Senior citizens above 60 years need not have to be anxious about health care and financial assistance to pay medical bills. This insurance covers anyone above 60 years and permits entry upto the age of 75 with continuing cover after that.
Two additional Sum Insured Options namely Rs.7.5 lacs and Rs.10 lacs introduced
Cataract limits revised
On - line purchases – 5% discount on premium
Outpatient consultation in network hospitals
Any person between 60 and 75 years of age at the time of entry can take this insurance policy. The sum insured under this insurance is per individual member covered.
Co - Payment:
50% of each and every claim relating to pre-existing diseases and 30% of each and every claim for all other claims
Pre-Existing Diseases / Illness :
Covered after 12 months of continuous coverage.
Pre- Acceptance medical screening:
There is no pre-acceptance medical screening.
Amount paid by any mode other than by cash for this insurance is eligible for relief under Section 80D of the Income Tax Act.
Free Look Period:
A free look period of 15 days from the date of receipt of the policy is available for reviewing the policy terms and conditions. In case insured is not satisfied he can seek cancellation of the policy and in such event the Company will allow refund of premium after adjusting the cost of pre-acceptance of medical screening , stamp duty charges and proportionate risk premium for the period concerned provided no claim has been made until such cancellation. Free look cancellation is not applicable at the time of renewal.
No third Party Administrator, direct in-house claim settlement.
Faster & hassle-free claim settlement.
Cashless hospitalization wherever possible.
Network of more than 8200+ hospitals across India.
Facility for maintaining personal health records in electronic format.
Treatments currently availed or availed during the previous 12 months from the date of the proposal.
All expenses incurred for the treatment of any disease/illness/sickness contracted by the insured person during the first 30 days from the commencement date of the policy.
First-Year Exclusions: Hernia, Piles, Hydrocele, congenital Internal disease/defect, Sinusitis, Gallstones/Reneal Stone removal and Benign Prostate Hypertrophy.
First Two-Year Exclusions: Hysterectomy, Cataract, Joint/Knee Replacement surgery (other than caused by an accident), Prolapsed Intervertebral Discs, Varicose Veins and Varicose Ulcers.
Expenses which are purely diagnostic in nature with no positive existence of any disease.
Expenses which are mainly cosmetic in nature.
50% co-payment applicable for pre-existing diseases/conditions.