It will offer cover to persons from the age of 5 years onwards. A dependent child can be covered from the 91 day if either parent is covered under this policy and the maximum age at entry is 65 years.
Tailored policy for out-patient benefit up to the limit covering expenses for doctor consultations, pharmacy expenses, spectacles, health check-up and diagnostic tests.
In-patient Treatment - Hospitalisation expenses due to an illness or accident.
Pre-Hospitalisation - Medical expenses incurred in 60 days immediately before hospitalisation.
Post-Hospitalisation - Medical expenses incurred in 90 days immediately after discharge from hospital.
Day care procedures - Coverage for enlisted 140 day care procedures which do not require 24 hours hospitalisation.
Organ Donor - Medical expenses for harvesting of the organ donated to the Insured person.
Emergency Ambulance - Expenses up to Rs. 2000 per hospitalisation.
Domiciliary Treatment - Medical expenses incurred by an Insured person for availing medical treatment at his home which would otherwise have required hospitalisation.
The minimum and maximum entry age under this plan is 91 days and 65 years respectively*.
Child between 91 days to 5 years can be insured only when either parent is getting insured under this policy.
The policy offers coverage on individual sum insured basis only.
The family includes self, spouse, dependent children and dependent parents.
There is no cover ceasing age under this policy.
*Age is calculated as the completed age as on the last birthday.
The policy will be issued for 1 year / 2 years period after which it needs renewal.
Optima Plus gives you an option to opt for a full-fledged 5 lakh Indemnity Health insurance policy provided that you:
Enroll with us for first time under this policy before the age of 50 years and have renewed with us continuously and without interruption.
Opt for conversion between 58 - 60 years of age at the time of renewal only.
You will be offered portability for waivers of waiting periods to the extent of benefits covered in this policy.