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hdfc ergo

HDFC ERGO Health Insurance Plans

Learn about HDFC ERGO Health Insurance Plans

Are you interested in finding out about the best HDFC ERGO health insurance plans? Well, you have come to the right place. Let us discuss the top 11 health insurance plans offered by HDFC ERGO and their features.

Top 11 HDFC ERGO Health Insurance Plans

My:Health Koti Suraksha Plan

It is a long-term health plan that offers a sum insured up to Rs 1 Crore. This plan guards the policyholder against hospitalization expenses, critical illness treatments, from the expense of major surgical procedures, daycare treatments, and much more.

This plan also provides other bonuses like wellness coaching, health coach, free preventive health check-up, etc.
Because of its more than sufficient coverage it is an ideal family floater plan, where one can cover their family members in a single policy.

Plan features

  • This plan covers hospitalization expenses due to any illnesses or injuries.
  • 60 days pre and 180 days post-hospitalization expenses are covered under the plan.
  • The plan covers all daycare treatments.
  • Alternative treatments like Ayush, homeopathy, etc are covered in the policy.
  • Road ambulance charges are included in the policy.
  • Organ donor treatments are covered under the policy.
  • Free health check-up on policy renewal.

Plan specifications

Age entry- 18 years- 65 years
Sum insured- Rs 1 Crore
Renewability- Lifelong

Hdfc ERGO Optima Restore Plan

This plan comes with a unique sum refill benefit that automatically reinstatements the sum assured once the policyholder runs out of coverage due to prior claims. It also offers a multiplier benefit which increases the sum insured maximum up to 100% as a reward for claim-free years.

Plan features

  • This plan covers hospitalization expenses and all daycare procedures.
  • Receive the benefit of 100% sum refill in case of coverage exhaustion due to the previous claim.
  • 50% increase of sum insured, maximum up to 100% under multiplier benefit for claim-free years.
  • This plan covers 60-day pre and 180 days of post-hospitalization expenses
  • Organ donor expenses are covered up to the sum insured.
  • Ambulance charges covered up to Rs 2,000 per hospitalization.
  • Free E-opinion available once a year for any critical illness.

Plan specification

  • Age entry- 18 years- 65 years
  • Sum insured- Rs 3 Lakh – Rs 50 Lakh
  • Renewability- Lifelong

HDFC ERGO My Health Suraksha Plan

This is a complete healthcare plan that comes with numerous advantages like sum refill benefit, a no claim bonus feature that increases your sum insured after every claim-free year, recovery benefit, and much more.
It is available in 3 variants – Silver, Gold, and Platinum Smart Plan.

Plan specifications

  • This plan covers hospitalization, domiciliary expenses, and daycare treatments.
  • Expenses incurred in the treatment of any psychiatric illnesses are covered under the plan.
  • This plan covers 60-day pre and 180 days of post-hospitalization expenses.
  • Receive fixed sum of amount under-recovery benefit if you are hospitalized for more than 10 days
  • Coverage for organ donor expenses and Ayush inpatient treatment available.
  • Sum refill benefit that automatically reinstates base sum insured due to the previous claim.

Plan specification

  • Age Entry- 18 years- 65 years
  • Sum insured- Rs 3 Lakh – Rs 50 Lakh
  • Renewability- Lifelong

HDFC ERGGO My Health Medisure Super Top-Up Plan

This is a super top-up plan that will spring into effect when the policyholder has exceeded the coverage limit of their initial health plan or once the deductible under the plan is paid. This plan covers hospitalization expenses, all daycare treatments, pre-post hospitalization expenses, so on at an affordable premium. It is available on a family floater and individual coverage basis.

Plan features

  • This plan covers hospitalization and all domiciliary expenses.
  • Most daycare procedures are covered under the policy.
  • Pre and post-hospitalization expenses are taken care of in the policy.
  • No health checkups up to Age 55 years.

Plan specifications

  • Age entry- 18 years – 65 years
  • Sum insured- 3 Lakh – 20 Lakh

HDFC ERGO My Health Women Suraksha Plan

True to its name, this plan is specially intended for women to financially protect against 41 types of women-specific critical ailments and surgical procedures. It covers illnesses like breast cancer, ovarian cancer, and more.
This plan is available in 3 kinds of variants:-

  1. Women Cancer plus Plan
  2. Women CI Essential Plan
  3. Women CI Comprehensive Plan

Plan features

  • Coverage towards critical illness treatments and surgical procedures.
  • Free preventive health check-ups available.
  • In case of job loss due to illness, the company will pay 50% of the salary for up to 6 months.
  • Maternity and newborn baby expenses covered up to 25% of SI or up to Rs 500,000.
  • Second opinion consultations covered up to Rs 10,000.

Plan specifications

Age entry- 18years – 65 years
Sum insured- Rs 1 Lakh – Rs 1 Crore

HDFC ERGO Critical Illness Insurance Plan

This is a cash benefit policy that financially secures the policyholder against 15 critical illnesses and conditions. In this plan, the policyholder will receive a lump sum payout when positively diagnosed with any of the set listed diseases mentioned under the policy.

This plan comes in two kinds of variants- Silver and Platinum Plan

  1. Silver Plan- 8 critical illnesses covered
  2. Platinum Plan- 15 critical illnesses covered

Plan features

Receive 100% sum insured in the event of a positive diagnosis of the mentioned illness.

Plan specification

  • Age entry- 5 years to 65 years
  • Sum insured- Rs 5 Lakh – Rs 10 lakh
  • Renewability- Lifelong

HDFC ERGO iCAN Health Insurance Plan

This is a cancer-specific plan that is intended to cover the policyholder against hospitalization expenses incurred in the treatment of cancer. It covers the cost of all conventional cancer treatments like chemotherapy, radiotherapy, etc.
This plan comes in two variants- Essential and Enhanced Plan.

Plan features

  • This policy covers hospitalization expenses and procedures in the treatment of cancer.
  • 30 days pre and 60 days post-hospitalization expenses are covered under the policy.
  • Cost of follow-up treatments covered up to Rs 3000 twice a year.
  • Emergency ambulance charges covered up to Rs 2000 per hospitalization.

Plan specifications

  • Age entry- 5 years – 95 years
  • Sum insured- Rs 5 Lakh- Rs 50 Lakh

HDFC ERGO Energy Diabetes Plan

This health plan is specially intended for persons suffering from diabetes and hypertension. It covers the cost of all hospitalization expenses from day 1 incurred in the treatment of diabetes or hypertension. This plan also provides the benefit of 100% sum restoration of the sum insured in case the policyholder runs out of coverage. It is available in two variants- Silver and Gold Plan.

Plan features

  • This plan covers hospitalization expenses arising out of diabetes, hypertension, and its complications.
  • 100% sum refill benefit once a year.
  • 30 days pre and 60 days post-hospitalization expenses are covered.
  • Emergency road ambulance up to Rs. 2000 per hospitalization.
  • HbA1C tests are covered up to Rs 750 per policy year.
  • The plan provides coverage towards organ donor expenses.
  • 180+ daycare procedures are covered.

Plan specifications

  • Age entry- 18 years onwards
  • Sum insured- Rs 1 Lakh – 25 Lakh
  • Renewability- Lifelong

HDFC ERGO Arogya Sanjeevani Plan

Arogya Sanjeevani is an affordable health policy that guards the insured against medical expenditures up to the sum insured. This plan covers the cost of medical treatments arising out of any illness or accident. Multiple advanced treatments like stem cell therapy, robotic surgeries, etc are also covered under the policy. This plan is available on an individual as well as a family floater basis.

