Care Critical Mediclaim
  • 32 Critical illnesses cover
  • Dialysis expenses covered
  • Avail psychiatric counselling
Care Critical Mediclaim
Network hospitals

Network hospitals

24800+

Incurred claim ratio

Incurred claim ratio

100%

Sum insured

Sum insured

Up to 6 Cr

No. of Plans

No. of Plans

1

Solvency Ratio

Solvency Ratio

1.8

Pan India Presence

Pan India Presence

158+

Customized Health Insurance Plan for you.

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Care Critical Mediclaim

Critical Mediclaim Care health insurance policy gives you protection against 32 defined critical illnesses based on an indemnity plan. This super-facilitated health policy ensures you an undistracted recovery without worrying much about losing your heart and financial strength. You are covered for multiple critical illnesses including heart-related diseases, kidney failure, liver issues, dialysis, organ transplant or surgery cover, paralysis, stroke, and so on.

Additionally, avail of psychiatric counseling to heal yourself mentally and emotionally. The pre and post-hospitalization care for treatment is up there for chemotherapy and radiotherapy sessions as well.

Want to know more about the Care Critical Mediclaim policy? Read further to get more information about the plan below, benefits, coverage options, and exclusions, you’ll get all the answers to your queries.

Care Critical Mediclaim Specifications

To understand Care Critical Mediclaim Insurance in detail, take a look at the below table:

Entry Age

5 to 50 Years

Policy Type

Critical Illness Health Insurance

Sum Insured

10 L | 25 L | 50 L | 1 Cr | 2 Cr

Initial Waiting Period*

90 Days

Renewability

Lifelong

Policy Term

1,2,3 Years

*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.

Read more specifications in the brochure.

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Choose Your Care Critical Mediclaim

With wide coverage options available, Care Critical Mediclaim Insurance Plan allows you to choose your ideal coverage as per your family’s health requirements. Take a look at the coverage under every SI option available and choose your ideal coverage:

In-patient & Out-patient coverage

Room Rent

Covered

ICU Charges

Covered

Pre-Hospitalization

Covered

Post-Hospitalization

Covered

Domiciliary Hospitalization

Not Covered

Daycare Treatment

Covered

OPD Charges

Covered

Coverage Terms

COVID-19 Treatment

Covered

Cataract

Covered

No Claim Bonus

Covered

Automatic Restoration

Not Covered

Daily Hospital Cash

Not Covered

Organ Donor

Covered

Maternity Cover

Not Covered

New Born Baby Cover

Not Covered

Alternative Treatments

AYUSH Treatment

Covered

IVF Treatment

Not Covered

Modern Treatment

Covered

Emergency Coverage

Ambulance

Covered

Air Ambulance

Covered

Compassionate Travel

Not Covered

Global Coverage

Covered

Wellness Programmes

E-Consultation

Covered

Health Check-Up

Covered

Second Medical Opinion

Covered

Vaccination

Not Covered

Limitations

Co-payment

Covered

Sub-limits

Not Covered

What is Room Rent?

The room rent limit is the maximum bed charge you can claim if you are hospitalised. Common Room categories covered under room rent are all kinds of rooms including single, private and AC rooms (except suite).

What are ICU Charges?

It is a special hospital department where patients with serious medical conditions are treated.

What is Pre Hospitalization?

Medical expenses incurred before hospitalisation of the policyholder.

What is Post Hospitalization?

Medical expenses incurred after the discharge of the policyholder from the hospital.

What is Domiciliary Hospitalization?

Domiciliary hospitalization or home care treatments are the arrangements for an insured individual due to the unavailability of medical amenities in hospitals, or in a case where an insured member can not be admitted to the hospital due to an inability. The treatment should last equal to or more than 72 hours to get financial coverage.

What is Daycare Treatment?

Treatments that can be completed within 24 hours of hospitalization like blood dialysis, cataracts, etc.

What are OPD charges?

Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization. .

What is COVID-19 Treatment?

It includes the treatment cost for COVID-19 with a confirmative diagnosis from a government-approved centre.

What is Cataract Treatment?

A common eye condition in which your vision gets blurred due to cloudy formation in your eyes.

What is a No-Claim Bonus?

For every claim-free year, insurance companies reward policyholders with an increase in the sum insured amount as a no-claim bonus or cumulative bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage varying from one plan to the other.

What is Automatic Restoration?

It is a benefit in which an insurance company restores the amount of sum insured completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from one plan to the other.

What is Daily Hospital Cash?

Daily hospital cash or Hospicash is a cash amount that you receive each day during the time of hospitalization to cover your non-medical expenses.

