Overview
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 expenses over and above their existing coverage. Care Enhance works on the policy deductible principle and offers flexible choices of deductible with a wide range of Sum Insured (SI) options.
How Care Enhance Works
Suppose you have an insurance cover of 4 lakhs, but you think it is not sufficient to meet expensive medical treatments due to 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 |
Deductible |
Claim Amount |
Payable Amount |
| 5 Lakhs |
1 Lakh |
50K |
NA |
| 5 Lakhs |
2 Lakhs |
2.5 Lakhs |
50K |
| 5 Lakhs |
3 Lakhs |
3 Lakhs |
NA |
Exclusions
The following diseases or health conditions are not included in this health insurance plan:
- Injuries resulting from a suicide attempt
- Hospitalization due to alcohol and drug abuse
- Cost of spectacles, contact lenses, and dental treatment
- Treatment of AIDS
- Congenital Disease
- Non-allopathic treatment
- Treatments related to infertility and in-vitro fertilization
- Treatments arising from pregnancy and childbirth, miscarriage, abortion, and its consequences
Waiting Period Exclusions
Some treatments are covered after a defined waiting period under this plan. To know more, read below:
- Pre-Existing Diseases (after 4 years)
- Specific Ailments (after 2 years)
Care Enhance Premium
PolicyX.com aims at making the premium calculation of a top-up plan simpler for you. Therefore, we have calculated two samples of annual premiums for a 1-year policy term based on the same sum insured with different deductible amounts. Find sample premiums of both plan variants below.
Individual Plan Premium
| Age Group |
Sum Insured |
Deductible |
Sample Annual Premium (1A) |
| 25 - 35 years |
6 Lakhs |
2 Lakhs |
3794 |
| 25 - 35 years |
6 Lakhs |
3 Lakhs |
3086 |
*The premium calculated in the table is inclusive of 18% GST.
Family Floater Premium
| Age Group |
Sum Insured |
Deductible |
Sample Annual Premium (2A+1C) |
| 45 - 55 years |
20 Lakhs |
5 Lakhs |
15606 |
| 45 - 55 years |
20 Lakhs |
10 Lakhs |
11537 |
*The premium calculated in the table is inclusive of 18% GST.