Investing in a good health insurance policy is necessary to avail quality healthcare facilities because the costs of healthcare services are increasing day by day. It prepares you for unforeseen circumstances and also protects your savings from exhaustion due to medical expenses. The digital insurance company ACKO offers online health insurance products with focus on the employer-employee market. ACKO health insurance plans offer exceptional customer experience, high-quality service, value-based pricing and technological innovations.
Founded in 2016, Acko General Insurance Limited is India's first insurer to operate digitally by integrating technology. With over 50 million customers, Acko is licensed by the IRDAI. They have collaborated with leading enterprises to develop unique and innovative insurance products.
ACKO General Insurance offers diverse health insurance plans tailored to individual needs, with reasonable rates. It is a top choice for comprehensive insurance solutions, including health insurance.
Here are the key highlights:
ACKO's health insurance plans offer a comprehensive range of benefits to cover your medical expenses. Some of the key highlights include:
ACKO covers pre and post-hospitalization medical expenses.
ICU costs are covered under ACKO's health insurance plans.
ACKO provides ambulance charge coverage for medical emergencies.
ACKO covers expenses for day-care treatments to ease financial burden.
Compare different health insurance plans conveniently with ACKO.
ACKO offers a variety of health insurance plans, including family plans, individual plans, and other plans.
Some of ACKO health insurance plans include:
With a zero waiting period and an option to restore 100% sum insured after the limit is exhausted, this plan also gives coverage for critical illness as well ensuring no extra plans are needed.
This plan with a high sum insured has an add-on with a room rent waiver. With zero deductions at the time of a claim, this plan covers all hospital expenses, further reducing any financial stress.
The plan with a coverage of 50L covers all medical expenses apart from the hospital bill like copayments, non-payable medical expenses, deductibles etc. The plan also offers a room rent waiver and gives access to numerous teleconsultations.
The main feature of this plan is that it has an unlimited sum insured, implying there is no stress of exhausting the sum insured and it will cover all medical bills, second opinions, daycare treatments, emergency medical check-ups etc.
The coverage extends to various medical situations like hospitalization, emergency medical evacuation, and daycare procedures, and with a 1 Crore sum insured, it comes with few terms and conditions, making it an ideal and stress-free plan.
It offers a sum insured ranging from Rs. 5,00,000 to Rs. 10,00,000 for medical expenses for in-patient treatment, pre and post-hospitalization, room rent, ICU, and alternative medicine treatments.
Besides the above, ACKO also offers several top-up plans and also a Corona Kavach which is specifically designed to cover medical expenses of Covid.
Here's why you need to buy ACKO Health Insurance Policy.
Cost-Effective Plans with No Agent Involvement: ACKO provides health insurance plans that are affordable and easy to understand and provide comprehensive coverage.
Freedom to Choose Any Hospital Room: There is a room ret waiver giving the insured to choose any room.
No Deductions on Claim Amount: In most plans, all costs are paid by the insurance company
Protection against Inflation: After ten policy years, the sum insured increases based on a percentage, ensuring that your coverage keeps pace with rising medical costs.
Cashless Treatment at Network Hospitals: ACKO has a vast network of over 14,300 hospitals where policyholders can avail cashless treatment.
Tax Benefits: Under Section 80D of the Income Tax Act, you can claim a deduction of up to INR 25000 for the premium paid.
Paperless Process for Convenience: You can easily manage your insurance policy online, making it hassle-free and time-saving.
Listed below are the features of ACKO health insurance.
In-patient Hospitalization: ACKO will cover medical expenses including room rent, charges for ICU and OT, doctor fees, medication, surgical and medical appliances required, diagnostic tests, etc.
Day-Care Treatment: ACKO will reimburse medical expenses incurred towards a day-care treatment undertaken by an insured person in a hospital/nursing home/daycare centre.
Pre & Post Hospitalization Medical Expenses: Expenses for pre as well as post-hospitalisation expenses for diagnosis and treatment of the same ailment for which the insured was hospitalised.
Road Ambulance: ACKO will cover the reasonable costs incurred for the transportation of an insured person to a hospital or daycare centre by ambulance or public transport in case of emergency care requirements.
Organ Donor Expenses: Expenses for organ transplantation of the insured member. Medical expenses related to organ donation, including surgeries, hospitalization, and post-operative care, are covered under this benefit
The benefits of having ACKO Health Insurance are listed below.
Financial Protection against Medical Emergencies: By eliminating agents, ACKO provides competitive premiums and transparent pricing to policyholders.
No Room Rent Capping: These plans offer cashless hospitalization, coverage for pre and post-hospitalization expenses, and tax benefits, ensuring financial security in times of emergencies.
No Deductions on Claim Amount: ACKO Plans cover insurance costs without deductibles, co-pays, or non-payable medical expenses.
Protection against Inflation: ACKO Health Insurance Plans offer inflation protection by increasing the sum insured by a percentage after ten consecutive policy years, ensuring long-term financial security.
