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  • L&T Health Insurance

     4.0 / 5.0   by 19 users
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    Cashless Treatment

    Customer Service

    Medical Coverage

    Claim Experience

    Company Limited L&T General Insurance Company Limited (L&T Insurance) is a wholly owned subsidiary of Larsen & Toubro Limited. L&T General Insurance offers products like Motor Insurance, Health Insurance, corporate Insurance and Home Insurance.


    L&T Health Insurance at a Glance

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    Coverage for your most loved ones

    Total members covered

    Coverage for a maximum of 4 family members with up to 2 adults and 2 children

    You get a choice of coverage tenure

    Pre and Post Hospitalization cover

    Medical expenses covered for 30 days before your hospitalization and 60 days for post hospitalization for related medical expenses

    The next best thing to having a doc in the family

    Health Check-ups

    For all Insured Persons at the end of four continuous claim free Policy Years

    * For a family health cover product.

    Critical Factors of the Plan

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    Not a paisa goes from your own pocket!

    Co-Pay

    10% copayment after the age of 80 years

    You?re covered for any future medical expenses

    Life long renewable

    Plans are lifelong renewable and covers you for your entire lifetime.

    Get essential cover for existing ailments

    Pre-existing Diseases

    Pre-existing diseases are covered after a 3 year waiting period

    Hospital room rent determines your treatment bill

    Room Rent

    No Sub-limits on hospital room rents

    *These Features may be included as part of different products and are subject to the insurer's terms & conditions.

    Additional Features of L&T Health Insurance

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    Good health offers multiple rewards

    Option to buy a two year policy at a 5 % discount

    The world is your healthcare oyster

    Cashless facility is available only at our network hospitals

    *These add-ons may be included as part of different products and are subject to the insurer's terms & conditions.

    L&T General Insurance Highlights Updated on 26 Jul 2017

    Features Specifications
    Network Hospitals 2800+
    Waiting Period for Pre-existing Disease 3 years
    Incurred Claims Ratio 46.52%
    Number of Policies Issued 70534
    Grievances Solved 100.00%
    Renewability Lifetime

    *For Year 2015-2016

    Overview

    L and T Health Insurance Plans

    L&T General Insurance Co. Ltd. is a subsidiary owned entirely by Larsen & Toubro Ltd. , one of the largest Indian business enterprises.

    L&T General has developed assurance solutions for all segments of the market ranging from individuals to small and medium enterprises to large corporates and for all lines including property, casualty, motor and health among others. It pays particular attention to rural areas through its rural and micro insurance plans.

    The company has adopted a customer-centric approach, keeping quality at the forefront at all times. It follows a prudent and disciplined method to underwriting and leverages on technology to facilitate smooth and efficient operations.

    It benefits from the world-class branding of its parent group Larsen and Toubro which is known all over the globe for its strong standing in the fields of engineering, construction and technology. Financial services is a strategically important, though relatively new, segment in L&T’s business portfolio.

    L&T’s strong financials has placed it in an advantageous spot within the Indian insurance industry. Health insurance is a line of growing importance and L&T has a number of options for its customers in this segment as well.

    They have a host of interesting health insurance plans crafted for individuals and families alike.

    1. Medisure Prime Insurance
    2. Medisure Classic Insurance
    3. Medisure Super Top Up Insurance
    4. Medisure Plus Insurance
    5. Personal Accident Insurance

    Details of individual plans are provided below.

    Why Compare L&T Health Insurance Plans on BankBazaar?

    Medisure Prime Insurance

    Medisure Prime is a health insurance policy offered by L&T Limited. It is one of the most well-organized health insurance plans that comes with a host of attractive features and service guarantee.

