Care Insurance Arogya Sanjeevani Policy

It becomes easy to sail through a medical emergency if you have a health insurance plan to cover the cost of the treatment. Well-planned health insurance helps get immediate medical attention and acts as a saviour when an emergency strikes. It is always recommended to buy health insurance early in life to get its maximum benefit, but often it becomes difficult to choose a health insurance plan from the vast number of choices.

IRDAI introduced Arogya Sanjeevani Policy with a mission to simplify health insurance for all. It is a standardized product that is designed with the intention of solving the problem of too many choices available. Care Insurance Arogya Sanjeevani Policy offers basic coverage along with coverage for 12 modern procedures like immunotherapy and stem cell therapy.

Following are the details of the Care Insurance Arogya Sanjeevani Policy.

• Type of Policy - The policy is available on an individual as well as floater basis.

• Sum Insured - The sum insured offered under this policy is from Rs. 50,000 to Rs. 10 lakhs.

• Family Coverage - The policy offers family coverage. It covers all your dependent family members, including spouse, children, parents and parents-in-law. A child 18 years of age, who is financially independent, is not covered under family coverage.

• Policy Term - The policy has a tenure of 1 year. However, their lifetime renewal facility is available with this plan.

• Eligibility - An individual from 18 years to 65 years of age can purchase this policy for themself and their family.

• Premium Payment Options - A policyholder can choose to pay premiums in monthly, quarterly or half-yearly instalments.

• Cumulative Bonus - A 5% increase in CB is provided for a claim-free policy year, subject to a maximum of 50% sum insured.

• Portability - If a policyholder decides to switch to another insurance company, it can be easily done as per IRDAI guidelines.

• Co-payment - The policy has a compulsory co-payment of 5% for every claim. The amount received is after deducting the co-payment value.

• Waiting Period - The policy has a waiting period of 30 days for any treatment except for accidental hospitalization. In the case of listed procedures, it is the first 24/48 months and the first 48 months for pre-existing diseases.

Here is a list of reasons that makes Care Insurance Arogya Sanjeevani Policy the best choice for you.

• The policy is affordable and also offers comprehensive coverage.
• You can choose coverage as per your requirement and budget. You can opt for an individual sum assured for every member of your family or you can choose a floater option in which the sum assured is shared by all the members.
• If you are young and a first-time buyer of health insurance, this is the ideal choice for you, offering wider coverage at a low cost.
• The policy is renewable for a lifetime, so you can have Care Health Insurance coverage for your entire life.
• Care general insurance has a network of 19000+ cashless network providers.
• The expenses incurred in AYUSH treatment are also covered under this policy.
• The policy offers many discounts as follows:
  • A family discount of 2.5 to 5% if 2 or more members of the same family are covered under the same policy on an individual sum assured basis.
  • An employee discount of 15% is offered to the company employees and their dependents.
  • A 20% rural discount is available for rural sector policies.

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There are two ways in which you can file a claim under this policy:

Cashless claim:

All health insurance policies by Care Insurance offer cashless treatment available at network hospitals. Remember that you must inform the company at least 48 hours before the planned hospitalization. In case of a medical emergency, you can inform the insurance company within 24 hours of the hospitalization.

• Show your health card and a valid photo id at the hospital to get a pre-authorization form.
• Fill out the pre-authorised form and get it signed by the treating doctor.
• The form will be sent to the company for verification and the doctor’s advice for hospitalisation. Note that the hospital will provide any other document required by the company.
• The company will issue an authorisation letter upon approval of the cashless treatment request.
• Once the patient is discharged, a discharge paper is verified and duly signed by him, and the hospital sends the discharge paper to the insurance company, which settles the claim.

Reimbursement claim:

A reimbursement claim is when the patient is admitted to a non-network hospital where a cashless facility is unavailable. So you pay the entire bill from your own pocket and claim reimbursement later. For such a claim, inform the company within 30 days of the discharge. The company will verify all the documents and settle the claim. To file a reimbursement claim, you need to submit a list of documents to the insurance company as follows:

• A duly filled and signed claim form.
• Photo id of the patient
• KYC details of the proposer
• Doctor’s prescription advicing hospitalization
• Patient’s discharge summary with the medical history
• Relevant medical test reports
• Surgeon’s certificate with details of the surgery, if applicable
• Original medical bills
• Payment receipts
• Bank transfer details with the cancelled cheque
• Any other detail required by the insurer.

There won’t be an easier way of getting health coverage than buying a Care Insurance Arogya Sanjeevani Policy for comprehensive coverage providing financial protection against hospitalization, daycare procedures and pre and post-hospitalization. The policy is affordable and simplifies the process of selecting health insurance from so many choices.