List of Diseases/Illnesses Covered
- Cancer
- End-Stage Renal Failure
- Multiple Sclerosis
- Benign Brain Tumor
- Parkinson's Disease
- Alzheimer's Disease
- End-Stage Liver Disease
- Motor Neuron Disorder
- End Stage Lung Disease
- Bacterial Meningitis
- Aplastic Anaemia
- Pulmonary Thromboembolism
- Primary (Idiopathic) Pulmonary Hypertension
- Infective Endocarditis
- Major Organ Transplant
- Heart Valve Replacement/repair
- Surgery of Aorta
- Cardiomyopathy
- Surgery for cardiac arrhythmia
- Angioplasty
- Balloon Valvotomy/Valvuloplasty
- Carotid Artery Surgery
- Coronary Artery Bypass Graft
- Pericardiectomy
- Surgery to Place Ventricular Assist Devices or Total Artificial Hearts
- Stroke
- Paralysis
- Myocardial Infarction
- Implantation of Pacemaker of Heart
- Implantable Cardioverter Defibrillator
- Major Burns
- Blindness
Why Choose Care Health Insurance?
- 7 Lakhs + Total Claims Paid
- Awarded as Claims Leader of the Year
- Cashless Claims approval in approx. 2 hrs.
- 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:
Pre-Existing Disease
Cancer occurred during the waiting period, or there were signs or symptoms during the waiting period that led to the subsequent diagnosis of Cancer
Acquired Immunodeficiency Syndrome (AIDS), AIDS-related complex or infection by Human Immunodeficiency Virus (HIV)
Any medical condition/any medical procedure arising from the donation of any of the life insured’s organ
Damage caused directly or indirectly by alcohol or drug abuse
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,
- 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,
In case of an emergency, you need to contact Care Health Insurance immediately on 1800-102-4488 within 24 hours of your admission
Collect and duly fill the pre-authorization form from the network hospital
Submit the relevant documents along with the claim and pre-authorization form
The documents will be verified by the insurer
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:
Duly completed and signed Claim form, in original
Valid photo-id proof
Medical practitioner's referral letter advising Hospitalization
Medical practitioner's prescription advising drugs/diagnostic tests/consultation
Original bills, receipts and Discharge card from the Hospital/Medical Practitioner
Original bills from pharmacy/Chemists
Original pathological/diagnostic tests reports/radiology reports and payment receipts
Indoor case papers
First information Report, final police report, if applicable
Postmortem report, if conducted
Any other document as required by the company to assess the claim
