LIC Jeevan Arogya

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LIC Jeevan Arogya Plan

 

LIC Jeevan Arogya is a non-linked Health Insurance Policy which helps individuals to cope up with the rising medical costs. In this plan you can cover yourself, spouse, children, parents as well as mother-in-law and father-in-law. It is a comprehensive health insurance policy for the entire family.

 

 

Key Features of LIC Jeevan Arogya

 

§         One health insurance policy that covers self, spouse, children, parents and parents-in-law

§         Covers hospitalisation, surgery and much more

§         Provides benefit payout irrespective of actual medical cost incurred

§         Can be availed along with existing mediclaim policy for the same hospitalisation / surgery

§         Cover can be extended to new members of the family in case of marriage and childbirth

§         Quick Cash Facility is available on hospitalisation instead of waiting to make a claim for the benefit after discharge

§       Under Quick Cash, 50% advance payment is given by LIC (under 57 surgeries performed in network hospitals)

§         Payout made on the basis of photocopy of bills

§         No Claim Benefit is 5% of initial Hospitalisation Cash Benefit (HCB)

 
 

What is covered in LIC Jeevan Arogya?

 

§         Hospitalisation Cash Benefit (HCB)

§         Major Surgical Benefit (MCB) is 100 times the HCB / Accidental Death Benefit (ADB)

§         Day Care Procedure Benefit paid as lump sum

§         Other Surgical Benefits (where all other surgeries are covered) is 2 times HCB / ADB

§         Ambulance charges up to Rs 1000 per insured per year, for major surgeries under category 1 or 2

§         Premium Waiver Benefit

§         Auto increase @ 5% in both HCB and MCB up to 50% even if there is any claim

 

Hospitalisation Cash Benefit in detail:

- Choose from Rs 1000 to Rs 4000 per day

- Up to Rs 4000 per day for maximum 720 days

- Up to Rs 8000 per day for maximum 360 days in ICU

 

Daycare procedures (which do not require 24 hr hospitalisation) in detail:

- 5 times Hospitalisation Cash Benefit (HCB) / Accidental Death Benefit (ADB)

- 140 surgeries

- 3 daycare procedures covered in a year, and  24 procedures covered in a lifetime

 

Waiting period for availing benefits in LIC Jeevan Arogya

- Accidental claims - 0 days

- HCB and MSB - 90 days from policy start date

 

Compare Health Plans
 

Additional Benefits of LIC Jeevan Arogya

 

§         Term Rider and Accidental Benefit rider available as an option

§         Increasing health cover every year as a No Claim Benefit

 

 

Eligibility conditions and other restrictions in LIC Jeevan Arogya

 

 

 

Minimum

Maximum

Daily Hospitalisation Benefit (in Rs.)

 

1000/day excl ICU

4000/day excl ICU

Major Surgical Benefit (in Rs.)

1,00,000

4,00,000

Entry Age of Self/Spouse (in years)

18

65

Entry Age of Children (in years)

91 days

17

Entry Age of Parents (in years)

18 years

75

Age at Maturity (in years)

-

80

Payment modes

Yearly, Half-yearly, Quarterly or Monthly (ECS mode only)

 

 

Sample illustration of premium amount in LIC Jeevan Arogya

 

The below illustration is for an individual opting for a Daily Hospitalisation Benefit of Rs 1,000 per day:

 

LIC Jeevan Arogya Sample Illustration

 

Tax Benefits

 

This plan offers tax benefits for the premiums as a deduction from the taxable income under section 80D of the Income Tax Act.

 

 

Exclusions - What is not covered in LIC Jeevan Arogya Policy?

 

§         Pre-existing conditions (unless disclosed and accepted by LIC)

§         Routine check-ups and Non-allopathic treatments

§         Epidemic diseases or conditions (classified by Central or State Government)

§         Cosmetic or beauty treatments, circumcision, dental treatments

§         Plastic surgery (unless necessary for treatment of illness or due to an accident and performed within 6 months of the event occurrence)

§         Any treatment arising from insured person’s failure  to act on proper medical advice

§         Self-inflicted injuries or attempted suicide

§         Abuse of drugs, alcohol or intoxicants

§         Conditions existing at birth (congenital conditions)

§         Rest cure, general weakness, nervous breakdown or related conditions, infertility or sterilisation

§         Sexually transmitted diseases like HIV / AIDS

§         Pregnancy or child-birth related conditions

§         Any act of war, invasion of foreign enemy, naval or military operations etc

§         Radioactive contamination

§         Criminal or illegal acts

§         Natural catastrophe like earthquake, floods etc

§         Participation in dangerous sports like racing, scuba diving, bungee jumping

 

 Compare this plan with other health insurance plans. Click here.

 

Alternate health plans from different insurance companies

 

Aegon Religare Health Plan

Birla Sun Life Universal Health Plan

ICICI Pru Health Saver

 

 

Other health insurance plans from Life Insurance Corporation of India (LIC)

 

LIC Health Protection Plus

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