Find the best suited Health Insurance plan for you
Find the best suited Health Insurance plan for you
PLANS BRIEF:-
Health Insurance Plans
Secure your Savings with accessible Health Insurance Plans.
- Pre and Post Hospitalization Expenses
- Lifetime Renewal and Added Top-up Options
- Tax Benefit u/s 80D
- Annual Health-Check up
- Floater and Individual Cover
- Cashless Claims
- International coverage
Here is how it typically works:
- The health plan covers the expenses related to hospitalization, subject to the maximum sum insured and the terms of the policy. Most of the plans also cover pre and post hospitalization expenses.
- The plan may offer a cashless facility, where insured individuals can receive the best medical care at any of the network hospitals, and cost of the all payment for their treatment will be settled directly by the insurance company. This allows individuals to receive immediate treatment without having to wait to arrange the necessary funds.
Individual/ Family Floater Health Insurance
Individual/ Family floater health insurance are insurance Plans to protect yourself and your family from rising medical expenses. With health insurance plans we can cover hospitalization, surgeries, critical illnesses, and preventive checkups expenses. Enjoy cashless treatment at network hospitals during medical emergencies.
INDIVIDUAL HEALTH INSURANCE
This policy is designed for a single person. It covers medical expenses incurred by the insured due to illnesses, injuries, surgeries, and hospitalization. The benefits may include hospital room charges, surgery expenses, consultation fees, medication, and diagnostic tests.
Key Features
- Personalized Coverage Each policyholder has a dedicated sum insured, ensuring complete financial protection during medical emergencies.
- Wide Scope of Benefits Covers hospitalization expenses, pre- and post-hospitalization costs, day-care treatments, and health check-ups.
- Critical Illness Coverage Provides additional protection with lump-sum payouts for critical illnesses like cancer, kidney failure, or heart attacks.
- Tax Benefits Premiums paid qualify for tax deductions under Section 80D of the Income Tax Act.
FAMILY FLOATER HEALTH INSURANCE
This plan provides health coverage for an entire family under one single policy. It covers the policyholder, their spouse, children, and sometimes even parents. The sum insured is shared among all family members, providing a collective coverage.
Key Features
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- Shared Coverage
- A single sum insured is shared by all family members (e.g., husband, wife, children, and parents & parents-in Law). Now the whole joint Family can be insured in one insurance plan.
- Policy Term
- The policy can be availed for a term of one, or multiple years with discounted premium.
- Cost-Effective
- More economical than buying separate individual policies for each family member.
- Covers All Family Members
- Includes hospitalization expenses, surgeries, daycare, critical illness maternity benefits, child healthcare, and more.
- Cashless Treatment
- All insured members can avail cashless treatment in a network hospital.
- No-Claim Bonus (NCB)
- Increases the sum insured or offers premium discounts for claim-free years.
- Flexibility to Add Members
- Additional family members, like newborns, can be included in the policy.
- Age-Related Premiums
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- Premium depends on the eldest family member’s age, making it ideal for families with younger members.
- Shared Coverage
Which One Should You Choose?
- Individual Health Insurance:
- If you’re looking for comprehensive, personalized coverage and don’t want to share the sum insured.
- Suitable for older adults, individuals with pre-existing health conditions, or young professionals starting out.
- Family Floater Health Insurance:
- Best for a family of Self + Spouse + Dependent Children , as the chances of exhausting the sum insured are lower.
- Ideal for cost savings and convenience under one policy.
Accidental Insurance
Accidental insurance provides protection from injuries, disabilities, or death caused by accidents. It is designed to manage medical costs, loss of income, and other expenses that arise due to unforeseen accidents. This type of policy is particularly important because accidents can occur unexpectedly, and the financial impact can be significant.
Key Features of Accidental Insurance
- Accidental Death Coverage
- In the unfortunate event of accidental death, the nominee receives a lump sum benefit to the extant of sum insured.
- Permanent Total Disability
- If an accident causes total disability (e.g., loss of both limbs or sight in both eyes), the insured gets the full sum insured amount.
- Permanent Partial Disability
- Provides a percentage of the sum insured based on the nature and extent of partial disability (e.g., loss of one limb or one eye).
