Care Super Mediclaim Critical Illness Plan

List of Diseases/Illnesses Covered

1. Cancer
2. End-Stage Renal Failure
3. Multiple Sclerosis
4. Benign Brain Tumor
5. Parkinson's Disease
6. Alzheimer's Disease
7. End-Stage Liver Disease
8. Motor Neuron Disorder
9. End Stage Lung Disease
10. Bacterial Meningitis
11. Aplastic Anaemia
12. Pulmonary Thromboembolism
13. Primary (Idiopathic) Pulmonary Hypertension
14. Infective Endocarditis
15. Major Organ Transplant
16. Heart Valve Replacement/repair
17. Surgery of Aorta
18. Cardiomyopathy
19. Surgery for cardiac arrhythmia
20. Angioplasty
21. Balloon Valvotomy/Valvuloplasty
22. Carotid Artery Surgery
23. Coronary Artery Bypass Graft
24. Pericardiectomy
25. Surgery to Place Ventricular Assist Devices or Total Artificial Hearts
26. Stroke
27. Paralysis
28. Myocardial Infarction
29. Implantation of Pacemaker of Heart
30. Implantable Cardioverter Defibrillator
31. Major Burns
32. Blindness

Why Choose Care Health Insurance?

1. 7 Lakhs + Total Claims Paid
2. Awarded as Claims Leader of the Year
3. Cashless Claims approval in approx. 2 hrs.
4. 24 x 7 Claims Service Support

Inclusion of Care Critical Illness Insurance Plan

The inclusions under this plan cover 32 specified illnesses/diseases.

Exclusion of Care Critical Illness Insurance Plan

The exclusions under this plan are:

1. Pre-Existing Disease
2. Cancer occurred during the waiting period, or there were signs or symptoms during the waiting period that led to the subsequent diagnosis of Cancer
3. Acquired Immunodeficiency Syndrome (AIDS), AIDS-related complex or infection by Human Immunodeficiency Virus (HIV)
4. Any medical condition/any medical procedure arising from the donation of any of the life insured’s organ
5. Damage caused directly or indirectly by alcohol or drug abuse
6. Any medical condition/any medical procedure arising from nuclear contamination, radioactive, explosive or hazardous nature of nuclear fuel materials or property contaminated by nuclear fuel materials or accidents arising from such nature

Eligibility Criteria for Care Critical Illness Insurance Plan

The age of the life insured should be between - 18 to 25 years and the monthly premium payment mode including optional benefits, policy period - 2 years.

What is the Claim Procedure for Care Critical Illness Insurance Plan?

For Reimbursement Claims,

1. Submit the relevant documents along with the claim form to Care Health Insurance (indoor case papers, hospital discharge summary, payment receipts and consultation papers Policy Holder's Name, Claimant's Name & Customer ID, Hospital details, Diagnosis and Treatment details, Approximate claim amount, Date of admission) The claim form and additional documents are to be sent to us at the following address:

Care Health Insurance Company Limited,

Unit No. 604 - 607, 6th Floor, Tower C, Unitech Cyber Park, Sector-39, Gurugram-122001 (Haryana)

For Cashless Claims,

1. In case of an emergency, you need to contact Care Health Insurance immediately on 1800-102-4488 within 24 hours of your admission
2. Collect and duly fill the pre-authorization form from the network hospital
3. Submit the relevant documents along with the claim and pre-authorization form
4. The documents will be verified by the insurer
5. Post verification, the claim will be approved by the insurer

Documents Required to claim Care Critical Illness Insurance Plan

The standard list of documents required for submission are:

1. Duly completed and signed Claim form, in original
2. Valid photo-id proof
3. Medical practitioner's referral letter advising Hospitalization
4. Medical practitioner's prescription advising drugs/diagnostic tests/consultation
5. Original bills, receipts and Discharge card from the Hospital/Medical Practitioner
6. Original bills from pharmacy/Chemists
7. Original pathological/diagnostic tests reports/radiology reports and payment receipts
8. Indoor case papers
9. First information Report, final police report, if applicable
10. Postmortem report, if conducted
11. Any other document as required by the company to assess the claim