my:health Medisure Plus Plan

The my: health Medisure Plus policy offered by L&T insurance is unique as it gives an option to customize the benefits as per one's own requirement. There are 9 standard benefits which are essentially covered while other 9 which are optional. Out of 9 optional covers, 7 are available on payment of extra premium while 2 reduce premiums. Given below are details of this plan.

Main Highlight of the plan

The my:health Medisure Plus plan by L&T insurance is a unique plan which offers an individual option to customize the coverage offered as per his/her own requirement.
There are in total 18 benefits out of which 9 are essential standard benefits while from the rest 9 are optional.
Removal or pre/post hospitalization expense cover and voluntary deductible are optional benefits which are available without any cost in fact would reduce the premium amount.

Scope of cover

Plan

Entry Age

Sum Insured

Maximum Number of Members

Discount on premium

Individual plan

Children- 3 months to 23 years

Adult age- 18 years to 65 years

Minimum limit –INR 2,00,000

Maximum limit –INR 25,00,000*

-

10% for more than two members

Family floater plan

Children- 3 months to 23 years

Adult age- 18 years to 65 years

Minimum limit –INR 2,00,000

Maximum limit –INR 25,00,000*

Total Members- 4

Adults- 2

Children- 2

All the members are covered under single premium

*Note: The maximum sum insured limit for additional critical illness coverage is limited to INR 10,00,000.

- Pre-policy medical checkup is required above age 50 years or for any individual with pre-existing condition.

Policy period options – 1 year and 2 years

Coverage: Benefits & Features

Most Important

Some of the most important points to consider in the Medisure Plus policy are:

Good to have

COVERAGE FOR PRE/POST HOSPITALIZATION

30 days of pre hospitalization and 60 days of post hospitalization are provided in this plan.

One of the optional covers of this plan is the choice to delete the pre and post hospitalization expense cover. This will reduce the premium amount on individual insured individual.

RESTORE BENEFITS

This plan an option to opt for restore benefit for sum insured up to INR 5,00,000. Under this benefit, 100% of the sum insured would be automatically restored for any new medical emergency arising out of accident or some unrelated illness. This amount would be available only once in a policy year and that too after complete exhaustion of the base sum insured with cumulative bonus.

HEALTH CHECK-UP

This plan offers health checkup benefit equal to INR 1000 for insured individuals above 50 years of age once after every 2 years.

DEDUCTIBLE

Another coverage option which would reduce the premium value is to choose voluntary deductible in the range of INR 5000 up to INR 1,00,000 which is available in this plan.

Value Adds

The benefits that add value to the Medisure plus plan by L&T insurance is:

AMBULANCE CHARGES

Ambulance charges up to INR 1,500 per hospitalization are covered in this plan.

Exclusions

A cooling off period of 30 days is applicable on buying a policy for the first year. No claims (other than claims related to an accident) can be made in this cooling off period. There is no cooling off period applicable on renewal of this policy.

Waiting period of 2 years is applicable for specified ailments. Example conditions like Cataract, hypertension, etc. would get covered after a waiting period of 2 years. Refer the policy wordings for the complete list of ailments listed under each category.

Note: The waiting period may vary in case the conditions listed above are pre-existing. Also, these waiting periods are not applicable for any claim related to accident.

Pre-existing diseases are covered after continuous renewal of the policy for 3 years post which from 4th year onwards the expense on hospitalization due to pre-existing diseases would be covered.

PERMANENT EXCLUSIONS

Cosmetic surgery, Lasik eye treatments, drugs or Circumcision, genetic disorders, self-inflicted injuries, war related injuries, etc. are some of the exclusions. For the detailed list of please refer the policy document.

Benefits like maternity expense cover, dental treatment cover, non-allopathic treatment cover, etc. are not available in this plan.