Network hospitals
9747+
Incurred claim ratio
53.82%
Sum insured
Up to 6 CR
No. of Plans
14
Solvency Ratio
1.8
Pan India Presence
-
PolicyX.com is a Recognised Care Partner View Certificate
Network hospitals
9747+
Incurred claim ratio
53.82%
Sum insured
Up to 6 CR
No. of Plans
14
Solvency Ratio
1.8
Pan India Presence
-
PolicyX.com is a Recognised Care Partner View Certificate
An ideal combination of hospitalization and maternity care.
Care Joy health insurance is designed specifically for expecting mothers and their newborns to offer them several well-known benefits. It covers the cost of normal delivery and caesarean delivery along with the other delivery-related expenses. Care Joy policy also allows family floater coverage so that you can cover your whole family under a single health policy.
Care Health Insurance Plan Detailed Review
Care maternity plan provides comprehensive coverage for both the mother and her child. To know more about the care joy policy, take a look at the below table of its specifications:
Variant
Care Joy Today, Care Joy Tomorrow
Sum Insured
Care Joy Today: 3 Lakhs, Care Joy Tomorrow: 5 Lakhs
Age Eligibility
Maternity Cover - Adult: 18 - 45 years | New born: 1 day - 90 days, Family Floater: Adult: 18 - 65 years | Child: 1 - 24 years
Plan Type
Individual & Family floater
Policy Term
1 | 2 | 3 Years
Initial Waiting Period
30 Days
*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.
Care joy maternity insurance plan offers various healthcare facilities under its coverage for the mother and baby with several other prominent features. Below mentioned are the coverage benefits under the care maternity plan.
In-patient & Out-patient coverage
Room Rent
Single Private AC Room
ICU Charges
Not Covered
Pre-Hospitalization
Covered up to 30 days
Post-Hospitalization
Covered up to 60 days
Domiciliary Hospitalization
Not Covered
Daycare Treatment
Covered
OPD Charges
Not Covered
Coverage Terms
COVID-19 Treatment
Covered
Cataract
Not Covered
No Claim Bonus
Available under a rider
Automatic Restoration
Not Available
Daily Hospital Cash
Not available
Organ Donor
Not Covered
Maternity Cover
Covered up to 35K
New Born Baby Cover
Covered up to 30K
Alternative Treatments
AYUSH Treatment
Not Covered
IVF Treatment
Not Covered
Modern Treatment
Not Covered
Emergency Coverage
Ambulance
Covered up to 1K per claim
Air Ambulance
Not available
Compassionate Travel
Not available
Global Coverage
Not available
Wellness Programmes
E-Consultation
Not available
Health Check-Up
Not Covered
Second Medical Opinion
Not available
Vaccination
Not Covered
Limitations
Co-payment
20% of claim amount
Sub-limits
Not Applicable
In-patient & Out-patient coverage
Room Rent
Single Private AC Room
ICU Charges
Not Covered
Pre-Hospitalization
Covered up to 30 days
Post-Hospitalization
Covered up to 60 days
Domiciliary Hospitalization
Not Covered
Daycare Treatment
Covered
OPD Charges
Not Covered
Coverage Terms
COVID-19 Treatment
Covered
Cataract
Not Covered
No Claim Bonus
Available under a rider
Automatic Restoration
Not Available
Daily Hospital Cash
Not available
Organ Donor
Not Covered
Maternity Cover
Covered up to 50K
New Born Baby Cover
Covered up to 50K
Alternative Treatments
AYUSH Treatment
Not Covered
IVF Treatment
Not Covered
Modern Treatment
Not Covered
Emergency Coverage
Ambulance
Covered up to 1K per claim
Air Ambulance
Not available
Compassionate Travel
Not available
Global Coverage
Not available
Wellness Programmes
E-Consultation
Not available
Health Check-Up
Not Covered
Second Medical Opinion
Not available
Vaccination
Not Covered
Limitations
Co-payment
20% of claim amount
Sub-limits
Not Applicable
Room rent limit is the maximum amount of bed charge that you can claim if you are hospitalized.
Common Room categories covered under room rent are:
Coverage status under Care Joy Plan?
Under this plan, a policyholder can get coverage for a Single Private AC room.
It is a special department in the hospitals where patients with serious medical conditions are treated.
Coverage status under Care Joy Plan?
ICU charges are not covered under this plan.
Medical expenses incurred before the hospitalization of the policyholder.
Coverage status under Care Joy Plan?
