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bajaj-allianz health insurance

Care Cancer insurance plan key features

  • Provides coverage irrespective of the stage of the disease or type of cancer
  • The premiums of the cancer insurance plans largely depend upon a variety of factors such as age, family history, medical reports, etc
  • This plan covers pre/post-hospitalization expenses as well as chemotherapy and radiotherapy treatments.
  • The cancer insurance policy also offers medical coverage for early detection tests and regular health monitoring programs.

Care Health Insurance Review

Description
Sum insured

USD 4lacs/600Lac options available

List
Tenure options

1, 2, 3 years options available

Local_Hospital
Claims incurred ratio *

59.00%

Medication
Claims settlement ratio **

86.63%

Ambulance
List of network hospitals

19,000+ hospitals

Table
Number of Policies issued *

1,178,380

Group
Number of lives covered *

7,342,207

Diversity_3
Maximum family floater coverage

Self, Spouse + dependent (children + parents)

* As per IRDAI report   |   ** As per NL25 data published on the Insurance Company website

Care Cancer insurance plan highlights

  • Key featuresEligibilityCoverages
  • Key features

    Key features of this Cancer plan

    Some of the key features of this plan include:
    • Five Sum insured options from ₹10 lacs to ₹2 crores
    • 30/60 Pre and post hospitalization medical expenses covered
    • No specific ailment waiting period
    • Chemotherapy & Radiotherapy Cover included in this plan
    • No Claims Bonus (NCB) offered for claim free renewals
    • Lifelong Renewability – no exist age for renewing the policy even if claims have been filed
    • Option of Equated Monthly/Quarterly Instalments
    • Room Rent Modification option available to the insured
    • International Second Opinion available while availing treatment for cancer
    • Outpatient Treatment Expenses covered under this plan for Diagnostics, Pharmacy & Consultations
    • Air Ambulance Cover during medical emergencies
    • Indemnity based Plan
    • Quick Recovery Counselling
    • Health Portal – insured members have access to an informative health portal providing relevant information at all times.
  • Eligibility

    Eligibility to buy Care Cancer insurance plan

    Plan Name (all figs in ₹ INR) Cancer Mediclaim
    Sum Insured 10 Lakh | 25 Lakh | 50 Lakh | 1 Crore | 2 Crore
    Covered Conditions (Illnesses/Diseases/Surgeries) Cancer
    Entry Age 5 years to 50 Years on Individual Basis
    Pre - policy Issuance Medical Check up No Medicals##
    Tenure 1/2/3 Years
    Premium Payment Mode *** Single/Monthly
    Sub Limits:
    Room Rent Eligibility Single Private Room / No limit ^
    ICU Charges No limit
    Wait Period:
    Initial Waiting Period 90 Days
    PED Waiting Period 48 months
    *** Terms and Conditions Applicable
    ##at the discretion of the Underwriter.
    ^with optional benefit Room Rent Modification. Note: Other SI / Age band options also available.
  • Coverages

    Coverages under this Care Cancer insurance policy

    Sum Insured (all figs in ₹ INR) 10 Lakh | 25 Lakh | 50 Lakh | 1 Crore | 2 Crore
    Benefits
    Hospitalization Expenses  
    In-Patient Care Up to SI
    Day Care Treatment Up to SI
    Pre-Hospitalization and Post-Hospitalization 30 days/60 days
    Chemotherapy and Radiotherapy Cover Up to SI
    Ambulance Cover Up to Rs 3000 per hospitalization
    Organ Donor Cover Up to SI or 15 L whichever is lower
    Second Opinion Once per Covered Condition per policy year
    No Claim Bonus* 50% / 25% / 25% - Corresponding increase in SI for 1st, 2nd and 3rd continuous claim-free Policy Years respectively,Max up to 100% of SI(50%/25/25%-Corresponding decrease in SI per Policy Year in case a claim has been paid; Such decrease is only in SI accrued as NCB)
    International Second Opinion# Once per Covered Condition per policy year
    Room Rent Eligibility Single Private Room / No limit^
    Air Ambulance# Up to Rs. 5 Lakhs
    Annual Health Check-up Annual from 2nd Policy Year on Continuous Coverage
    Health Services
    Quick Recovery Counselling Up to Rs 1000 Per Session, Maximum 8 Sessions Post Hospitalization in a Policy year( can be availed twice in a month)
    Doctor on Call Yes(Telephonic/Online Mode)
    Health Portal Value added services through Company’s Website
    Global Coverage: Coverage outside India - 45 continuous days in a single trip; Max. 90 days on a cumulative basis, in a Policy Year. Up to SI; only for SI >=1Cr (Limited to In-Patient Care and Day-Care treatment with a Co-payment of 10% per Claim)
    OPD Expenses (Diagnostics + Consultations + Pharmacy ) Up to 1% of SI ,Max up to Rs 25,000
    #Optional Benefit.
    ^with optional benefit Room Rent Modification.

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