Care
Care Heart
The Care Heart plan is a specialized health insurance policy designed for individuals with pre-existing heart conditions. It offers sum insured options ranging from ₹3 lakhs to ₹10 lakhs and covers inpatient hospitalization (up to SI), pre- and post-hospitalization expenses (30-60 days respectively, maximum up to 5% of SI), daycare treatments (up to SI), and alternative treatments (up to SI). Unique features include annual cardiac health check-ups, automatic restoration of the sum insured, and optional add-ons like OPD care and home care. Unlike other Care plans, it focuses specifically on heart-related ailments with a shorter waiting period of 24 months for pre-existing conditions.
What's good here?
Short waiting period for Pre Existing Diseases
If you’re already dealing with diabetes, cardiovascular problems or any such illnesses, the insurer will cover all costs arising out of these pre-existing problems after just 2 years. It’s probably the best deal you can get to be honest.
If you’re already dealing with diabetes, cardiovascular problems or any such illnesses, the insurer will cover all costs arising out of these pre-existing problems after just 2 years. It’s probably the best deal you can get to be honest.
Some Restoration Benefit
Even after you claim part of the cover on one occasion, you will have 100% of the cover restored, if you are hospitalized one more time in a bid to treat a different complication. In the same year, by the way.
Free Health Checkups every year
If you’re planning on getting a full body checkup every year just to make sure you’re in fine working condition, the insurer will cover the costs.
Covers Alternative Medicine
Think of getting Ayurvedic, Homeopathic or other alternative treatments to cure an illness? Your insurer will cover you fully, up to the sum insured.
Day Care treatments covered
If you’re hospitalized for less than 24 hours in lieu of a minor procedure, then the insurer will cover these costs too. Think dialysis, chemotherapy or minor surgeries.
Full coverage even if you are forced to hospitalize at home
The insurer will bear the costs even if you are hospitalized at home due to a condition or the hospital running out of beds. In insurance lingo, they call this a policy with domiciliary cover.
What's bad here?
You will have to pay a portion of the bill
The company will make you pay 20% of the bill every time you’re hospitalized — That is if you’re under the age of 70. If you’re 71 and above, then they’ll make you pay 30% of the bill. So co-payment in mandatory here.
The company will make you pay 20% of the bill every time you’re hospitalized — That is if you’re under the age of 70. If you’re 71 and above, then they’ll make you pay 30% of the bill. So co-payment in mandatory here.
Has disease wise sub-limits
Your insurance cover won’t be fully available in case you are treated for Knee Replacement, Hernia, Hysterectomy, Benign Prostate, Treatment of Cerebrovascular disorders, Treatment of Cancer and a few other diseases. Meaning the insurance company has a cap on the total amount they’ll pay out if you are treated for these specific illnesses.
Doctor consultations are not covered
TODO
Maternity benefits not offered
TODO
What's okay here?
You can pick a Single Private room but nothing fancy
You can share a room or you could have a single room for yourself. But if you are looking for anything slightly fancy, be ready to foot a part of the bill.
You can share a room or you could have a single room for yourself. But if you are looking for anything slightly fancy, be ready to foot a part of the bill.
Pre & Post hospitalization expenses covered up to a certain limit
No worries if the doctor had to run a host of diagnostic tests before or after hospitalizing you. The insurer has your back. They will cover this amount upto 5% of sum insured for about 30 days before you are hospitalized and 60 days after discharge. This includes the cost of medication by the way.
Special Bonus for being healthy and not claiming insurance
Your sum insured increases by 10% each year, so long as you make no claims during this period. But before you get too ahead of yourself, do note that they’ll stop offering you the bonus when your sum insured increases by 50%. Also, the bonus amount will reduce at same rate each time you make a claim. But hey, it's still a bonus.
Add-on
Home Care
Get coverage Upto Rs.1000/- per Day for Hiring Qualified Nurse at home. It is available for a maximum of 7 Days per hospitalization. But remember, this benefit is available only post-discharge from the hospital and on the Doctor's written advice with valid reason.
Frequently Asked Questions
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