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icon Health Insurance icon Acko Health Insurance

ACKO Health Insurance

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.

  • Claim Settlement Ratio: The incurred claim settlement ratio of ACKO Health Insurance for F.Y.2021- 22 is 103.75%

Buy Health Insurance Plans as Per Your Need

5 Lakh Health Insurance Cover 10 Lakh Health Insurance Cover 20 Lakh Health Insurance Cover 1 Cr Health Insurance Cover

Types of ACKO Health Insurance Policies

ACKO Health Insurance Policy

ACKO health insurance policy is a comprehensive health plan that offers coverage on individual, family on individual sum insured, or family floater basis. There is no maximum entry age limit. It has 12 basic benefits, 10 basic benefit options which are available only at the time of inception of the first policy and 10 add-ons. A policyholder can opt for any number of benefits depending on his requirement and budget. It is available for 1, 2 or 3 years. Some of the benefits offered are in-patient hospitalisation, day care treatment, pre and post hospitalisation expenses, domiciliary hospitalisation, hospital daily cash etc. It offers renewal benefits like annual preventive medical check-up, inflation protect sum-insured and NCB. The sum insured can be restored to 100% of base sum insured once in a policy year. It also offers preventive and wellness services for a healthy lifestyle.

Aarogya Sanjeevani Policy

It is a standard healthcare policy that covers people for basic healthcare expenses at affordable premiums. It is a mandatory policy for people between the ages 18 years and 65 years. It is available for 1 year on an individuaL or family floater basis and is renewable for life.

ACKO Corona Kavach Policy

It is an indemnity based policy to cover medical expenses due to Covid-19 treatment. It is issued for a period of 3.5 months, 6.5 months, and 9.5 months. It can be availed for individual and family members such as spouse, children, parents and parents in law. It includes benefits like hospitalisation, home care treatment, AYUSH treatment, Pre and Post hospitalisation.

ACKO Secure Shield Policy

It protects the policyholder from economic concerns caused due to loss of job, hospital daily costs and critical illness during the policy term. The policy is issued for 1 year.

Saral Suraksha Bima

It is a personal accident cover that provides financial assistance for hospital expenses due to an accident. The policy has a term of 1 year and is renewable for life. It offers base coverage like death cover, permanent total disablement cover and permanent partial disablement cover. Some optional covers are also available like temporary total disablement, hospital expenses due to accident and education grant.

ACKO Group Health Insurance

It includes ACKO health insurance policy for groups of employees or workers of an organization. It provides coverage against hospitalisation, injury due to accident and critical illness. ACKO group health insurance plans are ACKO Group Health Insurance, ACKO Group Health OPD Wallet, Group Health & Accident Care Policy and Group Personal Accident Policy. It provides online consultation, medicine ordering through ACKO app using OPD wallet. It can be customised to meet each employee’s unique requirements.It also has features like fitness tracking, reward system for completing fitness challenges, diet consultation and diagnostic tests booking.

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ACKO Health Insurance Review

Network of Hospitals
Network of Hospitals
Cashless facility across 7000+ network hospitals
4500 Labs
4500 Labs
Network of 4500 labs across India for diagnostic tests
Specialist Consultation
Specialist Consultation
35000+ specialist doctors available for online consultation
Zero Paperwork
Zero Paperwork
Minimum paperwork required
Affordable
Affordable
Affordable Premium rates
Sum Insured
Sum Insured
Wide range of sum insured limit
Transparent Process
Transparent Process
Simple and transparent buying process
Claim Settlement
Claim Settlement
Quick claim settlement
Support
Support
24/7 Customer Support
Wellness Benefits
Wellness Benefits
Preventive care and wellness benefits

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Claim Process for ACKO Health Insurance Plans

Cashless Claims

  • Hospitalisation: Go to a network hospital and provide your health insurance Id with a cashless request form duly filled.
  • Documentation: Submit all the required documents to TPA who will verify the documents and issue a pre authorisation letter to the hospital.
  • Claim Settlement: Once approved claim is directly settled at the network hospital
Cashless Claims

Reimbursement Claims

  • Intimation: In case of an emergency hospitalisation at a non-network hospital, intimate the insurance company within 15 days of discharge.
  • Documentation: Submit all the relevant documents along with a duly filled claim request form.
  • Claim Settlement: Once the claim amount is approved, it is transferred directly to the policy holder’s bank account.
Reimbursement Claims

Documents Required for Claim Process

  • Duly filled claim request form
  • Health Insurance Id
  • KYC documents of the policy holder
  • Doctor’s prescription
  • Medical bills and discharge summary
  • Medical reports
  • Cancelled cheque for NEFT payment
Documents Required for Claim Process

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मेडिक्लेम पॉलिसी
मेडिक्लेम पॉलिसी
स्वास्थ्य बीमा
स्वास्थ्य बीमा
Written By: Coverfox - Updated: 5th December, 2023.
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Frequently Asked Questions

  • Q. How to claim for Acko Health Insurance?
    • To claim for Acko Health insurance, you can call to the company’s toll free number, 1800 266 2256

  • Q. What is the waiting period for pre-existing medical conditions under Acko Health Insurance?
    • The waiting period for pre-existing medical conditions under Acko Health Insurance is 0; it offers coverage for PED from day one.

  • Q. What is the number of days for which pre and post hospitalization expenses are covered?
    • Pre and post hospitalization expenses covered under Acko Health Insurance are 60 days and 120 days.

  • Q. Are COVID-19 treatments covered by Acko Health Insurance?
    • Yes, Acko Health Insurance does provide coverage for COVID-19 expenses

  • Q. What are the general exclusions of Acko Health Insurance?
    • ACKO health insurance does not provide coverage in case of the below:

      • Undisclosed medical conditions
      • Change of gender treatments
      • Eyesight correction
      • Infertility and sterility treatments
      • Attempted suicide
      • Prosthetics and other devices
      • Weight control surgery
  • Q. What are the number of network hospitals covered by Acko Health Insurance?
    • Acko Health Insurance provides coverage at over 7000+ network hospitals

  • Q. How many family members can be covered under Acko Health Insurance?
    • Over 6 members can be covered under family floater plan by Acko Health Insurance

  • Q. Can I get tax benefits on Acko Health Insurance?
    • Yes, you can get tax benefits up to Rs. 1 lakh under section 80D of the Income Tax Act, 1961 with Acko Health Insurance

  • Q. What are the add ons I can purchase with Acko Health Insurance?
    • You can purchase add ons such as room rent waiver, waiting period waiver, doctor on call, etc. with Acko Health Insurance.

  • Q. What is the claim settlement ratio of Acko Health Insurance?
    • The claim settlement ratio of Acko Health Insurance is 97%

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