Religare Care Health Insurance Plan
Religare Care is a comprehensive health insurance plan that pays for medical expenses incurred by the policyholder due to any injury, illness or accident. The plan covers expenses incurred during hospitalisation, prior and post hospitalisation, day-care treatments (that do not require hospitalisation), health check-up and much more.
Key Features
No upper-limit for entry age.
No premium increase due to any claim made
Get annual health check-up for all insured members - regardless of claims history
Feature to reduce PED wait period
Get automatic policy recharge if claim amount exhausts your coverage, at no extra cost
Avail treatment anywhere in the world
Daily allowance to meet incidental expenses
Ease of cashless treatment & settlement of claims directly by the company
Policy Term options of 1, 2 or 3 years and 7.5% Discount on 2 year policy terms and more
Tax benefit on premiums paid under Section 80D of the Income Tax Act, 1961
Free look period of 15 days from the receipt of policy documents
Extra premium of up to 50% may be levied on the premium payable based on individual underwriting
10% increase in Sum Insured after every claim-free year up to a max of 50% increase
Hospitalisation expenses such as room rent, nursing expenses, ICU charges, surgeon’s fees, doctor’s fees, anaesthesia, blood, oxygen, operation theater charges, etc.
Medical expenses incurred if hospitalisation is less than 24 hours,
Medical expenses incurred 30 days immediately before hospitalisation will be covered. Expenses incurred up to 60 days after being discharged from the hospital such as follow-up visits to medical practitioner, medication, etc will be covered.
Charges of Ambulance provided by the hospital or any service provider will be reimbursed
Medical expenses incurred by an organ donor while undergoing the organ transplant surgery if the organ is for the use of the insured person.
If the insured is suffering from a major illness as stated in the policy and wants to take a second opinion from any other doctor then Religare arranges the same free of cost. This 2nd opinion is available to each of the members covered every year for each illness.
Medical expenses incurred by the insurer for treatment at home will be reimbursed. The medical treatment should be for a period exceeding 3 consecutive days and should merit hospitalisation.
The policy pays for annual health check-up of the insured and those family members who are not covered as policyholder’s child under the policy.
If the Sum Assured in the policy is exhausted due to claims made, then the company reinstates the entire sum assured once in the policy year. This reinstated amount can be used for future claims, not related to the illness / injury for which the claim has already been made during the same year.
Variants
| Features/Sum Insured | 3, 4 Lacs | 5, 7, 10 Lacs |
15, 20, 25, 30, 40 Lacs |
50, 60, 75 Lacs |
| Pre-hospitalisation | 30 days | 30 days | 30 days | 30 days |
| Post-hospitalisation | 60 days | 60 days | 60 days | 60 days |
| Day Care Treatments | Yes | Yes | Yes | Yes |
| Room Rent | 1% of SI per day | Single Private | Single Private | Single Private |
| ICU Charges | 2% of SI per day | No Limit | No Limit | No Limit |
| Doctor's Fee etc | No Limit | No Limit | No Limit | No Limit |
| Other Medical Charges | No Limit | No Limit | No Limit | No Limit |
| Daily Allowance | 500/day up to 5 days | - | - | - |
| Ambulance Cover |
1,500/ hospitalization |
2,000/ hospitalization |
2,500/ hospitaliza.. |
2,500/ hospitalization |
| Domiciliary hospitalisation | Up to 10% of SI | Up to 10% of SI | Up to 10% of SI | Up to 10% of SI |
| Organ Donor Cover | 50,000 | 1,00,000 | 2,00,000 | 3,00,000 |
| Annual Health Check-up | Yes | Yes | Yes | Yes |
| Second Opinion | Yes | Yes | Yes | Yes |
| No Claim Bonus | Yes | Yes | Yes | Yes |
| Auto-Recharge of Sum Insured | Yes | Yes | Yes | Yes |
| Care Anywhere | - | - | - | Yes |
| Alternative Treatments | Upto Rs.15,000 | Upto Rs.20,000 | Upto Rs.20,000 | Upto Rs.30,000 |
| Maternity Cover | - | - | - | Upto Rs.100,000 |
Tax Benefit
Tax benefits as a deduction from the taxable income each year under section 80D of the Income Tax under the existing tax laws of the Income Tax, 1961, on premiums paid up to Rs. 25,000 in case of individuals and Rs 30,000 for senior citizens
Eligibility
|
|
Minimum |
Maximum |
|
Sum Assured (in Rs) |
2,00,000 |
60,00,000 |
|
Policy Term (in years) |
1 |
3 |
|
Entry age |
91 days |
No age bar |
|
Renewal age |
- |
Lifelong Renewability |
|
Co-payment (SI 5 Lac & above) |
20% of the claim amount If you are 61 years old or more |
|
|
Waiting period |
30 days for any illness except injury |
|
|
Waiting period for pre-existing illnesses |
4 years of continuous coverage |
|
|
Grace period |
30 days from the date of expiry to renew the policy |
|
Exclusions
The standard policy exclusions are -
- Any pre-existing ailment/injury that was diagnosed/received within 48 months prior to issuance of the first policy
- Any diseases contracted during first 30 days of the policy start date except those arising out of accidents
- Expenses attributable to self-inflicted injury (resulting from suicide, attempted suicide)
- Expenses arising out of or attributable to alcohol or drug use/misuse/abuse
- Cost of spectacles/contact lenses, dental treatment
- Medical expenses incurred for treatment of AIDS
- Treatment arising from or traceable to pregnancy and childbirth, miscarriage, abortion and its consequences
- Congenital disease
- Tests and treatment relating to infertility and in vitro fertilization
- Some treatments such as non-infective arthritis, joint replacement etc., which are covered only after completion of 2 consecutive policy years
FAQs
What is the difference between a family floater and critical illness or hospital cash insurance?The individual or family floater health insurance works on the principle of indemnity. This means that these insurance policies will pay you only what you have spent for medical treatment in hospital. On the other hand, the critical illness or the hospital cash insurance pays you the amount insured, irrespective of the amount spent for medical treatment. These are a benefit based policies.
Do I need to undergo a medical check-up while buying a health insurance policy?You may be required to undergo a medical check-up after you buy, in case any member to be insured is above 45 age or for sum insured 15 Lakhs or above.
What is beneficial for me - floater insurance or an individual insurance?Buying an individual cover or a floater cover is an individual’s perception. However, as a general rule, at younger ages floater cover is advisable. As you grow older, you should go for an individual cover.
What is Co-payment?Co-pay is that part of your claim amount, which you have to bear. Co-pay can be in % terms or an absolute amount. For example, in case of co-pay of 20% and claim of Rs. 10,000, insurance company will pay Rs. 8,000 (80% of 10K) and you will bear 20% (Rs. 2,000). In Religare Health Insurance policy there is No Co-payment ever, in policy Sum Insured 2/3/4 Lacs. For Sum Insured > 4, there will be no co-payment ever, if insured with Religare before age of 61.
What are the documents required for portability?You can apply for CARE under portability with following documents:
- CARE proposal form
- Portability form
- Copy of expiring health insurance policy
- Copy of renewal notice
