Kotak Health Premier Health Insurance
Cashless Approval TAT | 2 hr Cashless Claim Processing |
Claim Settlement Ratio | 97% |
Network Hospitals | 7,200+ |
Pre-existing Waiting Period | 4 year |
Special Benefits | No Capping on Room Rent |
Starting Premium for Rs. 5 lakhs SI | Rs. 489/month |
About Kotak Health Premier Health Insurance
When it comes to ensuring the health of your loved ones, owning a health insurance policy is the best measure these days. Hence, one should opt for a plan offered by a renowned and trusted insurer. Kotak Health Premier is a plan offered by Kotak Mahindra that allows its users to undergo medical procedures and treatments without experiencing any financial crisis. Read on to understand all about the Kotak Health Premier Health Insurance Plan.
The Kotak Health Premier Health Insurance Plan is one of the top-selling health insurance plans in India. The policy can be purchased on an individual as well as on a family floater basis with a lifetime renewability option. Moreover, the coverage of the Kotak Health Premier plan includes in-patient treatment, daycare treatment, ambulance cover, restoration benefit, maternity benefit, cumulative bonus, and so on.
Kotak Health Premier Health Insurance At a Glance
Coverage |
Individual and Family Floater |
Variants |
Standard, Advantage, Edge, Elite and Absolute |
Riders |
Home Nursing Benefit, Hospital Daily Cash, etc. |
Policy Period |
1, 2 and 3 Years |
Key Features |
Co-pay, Free Health Check-up, and more |
Inclusion |
In-patient treatment, Day Care Treatment, etc. |
Exclusion |
Cosmetic Surgery, Lasik Eye treatment, etc. |
Riders Available With Kotak Health Premier Health Insurance
The insurance policy offers various additional benefits, some automatically included and others optional at an extra cost, depending on the chosen plan.
- Hospital Daily Cash: Pays a daily cash amount if hospitalisation lasts for at least 3 consecutive days.
- Convalescence Benefit: Provides a lump sum amount if hospitalisation extends for a minimum of 10 consecutive days.
- Home Nursing Benefit: Covers the cost of a qualified nurse at the insured person's home after discharge from the hospital.
- Daily Cash for Accompanying an Insured Child: Pays a daily cash amount if hospitalisation of an insured child lasts for at least 3 consecutive days.
- Compassionate Visit: Covers the cost of the return journey of the insured’s immediate relative from their place of residence to the hospital.
- Air Ambulance Cover: Covers expenses for ambulance transportation in an airplane or helicopter for emergency life-threatening situations.
- Maternity Covers (available under select plans only): It’s a bundled set of three covers:
- Maternity Benefit: Covers medical expenses for childbirth or lawful termination of pregnancy, available for 2 deliveries across all policy years. Pre and post-natal expenses are covered.
- New Born Baby Cover: Covers medical expenses for the insured's newborn baby.
- Vaccination Expenses: Covers vaccination expenses for the newborn until the baby completes 2 years of age.
Variants of Kotak Health Premier Health Insurance Policy
Following are the different variants of Kotak Health Premier Health Insurance policy:
Features |
Standard |
Advantage |
Edge |
Elite |
Absolute |
Sum Insured |
Rs. 2 Lakhs |
Rs. 3, 4, 5, 7.5 and 10 Lakhs |
Rs. 5, 7.5, 10, 15 and 20 Lakhs |
Rs. 10, 15, 20 and 25 Lakhs |
Rs. 25 Lakhs, 50 Lakhs, 75 Lakhs, 1 Crore and 2 Crores |
No Claim Bonus |
Available Up to 100% of Sum Insured |
Available Up to 100% of Sum Insured |
Available Up to 100% of Sum Insured |
Available Up to 100% of Sum Insured |
Available Up to 100% of Sum Insured |
Room Rent |
Covered Up to Sum Insured |
Covered Up to Sum Insured |
Covered Up to Sum Insured |
Covered Up to Sum Insured |
Covered Up to Sum Insured |
Daycare Treatment |
Covered |
Covered |
Covered |
Covered |
Covered |
Domiciliary Hospitalisation |
Covered Up to Sum Insured |
Covered Up to Sum Insured |
Covered Up to Sum Insured |
Covered Up to Sum Insured |
Covered Up to Sum Insured |
Benefits of Buying the Kotak Health Premier Health Insurance Plan
Some of the benefits of buying the Kotak Health Premier Health Insurance Plan are as follows:
- In-patient Treatment: With the Kotak Health Premier Health Insurance Plan, you can get coverage for in-patient medical expenses like ICU charges, room rent charges, doctor’s consultation fees, and others.
