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+
It’s insurance against adversities caused due to accidents.
Accidental deaths were all-time high in 2022! According to the reports of Times of India, there was a recorded number of over 1.68 Lakhs annual deaths in accidents in India itself. With this, the average deaths per day count is above 462 due to road crash fatalities in 2022.
Given the situation, these cases are not showing any shortfall. So, better to buy accidental coverage insurance now than never. Kotak Group Accident Protect insurance is a health insurance plan that offers coverage for accidental death, temporary partial and total disability, children's educational grants, inpatient hospitalization caused due to accidents, and so on.
This page discusses all the coverage benefits related to the Kotak Group Accident Protect plan, read on to know more about it.
To understand Kotak Group Accident Protect Plan Insurance in detail, take a look at the below table:
Minimum 18 years, Maximum 80 years
Individual
NA
Covered from 1 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 Group Accident Protect 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.
Specifications | Kotak Group Accident Protect Plan |
---|---|
Accidental Death | In case of the insured’s death due to an accident, the insurer will pay out the specified sum insured amount to their nominee or dependants if the claim is made within 12 months of the accident. |
Permanent Total Disablement (PTD) | Suppose, the insured has met with an accident that caused him a permanent total disability, the company will compensate for the loss upto a specified limit, given the claim is raised within 12 months from the date of the accident. |
Permanent Partial Disablement (PPD) | In such scenarios of permanent partial disability, there will be a payout for the loss if the insured claims within 12 months of the accident. The maximum sum insured payable is not more than 100% of the specified conditions. |
In-patient accidental hospitalization | Any illness or injury caused due to an accidental event will be covered for its treatment expenses or medical hospitalization care specified as per week expenses (should not exceed 100 weeks in the policy term). |
Modification of residence/vehicle | In case the insured person needs any modification in his residence or vehicle after a permanent disability, the policy covers lifestyle changes. |
Children education grant | The insurer covers education or course fee expenses related to the insured’s dependent children. The maximum payout for an educational grant will be upto 100% of the sum insured (the maximum age specified as 25 years for dependent children). |
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
A mishap like death/disability caused due to an unfortunate accident is not easy to handle for a family. It not only impacts the future of the individual suffering from the event but their family suffers too. Isn’t it better to be prepared? Of course, having an accidental insurance plan like Kotak Group Accident Protect policy offers extended coverage benefits related to accidents. For more information about the policy, reach out to our health insurance experts at PolicyX.com at 1800 4200 269 or click on Get a Quote to get your queries resolved.
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:
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Yes. Also, coverage benefits will be given to the insured in case of PTD and PPD.
Yes, it’ll provide the educational/course fee of your child (upto 1 L) when you’re not around or not able to manage it after an accidental event.
It’s an accidental insurance that offers coverage for accidental death or disablement etc.
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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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