Care Senior vs Mediclassic Individual Health Insurance Plan
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| PLAN DETAILS |
 Care Senior |
 Mediclassic Individual |
| Premium Including GST | ||
| Sum Assured | 5L, 7.5L, 10L, 15L, 20L, 25L, 50L, 75L & 1Cr | 3L, 4L, 5L, 10L & 15L |
| Product Type | Reimbursement Hospitalization and Cashless | Reimbursement Hospitalization and Cashless |
| 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. |
Automatic Restoration upto 200% 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.) |
Not Applicable | 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) |
Not Applicable | Required |
|
Room Rent (A limit of room rent cover during hospitalization if any) |
Upto Rs 10000 per day | Upto Rs 5000/- |
| Domicillary Hospitalization (It is the expenses incurred on treatment of the patient at home) |
Up to Rs 100000 | No |
| Pre-hospitalization (Expenses before the insured is hospitalized) |
30 Days | 30 Days |
| Post-hospitalization (Expenses after discharge from the hospital) |
60 Days | 60 Days(Limit amount 7% of hospitalization expenses or maximum upto Rs.5k/- per hospitalisation) |
| Non-allopathic (Expenses incurred on non-allopathic treatment) |
Upto Rs 20000/- | 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 10L & 541 Day Care treatment covered | Upto 10L & 101 Day Care Treatment Covered |
| Hospital_network (Number of Hospital Network in city) |
||
| Organ Donor Expenses (Expenses incurred on organ donor in case of organ transplants) |
Upto Rs 1L | No |
|
Hospital Daily Allowance (Some plans offer daily allowance to take care of expenses like food, etc) |
Not Covered | Optional as riders |
| 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 | 5 % per year - upto 25% |
| Restoration Details (Increase of Sum Insured for non-related illness if the original sum insured is exhausted) |
Upto Rs 10L | Upto Rs 20L (on unrelated illness & on full exhaution) |
| Ambulance Charges (Expenses incurred on ambulance charges) |
Upto Rs 2000/- | Upto Rs 750/- per hospitalization and overall limit of Rs 1500/- per period |
| Worldwide Emergency (The emergency medical assistance and cover against medical expenses while the customer is abroad) |
Not Applicable | Not Applicable |
|
Maternity Benefits (All Hospitalization cost covered at the time of pregnancy.) |
Not Covered | Not Covered |
| New Born Baby Covered (Newborn babies can be covered under the insurance plan after a certain period) |
No | No |
| Health Checkup (An added benefit of one time full health checkup of policy holder.) |
Every year irrespective of claim to all members | After Every 4 continuous Claim Free Years( Rs 5000/-) |
| Non-allopathic Details (Expenses incurred on non-allopathic treatment) |
yes | yes |
| Vaccination (Cover againts any medical expenses occurred in Vaccinations for certain diseases) |
Not Applicable | Not Applicable |
| Animal Bite (Cover againts any medical expenses occurred due to any Animal Bite) |
Not Applicable | Not Applicable |
|
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 | You pay 10% of claim |
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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.
