Zurich Kotak Group Health Care Policy
  • Domiciliary treatment cover
  • Get wellness benefits
  • Optional covers available
Zurich Kotak Group Health Care Policy
Network hospitals

Network hospitals

9450+

Claim settlement ratio

Claim settlement ratio

97.61%

Sum insured

Sum insured

Up to 25 L

No. of Plans

No. of Plans

1

Solvency Ratio

Solvency Ratio

2.2

Pan India Presence

Pan India Presence

19+

Customized Health Insurance Plan for you.

Get upto 15% Online Discount*

Select Members You Want To Insure

Age of Eldest Member

Zurich Kotak Group Health Care Policy

Kotak Group Health Care insurance plan is specially designed to cater to the healthcare needs of active group members of Kotak Mahindra Bank Limited. It also provides the same facilities to their dependents as per the requirements, given according to the specifications of policy documents. 

The plan covers in-patient, pre and post-hospitalizations, daycare procedures, domiciliary treatment care, and other benefits. Additionally, the optional covers under this plan make it more versatile and offer coverage options beyond base covers. 

Read further to know more about the Kotak Group Health Care plan and stay informed if you already are Kotak Mahindra Bank’s active member. 

 

Zurich Kotak Group Health Care Policy Specifications

To understand Zurich Kotak Group Health Care Policy Insurance in detail, take a look at the below table:

Entry Age

18-55 years

Policy Type

Group Health Insurance

Sum Insured

3 L | 4 L | 5 L

Initial Waiting Period*

30 Days

Renewability

Every Year

Policy Term

1 Year

*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.

Read more specifications in the brochure.

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Choose Your Zurich Kotak Group Health Care Policy

With wide coverage options available, Zurich Kotak Group Health Care Policy Insurance Plan allows you to choose your ideal coverage as per your family’s health requirements. Take a look at the coverage under every SI option available and choose your ideal coverage:

In-patient & Out-patient coverage

Room Rent

Covered

ICU Charges

Not Covered

Pre-Hospitalization

Covered

Post-Hospitalization

Covered

Domiciliary Hospitalization

Covered

Daycare Treatment

Covered

OPD Charges

Not Covered

Coverage Terms

COVID-19 Treatment

Covered

Cataract

Not Covered

No Claim Bonus

Not Covered

Automatic Restoration

Not Covered

Daily Hospital Cash

Not Covered

Organ Donor

Not Covered

Maternity Cover

Not Covered

New Born Baby Cover

Not Covered

Alternative Treatments

AYUSH Treatment

Covered

IVF Treatment

Not Covered

Modern Treatment

Not Covered

Emergency Coverage

Ambulance

Not Covered

Air Ambulance

Not Covered

Compassionate Travel

Not Covered

Global Coverage

Not Covered

Wellness Programmes

E-Consultation

Not Covered

Health Check-Up

Covered

Second Medical Opinion

Not Covered

Vaccination

Not Covered

Limitations

Co-payment

Not Covered

Sub-limits

Not Covered

What is Room Rent?

The room rent limit is the maximum bed charge you can claim if you are hospitalised. Common Room categories covered under room rent are all kinds of rooms including single, private and AC rooms (except suite).

What are ICU Charges?

It is a special hospital department where patients with serious medical conditions are treated.

What is Pre Hospitalization?

Medical expenses incurred before hospitalisation of the policyholder.

What is Post Hospitalization?

Medical expenses incurred after the discharge of the policyholder from the hospital.

What is Domiciliary Hospitalization?

Domiciliary hospitalization or home care treatments are the arrangements for an insured individual due to the unavailability of medical amenities in hospitals, or in a case where an insured member can not be admitted to the hospital due to an inability. The treatment should last equal to or more than 72 hours to get financial coverage.

What is Daycare Treatment?

Treatments that can be completed within 24 hours of hospitalization like blood dialysis, cataracts, etc.

What are OPD charges?

Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization. .

What is COVID-19 Treatment?

It includes the treatment cost for COVID-19 with a confirmative diagnosis from a government-approved centre.

What is Cataract Treatment?

A common eye condition in which your vision gets blurred due to cloudy formation in your eyes.

What is a No-Claim Bonus?

For every claim-free year, insurance companies reward policyholders with an increase in the sum insured amount as a no-claim bonus or cumulative bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage varying from one plan to the other.

What is Automatic Restoration?

It is a benefit in which an insurance company restores the amount of sum insured completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from one plan to the other.

What is Daily Hospital Cash?

Daily hospital cash or Hospicash is a cash amount that you receive each day during the time of hospitalization to cover your non-medical expenses.

What is an Organ Donor Cover?

It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body. In most of the cases, the insurer pays for the hospitalization and transplant expenses for both the parties i.e. the donor and the receiver.

What is a Maternity Cover?

It refers to the cover that includes expenses for normal and c-section deliveries.

What is a New Born Baby Cover?

