PLAN DETAILS |
Care Senior |
Care Supreme |
Premium Including GST | ||
Sum Assured | 5L, 7.5L, 10L, 15L, 20L, 25L, 50L, 75L & 1Cr | 7L, 10L & 15L |
Product Type | Reimbursement Hospitalization and Cashless | Family Floater |
Key Features (Key features of the plan) |
Automatic Recharge upto 100% of Sum Insured Covers 541 Day Care Treatments No Claim Based Loading 19000+ Network hospital covered Free Annual Health Check-up for all insured members. |
Advance Technology Methods covered upto SI Unlimited Automatic Recharge Unlimited E-Consultations No reduction in Cumulative Bonus even if you claim Wellness Benefit: Earn up to 30% Discount on Renewal Discount Connect – Discounts on services such as consultations diagnostics maternity etc at Cares network |
OPD Details (In some policies, OPD (Out patient department) expenses are also covered.) |
Not Applicable | Not Applicable |
EMI Option | yes | yes |
Pre-acceptance Medical Check Up (Whether a pre-acceptance check up is required or not to buy the policy) |
Not Applicable | Not Applicable |
Room Rent (A limit of room rent cover during hospitalization if any) |
Upto Rs 10000 per day | Covered Upto Rs. 10L |
Domicillary Hospitalization (It is the expenses incurred on treatment of the patient at home) |
Up to Rs 100000 | Up to Rs. 10L |
Pre-hospitalization (Expenses before the insured is hospitalized) |
30 Days | 60 Days |
Post-hospitalization (Expenses after discharge from the hospital) |
60 Days | 180 Days |
Non-allopathic (Expenses incurred on non-allopathic treatment) |
Upto Rs 20000/- | Upto Rs. 10L |
Day Care Treatment Covered (Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.) |
Upto Rs 10L & 541 Day Care treatment covered | Upto Rs. 10L & (All Day Care Procedures) |
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 1L | Upto Rs. 10L |
Hospital Daily Allowance (Some plans offer daily allowance to take care of expenses like food, etc) |
Not Covered | Not Available |
Pre-existing Coverage (If the insured is having some existing diseases, that would be covered after particular time period) |
After 4 Years | After 4 Years |
Cumulative Bonus (The amount by which your sum assured gets increased, if there is no claim.) |
Rs 1L per year upto Rs 5L | 50% of SI per year, max up to 100% of SI; Shall not reduce in case of claim |
Restoration Details (Increase of Sum Insured for non-related illness if the original sum insured is exhausted) |
Upto Rs 10L | Available for unlimited times for unrelated or same illness |
Ambulance Charges (Expenses incurred on ambulance charges) |
Upto Rs 2000/- | Upto Rs. 10000/- |
Worldwide Emergency (The emergency medical assistance and cover against medical expenses while the customer is abroad) |
Not Applicable | Not Available |
Maternity Benefits (All Hospitalization cost covered at the time of pregnancy.) |
Not Covered | Not Available |
New Born Baby Covered (Newborn babies can be covered under the insurance plan after a certain period) |
No | Not Available |
Health Checkup (An added benefit of one time full health checkup of policy holder.) |
Every year irrespective of claim to all members | Optional (Once for all Insured every policy year) |
Non-allopathic Details (Expenses incurred on non-allopathic treatment) |
yes | no |
Vaccination (Cover againts any medical expenses occurred in Vaccinations for certain diseases) |
Not Applicable | Not Available |
Animal Bite (Cover againts any medical expenses occurred due to any Animal Bite) |
Not Applicable | Not Available |
Sub Limit (Sub-limit is a monetary capping that applies on specific diseases like cataract) |
Not Applicable | Not Applicable |
Co-pay (Mentioned %, if any is to be borne by Insured and rest will be borne by insurer) |
You pay 20% of claim | No Co-pay |
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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.