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What New
The Cost of Health care shooting up exponentially Present Generation spend more on Health Care
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6/22/2011 AMIT KUMAR MALIK
Health Insurance
Health Insurance plan must take care 1) Daily Expenses in Hospital 2) Surgical Expenses 3) Out Patient expenses 4) All expenses in and out of Hospital 5) Waiver of premium during stay at Hospital 6) Risk Coverage in case of any exigencies
Whether your existing plan offers all the above
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HCB (Within India only) is payable on per day basis. Double the cash benefit for ICU. Max 30 days hospitalization & not more than 15 days in ICU (2 times HCB) for 1st policy year for each one Max 90 days and incl not more than 45 days in ICU in the 2nd year onwards for each insured Limited to a max of 720 days (incl of 360 days for ICU) during entire policy term for each insured HCB to increase 5% till it reaches 1.5 times And arithmetic addition of an amount equal to No Claim Benefit Stay in Hospital exceeds a continuous period of 24 yrs or part thereof thereafter. Stay more than 7 days even for 1s 24 hours also payable.
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Quick Cash facility: 50% of eligible MSB amount subject to approval from TPA in select Hospitals MSB shall be a percentage of Sum Assured and is payable regardless of actual costs incurred Rs. 1000/- towards Ambulance expenses Premium Waiver benefit for next one year Surgery within India.
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3 Surgical Procedures
24 Surgical Procedures
If a DCPB is performed, no HCB shall be paid DCPB is payable as one lump sum and proof of surgery is required All surgical procedures should be done by a Physician or Surgeon, to the satisfaction of the Corporation No transfer of left over benefit to other insured Surgery within India 6/22/2011 AMIT KUMAR MALIK
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360 days
OSB is payable as daily benefit Proof of surgery done by a Physician or Surgeon, is subject to the satisfaction of the Corporation No transfer of left over benefit to other insured Surgery required but not listed under MSB or DCPB
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Other Options
Term Rider Benefit
Min Term Assurance SA: Rs. 100000/Max Term Assurance SA: Equal to MSBSA Min Entry Age: 18 Years completed Max Entry Age: 50 Years NBD Max Maturity Age: 60 Years NBD Max Term: 35 Years
(SA be in multiples of Rs. 25000/-)
Accident Benefit Rider Min AB SA: Rs. 25000/Max AB SA: Equal to Term Assurance SA
AB SA shall be in multiples of Rs. 5000/-
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Other Benefits
Death Benefit: On death of the Principal Insured(PI)
Contd
Surviving Insured Spouse will become PI, if already option given at the beginning of contract If the Insured Spouse had predeceased the PI, Then the other Insured will have the option to take new policy on following conditions
The new policy will be issued without any underwriting if the new policy is bought within 90 days of the termination of the existing policy The maximum entry age will not apply for the new policy The outstanding Waiting periods and outstanding period of any Exclusion will however apply under the new policy Other terms and conditions including premium rates will be as applicable for the new policy
Maturity Benefit: No benefits are payable at the end of the cover period
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Feature
Eligibility Conditions
Principal Insured (PI)/Insured Spouse 18 Yrs LBD 65 Yrs LBD 80 Yrs Parents & Parents-inlaw 18 Yrs LBD 75 Yrs LBD 80 yrs 17 Yrs LBD 25 yrs
Insured Children
Minimum Entry Age Maximum Entry Age Max Cover ceasing age Date of cover expiry in respect of each Insured covered under the plan
3 Months(Completed)
Policy anniversary on which the Insured life attains Maximum cover ceasing age
Nominations Allowed Assignments s even for 1s 24 hoursNot Allowed also payable. Mode of Premium Grace Period Revival Period
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Yearly, Half Yearly and Monthly(ECS Only) 30 days for Yearly , Half Yearly mode and 15 days for Monthly Mode 2 Years from due date of FUP
AMIT KUMAR MALIK
Points to be noted
Premium guaranteed for first 3 years and may be revised after every 3 years based on Health conditions All existing members must be added in first instance. New members can be added through Child birth (Children)-3 Months, Marriage (Spouse, Parents-in-law)- 6 Months from next Policy anniversary
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Points to be noted
Waiting Period
Contd
90 days from DOC other than accidental bodily injury 45 days from DOR, if request for revival recd within 90 days from the due date of FUP 90 days from DOR, if request for revival recd beyond 90 days from the due date of FUP
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Enter Please
Points to be noted
Termination of Policy If policy is issued on a single life
Contd
Non Payment of premium within revival period On death On Date of cover expiry On exhausting all the life time maximum Benefits Limits as specified above
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Why wait Get LICs Jeevan Arogya Enjoy Your Life with your family
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CONTACT US: AMIT KUMAR MALIK MOBILE NO. 09289112370, 09315320090 E-Mail: amitmalik750@gmail.co m
AMIT KUMAR MALIK