Plan features

  • This plan covers hospitalization and domiciliary expenses.
  • Multiple daycare treatments and procedures are covered under the plan.
  • 30 days pre and 60 days post-hospitalization expenses are covered.
  • This plan covers the cost of dental treatment if necessitated due to an accident.
  • The cost of cataract treatment is covered up to 25% of SI or a maximum of Rs 40,000.
  • Ayush treatment is covered in the policy.
  • Multiple advanced treatments are covered up to 50% of the sum insured.
  • Up to 50% increase of sum as no claim bonus during claim-free years.

Plan specifications

  • Age entry- 18 years -65 years
  • Sum insured- Rs 50,000 – Rs 10 Lakh
  • Renewability- Lifelong

HDFC ERGO Corona Kavach plan

It is a short-term plan that is dedicated to protecting the policyholder against the hospitalization expenses incurred in the treatment of COVID-19.

Plan features

  • This plan covers hospitalization and domiciliary expenses arising in the treatment of COVID-19.
  • 15 days pre and 30 days post-hospitalization expenses are covered.
  • This plan also pays for homecare treatment of the insured up to a maximum period of 14 days.
  • Ambulance charges covered up to Rs 2000.

Plan specifications

  • Age entry- 1 day – 65 years
  • Sum insured- Rs 50,000 – Rs 5 Lakh
  • Policy Tenure- 3.5 month, 6.5 month, 9.5 month

HDFC ERGO I health wallet

This is a unique plan that comes with a reserve benefit, that carries forward the unused value of the policy coverage to the next year. The policyholder can gain up to a 6% bonus on it during renewal. It also offers additional benefits like cumulative and sum refill benefits. This plan can be purchased on an individual or family coverage basis.

Plan features

  • This plan covers all hospitalization expenses and 182 daycare procedures.
  • Receive the benefit of 100% sum reinstatement once a year.
  • 50% increase of sum insured, max up to 100% as cumulative bonus during the claim-free year.
  • 60 days pre and 90 days post-hospitalization charges are covered.
  • Free preventive health check-ups every year.
  • Emergency ambulance charges covered up to Rs 2000.
  • Organ donor expenses are covered in the plan.

Plan specifications

  • Age entry- 18 years – 65 years
  • Sum insured- Rs 3 Lakh – Rs 50 Lakh

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Health Insurance

HDFC ERGO- Plans, Benefits, Claims, Renewals and More

Learn about HDFC ERGO Health Insurance (A Guide)

HDFC ERGO is a joint venture between HDFC and German insurance company ERGO International. The company was formed in the year 2002. It operates with a pan India presence with more than 10,000+ network hospitals and an employee strength of 3000+ individuals.

The insurer has been rated iAAA by ICRA, a professional investment and credit rating agency, for its highest claim settling capability. HDFC ERGO offers a wide range of insurance products and services ranging from health, life, motor, travel insurance, and much more.

HDFC ERGO has been awarded numerous awards such as ‘ The Best General Insurance Company’ in India for the year 2014 by IAIR and ‘The Best Customer Experience’ award by KamiKazi to name a few.

In this article, let us discuss the following:

  • HDFC ERGO Health Insurance Plans
  • Why choose HDFC ERGO Health Insurance?
  • Benefits HDFC ERGO Health Insurance
  • How to buy a HDFC ERGO Health Insurance Plan?
  • How to file a claim with HDFC ERGO?
  • HDFC ERGO Health Insurance renewal
  • HDFC ERGO Health premium calculator

Company specifications

Network Hospitals

10,000+

Claim settlement rotio

86.52%

Renewability

Lifetime

Website

www.hdfcergo.com

Contact Number

022 6234 6234 / 0120 6234 6234

HDFC ERGO Health Insurance Plans

Plan namesAbout the plan
My: Health Koti Suraksha PlanThis plan is designed to offer a high sum insured up to Rs 1 Crore providing the policyholder more than sufficient coverage for all their healthcare needs while protecting their finances.
HDFC ERGO Optima Restore PlanThis health plan comes with a unique sum restoration benefit which automatically restores the sum insured in case the policyholder exhausts the coverage limit due to any previous claim.
HDFC ERGO My Health SurakshaThis is a comprehensive health plan that comes with many advantages like sum refill benefit, a cumulative bonus that increases your sum insured after every claim-free year, mental health cover, and much more.
It is available in 3 variants – Silver, Gold, and Platinum Smart Plan
HDFC ERGO Health Medisure Super Top-Up PlanThis is a super top-up plan that will come into force when the policyholder has exceeded the sum insured limit of their base health policy or once the deductible under the plan is paid. It is an ideal plan for families that offers high sum insured at an affordable premium.
HDFC ERGO My Health Women Suraksha PlanThis plan is designed to cover 41 types of women-specific critical ailments and surgical procedures.
HDFC ERGO Critical Illness Insurance PlanThis plan is designed to protect you and your loved ones against 15 critical and life-threatening illnesses. This plan is available in 2 kinds of variants: Silver and Platinum Plan.
HDFC ERGO iCAN Cancer Health InsuranceThis is a cash benefit plan that covers hospitalization expenses incurred in the treatment of cancer and also pays an additional 60% of the sum insured when the policyholder is diagnosed with cancer of specified severity.
HDFC ERGO Health Plan for Caring FamiliesThis is a family floater plan that offers broad coverage to you and your loved ones covering major hospitalization expenses arising out of any illness or injury.
HDFC ERGO Health Plan for Aspiring IndividualsThis is a complete healthcare plan for individuals that takes care of major medical contingencies at an affordable premium.
HDFC ERGO Medisure Classic Insurance PlanThis plan is intended to offer exhaustive coverage that covers all healthcare-related expenses and also offers automatic reinstatement of the sum insured, along with various other benefits.
HDFC ERGO Health Plan for Senior CitizensThis plan is designed to take care of basic and essential medical expenses of individuals above the age of 60 years. It offers a wide range of sum insured options up to Rs 5 Lakh.
HDFC ERGO Health Insurance for DiabeticThis plan is designed to meet the medical expenses of persons suffering from diabetes and their complications. It is an ideal plan for persons suffering from diabetes.
HDFC ERGO Arogya Sanjeevani PlanThis is a basic health care plan that is designed to cover hospitalization expenses up to the sum insured.
HDFC ERGO Corona Kavach PlanThis plan is dedicated to cover the hospitalization expenses incurred in the treatment of COVID-19.
HDFC ERGO I Health Wallet PlanThis plan is meant to cover the cost of inpatient and outpatient treatments. It is available on an individual and family floater basis.

Why choose HDFC ERGO Health Insurance?

Network hospitals

HDFC ERGO has more than 10,000+ chain of network hospitals across the nation, giving access to hassle-free and top-quality healthcare treatments.

Claim settlement ratio

The company has an impressive track record when it comes to settling claims. The insurer has an ideal claim settlement ratio of 86.52%, signifying that the company is efficient in settling legitimate claims.

Trusted name

The company has established its prominent name in the insurance sector by its impressive financial performance over the last many years. It has also received many awards and recognitions for the same.

Customer support

The company offers 24/7 customer support to its customers when it comes to settling claims, renewals, and other insurance-related queries.

Wide variety of plans

The company offers a wide variety of health plans catering to all kinds of customers and their needs. It offers several health plans for individuals, aging parents, senior citizens, women-specific plans, and much more.

Benefits of health insurance plans by HDFC ERGO

Lifelong renewability

Plans offered by the company offer you a lifelong renewal option that means that the insured can renew the health plan without any limitation or bar on the age limit.

Sum refill benefit

Various plans offered by the company come with an inbuilt sum refill feature, which provides automatic reinstatement of the sum insured in case the policyholder exhausts the coverage limit due to previous claims.

