Care Enhance Super Top Up Plan
vs
Individual Mediclaim Policy

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Care Enhance Super Top Up Plan vs Individual Mediclaim Policy

Care Enhance Super Top Up Plan

A top-up plan based on policy deductible principle Care Enhance is a super top-up health insurance plan that provides extra health insurance coverage to you and your family. It is an ideal choice for those who already have another mediclaim policy or a limited self-financing capacity as this plan co...

Individual Mediclaim Policy

Oriental Individual Mediclaim by Oriental Health Insurance is an affordable health insurance policy that is designed to take care of all your medical expenses related to the Hospitalization/Domiciliary hospitalization of the policyholder in the following conditions: Sudden illness Accident Surgery ...

PLAN DETAILS

Care Enhance Super Top Up Plan


Individual Mediclaim Policy

Premium Including GST
Product Type Family Individual
Key Features
(Key features of the plan)
  • Flexible deductible
  • Modern treatments
  • No pre-medical check-ups
  • AYUSH Benefits Covered
  • Inclusions and Exclusions
  • Lifetime Renewability
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
- 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)
- 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)
21600 4000
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
- Covered
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
- Covered
Ambulance Charges
(Expenses incurred on ambulance charges)
- Covered
Maternity Benefits
(All Hospitalization cost covered at the time of pregnancy.)
- Covered
New Born Baby Covered
(Newborn babies can be covered under the insurance plan after a certain period)
- 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 Day 1 to no age bar 18 to 65 Years
Plan Premium Entry Age and S/A 3794 2,933
Plan Waiting Period 30 30
Plan Coverage - -
Plan Sample Premium 3794 2,933
Plan Brochure Brochure URL Brochure URL
Policy Term 1, 2, 3 years 1 Year
ICU Charges - Covered
Covid-19 Treatment - Covered
Cataract - Covered
Automatic Restoration - Not Covered
Ayush Treatment - Covered
Modern Treatment - Covered
E Consultation - Covered
Air Ambulance - Covered
Global Coverage - Not Covered
Claim Ratio 100 91.62
Solvency Ratio 1.8 0.6

Know More About Plans

Overview

A top-up plan based on policy deductible principle

Care Enhance is a super top-up health insurance plan that provides extra health insurance coverage to you and your family. It is an ideal choice for those who already have another mediclaim policy or a limited self-financing capacity as this plan covers the expenses over or above their existing coverage. Care Enhance plan works on the Policy Deductible principle and offers flexible choices of deductible with a wide range of SI options.

Have a look at how Care Enhance works:

Suppose you have an insurance cover of 4 lakhs but you think it is not sufficient to meet the expensive medical treatments due to the increasing inflation. In this scenario, you can buy a Care Enhance super top-up plan of 15 lakhs with a deductible of 4 lakhs (i.e. your existing cover). Now, this top-up cover pays for your healthcare expenses up to 15 lakhs if the medical bills cross 4 lakhs. Understand with an example below:

Sum Insured 5 Lakhs 5 Lakhs 5 Lakhs
Deductible 1 Lakh 2 Lakhs 3 Lakhs
Claim Amount 50K 2.5 Lakhs 3 Lakhs
Payable Amount NA 50K NA

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Raj Kumar

Reviewed By: Raj Kumar

With over 12 years of rich experience in the BFSI domain, with a specialisation in Life and Health Insurance, I have played a pivotal role in simplifying the insurance-buying process and delivering unparalleled service.