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Kotak Arogya Sanjeevani Health Insurance

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Kotak Mahindra Health Insurance
Arogya Sanjeevani Policy
Cashless Approval TAT2 hr Cashless Claim Processing
Claim Settlement Ratio97%
Network Hospitals7,200+
Pre-existing Waiting Period4 year
Special BenefitsNo Capping on Room Rent
Starting Premium for Rs. 5 lakhs SIRs. 489/month

About Kotak Arogya Sanjeevani Health Insurance

Arogya Sanjeevani Policy is Kotak Health Insurance’s indemnity-based health insurance policy. An ideal choice to get hospitalization regarding illness/sickness/disease/accident covered, Arogya Sanjeevani Policy is a standard health insurance plan available on individual and floater sum insured basis. The policy comes with sum insured choices that lie between Rs. 1 Lakh and Rs. 5 Lakh (in the multiples of 50,000). Under Kotak’s Arogya Sanjeevani Policy, one can gain coverage for self, spouse, dependent children, parents, and parents-in-law. Available for a period of 1 year, Arogya Sanjeevani Policy allows the policyholder the flexibility of premium payment. In other words, a Kotak Arogya Sanjeevani Policy policyholder can pay premium in form of Monthly, Quarterly, Half-yearly, and Annual installments.

Kotak Arogya Sanjeevani Policy is renewable for lifetime. The policy provides coverage for inpatient hospitalization, day care treatment, ambulance charges, pre & post hospitalization, AYUSH benefit, a cumulative bonus of 5% of sum insured for every claim-free year up to 50%, portability benefit as well as free look period of 15 days.

Read more: Arogya Sanjeevani Policy

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Key Inclusions and Exclusions of the Plan

What's Included

  • Day care treatment up to sum insured
  • Pre-hospitalization expenses for up to 30 days
  • Post -hospitalization expenses for up to 60 days
  • Ambulance charges maximum Rs. 2,000 per hospitalization
  • Expenses incurred on hospitalisation under AYUSH treatment

What's Not Included

  • Change of gender treatments
  • Expenses related to cosmetic or plastic surgery
  • Expenses incurred on surgical treatment of obesity
  • Admission primarily for investigation and evaluation purpose
  • Expenses on treatment due to hazardous or adventure sports

Claim Process at Kotak Mahindra 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 Arogya Sanjeevani Policy Health Insurance Plan

  • Kotak Arogya Sanjeevani Policy covers dependent children up to what age?

    Dependent children whether natural or legally adopted between 3 months up to 25 years are covered under the plan. In case, the child is 18 years and financially independent, he or she is excluded from the cover.

  • What is the policy term under Kotak Arogya Sanjeevani Policy?

    The policy period for Kotak Arogya Sanjeevani Policy is 1 year.

  • Does the Kotak Arogya Sanjeevani Policy come with a co-payment feature?

    Yes! Kotak Arogya Sanjeevani Policy has a fixed copayment clause for 5% that is applicable for all claims and ages.

  • Does Arogya Sanjeevani Policy by Kotak Health Insurance cover modern treatments?

    Yes! The policy provides cover for modern treatment methods and advancements in technology, up to 50% of the sum insured amount. 

  • Is cataract surgery covered under Kotak Arogya Sanjeevani Policy?

    Yes, cataract surgery is covered under the plan, however, the sub-limit for cataract surgery is 25% sum insured or Rs.40,000, whichever is lower per eye, in case of one policy year.

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