Care 1 Crore Health Insurance

With the skyrocketing costs of medical treatments, various types of lifestyle ailments are also experiencing a steep rise. Therefore, it is best to get yourself and your family covered, under competent health insurance coverage. In this respect, the Care 1 Cr. health plan, termed Care Advantage Health Insurance Policy, deserves special mention.

Care Advantage Health Insurance Plan allows you to avail of the best medical treatments available during times of dire emergency in the most convenient manner, allowing no time loss. It deftly offers competent sum insured options of INR 1 cr., INR 50 lakhs, and INR 25 lakhs, thus acting as a protective shield for you and your beloved family members. During medical contingencies, you can focus on the best medical treatment availability rather than thinking about burdening medical costs.

This exclusive health plan offers medical coverage of INR 1 Cr. along with two other health coverages the sum insured amount being INR 25 lakhs and INR 50 lakhs respectively, to the policyholder and his/her family members. Some of the major highlighting features of the Care Advantage Health Insurance Plan are as follows:

• Both individual, as well as floater options, are available
• Hospitalisation expenses coverage
• Coverage for daycare treatments
• Medical coverage for both pre-and-post-hospitalisation
• Ambulance expenses
• Coverage for organ donor
• Offers NCB of up to 50%
• Grants tax benefits u/s 80D of the IT Act to up to INR 25000 per financial year for the premium paid towards this plan. In the case of senior citizens, this limit is INR 50000
• Automatic recharge
• In-patient hospitalisation benefits
• Offers a standard waiting period of 30 days. In case of any pre-existing ailments, 48 months, and for certain specified ailments, it stands at 24 months
• Offers lifetime renewability
• Offers No Claim Bonus, with which you can increase your sum insured to up to 50%

Some of the major reasons for you to opt for Care Advantage Health Insurance Plan are as follows:

• High amount of sum assured: The sum insured amount is INR 1 cr., which ensures that you and your family are competently covered against any sort of predictable and unprecedented medical contingency.

• Pre-and-post-hospitalisation expenses covered: This health plan offers pre-hospitalisation expenses for 30 days and post-hospitalisation expenses of up to 60 days, to ensure adequate protection.

• Zero room rent limit and no capping for ICU charges: One of the major advantages of the Care Advantage Health Insurance Plan is that it comes with a zero room rent limit as well as a maximum limit for ICU charges. This ensures quality medical treatment available throughout the course without any financial worries.

• Premium Discount: With their unique Smart Select option, you can even avail of a 15% discount on the premium for Care Advantage Health Insurance Plan.

• Increase in the sum insured amount: This is a unique benefit that allows you to avail of NCB or No Claim Bonus like motor insurance, for each claim-free year. The margin of this increase can even rise to 10%.

Although a lot of aspects are competently covered by the Care Advantage Health Insurance Plan, yet there are certain factors that do not come under the purview of this health plan. It is best to remain aware of these exclusions beforehand to avoid any misunderstanding during claim settlement procedures. Some of the basic and standard exclusions of Care Advantage Health Insurance Plan include the following:

• Self-inflicted injuries leading to attempted suicide or suicide
• Excessive consumption of alcohol leading to injuries is not covered
• Infertility treatment and IVF procedures are not covered
• Hospitalisation because of nuclear or war threats is excluded
• No sort of plastic surgery or cosmetic treatment costs are included here

It is best to clarify the entire list of exclusions before purchasing the plan. You can read about it online or get customer care support for the same. Never buy any policy without understanding its terms and conditions in detail.

Care maintains a solid list of thousands of network hospitals spanned across the country. In case of any emergency you can even get yourself or any other family member who is covered by this plan, get admitted even to any non-network hospital, and submit your claim to get it reimbursed by the insurance company. In the case of any listed hospital or healthcare facility, you can opt for a cashless settlement.

1). For cashless claim

• In this case, you need to submit the pre-authorisation form filled with correct information and duly signed to the insurance helpdesk of the concerned hospital
• In case of any doubt clearance, Care may need to raise a query
• If everything seems satisfactory, Care will send an approval letter to the hospital to proceed with cashless treatment
• On approval, all the bills will get directly settled through the hospital

2). For reimbursement

• Here, you need to submit the claim reimbursement form which is duly filled and signed along with all the other necessary documents
• The list of relevant documents includes a valid photo identity proof, a valid medical certificate duly issued by the hospital authority or the consulting doctor, all the original receipts, bills, and discharge summary issued by the doctor/hospital, along with any other additional documents if required by the insurer
• In case of any necessity, the Care team may inquire for certain clarification(s)
• On acceptance, you will receive an approval letter
• You will be notified in case of any rejection

In order to purchase Care Advantage Health Insurance Plan, you need to fulfil these basic conditions:

• The minimum entry age for any individual is 5 years; for the floater plan, it is 91 days, provided at least one member included in the plan is above 18 years.

• In case the policy buyer is above 51 years, there are certain specific medical tests that he/she needs to undergo and will be duly notified. Other than that, no pre-policy medical check-up is necessary.

There is neither any upper age limit nor any exit age limit under this plan.

This is a comprehensive discussion about the basic aspects s of the Care Advantage Health Insurance Plan. You can consider the premium value, the list of network hospitals, and other aspects according to your necessity and proceed to buy it online.