Benefits | Silver Policy | Gold Policy | Platinum Policy |
Sum Insured | Individual Base Sum Insured: 1 Lakh, 2 Lakhs, 3 Lakhs, 4 Lakhs & 5 Lakhs per Insured Person Floater Base Sum Insured: 3 Lakhs, 4 Lakhs, 5 Lakhs, 10 Lakhs & 15 Lakhs. |
Individual Base Sum Insured: 5 Lakhs, 10 Lakhs & 15 Lakhs per Insured Person Floater Base Sum Insured: 15 Lakhs, 20 Lakhs, 30 Lakhs & 50 Lakhs. |
Individual Base Sum Insured: 1 Lakh, 2 Lakhs, 3 Lakhs, 4 Lakhs, 5 Lakhs, 10 Lakhs & 15 Lakhs per Insured Person Floater Base Sum Insured: 3 Lakhs, 4 Lakhs, 5 Lakhs, 10 Lakhs, 15 Lakhs, 20 Lakhs, 30 Lakhs & 50 Lakhs. |
In-patient treatment | |||
Medical Practitioner's fees | Covered | Covered | Covered |
Diagnostic procedures | Covered | Covered | Covered |
Medicines, drugs and consumables | Covered | Covered | Covered |
Intravenous fluids, blood transfusion, injection | Covered | Covered | Covered |
The cost of prosthetics and other devices or equipment if implanted internally during a Surgical Operation | Covered | Covered | Covered |
Intensive Care Unit Charges | Covered | Covered | Covered |
Hospital accomodation | Rs 30,000 or Shared room | Single Private Room | Covered |
Pre and Post hospitalization expenses including doctor's consulation, diagnostics tests, intravenous fluid, blood transfusion, medicines, drugs and consumables. | Covered up to 15% of Base Sum Insured | Covered up to 20% of Base Sum Insured | Covered |
All day care treatment | Covered | Covered | Covered |
Maternity Cover for up to 2 deliveries | |||
Maternity Cover for up to 2 deliveries | Covered up to Rs 25,000 per Policy Year | Covered up to Rs 50,000 per Policy Year | Covered up to Rs 1,00,000 per Policy Year |
New Born Baby Cover until the end of current policy year | Covered | Covered | Covered |
Vaccinations for children up to 12 years and nutrition and diet consulting | Covered | Covered | Covered |
Further benefits | |||
Health check up at the time of renewal | Once in 2 years | Annual | Annual tests |
Organ transplant when medically necessary | Covered | Covered | Covered |
Emergency ambulance | Covered at actual costs in Network Hospitals up to Sum Insured | Covered at actual costs in Network Hospitals up to Sum Insured | Covered at actual cost in Network Hospitals up to Sum Insured |
Domicialiary treatment | Covered up to Rs 15,000 | Covered up to Rs 37,500 | Covered up to Rs 2,50,000 |
Health Relationship Loyalty Program | 10% equivalent redeemable points of the Last Paid Annual Premeium OR Additional 10% sum insured of expiring Base sum insured up to a maximum of 50% of base sum insured | 10% equivalent redeemable points of the Last Paid Annual Premeium OR Additional 10% sum insured of expiring Base sum insured up to a maximum of 50% of base sum insured | 10% of the Last Paid Premeium OR Additional 10% base sum insured up to at any time maximum of 50% of base sum insured |
OPD benefits | |||
Outpatient benefits covering specialist consultation and costs of diagnostics tests prescribed by them | Not Applicable | Not Applicable | Covered up to Rs 30,000 |
International Medical treatment & Assistance | |||
Emergency Medical Evacuation and Hospitalization outside India | Not Applicable | Not Applicable | Covered up to Rs 2,00,000 for individual Base Sum Insured of 5 lakhs, Rs 3,00,000 for Individual Base Sum Insured of 10 lakhs and up to Rs 5,00,000 for Individual Base Sum Insured of 15 lakhs |
Specified Illness Cover for treatment abroad | Not Applicable | Not Applicable | Covered Worldwide excluding USA and Canada |
Optional benefit/feature | |||
Annual aggregate Deductible | Not Applicable | Not Applicable | Not Applicable |
Co-payment for insured less than 65 year old | Options of 10% and 20% co-payment | Options of 10% and 20% co-payment | Options of 10% and 20% co-payment |
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