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Health insurance presentation

Date post: 09-Jul-2015
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Its all about Health Insurance... Quick look with premium details
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Page 1: Health insurance presentation
Page 2: Health insurance presentation
Page 3: Health insurance presentation
Page 4: Health insurance presentation
Page 5: Health insurance presentation
Page 6: Health insurance presentation

No Third Party Administrator - direct in - house claims settlement.Faster and hassle-free claim settlement.Cashless hospitalization.Network of more than 6500 hospitals across India. Free expert medical consultation over phone 24 x 7 Toll Free Helpline. Free storage facility for storing medical records in electronic form

Page 7: Health insurance presentation

Ambulance charges

Non-Allopathic Treatments

Pre Hospitalization

Post Hospitalization

405 Day Care Treatments Covered

Pre-Existing Diseases / Illness

Health Check-up benefits

Automatic Restoration of Sum Insured

HIV Persons Coverage

Bonus

Pre- Acceptance medical screening

Free look period

Tax Benefits

Page 8: Health insurance presentation

For Individuals

Age of entry - 5 months to 65 years

Hospitalisation Cover – 24 hrs in-patient

Ambulance charges

Pre-Hospitalization expenses up to 30 days

Post-Hospitalization paid as lump-sum up to the limit specified

101 Day-care treatments covered

Non-Allopathic Treatments

Pre-Existing Diseases / Illness covered after 48 months

Policy is available for one year term and two years term

Health Check-up benefits

Automatic Restoration of Sum Insured – 200 %

HIV Persons Coverage

Bonus

Pre- Acceptance medical screening

Tax Benefits

Free look period

Page 9: Health insurance presentation

For Individuals5 months - 35 Years

03 Lakhs - Rs. 4494 04 Lakhs - Rs. 5073 05 Lakhs - Rs. 5708 10 Lakhs - Rs. 8388 15 Lakhs - Rs. 10298

36 Years - 45 Years

03 Lakhs - Rs. 5096 04 Lakhs - Rs. 5854 05 Lakhs - Rs. 6596 10 Lakhs - Rs. 8949 15 Lakhs - Rs. 10781

46 Years - 50 Years

03 Lakhs - Rs. 8090 04 Lakhs - Rs. 9775 05 Lakhs - Rs. 12023 10 Lakhs - Rs. 14905 15 Lakhs - Rs. 16528

51 Years - 55 Years

03 Lakhs - Rs. 12489 04 Lakhs - Rs. 13860 05 Lakhs - Rs. 15230 10 Lakhs - Rs. 20084 15 Lakhs - Rs. 24393

56 Years - 60 Years

03 Lakhs - Rs. 14832 04 Lakhs - Rs. 16854 05 Lakhs - Rs. 17837 10 Lakhs - Rs. 24090 15 Lakhs - Rs. 32371

61 Years - 65 Years

03 Lakhs - Rs. 15730 04 Lakhs - Rs. 22023 05 Lakhs - Rs. 26966 10 Lakhs - Rs. 31686 15 Lakhs - Rs. 43107

Page 10: Health insurance presentation

Age of entry – 18 Years to 65 years

Children can be covered from 16th day onwards

policy is on Floater Basis

Recharge Benefits, Donor Expenses

Hospitalisation Cover – minimum 24 hrs in-patient

Ambulance charges

Coverage for New born Baby

Domiciliary hospitalization treatments

Pre-Hospitalization expenses up to 60 days

Post-Hospitalization expenses up to 90 Days

400 + Day-care treatments covered

Pre-Existing Diseases / Illness covered after 48 months

Health Check-up benefits

Automatic Restoration of Sum Insured – 100 %

Bonus , Tax Benefits

Pre- Acceptance medical screening

Free look period

For Family

Page 11: Health insurance presentation

For Family

3 Lakhs Insurance

16 Days -35 years

36 years –45 years

46 years –50 years

51years –55 years

56years –60years

61years –65years

2 Adults 5067 6292 9584 11978 14376 18691

2 Adults + 1 Child 6270 7303 10315 12893 15472 20112

2 Adults + 2 Child 8039 8652 11949 14933 17921 21506

2 Adults + 3 Child 9247 10573 13742 16163 19399 24730

1 Adults + 1 Child 4292 4927 7584 9309 11803 16820

1 Adults + 2 Child 5646 6337 8680 10921 13927 18101

1 Adults + 3 Child 7185 7405 9983 12062 14624 19354

Page 12: Health insurance presentation

For Family4 Lakhs

Insurance16 Days -35 years

36 years –45 years

46 years –50 years

51years –55 years

56years –60years

61years –65years

2 Adults 6163 7393 10596 13747 16399 20657

2 Adults + 1 Child 7567 8646 12039 14961 18950 22438

2 Adults + 2 Child 9303 10287 13646 16787 20141 24174

2 Adults + 3 Child 10702 11826 15697 19011 22854 27798

1 Adults + 1 Child 5545 6287 8770 10860 13646 18410

1 Adults + 2 Child 6809 7781 10461 12685 15506 20197

1 Adults + 3 Child 8376 8708 11393 13551 16450 21298

Page 13: Health insurance presentation

For Family

5 Lakhs Insurance

16 Days -35 years

36 years –45 years

46 years –50 years