- Temporary Total Disability (TTD)
- Offers a weekly compensation to replace lost income if the insured is temporarily unable to work due to an accident.
- Medical Expense Coverage (Optional)
- Reimbursement for hospitalization expenses, doctor consultations, diagnostic tests, and medication following an accident upto the extent of medical expenses coverage included in the accidental plan.
- Hospital Cash Benefit (Optional)
- Daily cash allowance during hospitalization due to an accident.
Exclusions of Accidental Insurance
Accidental insurance policies do not cover:
- Self-inflicted injuries or suicide attempts.
- Injuries caused under the influence of alcohol or drugs.
- Injuries resulting from participation in criminal activities or hazardous sports (unless explicitly covered).
- Pre-existing disabilities or conditions.
- Natural death or death due to illness.
Who Should Buy Accidental Insurance?
Accidental insurance is beneficial for:
- Working Professionals: Especially those working in high-risk jobs like construction, manufacturing, or transport.
- Travelers and Adventurers: Those frequently engaging in outdoor or adventure sports.
- Self-Employed Individuals: To ensure financial stability in case of an accident.
- Primary Earners in Families: Ensures income replacement and financial security for dependents.
Benefits of Accidental Insurance
- Affordable Premiums
- Accidental insurance is relatively low cost as compared to other health or life insurance policies.
- Income Replacement
- Provides financial stability by compensating for lost income due to temporary or permanent disabilities.
- Comprehensive Financial Protection
- Covers medical expenses, disability, and even death-related costs caused by accidents.
- No Medical Tests Required
- Most policies do not mandate pre-medical tests, making it easy to obtain coverage.
Why Should You Have Accidental Insurance?
- Unpredictability of Accidents: Provides a financial safety net for you and your family.
- High Medical Costs: Covers expensive treatments, surgeries, or rehabilitation.
- Peace of Mind: Ensures financial stability during difficult times.
Senior & Super Senior Citizen Health Insurance Plans
Health insurance plans designed for senior citizens (60–80 years) and super senior citizens (above 80 years) address the unique medical and financial needs of aging individuals. As healthcare costs increase with age, these plans provide vital financial security during medical emergencies.
Features of Senior & Super Senior Citizen Health Insurance Plans
- High Entry Age Limit
- Designed specifically for individuals aged 60 years and above, with no entry age limit.
- Comprehensive Coverage
- Includes hospitalization costs, pre- and post-hospitalization expenses, ICU charges, diagnostic tests, surgeries, and doctor consultations.
- Critical Illness Coverage (Optional)
- Covers critical illnesses like cancer, stroke, heart diseases, and kidney failure.
- Day-Care Treatment Coverage
- Covers medical procedures that do not require a 24-hour hospital stay (e.g., cataract surgery, chemotherapy).
- Pre-Existing Disease Coverage
- Covers pre-existing conditions after a waiting period (typically 1–3 years). Some plans offer reduced waiting periods for pre-existing illnesses.
- Cashless Treatment
- Offers cashless hospitalization at a wide network of empanelled hospitals, reducing out-of-pocket expenses.
- Preventive Health Check-Ups
- Annual or bi-annual health check-ups are provided for policyholders.
- Alternative Treatment Coverage (AYUSH)
- Includes expenses for Ayurveda, Yoga, Unani, Siddha, and Homeopathy treatments.
- Domiciliary Treatment
- Covers treatment taken at home if hospitalization is not possible due to medical reasons or lack of hospital availability.
- Ambulance Cover
- Reimbursement or cashless coverage for ambulance expenses during emergencies.
- No-Claim Bonus (NCB)
- Additional sum insured or discounts on premiums for claim-free years.
- Co-Payment Clause
- Many senior citizen plans come with a mandatory co-payment (e.g., 10%–30%), requiring the policyholder to bear a portion of medical expenses.
- Coverage for Consumables (Optional Add-On)
- Covers costs of consumables like gloves, syringes, PPE kits, and other hospital supplies.
Benefits of Senior & Super Senior Citizen Health Plans
- Financial Security
- Reduces the financial burden of high medical costs during retirement years.
- Peace of Mind
- Offers assurance that medical emergencies will not deplete savings or affect financial independence.
