PLAN DETAILS |
Care Advantage |
Mediclassic Individual - Gold |
Premium Including GST | ||
Sum Assured | 25L, 50L, & 1CR | 3L, 4L, 5L, 10L & 15L |
Product Type | Individual and Family Floater | Reimbursement Hospitalization and Cashless |
Key Features (Key features of the plan) |
No Capping on Room Rent Offers high Sum Insured and affordable premiums Unlimited E-Consultations with General Physicians at networks Discount Connect - Discounts on services such as consultations-diagnostics maternity etc at networks Global Coverage could be optionally opted |
Automatic Restoration upto 200% Addition Cover for RTA Covers Psychiatric and Psychosomatic Disorder (after 2 years) Covers Non Allopathic Treatment. |
OPD Details (In some policies, OPD (Out patient department) expenses are also covered.) |
Optionally Covered | Not Applicable |
EMI Option | yes | no |
Pre-acceptance Medical Check Up (Whether a pre-acceptance check up is required or not to buy the policy) |
NA | Required |
Room Rent (A limit of room rent cover during hospitalization if any) |
Covered upto 100L | Single Private AC Room |
Domicillary Hospitalization (It is the expenses incurred on treatment of the patient at home) |
Not Available | Covered upto 10L |
Pre-hospitalization (Expenses before the insured is hospitalized) |
60 Days | 30 Days |
Post-hospitalization (Expenses after discharge from the hospital) |
180 Days | 60 Days |
Non-allopathic (Expenses incurred on non-allopathic treatment) |
Covered upto 100L | Upto Rs 25000/policy period |
Day Care Treatment Covered (Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.) |
Upto Rs. 100L | Upto 10L & 101 Day Care Treatment Covered |
Hospital_network (Number of Hospital Network in city) |
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Organ Donor Expenses (Expenses incurred on organ donor in case of organ transplants) |
Upto Rs. 100L | Upto Rs 10L |
Hospital Daily Allowance (Some plans offer daily allowance to take care of expenses like food, etc) |
Not Available | Optional as riders |
Pre-existing Coverage (If the insured is having some existing diseases, that would be covered after particular time period) |
Covers after 4 years (Can Optionally be reduced to 2 years) | After 4 Years |
Cumulative Bonus (The amount by which your sum assured gets increased, if there is no claim.) |
10% increase in SI for every claim free year & maximum upto 50% of SI | 20% Per year - upto 100% |
Restoration Details (Increase of Sum Insured for non-related illness if the original sum insured is exhausted) |
Upto Rs. 100L (for unrealted & same illness and on partial exhaution) | Upto Rs 20L (on unrelated illness & on full exhaustion) |
Ambulance Charges (Expenses incurred on ambulance charges) |
Covered up to Rs. 100L | Upto Rs 2,000/- per hospitalization |
Worldwide Emergency (The emergency medical assistance and cover against medical expenses while the customer is abroad) |
Optional | Not Applicable |
Maternity Benefits (All Hospitalization cost covered at the time of pregnancy.) |
Not Available | Not Covered |
New Born Baby Covered (Newborn babies can be covered under the insurance plan after a certain period) |
Not Available | Yes |
Health Checkup (An added benefit of one time full health checkup of policy holder.) |
Optional (can be opted Annually) | Payable on renewal Rs 2500/- |
Non-allopathic Details (Expenses incurred on non-allopathic treatment) |
no | yes |
Vaccination (Cover againts any medical expenses occurred in Vaccinations for certain diseases) |
Not Available | Not Applicable |
Animal Bite (Cover againts any medical expenses occurred due to any Animal Bite) |
Not Available | Not Applicable |
Sub Limit (Sub-limit is a monetary capping that applies on specific diseases like cataract) |
Not Available | Not Applicable |
Co-pay (Mentioned %, if any is to be borne by Insured and rest will be borne by insurer) |
20% (if entered at the age of 61 & above, however, it can be waived - optionally) | You pay 10% of claim |
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Contact PolicyX.comCall at our toll-free number 1800-4200-269Email: helpdesk@policyx.com
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Naval Goel is the CEO & founder of PolicyX.com. Naval has an expertise in the insurance sector and has professional experience of more than a decade in the Industry and has worked in companies like AIG, New York doing valuation of insurance subsidiaries. He is also an Associate Member of the Indian Institute of Insurance, Pune. He has been authorized by IRDAI to act as a Principal Officer of PolicyX.com Insurance Web Aggregator.