    Entry age 18 years to 65 years
    Sum assured 3, 00,000 to Rs. 10,00,000.
    Basis Individual or Family Floater
    Policy Period 1 year or 2 years
    Premiums 1 year term: Rs. 4,290 to Rs.6,09,780 2 year term: Rs.8,151 to Rs.11,03,445
    Medical screening Required above 45 years
    Pre-hospitalisation 60 days.
    Post-hospitalisation 90 days
    Ambulance costs Rs.1,500 per hospitalisation (reimbursed).
    Cash allowance Rs.1,000 per day for hospital stay beyond 3 days; maximum 10 days.
    Escort Rs.500 per day for hospital stay beyond 3 days; maximum 8 days.
    Health check costs Reimbursed, upon completion of 2 successive renewals, for insured members aged 45 years and above.
    No-claim/Cumulative Bonus Increase in sum assured upon renewal @ 5% after every claim-free year, maximum of 10 years i.e. 50%
    Sub-limits None; Co-payment of 10% for insured members over 80 years.
    Waiting period 4 years.
    Critical Illness Cover 9 specific illnesses
    Maternity Period 90 days
    Maternity/Newborn Cover Up to 2 children. Payout is the lower of 5% of the chosen sum assured or Rs.25,000 (normal deliveries) and the lower of actuals or 10% of the A or Rs.50,000 (c-sections).
    Restoration of sum assured Hospitalisation due to accident; restored to 100% of original value after a successful claim, once until renewal, if balance for next claim is inadequate.
    Lumpsum for Extended hospital stay Rs.10,000.00
    Free health check-ups Every alternate year after consecutive renewal of the policy for two years.
    Daycare procedures Limited to the chosen sum assured.
    Superior claim service Approval for cashless claims within 6 hours or settlement of reimbursable claims within 6 working days; Rs.1,000 payout in case of delay.
    Concierge service For certain areas; assigned executive to help process cashless claims
    Personal Case Manager 24-hour claim support; For certain areas; assigned executive to discuss the policy.
    Organ Transplantation Expenses Covered
    Major Exclusions
    • Claims made within the 30 days immediately following policy inception.
    • Domiciliary treatment
    • 2 year waiting period for: Cataract, Benign Prostatic Hypertrophy, Congenital Internal Diseases, Anal Fistula, Piles, Hysterectomy, Hernia, Sinusitis and associated ailments.
    • Suicide attempts, self-harm, mental disorders, use of intoxicants.
    • HIV/AIDS and related illnesses.

    Medisure Classic Insurance

    Entry Age 18 years minimum; 3 months to 23 years for children
    Basis Individual or Family Floater
    Policy Period 1 year or 2 years
    Medical screening Required for persons above 50 years.
    Health checks-ups After every 4 successive claim-free years; costs reimbursed up to 1% of sum assured.
    Premiums For policy period of 1 year: Rs.1, 994 to Rs.82, 642; For policy period of 2 years: Rs.3, 789 to Rs.1, 57,020.
    Premiums are calculated based on Age of the insured, Basis of the policy, Chosen sum assured, Family size, Add on covers and sub-limits.
    Pre-existing conditions Subject to a 3 year waiting period.
    Family Discount 10% of total premium if the policy is taken on individual basis, for more than 2 additional members (maximum of 6).
    Inpatient hospitalization Required minimum stay of 24 hours
    Pre-hospitalization 30 days
    Post-hospitalization 60 days
    Day-care procedures Lower of actuals or 1% of the sum assured or Rs.4,000 for each day of stay.
    Room and Nursing Approved on a case to case basis (does not include diagnostic and outpatient procedures).
    Domiciliary Hospitalization Includes pre-hospitalization costs up to 30 days.
    Add-on coverage at additional premium For Critical Illness: Basic sum insured is doubled in the event of Contracting any one of the specified critical illnesses; available to persons up to the age of 65.
    Sub-limits
    • Hospitalization Costs: Actuals or 1% of sum assured, whichever is lower; room, including nursing, charges: Up to Rs.4,000 a day.
    • ICU Costs: Actuals or 2% of sum assured;
    • Room, including nursing, charges: Up to Rs.6,000 a day.
    • Maternity/Newborn Cover: Lower of actuals or Rs.20,000 or 10% of sum assured (normal delivery); Lower of actuals or Rs.40,000 or 20% of sum assured (C-section).
    No-claim/Cumulative Bonus 5% increase in the sum assured, upon renewal, after every claim-free year, on a cumulative basis for a maximum bonus of 50%.
    100% restoration If balance sum assured, after the first claim, is inadequate to pay for second claim; the first claim amount is added back; One-time option for a policy period.
    Ayurvedic (non-cosmetic) Treatment Up to Rs.25,000 in a policy year for inpatient hospitalization more than 24 hours; prior approvals and waiting period apply.
    Major Exclusions
    • Claims made within the 30 days immediately following policy inception.
    • Domiciliary treatment
    • 2 year waiting period for: Cataract, Benign Prostatic Hypertrophy, Congenital Internal
    • Diseases, Anal Fistula, Piles, Hysterectomy, Hernia, Sinusitis and associated ailments.
    • Suicide attempts, self-harm, mental disorders, use of intoxicants.
    • HIV/AIDS and related illnesses.
    Free Look Period 15 days from policy inception, for cancellation with refund (adjusted)
    Tax Benefits Under section 80D of the Income Tax Act

    Medisure Super Top-Up Insurance

    A top-up policy with a an option of deductibles, to enhance the cover of the base health insurance plan in an economical manner.

