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Care Critical Illness Insurance
Care Critical Illness Insurance is a comprehensive health insurance plan designed to protect you and your family against 32 listed critical illnesses, including cancer and heart ailments, with additional features and benefits. The plan aims to reduce the financial distress caused by the diagnosis and treatment of any of the listed major critical illnesses, which might drain your hard-earned savings. The Critical Illness plan offered by Care Health Insurance provides a wide range of sum insured options, from ₹10 Lakh to ₹2 Crore.
It is available as an individual or family floater policy with diverse coverage terms. Care Critical Illness Insurance plans are available for adults from 18 years of age, with no upper age limit for entry. Insured individuals can cover themselves, their legally wedded spouse, up to 2 children, 2 siblings, parents, parents-in-law, uncle, aunt, nephew, niece, grandparents, and grandchildren. With over 20,800 network hospitals, Care Critical Illness Insurance is among the best choices for health insurance plans against critical illnesses. The plan includes various health services such as quick recovery counseling, doctor-on-call, a health portal, and global coverage. To learn more about the health insurance plan, read the details mentioned in this article.
Care Critical Illness Insurance at a Glance
- Plan Type: Individual/Family Floater
- Sum Insured: ₹10 Lakh to ₹2 Crore
- Critical Illnesses Covered: 32
- Network Hospitals: 20,800+
- No Claim Bonus: 25% every claim-free year, up to 100% of Sum Insured
- Co-Payment Option: 20% per claim
Read more specifications in the brochure.
Benefits of Care Critical Illness Insurance
Care Critical Illness Insurance provides a financial safety net against 32 listed critical illnesses. Policyholders investing in this plan are entitled to various benefits:
- Discounts: Policyholders can avail a long-term policy discount of up to 10%, along with a fixed 2.5% discount for covering additional family members under the same policy.
- Cancer and Heart Mediclaim Benefits: The policy allows you to opt for coverage against cancer, heart ailments, and various medical procedures. The plan offers a wide range of sum insured from ₹10 Lakh to ₹2 Crore. However, under the critical illness benefit, insured individuals can avail up to ₹10 Lakh as a sum insured benefit.
- Health Services: Individuals investing in Care Critical Illness Insurance will have access to various health services such as doctor-on-call, quick recovery counseling, a health portal, global coverage, and OPD expenses as per sub-limits mentioned in the policy schedule.
- Optional Benefits: Customers can add a plethora of optional benefits to their base policy to customize the health insurance plan as per their requirements. Examples include deductible options, co-payment options, unlimited automatic recharge, and international second opinion services.
- Tax Benefit: All premiums paid towards the Care Critical Illness Health Insurance will be eligible for tax deductions as per the Income Tax Act.
Eligibility Criteria for Care Critical Illness Insurance
Below are the eligibility criteria required to invest in the critical illness insurance plan offered by Care Health Insurance:
- Child Entry Age: Minimum: 91 Days, Maximum: 4 Years
- Adult Entry Age: Minimum: 18 Years, Maximum: Lifelong
- Relationships Covered: Self, spouse, up to 2 children, up to 2 parents, and 2 parents-in-law
- Policy Tenure: 1, 2, or 3 Years
- Premium Payment Mode: Single, Monthly, or Quarterly
- Initial Waiting Period: 90 Days
What is Covered Under Care Critical Illness Insurance?
The plan provides coverage for the following features:
- In-Patient Care: Up to Sum Insured (SI)
- Day Care Treatment: Up to SI
- Pre and Post Hospitalization: Pre-hospitalization for 30 days, Post-hospitalization for 60 days (up to SI)
- Chemotherapy and Radiotherapy: Up to SI
- Dialysis Cover: Up to SI
- Ambulance Cover: Up to ₹3,000 per hospitalization
- Organ Donor Cover: Up to SI or ₹15 Lakh, whichever is lower
- Alternative Treatments: Up to 25% of SI
- Second Opinion: Once per policy year
- Annual Health Check-up: Available from the 2nd policy year
- Quick Recovery Counseling: 8 sessions post-hospitalization in a policy year
- Doctor-On-Call: Available via telephone or online mode
- Health Portal: Available via Care’s official website
- Global Coverage: Up to SI
- OPD Expenses: Up to 1% of SI, maximum up to ₹25,000
What is Not Covered Under Care Critical Illness Insurance?
There are certain exclusions for the Care Critical Illness Insurance plan:
- Sexually transmitted diseases or HIV/AIDS.
- Treatment under the influence of intoxicating liquor or drugs.
- Suicide or attempted suicide, and intentional self-injuries.
- Congenital external diseases, defects, or anomalies.
- Treatment for injuries sustained while the insured person is committing any breach of law.
- Birth control procedures and hormone replacement therapy.
How to Claim Care Critical Illness Insurance
The claim process for Care Critical Illness Insurance is hassle-free. Follow these steps to understand the procedure in detail:
- In case of an emergency hospitalization, notify the insurer within 24 hours.
- For planned hospitalization, insured individuals must inform the insurer 48 hours prior.
- For cashless claim settlement, fill out the pre-authorization claim form at the network hospital.
- Care Health Insurance will cross-check all details and documents, and verify the claim request.
- Once the verification process is completed, the claim will be directly settled with the network hospital.
In a Nutshell
Care Critical Illness Insurance is designed for individuals seeking to manage critical illness treatment and recovery. The ever-increasing cost of critical illness treatment in India can cause a significant financial burden for families. This plan is fully equipped to cover over 32 critical illnesses, offering a vast range of sum insured options and unique benefits like global coverage, health services, and optional benefits, which can be customized to fit the requirements of families and individuals.
