Arogya Sanjeevini vs Comprehensive Individual Health Insurance Plan
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| PLAN DETAILS |
 Arogya Sanjeevini |
Comprehensive Individual |
| Premium Including GST | ||
| Sum Assured | 3L, 4L & 5L | 5L, 7.5L, 10L, 15L, 20L, 25L, 50L, 75L & 1Cr |
| Product Type | Reimbursement Hospitalization and Cashless | Reimbursement Hospitalization and Cashless |
| 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 |
Automatic Restoration – 100% Available No claim bonus Hospital cash benefit Cover against accidental death and permanent total disablement Health checkup for every claim-free year Wellness program – earn wellness reward Option available to buy back pre-existing disease |
| OPD Details (In some policies, OPD (Out patient department) expenses are also covered.) |
Not Available | 300 Per Consultation & overall limit 2100/- |
| EMI Option | no | no |
| 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) |
2% of the SA upto Rs 5000/- day | Private Single Standard A/C |
| Domicillary Hospitalization (It is the expenses incurred on treatment of the patient at home) |
Not Available | Upto 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 | Rs.15k for Ayush Treatment |
| 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 10L & All 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) |
Not Applicable | Applicable |
|
Hospital Daily Allowance (Some plans offer daily allowance to take care of expenses like food, etc) |
no | 750/- per day |
| Pre-existing Coverage (If the insured is having some existing diseases, that would be covered after particular time period) |
After 4 years | After 3 years, Can get reduced to 1 year on additional premium payment |
| 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 | Rs 10L per year upto Rs 10L |
| Restoration Details (Increase of Sum Insured for non-related illness if the original sum insured is exhausted) |
Not Applicable | Upto Rs 10L (on related and unrelated illness & on full exhaustion) |
| Ambulance Charges (Expenses incurred on ambulance charges) |
Upto INR 2000 per hospitalization | Yes |
| 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 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.) |
No | Given after every claim free year (limit varies as per Sum Insured) |
| Non-allopathic Details (Expenses incurred on non-allopathic treatment) |
yes | yes |
| Vaccination (Cover againts any medical expenses occurred in Vaccinations for certain diseases) |
No | Yes |
| Animal Bite (Cover againts any medical expenses occurred due to any Animal Bite) |
Not Applicable | NA |
|
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 5% of claim | You pay 10% of claim |
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