- Pre and Post-hospitalisation Expenses: The Kotak Health Premier Health Insurance Plan also provides coverage for pre and post-hospitalisation expenses up to a specific number of days prior to and post-hospitalisation.
- Restoration Benefits: The restoration benefit provides a 100% restoration of the sum assured once in a policy year, provided that the base sum assured seems insufficient due to claim history.
- Free Annual Health Check-up: The Kotak Health Premier Health Insurance Plan also provides a free annual check-up for policyholders above the age of 18 years. This benefit is provided irrespective of claims being raised in a given year.
- Second E-opinion Cover: In case you are dissatisfied with the medical opinion, you can also get a chance to go for a second opinion with the Kotak Health Premier Health Insurance Plan.
- Alternative Treatment Cover: The plan also provides coverage for alternative treatments like Ayurveda, Homeopathy, and others.
- Home Nursing Benefit: In case there is a qualified nurse taking care of you at your home, then the relevant expenses are covered with the Kotak Health Premier Health Insurance Plan.
- Convalescence Benefit: This provides a lump-sum amount if the hospitalisation exceeds a minimum of 10 days consecutively.
Eligibility Criteria of Kotak Health Premier Health Insurance Plan
Listed below are the eligibility criteria for buying the Kotak Health Premier Health Insurance Plan:
Parametres |
Eligibility Criteria |
Minimum Entry Age |
Child: 91 days |
Adult: 18 years |
|
Maximum Entry Age |
Child: 25 years |
Adult: 65 years |
|
Renewability |
Lifelong |
Policy Period |
1, 2, or 3 years |
Inclusions and Exclusions of Kotak Health Premier Health Insurance Plan
While buying the Kotak Health Premier Health Insurance Plan, you must always check its inclusions and exclusions. Listed below are the inclusions and exclusions of Kotak Health Premier Health Insurance Plan:
Inclusions:
- In-patient treatment
- Day care treatment
- Pre and post-hospitalisation expenses
- Restoration benefits
- Hospital daily cash
- Air ambulance cover
- Home nursing cover
Exclusions:
- Pre-existing diseases waiting period exclusion
- Any damage due to involvement in adventurous activities
- Any kind of self-inflicted injuries
- Lasik eye treatment
- Any damage due to nuclear radiation
- Cosmetic surgery
Documents Needed for Kotak Health Premier Health Insurance
You need to submit the following documents to buy Kotak Health Premier Health Insurance:
- An accurately filled Application Form.
- Proof of identity, such as Aadhar card, Passport, Voter ID, or Driver's license
- Proof of address that involves Utility Bills, Rental Agreement, or Aadhar Card
- Proof of your age, like Birth Certificate, School Leaving Certificate, or Passport
- Passport-sized Photographs
- Pre-policy health check-up reports (only in specific situations)
- Any other documents requested by the insurance company.
How to Buy Kotak Health Premier Health Insurance Plan
To buy the Kotak Health Premier Health Insurance Plan, here is all that you need to do:
- Visit the official website of Kotak Mahindra
- Go to the health insurance tab and enter details like age, name, medical conditions, and other
- You will be directed to the quotes page, select Kotak Premier plan
- Upload the documents and finally pay out the premium applicable for Kotak Health Premier Health Insurance Plan
- Once the premium is approved, you will receive the policy details on your registered email id
Claim Process of Kotak Health Premier Health Insurance Plan
Listed below are the steps you need to follow to raise claims for your Kotak Health Premier plan:
- First, inform Kotak Mahindra about the incident. In case of planned hospitalisation, you need to inform 48 hours prior to hospitalistaion and for unplanned, you need to inform 24 hours after hospitalisation
- Fill out the claim form and submit documents like policy papers, identity proof, and other
- Once the claim request is approved, the initial treatment can get started in case of cashless hospitalisation. On the other hand, for reimbursement hospitalisation, you need to pay for the expenses which will be later reimbursed by the insurance company
- Finally, submit all the hospital bills. Upon verification, Kotak Mahindra will approve or reject your claim request
Health Insurance Calculator
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Key Inclusions and Exclusions of the Plan
What's Included
- Availability of ambulance cover
- The option of inpatient hospitalisation
- Pre and post hospitalisation coverage
- Coverage for 405 daycare procedures
- 100% restoration of the Sum Insured
What's Not Included
- Expenses on aesthetic or cosmetic surgeries
- Illness or injury due to intoxicating substances
- Pre-existing disease before waiting period
- Coverage for injuries suffered by self-inflicted acts
- The cost incurred on mental illness treatment
Choose Kotak General Plan for
Add-ons to Enhance Benefits
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Personal Accident Cover
This is an additional cover that offers lump sum benefit to the insured individual in the event of death due to an accidental or permanent or total disablement. The coverage is provided over and above the base sum insured by paying a little extra premium.