- Customized Coverage
- Tailored to address the specific medical needs of elderly individuals.
- Access to Specialized Care
- Covers treatments and procedures more commonly required at advanced ages, such as dialysis, joint replacements, and critical care.
- Wellness and Preventive Care
- Includes health check-ups and preventive measures to ensure better health management.
Eligibility Criteria
- Age
- Entry age typically starts at 60 years, with super senior plans starting at 80 years.
- Medical Screening
- Many insurers require a medical check-up before issuing the policy, especially for individuals with pre-existing conditions.
- Pre-Existing Conditions
- Pre-existing illnesses are covered after a waiting period (varies by insurer and plan)
Exclusions in Health Insurance Plans
- Pre-existing diseases during the waiting period.
- Cosmetic or aesthetic treatments.
- Injuries caused by self-harm or substance abuse.
- Treatments not medically necessary.
- Experimental or unapproved treatments.
Outpatient Health Insurance Policy
An Outpatient health insurance policy provides coverage for medical expenses incurred without hospitalization. It includes consultations, diagnostic tests, minor procedures, and treatments that do not require an overnight stay in a hospital.
Key Features of an OPD Health Insurance Policy
- Coverage for OPD Expenses
- Reimbursement for doctor consultations, diagnostic tests, pharmacy bills, and minor medical procedures.
- Cashless Facility
- The policies offer a cashless facility for OPD expenses at network hospitals or clinics.
- No Hospitalization Required
- Specifically designed for outpatient services where the patient visits the doctor and leaves the same day.
- Annual Coverage Limit
- Provides a fixed annual limit for OPD expenses, varying from ₹25,000 to ₹1,00,000, depending on the plan.
- Wellness and Preventive Care
- Covers expenses for preventive care like routine health check-ups and diagnostic screenings.
Benefits of OPD Health Insurance
- Covers Routine Medical Expenses
- Helps manage day-to-day healthcare costs, which are not covered by traditional health insurance.
- Ideal for Regular Consultations
- Beneficial for individuals who frequently visit doctors or require ongoing diagnostic tests.
- Reduces Out-of-Pocket Expenses
- Provides financial support for expenses that are usually borne by the policyholder.
- Suitable for Preventive Care
- Encourages policyholders to undergo routine check-ups, leading to early detection of health issues.
Group Health Insurance
Group Health Insurance is a type of health insurance coverage that is provided to a group of people, typically through an employer, an association, or a community. This plan offers coverage to all eligible members of the group under a single policy. It is commonly offered by businesses to their employees but can also be available to members of organizations, associations, or other large groups.
Key Features of Group Health Insurance
- Single Policy for Multiple Individuals
- A group health insurance policy covers all members under one plan, with each individual having their own coverage limits.
- Lower Premiums
- Group plans typically offer lower premiums compared to individual health insurance plans because the risk is spread over a larger pool of people.
- Pre-Existing Disease Coverage
- Many group plans cover pre-existing conditions from day one or after a short waiting period, unlike individual plans that may impose a waiting period.
- Cashless Treatment
- Provides cashless hospitalization facilities at network hospitals. The insurance company directly settles the bills with the hospital.
- Family Coverage
- Many group health plans offer the option to cover family members (spouse, children, and sometimes parents) under the same policy.
- Renewal Benefits
- Group health policies typically offer lifetime renewability, which means the coverage continues as long as the group maintains its membership.
- Maternity Benefits (Optional)
- Covers the costs of maternity and newborn care (in some group plans).
Benefits of Group Health Insurance
- Affordable Premiums
- Since the risk is spread across many individuals, group plans typically offer lower premiums than individual health insurance policies.
- Easy Enrollment
- No medical check-ups or complicated underwriting processes are usually required, making it easier for corporates to enroll.
- Comprehensive Coverage
- Covers a wide range of medical expenses, including hospitalization, outpatient treatment, surgeries, and other healthcare services.
- Pre-Existing Disease Coverage
- Group plans often provide immediate coverage for pre-existing medical conditions, or after a short waiting period, which is typically not available in individual plans.
- Coverage for Family Members
- Most employer-sponsored group health insurance plans allow employees to include their spouses, children, and sometimes even parents under the same coverage.