3b51556b 6f28 4f47 bffb 4daa73d6d857 jeevan arogya presentation

8/6/2019 3b51556b 6f28 4f47 Bffb 4daa73d6d857 Jeevan Arogya Presentation

http://slidepdf.com/reader/full/3b51556b-6f28-4f47-bffb-4daa73d6d857-jeevan-arogya-presentation 1/42

JEEVAN AROGYA

PLAN NO 903NON-LINKED HEALTH

COVER PLAN



Provides FIXED BENEFITS forHOSPITALIZATION and almost

all types of SURGICALPROCEDURES

Benefit payable is irrespectiveof COST INCURRED

Benefit is additional to any otherhealth insurance cover



ELIGIBILITY

80 lbd for INSURED

25 yrs for CHILD

MaximumCover expiry

age

75 years nbdParents & In-law Parents

17 yrs3 monthChildrens

65 nbd18 nbdPrincipalInsured

MaximumMinimumAge at Entry



BENEFITS in JEEVAN AROGYAHOSPITAL CASH BENEFIT (HCB)

MAJOR SURGICAL BENEFIT (MSB)AMBULANCE BENEFIT

PREMIUM WAIVER BENEFITDAY CARE PROCEDURE BENEFIT (DCPB)

OTHER SURGICAL BENEFIT (OSB)

TWO RIDERS also available

TERM ASSURANCE BENEFIT

ACCIDENT BENEFIT



HOSPITAL

CASH BENEFIT(HCB)



If Principal Insured or InsuredMembers is hospitalized dueto Accidental Bodily Injury

or sickness & stay inhospital exceeds 24 hours

then HCB is payable

HOSPITAL CASH BENEFIT (HCB)




(Eligible Amount)

Initial Daily Benefit

Minimum

Rs. 1000/-

Maximum

Rs. 4000/-

Maximum Age for Hospital Coverage available forPrincipal Insured & Spouse & Both Parents are 80 years

Maximum Age for Hospital Coverage available for

Children is 25 years




30 days incl. of 15 daysin ICU

1st Year of Policy

Eligible Benefit (HCB Payable)

90 days incl of 45 daysin ICU

There after

720 days incl of 365days in ICU

Maximum allowedin LIFE TIME ofPOLICY



Benefit will increase 5% every year till it

reaches 1.5 times of Initial Daily Benefit.


An additional 5% of Initial DAILY

BENEFIT can also be added as NOCLAIM BENFIT (every 3rd year)

Payable for first 24 hours also ifhospitalized more than 7 days



MAJOR

SURGICALBENEFIT (MSB)



MAJOR SURGICAL BENEFIT (MSB)

Insured undergoing anylisted surgeries due to

Accidental Bodily Injuryor Sickness then Major

Surgical Benefit (MSB) ispayable



MAJOR SURGICAL BENEFIT (MSB)(Eligible Benefit)

100 times of Initial

Daily Benefit of HCB

Sum Assured

P.I./Spouse/Both

Parents/Children

100% of Sum

Assured

Maximum

Annual Benefit

800% of MSB SAMaximum Life

Time Benefit



MAJOR SURGICAL BENEFIT (MSB)

Quick Cash Facility : 50%of eligible MSB amount

payable.MSB is calculated as a %

of SA & payable regardlessof actual cost of surgery.



AMBULANCE BENEFIT

In the event of MajorSurgical Benefit

Rs. 1000/-

Ambulance Benefit

is also payable



PREMIUM WAIVER BENEFIT

In the event of Major SurgicalBenefit Total One Year

Premium from the date ofdue coinciding with or next

following the date ofSurgery will be waived



OTHER DAY

CARE

PROCEDURES

BENEFIT(DCPB)



DAY CARE PROCEDURE BENEFIT (DCPB)

In the event of Insured

undergoing specified DayCare Procedure mentioned

then DAY CARE PROCEDUREBENEFIT is PAYABLE.

Not payable if HOSPITAL CASH BENEFIT is paid



DAY CARE PROCEDURE BENEFIT (DCPB)

5 times of ApplicableDaily Benefit

LumpsumBenefit Payable

PI/Spouse/BothParents/Children

3 Surgical ProceduresMaxi annualBenefit

24 Surgical ProceduresMaxi Life TimeBenefit

Applicable Daily Benefit is nothing but modified Initial Daily Cash

Benefit of Hospital Cash Benefit (modified by 5% increase every year &after adding NO CLAIM BENEFIT every 3rd Year)



OTHER

SURGICALBENEFIT (OSB)




If Insured under goes any

Surgery not listed underMajor Surgical Benefit or

Day Care Procedure & stayin hospital exceeds 24

hours OTHER SURGICALBENEFIT is payable




2 times of ApplicableDaily Benefit (ADB)

Daily Benefit

Amount

PI/Spouse/Both

Parents/Children

1st Year 15 days &

45 days thereafter

Maxi. Annual

Benefit360 daysMaxi Life Time



TERM

ASSURANCEBENEFIT




Benefit is Optional Only.

