Care Group Health Insurance comes with a wide variety of inc ...Read More
Care Group Health Insurance comes with a wide variety of inclusions. These include pre- and post-hospitalization expenses, in patient expenses, and many more. Care group health plans are designed for personalised business needs. ...Read Less
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Care Health provides Group Health insurance, Group Personal Accident Insurance, and Group Travel Insurance. Care Health Insurance has offered 11,000+ corporate policies in 25,000+ different locations all over India. Care group health plans provide features like customised coverage, coverage for partial and permanent disability, trip delay coverage, etc.
With Care group health insurance plans, employees have the freedom to cover immediate family members. Additionally, you get corporate buffer, paperless claim settlements, online risk assessment, and digital accessibility. The claim settlement ratio for Care Health is 92.77% for FY 2023-24.
Care group health plans are designed for personalised business needs. Read the article below to explore the inclusions, exclusions, features, and benefits of the Care group plans.
Health Insurance Plans
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Health Insurance Plan
To understand Care Group Health Insurance Insurance in detail, take a look at the below table:
Flexible eligibility
Group Health Insurance
Up to 1 Crore
Coverage from day 1 Days
NA
1 Year
*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.
With wide coverage options available, Care Group Health Insurance Insurance Plan allows you to choose your ideal coverage as per your family’s health requirements. Take a look at the coverage under every SI option available and choose your ideal coverage:
Room Rent
Covered
ICU Charges
Not Covered
Pre-Hospitalization
Covered
Post-Hospitalization
Covered
Domiciliary Hospitalization
Not Covered
Daycare Treatment
Covered
OPD Charges
Not Covered
COVID-19 Treatment
Covered
Cataract
Covered
No Claim Bonus
Not Available
Automatic Restoration
Not Available
Daily Hospital Cash
Not Covered
Organ Donor
Not Covered
Maternity Cover
Covered
New Born Baby Cover
Covered
AYUSH Treatment
Covered
IVF Treatment
Not Covered
Modern Treatment
Not Covered
Ambulance
Covered
Air Ambulance
Not Covered
Compassionate Travel
Not Covered
Global Coverage
Not Covered
E-Consultation
Not Covered
Health Check-Up
Not Covered
Second Medical Opinion
Not Covered
Vaccination
Not Covered
Co-payment
Not Available
Sub-limits
Available
The room rent limit is the maximum bed charge you can claim if you are hospitalised. Common Room categories covered under room rent are all kinds of rooms including single, private and AC rooms (except suite).
It is a special hospital department where patients with serious medical conditions are treated.
Medical expenses incurred before hospitalisation of the policyholder.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Domiciliary hospitalization or home care treatments are the arrangements for an insured individual due to the unavailability of medical amenities in hospitals, or in a case where an insured member can not be admitted to the hospital due to an inability. The treatment should last equal to or more than 72 hours to get financial coverage.
Treatments that can be completed within 24 hours of hospitalization like blood dialysis, cataracts, etc.
Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization. .
It includes the treatment cost for COVID-19 with a confirmative diagnosis from a government-approved centre.
A common eye condition in which your vision gets blurred due to cloudy formation in your eyes.
For every claim-free year, insurance companies reward policyholders with an increase in the sum insured amount as a no-claim bonus or cumulative bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage varying from one plan to the other.
It is a benefit in which an insurance company restores the amount of sum insured completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from one plan to the other.
Daily hospital cash or Hospicash is a cash amount that you receive each day during the time of hospitalization to cover your non-medical expenses.
It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body. In most of the cases, the insurer pays for the hospitalization and transplant expenses for both the parties i.e. the donor and the receiver.
It refers to the cover that includes expenses for normal and c-section deliveries.
It takes care of the medical expenses that arise due to the hospitalisation of the newborn baby in case of any childbirth complications, medical challenges, and so on. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are settled or reimbursed for:
Medical treatments that demand the use of modern technology and advanced machinery such as robotic surgeries, stem cell therapy, etc.
An ambulance is used to move the patient from home to the hospital, transfer them to another hospital, and take them for different tests outside the hospital.
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
Refers to the travelling expenses of a family member who’s visiting the hospital to look after the patient when the policyholder gets admitted to a hospital outside his/her residential city.
Any kind of medical/health emergency when you are outside of India is covered for hospitalization expenses, modern and specific treatments, etc.
If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
A facility where the policyholder can avail of free health check-ups after fulfilling the company's eligibility criteria. In most cases, the insured member/s gets an annual health check-up cover.
If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.
Coverage against the expenses incurred on vaccinations of either the newborn baby, for an animal bite, etc is provided by the insurance companies.
In the co-payment clause, policyholders have to pay a preset amount (either compulsorily or voluntarily) of the hospitalisation expense on their own and the insurer will pay the rest of the medical bill amount.
Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to be paid by the policyholder. For instance, if your policy covers room rent for upto 20% of the sum insured, but the expense of the same is more than 25%, you will have to pay the rest amount, i.e. 5%, for your room rent.
Listed below are the benefits of Care group health plans.
