HEALTH INSURANCE INDIA

Individuals Exclusive Health Insurance

Exclusive Health Insurance for individuals by Apollo Munich Mediclaim Policy is As follows:

Sum Insured per Insured Person per Policy Year (in Lakhs) 3.00, 4.00, 5.00 7.50
1a) In-patient Treatment Covered
1b) Pre – hospitalisation Covered
1c) Post – hospitalisation Covered
1d) Day Care Procedures Covered
1e) Domiciliary Treatment Covered
2a) Daily Cash for choosing Shared Accomodation Rs. 500 per day, Maximum Rs. 3,000 Rs. 800 per day, Maximum Rs. 4,800
2b) Expenses for Organ Donor of Transplant Covered
2c) Emergency Ambulance Upto Rs. 2,000
2d) Daily Cash for accompanying an insured child. Rs. 300 per day, Maximum Rs.9,000 Rs. 500 per day, Maximum Rs.15,000
2e) Newborn baby Optional
3a) Maternity Expenses with Waiting Period of 6 Years Normal Delivery Rs.15,000*

Caesarean Delivery Rs.25,000*

(* including Pre/Post Natal Limit of Rs.1,500 and New Born limit of Rs. 2,000)

Normal Delivery Rs. 25,000*

Caesarean Delivery Rs.40,000*

(* including Pre/Post Natal Limit of Rs.2,500 and New Born limit of Rs. 3,500)

3b) Out-patient Dental Treatment with Waiting Period of 3 years Not Covered
3c) Spectacles, Contact Lenses, Hearing Aid Every Third Year Not Covered
3d) E-opinion in respect of a Critical Illness Not Covered
4) Additional Cover for Critical Illness Optional 50% or 100% of basic Sum Insured
5) Health Checkup Upto 1% of Sum Insured subject to a Maximum of Rs. 5,000 per Insured Person, only once at the end of a block of every continuous three claim free years.
Benefits under 3b), 3c), 3d) and 5) are subject to pre-authorisation by the TPA

Standard Mediclaim Health Insurance – Apollo Munich

Apollo Munich Health InsuranceThe Standard Mediclaim Policy under health Insurance from Apollo Munich is as follows.

Sum Insured (SI) / Policy (Rs. In Lakh) 1.00, 2.00, 3.00, 4.00, 5.00
1a) In-patient Treatment Covered
1b) Pre – hospitalisation Covered
1c) Post – hospitalisation Covered
1d) Day Care Procedures Covered
1e) Domiciliary Treatment Covered
2a) Daily Cash for choosing Shared Accomodation Rs. 500 per day, Maximum Rs. 3,000
2b) Expenses for Organ Donor of Transplant Covered
2c) Emergency Ambulance Upto Rs. 2,000
2d) Daily Cash for accompanying an insured child Not Covered
2e) Newborn baby Not Covered
3a) Maternity Expenses with Waiting Period of 4 Years Not Covered
3b) Out-patient Dental Treatment with Waiting Period of 3 years Not Covered
3c) Spectacles, Contact Lenses, Hearing Aid Every Third Year Not Covered
3d) E-opinion in respect of a Critical Illness Not Covered
4) Additional Cover for Critical Illness Not Offered
5) Health Checkup Upto 1% of Sum Insured per Policy, only once at the end of a block of every continuous four claim free years.
Benefits under 3b), 3c), 3d) and 5) are subject to pre-authorisation by the TPA

Family floater Mediclaim policy BY STAR HEALTH

Family Floater Mediclaim Policies

Family Floater Medical Insurance

While choosing a health insurance plan, make sure you consider Family Health Optima. This is an exclusive insurance plan for the entire family under a single roof- one family one policy one premium and one sum insured that floats among the persons insured  net result : considerable flexibility and economy.