Additional Coverages: ACKO's Platinum Plan provides comprehensive coverage without the need to purchase separate add-ons or riders, offering features like Room Rent Waiver, Doctor On-call, and Coverage for non-medical expenses, all included in the plan without any additional premium.
Here is more on the add-ons offered by ACKO Health Insurance.
Comprehensive Coverage for Non-Medical Expenses: This health plan goes beyond basic coverage by including non-medical expenses like admission charges, surgical kits, and syringes in India.
Worry-Free Hospital Stays with Room Rent Waiver: Enjoy the freedom to choose any hospital room without cost worries with the room rent waiver add-on included in the comprehensive health insurance policy.
Convenient Doctor Access with Doctor-on-Call: Connect with doctors easily through phone or video calls for remote consultations with ACKO's doctor-on-call add-on.
The following are included in this health insurance plan:
Hospital expenses: This will cover hospitalization costs including rent for rooms along with visits by doctors and nurses, etc.
Daycare Procedures: The plan provides coverage for procedures that do not require hospitalisation for 24 hours.
Pre and post-hospitalization: Covers certain costs incurred before and after hospitalization.
Domiciliary Treatment: The insurer pays for home treatment for certain conditions for a certain number of days.
Organ Donation: The hospitalization costs related to the donation of organs are covered
Ambulance Services: The cost of the ambulance for taking the patient to the hospital is payable under the policy
AYUSH Benefits: Covers expenses for alternate medical treatments like Ayurveda, Homoeopathy, Siddha etc as per the policy.
Newborn Baby Coverage: There is medical coverage for a newborn baby as per the terms and conditions of the policy.
Here are some instances that are not covered by the standard medical insurance:
Intentional Injuries: Treatment costs for self-inflicted harm or attempted suicide are not covered by the insurance.
Adventure Sports Injuries: Injuries resulting from adventurous sports activities are excluded from coverage.
Criminal Activities: Medical attention required due to engaging in criminal activities is not covered.
Cosmetic/Dental Surgeries: Unless necessitated by an accident, the insurance does not cover the cost of cosmetic or dental surgeries.
Infertility Treatment: Expenses associated with infertility treatments are typically not covered.
Coverage Not Mentioned in Policy: Any medical treatments or surgeries that are not explicitly mentioned in the policy document will not be covered.
Change-of-Gender Treatments: Expenses related to gender-changing treatments or surgeries are excluded.
Refractive Error: Treatment expenses for correcting eyesight due to refractive errors below 7.5 dioptres are not covered.
Maternity Expenses: The policy does not cover any expenses that are incurred at the time of delivery of a baby or an abortion. Also expenses incuured after a miscarriage unless it is due to an accident are not payable under the policy.
Here are the steps to get a health insurance policy from Coverfox:
Here is a list of documents required to obtain an insurance policy from ACKO:
Here are the steps to renew ACKO Health Insurance Online:
Here are the steps to renew your health insurance policy offline:
ACKO provides three types of health insurance claims:
Here, ACKO settles medical expenses directly with network hospitals. Admission to a network hospital is required to avail this facility. If the hospitalization is planned, at least 24-72 hours before admission, the insurance desk at the hospital should be informed about the same. In case of an emergency, the insurance desk should be informed at the time of admission and the policy card should be given. In both cases, the pre-authorization form needs to be submitted with other papers. If the claim is covered under the policy, the insurance company will settle the bill directly with the hospital.
Hospitals must submit a cashless request to ACKO. The insurer will then collaborate with the hospital to onboard it as a network provider. For assistance, healthcare providers can contact ACKO's helpline or email address. This is under the “cashless everywhere” norm recently introduced by the Government.
In this type of claim, you need to first get your treatment done by paying out-of-pocket and then file a reimbursement claim with the insurer to get a reimbursement of your money.
You need to notify ACKO about the medical treatment details and the hospital where you received the treatment.
Receive treatment at the hospital of your choice. Settle all the hospital bills yourself
Obtain original hospitalization documents such as discharge summaries, diagnostic reports, prescriptions, payment receipts, etc.
Download the health insurance claim form from ACKO's website and fill in all the necessary details. Ensure the hospital attests all the documents with a seal and signature.
Submit the completed health insurance claim form along with the hospitalization-related documents. Apply for ACKO Health Insurance Online reimbursement or by writing to ACKO.
If your claim is approved, ACKO will settle your claim as per the policy's terms and conditions. If your claim is rejected, ACKO will provide the reason for the rejection.
In case of an accident, the FIR (First Information Report) or Medico-Legal Certificate may be required.
Coverfox ensures a swift and convenient process to secure your insurance needs. Some reasons that make it the ideal choice:
Wide range of ACKO health insurance options.
Seamless and hassle-free buying experience on the Coverfox platform.
Dedicated customer support for any assistance or claims.
Secure your health with ACKO General Insurance, offering comprehensive health insurance plans. Purchase an ACKO Health Insurance policy quickly and easily online. Protect your health with ACKO's reliable and affordable Health Insurance policies.