For Employees | For Employers |
No pre-policy medical check-ups, covering you from day 1. | Customize the sum insured and policy benefits according to the majority of employees. |
Tax benefits are available if you pay group health premiums under section 80D of the Income Tax Act, 1961. | Tax benefits are available under section 80D of the Income Tax Act, 1961. |
Health check-up camps, health insurance awareness camps, and more. | Helps in retaining employees by offering mental peace and comprehensive healthcare coverage. |
Additional riders/ benefits available for personalised coverage | Care group health insurance offers competitive pricing to organisations. |
Access to all policy-related documents and queries with the Care Health App. | Dedicated relationship managers for corporate health plans are offered. |
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.
Permanent diseases or health conditions that are not included under Care Group Health Exclusions are:
Hospitalization out of war, riot, strike, and nuclear weapons
Intentional self-injury
AIDS
Infertility and in vitro fertilization
Miscarriage and abortion
Congenital disease
Certain diseases and treatments are covered under Care Health group plans. Read the details below:
Specific diseases after 2/3 Years
Pre-existing diseases after 4 Years
Care Health group insurance stands out as a reliable choice for comprehensive health coverage, offering tailored plans that cater to diverse needs. With its extensive 21,600+ network of hospitals and focus on customer-centric services, it provides peace of mind for individuals and families alike. By prioritizing affordability and accessibility, Care Health ensures that quality healthcare is within reach. Choosing Care Health group insurance means investing in a secure and healthy future, backed by a trusted name in the industry.
To know more about health insurance plans from Care Health Insurance, connect with our expert advisors.
We offer No Spam, No Gimmicks, Only Xpert Insurance Advice.
To cater to the different medical needs of an individual & their family, Care Health Insurance offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more.Take a look below to Care Health Insurance plans explore more:
Group Health Insurance
Care Health provides Group Health insurance, Group Personal Accident Insurance, and Group Travel Insurance. Care Health Insurance has offered 11,000+ ...
Unique Features
Individual and Family Health Insurance
The Ultimate Care health insurance plan by Care Health is designed to provide comprehensive coverage to the policyholder with a range of benefits. Thi...
Unique Features
Critical Illness Health Insurance
Care Heart is a unique plan launched by Care Health Insurance that provides the flexibility to choose from benefits like Active heart health check-ups...
Unique Features
Individual and Family Health Insurance
Care Plus health insurance is a complete healthcare plan that is loaded with features and protects you and your family. Care Plus offers comprehensive...
Unique Features
Family
Get coverage based on your residential zone. Care Classic health insurance is a family floater health plan ideal for married couples, joint families, ...
Unique Features
Family
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 ...
Unique Features
Women Health Insurance
An ideal combination of hospitalization and maternity care. Care Joy health insurance is designed specifically for expecting mothers and their newborn...
Unique Features
Individual and Family Health Insurance
Single health insurance to cover all family members. Care health insurance plan is a comprehensive medical policy for individuals and families. It is ...
Unique Features
Senior Citizen Health Insurance
Care Senior Citizen is specially designed to offer coverage for individuals above 60 years of age. It offers flexibility to choose the sum insured tha...
Unique Features
Critical Illness Health Insurance
Critical Mediclaim Care health insurance policy gives you protection against 32 defined critical illnesses based on an indemnity plan. This super-faci...
Unique Features
Individual and Family Health Insurance
Free yourself from the worries of healthcare. As the name suggests, Care Freedom is the plan that allows you to be worry-free in every situation. Thi...
Unique Features
Individual and Family Health Insurance
Care Supreme is an extensive coverage health insurance plan that safeguards you and your family members without worrying about your future healthcare ...
Unique Features
Accident Health Insurance
Care Secure personal accident policy covers accidental death, permanent and temporary partial/total disability, recovering treatment costs, accidental...
Unique Features
Critical Illness Health Insurance
Worried about cancer in your bloodline? Care Cancer Mediclaim has got you covered. Cancer can be defined as distress, hopelessness and loss. There cou...
Unique Features
Individual and Family Health Insurance
Care Advantage Health Insurance is an ideal 1 Crore option so that a policyholder's family is adequately covered. Care Advantage health insurance offe...
Unique Features
Individual and Family Health Insurance
Care Operation Insurance Plan is designed specifically to offer you surgical operations coverage. A wide range of sum insured options are available ra...
Unique Features
Individual and Family Health Insurance
Arogya Sanjeevani was first introduced by IRDAI (Insurance Regulatory and Development Authority of India) in the year 2020 to provide a standard and a...
Unique Features
PolicyX.com premium calculator offers premium comparison for some of the best health plans in India. You can input your details and check out some of the most suitable health insurance policies for your specific requirements. This is the easiest, most efficient, spam and gimmick-free way to buy health insurance today.
Care Health Insurance offers the Care group health plan and Arogya Sanjeevani health plan.
The latest claim settlement ratio for Care Insurance for FY 2023-2024 is 82.31%.
You can connect with Care Health Insurance by simply calling 044-6900-6900 or downloading their Care Health app.
Care Insurance offers cashless treatments across India with its 21,600+ network hospitals.
Care Group health plans cover maternity and newborn expenses as an optional benefit.
Yes, optional coverage benefits like maternity coverage and newborn baby coverage are available.
Care group health plans offer tax benefits under section 80D of the Income Tax Act, 1961.
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Simran is an insurance expert with more than 4 years of experience in the industry. An expert with previous experience in BFSI, Ed-tech, and insurance, she proactively helps her readers stay on par with all the latest Insurance industry developments.
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February 5, 2023
Asia/Kolkata
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