Sum Insured | 10 Lakh | 25 Lakh | 50 Lakh | 1 Crore | 2 Crore |
Covered Conditions (Illnesses/Diseases/Surgeries) | Heart related Critical illnesses |
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 |
Sub Limits: | |
Room Rent Eligibility | Single Private Room / No limit ^ |
ICU Charges | No limit |
Wait Period: | |
Initial Waiting Period | 90 Days |
Pre - existing Disease | 48 months |
*** Terms and Conditions Applicable ##at the discretion of the Underwriter. ^with optional benefit Room Rent Modification. Note: Other SI / Age band options also available. |
Sum Insured (all figs in ₹ INR) | 10 Lakh | 25 Lakh | 50 Lakh | 1 Crore | 2 Crore |
---|---|
Plan Name | Heart 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 | Pre-Hospitalization for 30 days & Post-Hospitalization for 60 days; Maximum up to SI |
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 |
No Claim Bonus* | 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# | 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 |
Benefits | |
Hospitalization Expenses | |
In-Patient Care | Up to SI |
Day Care Treatment | Up to SI |
Pre-Hospitalization and Post-Hospitalization | 30 days/60 days |
Chemotherapy and Radiotherapy Cover | Up to SI |
Ambulance Cover | Up to Rs 3000 per hospitalization |
Organ Donor Cover | Up to SI or 15 L whichever is lower |
Second Opinion | Once per Covered Condition per policy year |
No Claim Bonus* | 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# | Up to Rs. 5 Lakhs |
Annual Health Check-up | Annual from 2nd Policy Year on Continuous Coverage |
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. |
There is no upper limit on the number of claims during the policy period. However, the total cumulative claim amount cannot exceed the Policy Sum Insured.
As on date Care Health have settled 4.7 lacs + health claims
Review Care health insurance - Super Mediclaim Heart brochure to understand coverage details.
Know more »Fill the online Care health insurance - Super Mediclaim Heart proposal form.
Review Care health insurance - Super Mediclaim Heart 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
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