Network hospitals
9450+
Incurred claim ratio
97.61%
Sum insured
Up to 25 L
No. of Plans
1
Solvency Ratio
2.2
Pan India Presence
19+
Out of 1.35 million deaths happening in road crashes, almost 93% of the accidental deaths occur in averagely developed countries like India. We're not claiming this verdict, it's quoted in a recent news post on the 15th of May 2024 of the World Economic Forum. If you want to prevent such an event, own a shield from the Kotak Accident Care plan that covers all expenses arising from treatment/hospitalization due to an accident. The plan's basic features are categorised into two sections- A & B which you'll learn further on this page.
In addition, the insurer will pay for your accidental death, PTD, PPD, and TTD upto the sum insured. Not only this, the insurer also compensates for the reparations caused due to the accident aiming to help you support a regular lifestyle and focus on your speedy recovery. If the policyholder is incapacitated to earn their regular income (loss of income), after TTD, the company will compensate them weekly for up to a maximum of 100 weeks.
Additionally, the Kotak Accident Care policy ensures your children's further education (optional cover) by giving them aid till they turn 25 years of age. Remember, all the benefits under Sections A & B shall be delivered upto a specified limit mentioned in your policy's documents. It also pays out to their family for funeral expenses, ambulance charges, transportation of the insured's dead body to their native residence, and so on. This is not yet done! Kotak Accident Care insurance has many more benefits to offer, read on to know what more one can expect from this insurance product.
To understand Kotak Accident Care Plan Insurance in detail, take a look at the below table:
Minimum 5 years, Maximum 65 years
Individual
NA
NA Days
NA
1, 2, 3 Years
*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.
With wide coverage options available, Kotak Accident Care Plan Insurance Plan allows you to choose your ideal coverage as per your family’s health requirements. Take a look at the coverage under every SI option available and choose your ideal coverage:
Room Rent
Not Covered
ICU Charges
Not Covered
Pre-Hospitalization
Not Covered
Post-Hospitalization
Not Covered
Domiciliary Hospitalization
Not Covered
Daycare Treatment
Not Covered
OPD Charges
Not Covered
COVID-19 Treatment
Not Covered
Cataract
Not Covered
No Claim Bonus
Not Covered
Automatic Restoration
Not Covered
Daily Hospital Cash
Covered
Organ Donor
Not Covered
Maternity Cover
Not Covered
New Born Baby Cover
Not Covered
AYUSH Treatment
Not Covered
IVF Treatment
Not Covered
Modern Treatment
Not Covered
Ambulance
Covered
Air Ambulance
Not Covered
Compassionate Travel
Not Covered
Global Coverage
Not Covered
E-Consultation
Not Covered
Health Check-Up
Not Covered
Second Medical Opinion
Not Covered
Vaccination
Not Covered
Co-payment
Not Covered
Sub-limits
Not Covered
The room rent limit is the maximum bed charge you can claim if you are hospitalised. Common Room categories covered under room rent are all kinds of rooms including single, private and AC rooms (except suite).
It is a special hospital department where patients with serious medical conditions are treated.
Medical expenses incurred before hospitalisation of the policyholder.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Domiciliary hospitalization or home care treatments are the arrangements for an insured individual due to the unavailability of medical amenities in hospitals, or in a case where an insured member can not be admitted to the hospital due to an inability. The treatment should last equal to or more than 72 hours to get financial coverage.
Treatments that can be completed within 24 hours of hospitalization like blood dialysis, cataracts, etc.
Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization. .
It includes the treatment cost for COVID-19 with a confirmative diagnosis from a government-approved centre.
A common eye condition in which your vision gets blurred due to cloudy formation in your eyes.
For every claim-free year, insurance companies reward policyholders with an increase in the sum insured amount as a no-claim bonus or cumulative bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage varying from one plan to the other.
It is a benefit in which an insurance company restores the amount of sum insured completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from one plan to the other.
Daily hospital cash or Hospicash is a cash amount that you receive each day during the time of hospitalization to cover your non-medical expenses.
It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body. In most of the cases, the insurer pays for the hospitalization and transplant expenses for both the parties i.e. the donor and the receiver.
It refers to the cover that includes expenses for normal and c-section deliveries.
It takes care of the medical expenses that arise due to the hospitalisation of the newborn baby in case of any childbirth complications, medical challenges, and so on. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are settled or reimbursed for:
Medical treatments that demand the use of modern technology and advanced machinery such as robotic surgeries, stem cell therapy, etc.
An ambulance is used to move the patient from home to the hospital, transfer them to another hospital, and take them for different tests outside the hospital.
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
Refers to the travelling expenses of a family member who’s visiting the hospital to look after the patient when the policyholder gets admitted to a hospital outside his/her residential city.
Any kind of medical/health emergency when you are outside of India is covered for hospitalization expenses, modern and specific treatments, etc.
