CARING FOR YOU AND YOUR FAMILY AT EVERY STEP
Life is about experiencing every good bit of it throughout one’s lifetime; be it a walk in the park with your parent or building memories while playing with your little one. And the true essence of this can only be experienced when one lives a healthy life without having to worry about any unforeseen medical issues that might come in way.
Keeping this thought at the core we build solutions that will safeguard you and your family’s plans against financial risks arising out a medical uncertainty.
IndusInd Bank brings to you Care – a health insurance from Care Health Insurance, that is truly easy on pocket; ensures that medical issues will never lead to financial stress, when you are focusing on living the best moments of your life.
Care – for a Worry free today & tomorrow!
Advantages of Family Health Insurance Plan
CARE is a Health ki guarantee for you and your family with some of the following breakthrough advantages
- Sum Insured options upto 6 crore.
- 30 Day Pre & 60 Day Post Hospitalization covered
- Covers more than 541 Day care procedures
- Coverage for Alternative Treatments such as Ayurveda, Unani, Siddha & Homeopathy
- Annual Health Check-up for all Insured members
- Unlimited Automatic Recharge of Sum Insured option
- Upto 150% No claim Bonus with NCB Super option
- Overseas cashless treatment for 12 major critical illnesses through ‘Care Anywhere’ with select Sum Insured options
- In-Built Maternity cover of up to INR 1Lakh with select Sum Insured options
- Tax Benefit on Premium paid (U/S Sec 80D of IT Act 1961)*
*Tax Benefits under the policy will be as per the prevailing Income Tax laws and are subject to amendments from time to time. For tax related queries, contact your independent tax advisor. As per section 80D of Income Tax Act, an Adult (aged between 18 & 60 years) can save tax on a premium of upto Rs.25,000 and his/her senior citizen parent/s (aged 60 years & above) can save tax on a premium of upto Rs. 50,000.
Other Advantages of Care :
- Cover up to 6 members in a single policy with Floater Cover
- Domiciliary expenses covered
- Organ Donor cover
- Daily Allowance to cover non-medical expenses
- Ambulance Cover
Other Advantages of Care Health Insurance :
- Direct claim settlement
- Cashless claim approval in just 2 hours approx.
- Cashless Hospitalization 7800+ Hospitals within our network across 400+ cities
- 7.5% discount on 2 Year policy term & 10% discount on 3 year policy term
Family Health Insurance Plan Options
| Features (Sum Insured) | 4 Lac | 5 Lac, 7 Lac, 10 Lac | 15 Lac, 20 Lac, 25 Lac | 50 Lac, 60 Lac/75 Lacs |
|---|---|---|---|---|
| Pre-hospitalisation | 30 days | 30 days | 30 days | 30 days |
| Post-hospitalisation | 60 days | 60 days | 60 days | 60 days |
| Day Care Treatments | Yes | Yes | Yes | Yes |
| Room Rent | 1% of SI per day | Single Private Room | Single Private Room Upgradable to Next Level |
Single Private Room Upgradable to Next Level |
| ICU Charges | 2% of SI per day | No Limit | No Limit | No Limit |
| Doctor's Fee etc. | No Limit | No Limit | No Limit | No Limit |
| Daily Allowance | 500 per day up to 5 days | - | - | - |
| Ambulance Cover | Rs. 1,500 per claim | Rs. 2,000 per claim | Rs. 2,500 per claim | Rs. 3,000 per claim |
| Domiciliary hospitalisation | Up to 10% of SI | Up to 10% of SI | Up to 10% of SI | Up to 10% of SI |
| Organ Donor Cover | Rs. 50,000 | Rs. 1,00,000 | Rs. 2,00,000 | Rs. 3,00,000 |
| Annual Health Check-up | Yes | Yes | Yes | Yes |
| Second Opinion | - | Yes | Yes | Yes |
| No Claim Bonus | Yes | Yes | Yes | Yes |
| Auto-Recharge of Sum Insured | Yes | Yes | Yes | Yes |
| Care Anywhere | - | - | - | Yes |
If you ever exhaust your health cover due to claims made, we recharge the entire sum insured of your policy for you, in the same policy year.
Comprehensive Family Health Insurance Policy Terms
- Claim Intimation : In case of emergency, please intimate us within 24 hours of hospitalisation. If planned hospitalisation, intimate us 48 hours prior to your admission.