What is an Organ Donor Cover?

It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body. In most of the cases, the insurer pays for the hospitalization and transplant expenses for both the parties i.e. the donor and the receiver.

What is a Maternity Cover?

It refers to the cover that includes expenses for normal and c-section deliveries.

What is a New Born Baby Cover?

It takes care of the medical expenses that arise due to the hospitalisation of the newborn baby in case of any childbirth complications, medical challenges, and so on. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:

  • Congenital anomaly (conditions since birth)
  • Acute condition
  • Chronic condition
  • Premature delivery
  • Birth asphyxia
  • Daycare treatment
What is AYUSH Treatment?

Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.

What is IVF Treatment?

In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are settled or reimbursed for:

  • Full infertility
  • No fertility
  • Infertility diagnosis
  • Infertility diagnosis and limited fertility treatment
  • Medication (which may or may not include fertility drug prescriptions)
What is a Modern Treatment?

Medical treatments that demand the use of modern technology and advanced machinery such as robotic surgeries, stem cell therapy, etc.

What is an Ambulance Cover?

An ambulance is used to move the patient from home to the hospital, transfer them to another hospital, and take them for different tests outside the hospital.

What is an Air Ambulance?

Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.

What is Compassionate Travel?

Refers to the travelling expenses of a family member who’s visiting the hospital to look after the patient when the policyholder gets admitted to a hospital outside his/her residential city.

What is Global Coverage?

Any kind of medical/health emergency when you are outside of India is covered for hospitalization expenses, modern and specific treatments, etc.

What is E-Consultation?

If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.

What is a Health Checkup?

A facility where the policyholder can avail of free health check-ups after fulfilling the company's eligibility criteria. In most cases, the insured member/s gets an annual health check-up cover.

What is a Second Medical Opinion?

If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.

What is Vaccination cover?

Coverage against the expenses incurred on vaccinations of either the newborn baby, for an animal bite, etc is provided by the insurance companies.

What is Co-payment?

In the co-payment clause, policyholders have to pay a preset amount (either compulsorily or voluntarily) of the hospitalisation expense on their own and the insurer will pay the rest of the medical bill amount.

What is the Sub limit?

Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to be paid by the policyholder. For instance, if your policy covers room rent for upto 20% of the sum insured, but the expense of the same is more than 25%, you will have to pay the rest amount, i.e. 5%, for your room rent.

Care Health Insurance Network Hospital List

Care Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, Care Health Insurance ensures that you are medically secured, irrespective of the city you reside in.

Care Critical Mediclaim Plan Exclusions

Permanent Exclusions

Permanent diseases or health conditions that are not included under the Care Critical Mediclaim Plan are:

Hospitalization out of war, riot, strike, and nuclear weapons

Intentional self-injury

AIDS

Miscarriage, and Abortion

Congenital disease

Infertility and in vitro fertilization

Coverage after Waiting Period

Certain diseases and treatments are covered under this plan after a certain time period. Read the details below:

Listed ailments are Not Applicable

Pre-existing diseases after 4 Years

Summing Up

Care Critical Illness Mediclaim policy is specially designed to cater to the insured healthcare needs at times of emergency. It covers your medical bills for up to 32 critical illnesses that are specified in policy documents.

Do you have more questions related to this policy? Reach out to the expert customer care team of PolicyX at 1800 4200 269.

Explore other Care Health Insurance

To cater to the different medical needs of an individual & their family, Care Health Insurance offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to Care Health Insurance plans explore more:

Individual and Family Health Insurance

Arogya Sanjeevani was first introduced by IRDAI (Insurance Regulatory and Development Authority of India) in the year 2020 to provide a standard and a...

Unique Features

  • High sum insured
  • 540+ procedures covered
  • Organ donation cover

Arogya Sanjeevani Plan (Pros)

Arogya Sanjeevani Plan
  • AYUSH treatment
  • Affordable premium
  • Lifelong renewability
  • Tax benefit

Arogya Sanjeevani Plan (Cons)

Arogya Sanjeevani Plan
  • Change of gender treatment
  • Obesity treatment unavailable
  • Hazardous activity not covered

Arogya Sanjeevani Plan (Other Benefits)

Arogya Sanjeevani Plan
  • Modern treatments available
  • 50% cumulative bonus
  • 30 days pre-hospitalisation

Arogya Sanjeevani Plan (Eligibility Criteria)

Arogya Sanjeevani Plan
  • Entry age- 5 years
  • Max entry age- 65 years
  • SI- 5 L
  • Waiting period- 30 days

Individual and Family Health Insurance

Care Operation Insurance Plan is designed specifically to offer you surgical operations coverage. A wide range of sum insured options are available ra...

