comparisionion Between Family Floater Plan of ICICI Pru &andStar Health

8/8/2019 comparisionion Between Family Floater Plan of ICICI Pru &andStar Health

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:AMILY FLOATER STAR:AMILY FLOATER STAR EALTH Vs ICICI EALTH Vs ICICIOMBARDOMBARD

,PRESENTED BY(SOUMIK PARUA 09DF057)


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FAMILY FLOTERA comprehensive Health Insurance policy thatensures health cover for the entire family withaffordable premium.

Family Floater Health Insurance plan lets you sharethe entire sum insured among the familymembers covered under the policy, without anyindividual upper limits.


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ICICI LOMBARD

INTRODUCTION

ICICI Lombard is a joint venture between ICICI Bank

Limited and Fairfax Financial Holdings Limited, aCanada based financial services company engaged

in general insurance, reinsurance.ICICI Lombard is the largest private sector generalinsurance company in India with a Gross WrittenPremium (GWP) of Rs. 34,198.4 million for the yearended March 31, 2009.


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ICICI LOMBARD KEY FEATURES

Comprehensive coverage for your family with floater benefit.

Cashless claims facility at over 3,500+ network hospitals acrossIndia.

No sub-limits on room rent, doctor fees, and hospital charges orfor any disease.

No co-payments for any disease or any hospitalisationexpenses.

No health check-up up to the age of 55 years (age as on last

birthday).

Avail tax benefits under Section 80D of the Indian Income TaxAct 1961.


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CONT..Now get a Free health check-up coupon for any oneinsured family member, valid for the policy period

Buy Online and pay in EMIs without any extra charges.

Options for one or two year covers (auto renewal)available.

Get additional Sum Insured for every claim free year.

Keep your family secured even against expenses forhospitalisation due to terrorist activities .


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ICICI LOMBARDWhat is covered Medical expenses incurred as an inpatient during hospitalisation for

more than 24 hours, including room charges, doctor/ surgeon's fee,medicines bills, etc

Medical expenses incurred 30 days prior and 60 days posthospitalisation

Day Care expenses incurred on named advanced technologicalsurgeries and procedures requiring less than 24 hours ofhospitalisation. (Including Dialysis,Radiotherapy and Chemotherapy)

Pre-existing diseases can be covered after four continuous years ofcoverage withthe Company.

This policy also covers you for hospitalisation in case of Swine Flu /

influenza.


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ICICI LOMBARDExclusions valid for the first 30 Days Any illness contracted within 30 days of the inception date of the

Policy, except those that are incurred as a result of an accident.This clause is not applicable on the subsequent renewals

Exclusions valid for the first 2 YearsTreatment of the following diseases/illness/ailments:CataractBenign Prostatic Hypertrophy.

Myomectomy, Hysterectomy unless because of malignancy .Hernia, Hydrocele . Fistula in Anus, Piles .Arthritis, Gout, Rheumatism .Joint replacement, unless due to accident.Sinusitis and related disorders.Stone in the urinary and biliary systems.Dilatation & Curettage.Skin and all internal tumors / cysts / nodules / polyps of any kind,

including breast.lumps, unless malignant / adenoids and hemorrhoids.


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ICICI LOMBARDPermanent exclusionsAny illness/ disease/ injury/ pre-existing disease before the

inception of the policy.However, this exclusion ceases to apply if the policy isrenewed with the Company for 4 consecutive years.

Non-allopathic treatment, pregnancy and childbirth related

complications, cosmetic, aesthetic and obesity relatedtreatment.

Expenses arising from HIV or AIDS and related diseases, use ormisuse of liquor, intoxicating substances or drugs as well as

intentional self injury .

War, riots, strike, nuclear weapon, induced treatment.


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ICICI LOMBARDEligibilityThe customer can buy the policy for any family member(s) children

and / or parents.The senior most person to be insured should be between 5 to 60

years of age.