Cumulative bonus

Receive the benefit of a cumulative bonus which increases your sum insured during the claim-free years.

Cashless facility

Avail the benefit of fast and efficient cashless treatments in more than 10,000+ network hospitals all around the nation

Value-added benefits

Along with comprehensive coverage, the company also provides additional value-added benefits like health coaching, dietician, nutritionist, and weight management programs.

Optional covers

Multiple add-on covers or raiders like maternity, newborn baby cover, job loss cover available to help you customize or boost your health plan as per your preference.

How to buy a HDFC ERGO Health Insurance Plan?

You can easily buy a health plan with us on InsuranceLiya.com.

Step 1: Simply furnish us with your name, email, and mobile number.

Step 2: We will call you shortly and assist you with a suitable plan for you or your family.

How to file a claim with HDFC ERGO?

Here are two ways the policyholder can file a claim:- cashless or reimbursement claim.

Cashless claim

You can file for cashless claim if you are admitted to a network hospital of the company.

Follow the simple steps laid down by us to file for the cashless claim.
Step 1: Inform the company 72 hours in advance in case of a planned hospitalization or within 24 hours in case of emergency hospitalization. You can also inform the insurer at their toll-free helpline number 1800-2-700-700

Step 2: Submit your HDFC ERGO health card, identification proof, and duly filled pre-authorization claim form to the insurance desk/ TPA at the hospital. You can download the form from the official website of the company.

Step 3: The hospital will send the claim request to the insurer to receive approval for the same.

Step 4: The company will verify the claim request.

Step 5: After verification, your claim shall be approved and the insurer will directly settle the bill with the hospital before discharge.

Reimbursement claim

You will have to file for a reimbursement claim when you get admitted to a non-network hospital of the company or when your cashless claim is not accepted.

In a reimbursement claim, you will have to initially pay the hospital bill from your pocket and then you can file for a refund from the company.

Follow the simple steps laid down by us to file for reimbursement claim.
Step 1: Inform the company 72 hours in advance in case of a planned hospitalization or within 24 hours in case of emergency hospitalization. You can inform the insurer at their toll-free helpline number 1800-2-700-700.

Step 2: After discharge, collect all supporting documents and submit them to the company to begin the refund process.

Step 3: The company will verify the authenticity of the claim.

Step 4: After verification, the claim will be approved and the company will directly transfer the claim amount to the insured’s linked bank account.

Documents required to file a claim

  • Original hospital bills
  • Original bills receipts prescriptions from chemists and pharmacy
  • Original reports, diagnosis, MRI, CT scans, x-ray
  • Discharge summary
  • KYC
  • FIR (if applicable)
  • Duly filled and signed pre-request form
  • Photo ID

HDFC ERGO Health Insurance renewal

It is imperative to renew your health policy on time to enjoy the continuous benefits provided under your plan. Follow these simple steps to renew your HDFC ERGO Health Insurance policy.

Online renewal

Step 1:  Visit the official website of the insurer i.e
www. hdfcergo.com and click on the ” Renew” option.

Step 2: Enter the existing policy details.

Step 3: Check your premium details.

Step 4:  Pay your premium online.

Step 5:  Your policy will be instantly renewed. You will receive a confirmatory email with a premium payment receipt on your registered email id.

Offline renewal

You can also renew your HDFC ERGO health policy by directly visiting the nearest branch and state your renewal request
You can also connect with the company’s customer care officials on 7304-524-888, 022 6234 6234, 0120 6234 6234 for the same.

HDFC ERGO Health premium calculator

You can instantly calculate premiums with the help of a health premium calculator available online. To do so enter the following details in their premium calculator to get the premium amount.

  • Age
  • Policy Term/period
  • Coverage
  • Required sum insured
  • Medical history (if any)
  • Policy type
  • Sum insured

Benefits of a health premium calculator

  • Helps you add or deduct optional riders.
  • Helps in estimating the premium cost.
  • Assists in adjusting the policy coverage according to your affordability.
  • Helps in comparing several plans and their cost.

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bajaj allianz

Bajaj Allianz Plans

Bajaj Allianz Health Insurance Plans

Are you interested in finding out about health insurance plans offered by Bajaj Allianz ? You have landed at the right place. Let us briefly discuss about the health plans offered by Bajaj Allianz, its plan features and specifications.

Bajaj Allianz Health Guard Individual Policy

It is an individual health plan that protects against all medical emergencies without exhausting your finances. This plan offers 100% automatic sum restoration when the policyholder runs out of coverage due to previous claims. It comes in 3 types of variants- Silver, Gold, and Platinum Plan.

Plan features

  • This plan covers hospitalization expenses and a listed set of daycare treatments.
  • The benefit of automatic cover restoration when you exhaust your sum insured due to previous claims.
  • 30 days pre and 60 days post-hospitalization expenses are covered under the plan.
  • Daily cash allowance up to Rs 500 per day when hospitalized, maximum up to 10 days.
  • This plan covers the cost of Ayush and Ayurvedic treatments up to a fixed limit.
  • Emergency ambulance services are covered under the policy.

Plan specifications

Age entry:  3 months – 65 years
Sum insured:  Rs 1.5 Lakh – Rs 1 Crore

Bajaj Health Guard Family Floater Policy

This plan is designed to cover you and your immediate family members under a single policy. You can choose to cover yourself, your legally wedded spouse, dependant children, and your parents under this plan.

Plan features

  • This plan covers hospitalization expenses and multiple daycare procedures.
  • The plan also covers the cost of various bariatric surgeries like gastric bypass, sleeve gastrectomy, etc.
  • 60 days pre and 90 days post-hospitalization expenses are covered.
  • Maternity and newborn baby cover available under Gold and Platinum plan.
  • Organ donor expenses are covered under this policy.
  • Ambulance charges will be covered up to Rs 20,000.

Plan specifications

Age entry- 3 months – 65 years
Sum insured- Rs 1.5 Lakh – Rs 1 Crore

Bajaj Allianz Critical Illness Health Insurance Plan

This plan is designed to financially protect against 10 listed critical illnesses and conditions. In this plan  the policyholder will receive a lump sum payout when diagnosed with any of the set listed illnesses mentioned under the policy.

This policy is available on an individual and family floater basis, where one can cover up to 6 family members.

Plan features

  • Provides 100% payout to the policyholder when diagnosed with a critical condition like cancer, stroke, first heart attack, and more.
  • The benefit amount is payable once the illness is diagnosed and the policyholder survives 30 days after the diagnosis.

Plan specifications

Age entry- 6 years – 65 years
Sum insured- Rs 1 Lakh- Rs 50 Lakh

Bajaj Allianz Critical Illness For Women Plan

This plan is specially designed for women, protecting them against specified critical illnesses.

In this plan, the policyholder will receive a lump sum payout when diagnosed with any of the listed conditions mentioned under the policy. Critical conditions such as ovarian cancer, breast cancer, uterine cancer and so on are covered under this plan.

Plan features

  • 100% of the sum insured will be paid to the insured when diagnosed with listed illnesses mentioned in the policy.
  • Compensation under job loss cover will be payable in case the insured loses their job within three months of the diagnosis.
  • This policy will also pay up to Rs 25,000 under children’s education benefits cover.

Plan features

Age entry- 21 years -65 years
Sum insured- Rs 50,000 – 2 Lakh

Bajaj Allianz Silver Health Plan for Senior Citizen

As the name suggests, this plan is designed for senior citizens to meet their basic and essential healthcare requirements. This policy starts covering any pre-existing conditions after one year from the date of policy inception. It covers individuals up to 70 years of age.