Unique Features

  • Unlimited E-consultations
  • Automatic Restoration
  • Wellness Benefits

Care Operation Insurance (Pros)

Care Operation Insurance
  • Health services
  • Air Ambulance cover
  • Chemotherapy cover

Care Operation Insurance (Cons)

Care Operation Insurance
  • Illegal activities
  • Alcohol abuse
  • Obesity treatments

Care Operation Insurance (Other Benefits)

Care Operation Insurance
  • Dialysis cover
  • Second opinion
  • Organ donor cover

Care Operation Insurance (Eligibility Criteria)

Care Operation Insurance
  • Min entry age: 5 Years
  • Max entry age: 50 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 2 Cr

Individual and Family Health Insurance

Care Advantage Health Insurance is an ideal 1 Crore option so that a policyholder’s family is adequately covered. Care Advantage health insuranc...

Unique Features

  • High sum insured
  • 540+ procedures covered
  • Organ donation cover

Care Advantage Plan (Pros)

Care Advantage Plan
  • No bonus claim up to 50%
  • Automatic SI recharge
  • Organ donor cover
  • Automatic recharge
  • High SI

Care Advantage Plan (Cons)

Care Advantage Plan
  • 20% co-pay
  • Obesity treatment unavailable
  • Hazardous activity not covered

Care Advantage Plan (Other Benefits)

Care Advantage Plan
  • Ambulance cover available
  • Optional cover available
  • Co-pay waiver
  • Room rent modification

Care Advantage Plan (Eligibility Criteria)

Care Advantage Plan
  • Entry age- 91 days
  • Max entry age- Lifelong
  • SI- 25 L to 6 Cr
  • Waiting Period- 30 days

Critical Illness Health Insurance

Worried about cancer in your bloodline? Care Cancer Mediclaim has got you covered. Cancer can be defined as distress, hopelessness and loss. There cou...

Unique Features

  • Wide SI options
  • Lifelong renewability
  • Cancer-related global coverage

Cancer Mediclaim Policy (Pros)

Cancer Mediclaim Policy
  • Annual health checkup
  • Chemo and radiotherapy cover
  • Air ambulance cover
  • Chemo and radio therapy
  • Organ donor cover

Cancer Mediclaim Policy (Cons)

Cancer Mediclaim Policy
  • Change of gender treatment
  • Obesity treatment unavailable
  • HIV/AIDS not covered
  • Cosmetic surgery unavailable

Cancer Mediclaim Policy (Other Benefits)

Cancer Mediclaim Policy
  • International second opinion
  • Doctor on call
  • Air ambulance cover
  • OPD cover

Cancer Mediclaim Policy (Eligibility Criteria)

Cancer Mediclaim Policy
  • Entry age- 5 years
  • Max entry age- 50 years
  • SI- 10 L to 2 Cr
  • Waiting Period- 30 days

Accident Health Insurance

Care Secure personal accident policy covers accidental death, permanent and temporary partial/total disability, recovering treatment costs, accidental...

Unique Features

  • PTD & PPD cover
  • Cover for child education
  • 100% accidental death payout

Care Secure Personal Accident (Pros)

Care Secure Personal Accident
  • Accidental death
  • Accidental total disablement
  • Permanent total disablement

Care Secure Personal Accident (Cons)

Care Secure Personal Accident
  • Illegal activities
  • Alcohol abuse
  • Obesity treatment

Care Secure Personal Accident (Other Benefits)

Care Secure Personal Accident
  • Accidental hospitalisation
  • Tax benefits
  • Loyalty benefit

Care Secure Personal Accident (Eligibility Criteria)

Care Secure Personal Accident
  • Min entry age: 18 Years
  • Max entry age: 70 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 50 L

Individual and Family Health Insurance

Care Supreme is an extensive coverage health insurance plan that safeguards you and your family members without worrying about your future healthcare ...

Unique Features

  • Unlimited E-consultations
  • Automatic Restoration
  • Wellness Benefits

Care Supreme Plan (Pros)

Care Supreme Plan
  • Modern treatments
  • Renewal discounts
  • Unlimited e-consultation

Care Supreme Plan (Cons)

Care Supreme Plan
  • Illegal activities
  • alcohol abuse
  • obesity treatments

Care Supreme Plan (Other Benefits)

Care Supreme Plan
  • Ambulance cover
  • Doctor on chat
  • Maternity care

Care Supreme Plan (Eligibility Criteria)

Care Supreme Plan
  • Min entry age: 18 Years
  • Max entry age: No age limit
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 1 Cr

Individual and Family Health Insurance

Free yourself from the worries of healthcare. As the name suggests, Care Freedom is the plan that allows you to be worry-free in every situation. Thi...

