Health Companion vs Prime Advantage with 20K OPD Health Insurance Plan
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| PLAN DETAILS |
 Health Companion |
 Prime Advantage with 20K OPD |
| Premium Including GST | ||
| Sum Assured | 7.5L, 10L, 12.5L, 15L, 20L, 30L, 50L & 1Cr | 5L, 7.5L, 10L, 12.5L, 15L, 20L, 25L, 30L, 40L, 50L & 1Cr |
| Product Type | Individual & Family Floater | Individual and Family Floater |
| Key Features (Key features of the plan) |
No Max Age Limit Animal Bite Cover AYUSH treatment covered up to Sum Insured Cover All day care procedures No Room Rent Capping Air Ambulance available Upto 2.5Lakh Co-payment is not applicable |
OPD upto INR 20000 Guaranteed Bonus Unlimited Tele-Consultation Unlimited Restoration of 10 L No Co-Pay Health Check-up from 1st Year Waives off one year renewal Policy Premium upon occurrence of Accidental Death or diagnosis of any of the listed Critical Illnesses |
| OPD Details (In some policies, OPD (Out patient department) expenses are also covered.) |
Not Available | Upto Rs 20K/- |
| EMI Option | yes | yes |
| Pre-acceptance Medical Check Up (Whether a pre-acceptance check up is required or not to buy the policy) |
Required | Required |
|
Room Rent (A limit of room rent cover during hospitalization if any) |
Actual - No capping on room rent | Single Private AC room |
| Domicillary Hospitalization (It is the expenses incurred on treatment of the patient at home) |
Upto sum insured | Up to Rs 100000 |
| Pre-hospitalization (Expenses before the insured is hospitalized) |
60 Days | 60 Days |
| Post-hospitalization (Expenses after discharge from the hospital) |
180 Days | 180 Days |
| Non-allopathic (Expenses incurred on non-allopathic treatment) |
Upto Rs 10L | Upto Rs 1000000 |
| Day Care Treatment Covered (Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.) |
Upto Rs. 10L & all Day Care Treatment covered | Upto Rs 1000000 |
| Hospital_network (Number of Hospital Network in city) |
||
| Organ Donor Expenses (Expenses incurred on organ donor in case of organ transplants) |
Upto Rs 10L | Upto Rs 1000000 |
|
Hospital Daily Allowance (Some plans offer daily allowance to take care of expenses like food, etc) |
No | 800/- day and Max 5,600 (These are only available on shared accomodation) |
| Pre-existing Coverage (If the insured is having some existing diseases, that would be covered after particular time period) |
After 3 year | 24 Months |
| Cumulative Bonus (The amount by which your sum assured gets increased, if there is no claim.) |
Increase of base sum assure from 20% to 100% | (Guaranteed) Rs 2.5L per year upto Rs 20L |
| Restoration Details (Increase of Sum Insured for non-related illness if the original sum insured is exhausted) |
Upto Rs 10L (Applicable for both same & different illness) | Unlimited (on related and unrelated illness & on partial exhaution) |
| Ambulance Charges (Expenses incurred on ambulance charges) |
up to INR 2,000 per hospitalisation | Upto 1000000 |
| Worldwide Emergency (The emergency medical assistance and cover against medical expenses while the customer is abroad) |
Not Applicable | NA |
|
Maternity Benefits (All Hospitalization cost covered at the time of pregnancy.) |
Not Applicable | Optional (Can be opted through enhance plus rider) |
| New Born Baby Covered (Newborn babies can be covered under the insurance plan after a certain period) |
Not Applicable | Optional (Can be opted through enhance plus rider) |
| Health Checkup (An added benefit of one time full health checkup of policy holder.) |
Once in a year from day 1, up to INR 500 for every INR 1 Lakh Base Sum Insured, Individual-Max. 5000 Per insured members, Floater-Max. 10000 per policy | Annually from 1st Year onwards |
| Non-allopathic Details (Expenses incurred on non-allopathic treatment) |
yes | yes |
| Vaccination (Cover againts any medical expenses occurred in Vaccinations for certain diseases) |
No | Not Available |
| Animal Bite (Cover againts any medical expenses occurred due to any Animal Bite) |
Up to INR 5,000 (Only Vaccination) | Not Applicable |
|
Sub Limit (Sub-limit is a monetary capping that applies on specific diseases like cataract) |
Not Applicable | Applicable |
| Co-pay (Mentioned %, if any is to be borne by Insured and rest will be borne by insurer) |
No Co-Pay | 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.