This plan covers medical expenses of up to 30 days before your hospitalization.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Coverage status under Care Joy Plan?
This plan covers medical expenses of up to 60 days after you get discharged from the hospital.
Home hospitalization arrangement for the insured person due to unavailability of medical amenities in hospitals. The treatment should last equal to or more than 72 hrs to get the financial coverage.
Coverage status under Care Joy Plan?
The domiciliary hospitalization is not covered under this plan.
Treatments that can be treated in less than 24 hours of hospitalization like blood dialysis, cataract, etc.
Coverage status under Care Joy Plan?
This plan covers more than 540 day care treatments.
The cost of doctor consultation and prescribed medical tests that may not require hospitalization.
Coverage status under Care Joy Plan?
This plan does not cover OPD charges.
Covers the cost of treatment for COVID-19 with a confirmative diagnosis from Govt. approved Centre.
Coverage status under Care Joy Plan?
Covid-19 Covered.
A common eye condition in which your vision gets blurred.
Coverage status under Care Joy Plan?
Not covered
For every claim-free year, insurance companies reward policyholders with an increase in the Sum Insured amount as a no-claim bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage that varies from plan to plan.
Coverage status under Care Joy Plan?
This plan offers no-claim bonus as a rider benefit.
Automatic restoration is a benefit in which an insurance company restores the sum insured amount completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from plan to plan.
Coverage status under Care Joy Plan?
Not available
It is a cash amount that you receive each day during the time of hospitalization.
Coverage status under Care Joy Plan?
Not available
It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body.
Coverage status under Care Joy Plan?
Not covered
It refers to the cover that includes expenses for normal and c-section procedures deliveries.
Coverage status under Care Joy Plan?
Care Joy itself is a maternity-oriented plan that covers maternity expenses as well as pre and post-natal expenses. The coverage amount depends on the selected SI as mentioned below:
Sum insured | 3 Lakhs | 5 Lakhs |
Maternity Cover | Covered up to 35K | Covered up to 50K |
It takes care of the medical expenses that arise due to the hospitalization of the newborn baby in case of unforeseen circumstances. Some of the common treatments that are covered under the new born cover and these common treatments can vary from plan to plan:
Coverage status under Care Joy Plan?
Newborn baby expenses are covered under this plan and the coverage amount varies on the basis of selected SI.
Sum insured | 3 Lakhs | 5 Lakhs |
New Born Baby Cover | Covered up to 30K | Covered up to 50K |
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
Coverage status under Care Joy Plan?
Not covered
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are for:
Coverage status under Care Joy Plan?
Not covered
Medical treatments that demand the use of modern technology such as robotic surgeries, stem cell therapy, etc.
Coverage status under Care Joy Plan?
Not covered
An ambulance is used to move the patient from home to hospital, transfer to another hospital, and take them for different tests outside the hospitals.
Coverage status under Care Joy Plan?
This plan covers Ambulance charges of up to 1K per claim.
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
Coverage status under Care Joy Plan?
Not available
Refers to the traveling expenses of a family member of the insured person in case the policyholders get admitted to a hospital outside his/her residential city.
Coverage status under Care Joy Plan?
The policy does not cover compassionate travel expenses.
Any kind of medical/health emergency when you are outside of India.
Coverage status under Care Joy Plan?
Not available
If a policy offers E-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
Coverage status under Care Joy Plan?
Not available
A facility where the policyholder can avail free health check-ups after fulfilling the company's policies.
Coverage status under Care Joy Plan?
The policy does not cover health check-ups.
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.
Coverage status under Care Joy Plan?
Not available
Coverage against the expenses incurred on vaccinations is provided by the insurance companies.
Coverage status under Care Joy Plan?
Not available
In the co-payment clause, policyholders have to pay a portion of the hospitalization expense on their own and the insurer will pay the rest of the amount.
Coverage status under Care Joy Plan?
Below mentioned are the co-payment limitation under this plan:
Sum Insured | 3 Lakhs | 5 Lakhs |
Co-payment | 20% of the claim amount (if enrolled at 61 or above) | 20% of the claim amount (if enrolled at 61 or above) |
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 pay by the policyholder.
Coverage status under Care Joy Plan?
