Care Advantage Plan vs Happy Family Floater Policy Health Insurance Plan 2026 | PolicyX

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Care Advantage Health Insurance is an ideal 1 Crore option so that a policyholder's family is adequately covered. Care Advantage health insurance offers multiple advantages to an insured individual, ranging from organ donation coverage, no claim bonus, emergency ambulance cover, 540+ day care procedures, pre & post-hospitalization expenses, and more.

Care Advantage offers 3 different sum insured options: INR 25 Lakh, 50 Lakh, and 1 Crore. The Care Advantage Plan is also available with a multitude of add-on covers loaded with different features which can be used to customize your plan to best suit your needs.

Care Advantage add-on covers include Covid Care with OPD, Smart Select, Co-payment Waiver, Room Rent Modification, No-Claim Bonus Super, and Care Shield.

PLAN DETAILS

Care Advantage Plan

Happy Family Floater Policy

Product Type Individual and Family Health Insurance Individual and Family Health Insurance
Key Features
(Key features of the plan)
  • High sum insured
  • 540+ procedures covered
  • Organ donation cover
  • International Cover
  • Multiple Discount Benefits
  • E-Consultation Available
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
Not Covered Covered
Room Rent
(A limit of room rent cover during hospitalization if any)
Covered Covered
Domicillary Hospitalization
(It is the expenses incurred on treatment of the patient at home)
Not Covered Covered
Pre-hospitalization
(Expenses before the insured is hospitalized)
Covered Covered
Post-hospitalization
(Expenses after discharge from the hospital)
Covered Covered
Day Care Treatment Covered
(Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.)
Covered Covered
Hospital_network
(Number of Hospital Network in city)
11400+ 4000
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
Covered Not Covered
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
Not Covered Covered
Ambulance Charges
(Expenses incurred on ambulance charges)
Covered Covered
Maternity Benefits
(All Hospitalization cost covered at the time of pregnancy.)
Not Covered Covered
New Born Baby Covered
(Newborn babies can be covered under the insurance plan after a certain period)
Not Covered Covered
Health Checkup
(An added benefit of one time full health checkup of policy holder.)
Covered Not Covered
Sub Limit
(Sub-limit is a monetary capping that applies on specific diseases like cataract)
Not Covered Not Covered
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
Covered Covered
Plan Entry Age 91 days to Lifelong 18 to 65 Years
Plan Premium Entry Age and S/A NA 2,115
Plan Waiting Period 30 30
Plan Coverage Inpatient hospitalization cover, Pre post expenses, Daycare treatments covered, AYUSH treatment cover, Organ donor expenses -
Plan Sample Premium 5,000 2,115
Plan Brochure Brochure URL Brochure URL
Policy Term 1, 2, 3 years 1 Year
ICU Charges Covered Covered
Covid-19 Treatment Covered Covered
Cataract Not Covered Covered
Automatic Restoration Covered Covered
Ayush Treatment Not Covered Covered
Modern Treatment Not Covered Covered
E Consultation Not Covered Covered
Air Ambulance Covered Covered
Global Coverage Not Covered Covered
Claim Ratio 97 91.62
Solvency Ratio 1.74 -1.03
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