It takes care of the medical expenses that arise due to the hospitalisation of the newborn baby in case of any childbirth complications, medical challenges, and so on. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:

  • Congenital anomaly (conditions since birth)
  • Acute condition
  • Chronic condition
  • Premature delivery
  • Birth asphyxia
  • Daycare treatment
What is AYUSH Treatment?

Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.

What is IVF Treatment?

In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are settled or reimbursed for:

  • Full infertility
  • No fertility
  • Infertility diagnosis
  • Infertility diagnosis and limited fertility treatment
  • Medication (which may or may not include fertility drug prescriptions)
What is a Modern Treatment?

Medical treatments that demand the use of modern technology and advanced machinery such as robotic surgeries, stem cell therapy, etc.

What is an Ambulance Cover?

An ambulance is used to move the patient from home to the hospital, transfer them to another hospital, and take them for different tests outside the hospital.

What is an Air Ambulance?

Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.

What is Compassionate Travel?

Refers to the travelling expenses of a family member who’s visiting the hospital to look after the patient when the policyholder gets admitted to a hospital outside his/her residential city.

What is Global Coverage?

Any kind of medical/health emergency when you are outside of India is covered for hospitalization expenses, modern and specific treatments, etc.

What is E-Consultation?

If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.

What is a Health Checkup?

A facility where the policyholder can avail of free health check-ups after fulfilling the company's eligibility criteria. In most cases, the insured member/s gets an annual health check-up cover.

What is a Second Medical Opinion?

If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.

What is Vaccination cover?

Coverage against the expenses incurred on vaccinations of either the newborn baby, for an animal bite, etc is provided by the insurance companies.

What is Co-payment?

In the co-payment clause, policyholders have to pay a preset amount (either compulsorily or voluntarily) of the hospitalisation expense on their own and the insurer will pay the rest of the medical bill amount.

What is the Sub limit?

Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to be paid by the policyholder. For instance, if your policy covers room rent for upto 20% of the sum insured, but the expense of the same is more than 25%, you will have to pay the rest amount, i.e. 5%, for your room rent.

Specifications of Kotak Group Health Care Policy

Read here are the coverage specifications of Kotak Group Health Care policy:-

Specifications What's the clause?
Base covers
In-patient treatment Up to SI
Daycare treatment Up to SI
Pre-hospitalization medical expenses 60 days
Post-hospitalization medical expenses 90 days
Emergency ambulance Upto INR 20,000 per event
Domiciliary hospitalization Covered
Donor expenses Covered
Optional covers
Rom rent capping Upto 1% of SI for normal rooms
Upto 2% of SI for ICU rooms
AYUSH (alternative treatment) Upto INR 1 Lakh
Wellness benefits Health check-up & report evaluation (one annual health check-up)

Note: This table is taken from the official website of Kotak and it's not the full representation of coverage benefits. To more about the specifications, read thoroughly the policy wordings attached above.

Exclusions of Kotak Group Health Care Policy

Permanent Exclusions

Permanent diseases or health conditions that are not included under Kotak Group Health Care Policy are:

Investigation & Evaluation

Rest cure, rehabilitation and respite care

Obesity/weight control

Change-of-gender treatments

Hazardous or adventure sports

Breach of law

Unproven treatments

Sterility and infertility

Excluded providers

Cosmetic or plastic surgery

To Summarize

If you are an active user of Kotak Mahindra Bank Limited, this policy is an additional layer of protection for you. To know more details about Kotak Group Health Care, reach out to us at 1800 4200 269.

Explore other Zurich Kotak Health Insurance

To cater to the different medical needs of an individual & their family, Zurich Kotak Health Insurance offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to Zurich Kotak Health Insurance plans explore more:

Group Health Insurance

Zurich Kotak Group Health Care Policy

Zurich Kotak Group Health Care Policy

Kotak Group Health Care insurance plan is specially designed to cater to the healthcare needs of active group members of Kotak Mahindra Bank Limited. ...

Unique Features

  • Domiciliary treatment cover
  • Get wellness benefits
  • Optional covers available

Zurich Kotak Group Health Care Policy (Pros)

Zurich Kotak Group Health Care Policy
  • Domiciliary hospitalization
  • Daycare procedures
  • Donor expenses
  • In-patient treatment care

Zurich Kotak Group Health Care Policy (Cons)

Zurich Kotak Group Health Care Policy
  • Obesity treatment unavailable
  • Breach of law
  • Cosmetic surgery
  • Maternity not covered

Zurich Kotak Group Health Care Policy (Other Benefits)

Zurich Kotak Group Health Care Policy
  • Room rent capping
  • AYUSH cover
  • Wellness benefits

Zurich Kotak Group Health Care Policy (Eligibility Criteria)

Zurich Kotak Group Health Care Policy
  • Entry age - 18 -55 Years
  • SI - 3/4/5 Lakhs
  • Plan type- Individual
  • Waiting Period - 30 days

Individual

Zurich Kotak Accident Care Plan

Zurich Kotak Accident Care Plan

Out of 1.35 million deaths happening in road crashes, almost 93% of the accidental deaths occur in averagely developed countries like India. We're not...

