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Bharti AXA SmartHealth Critical Illness

Bharti Axa SmartHealth Critical Illness insurance plan pays for hospitalisation expenses, covers 20 critical illnesses, pre and post hospitalisation expenses, hospital cash, child education and variety of other expenses.   

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Covers hospitalisation expenses
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Domiciliary hospitalisation
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Covers day care treatment
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Key Features

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Covers hospitalisation expenses
Provides for domiciliary hospitalisation
Covers day care treatment
Also provides for pre and post hospitalisation expenses
Covers pre existing diseases after 4 continuous policy renewals
Policy covers 20 Critical Illness mentioned below
    1. First heart attack
    2. Cancer
    3. Stroke
    4. Kidney failure
    5. Coma
    6. Major burns
    7. Bacterial meningitis
    8. Terminal illness
    9. End stage liver failure
    10. Organ / bone marrow transplant
    11. Multiple sclerosis
    12. Aplastic anaemia
    13. Fulminant hepatitis
    14. End-stage lung disease
    15. Heart valve surgery
    16. Coronary artery disease
    17. Coronary artery bypass surgery
    18. Surgery to aorta
    19. Motor neuron disease
    20. Primary pulmonary hypertension
For section 1

Hospitalisation expenses, pre and post hospitalisation expenses, organ transplant, hospital cash allowance, home nursing, ambulance charges, in-patient physiotherapy, recovery grant, dread disease recuperation, expenses of accompanying person, children education fund, mortal remains.

Family floater policy will cover
  • An individual and/or his spouse
  • 2 dependent children

Benefits

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Renewal discount of 5% of the renewal premium for every claim-free year
Provides for Cost of health check-up for every block of four claim-free years
Schedule of Benefits in Detail
  1. A) Payment / Reimbursement of hospitalisation expenses for treatment of critical illnesses (up to the limit of SI Section opted) once diagnosed
  SI (in Rs.) SI (in Rs.) SI (in Rs.)
Particulars 200000 300000 500000
Hospitalisation expenses indemnity basis 100% of SI 100% of SI 100% of SI
Pre-Hospitalisation 100% of SI 100% of SI 100% of SI
Pre-Hospitalisation 100% of SI 100% of SI 100% of SI
Dread disease recuperation Rs 500 per day for a max of 45 days Rs 500 per day for a max of 45 days Rs 500 per day for a max of 45 days
Organ transplant 15% off on SI over and above the original SI; 15% off on SI over and above the original SI; 15% off on SI over and above the original SI

 

Additional benefits

  SI (in Rs.) SI (in Rs.) SI (in Rs.)
Particulars 200000 300000 500000
Hospital cash allowance Rs. 750 per day for 30 days after the first 3 days Rs. 1000 per day for 30 days after the first 3 days Rs.1000 per day for 30 days after the first 3 days
Home nursing Rs. 350 per day for 10 days after the first 3 days Rs. 500 per day for 10 days after the first 3 days Rs. 500 per day for 10 days after the first 3 days
Ambulance charges Rs. 2500 Rs. 2500 Rs. 2500
Inpatient physiotherapy 2% of SI 2% of SI 2% of SI
Recovery grant Rs. 12500 Rs. 12500 Rs. 12500
Expenses of accompanying person Rs 250 for 10days after first three days Rs 250 for 10days after first three days Rs 250 for 10days after first three days
Children education benefit Rs. 5000 Rs. 5000 Rs. 5000
Carriage of mortal remains Rs. 1000 Rs. 2000 Rs.2000
  1. B) Payment of compensation, equivalent to the limit of SI opted, on diagnosis of critical illnesses and on survival for more than 30 days
  SI (in Rs.) SI (in Rs.) SI (in Rs.)
Particulars 200000 300000 500000
Payment of compensation 100% of SI 100% of SI 100% of SI

Variants

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There are 2 variants available in Bharti AXA SmartHealth Critical Illness Insurance Policy. They are -

  • Payment for treatment of critical illnesses, once diagnosed
  • Payment for treatment post survival for more than 30 days after diagnosis

Eligibility

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  Minimum Maximum
Coverage Amount (in Rs.) 1,000 per day 3,000 per day
Policy Term (in years) 1 1
Entry Age 3 months 55 years
Renewable till Age - 65 years

Exclusions

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  • Pre-existing diseases and conditions for first 4 yrs
  • AIDS, HIV and related diseases
  • Treatment following use of alcohol or drugs
  • Naturopathy or unani, aesthetic, cosmetic, plastic surgery treatments
  • Psychiatric and mental or stress disorders
  • Diseases existing at birth (congenital)
  • Unrecognized or experimental treatments