    Entry Age 18 to 65 years; 91 days to 23 years for children
    Basis Individual and Floater
    Policy Period 1 year or 2 years.
    Premiums Rs.865 to Rs.19, 157 (inclusive of GST); depends on age, sum assured and deductible, basis and family size. 5% discount on total premium if 2 a year plan term is chosen.
    Medical screening For persons above 55 years
    Sum Assured
    • Rs.3 lakhs or Rs.8 lakhs, deductible is Rs.2 lakhs.
    • Rs.7 lakhs or Rs.12 lakhs, deductible is Rs.3 lakhs.
    • Rs.6 lakhs, Rs.11 lakhs or Rs.16 lakhs, deductible is Rs.4 lakhs.
    • Rs.5 lakhs, Rs.10 lakhs, 15 lakhs or Rs.20 lakhs, deductible is Rs.5 lakhs
    Sub-limits No
    Pre/Post Hospitalization expenses up to 30 and 60 days, respectively.
    Day Care Procedures Approved for coverage.
    Pre-existing diseases waiting period 3 successive years.
    Day Care Procedures Approved for coverage; excludes diagnostic and outpatient procedures

    Medisure Plus Insurance

    A novel offering from L&T that offers a standard health insurance cover while letting customers design the plan to suit their requirements.

    Entry Age 18 years to 65 years; 91 days to 23 years for children.
    Policy Period 1 year or 2 years.
    Sum Assured Up to Rs.25 lakhs.
    Renewability Lifelong
    Basis Individual or Family Floater.
    discount 10% discount on premiums if more than 2 member are covered
    Medical screening Required above 50 years
    Coverage for Grandparents, Siblings, Grandchildren, Sons/Daughters-in-law, Nieces, Nephews.
    Customised (nominal, additional premium) Add-on cover for critical illnesses, Restoration of Sum Assured, Waiver of sub-limits on room and ICU expenses, Extended pre/post-hospitalization coverage, Recovery benefits, Escort expenses.

    Personal Accident Insurance

    The Personal Accident Insurance offered by L&T is a product that is aimed specifically at damages caused by an unfortunate incident

    Entry Age For Adults: 5 years to 70 years; For Children: 5 years to 18 years.
    Basis Family Package Cover as well as Individual Cover.
    Renewability The policy can be renewed.
    Policy coverage Accidental Death only, Permanent Total Disability/ Accidental Death, Accidental Death/Permanent Partial/ Total Disability, Accidental Death/Permanent Total Disability/Permanent Partial Disability/ Temporary Total Disability
    Discount Family discount of 10% on the premiums paid for Family Package cover and Individual cover.
    Exclusions The policy does not cover any existing disability, claims for more than one categories mentioned in the policy document. It also does not cover death and disablement caused due to self-injury, suicide or attempted suicide, consumption of alcohol or drugs, childbirth, pregnancy etc.
    Benefits
    • It provides compensation for a physical loss such as death or disablement caused by accidental injury within a period of 12 months from the date of accident.
    • Education benefits- It cover the cost of education for children, in case the policyholder meets with an accident.
    • Loss of employment benefits.
    • It also cover the cost involved in transportation, ambulance service and outpatient medical expense.
    • Medical extension benefits
    • The cost of travel to your home or any other place is covered. Get paid 2% of the sum assured or up Rs. 10,000 as cost of travel.
    • Medical extension benefits

    Find cashless network hospitals nearby: L&T Health Insurance Network Hospitals

    L&T Health Insurance FAQs

    1. What are the hospital claim exclusions in the Medisure Classic insurance policy?
    2. The major hospital claim exclusions in the Medisure Classic are as follows-

