Minimum Entry Age | 91 days for dependent children and 18 years for adults/proposers |
Maximum Entry Age | 25 years for dependent children and no restriction on maximum entry age for adults |
Policy Type | Individual or Floater Plans |
Family Coverage |
|
Policy Tenure | For the purpose of calculating premium, the country has been split into two zones:
|
Renewal Conditions | Lifetime Renewability |
Grace Period | 30 days from date of expiry to renew the policy |
Free Look Period | 15 days |
Classic | Supreme | Elite | |
---|---|---|---|
Sum Insured(SI) in ₹ INR | 2,00,000 / 3,00,000 / 4,00,000 | 5,00,000 / 10,00,000 / 15,00,000 / 20,00,000/ 50,00,000 | 25,00,000 / 30,00,000 / 50,00,000 / 1,00,00,000 / 1,50,00,000 |
Baseline Cover Benefits | |||
Inpatient Care | Covered up to SI | Covered up to SI | Covered up to SI |
Pre and post hospitalization expenses | 30/60 days, Covered upto SI | 60/90 days, Covered upto SI | 60/180 days, Covered upto SI |
All Day care procedures | Covered up to SI | Covered up to SI | Covered up to SI |
Ambulance Cover | Up to Rs.3,000 | Up to Rs.5,000 | Up to Rs.10,000 |
Organ Donor Expenses | Covered up to SI | Covered up to SI | Covered up to SI |
Other Benefits | |||
Domiciliary Hospitalization | Covered upto SI | Covered upto SI | Covered upto SI |
No Claim Bonus | 10% of Base SI upto a max of 50% of SI | 20% of Base SI upto a max of 100% of SI | 20% of Base SI upto a max of 100% of SI |
Re-load of Sum Insured | Covered upto SI | Covered upto SI | Covered upto SI |
Ayush Treatment | Government Hospitals - Covered upto SI; Other Hospitals - Covered upto Rs.20,000 | Government Hospitals - Covered upto SI; Other Hospitals - Covered upto Rs.30,000 | Government Hospitals - Covered upto SI; Other Hospitals - Covered upto Rs.50,000 |
Vaccination in case of Animal Bite | Upto Rs.2,500 | Upto Rs.5,000 | Upto Rs.7,500 |
Emergency Domestic Evacuation (Bed to Bed on advise of treating doctor) | Not Covered | Covered upto Rs.1lac | Covered upto Rs.3lacs |
Worldwide Emergency Hospitalization-Excluding US and Canada | Not Covered | Not Covered | 50% of Base SI upto max of Rs.20lacs; Deductible of $1,000 per hospitalization |
International Treatment abroad for specified 11 critical illnesses Excluding US and Canada | Not Covered | Not Covered | Covered upto SI Return Airfare covered upto Rs.3 lac |
Health & Wellness Benefits | |||
Health Check-up | Available once every 3rd policy year | Annual | Annual |
Preventive Healthcare & Wellness | Available | Available | Available |
Second Opinion for 11 specified Critical Illness | Not Covered | Available once during the policy year | Available once during the policy year |
OPD Treatment | Not Covered | Not Covered | Upto Rs.10,000 |
Maternity Benefits | |||
Maternity cover for up to 2 deliveries | Not Covered | Not Covered | For SI upto Rs.50lacs - Rs.2lacs For SI > Rs.50lacs - Rs.2.5lacs |
New Born Baby Cover | Not Covered | Not Covered | 25% of SI |
Vaccinations for new born baby in the first year | Not Covered | Not Covered | Covered upto 10,000 |
Waiting Period | |||
Initial Waiting Period | 30 days | ||
Initial Waiting Period - Critical Illness | 90 days | ||
Waiting Period - Maternity | 36 months | ||
Waiting Period - For Pre existing Diseases | 48 months | 36 months | 24 months |
Optional Benefits | |||
Top-up plan on annual aggregate basis | Deductible of Rs.1, 2, 3, 4, 5 and 10 lacs | Deductible of Rs.1, 2, 3, 4, 5 and 10 lacs | Not Available |
Hospital Cash (for 30 days in case of hospitalization beyond 2 days) | Rs.1,000/day | Rs.2,000/day | Rs.5,000/day |
Option to include US and Canada for Worldwide Emergency Hospitalization and International Treatment for 11 specified Critical Illness | Not Available | Not Available | Available |
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