COVID-19

COVID-19 Latest Update:
* Source: mohfw.gov.in

Active Cases India : 975861*

Cured / Discharged : 4497867*

Confirmed Deaths India : 88935*

Coronavirus Insurance

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  • Hospitalization Expenses Cover
  • Waiting Period 14-16 Days
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About Coronavirus (COVID-19)

The novel Coronavirus, caused by the family of viruses, has impacted millions of people worldwide. In India, the number of people tested positive for the virus has crossed 1,964,536 and is still counting. The virus is highly contagious and displays symptoms like respiratory problems, sore throat, impaired kidney and even failure of multiple organs.

As of the present day, the virus has affected over 18.8 million people in the world and led to over 6 Lakh deaths. As per the circular issued by the Insurance Regulatory and Development Authority of India, insurance service providers in India must come up with plans that offer protective coverage specific to the viral infection.

Let us learn more about Coronavirus Insurance and its importance to analyze whether we really need it or not!!!

Coronavirus Insurance

What Does Corona Insurance Means?

Considering the current scenario, having coronavirus insurance is of utmost importance and should definitely be a part of your financial planning for 2020-21. With Coronavirus Health Insurance, one can cover his/her medical expenses incurred on the treatment of COVID-19. But what if the patient dies due to the virus. How will his/her family survive? In that case, Coronavirus Life Insurance will play a key role and secure the financial future of the family.

Does life Insurance Cover Coronavirus?

In the case of a policyholder's demise due to coronavirus (during the policy tenure), the existing life insurance company of the policyholder is liable to pay the death benefit to the beneficiary.

However, while buying new life insurance, one may have to face some difficulties in the process of policy acceptance. One needs to present all the necessary medical documents stating that they are not infected with the coronavirus. This will help in the process of policy acceptance and the insurance company will offer coverage to the nominee of the policy. Not only this, but the premiums would also be determined by the insurer on the basis of the policy buyer's health and medical history. know more

Does Health Insurance Cover Coronavirus?

Yes, it is mandatory for the health insurance companies to include a medical cover for COVID -19, irrespective of what policy a consumer owns. Therefore, existing Health Insurance policies will definitely offer coverage against the treatment expenses for coronavirus.

However, if you don't have health insurance yet, you can opt for standard health insurance or specific COVID-19 Health Pans. But before buying a policy, do keep in mind that if a person buys a health insurance policy after testing positive for COVID-19, then the health insurer will not cover the treatment expenses.know more

COVID-19 Insurance Plans in India

Currently, Coronavirus insurance plans have been launched in the market for buyers by only a handful of insurance service providers. Some of them are listed below:

1. Corona Kavach Policy

Corona Kavach Policy is a single premium and limited period policy without any lifelong renewability benefits. One can also opt for a family floater plan to cover parents, parents-in-law, and dependent children up to the age of 25 years.

Eligibility

18-65 Years

Sum Insured

50,000 -5 Lakhs

Table Data updated on 22-09-2020

2. Corona Rakshak Policy

Corona Rakshak Policy is a single premium policy that will pay 100% of the sum insured (as a lump sum) if the policyholder is hospitalized for 3 days (at least) after testing positive for the virus.

Eligibility

18-65 Years

Sum Insured

50,000 -2.5 Lakhs

Table Data updated on 22-09-2020

3. Star Novel Coronavirus (nCoV) (COVID-19) Insurance Policy (Pilot Product)

Star Novel Coronavirus (nCoV) (COVID-19) Insurance Policy offers a lump sum benefit to the insurance investor who has been tested positive for the virus and had to undergo hospitalization. The applicants are not required to go through any pre-acceptance medical screening or testing to be able to claim the sum insured. The policy also comes with a free-look period of 15 days for buyers.

Eligibility

18-65 Years

Waiting Period

16 days

Sum Insured

Two Options- Rs.21,000 & Rs.42,000

Table Data updated on 22-09-2020

4. ICICI Lombard COVID-19 Insurance Policy

The policy is specifically designed for those who are diagnosed with COVID-19 and guarantees a lump sum benefit to the policyholder.

Eligibility

18-75 Years

Waiting Period

14 days

Sum Insured

Rs. 25000

Table Data updated on 22-09-2020

5. Digit Insurance

Digit Insurance also offers an insurance plan specifically designed to provide individuals affected with the virus. On filing a claim, the insured will be eligible to receive 100% of the claim, in case he/she is tested positive for the virus. The insured is eligible to receive 50% of the sum insured even when the test results are negative.

Eligibility

Up to 75 Years

Waiting Period

15 days

Sum Insured

Rs.25,000- 2 Lakhs

Table Data updated on 22-09-2020

Coronavirus Insurance Plan: Inclusions

The general inclusions in plans that are specifically designed for those who are diagnosed for the virus are listed below:

Hospitalization Expenses

Coronavirus-specific plans pay-off the expenses of treatment and hospitalization. Also, the expenses of hospitalization exceeding 24 hours are covered by the insurance service providers.

