Birla Sun Life Universal Health Plan
BSLI Universal Health Plan is a comprehensive Health Plan from Birla Sun Life that caters to hospitalization benefits along with fixed surgical benefits as well.
Key Features
- If the Surgery is in the list of Covered Surgeries, then the benefit is paid according to the grade of surgery
- If the Surgery is not in the list of Covered Surgeries, then a fixed benefit of Rs 2000 hospitalization benefit is paid + Rs 1000 ICU charges
Benefits
There in no Death Benefit in this plan.
This plan being a pure Health Insurance Plan has no Maturity Benefit as well.
- Hospitalization Benefit is paid upto Rs 1000 per day of hospitalization + Rs 1000 per day in ICU
- A Fixed Benefit for surgery covered under List of Covered Surgeries is paid till Rs. 1,00, 000 per policy year
- There is a fixed benefit for surgery not covered under List of Covered Surgeries of Rs 2000 per day hospitalized and Rs 1000 per day in ICU
- Out of Pocket Expenses for medical tests, doctor’s consultation fees, ayurvedic and dental treatment, etc. upto the amount of the Annual Premium.
Health Insurance Premiums paid up to Rs. 15,000 for normal residents and Rs 20,000 for Senior Citizen are allowed as a deduction from the taxable income each year under section 80D
How it works
Eligibility
Minimum | Maximum | |
Daily Hospitalization Benefit (in Rs.)
|
1000
|
5000
|
Policy Term (in years)
|
3
|
|
Entry Age of Life Insured/ Spouse/ Parents (in years)
|
18
|
65
|
Age at Maturity of Life Insured/ Spouse/ Parents (in years)
|
-
|
78
|
Entry Age of Child (in years)
|
91 days
|
17
|
Age at Maturity of Child (in years)
|
-
|
23
|
Payment modes
|
Yearly, Half-Yearly. Quarterly and Monthly
|
Exclusions
- Due to a pre-existing illness / condition unless started in the application form and specifically accepted by the company and endorsed thereon
- Not taken from a recognised hospital / registered medical practitioner or not scientifically recognised
- Given by a family member or by oneself
- Conventionally and customarily carried out on an outpatient basis in an OPD /Hospital Casualty / Doctor's clinic or at any place other than a hospital
- Received Outside India
- Due to the life insured:
- suffering from psychiatric/psychosomatic / mental disorders
- suffering from any opportunistic condition associated with HIV / AIDS, AIDS
- Related Complex Syndrome (ARCS) or sexually transmitted diseases performing duties as a serving member of a military, paramilitary or a police force
- performing hazardous sports of any kind or flying other than as a passenger on a scheduled regular carrier
- being under the influence of intoxicating drugs and / or alcohol
- committing any breach of law
- Intentionally injuring oneself, whether arising from an attempt to commit suicide or otherwise
- For any surgery undertaken to correct congenital or hereditary diseases / internal or external physical defects
- For any surgical procedure which is purely cosmetic or experimental in nature
- For any birth control procedures and / or hormone replacement therapy
- For pregnancy and childbirth, abortion and its consequences, tests and treatment relating to infertility and in-vitro fertilization
- For a sex change operation
- For an organ transplant where the life insured is the donor
- For convalescent care, rest care, hospice care, rehabilitation or similar treatment
- For non-allopathic treatment even if administered and/ or recommended by an allopathic medical practitioner
- For circumcision unless necessary for treatment of a disease (not otherwise excluded in the policy) or necessary due to an accident
- Due to terrorism, war, invasion, act of a foreign enemy, war-like operations whether war be declared or not
- Due to exposure to the radioactive, explosive or hazardous nature of nuclear fuel materials, whether directly or indirectly
FAQs
This is a three years renewable policy. Hence if you do not renew the policy, all benefits would lapse. If the lapsed policy is not revived within 90 days of the due date of the first unpaid premium then the policy will be terminated
There are no surrender benefits under this term plan.
Loan facility is not available under this policy.
As mentioned under Exclusions, BSLI Universal Health Plan does not cover Maternity Benefit and hospitalization from the same. It is not even after continuous renewals as in other plans.