If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
A facility where the policyholder can avail of free health check-ups after fulfilling the company's eligibility criteria. In most cases, the insured member/s gets an annual health check-up cover.
If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.
Coverage against the expenses incurred on vaccinations of either the newborn baby, for an animal bite, etc is provided by the insurance companies.
In the co-payment clause, policyholders have to pay a preset amount (either compulsorily or voluntarily) of the hospitalisation expense on their own and the insurer will pay the rest of the medical bill amount.
Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to be paid by the policyholder. For instance, if your policy covers room rent for upto 20% of the sum insured, but the expense of the same is more than 25%, you will have to pay the rest amount, i.e. 5%, for your room rent.
Ultimate Review Of Kotak Accident Care Plan 2024
Specifications | What will the insured get? |
---|---|
Section A | |
Accidental death | On the death of the insured individual due to an accident, the company will pay the sum insured, given that the event of their death was caused within 12 months of the accident. |
Permanent Total Disablement (PTD) | It covers conditions specific to the policy wordings like loss of sight in both eyes, loss of both limbs or the loss of body parts that hinder the insured from working/staying employed, the insurer will pay the sum insured. |
Permanent Partial Disablement (PPD | If the insured person gets PPD based on the conditions specified, the company will pay out upto 100% of the sum insured, if the disability is proved within 12 months from the accident. |
Temporary Total Disablement (TTD) | If the disability incapacitates the insured person from staying employed, the insurer will pay upto a maximum of 100% of the sum insured weekly and as per the specifications of the policy wording. |
Section B | |
Accidental hospital daily cash benefit | The insurer pays out upto a fixed amount during hospitalization, daily. |
Accidental hospitalization expenses reimbursement | The insured individual can also claim a reimbursement against the expenses incurred on hospitalization. |
Convalescence benefit | The insurer compensates in terms of income loss upto a sum of INR 10,000 during hospitalization for consecutive 10 days (minimum). |
Optional covers | |
Transportation of the dead body | The claim raised regarding dead body carriage to the insured’s residence will be paid upto the sum insured or as per the specifications of policy documents. |
Permanent total disablement improvement benefit | If the insured person has gotten a PTD condition and it’s mandatory to make any lifestyle changes respective to their residence or mobility, the company will cover the cost of the altercation upto the specified limit or the sum insured. |
Permanent partial disablement improvement benefit | Lifestyle or mobility changes are to be made as per the medical practitioner’s mandate to support their daily life and shall be covered by the insurer upto the maximum sum insured or specified limit. |
Children’s education grant | The company aids insured children’s future upto the specified sum insured as per opted benefits, by giving them a chance to pursue further education until they are under 25 years of age. |
Ambulance charges | The Kotak Accident Care policy ensures seamless transportation of the insured individual in time of distress (from the event spot) to the hospital. |
Funeral expenses extensions | In case of the insured’s death, the company will pay out against the funeral expenses supporting their family’s finances. |
Note 1: The policy proposer can opt for any of the sections from 1 & 2. Opting at least one Section is mandatory.
Note 2: The payouts with either of the sections will be covered upto the highest opted sum insured. Once the compensation/payout is credited to the insured’s account, the policy will be terminated simultaneously.
Death, accident, or injury caused due to intentional self-injury, suicide/attempted suicide
Alcoholism or drug abuse
Warfare/war-like activities
Mental, nervous or emotional disorder
Breach of law or unlawful activity
Vaccination
Change of gender treatments
Beauty treatment, dental treatment, eye treatment, plastic surgery (except caused due to an accidental injury)
Adventure and risky sport or any other hazardous sports
Contamination/issues caused by nuclear fuel, nuclear waste, nuclear weapon materials
For a complete list of exclusions, please read the policy wordings attached above thoroughly
Kotak Accident Care policy is the additional layer of protection for you and your family in times of distress. No wonder, life is so unpredictable and we never know how deep the scars of an accident can be to wreak havoc on your family.
So, better today than later. Safeguard and prepare your loved ones before it’s too late. To know more about the Kotak Accident Care plan, reach out to us at 1800 4200 269.
To cater to the different medical needs of an individual & their family, Kotak Health Insurance offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to Kotak Health Insurance plans explore more:
Individual
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This policy provides INR 10,000 for upto 10 consecutive days as convalescence benefit on hospitalization.
Yes, there’s a lifelong renewability available with this plan.
It covers accidental death, PTD, PPD, TTD, daily hospital cash benefits, convalescence benefits, and children’s education grants.
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Lives In: Delhi, NCR Expertise: Health & Term Insurance Simran has an experience of 4 years in content writing. She transitioned from hospitality and digital marketing to the insurance industry after her emerging interest in how vast insurance is. With her ability to write complex insurance concepts in a simple, relatable manner, she keeps her audience hooked and solves their doubts smoothly.
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February 5, 2023
Asia/Kolkata
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