      • Hysterectomy, Anal Fistula, Hernia, Piles, Sinusitis and ailments associated with the same.
      • HIV/AIDS and any illnesses related to the same.
      • Suicide attempts, self-harm, mental disorders, use of intoxicants.
    3. What are the optional features of coverage of the L&T health insurance plan?
    4. Following are the optional features of the L&T health insurance plan-

      • Two year policy renewal offered after 24 months versus the norm of 12 months
      • After the age of 45, free health checkup offered
      • Health insurance offered on pre-existing disease after completing 24 months of holding health insurance policy
      • Issuance of policy instantly
      • Lifetime renewal of policy offered
      • Equivalent of the sum insured is given as additional coverage for treatment of critical illness excluding cumulative bonus
      • Room rent sub limits waiver available
    5. What is the advantage of taking a L&T health insurance policy?
    6. The advantages of taking the L&T health insurance policy are as follows-

      • Assurance of claims service wherein all cashless decisions for requests made between 9 am and 9 pm on working days is settled within 6 hours. All cash reimbursement is made within 6 working days.
      • Provision of concierge service on request in select cities which includes assistance on any cashless procedures between 9 am and 9 pm, when there is a claim.
      • A personal case manager is assigned upon request to define benefits and resolve any doubts.
      • Around the clock services for claims assistance provided.
    7. What are the various critical illnesses included in the L&T health insurance plan?
    8. The list of critical illnesses including in the L&T health insurance plan is as follows -

      • Cancer
      • Coronary artery bypass surgery
      • First heart attack
      • Kidney failure
      • Multiple sclerosis
      • Major organ transplant
      • Stroke
      • Aorta graft surgery
      • Primary pulmonary arterial hypertension
    9. What is the age limit to be eligible to be covered by L&T health insurance plan?
      • The age limit of the proposer of the L&T health insurance plan is between the ages of 18 years and 65 years of age.
      • There is lifetime renewal of the L&T health insurance policy once the policy has been issued.
      • If one or both parents are insured under the L&T health insurance policy then children up to 18 years of age can also be covered under the policy.
      • For subscribers who are above the age of 45 years, the issuance of the L&T health insurance policy is subject to pre acceptance of medical and thereof approval by L&T health insurance.
    10. I have a Medisure Prime insurance policy. What is the policy period for the same?
    11. The policy period for the Medisure Prime insurance policy is 1 year or 2 years.

      I would like to apply for the Medisure Classic insurance policy. What is the eligibility for the same?

      In order to apply for the Medisure Classic insurance policy, you have to fulfill the following counts-

      • Completed 18 years of age
      • Persons above 50 years of age require medical screening
    12. Are there any discounts offered on the premiums of Medisure Prime insurance policy?
    13. Yes, there are discounts offered for two or more additional members upto a maximum of 6 members for a Medisure Prime policy taken on individual basis.

      The sum assured as well as the premium payable is applicable to each of the insured members.

    14. What health insurance plans are offered by L&T health insurance?
    15. Following are the insurance policies offered by L&T health insurance-

      • Medisure Plus Insurance
      • Medisure Classic Insurance
      • Medisure Prime Insurance
      • Medisure Super Top Up Insurance

    16. I have a Medisure Super Top Up Insurance policy. Can my parents be insured under the same plan?
    17. Under the Medisure Super Top Up Insurance policy, parents and inlaws both can be insured under the same plan so along as the plan is taken on individual basis.

    18. I am 60 years old. Am I eligible for the Medisure Super Top Up Insurance policy?
    19. Yes, you are eligible for the Medisure Super Top Up Insurance policy as long as you have undergone medical screening which is a mandate for persons above 55 years applying for the Medisure Super Top Up Insurance policy.

    Examples of Network Hospitals in Major Cities

    CITY NAME OF HOSPITAL
    DELHI JEEVAN ANMOL HOSPITAL
    MUMBAI HOLY SPIRIT HOSPITAL
    KOLKATA KOTHARI MEDICAL CENTRE
    BANGALORE HEALTHCARE GLOBAL ENTERPRISES LIMITED
    CHENNAI K. J. HOSPITAL PVT. LTD.

    *Disclaimer - This is not an exhaustive list but an indicative representation of hospitals that form a part of the company's wider network.