Unique Features

  • Funeral expenses extensions
  • Children’s education grant
  • Lifelong renewability

Zurich Kotak Accident Care Plan (Pros)

Zurich Kotak Accident Care Plan
  • Children education grant
  • Dead remains transportation
  • Convalescence benefit
  • Accident daily cash benefit

Zurich Kotak Accident Care Plan (Cons)

Zurich Kotak Accident Care Plan
  • Room rent charges
  • Pre and post-hospitalization
  • Mental disorders
  • Self-inflicted injury

Zurich Kotak Accident Care Plan (Other Benefits)

Zurich Kotak Accident Care Plan
  • Ambulance charges
  • Accidental death
  • TTD PTD PPD cover

Zurich Kotak Accident Care Plan (Eligibility Criteria)

Zurich Kotak Accident Care Plan
  • Entry Age 5 to 65 years
  • Sum Insured NA
  • Policy term 1/2/3 years
  • Waiting period NA

Individual and Family Health Insurance

Zurich Kotak Health Premier Plan

Zurich Kotak Health Premier Plan

Zurich Kotak Health Premier is a versatile option when it comes to ensuring the health and wellness of yourself and your loved ones. Zurich ...

Unique Features

  • Comprehensive coverage
  • Value added benefits
  • Customizable plans

Zurich Kotak Health Premier Plan (Pros)

Zurich Kotak Health Premier Plan
  • In-patient treatment
  • daycare treatment
  • ambulance cover
  • restoration benefit

Zurich Kotak Health Premier Plan (Cons)

Zurich Kotak Health Premier Plan
  • Global coverage
  • modern treatment
  • IVF cover
  • Adventure sports

Zurich Kotak Health Premier Plan (Other Benefits)

Zurich Kotak Health Premier Plan
  • maternity benefit
  • cumulative bonus
  • compassionate travel
  • vaccination

Zurich Kotak Health Premier Plan (Eligibility Criteria)

Zurich Kotak Health Premier Plan
  • Entry age 18 years (min) - 65 years (max)
  • SI 2 Lakh to 2 Crore
  • Initial waiting period 30 days
  • Policy period 1/2/3 years

Individual

Zurich Kotak Group Accident Protect Plan

Zurich Kotak Group Accident Protect Plan

It's insurance against adversities caused due to accidents. The Union Minister of Road Transport and Highways, Nitin Gadkari, revealed that over 4.8...

Unique Features

  • AD PTD & PPD Covers
  • Children’s Education Grant
  • Lifestyle Modification Cover

Zurich Kotak Group Accident Protect Plan (Pros)

Zurich Kotak Group Accident Protect Plan
  • Accident Cover
  • Accidental Death
  • Disability Cover

Zurich Kotak Group Accident Protect Plan (Cons)

Zurich Kotak Group Accident Protect Plan
  • Adventure Sports
  • Illegal activities
  • Obesity Treatments

Zurich Kotak Group Accident Protect Plan (Other Benefits)

Zurich Kotak Group Accident Protect Plan
  • Permanent Total Disability
  • Partial Disability
  • Children education

Zurich Kotak Group Accident Protect Plan (Eligibility Criteria)

Zurich Kotak Group Accident Protect Plan
  • Min Age: 5 Years
  • Max Age: 65 Years
  • Sum Insured: 25 L
  • Initial Waiting Period: NA

Zurich Kotak Group Health Care Policy: FAQs

1. Who can buy Kotak group health care?

Only active users of Kotak Mahindra Bank Limited can buy this policy.

2. What are the sum insured options under this plan?

The sum insured options range from INR 3 Lakhs, 4 Lakhs, to 5 Lakhs.

3. I am not an active user of Kotak Mahindra Bank Limited, can I still buy this plan?

No, this policy is specially designed for an active user of Kotak Mahindra Bank Limited.

4. Is there an optional cover available under this plan?

Yes, you can opt out of an optional cover from these: room rent capping, alternative benefits (AYUSH), and wellness benefits.

Explore Zurich Kotak Health Insurance

Zurich Kotak Health Policy and Claim Status

Zurich Kotak Health Policy and Claim Status

Zurich Kotak Health Customer Service

Zurich Kotak Health Customer Service

Zurich Kotak Health Insurance Renewal

Zurich Kotak Health Insurance Renewal

Zurich Kotak Health Insurance Premium Calculator

Zurich Kotak Health Insurance Premium Calculator

Zurich Kotak Claim Settlement Ratio

Zurich Kotak Claim Settlement Ratio

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Simran Nirala

Written By: Simran Nirala

Lives In: Delhi, NCR Expertise: Health & Term Insurance Simran has an experience of 4 years in content writing. She transitioned from hospitality and digital marketing to the insurance industry after her emerging interest in how vast insurance is. With her ability to write complex insurance concepts in a simple, relatable manner, she keeps her audience hooked and solves their doubts smoothly.

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