Not applicable under this plan
Care Health Insurance promises a wide Network of cashless Hospitals across India. A well connected network of over 19000+ cashless hospitals, Care Health Insurance ensures that you are medically secured, irrespective of the city you reside in
The following diseases or medical conditions are not covered under Care Joy Plan:
Injuries resulting from a suicide attempt
Hospitalization due to alcohol, and drug abuse
Cost of spectacles, contact lenses, and dental treatment
Treatment of AIDS
Congenital Disease
Non-allopathic treatment
Treatments related to infertility and in-vitro fertilization
Some treatments are covered after a defined waiting period under this plan. To know more, read below:
Pre-Existing Diseases after 4 years
Specific ailment after 2 years
Maternity after 9 months
For a better understanding of Care Joy premiums, we have shown two sample premiums below. The sample premiums are calculated for both the variants with different sum insured and the number of members insured based on a policy term of 1 year.
Care Joy Today
Sum Insured | Age | Waiting period | 1 Adult (female) | 2 Adult + 1 Child |
3 Lakhs | 30 Years | 9 Months | 54,298 | 64,057 |
Care Joy Tomorrow
Sum Insured | Age | Waiting period | 1 Adult (female) | 2 Adult + 1 Child |
5 Lakhs | 30 Years | 9 Months | 74,439 | 86,159 |
Care Health Insurance offers a wide range of health insurance plans to fulfill the medical needs of individuals, families, and senior citizens.
Comprehensive
A comprehensive health plan for individual and family with SI of 3 lacs to 6 Cr. with global coverage.
Unique Benefits
Comprehensive
A plan designed to provide coverage for the high expenses occurred from major surgeries and procedures.
Unique Benefits
Flexible
A flexible health plan that covers advanced technology methods, unlimited e-consultations and personal accidents.
Unique Benefits
Comprehensive
A comprehensive family floater plan that decides your policy premium based on the living cost of the city you reside in.
Unique Benefits
Affordable
Enjoy the advantage of 1 crore cover and multiple benefits at lower monthly premiums with this affordable individual & family floater plan.
Unique Benefits
Standard
A standard comprehensive plan mandated by IRDAI that offers coverage for both Ayurvedic or Allopathic treatments.
Unique Benefits
Diabetes & BP
Get medical coverage for pre-existing diseases like BP, diabetes without any waiting period by bearing a co-pay of 20-30%.
Unique Benefits
Heart Diseases
Individuals with pre-existing cardiac diseases can get coverage against medical treatments by paying 20-30% of co-payment for every claim.
Unique Benefits
Cancer Care
Offers lifelong coverage against cancer and the cost of its treatment with several other benefits.
Unique Benefits
Top-Up Plan
A super top-up health insurance plan to provide extra medical cover on the basis of policy deductible principle.
Unique Benefits
Senior Citizen Plan
Comprehensive health plan for people above 60 to make their second inning stress-free from health-related financial worries.
Unique Benefits
Critical Illness Plan
Offers coverage against 32 critical illnesses that are pre-defined under the policy such as catastrophic burns, coma, etc.
Unique Benefits
Supreme Plan
A unique healthcare plan offering extensive coverage to individuals and families under a single plan with affordable premiums.
Unique Features
Supreme Plan
A unique personal accident plan covering serious ailments arising due to accidents and safeguarding your family
Unique Benefits
Supreme Plan
This plan is exclusively designed to provide 32 defined critical illness treatment cover to the policyholders and also offers psychiatric counselling.
Unique Benefits
See More Health Insurance Articles
See More Health Insurance Articles
1. Does the policyholder need to go for pre-policy medical check-up?
Age Limit | Rs 3 lakh | Rs 5 lakh |
Till 45 years | Not required | Not required |
46-above | required | required |
2. Does Care Joy include any co-payments?
A copayment is an agreed percentage of the claim amount which an insured have to pay or share with the insurance provider.
Type of coverage | Entry age of the insured |
Individual | More than or equal to 61 years |
Floater | More than or equal to 61 years |
3. What is the time period of notification of claim?
4. What documents are required to support a claim?
All the bills and reports should be in the name of the insured person who is admitted for hospitalization.
5. What is the process for a cashless claim?
After notification of the claim, present health card at the network hospitals with KYC documents. On approval of authorization, the company will bear all the expenses incurred.
6. What is the process to claim reimbursement?
Any delay in the payment of the claim is subjected to receive an interest of 2% above the bank rate.
7. What information we have to provide at the time of intimation?
While informing the policyholder must disclose the following information-
Additional information may be required on the demand of the insurer.
8. Does Care Joy cover arthritis/cataract/kidney stones?
Yes, this plan covers all these after a waiting period of 24 months. Apart from these, there are other illnesses that are covered after the same duration such as-
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February 5, 2023
Asia/Kolkata
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