- Toll Free No. : 1800-102-6655 / 1800-102-4488
- E-Mail : customerfirst@careinsurance.com
- Cashless Request for Pre-Authorisation: Complete the pre-authorisation form available at the hospital's insurance/TPA Desk and send us through email/fax. This form can also be downloaded from here.
- Approved letter sent by the claim management team
- Hospital/Insurance to respond to any query raised by the claim management team
- You may initiate the treatment and file for re-imbursement claim
- Re-imbursement Claim From Submission : Submission of claim from along with required documents, as per the policy terms & conditions The form can be downloaded from here
- Approved letter sent by the claim management team
- Insured to respond to query, if any, raised by the claim management team
- We will communicate the reason in case of rejection
To see list of network hospitals for cashless treatment or for further information please click here. You may also call us on 1800-102-6655 / 1800-102-4488 or write to us at customerfirst@careinsurance.com
Comprehensive NRI Family Health Insurance Policy Terms
| Minimum entry age | 91 days |
| Maximum age | No age bar |
| Renewal | Lifelong Renewability. The Policy can be renewed under the then prevailing Health Insurance Product or its nearest substitute approved by IRDA. |
| Renewal premium | Premium payable on renewal and on subsequent continuation of cover arc subject to change with prior approval from IRDA. |
| Co-payment | If age of Insured Person or eldest Insured Person (in case of Floater) is 61 years or more, we provides an option to Insured Person / Policyholder, to choose for co-payment option of 20% per claim (over & above any other co-payment, if any) which applies to such Insured Person or all Insured Persons (in case of Floater) and thereby get a discount of 20% in Premium to be paid. |
| Waiting period | 30 days for any illness except injury |
| Waiting period for pre-existing illnesses | Four years of continuous coverage |
| Change in sum insured | You can modify your sum insured under the policy only upon renewal |
| Grace period | 30 days from the date of expiry to renew the policy |
FAQs for Family Health Insurance
Why do I need health insurance?
Everyone is exposed to various health hazards. If you don't have Health Insurance, you end up paying hefty medical bills from your own pocket, in the event of hospitalization due to illness or injury. Effectively, this means that your savings get depleted. Worse still, in case you do not have enough money for treatment at the time, you may have to borrow and incur a debt.
In such circumstances, health insurance comes to your rescue. It is a shield against expenses owing to unforeseen medical exigencies. Health insurance usually covers the cost of hospitalisation and related pre and post hospitalisation expenses, as specified in your policy.
This is why purchasing adequate Health Insurance is a crucial part of your financial planning exercise.
What is the difference between a family floater and critical illness or hospital cash insurance?
An individual or family floater health insurance works on the principle of indemnity. This means that with a family floater, the insurance company will reimburse you only to the extent of what you have spent on medical treatment in a hospital. On the other hand, the critical illness or the hospital cash insurance pays you a pre-defined sum, irrespective of the amount spent on medical treatment. These are called 'benefit-based' policies.
How would I benefit by buying health insurance at a young age?
- Health insurance premiums tend to increase with age; the older you are, the higher your premiums will be.
- If you are insured early, you will be covered for medical conditions that may be diagnosed later in life, provided there is no break in the policy.
- Every year, you receive income tax benefits* under Section 80 D of the Income Tax Act.
Why is it necessary for me to disclose my current health status correctly and accurately when I buy a health insurance policy?
Insurance is a contract of utmost good faith. It always pays to be honest. Declaring the correct and accurate health status at the time of buying health insurance ensures smooth processing of your claims, when they arise. It will also help us service you better.
What is preferable for me – floater insurance or an individual insurance?
The suitability of an individual cover or a floater depends upon your unique situation – your age, number of family members also included in the policy and their ages too, etc. However, as a thumb rule, at a younger age, a floater cover is advisable. As the insured grow older, individual cover may be preferable.
How does a floater cover work?
Unlike an individual policy, which covers a single person, a floater (Family Floater) plan offers insurance coverage to the entire family (husband, wife and children and perhaps even parents) under a single policy. The overall limit on the policy applies to any individual covered. However, once a claim is filed, the overall limit stands reduced by the claim amount, for the year in reference.
Let's simplify this concept with an example. Suppose you insure yourself, your spouse and dependent children with individual insurance plans; each of these has a sum insured of Rs. 1 lakh. Accordingly, you may end up paying a premium ranging between Rs. 1000 - Rs. 2000 for each family member. On the other hand, if you opt for a family floater plan, with a sum insured of Rs. 3 lakhs, the total premium would surely be less than the separate premium payments for individual health insurance plans.