Quarantine Cover

Not only does Coronavirus specific health insurance pays for hospitalization after diagnosis but also for insured individuals who have been quarantined in Government identified facilities.

Additional Coverage

Coronavirus-specific health insurance plans such as the one offered by Digit Insurance offer additional covers like Maternity benefit with new-born baby cover, and expenses for alternate treatment such as Homoeopathy, Ayurveda or Unani.

Coronavirus Insurance Plan: Exclusions

The exclusions of health insurance plans that cover for the expense incurred towards the treatment of coronavirus are listed in the point below:

Prenatal and Postnatal Expenses

Expenses of pre and post-delivery are not covered by the need-based coverage. In case you require coverage for pre and postnatal expenses, speak to your insurance service provider or insurance agent for an add-on cover.

Pre-existing Diseases

Coronavirus health insurance does not provide coverage for pre-existing diseases. Also, insured individuals who display coronavirus-like symptoms six-weeks prior to the purchase of the policy are not eligible to receive the claim.

Coverage for Hospitalization without Doctor's recommendation

If the insured gets hospitalized for a condition without having a doctor's prescription or recommendation, he is not eligible to receive the claim amount towards hospitalization expenses.

How To Buy A COVID-19 Coverage Policy?

Follow the below-mentioned steps to get your coronavirus-specific insurance from renowned insurance service providers in the market:

Step 1: Click on the "Buy Now" option that you will find on the bottom of this page.

Step 2:  By doing this, you will be directed to a page, where you can choose from a number of Health & Life Insurance Policies.

Step 3:  Select the plan and simply click on the 'Buy This Plan' option.

Step 4:  Fill out the required details. .

Step 5: Pay the first premium and your policy will be sent to your e-mail ID.

How To Claim For COVID-19 Insurance Policy?

The insured may make a claim for the treatment and hospitalization in case he/she is tested positive for Coronavirus in one of the following ways mentioned:

Reimbursement Claims: If you opt for reimbursement claims, you must bear the expenses pertaining to the treatment and hospitalization from your own pocket. The insured must later file the reimbursement claim by submitting necessary documents like the hospital bills, payment receipts, diagnostic reports including the Covid-19 test report, and claim form.

Cashless Claims: Cashless health insurance allows you to avail treatments under network hospitals without having to meet any out-of-the-pocket expenses. All you have to do is display your e-health card at the hospital and fill in the cashless request form with relevant details for your insurer to settle your expenses directly with the hospital.

To be able to receive the benefits of the insurance plan, the insured must produce the following documents at the time of filing a claim:

  • A quarantined certificate to start treatment of the virus from the Government Medical Officer.
  • A positive virology report must also be submitted in case the insured is tested positive for the virus.

However, in case of death of the policyholder due to coronavirus, the nominee must inform the respective insurance provider at the earliest and submit all the necessary documents such as claim form, death certificate, original policy documents, ID proof of the beneficiary, etc.

Once the documents are checked and verified by the insurer, and if the claim is accepted, the amount will be transferred in the nominee's bank account.

IRDAI Updates on COVID - 19 Insurance Claims 

IRDAI has issued a set of guidelines for handling claims pertaining to coronavirus. The guidelines circulated by the IRDAI are listed below:

  1. All insurance service providers shall expeditiously handle insurance pertaining to COVID-19.
  2. As per Regulation-26 of IRDAI (Health Insurance) Regulations, insurers shall establish systems, procedures to enable efficient issuance of pre-authorizations on a 24-hour basis and for prompt settlement of claims.
  3. Admissible expenses generated during the course of treatment must be settled as per the terms and conditions stated within the regulatory.
  4. The claims review committee must thoroughly review each claim related to COVID-19.
  5. The instructions issued under Section 14 (2) (e) of the IRDAI Act will be applied with immediate effect.
  6. Insurers are advised to issue appropriate guidelines to their respective Third-Party Administrators.

FAQ's

1. What will be the admissibility criteria for customers?

Admissibility criteria will be defined by medical management protocols for treatment, evaluation, and quarantine suggested by the Government along with the terms and conditions of the Health Insurance Product.

2. Will health insurance policies cover medical expenses related to coronavirus?

Yes. Unlike all other medical expenses for hospitalization, if one gets hospitalized for treating coronavirus infection, the health insurance plan will come in rescue to safeguard medical expenses.

3. I already have life insurance from Care. Should I buy a COVID-19 specific plan?

As per IRDA, all standard Life Insurance plans offered by Care, HDFC ERGO, Max Bupa, etc will offer coverage against COVID-19.

4. Does my insurance provide me with evacuation and repatriation benefits if I am taken down by the virus?

If you are tested positive for the virus and are unable to receive any facilities for treatment where you are, you will receive evacuation and repatriation benefits from your insurance service provider.

Last updated on 22-09-2020