51years –55 years

56years –60years

61years –65years

2 Adults 6478 7882 12466 15579 18697 23753

2 Adults + 1 Child 8466 9326 13539 16921 21500 24371

2 Adults + 2 Child 10618 11607 15427 19287 23146 27770

2 Adults + 3 Child 12208 13343 17742 22180 26612 31938

1 Adults + 1 Child 5831 6697 10517 12730 15893 20191

1 Adults + 2 Child 7618 8292 12185 15230 17438 21933

1 Adults + 3 Child 10084 10506 13798 16641 19236 24994

Page 14: Health insurance presentation

For Family

10 Lakhs Insurance

16 Days -35 years

36 years –45 years

46 years –50 years

51years –55 years

56years –60years

61years –65years

2 Adults 8916 10848 17157 21444 25736 30882

2 Adults + 1 Child 11118 12837 18635 23292 27950 33545

2 Adults + 2 Child 14163 15972 21236 26545 31854 38225

2 Adults + 3 Child 16803 18371 24421 30528 36635 43961

1 Adults + 1 Child 8028 9219 14478 17629 21871 27792

1 Adults + 2 Child 10489 11410 16770 20966 24006 30186

1 Adults + 3 Child 13011 14264 20174 23893 27444 34405

Page 15: Health insurance presentation

For Family

15 Lakhs Insurance

16 Days -35 years

36 years –45 years

46 years –50 years

51years –55 years

56years –60years

61years –65years

2 Adults 10567 12854 20332 25410 30495 36596

2 Adults + 1 Child 13174 15214 22084 27601 33124 39747

2 Adults + 2 Child 16781 18927 25169 31461 37747 45298

2 Adults + 3 Child 19298 21764 28944 36174 43410 52096

1 Adults + 1 Child 9511 11567 18298 22725 27444 32933

1 Adults + 2 Child 11854 13691 19870 24843 29809 35775

1 Adults + 3 Child 15107 17034 22652 28315 33972 40770

Page 16: Health insurance presentation

Age of entry – 5 Months to 65 years

policy is on Floater Basis

Hospitalisation Cover – minimum 24 hrs in-patient

Ambulance charges

Pre-Hospitalization expenses up to 60 days

Post-Hospitalization expenses up to 90 Days

101 Day-care treatments covered

Pre-Existing Diseases / Illness covered after 48 months

Delivery and New - Born Cover

Out-Patient Dental, Opthalmic treatment

Hospital Cash

Health Check-up benefits

Automatic Restoration of Sum Insured – 100 %

Pre- Acceptance medical screening

Bonus

Tax Benefits

Free look period

The Unlimited package

Delivery & New Born Baby covered

Page 17: Health insurance presentation

The Unlimited packageDelivery & New Born Baby covered

Rs. 5 Lakhs Insurance

5 months –35 years

36 years -45 years

46 years –50 years

51 years –55 years

56 years –60 years

61 years –65 years

2 Adults 11708 13618 25169 26562 32090 43596

2 Adults + 1 Child 14798 16112 26450 29000 34910 55955

2 Adults + 2 Child 16629 18438 28528 31652 37450 60000

2 Adults + 3 Child 19101 21517 32034 35056 40933 62922

1 Adults + 1 Child 10315 11371 16000 18191 22135 35304

1 Adults + 2 Child 12303 13506 21888 23045 26494 41562

1 Adults + 3 Child 17517 19169 26360 30225 34011 46472

Page 18: Health insurance presentation

Rs. 7.5 Lakhs Insurance

5 Months –35 Years

36 years –45 years

46 years –50 years

51 years –55 years

56 years –60 years

61 years –65 years

2 Adults 14955 18348 31483 33169 40079 52843

2 Adults + 1 Child 18719 20730 32944 36270 43045 66557

2 Adults + 2 Child 20764 22764 35393 39270 46461 72341

2 Adults + 3 Child 23618 25820 38730 43124 51045 74979

1 Adults + 1 Child 12742 13865 19292 23146 30202 42315

1 Adults + 2 Child 14978 16281 26214 27641 33112 49505

1 Adults + 3 Child 21337 23169 32405 37697 42708 55131

The Unlimited packageDelivery & New Born Baby covered

Page 19: Health insurance presentation

The Unlimited package

Rs. 10 Lakhs Insured5 Months –

35 Years36 years –45 years

46 years –50 years

51 years –55 years

56 years –60 years

61 years –65 years

2 Adults 17483 21169 38045 40259 48843 64349

2 Adults + 1 Child 21472 24169 39225 43540 51169 82008

2 Adults + 2 Child 23506 26427 41674 46753 55697 86983

2 Adults + 3 Child 26551 29450 44360 49438 60843 91128

1 Adults + 1 Child 14888 16483 23270 27629 36292 50531

1 Adults + 2 Child 16854 18584 30247 32629 39393 53063

1 Adults + 3 Child 23539 25877 37360 44101 50450 68169

Delivery & New Born Baby covered

Page 20: Health insurance presentation

Age of entry –18years and 65 years of age who is already living with Diabetes MellitusNo exit age Policy is available on Individual & Floater basis Floater refers to family of 2-Self and SpouseCovering any complications of Diabetes from day one. Also provide regular hospitalization cover for all other ailments/injuries.Hospitalization Cover – minimum 24 hrs in-patient

