Religare) | Cholamandalam | |
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Claims Settlement Ratio ** | 95.2 % | 73.87 % |
Number of Lives Covered * | 1,07,13,000 | 1,806,000 |
Network Hospitals | 16,500 + | 7,250 + |
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