Care Arogya Sanjeevani Policy vs Group Mediclaim Insurance Policy Health Insurance Plan 2026 | PolicyX

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Arogya Sanjeevani was first introduced by IRDAI (Insurance Regulatory and Development Authority of India) in the year 2020 to provide a standard and affordable healthcare plan to the citizens of India.

Care Arogya Sanjeevani Policy is an affordable healthcare plan providing you and your families with the right healthcare needs. Under this policy, you are covered for expenses incurred for AYUSH treatment, pre and post-hospitalization expenses, ambulance cover, modern treatments, and lifelong renewability as subject to the policy schedule. A sum insured of INR 5 lakh is promised to all policyholders availing of this health plan. In case of a planned or unplanned hospitalization, 22,900+ Care network hospitals across India are available for effective medical care for you and your family members. If you are considering Care Arogya Sanjeevani for your family, we can help you make an informed decision.

PLAN DETAILS

Care Arogya Sanjeevani Policy

Group Mediclaim Insurance Policy

Product Type Individual and Family Health Insurance Group Health Insurance
Key Features
(Key features of the plan)
  • High sum insured
  • 540+ procedures covered
  • Organ donation cover
  • Coverage for employees
  • 3 variants available
  • Avail tax benefits
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
Not Covered -
Room Rent
(A limit of room rent cover during hospitalization if any)
Covered -
Domicillary Hospitalization
(It is the expenses incurred on treatment of the patient at home)
Not Covered -
Pre-hospitalization
(Expenses before the insured is hospitalized)
Covered -
Post-hospitalization
(Expenses after discharge from the hospital)
Covered -
Day Care Treatment Covered
(Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.)
Covered -
Hospital_network
(Number of Hospital Network in city)
11400+ 9100
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
Not Covered -
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
Not Covered -
Ambulance Charges
(Expenses incurred on ambulance charges)
Covered -
Maternity Benefits
(All Hospitalization cost covered at the time of pregnancy.)
Not Covered -
New Born Baby Covered
(Newborn babies can be covered under the insurance plan after a certain period)
Not Covered -
Health Checkup
(An added benefit of one time full health checkup of policy holder.)
Not Covered -
Sub Limit
(Sub-limit is a monetary capping that applies on specific diseases like cataract)
Covered -
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
Covered -
Plan Entry Age Min- 3 month, Max- 65 years 18 to 65 years
Plan Premium Entry Age and S/A 6013 NA
Plan Waiting Period 30 30
Plan Coverage Inpatient hospitalization cover, Pre post expenses, Daycare treatments covered, AYUSH treatment cover, Ambulance expenses covered Group medical cover
Plan Sample Premium 6013 NA
Plan Brochure Brochure URL Brochure URL
Policy Term 1 year 1 year
ICU Charges Covered -
Covid-19 Treatment Covered -
Cataract Covered -
Automatic Restoration Not Covered -
Ayush Treatment Covered -
Modern Treatment Covered -
E Consultation Not Covered -
Air Ambulance Not Covered -
Global Coverage Not Covered -
Claim Ratio 97 87.50
Solvency Ratio 1.74 2.35

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