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Care Health Care Insurance Plan

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Care Health Insurance
Care
Claim Settlement Ratio95.47%
COVID-19 CoverYes
In-House Claim Settlement100%
Network Hospitals8,250+
Policies Sold6,91,739
RenewabilityLifelong

About Care Care Health Insurance

Care Health Insurance Policy is an indemnity-based policy that covers you and your family against major healthcare expenses. The new age comprehensive health insurance policy is available in wide sum insured options ranging between Rs. 3 Lakh and Rs. 75 Lakh to cover all your healthcare expenses. This medical insurance policy is available in different variants, varying in coverage benefits. The minimum entry age under the policy is 5 years (on individual basis, and 91 days on a floater basis when at least 1 insured person is aged at least 18 years). Under the floater plan, you can cover any member of your immediate family including self, spouse, parents, children, etc. The policy can be purchased for 1 year, 2 years, or 3 years.

The policy comes with an initial waiting period of 30 days for any illness except for any injury, and a waiting period of 4 years for pre-existing diseases. The good news is that you have an option to change your sum insured upon renewal. Some coverage benefits under the policy include maternity cover, pre-hospitalisation and post-hospitalisation expenses, in-patient hospitalisation expenses, ambulance cover, etc.

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  • You

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Disclaimer : Actual Premium might vary basis your location, age and number of members
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Key Inclusions and Exclusions of the Plan

What's Included

  • In-patient hospitalisation expenses
  • Ambulance expenses
  • Domiciliary hospitalisation expenses
  • Organ donor cover
  • Alternative treatments like Ayurveda, Unani, Sidha and Homeopathy

What's Not Included

  • Substance abuse, self inflicted injuries
  • Any hospital admission primarily for the purpose of investigation, or diagnosis
  • Refractive error correction
  • War terrorism, civil war or breach of law
  • Infertility, sex change, circumcision, plastic surgery, cosmetic surgery, etc.

6003 Care Cashless Network Hospitals in India

Add-ons to Enhance Benefits

  • Co-payment waiver

    In case the eldest member of the family is aged at least 61 years, then this add-on cover will help you get rid of the 20% co-payment worry. The insurance company will pay for the medical expenses arising due to hospitalisation, in accordance to the policy terms and conditions.
  • Daily allowance

    Apart from the doctor’s services, there are numerous other non-medical expenses that are bound to incur at the time of hospitalisation. For instance, transportation, attendant’s expenses, etc. For these expenses, the add-on benefit of daily allowance works the best. A lump sum amount is paid under this add-on, for all such expenses.
  • Everyday care

    Under this add-on benefit, you will be covered for up to 2% of the sum insured for doctor consultation and diagnostic tests.
  • Global coverage

    Under this add-on cover, you will be covered for treatment taken outside India as well, that too on a cashless basis, if the treatment is taken in a network hospital.
  • International second opinion

    This add-on benefit covers expenses for consultation from international medical experts. This may be of great help before you go ahead with the treatment recommended.
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Claim Process at Care Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 48 hours prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 48 hours prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

FAQs on Care Health Insurance Plan

  • What are the sum insured options available under Care Health Insurance policy?

    Care Health insurance Policy comes with the sum insured options of Rs. 3  lakh, Rs. 4 lakh, Rs. 5 lakh, Rs. 7 lakh, Rs. 10 lakh, Rs. 15 lakh, Rs. 20 lakh, Rs. 25 lakh, Rs. 30 lakh, Rs. 40 lakh, Rs. 50 lakh, Rs. 60 lakh, and Rs. 75 lakh.

  • What are the coverage benefits under Care Health Insurance policy?

    Following are the benefits available with Care Health Insurance policy: 

    • Lifelong renewability benefit
    • Wide range of sum insured options of up to Rs. 75 lakh
    • In-built maternity cover
    • Cover for non-allopathic treatments  
    • Cover for more than 540 daycare treatments
    • Option to avail personal accident cover
    • No upper limit entry age  
    • Automatic recharge of sum insured amount 
  • Which are the add-on benefits available under Care Health Insurance policy?

    Following are the add-on covers available under Care Health Insurance policy:

    • Co-payment waiver
    • Daily allowance
    • Everyday care
    • Global coverage
    • International second opinion
    • Covid care
    • No Claim Bonus Super
    • Careshield
    • Reduction in PED waiting period
    • OPD care Unlimited automatic recharge
    • Air ambulance cover 
  • Will I be covered for maternity expenses under Care Health Insurance policy?

    Yes. This policy covers you for maternity expenses for Rs. 1 lakh with sum insured options of Rs. 50 lakh, Rs. 60 lakh, and Rs. 75 lakh. 

  • Will I be covered for organ donor expenses under Care Health Insurance policy?

    Yes. Care Health Insurance policy covers you for organ donor expenses for up to Rs. 50,000, 1 lakh, Rs. 2 lakh, and Rs. 2 lakh and Rs. 3 lakh for different variants.  

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