Plan features

  • This plan covers the cost of hospitalization expenses and multiple daycare procedures.
  • 60 days pre and 90 days post-hospitalization charges will be covered.
  • The benefit of 10% increase of sum insured, max up to 50% as a reward for claim-free years.
  • Emergency ambulance charges will be covered.

Plan specifications

Age entry- 46 years to 75 years
Sum insured- Rs 50,000- Rs 5 Lakh

Bajaj Allianz Health Infinity Plan

This plan is crafted to offer unlimited coverage to the policyholder as there is no limit on the sum insured. It is an ideal plan for individuals who wish to opt for high coverage plans that provide more than sufficient coverage to meet all their healthcare requirements.

Plan features

  • This plan covers hospitalization expenses without any limit on the sum insured.
  • This plan covers pre and post-hospitalization expenses.
  • Ambulance charges are covered under the plan.
  • Multiple daycare treatments and procedures are covered.

Plan specifications

Age entry- 3 months – 65 years
Sum insured – No limit

Bajaj Allianz Extra Care Plus Policy

Extra Care Plus Policy is a top-up plan that will come into action once the policyholder exhausts the coverage of his base health plan or once the deductible under the policy is paid. It is an ideal plan for individuals who are looking for high coverage at an affordable premium. This plan is available on an individual or family floater coverage basis.

Plan features

  • This plan covers hospitalization expenses and multiple daycare treatments.
  • Pre 60 days and post 90 days hospitalization expenses are covered.
  • All medical expenses related to maternity and its complications are covered under the policy.
  • Ambulance charges are covered up to Rs 3000 per hospitalization.

Plan specifications

Age of entry- 91 days – 80 years
Sum insured- Rs 3 Lakh – Rs 5 Lakh

Bajaj Allianz Premium Personal Guard Policy

In this policy the company will pay a lump sum benefit in the event of accidental death or any disablement suffered due to an accident. In case of accidental death of the insured parent, the insurer will also pay an extra amount towards the cost of children’s education under the children’s education cover.

Plan features

  • 100% payout in the event of accidental death of the insured individual.
  • 200% payout in case the insured suffers from permanent total disablement due to an accident.
  • The benefit of fixed lump sum payout in case of accidental death of the insured towards the cost of children’s education, maximum of 2 children.
  • 50% increase of sum insured as a cumulative bonus as a reward for claim-free years.
  • Receive up to Rs 2,500 as a hospital confinement benefit for a maximum period of 30 days.

Plan specifications

Age entry- 18 years – 65 years
Sum insured- Rs 10 Lakh – Rs 25 Lakh

Bajaj Allianz MCare Health Insurance

This plan is specially created to cover medical expenses related to specific vector-borne illnesses like Dengue Fever, Malaria, Chikungunya, etc. It covers the entire cost of hospitalization when the insured is diagnosed with any of the illnesses mentioned under the plan.

Plan features

  • This plan covers hospitalization expenses related to 7 vector-borne illnesses and diseases.

Plan specifications

Age entry- 18 years – 65 years
Sum insured- Rs 10,000 – Rs 75,000

Bajaj Allianz Arogya Sanjeevani Plan

This plan provides extensive coverage protecting you and your loved ones against all major healthcare contingencies. It covers the cost of hospitalization and multiple procedures up to Rs 5 Lakh. The plan is available on a family floater as well as individual coverage basis.

Plan features

  • This plan covers hospitalization expenses and many daycare procedures.
  • Multiple advanced treatments like stem cell therapy, robotic surgeries, etc are covered under the policy
  • Pre and post-hospitalization expenses are covered.
  • This plan covers the cost of Ayush treatment.
  • Emergency ambulance expenses will be reimbursed under the plan.

Plan specifications

Age entry- 18 years – 65 years
Sum insured- up to Rs 5 Lakh

Bajaj Allianz Health Care Supreme Plan

It is one of a kind plan designed to safeguard you and your loved ones from the costs of medical expenses. This plan covers the cost of hospitalization, maternity, physiotherapy, donor expenses, and so on.

Plan features

  • This plan covers hospitalization expenses and daycare procedures.
  • Maternity expenses and their complications are covered under the plan.
  • This plan covers the cost of physiotherapy and outpatient treatments.
  • Organ donor expenses are covered under the policy.
  • Free health check-up available on policy renewal.
  • Ayush treatment coverage is provided in the plan.
  • 50% increase of sum insured as cumulative bonus during claim-free years.
  • Pre and post-hospitalization expenses are covered under the plan.

Plan specifications

Age entry- 18years-65 years
Sum insured- Rs 30,000 – Rs 1.5 Lakh

Bajaj Allianz Star Package Plan

Star Package is an all-in-one health plan that offers multiple covers combined together in a single plan. This plan protects against hospitalization expenses, also provides accidental and critical illness coverage. It is an ideal one-stop solution for meeting all your healthcare-related needs.

Plan features

  • This plan covers hospitalization expenses against any illness or injury.
  • This plan covers 60 days pre and 90 days post-hospitalization expenses.
  • Lump-sum payment in case of accidental death and disablement suffered due to an accident.
  • The plan also covers you against any burglary or break-in to the policyholder’s house.
  • This plan also safeguards against any legal liability for any damage or bodily harm to third-party property.

Plan specifications

Age Entry- 18years -45 years
Sum insured- Rs 1.5 Lakh – Rs 1 Crore

Bajaj Allianz Health Ensure Plan

This plan offers exhaustive coverage that covers all major medical risks and contingencies. There is no age limit to avail of this policy. The plan offers wide range of sum insured options up to Rs 10 Lakh to choose from.

Plan features

  • Hospitalization expenses are covered under this plan.
  • This policy covers you against medical procedures incurred during the treatments.
  • Emergency ambulance covered up to Rs 1000 per hospitalization.
  • Ayush treatment expenses covered up to 20% of the sum insured
  • Organ donor expenses are covered under the plan.

Plan specifications

Age entry- 18 years – 55 years
Sum insured- Rs 2 Lakh – Rs 10 Lakh

Bajaj Allianz Tax Gain Plan

Tax Gain is a family floater plan that covers all expenses related to medical treatments and inpatient care. This plan allows you to save tax also covering outpatient treatments, dental procedures, other consumable charges like spectacles, dentures, and crutches.

Plan features

  • This plan covers all expenses related to inpatient hospitalization.
  • Emergency ambulance charges are covered under this plan
  • 30-day pre and 90 days post-hospitalization charges are covered.
  • Free health check-up after four consecutive claim-free years.

Plan specifications

Age entry- up to 75 years
Sum insured- Rs 3 Lakh

Bajaj Allianz Global Personal Guard Plan

It is a cash benefit policy that offers worldwide coverage to the insured against any accidents or disablement suffered anywhere in the world. It is an ideal policy suitable for individuals who frequently travel abroad. This plan is available on an individual as well as a family floater basis.

Plan features

  • Accidental death coverage is available to the insured anywhere in the world.
  • Lump-sum payment of the sum insured in case of any disablement suffered due to an accident.
  • 10% increase of sum insured after every claim-free year.

Plan specifications

Age entry- 3 months – 65 years
Sum insured- Rs 50,000 – Rs 25 Crore

Bajaj Allianz Hospital Cash Plan

As the name suggests, this is a cash benefit plan that provides a daily cash allowance during the hospital stay. Hospital Cash Plan assists in covering various miscellaneous expenses like travel costs, attendant fees, etc that are not covered in a general health policy.

Plan features

  • Daily cash allowance ranging from Rs 500 up to Rs 2,500 per day.
  • Receive double cash allowance when admitted to the intensive care unit (ICU).

