jeevan arogya 904
DESCRIPTION
HAVE A HEALTHY LIFE........... 9443362018TRANSCRIPT
Jeevan ArogyaPlan No: 904
Key highlights
Non-linked health plan which covers the principal insured male or female, spouse, children, parents and parents-in-law under the same policy.
4 Main benefits Hospital Cash Benefit (HSB) Major Surgical Benefit (MSB) Day Care Surgical Benefit (DCPB) Other Surgical Benefit (OSB)
Max 30 days hospitalization in year 1 including 15 days in for 1st policy year
for each one
Max 90 days and incl not more than 45 days in ICU in the 2nd year onwards
for each insured
Limited to a max of 720 days (incl of 360 days for ICU) during entire policy
term for each insured
Initial HCB shall be in multiples of Rs.1000/-
Hospital Cash Benefit (HCB)Feature Principal
Insured (PI)
Insured Spouse(If any), Parents/In law
Insured Children
Min Initial Daily Benefit
Rs. 1000/- Rs. 1000/- Rs. 1000/-
Max Initial Daily Benefit
Rs. 4000/- Insured Spouse - Equal or less than PIInsured Parents/In law - Equal or less than Insured Spouse
Equal or less than Insured spouse
Max Age for Cover 80 yrs 80 yrs 25 yrs
Major Surgical Benefit (MSB)Feature Principal
Insured (PI)Insured Spouse If any), Parents/In law
Insured Children
Sum Assured (MSB SA)
100 times ADB of PI
100 times of ADB of insured Spouse
100 times of ADB of each child
Max Annual benefit
100% of Sum Assured
100% of Sum Assured 100% of Sum Assured
Max Life Time 800% of MSB SA
800% of MSB SA 800% of MSB SA
Day Care Procedure BenefitFeature Principal
Insured (PI)Insured Spouse If any), Parents/In law
Insured Children
Lump sum benefit payable
5 times of ADB 5 times of ADB 5 times of ADB
Max Annual benefit 3 Surgical ProceduresMax Life Time 24 Surgical Procedures
Other Surgical Benefit (OSB)
OSB is payable from day one of hospitalization but minimum stay in hospital should be 24 hours
Feature Principal Insured (PI)
Insured Spouse If any), Parents/In law
Insured Children
Daily Benefit amount
2 times of ADB
2 times of ADB 2 times of ADB
Max Annual benefit
15 Days in Year 1 and 45 days per year thereafter
Max Life Time 360 days
Other Options
Term Assurance Rider (available only to PI & Insured spouse)
Min. S.A.: Rs. 100000Max. S.A.: Equal to MSBSA
Double Accident Benefits (DAB) Rider (available only to PI & Insured spouse
provided Term Assurance Rider has been opted for)
Min. S.A.: Rs. 25000Max. S.A.: Equal to T.A.
Other Benefits
Death Benefit: No death benefit unless TA Rider benefit is opted for
On death of the Principal Insured (PI)Surviving Insured Spouse will become PI, if already option given at the beginning of contract
If the Insured Spouse had predeceased the PI, then the other Insured will have the option to take new policy on following conditions
The new policy will be issued without any underwriting if the new policy is bought within 90 days of the termination of the existing policy
The maximum entry age will not apply for the new policy
The outstanding Waiting periods and outstanding period of any Exclusion will however apply under the new policy
Other terms and conditions including premium rates will be as applicable for the new policy
Maturity Benefit
No benefits are payable at the end of the cover period
Eligibility ConditionsFeature Principal
Insured (PI)/Insured
Spouse
Parents & Parents-in-law
Insured Children
Minimum Entry Age
18 Yrs LBD 18 Yrs LBD 3 Months (Completed)
Maximum Entry Age
65 Yrs LBD 75 Yrs LBD 17 Yrs LBD
Max Cover ceasing age
80 Yrs 80 yrs 25 yrs
Date of cover expiry in respect of each Insured
covered under the plan
Policy anniversary on which the Insured life attains Maximum cover ceasing age
Nominations Allowed
Assignments Not Allowed
Mode of Premium Yearly and Half Yearly
Revival Period 2 Years from due date of FUP
Points to be noted
Premium guaranteed for first 3 years and may be revised after every 3 years to take into account the corporation’s experience, subject to prior approval from IRDAService tax will be collected separately along with the premium
Quick Cash BenefitIf any of the insured lives undergoes any eligible surgery covered under Category I or II of MSB in any of the listed network hospitals, the PI will have an option to avail Quick Cash facility
Under this facility, 50% of eligible MSB amount would be made available even during the period of hospitalization instead of waiting for making a claim for the benefit after discharge
It will be only an advance payment to the PI in the event of hospitalization
This will be, however, subject to approval from the TPA (Third Party Administrator), and the advance amount will be adjusted from the final settlement of MSB claim amount
This facility of advance payment could be availed by submitting the Bank Account details of the PI in the prescribed format. The amount of advance shall be credited in the PI’s bank account directly
Thank You!!