Arogya Sanjeevini vs Prime Senior Elite Health Insurance Plan
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| PLAN DETAILS |
 Arogya Sanjeevini |
 Prime Senior Elite |
| Premium Including GST | ||
| Sum Assured | 3L, 4L & 5L | 5L, 7.5 L, 10L, 15L, 20L, 25L & 50L |
| Product Type | Reimbursement Hospitalization and Cashless | Individual/Multi-individual and Family Floater |
| Key Features (Key features of the plan) |
Network of 12500+ hospitals AYUSH Treatment available for each policy year Road Ambulance facility available with Intensive Care Unit |
Modern and Advanced Treatments/HIV/ AIDS & STD / Mental Illness Cover are covered upto SI Unlimited Restoration of Sum Insured for unrelated/ related illnesses Unlimited Tele-consultation in a policy year including specialists Discount on Pharmacy - Diagnostics - Medical Devices - Health Supplements and other services offered by the network providers of MCHI Waives off next one year renewal Policy Premium upon occurrence of Accidental Death or diagnosis of any of the listed Critical Illnesses Reduction in PED Waiting period to 90 Days (Optional) |
| OPD Details (In some policies, OPD (Out patient department) expenses are also covered.) |
Not Available | Not Available |
| EMI Option | no | yes |
| Pre-acceptance Medical Check Up (Whether a pre-acceptance check up is required or not to buy the policy) |
Not Applicable | Not required |
|
Room Rent (A limit of room rent cover during hospitalization if any) |
2% of the SA upto Rs 5000/- day | Single Private AC room |
| Domicillary Hospitalization (It is the expenses incurred on treatment of the patient at home) |
Not Available | 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 | 90 Days |
| Non-allopathic (Expenses incurred on non-allopathic treatment) |
AYUSH treatment upto 5L | Upto Rs. 10L |
| Day Care Treatment Covered (Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.) |
All day care treatment covered | Upto Rs. 10L |
| Hospital_network (Number of Hospital Network in city) |
||
| Organ Donor Expenses (Expenses incurred on organ donor in case of organ transplants) |
Not Applicable | Upto Rs. 10L |
|
Hospital Daily Allowance (Some plans offer daily allowance to take care of expenses like food, etc) |
no | INR 800 per day up to maximum of INR 5600 per hospitalization (On Shared Accomodation) |
| Pre-existing Coverage (If the insured is having some existing diseases, that would be covered after particular time period) |
After 4 years | Covers after 24 Months |
| Cumulative Bonus (The amount by which your sum assured gets increased, if there is no claim.) |
Rs 0.25L of the Sum Insured upto Rs 2.5L | Guaranteed Bonus of Rs 1L Or max Upto Rs 10L |
| Restoration Details (Increase of Sum Insured for non-related illness if the original sum insured is exhausted) |
Not Applicable | Unlimited Restoration of Sum Insured for unrelated/ related illnesses |
| Ambulance Charges (Expenses incurred on ambulance charges) |
Upto INR 2000 per hospitalization | Upto Rs. 10L |
| 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.) |
No | Annually from 1st year onwards. Limits basis opted Sum Insured |
| Non-allopathic Details (Expenses incurred on non-allopathic treatment) |
yes | no |
| 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) |
Not Applicable | Not Available |
|
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) |
You pay 5% of claim | You pay 20% of claim |
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