The Proposer needs to be aged above 18 years.

To cover children aged between 91 days to 5 years, the policy must

also cover at least 1 adult under the same policy.Children under less than 91 days old cannot be covered.

Individual(s) proposed for Insurance whose age is 56 years &above have to undergo medical tests at ICICI Lombarddesignated diagnostic centers.

The policy cover is renewable till the age of 70 years. Income Tax benefits u/s 80D can only be availed for policies bought

for Self, Spouse,Children or Parents.

Floater benefit under the policy is available up to the age of 60years. All floater policies thereafter will be renewed underindividual plan up to the age of 70 years.


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IntroductionStar Health and Allied Insurance co. ltd is a joint venture between Oman InsuranceCompany, UAE and leading NRIs and Indian

business houses. It has a capital based of INR108 crores that far exceeds the requirementto form a full- fledged general insurancecompany.


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AJOR PRODUCT FEATURES

The policy offers the benefits of widerprotection at a lesser price. This policy isavailable on individual basis and also on

floater basis, covering the entire familyFamily means two adults and two children

(children economically dependant and upto25 years)


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POLICY BENEFITS

Hospitalization Cover : Protects the insuredperson for in-patient hospitalization expensesfor a minimum of 24 hours. These expenses

include room and boarding expenses to amaximum of Rs.4,000/- per day

No ceiling on ICU, medicine, diagnostic chargesor consultation fee

Nursing expenses

Surgeon's fees, Consultant's fees,Anaesthetist's and Specialist's fees

Cost of medicines and drugs


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ELIGIBILITYAny person aged between 5 months and 60

years can take this insurance upto amaximum sum insured of Rs10,00,000/-

Renewals granted upto 75 years


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EXCLUSIONSExpenses for the treatment of any

illness/diseases/condition which is pre-existing

Treatment of illness/diseases/sickness contracted

by the insured person during the first 30 daysfrom the commencement date of this policy

Naturopathy treatmentExpenses which are purely diagnostic in nature,

with no positive existence of any disease

Expenses incurred for non-allopathic treatmentTreatment of congenital

diseases/defects/anomalies

Expenses which are mainly cosmetic in nature


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LAIMS PROCEDUREInform the ID number for easy reference

In case of planned hospitalization, pleaseinform 24 hours prior to admission into thehospital

In case of emergency hospitalization,information to be given within 24 hours afterhospitalization

In non-network hospitals, payment must bemade upfront and then reimbursement will beeffected on the submission of documents


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tar AdvantagesNo Third Party Administrator (TPA), direct in-

house claims settlement

Faster & hassle-free claims settlement

Cashless facility if the treatment is taken in anydesignated hospital

Network of more than 4000 hospitals across

IndiaDoctor-on-Call

24x7 toll-free helpline

)


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+ )2A 1CParameter STAR HEALTH ICICI LOMBARD

S u m In su red 4,00,000 4,00,000

N a m e o f P o licy Star family health optimainsurance plan

Family floater healthinsurance

(P re m iu m in clu d in g)se rv ice ta x

6,652 9776

R e n e w a l u p to w h a ta g e

75 70

C o o lin g o ff p e rio d( )days

30 30

P re e x istin g d ise a se s

co v e d a fte r y e a rs

Up to 2 years 4 years

&C a sh le ss fa cilityN e tw o rk o f h o sp ita l

yes Yes

A m b u lan ce charg es Rs. 750 per hospitalization Full Covered


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Comparison

Parameter STAR HEALTH ICICI LOMBARD

&R o o m B o a rd in gE x p e n s e s

2% of SI 1% of SI

A ccid en tal cov er covered covered

No claim bonuscumulative

NA NA

No claim discount 10% 5%

Free health checkup covered covered

Pre-hospitalization(days)

Up to 30 days 30 days

Post hospitalization Up to 7% of the

hospitalizationexpenses

60 days


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Date post:	09-Apr-2018
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