Plan specifications

Age entry- 18 years-65 years
Sum insured- Rs 500 – Rs 2,500

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Health Insurance

What is TPA in insurance? (Understand its concept and role)

What is TPA in insurance (Understand its concept and role)

A medical emergency is something that comes unannounced, so it is imperative to get health insurance. TPA is a word you often hear while looking for health insurance. But, what is TPA is insurance, and how does it work? This article will explore this concept in detail and help you understand the role TPA has in health insurance.

What is TPA in insurance?

Third-Party Administrator is TPA insurance full form. It is an entity that manages insurance claims that are protected by the Mediclaim scheme. These managers are usually self-contained but may also serve as a representative of the insurers.

The need for the concept of TPA

An increasing number of health insurance policies dispensed by insurers has made maintaining a record of every task done challenging, resulting in a reduction of the quality of services provided. TPAs were established as a result of IRDA’s efforts. Ever since it has been considered accountable for the following:

  • Hassle-free quality services.
  • Managing a vast number of health insurance claims.

Role of TPA in health insurance

TPA in insurance means an entity that is essential for the overall handling of health insurance claims. Some of the roles of TPAs in health insurance can include:

1.) Provide the insured with their health cards

A validation process is carried out by issuing a valid health card for each policy issued. This card includes information about the policy number as well as the TPA in charge of processing the claim. This document is extremely important to acquire health insurance claims.

For instance, if a person with health insurance gets injured, he has to show this card and inform the TPA or insurer of the details of the claim while being admitted to the hospital.

2.) Production and resolution of claims with ease

A TPA is accountable for expediting a claim as quickly as the insured tells them of it. Their duty is to go through all of the submitted records. The TPA may request as many details as is required to double-check the data. The claim will be settled either cashlessly or on a refund basis.

In any case, a TPA would be responsible for inspecting all records. The TPA will obtain the documentation from the hospital in the case of a cashless settlement. In other situations, the TPA can request the favoring documents and bills from the insured.

3.) Customer support helpline

Policyholders can contact their TPA to receive help with their claim or to clear any related queries through a toll-free number 1800-258-5956. This facility is available 24 hours a day and can help you track the status of their claims.

After knowing what TPA is in insurance, it’s safe to say that the presence of a third-party administrator (TPA) in the insurance business makes the different steps of a health insurance policy much simpler and quicker for you. Furthermore, TPAs become a great help for policyholders by providing much-needed claim assistance.

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Health Insurance

Importance of health insurance (6 new age benefits)

health

Importance of Health Insurance

Health insurance has become a necessity these days. However, not many understand the importance of health insurance. The spread of the coronavirus pandemic has made people realize that life is highly unpredictable, and a medical emergency can happen at any time. These medical emergencies can cause financial problems and can become difficult to handle. This is where health insurance can help you have a stress-free life.

It’s important to understand how health insurance can help you and your family in the long-term. This article will give you a detailed understanding of the importance of health insurance and why you should invest in a good health insurance plan.

Crucial benefits of investing in a health cover

Fight against lifestyle diseases

The number of people getting lifestyle diseases have increased significantly. Whether you are above 45 or under, diseases like diabetes and blood pressure can affect all ages. These diseases can lead to major ailments and problems in the future if not diagnosed beforehand.

Getting exhaustive health cover in your twenties can help you reap more benefits in the future. The two major benefits of this are:

  1. You’ll have peace of mind that even if you do get an unfavourable diagnosis, you have the financial security for treatment.
  2. You can get an early diagnosis by choosing a plan that involves regular medical check-ups. This can protect you from medical contingencies.

To protect your family

Who doesn’t want to have a secure future for their family? Several insurance providers allow you to add family members to health insurance plans. This means when you choose a good medical plan, every member of your family has access to the best resources possible. An ideal medical insurance plan will help you to safeguard your family while paying a slightly higher (but affordable) premium.

This is ideal for one-income families or families with several dependents (ageing parents and young children). In such cases, choosing a medical plan that can provide you with all-inclusive coverage will help protect your family.

Adding all family members under the same insurance plan also serves another purpose: you don’t have to carry different medical insurance documents for every family member.

To deal with chronic diseases

Family history is an important factor in chronic diseases like coronary artery disease, diabetes, asthma, cancer, etc. Choosing a medical plan that covers not only general ailments but also chronic diseases can help you at the time of diagnosis.

When choosing a medical plan, you can get one that includes protection from diseases that run in your family. There are various types of medical plans available in the market. However, it is important to check the medical insurance plan that you have chosen provides all the resources. In case your insurance plan provides no coverage for diseases that run in your family, then it is an ill investment.

Choosing a customized plan rather than simple or basic coverage can help you deal with future diagnoses in the family.

To deal with medical inflation

The healthcare sector is hit the hardest due to inflation. As medical technologies advance, the expenses for treatment (including doctor’s consultation, tests, surgeries, etc.) also increase. Adapting your health care plans and insurance to these changing rates can help you maintain a good financial position.

Insurance companies increase premiums to help maintain their coverage. And while it sounds like the premium will rise rapidly, that is not the case. Instead of focusing only on the premium costs, focus more on how many resources you will be provided in the plan. By choosing a suitable health insurance policy, you can escape the burden of medical inflation.

To protect your savings

Saving is a basic virtue that is taught to us from our childhood. The primary reason people save money is to be able to provide their families with a secure future in case they’re not present. However, medical expenses can wipe out a person’s life savings. This is an especially important point to remember because no one compromises on health. Spending your life savings to battle a diagnosis can demoralize many people.

With the help of an ideal health insurance plan, you can provide your family with the best medical treatments without touching your savings. These can help you later in life and can be used for other commitments like travel, education, retirement, property, etc.

When choosing your medical plan, choose a ‘cashless’ policy. This ensures that the insurance provider pays the hospital bills directly instead of you acting as a middle party.

It provides tax benefits

Buying a health insurance plan can provide you with tax benefits. Under Section 80D of the Income Tax Act, the premium paid for the health insurance plan can be considered during tax deduction. This means you can take advantage of a tax deduction if you pay the premium for yourself, your spouse, your dependent children, and your parents.

Extra benefits for Investing in an insurance plan at an early age

Aside from the above-mentioned benefits, investing in a health insurance plan early in life can bring you a range of extra benefits. In your twenties, you are healthier and can select a cover available at lower rates. These can provide you with more benefits as you grow older. Several insurance plans can also help you fight pre-existing illnesses.

If you have a family history of diseases that manifest in your 30s or 40s, you can be prepared for it with an insurance plan. By choosing a plan early in life that safeguards you during the diagnosis, you can get better treatment. However, if you pass through the period and aren’t diagnosed, you have a better insurance plan and can always choose to downgrade.

There are a wide variety of health insurance plans available that cover various resources and health issues. Based on your needs, preferences, and dependents, you can choose one that is the most ideal for you and your family. With a health insurance plan, you will have a financially secure future and ensure your loved ones have one too.

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Health Insurance

What is a waiting period in health insurance?

What Is a waiting period in health insurance?


Earlier, people’s health degraded with age. But in today’s world, age is not the only factor that affects an individual’s well-being. The changes in lifestyle have made us prone to diseases even at early ages. Excessive intake of junk food, a sedentary lifestyle, and no physical activities are the most prominent reasons that have reduced our immunity, increasing the chances of us falling ill. Therefore, health insurance is of utmost importance in today’s world.

Most health insurances come with a certain waiting period. You might be wondering what is a waiting period in health insurance? This article is all about it. So let’s understand the concept of a waiting period.

What is a waiting period in health insurance?

