Zurich Kotak Group Health Care Plan Online | PolicyX
Zurich Kotak Health Insurance Zurich Kotak Health Insurance ★ 4.4

Zurich Kotak Group Health Care Policy

The Kotak Group Health Care insurance plan is detailed here, tailored ...Read More

Up to 25 L
Sum insured
19+
Pan India presence
96.4%
Claim settlement ratio
🛡️ IRDAI Approved
4.4/5 · 2,702 reviews
🏥 22,600+ hospitals
📊 5.73 solvency ratio
96.4% claim settlement
Written by Simran Kaur Vij
Reviewed by Anchita Bhattacharyya
Published: 31 Jan 2025
Updated: 1 Aug 2026
Expert Verified
IRDAI Licensed

Overview

The Kotak Group Health Care insurance plan is specially designed to cater to the healthcare needs of active group members of Kotak Mahindra Bank Limited. It also provides the same facilities to their dependents, as per the requirements outlined in the policy documents.

The plan covers in-patient, pre- and post-hospitalization expenses, daycare procedures, domiciliary treatment, and other benefits. Additionally, the optional covers under this plan make it more versatile and offer coverage options beyond the base covers.

Read further to know more about the Kotak Group Health Care plan and stay informed if you are already an active member of Kotak Mahindra Bank.

Specifications of Kotak Group Health Care Policy

Here are the coverage specifications of the Kotak Group Health Care policy:

Specifications Clause Details
Base Covers
In-patient treatment Up to SI
Daycare treatment Up to SI
Pre-hospitalization medical expenses 60 days
Post-hospitalization medical expenses 90 days
Emergency ambulance Up to INR 20,000 per event
Domiciliary hospitalization Covered
Donor expenses Covered
Optional Covers
Room rent capping Up to 1% of SI for normal rooms
Up to 2% of SI for ICU rooms
AYUSH (alternative treatment) Up to INR 1 Lakh
Wellness benefits Health check-up and report evaluation (one annual health check-up)

Note: This table is taken from the official website of Kotak and it is not a full representation of coverage benefits. To know more about the specifications, please read the policy wordings attached above thoroughly.

Exclusions

Permanent diseases or health conditions not included under the Kotak Group Health Care Policy are:

  • Investigation and Evaluation
  • Rest cure, rehabilitation, and respite care
  • Obesity or weight control
  • Change of gender treatments
  • Hazardous or adventure sports
  • Breach of law
  • Unproven treatments
  • Sterility and infertility
  • Excluded providers
  • Cosmetic or plastic surgery

To Summarize

If you are an active member of Kotak Mahindra Bank Limited, this policy offers an additional layer of protection for you. To know more details about the Kotak Group Health Care plan, reach out to us at 1800 4200 269.

Plan at a glance

Eligibility, sum insured options and policy mechanics — pulled straight from the policy wording.

Entry age
18-55 years
Plan type
Group Health Insurance
Sum insured options
₹3 L, ₹4 L, ₹5 L
Waiting period
30 days
Renewability
Every Year
Policy term
1 Year

*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.

Pros & cons

A quick honest summary — the strengths and the trade-offs.

Pros

  • Domiciliary hospitalization
  • Daycare procedures
  • Donor expenses
  • In-patient treatment care

Cons

  • Obesity treatment unavailable
  • Breach of law
  • Cosmetic surgery
  • Maternity not covered

What's covered

A quick look at what this plan covers — and what it doesn't.

Hospitalization

  • Room rent Covered
  • ICU charges Not covered
  • Pre-hospitalization Covered
  • Post-hospitalization Covered
  • Domiciliary hospitalization Covered
  • Day-care treatment Covered
  • OPD charges Not covered
  • Covid-19 treatment Covered
  • Cataract Not covered

Bonuses & restoration

  • No-claim bonus Not covered
  • Automatic restoration of SI Not covered
  • Daily hospital cash Not covered

Family & special care

  • Maternity cover Not covered
  • New-born baby cover Not covered
  • IVF treatment Not covered
  • AYUSH treatment Covered
  • Organ donor expenses Not covered

Modern & preventive care

  • Modern treatment Not covered
  • Road ambulance Not covered
  • Air ambulance Not covered
  • E-consultation Not covered
  • Health check-up Covered
  • Second medical opinion Not covered
  • Vaccination Not covered

Conditions & global

  • Co-payment Not covered
  • Sub-limits Not covered
  • Compassionate travel Not covered
  • Global coverage Not covered

Who can buy this plan

Eligibility criteria pulled straight from the policy wording.

  • Entry age: - 18-55 Years
  • SI: - 3/4/5 Lakhs
  • Plan type- Individual
  • Waiting Period: - 30 days

Frequently Asked Questions

The 4 most-asked questions about Zurich Kotak Group Health Care Policy, answered.

Only active users of Kotak Mahindra Bank Limited can buy this policy.
The sum insured options range from INR 3 Lakhs, 4 Lakhs, to 5 Lakhs.
No, this policy is specially designed for an active user of Kotak Mahindra Bank Limited.
Yes, you can opt out of an optional cover from these: room rent capping, alternative benefits (AYUSH), and wellness benefits.

Conclusion

A basic group health insurance plan providing essential hospitalization coverage, ambulance support.

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