Eligibility

• Residents of India.
• Policy can cover a maximum of 4 family members – the policyholder, spouse and 2 dependent children (over 90 days old and under 23 years of age).
• Children who are between 90 days and 5 years old can be covered if at least one parent is covered under this policy.

Policy period and renewal

• Annual policy.
• Lifetime renewability.
• 30-day grace period for renewals.
• 5% discount on renewal for every claim-free year up to a maximum of 25%.

Sum insured options and plan options

• Sum insured options:
• Rs.2,00,000.
• Rs.3,00,000.
• Rs.5,00,000.
• Plan options:
1. Smart Health Basic
2. Smart Health Premium.
3. Smart Health Optimum.

Coverage

• Hospitalization expenses.
• Domiciliary hospitalization.
• Day-care treatment.
• Pre and post-hospitalization expenses.
• Pre-existing diseases (after 4 renewals).
• Organ transplantation.
• Hospital cash allowance.
• Home nursing.
• Ambulance charges.
• Critical Illnesses:

Insured person is entitled to receive double the sum insured if diagnosed with any of the below 20 critical illnesses and meets necessary diagnostic criteria and conditions

• Cancer,First Heart Attack,Coronary Artery Disease,Coronary Artery bypass surgery
• Heart Valve Surgery,Aorta Surgery,Stroke,Kidney Failure
• Aplastic Anemia,End-stage lung disease,End-stage liver failure,Coma
• Major Burns,Major organ/bone marrow transplant,Multiple sclerosis,Fulminant Hepatitis
• Motor Neurone Disease,Primary Pulmonary hypertension,Terminal Illness,Bacterial Meningitis

Exclusions

• Diseases like HIV / AIDS and other related STDs.
• Cost of spectacles, contact lenses, hearing aids, etc.
• Pre-existing diseases before 4 renewals.
• Pregnancy and childbirth related complications.
• Diseases that commence within 30 days of the policy’s commencement.
• Certain named chronic diseases available in the policy document.
• Treatment from those not registered as medical practitioners.
• Alcohol and drug abuse related medical emergencies.
• Hospitalization expenses incurred outside India.
• Suicide or self-inflicted injury or illness.
• Mental disorders, anxiety, stress or depression as a result of abuse of drugs and alcohol.

Tax benefit

Premium paid for this plan is eligible for deductions under Section 80D of the Income Tax Act, up to Rs.25,000.

Other benefits

• Cashless hospitalization at over 4,300 hospitals across India.
• Unlimited room rent (on select plans).
• 24x7 claim assistance and east settlement process.
• Dedicated claims handler.
• Medical examination reimbursement of 50% of total cost at designated hospitals.
• Portability of older insurance policies.