The waiting period is the time span during which you cannot file an insurance claim. It is a buffer period where the policyholder cannot make a claim even though his policy is active. The waiting period varies from insurer to insurer and policy to policy.

This concept of the waiting period was introduced to put an end to the unethical use of health insurance policies. It was also initiated to prevent the policyholders from filing hoax claims.

Types of waiting period

There are various types of waiting periods that differ from one health insurance policy to another. Out of these, the three major categories are discussed here:

1. Initial waiting period

In case, the policyholder gets hospitalized in the first 30-90 days after taking up the policy, he will not be able to avail of any claim benefits. To enjoy the benefits of the insurance policy this initial waiting period has to get over.

Note: Accidental hospitalization is covered from the first day itself.

2. Pre-existing disease waiting period

If a person declares that he or she is suffering from any diseases at the time of taking up the policy, the illnesses are then given the term of pre-existing diseases. Diabetes, blood pressure, thyroid, etc are a few common examples of pre-existing diseases. In such cases, a medical test is conducted to determine the impact of these diseases. Usually, a waiting period of 4 years is prescribed in these circumstances. This implies that any medical costs will be covered after the completion of 4 successful years of the policy.

3. Maternity benefits waiting period

The waiting period for availing of maternity benefits usually varies from 9 months to 36 months depending on the insurance company. A few insurance policies also offer protection to infants, but they have a waiting period too which usually lasts for 90 days.

4. Disease-specific waiting period

There is a specific waiting period that is prescribed for a few particular ailments like, tumors, ENT disorders, hernia, osteoporosis, etc. It depends upon one company to the other, but mostly the waiting period for these diseases varies from 1 to 2 years.

Other than the type of insurance policy opted and the insurance provider, there are various other factors that affect the waiting period too. The medical history of the insured, the age of the buyer, the number of people covered under the insurance policy, etc are few such factors. It is advisable to take up health insurance at an early age to avoid the chaos that might be caused during the waiting period.

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Health Insurance

Tax benefits of Health Insurance

Tax benefits of Health Insurance

Health insurance just like life insurance is an imperative financial tool. Purchasing health insurance is exactly like a buy 1 get 1 bonus offer. You get both financial security from a medical emergency and tax benefits too. The tax benefits of health insurance act like a cherry on the cake that can help you reduce your annual income tax liability and save you money.

Let us explore more to get a better understanding of the tax benefits.

How much tax benefit can you get on health insurance?

The tax benefits of health insurance are offered for the premium paid for the policy under Section 80 D of the Income Tax Act. The deductibles are highlighted in the table given below.

Total Deduction

Scenario

Rs 25,000

For family and self.

All individuals are required to be below 60 years of age.

 

Rs 25,000 + Rs 25,000 = Rs 50,000

For family, parents and self.

All individuals are required to be below 60 years of age.

Rs 25,000 + Rs 50,000 = Rs75,000

For family and self.

All individuals are required to be below 60 years of age.

This also includes Parents who are senior citizens.

Rs 50,000 + Rs 50,000 = Rs 1,00,000

For family and self.

The eldest member is required to be above 60 years of age.

This also includes Parents who are senior citizens.

 

The savings one can avail of may vary depending upon the policy they hold and the amount of premium they pay.

What documents are required to claim the benefit?

The documents required to claim the tax benefits are-

  1. Payment receipt of the premium
  2. A copy of the insurance policy. The copy should clearly state the name of the family members, their relation and age.
  3. You will also need an 80D certificate if you have purchased the health insurance policy for your parent.


Essential points to consider while claiming tax benefits

  1. Always make sure to go through tax exemptions in your policy carefully. Do not miss any small details.
  2. Always use cheques or online transfers or other modes for payment of the premium and avoid cash payments. You can pay for preventive health check-ups in cash.
  3. The maximum tax benefit offered under section 80D is up to Rs 1,00,000. This is applicable for health insurance for yourself and your parents. This is also applicable if both- you and your parents are senior citizens.
  4. The tax benefits can also be claimed by HUF (Hindu Undivided Family). This is applicable for a premium paid for insuring the health of any member of the HUF.
  5. The tax benefits offered to senior citizens can also be spent on their medical expenses.
  6. The tax benefits are applicable for the total tenure of the insurance cover if you pay all the health insurance premiums at once.

Tax benefits of Health Insurance add to the efficacy of the insurance policy. Make sure to purchase a health insurance policy to avail of benefits and for the betterment of your family. The policy not only acts as a beneficial tax planning tool but also is a wise investment opportunity. It’s time to invest in one!

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Health Insurance

Difference between Health Insurance and Mediclaim

Difference between health insurance and mediclaim

The systematic way to plan things is to first thoroughly know about the subject, research, and then finalize. Now, try applying this logic to buying health insurance. It is always better to know what your plan is and what it has to offer rather than buy the first plan that pops on the screen.

If you don’t know what exactly your health insurance has to offer, it may be of little use to you. It is easy to make mistakes while buying health insurance. One of the most common mistakes people make is assuming that mediclaim and health insurance is one and the same. But both mediclaim and health insurance plans have their own features. Before discussing the difference between health insurance and Mediclaim, let’s look at what mediclaim and health insurance are.

What is mediclaim?

Mediclaim is a health policy that gives you specified financial protection at the time of a medical emergency. It is a cost-effective plan in case of a health emergency. It provides financial aid in the following cases-

  • Accidents
  • In case of sudden illness or surgery
  • Any surgeries during the policy tenure

Features of a mediclaim plan

  • You can get immediate coverage up to Rs 5 lakhs for medical expenses when you are hospitalized for an accident or a specific illness.
  • The sum insured is pre-decided at the time of purchase of the policy.
  • The premium for mediclaim is decided on various factors like the policyholder’s age, gender, and geographical location along with the sum insured.
  • The mediclaim cover can be purchased as an individual plan or as a family plan. The family plan including you covers your spouse, children, and parents.
  • If you opt for a Cashless Mediclaim policy, your insurance company directly pays the hospital for the expenses.
  • If you opt for the Reimbursement mediclaim policy, the money you paid for the expense will be reimbursed by the insurer.
  • You can also avail of tax benefits on mediclaim as per section 80D of the income tax act 1961.

What is health insurance?

Health insurance is a complete insurance cover that gives you coverage for medical and surgical expenses in case of emergencies. If you have health insurance, you can pay for the expenses out-of-pocket for which you are later reimbursed by your insurance company. The insurance company settles the bill directly with the hospital in case of cashless claims.

Features of health insurance

  • Health insurance plans give you comprehensive insurance coverage including a wide variety of illnesses.
  • Health insurance has provisions for numerous add-ons coverage over the original policy.
  • You can opt for a Family Floater Health Insurance plan to cover all family members under one comprehensive policy.
  • The wide coverage of the policy pays for all pre and post-hospitalization expenses which include expenses for an ambulance, testing, MRI, CT scans, etc.
  • You can opt for a Critical Illness cover and other covers as an add-on to the original policy.
  • Health insurance provides you benefits like Outpatient benefit, Maternity Benefit, Restoration benefit, etc.
  • You can opt for a customized senior citizen health plan for your parents.

Difference between health insurance and mediclaim

Both medical and health insurance might sound similar but have many different features. Let’s have a look at some of the differences between these two insurance policies.

Basis

Mediclaim

Health insurance

Coverage offered

 

 

A Mediclaim offers coverage only for hospitalization and other expenses related to accidents and pre-specified diseases.

Health insurance offers a comprehensive cover that not only covers hospitalization expenses but also additional expenses such as annual health checkups, daily hospital cash, OPD expenses, and alternative treatments among others.

Add-ons

There isn’t any provision to inculcate add-on covers with Mediclaim.