Moreover, separate health plan save a cover of only Rs. 1 lakh each while the family floater offers a cover of Rs. 3 lakh to any of the family members that it covers. However, if one of the family members covered is hospitalised and claims an amount of Rs 2 lakh, the next family member to be hospitalised during the same year will have a cover of only Rs 1 lakh.
What is a 'no claim' bonus?
If you purchase a health insurance policy and do not file a claim during the year for which you are covered, you are eligible for a bonus during the following year, if you renew your policy. The quantum and specifics of this bonus differ from company to company.
In case of Care Health Insurance's CARE, the policy sum insured increases by 10% during every claim-free year, with no change in the premium. So, a policy with a sum insured of Rs 5 lakh, will get an extended cover of Rs 50,000 in the following year, at the same premium. A claim-free second year will see the policyholder enjoying another 10% extra cover on his base sum insured, taking the total to Rs 6 lakh.
A maximum bonus of up to 50% of the base sum insured is permissible under this policy and in case of a claim, the accumulated bonus is reduced by 10%.
How does the automatic recharge facility work?
We will automatically recharge the sum insured (i.e.original policy sum insured ) in case it is exhausted during the policy year. This recharge is allowed only once in a policy year and can be used for future claims by the insured but not against an illness/disease (including its complications) for which a claim has already been made during the on-going policy year.
However, in case of family floater plan, other insured members can use the recharged amount for any illness.
Do I need to undergo a medical check-up while buying a health insurance policy?
You may be required to undergo a medical check-up if you opt to buy a health insurance policy, in case you are above 60 years of age. In most of the cases, the medical tests are done at your home, after taking an appointment from you and you are not required to make any upfront payment for these tests. In case the policy is issued, you will not be charged anything. However, if the policy is declined or cancelled, the medical charges will be deducted from your refundable premium amount. For further details, please refer to the prospectus or call 1800-102-6655 / 1800-102-4488
How do I cancel my health insurance policy?
We offer you a free look period during which you can review your policy terms and conditions at leisure. In case you are not satisfied with these, you can request us to cancel your policy during this period. You will be charged the pro-rated premium for the period during which your policy was in-force, the cost of the pre-policy health check-up, if any, and the stamp duty. The balance premium will be refunded to you.
You can also request us to cancel your policy at any time during the policy period. You will be refunded the premium amount as per the short scale grid. The grid is available in your Policy Terms and Conditions. However, in case you have lodged any claim with us before the cancellation, you will not be entitled to any refund of premium when the policy is cancelled.
What is co-payment?
Health Insurance companies initiate co-payment once the insured member turns a certain age. 'Co-pay' is that part of your claim amount, which you have to bear. It could be in percentage terms or an absolute amount. For example, in case of a co-pay of 20% and a claim of Rs. 10,000, the insurer will pay you Rs. 8,000 (80% of Rs10,000) and you will bear the remaining 20% (Rs. 2,000). Care Health Insurance policies with sum insured of 2,3 and 4 lakh have no co-payment clause. For policies with a sum insured of over Rs4 lakh, there is also no co-payment clause, if the insured has enrolled with us before the age of 61.
What are the documents required for portability?
To apply for CARE under portability, you will need the following documents:
- CARE proposal form
- Portability form
- Copy of expiring health insurance policy
- Copy of renewal notice
Disclaimer
Care Health Insurance Limited (Registered Office: 5th Floor, 19 Chawla House, Nehru Place, New Delhi-110019. Correspondence Office: Unit No. 604 - 607, 6th Floor, Tower C, Unitech Cyber Park, Sector-39, Gurugram -122001 (Haryana) | Website: www.careinsurance.com E-mail: customerfirst@careinsurance.com | Call: 1800-102-4488
Disclaimer: This is only a summary of selective features of product care. For More details on risk factors, terms and conditions please read the sales brochure carefully before concluding a sale. Please seek the advice of your insurance advisor if you require any further information or clarification.
IndusInd bank is a Corporate Agent of Care Health Insurance Limited bearing Certificate Number CA0001 and its Registered Office is at 2401, Gen. Thimmayya Road, Pune – 411001. The insurance products are offered and underwritten by Care Health Insurance Limited Servicing of the policy and adjudication of claims is sole responsibility of Care Health Insurance and IndusInd Bank cannot be held liable for the same.
Insurance is the subject matter of solicitation. CIN: U66000DL2007PLC161503 UIN: CHIHLIP22184V062122
Care is a trademark of Care Health Insurance Limited.
IRDAI Registration Number - 148.