Care Enhance Super Top Up Plan - Features & Coverage | PolicyX
Care Health Insurance Care Health Insurance ★ 4.4

Care Enhance Plan

The Care Enhance Super Top Up Plan provides additional health insuranc ...Read More

Up to 1 Cr
Sum insured
1
No. of plans
158+
Pan India presence
96.6%
Claim settlement ratio
🛡️ IRDAI Approved
4.4/5 · 2,725 reviews
🏥 22,100+ hospitals
📊 1.74 solvency ratio
96.6% claim settlement
Written by Simran saxena
Reviewed by Raj Kumar
Published: 19 Nov 2024
Updated: 27 Jul 2026
Expert Verified
IRDAI Licensed

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.

Plan at a glance

Eligibility, sum insured options and policy mechanics — pulled straight from the policy wording.

Entry age
Day 1 to no age bar
Plan type
Family
Sum insured options
₹10 L, ₹20 L, ₹30 L, ₹40 L, ₹55 L
Waiting period
30 days
Renewability
Lifelong
Policy term
1, 2, 3 years

*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.

Pros & cons

A quick honest summary — the strengths and the trade-offs.

Pros

  • Covers modern treatment
  • Flexible options of deduction
  • No pre-policy medical test
  • Annual health check-up
  • Floater option

Cons

  • Change of gender treatments
  • Obesity treatment unavailable
  • HIV/AIDS not covered

Video reviews

Walkthroughs from the PolicyX team — pros, cons, real claim experiences and who should buy.

Care Health Insurance Plan Detailed Review

Care Health Insurance Plan Detailed Review

Know the detailed review of care health insurance plans in Hindi. This video will explain all the available plans and care health insurance offers.

Care Health Insurance Network Hospital List

Care Health Insurance Network Hospitals are present in 31 states nationwide. With a wide network of hospitals, Care Health Insurance ensures that you are medically secured, irrespective of the city you reside in.

Know More About Network Hospitals →

Who can buy this plan

Eligibility criteria pulled straight from the policy wording.

  • Minimum Entry Age: 5 years
  • Maximum Entry Age: No age limit
  • Sum Insured (SI): 1 Lakh to 55 Lakhs
  • Initial Waiting Period: 30 days

Frequently Asked Questions

The 4 most-asked questions about Care Enhance Plan, answered.

A deductible is an amount that policyholders need to pay for their medical expenses before using the top-up sum insured amount.
Super Top-up Policy activates when the medical expenses cross the deductible chosen in the plan.
There is a 4 year waiting period for pre-existing diseases from the date of policy inception.
Yes, you have to bear the 20% of co-pay on your medical expenses if your age is 61 years or above.

Health Insurance Premium Calculator

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