Health insurance offers numerous add-ons covers such as Critical Illness Cover, Maternity Benefit and Infertility Cover, etc.

Sum assured

The sum assured or hospitalization cover provided in mediclaim is limited to Rs 5 lakh.

The sum assured in the case of health insurance doesn’t exceed 6 crore rupees.

Flexibility of plans

Terms of mediclaim policy are rigid and cannot be customized.

Health Insurance plans are flexible and can be customized to your preference.

Claims

In a mediclaim policy, you can keep filing claims until the sum insured is exhausted

In case of claims related to critical illness accidental disability coverage, the assured sum is paid in a lump sum. Hence such claims can only be made only once during the policy tenure.

 

Other insurance claims can be filed as long as the sum insured isn’t exhausted.

Availing the benefits

To avail of the mediclaim benefits, the insurer must get hospitalized. 

 

In the case of claiming health insurance benefits, hospitalization is not necessary. Benefits like daycare procedure cover can also be availed by the insured without getting hospitalized.

So, which one should you choose, mediclaim or health insurance?

Now that we know the benefits and differences between health insurance and mediclaim it should be easier for you to make the choice. If you’re still confused here are some factors that you should consider before buying any of the two health policies.

  • Consider the current health issues that you and your family are dealing with such as blood pressure, diabetes, arthritis, cancer, any other serious illnesses, etc.
  • Consider the age and lifestyle of your family members before opting for any plan.
  • Buy health insurance if you prefer investing for long-term protection and mediclaim if you prefer short-term investing.
  • If you need flexibility in your health plan options, go for health insurance otherwise you can also choose to take up a mediclaim.
  • If you need extensive add-on covers and benefits for your current health conditions, prefer buying health insurance over a mediclaim.
  • Health insurances have a higher premium than mediclaim. Make the decision according to your budget.

Mediclaim and health insurance are both ways of mitigating health-related risks. Before you decide to buy any of the insurance plans, analyze your insurance expectations and compare various insurance policies available in the market. The best insurance plan is the one that fulfils your needs. Use the information to your advantage and choose the plan that suits you better.

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Health Insurance

What is Copay in Insurance

What is Copay in Insurance?

Over the years, availing competent healthcare facilities at reasonable rates has become a daunting task. In addition, medical emergencies can turn the scenario even worse. To avoid such situations and to protect yourself from financial liability, health insurance is the best option to opt for.

However, there is one particular clause in health insurance that not many are aware of. That is Copay. Wondering what is copay in insurance? Let us clear that for you.

Meaning of copay in health insurance

Copay in simple terms is a clause and if your insurance has it, this means that you have agreed to pay a certain amount of the medical expense. Whereas, the rest will be covered by the insurer. There are several insurance companies that offer this clause in their policies. The amount related to copay is usually fixed for varying drugs and services. However, this may differ as per the medication and treatment required.

For Example: If your policy has a copay clause of 20% and the medical bill has amounted to a total of Rs. 50,0000. In such a case, you will be liable to pay Rs. 10,000 and the rest of the amount i.e., Rs. 40,000 will be covered by the insurance company.

Features of copay

To get a better understanding of what is copay in health insurance, you first have to be aware of its features. They are as follows:

  • In India, the copay clause is usually applicable to senior citizens.
  • It is more prominent in major cities that are established where the treatment of cost is higher as compared to the smaller cities.
  • The percentage of copay varies as per the medical service that you opt for.
  • One of the most important things to be aware of is the low copay amount. It might seem very attractive, however, if you opt for a lower amount, you’ll be required to pay a higher premium.

Why is Copay needed sometimes?

  • Avoids the misuse of policy: An important reason why insurance companies have copay clauses is to prevent any claims that are unnecessary. For example, a person might want to raise a claim against the treatment of a disease that does not require a higher cost. Having a copay clause prevents any sort of misuse of the policy.
  • Ensures the right use of policy: Since copay requires you to put in your money as per the decided percentage for the payment of treatment, it enhances your involvement. For the policyholder, this eventually results in the honest and transparent use of the policy.
  • Reduces Risk and Liability of Insurance Providers: Under the copay clause, the insurer is not required to pay the full amount. This tremendously reduces the risk and liability of the insurance company.


Important: A health insurance plan with a Copay clause may seem like an affordable option but your coverage requirement is something that you should determine before opting for it. Moreover, you should also be sure that you hold enough finances to pay your share of the medical bill.

Now, that you’re aware of what is copay in health insurance, make well-informed decisions and opt for a health insurance policy with or without a copay clause, anything that suits you best.

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ManipalCigna Health Insurance

ManipalCigna Health Insurance Plans

ManipalCigna Health Insurance Plans

Are you interested in finding out about the best ManipalCigna health insurance plans? Well, you have come to the right place. Let us discuss the top 16 health insurance plans offered by ManipalCigna and their features.

ManipalCigna ProHealth Plan

This is a complete healthcare plan that is designed to cover all medical and surgical expenses incurred in the treatment of any sickness, illness, or injury.

The USP of this plan is that it offers 100% sum restoration unlimited number of times for unrelated illnesses.

This plan is available in 5 variants- Plus, Protect, Accumulate, Preferred, and Premier Plan.

Plan features

  • This plan offers comprehensive coverage covering hospitalization expenses.
  • Worldwide emergency coverage is available.
  • This plan covers Ayush treatment.
  • The benefit of 100% sum restoration unlimited number of times.
  • 25% increase on the sum insured every year irrespective of the number of claims.

Plan specifications

  • Age Entry- 91 days – No limit
  • Sum insured – Rs 2.5 Lakhs – Rs 1 Crore

ManipalCigna Lifetime Health Plan

This is a high sum insured health plan that offers you enough coverage for any major health eventualities. It is an ideal plan where you can cover your family members on a family floater basis. A wide range of sum insured options starting from Rs 50 Lakh to Rs 3 Crore.

It is available in two variants- India and Global Plan.

Plan features

  • This plan covers hospitalization expenses and all daycare treatments.
  • Modern treatments like robotic and cyberknife surgery, etc are covered up to sum insured.
  • Free health check-up for all insured persons once a year.
  • This plan covers all psychiatric illnesses and disorders.
  • Multiple sum restoration available for unrelated illnesses.
  • The plan also covers HIV and STDs.
  • Coverage for Ayush treatment is provided.

Plan specifications

  • Age entry – 91days- 65 years
  • Sum Insured- Rs 50 Lakh – Rs 3 Crore

ManipalCigna ProHealth Select Plan

This is a uniquely designed plan that comes with a distinctive reassurance benefit, which provides an automatic extension of policy for two years without paying any premium, in case of a critical illness or any disablement due to an accident.

The plan is available in 2 variants- Prohealth Select A and Prohealth Select B plan.

Plan features

  • This plan covers hospitalization expenses and 171 daycare procedures.
  • 100% sum restoration benefit for unrelated illness once a year.
  • 60 days pre and 90 days post hospitalization expenses are covered
  • Cumulative bonus of 5% of sum insured every year, maximum up to 100%.
  • Ambulance charges covered up to Rs 2000 per hospitalization.

Plan specifications

  • Age entry- 91days- No limit
  • Sum insured – Rs 50,000- Rs 25 Lakh

ManipalCigna Super Top Up plan

This is a top-up plan that comes into force once the policyholder exhausts the coverage of his/her initial base health policy.

A unique feature of this plan is that it provides a guaranteed 50% increase of the sum insured irrespective of any claim.
It is available in two types Super Top Up Plus and Super Top Up Select Plan.