Pre-Hospitalization expenses up to 60 days

Post-Hospitalization expenses up to 60 Days Rs 5000/- per hospitalization400+ Day-care treatments covered

Pre-Existing Diseases / Illness covered after 48 months

Health Check-up benefits

Automatic Restoration of Sum Insured – 100 % for individual

Bonus , Tax Benefits

Free look period

With Medical Checkup

Page 21: Health insurance presentation

With Medical Checkup

Insurance Amount 3 lakh 4 lakh 5 lakh 10 lakh

18 - 30 Years 9292 11618 13365 17376

31 - 35 Years 10011 12517 14399 18719

36 - 40 Years 10972 13719 15781 20517

41 - 45 Years 13023 16281 18725 24343

46 - 50 Years 17287 21612 24860 32320

51 - 55 Years 21815 27270 31365 40775

56 - 60 Years 27141 33927 39017 50725

Page 22: Health insurance presentation

Age of entry –18years and 65 years of age who is already living with Diabetes MellitusNo exit age Policy is available on Individual & Floater basis Floater refers to family of 2-Self and SpouseCovering any complications of Diabetes after 30 days waiting period. Also provide regular hospitalization cover for all other ailments/injuries.Hospitalization Cover – minimum 24 hrs in-patient

Pre-Hospitalization expenses up to 60 days

Post-Hospitalization expenses up to 60 Days Rs 5000/- per hospitalization400+ Day-care treatments covered

Pre-Existing Diseases / Illness covered after 48 months

Health Check-up benefits

Automatic Restoration of Sum Insured – 100 % for individual

Bonus , Tax Benefits

Free look period

Without Medical Checkup

Page 23: Health insurance presentation

Without Medical Checkup

Insurance Amount 3 lakh 4 lakh 5 lakh 10 lakh

18 - 30 Years 11455 14320 16472 21416

31 - 35 Years 12714 15893 18281 23770

36 - 40 Years 14820 18528 21309 27702

41 - 45 Years 17742 22180 25511 33169

46 - 50 Years 21242 26556 30545 39714

51 - 55 Years 27023 33781 38848 50506

56 - 60 Years 33989 42489 48865 63528

Page 24: Health insurance presentation

• Age of entry 10 years to 65 years and who has undergone for the

first time PTCA (Stenting) or CABG (By-pass) within 4 years prior to

the date of policy purchase

• Policy only for individuals

• Hospitalization Cover: Protects the insured for in patient

• hospitalization expenses for a minimum of 24 hrs

• Ambulance charges

• Pre-Hospitalization expenses up to 30 days

• Post-hospitalization paid as lump-sum up to the limit specified.

•1 01 Day-care treatments covered

• Pre-Existing Diseases / Illness : Are covered after 48 months

• Cardiac ailments covered after 90 days of waiting period

• GOLD PLAN covers any cardiac related complications necessitating

surgery / intervention and also cardiac medical management

• SILVER PLAN covers any cardiac related complications

necessitating surgery / intervention only

• Pre- Acceptance medical screening - Mandatory

• Tax Benefits & Free look period

Who Undergone Stenting / Bypass

Page 25: Health insurance presentation

Who Undergone Stenting / Bypass

3 LakhsInsurance Amount

4 LakhsInsurance Amount

Plan/Age Silver Gold Silver Gold

10 Years – 60 Years 20225 29214 24719 33708

60 years –65 Years 21348 31461 28090 38202

Page 26: Health insurance presentation

• Age of entry 60 years to 75

• Policy only for individuals

• Hospitalization Cover: Protects the insured for in patient

• Hospitalization expenses for a minimum of 24 hrs

• Ambulance charges

• Post-hospitalization paid as lump-sum upto the limit specified.

•Specific day-care procedures covered.

•Sub-limits applicable for specified illness.

•Co-Payment : 30% for other than claims for Pre-Existing

Diseases and 50% for Pre-Existing Diseases claims.

•Pre-Existing Diseases / Illness : Are covered after 12months

•There is no pre-acceptance medical screening.

• Tax Benefits & Free look period

For 60 years to 75 Years

With Co - Payment

Page 27: Health insurance presentation

For 60 years to 75 Years

1 Lakh 2 Lakh 3 Lakh 4 Lakh 5 Lakh

5000 9500 14495 17416 20225

With Co - Payment

Page 28: Health insurance presentation

Coverage / Risk Group

Group IAdministrative

Group IIManual Labor

Group IIIExplosive workers

Table I (Accidental Death Only) 51 Per Lakh 67 Per Lakh 90 Per Lakh

Table IIAccidental Death Only / Permanent Disability) 90 Per Lakh 146 Per Lakh 197 Per Lakh

Table IIIAccidental Death Only / Permanent Disability / Temporary total Disability) 140 Per Lakh 197 Per Lakh 225 Per Lakh

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