Kotak Group Accident Protect Plan
  • AD PTD & PPD covers
  • Children’s educational grant
  • Lifestyle modification cover
Kotak Group Accident Protect
premium

Network hospitals

9450+

premium

Incurred claim ratio

97.61%

premium

Sum insured

Up to 25 L

premium

No. of Plans

1

premium

Solvency Ratio

2.2

premium

Pan India Presence

19+

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Kotak Group Accident Protect Plan

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.

Kotak Group Accident Protect Plan Specifications

To understand Kotak Group Accident Protect Plan Insurance in detail, take a look at the below table:

Entry Age

Minimum 18 years, Maximum 80 years

Policy Type

Individual

Sum Insured

NA

Initial Waiting Period*

Covered from 1 Days

Renewability

NA

Policy Term

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.

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Choose Your Kotak Group Accident Protect 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:

In-patient & Out-patient 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

Coverage Terms

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

Alternative Treatments

AYUSH Treatment

Not Covered

IVF Treatment

Not Covered

Modern Treatment

Not Covered

Emergency Coverage

Ambulance

Covered

Air Ambulance

Not Covered

Compassionate Travel

Not Covered

Global Coverage

Not Covered

Wellness Programmes

E-Consultation

Not Covered

Health Check-Up

Not Covered

Second Medical Opinion

Not Covered

Vaccination

Not Covered

Limitations

Co-payment

Not Covered

Sub-limits

Not Covered

What is Room Rent?

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).

What are ICU Charges?

It is a special hospital department where patients with serious medical conditions are treated.

What is Pre Hospitalization?

Medical expenses incurred before hospitalisation of the policyholder.

What is Post Hospitalization?

Medical expenses incurred after the discharge of the policyholder from the hospital.

What is Domiciliary Hospitalization?

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.

What is Daycare Treatment?

Treatments that can be completed within 24 hours of hospitalization like blood dialysis, cataracts, etc.

What are OPD charges?

Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization. .

What is COVID-19 Treatment?

It includes the treatment cost for COVID-19 with a confirmative diagnosis from a government-approved centre.

What is Cataract Treatment?

A common eye condition in which your vision gets blurred due to cloudy formation in your eyes.

What is a No-Claim Bonus?

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.

What is Automatic Restoration?

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.

What is Daily Hospital Cash?

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.

What is an Organ Donor Cover?

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.

What is a Maternity Cover?

It refers to the cover that includes expenses for normal and c-section deliveries.

What is a New Born Baby Cover?

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:

  • Congenital anomaly (conditions since birth)
  • Acute condition
  • Chronic condition
  • Premature delivery
  • Birth asphyxia
  • Daycare treatment
What is AYUSH Treatment?

Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.

What is IVF 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:

  • Full infertility
  • No fertility
  • Infertility diagnosis
  • Infertility diagnosis and limited fertility treatment
  • Medication (which may or may not include fertility drug prescriptions)
What is a Modern Treatment?

Medical treatments that demand the use of modern technology and advanced machinery such as robotic surgeries, stem cell therapy, etc.

What is an Ambulance Cover?

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.

What is an Air Ambulance?

Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.

What is Compassionate Travel?

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.

What is Global Coverage?

Any kind of medical/health emergency when you are outside of India is covered for hospitalization expenses, modern and specific treatments, etc.

What is E-Consultation?

If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.

What is a Health Checkup?

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.

What is a Second Medical Opinion?

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.

What is Vaccination cover?

Coverage against the expenses incurred on vaccinations of either the newborn baby, for an animal bite, etc is provided by the insurance companies.

What is Co-payment?

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.

What is the Sub limit?

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 of Kotak Group Accident Protect Plan

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).

Exclusions under the Kotak Group Accident Protect Policy

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

Connecting The Dots

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.

Explore other Kotak Health Insurance

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

Kotak Accident Care Plan

Kotak Accident Care Plan

Out of 1.35 million deaths happening in road crashes, almost 93% of the accidental deaths occur in averagely developed countries like India. We’...

Unique Features

  • Funeral expenses extensions
  • Children’s education grant
  • Lifelong renewability

Kotak Accident Care Plan (Pros)

Kotak Accident Care Plan
  • Children education grant
  • Dead remains transportation
  • Convalescence benefit
  • Accident daily cash benefit

Kotak Accident Care Plan (Cons)

Kotak Accident Care Plan
  • Room rent charges
  • Pre & post-hospitalization
  • Mental disorders
  • Self-inflicted injury

Kotak Accident Care Plan (Other Benefits)

Kotak Accident Care Plan
  • Ambulance charges
  • Accidental death
  • TTD PTD PPD cover

Kotak Accident Care Plan (Eligibility Criteria)

Kotak Accident Care Plan
  • Entry Age 5 to 65 years
  • Sum Insured NA
  • Policy term 1
  • 2
  • 3 years
  • Waiting period NA

Individual

Kotak Group Accident Protect Plan

Kotak Group Accident Protect Plan

It’s insurance against adversities caused due to accidents. Accidental deaths were all-time high in 2022! According to the reports of Times of I...

Unique Features

  • AD PTD & PPD covers
  • Children’s educational grant
  • Lifestyle modification cover

Kotak Group Accident Protect Plan (Pros)

Kotak Group Accident Protect Plan
  • AD PTD & PPD covers
  • Children educational grant
  • Lifestyle modification cover

Kotak Group Accident Protect Plan (Cons)

Kotak Group Accident Protect Plan
  • Attempt to suicide
  • Death/disablement due to war
  • Breach of law

Kotak Group Accident Protect Plan (Other Benefits)

Kotak Group Accident Protect Plan
  • In-patient hospitalization
  • Ambulance services
  • Daily hospital cash

Kotak Group Accident Protect Plan (Eligibility Criteria)

Kotak Group Accident Protect Plan
  • Entry age- Minimum 18 years
  • Maximum entry age- 80 years
  • Sum Insured- NA
  • Initial waiting period- Covered from day 1

Individual and Family Health Insurance

Kotak Health Premier Plan

Kotak Health Premier Plan

Kotak Health Premier is a versatile option when it comes to ensuring the health and wellness of yourself and your loved ones. Kotak Health Premier is ...

Unique Features

  • Comprehensive coverage
  • Value added benefits
  • Customizable plans

Kotak Health Premier Plan (Pros)

Kotak Health Premier Plan
  • In-patient treatment
  • daycare treatment
  • ambulance cover
  • restoration benefit

Kotak Health Premier Plan (Cons)

Kotak Health Premier Plan
  • Global coverage
  • modern treatment
  • IVF cover
  • Adventure sports

Kotak Health Premier Plan (Other Benefits)

Kotak Health Premier Plan
  • maternity benefit
  • cumulative bonus
  • compassionate travel
  • vaccination

Kotak Health Premier Plan (Eligibility Criteria)

Kotak Health Premier Plan
  • Entry age 18 years (min) - 65 years (max)
  • SI 2 Lakh to 2 Crore
  • Initial waiting period 30 days
  • Policy period 1/2/3 years

Kotak Group Accident Protect: FAQs

1. Can I buy a Kotak Group Accident Protect plan to cover accidental death?

Yes. Also, coverage benefits will be given to the insured in case of PTD and PPD.

2. Will this plan provide my children with an educational grant?

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.

3. What kind of health insurance is Kotak Group Accident Protect plan?

It’s an accidental insurance that offers coverage for accidental death or disablement etc.

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Written By: Simran Nirala

Simran has an experience of 3 years in insurance content writing. She transitioned from hospitality 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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