Available for Principal Insured &SPOUSE only.

An amount equal to MAJORSURGICAL BENEFIT SUM

ASSURED (i.e. 100 times of InitialDAILY HOSPITAL CASH BENEFIT)is eligible




(Eligibility Conditions)

25 lacs

including allexisting TermIns. Policies.

100 times of

Initial DailyHospital CashBenefit

Sum Assured

35 yearsMaximum Term

60 yrs nbdMaxi. Maturity Age

50 yrs nbd18 yrscompleted

Age at entry

MaximumMinimum



ACCIDENT

BENEFIT



ACCIDENT BENEFITEligible only if Term Assurance Rider is

selectedBenefit is Optional Only.

Available for Principal Insured &

SPOUSE only.

An amount equal to Term Assurance

Rider Sum Assured is eligible.

Premium of Rs. 0.50/ 1000 SA is

payable



ACCIDENT BENEFIT

(Eligibility Conditions)

Equal to Term AssuranceRider Sum AssuredSumAssured

35 yearsMaximum Term60 yrs nbdMaxi. Maturity Age

50 yrs nbd18 yrscompleted

Age at entry

MaximumMinimum



DEATH BENEFITNO DEATH BENEFIT is payable.

On Death of Principal Insured Spousecan become Principal Insured &

continue with new premium

If SPOUSE died before P.I. death thenOther Insured can cancel the Policy &get a new POLICY in their name with

new PREMIUM



DEATH of other MEMBERS

The Policy will continue afterremoval of died member &

PREMIUM will change

NO MATURITYBENEFIT is payable



Automatic Renewal Date

Premiums are guaranteedonly for a period of 3 years

After end of every third policyyear PREMIUMS will be

reviewed based onCORPORATIONS experience



Removal of Existing Members

Existing Members can beremoved at any time onrequest

Premiums will be changed

from next following due date



ELIGIBILITYMode of Payment : Yly, Hly & ECS allowed

Standard Age Proof & NSAP-1 allowed

All three female categories allowed

Waiting Period is 90 days

New Members can be added at any time

Surrender, Partial Withdrawal, Loan NOTALLOWED

Policy Can be revived within 2 years

from FUP



ADVANTAGES OF

JEEVAN AROGYAover

HEALTHPROTECTION PLUS



Additional Benefit over Health

Protection Plus Plan

Not AvailableAvailablePremium Waiver Benefit

Not AvailableAvailableAMBULANCE Benefit

Not AvailableAvailableTerm Assurance &Accident Benefit

Not AvailableAvailableOther Surgical Benefit

Not AvailableAvailableDay Care ProcedureBenefit

HEALTH+JEEVAN

AROGYA





NOT

AVAILABLE

For every 3 years Daily

Cash Benefit will beincreased by 5%

NO CLAIM

BENEFIT

HCBexcludes first

48 hours

HCB excludes 24 hours.

But if hospitalization ismore than 7 days then 24hours is also included

48 HoursOnly 24 HoursWaiting periodfor HospitalCash benefit

HEALTH+JEEVAN AROGYA





AVAILABLENOT AVAILABLEDOMICILIARYTREATMENT

UNIT-LINKEDPremium

Pure TermInsurance

Premium

PREMIUM

Only Spouse &Children are

eligible

Parents & IN-LAW Parents can

also be included

InsuredMembers

HEALTH+JEEVAN

AROGYA





365 days720 daysMaximum LifeTIME

60 days incl 30

days ICU

90 days incl. 45

days in ICU

Thereafter

18 days incl 9

days ICU

30 days incl. 15

days ICU

Ist Year

HOSPITAL CASH BENEFIT

HEALTH+JEEVAN

AROGYA





3 times of SUM

ASSURED

8 times of SUM

ASSURED

MAXIMUM

LIFE TIMEBENEFIT

200 times ofDCB

100 times ofDCB

Sum Assured

MAJOR SURGICAL BENEFIT

HEALTH+JEEVAN

AROGYA





ONLY LISTEDSURGERIES

eligible

Almost allSURGERIES

are covered

SURGICALBENEFITS

Rs. 2500/-Rs. 4000/-Maximum HOSPITAL

CASH BENEFIT

Rs. 250/-Rs. 1000/-Minimum HOSPITAL

CASH BENEFIT

75 years80 yearsAge of COVERAGE

HEALTH+JEEVAN

AROGYA





65 yearsMaximum Term35 years

Premiumceasing age

UNIFORMPREMIUM

Can changeevery 3 years

PREMIUM

HEALTH+JEEVAN

AROGYA

3b51556b 6f28 4f47 bffb 4daa73d6d857 jeevan arogya presentation

Documents