Plan features

  • This plan covers hospitalization expenses and all daycare procedures.
  • 60 days pre and 90 days post-hospitalization charges are covered.
  • Guaranteed 50% increase of sum insured irrespective of any claim.
  • Organ donor expenses are covered.
  • The plan covers Ayush treatment.
  • Emergency ambulance services are covered.

Plan specifications

  • Age entry 19 days – No limit
  • Sum insured- Rs 1 Lakh- Rs 30 Lakh

ManipalCigna Arogya Sanjeevani Policy

This is a standard health insurance policy mandated by IRDA, It provides basic health coverage to the insured person to meet their essential healthcare requirements. This plan takes care of most of the hospitalization needs that arise from any sickness or injury.

Plan features

  • This plan covers hospitalization expenses and daycare procedures.
  • 30 days pre and 60 days post hospitalization are covered.
  • The benefit of a 5% increase of SI, maximum up to 50% for every claim-free year.
  • Ambulance charges covered up to Rs 2000 per hospitalization.
  • The plan covers Ayush treatment.
  • Modern treatments covered up to a certain limit.
  • Copayment of 5% applicable on all claims.

Plan specifications

  • Age Entry- 91 days – 65 years
  • Sum insured – Rs 50,000 – Rs 10 Lakh

ManipalCigna Corona Kavach Policy

This plan is designed to cover the medical expenses incurred in the treatment of COVID-19. It covers the cost of hospitalization and homecare treatment for a maximum of up to 14 days.

Plan features

  • This plan covers hospitalization expenses in the treatment of COVID-19.
  • Homecare treatment for a maximum period of 14 days is covered.
  • 15 days pre and 30 days post-hospitalization charges are covered.
  • Ayush treatment is covered under the plan.
  • Ambulance charges covered up to Rs 2000 per hospitalization.

Plan specifications

  • Age entry- 1 day – 65 years
  • Sum insured – Rs 50,000- Rs 5 Lakh

ManipalCigna Corona Rakshak Policy

Under this plan, the insured will receive a lump sum benefit of 100% sum insured when positively diagnosed with Covid-19. The diagnosis of the illness should take place at a government-authorized diagnostic center. This plan is available on an individual coverage basis only.

Plan features

  • 100% sum insured will be paid to the policyholder when diagnosed with COVID-19.
  • No pre-medical check-up is required.

Plan specifications

  • Age entry- 18 years- 65 years
  • Sum insured- Rs 50,000 – Rs 2.5 Lakh

ManipalCigna Lifestyle Protection – Accident Care Plan

This is a cash benefit plan that financially secures against accidents.
Policy nominee will receive 100% sum insured in the event of the accidental death of the insured individual.
It is available in 3 types- Basic, Enhanced, and Comprehensive Plan.

Plan features

  • 100% payout of the sum insured in the event of accidental death of the insured person.
  • Ambulance charges covered up to Rs 10,000.
  • This plan covers funeral expenses up to a specified limit.

Plan specifications

  • Age entry – 5 years – 80 years
  • Sum insured- Rs 5000- Rs 10 Crore

ManipalCigna Saral Suraksha Bima

Saral Suraksha Bima offers you and your family financial safety against an unfortunate event like an accident. Under this plan, the insurer will pay 100% sum insured in the event of accidental death or any permanent disablement suffered by the insured due to accident.

Plan features

  • 100% payout of the sum insured to the nominee of the policy in the case of accidental death.
  • 100% payout of the sum insured in case of permanent total disablement.
  • 5% increase of sum assured, maximum up to 50% for every claim-free year.

Plan specifications

  • Age entry 3months- 18 years – 70 years
  • Sum insured- Rs 2.5 Lakh- Rs 1 Crore

ManipalCigna Lifestyle Protection -Critical Care plan

This plan is specially curated to secure against major critical illnesses. Under this policy, the policyholder will receive a lump-sum amount of the sum insured upon diagnosis of the set listed conditions mentioned in the policy.

This plan covers critical illnesses like first heart attack, cancer, kidney failure, and so on.
It is available in 2 variants- Basic and Enhanced Plan.

Plan features

  • Coverage against 15 to 30 life-threatening illnesses depending on the plan selected.
  • Payment of 100% sum assured when diagnosed with listed illnesses.
  • Free second medical opinion provided.

Plan specifications

  • Age entry- 18 years – 65 years
  • Sum insured – Rs 1 Lakh- Rs 25 Crore

ManipalCigna ProHealth Cash Plan

This is a cash benefit plan in which the policyholder will receive a daily cash allowance during their hospital stay. This plan will assist you to pay for miscellaneous expenses that are not covered in a general plan. It comes in 2 variants- Basic and Enhanced Plan.

Plan features

  • Daily cash benefit ranging from Rs 500 up to Rs 5000 depending on the plan selected.
  • Receive double the sum insured when admitted to the intensive care unit.
  • Access to an online wellness program.

Plan specifications

  • Age entry – 91 days – 65 years
  • Sum insured- Rs 500 – Rs 5000

ManipalCigna ProHealth Group Plan

This is a group insurance plan designed to offer overall protection against health-related risks and contingencies to employees working together in a company. It covers the basic hospitalization expenses of the insured member under the policy.

Plan features

  • This plan covers hospitalization expenses and daycare treatments.
  • Pre and post-hospitalization charges are covered.
  • Organ donor expenses are covered.
  • Road ambulance services are covered.

Plan specifications

  • Age entry- No age limit
  • Sum insured- Rs 5000 – Rs 1 Crore

ManipalCigna Global Health Group Plan

This plan is designed to cover hospitalization expenses of the insured group members not just in India but all around the world with its worldwide emergency health coverage.

Plan features

  • This plan covers hospitalization expenses and daycare treatments anywhere in the world.
  • This plan covers maternity expenses, emergency repatriation, cancer, and any psychiatric illness or disorders.
  • Private ambulance expenses will be covered.
  • Multiple wellness packages to aid your health and wellbeing.
  • The plan covers the cost of all outpatient treatments anywhere in the world.

Plan specifications

  • Age of entry – 18 years – 95 years
  • Sum insured- up to $10 Million

ManipalCigna Lifestyle Protection Group Plan

It is an all-in-one plan that covers against accidents or a setlist of critical illnesses specified under the policy.
There are two covers available under this plan, group personal accident and critical illness cover. You can select both covers or one of the two to avail the respective benefit.

Plan features

  • This plan covers accidental death or disablement due to an accident.
  • This plan covers against specified listed critical illnesses and conditions.

Plan specifications

  • Age entry- 18 years- 75 years
  • Sum insured- Rs 10,000- Rs 50 Crore

ManipalCigna Group Overseas Travel Insurance Plan

This plan offers medical protection to insured group members when traveling abroad on a family or business trip.
Along with covering medical expenses, any inconveniences like loss of baggage and cancellation of trips shall be reimbursed.

It is an ideal plan for groups who frequently travel overseas for work.

Plan features

  • This plan takes care of all the hospitalization expenses abroad.
  • Payout in case of accidents covered up to a fixed limit.
  • This plan reimburses the cost in case of loss of baggage or cancellation of flights, etc.

Plan specifications

  • Age entry- up to 95 years
  • Sum insured- up to Rs 50 Lakh

ManipalCigna FlexiCare Group Insurance Policy

This plan is named FlexiCare because it gives the option to customize the health plan according to the requirements of the group members. This plan offers comprehensive coverage against illnesses, domestic travel, accidents, and so on.

Plan features

  • This plan offers hospitalization expenses and multiple daycare treatments.
  • The plan covers accidents, domestic travels, surgery, etc.
  • The plan provides wellness packages to aid your health and wellbeing.
  • Ambulance charges are covered.
  • Alternative treatments like Ayush are covered under the plan.

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