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Cap on Room Rent
As per this optional cover, the policyholder by paying a little additional amount of premium can opt for capping on room rent and can become entitled to a discount on the base premium. Claims are meant to be paid at a rateable proportion that is based on the actual cost of the room and the eligible room rent.
Kotak Health Premier Expert Review
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Major Attractions
Choosing Kotak Health Premier will be a fruitful decision for you as this policy has an abundance to offer. When it comes to expenses covered, the list comprises of in-patient treatment, pre hospitalisation, post hospitalisation, emergency ambulance expenses, organ donor expenses, air ambulance cover, domiciliary hospitalisation, convalescence benefit, home nursing benefit, compassionate visit, and daily cash for accompanying an insured child. The other key elements of coverage include -
- Specified/listed 405 daycare procedures requiring less than 24 hours of hospitalisation
- 100% restoration of the base sum insured once in a policy year
- Cumulative bonus up to 50%/100% of the sum insured as per plan opted in case of a claim free year at 10% per year
- One free health check-up for each insured person above 18 years of age
- Second E-opinion on medical condition occurring during policy period (multiple times)
- Alternative treatment expenses
- Hospital daily cash (from day one in case the hospitalisation extends for at least 3 consecutive days)
- Maternity benefit, newborn baby cover, and vaccination expenses (all covers need to be taken together) - Available under certain plans only
- Optional cover - Critical illness cover, personal accident cover, cap on room rent
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What’s More?
Kotak Health Premier has lots to offer. Rich in benefits and features, which help insured individuals and families handle their finances in emergency situations, Kotak Health Premier also provides-
- Guaranteed renewal for life
- 30 days grace period for renewal
- Health & Rewards (Basis plan opted)
- Tax benefit up to Rs. 25,000 for people below 60 years & Rs. 30,000 for senior citizens
- Long term discount - 2.5% on 2 year policy and 5% on 3 year policy
- Family discount - 2.5% for two eligible members and 5% for more than two people
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Conclusion
Kotak Health Premier meets the expectations of many. Overall, it can be considered the ultimate savior one can rely on to get their medical requirements fulfilled without having to spend their savings.
If you plan to invest in Kotak Health Premier, doing so on an online platform will be beneficial as you will get the policy issued soon. Additionally, purchasing the policy from InsuranceDekho will help you with policy portability, claim settlement support, policy transparency, and multiple benefits, which may be hard to find elsewhere.
Claim Process at Kotak Mahindra Health Insurance
FAQs on Kotak Health Premier Health Insurance Plan
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What relationships can be covered under the Kotak Health Premier Plan?
The Kotak Health Premier Plan offers coverage to different relations such as Self, Spouse, Natural or Adopted Dependent Children, Dependent Parents, Parent in Laws, and Siblings.
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Does the health insurance plan provide any discount to its customers?
Yes, the plan offers a discount of 2.5% and 5% on the purchase of 2 and 3-year policy respectively. In addition to this, a family discount of 2.5% is offered on buying the policy with 2 eligible members only, while 5% discount is given if more than 2 members are covered under Kotak Health Premier Plan.
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Is there any variant available under Kotak Health Premier Plan?
No, the plan has no variants under it.
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For how long the insured members are required to be hospitalised for seeking a claim?
The insured individuals can request for a claim only after getting hospitalised for at least 24 hours. Only in the case of daycare treatments, the hospitalisation can be less than 24 hours.