    This Insurance Company has not partnered with BankBazaar.com. For more details, please visit its website/branch office. The trademarks, logos and other subject matters of intellectual property belong to their respective owners.

    GST rate of 18% applicable for all financial services effective July 1, 2017.

    Disclaimer: Premiums may vary depending upon factors like age, location and prevailing taxes/GST.

    L&T Health Insurance Reviews

  • Page 1 of 1
    • L and T Health Insurance
      "Good medical coverage with low Premium"
      0.5 5.0/5 "Blown Away!"
      It is more recommendable insurance from L & T . Premium was very less but it has more features on it. I used to pay Rs. 3500 could claim upto hospitalization of 5 Lakhs. It covers for entire family it was good and useful for every one.
      Was this review helpful? 0
      , vadodara
      Reviewed on Nov 12, 2016
    • L and T Health Insurance
      "Highly inefficient and delay. Non issuance of policy-15days"
      0.5 0.5/5 "Unacceptable"
      Despite I paid full amount and provided all clarity and required documents/reports. L&T failed to provide a policy and highly inefficient in their response. For every email they want 3 business days to reply. So, I do not recommend insurer
      Was this review helpful? 1
      , pune
      Reviewed on Aug 17, 2016
    • L and T Health Insurance
      "Not yet used "
      0.5 5.0/5 "Blown Away!"
      Its good experience from L&T in case of health Insurance services.The documents related to the insurance were received within 10-15days.It takes 3years tenure for covering pre-existing disease in the Insurance.The critical illness also has some particular waiting period.
      Was this review helpful? 0
      , pune
      Reviewed on Aug 05, 2016
    • L and T Health Insurance
      "Average service "
      0.5 3.0/5 "Satisfactory"
      It was company provided Insurance through L&T General Insurance.For getting the claim processed we need to get the form from HR executives.There is very few hospitals listed under the Insurance which was not a convenient option as a customer.
      Was this review helpful? 1
      , chennai
      Reviewed on Jul 21, 2016
    • L and T Health Insurance
      "Very good"
      0.5 4.0/5 "Great!"
      From L&T I have taken a health plan for my mother which I took through online. There was no any medical check up. Overall process was completed in ten days and sent all the papers on time. After three years of time they will cover the pre existing.Cashless treatment facility is available.
      Was this review helpful? 0
      , hyderabad
      Reviewed on Jul 02, 2016
    • L and T Health Insurance
      "Horrible than some of the govt owned insurance provider."
      0.5 1.0/5 "Really Bad"
      They Don't update call or let you know about the progress for getting the policy issued once you just swipe the card it takes more than 3 days for them to get dr.approval for fresh policy to be issued. It is only you have to call to get the update from them..
      Was this review helpful? 1
      , mumbai
      Reviewed on Apr 14, 2016
    • L and T Health Insurance
      "Good..."
      0.5 4.0/5 "Great!"
      Agent suggested and also compared as I liked the policy at L&T General insurance. The no claim bonus in a year is is 5% and it does not come down. Normally companies give 30% for no claim and if we claim anything the bonus will be not there. Though we claim, the bonus remains the same as 5%. Ayurvedic medicines and treatments also claimable.
      Was this review helpful? 0
      , thane
      Reviewed on Feb 20, 2016
    • L and T Health Insurance
      "Excellent Services"
      0.5 5.0/5 "Blown Away!"
      I hold a health insurance with L& T. The services are very good. It is a family floater policy. I have taken the benefits when I was hospitalized. The executive visited me at the hospital and processed everything. The cash less facility is good.
      Was this review helpful? 1
      , bangalore
      Reviewed on Feb 15, 2016
    • L and T Health Insurance
      "Very Good services"
      0.5 5.0/5 "Blown Away!"
      L&T General Insurance has been good in their services. I have taken my health insurance for them. It is a family floater policy. I have also had a claim experience. It was a reimbursement. I got the amount I had claimed for. It was a smooth process. The process took a month. The premium is on a yearly basis. They also have cashless facility.
      Was this review helpful? 1
      , mumbai
      Reviewed on Nov 14, 2015
    • L and T Health Insurance
      " Best health insurance "
      0.5 4.0/5 "Great!"
      Medical coverage is 2 lakhs for the whole family per year from L&T. Cashless treatment is available. Minimum 24 hour hospitalization is must. The listed hospital are nearby the location. I have taken the plan through the company. The customer service is excellent.