A Super Saver Policy among Family Health Insurance Plans
Single Sum Insured
Coverage for entire family
Single Premium
Considerable saving in premium as the family is covered under one policy

Who can take this Insurance?
Any person aged between 5 months and 60 years residing in India can take this insurance. Dependent children up to 25 yrs can be covered

Family Includes
Proposer, spouse, dependent children upto 25 years, who are economically dependent on their parents

Pre- Medical screening
Compulsory medical check up is done for persons above 50 years of age at the cost of the company

Pre-Existing Diseases / Illness
Are covered after 48 months of continuous insurance with us
Policy Benefits
Hospitalisation Cover: Protects the insured person for in-patient hospitalisation expenses for a minimum of 24 hours. These expenses include room and boarding charges as per policy conditions
Nursing expenses
Surgeon’s fees, Consultant’s fees, Anesthetist’s and Specialist’s fees
Cost of medicines and drugs
Emergency ambulance charges for transporting the insured patient to the hospital upto a sum of Rs.750/- per hospitalization and overall limit of Rs.1500/- per policy period

Pre and Post Hospitalisation Cover
Pre-hospitalisation medical expenses upto 30 days prior to the date of admission
Post-hospitalisation calculated at 7% of the hospitalisation expenses (excluding room charges), subject to a maximum of Rs.5000 is payable


Diabetes Insurance in India

Over one-fifth of those suffering from Diabetes the world over are in India and the number is swelling year by year. If left unattended it can severely affect vital organs like eyes and the kidneys, and therefore it needs urgent attention. Treatment for such complications can often burn a hole in your pocket.Protection against such an eventuality is offered by Star Health’s diabetes care plan for those affected by Diabetes Mellitus Type II.

Coverage Offered for Specific Conditions
Eyes: Diabetic Retinopathy requiring laser treatment.
Kidneys: Diabetic Nephropathy leading to chronic renal failure
Feet: Diabetic foot ulcer requiring micro-vascular surgical correction
Who can take this Insurance?
Any person between 26 years and 65 years of age who is diagnosed with Diabetes Mellitus Type II can take this insurance
This limit of 65 years is applicable only for initial entry in to the scheme. Renewals will be accepted up to 70 years
Please note that persons who have already developed complications of Diabetic Retinopathy and/or Diabetic Nephropathy leading to Chronic Renal failure and/or Diabetic foot ulcer are not eligible to take the policy.
Benefits for Type II Diabetics
The plan is a trailblazer among health insurance policies in India and Diabetes Care policies in general.
Hospitalization Cover
Boarding and room charges at 2% of the sum insured subject to a maximum of Rs.2500 per day in Class A cities and Rs.1250 per day in other locations
Nursing expenses
Surgeon’s fees, Consultant’s fees and/or Anesthetist fees
Cost of blood, oxygen, diagnostic expenses
Cost of medicines and drugs
Special Features
Hospitalization expenses on donor of kidney for renal transplant surgery are payable subject to availability of sum insured
Post-renal transplant complications on the insured person covered
Second transplant following failure of the first transplant covered
Pre-Acceptance Medical Screening
All applicants will have to undergo a pre-acceptance medical screening at company nominated center
Sum Insured Options
The insurance is available for sums of Rs.50,000, Rs.1,00,000, Rs.2,00,000, Rs.3,00,000, Rs.4,00,000 and Rs.5,00,000
Premium in Indian Rupees (Service Tax extra)
Sum Insured
(in Rs)
26 yrs -35 yrs 36 yrs – 45 yrs 46 yrs – 55 yrs 56 yrs – 65 yrs 66 yrs – 70 yrs
50000 805 990 1235 1485 2225
100000 1140 1615 1900 2185 2470
200000 1885 2565 3420 3765 4105
300000 2300 3135 4180 4600 5020
400000 4655 4990 6650 7315 7980
500000 6385 6840 9120 10035 10945
Tax Benefits
Amount paid by any mode other than by cash for this insurance is eligible for relief under Section 80D of the Income Tax Act.

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