Unique Features

  • Additional health checkups
  • Dialysis cover
  • No pre-medical check-up

Care Freedom (Pros)

Care Freedom
  • No pre-policy checkup needed
  • Dialysis cover available
  • Annual health checkup

Care Freedom (Cons)

Care Freedom
  • Change of gender treatment
  • Obesity treatment
  • HIV/AIDS not covered
  • Cosmetic surgery unavailable

Care Freedom (Other Benefits)

Care Freedom
  • Cashless healthcare
  • No pre-policy check up
  • SI recharge
  • Lifelong renewability

Care Freedom (Eligibility Criteria)

Care Freedom
  • 2 plan variants
  • Consumable allowance
  • Annual health check-up
  • Long term discounts

Critical Illness Health Insurance

Critical Mediclaim Care health insurance policy gives you protection against 32 defined critical illnesses based on an indemnity plan. This super-faci...

Unique Features

  • 32 Critical illnesses cover
  • Dialysis expenses covered
  • Avail psychiatric counselling

Care Critical Mediclaim (Pros)

Care Critical Mediclaim
  • Wellness benefits
  • Organ donor cover
  • 32 CI covered

Care Critical Mediclaim (Cons)

Care Critical Mediclaim
  • Obesity treatment
  • alcohol abuse
  • illegal activities

Care Critical Mediclaim (Other Benefits)

Care Critical Mediclaim
  • Global coverage
  • International opinion
  • Doctor on call

Care Critical Mediclaim (Eligibility Criteria)

Care Critical Mediclaim
  • Min entry age: 5 Years
  • Max entry age: 50 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 2 Cr

Senior Citizen Health Insurance

Care Senior Citizen is specially designed to offer coverage for individuals above 60 years of age. It offers flexibility to choose the sum insure...

Unique Features

  • No pre-policy check-up
  • Annual rewards available
  • Reduction in wait period

Care Senior (Pros)

Care Senior
  • Affordable premiums
  • Day care treatments
  • ICU charges

Care Senior (Cons)

Care Senior
  • Illegal activites
  • Adventure sports
  • Alcohol abuse

Care Senior (Other Benefits)

Care Senior
  • No-claim bonus
  • Second opinion
  • Alternative treatments

Care Senior (Eligibility Criteria)

Care Senior
  • Min entry age: 61 Years
  • Max entry age: No Limit
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 10 L

Individual and Family Health Insurance

Single health insurance to cover all family members. Care health insurance plan is a comprehensive medical policy for individuals and families. It is ...

Unique Features

  • No claim bonus up to 100%
  • Annual health check-ups
  • Personal accident cover

Care Plan (Pros)

Care Plan
  • In-built maternity cover
  • No upper age limit for enrollment
  • Coverage for modern treatment
  • Pre-existing diseases

Care Plan (Cons)

Care Plan
  • War
  • Riot
  • AIDS
  • Miscarriage
  • Congenital disease

Care Plan (Other Benefits)

Care Plan
  • Lifelong renewability
  • ICU charges
  • Day care treatment
  • Ambulance cover
  • Organ donor cover

Care Plan (Eligibility Criteria)

Care Plan
  • Min entry age: 91 days
  • Max entry age: No limit
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 6 Cr

Women Health Insurance

An ideal combination of hospitalization and maternity care. Care Joy health insurance is designed specifically for expecting mothers and their ne...

Unique Features

  • Newborn baby cover
  • 541 Daycare treatments
  • Modern treatments cover

Care Joy Plan (Pros)

Care Joy Plan
  • 2 Plan variants
  • New born cover
  • Maternity cover

Care Joy Plan (Cons)

Care Joy Plan
  • Illegal activities
  • Alcohol abuse
  • Ambulance cover

Care Joy Plan (Other Benefits)

Care Joy Plan
  • No claim bonus
  • Renewal
  • Lifelong renewability

Care Joy Plan (Eligibility Criteria)

Care Joy Plan
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 5 L

Family

A top-up plan based on policy deductible principle Care Enhance is a super top-up health insurance plan that provides extra health insurance cove...