      Was this review helpful? 0
      , gadag
      Reviewed on Nov 07, 2015
    • L and T Health Insurance
      "Best service"
      0.5 5.0/5 "Blown Away!"
      I am paying around 15000 Rupees for the L&T health insurance. They are good with the service and it covers full family . The coverage is around 3 lakhs for every person in the family. They are having the enough number of the networking hospitals which is really good. I dont have any claim experience with them. They are having the cashless treatment facility on everywhere.
      Was this review helpful? 1
      , new delhi
      Reviewed on Sep 26, 2015
    • L and T Health Insurance
      "Very efficient..."
      0.5 3.5/5 "Pretty good"
      Infact this is a corporate offer and family floater where me and my spouse been covered. Entirely the coverage for both of us is 25lakhs. L&T General Insurance is not covering the existing diseases for two to three years. OPD cases are covering in certain cases. Health insurance is quite efficient.
      Was this review helpful? 0
      , mumbai
      Reviewed on Sep 15, 2015
    • L and T Health Insurance
      "Average"
      0.5 3.0/5 "Satisfactory"
      My health insurance is from L&T general insurance. The coverage is for my family and myself. The premium is on a yearly basis. I recently took the insurance with them. So not very sure of their benefits. The service was average from them.
      Was this review helpful? 0
      , mumbai
      Reviewed on Sep 10, 2015
    • L and T Health Insurance
      "Excellent"
      0.5 5.0/5 "Blown Away!"
      I have taken my health insurance with L&T general insurance. It is a corporate insurance got from the company I work for. The premium is on a yearly basis. It is of 6500. The coverage is of 5 Lakhs. It is for my family and myself.
      Was this review helpful? 0
      , chennai
      Reviewed on Aug 20, 2015
    • L and T Health Insurance
      "Good"
      0.5 5.0/5 "Blown Away!"
      I am having the health insurance with L&T.The coverage is really good.Its the coverage of 8 lakhs with the full of family.The process is really good with them
      Was this review helpful? 0
      , coimbatore
      Reviewed on Jun 26, 2015
    • L and T Health Insurance
      "Good"
      0.5 2.5/5 "Just OK"
      The health insurance from Larsen and Tourbo is good. The insurance covers almost all the health related issues and it has got upto 3.5 lakhs coverage for health. The insurance covers only in the case of hospitalization for 24 hours and also it covers accidents. Their toll free number is always working as they are able to provide me with clear solution.
      Was this review helpful? 1
      , chandigarh
      Reviewed on Jun 06, 2015
    • L and T Health Insurance
      "we strongly believe L&T COMPANY"
      0.5 4.5/5 "Excellent!"
      I have taken the policyl&T medi Classic 2 years back online I just call to direct l&T customer services they help me out for the understand all things. And I have received my soft copes so I am really Happy with the servicess. Before buying any insurance the wordings should be checked thoroughly. IT should cover all the medical needs of the family Nowadys in India medical insurance is heavily competitive Never ever take word of any insurance agent
      Was this review helpful? 2
      , hyderabad
      Reviewed on Apr 13, 2015
    • L and T Health Insurance
      "Good !!!"
      0.5 4.0/5 "Great!"
      Via online I purchased this health insurance and one of the executives suggested to take it with L&T General insurance. Ideally the coverage is of 80-90%. Normally L&T is not covering diabetics initially where they are covering post three years. In comparison to other insurance companies, coverage is very good but premium is bit high.
      Was this review helpful? 4
      , tirupur
      Reviewed on Apr 04, 2015
    • L and T Health Insurance
      "Better Insurance Product"
      0.5 5.0/5 "Blown Away!"
      I have taken Medisure Prime Insurance (Health Insuracne) with L&T. I had purchased this insurance L&T website and this is one of the best insurance policy in the industry since its covers 9 critical illness like cancer, first heart attack, coronary bypass surgeries, kidney failures and etc. This insurance poliy will also cover childbirth related expenses. It will provide free health check-up for every two years if your age is 45 and above, this is important option in Medisure Prime Insurance. The good news is it will cover the Donor Expenses for organ transplants. There are much more features available in this plan overall its one of the good health insurance plan in the market.
      Was this review helpful? 2
      , chennai
      Reviewed on Mar 09, 2015
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