Unique Features

  • Flexible deductible
  • Modern treatments
  • No pre-medical check-ups

Care Enhance Plan (Pros)

Care Enhance Plan
  • Covers modern treatment
  • Flexible options of deducton
  • No pre-policy medical test
  • Annual health check-up
  • Floater option

Care Enhance Plan (Cons)

Care Enhance Plan
  • Change of gender treatments
  • Obesity treatment unavailable
  • HIV/AID not covered

Care Enhance Plan (Other Benefits)

Care Enhance Plan
  • High sum insured
  • Organ donor expenses
  • Expert opinion cover
  • Cashless treatment

Care Enhance Plan (Eligibility Criteria)

Care Enhance Plan
  • Entry age- 5 years
  • Max entry age- No age limit
  • SI- 1 L to 55 L
  • Waiting period- 30 days

Family

Get coverage based on your residential zone. Care Classic health insurance is a family floater health plan ideal for married couples, joint famil...

Unique Features

  • IVF treatment cover
  • Free doctor consultation
  • Discounted premiums

Care Classic (Pros)

Care Classic
  • Room rent covered
  • Day care treatment
  • Advanced technology methods
  • ICU charges

Care Classic (Cons)

Care Classic
  • Global coverage
  • Air ambulance
  • Vaccination
  • Daily hospital cash

Care Classic (Other Benefits)

Care Classic
  • AYUSH treatment
  • IVF treatment
  • Cataract
  • No claim bonus

Care Classic (Eligibility Criteria)

Care Classic
  • Min. entry age: 18 Years
  • Max. entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 15 L

Individual and Family Health Insurance

Care Plus health insurance is a complete healthcare plan that is loaded with features and protects you and your family. Care Plus offers comprehe...

Unique Features

  • Comprehensive coverage
  • No upper age limit
  • Variants on Sum Insured

Care Plus Plan (Pros)

Care Plus Plan
  • Ambulance cover
  • Day care treatments
  • Domiciliary hospitalization

Care Plus Plan (Cons)

Care Plus Plan
  • Illegal activities
  • alcohol abuse
  • obesity treatment

Care Plus Plan (Other Benefits)

Care Plus Plan
  • Personal accident cover
  • Inflation shield
  • Health services

Care Plus Plan (Eligibility Criteria)

Care Plus Plan
  • Min entry age: 5 Years
  • Max entry age: No limit
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 25 L

Critical Illness Health Insurance

Care Heart is a unique plan launched by Care Health Insurance that provides the flexibility to choose from benefits like Active heart health check-ups...

Unique Features

  • Coverage for OPD
  • Home care available
  • International 2nd opinion

Care Heart Plan (Pros)

Care Heart Plan
  • Cardiac health check up
  • Second medical opinion
  • Automatic SI restoration
  • Lifelong cover

Care Heart Plan (Cons)

Care Heart Plan
  • Change of gender treatment
  • Obesity treatment unavaialable
  • Hazardous activity not covered
  • HIV/AIDS not covered

Care Heart Plan (Other Benefits)

Care Heart Plan
  • OPD care
  • Home care
  • International 2nd opinion
  • Automatic recharge
  • High SI

Care Heart Plan (Eligibility Criteria)

Care Heart Plan
  • Entry age- 18 years
  • Max entry age- No age limit
  • SI- 3 to 10 L
  • Waiting period- 30 days

Care Critical Mediclaim: FAQs

1. Can I cover my parents under the Care Critical Mediclaim policy?

Yes, parents can be covered under this plan.

2. Who should buy the Care Critical Mediclaim policy?

You should buy this policy if you have a family history of critical illnesses, you are the sole breadwinner of the family or have a high chance of getting a critical illness.

3. Do I need to undergo a pre-policy medical check-up to buy a Care critical mediclaim plan?

Yes, the pre-medical examination is compulsory as per the underwriting procedures. The insurer will pay all the check-up expenses if the policy proposal gets accepted.

4. I’m diagnosed with a critical illness condition, am I still capable of buying Care Critical Mediclaim?

Yes, you can still buy this insurance policy as per the underwriting notes.

5. What does this mediclaim policy cover?

Care critical mediclaim policy covers the treatment expenses of 32 specified critical illnesses including cancer, bypass surgery, kidney failure, chemotherapy, radiotherapy, dialysis, and so on.

6. Can I get a tax exemption on this policy?

Yes, you can avail of the tax benefits under section 80D of the Income Tax Act of India.

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Simran Nirala

Written By: Simran Nirala

Lives In: Delhi, NCR Expertise: Health & Term Insurance Simran has an experience of 4 years in content writing. She transitioned from hospitality and digital marketing to the insurance industry after her emerging interest in how vast insurance is. With her ability to write complex insurance concepts in a simple, relatable manner, she keeps her audience hooked and solves their doubts smoothly.