Entry age

Any individual of the age 60 years and above

Basis

Individual policy

Policy period

The minimum and maximum policy term for the policy is 1 year

Renewability

The policy can be renewed after 1 year if needed

Medicals

Not required

Sum Insured

Ranges from Rs.1,00,000 to Rs.5,00,000

Discount

The policy offers discount on premium depending on the co-pay opted

For co-payment of 10%: 10% discount on premium

For co-payment of 20%: 20% discount on premium

For co-payment of 30%: 30% discount on the premium

For co-payment of 40%: 40% discount on the premium

For co-payment of 50% and above: 50% discount on the premium

Co-payments

The plan comes with a compulsory co-payment of 20%

Coverage offered on the policy

• The policy covers only the specified diseases / illness / injury and there is a maximum liability in respect of each disease -
  • Accidental injury
  • Knee replacement
  • Cancer
  • Stroke
  • Cardiovascular diseases
  • Orthopedic diseases
  • Benign prostate
  • Ophthalmic (Eye) diseases
  • Chronic obstructive lung disease
  • Hepatobiliary disorders
  • Chronic renal failure
• Hospital room, boarding and nursing expenses and ICU charges
• Emergency ambulance charges
• Doctor, surgeon, anesthetist, consultant or specialists fees
• Cost of anesthesia, blood, oxygen, operation theatre charges, surgical appliances
• Cost of medicines, drugs and consumables
• Cost of artificial limbs, prosthetic devices like pacemaker
• Cost of diagnostic tests like X-ray

Benefits under the policy

• Provides the benefit of domiciliary hospitalisation
• Provides discount on premium on voluntary co-payment
• Cashless service through TPA up to Rs.1 lakh
• Offers benefit on the cost of health check-up after 4 consistent claim free years
• Offers tax benefits on the premium under section 80D of the Income Tax Act.

Exclusions under the policy

• Any disease / health condition / illness / ailment or any condition arising therefrom other than those specified in the policy as covered
• 2 yr exclusion on arthritis, cataract, surgery of benign prostatic hypertrophy, age related osteoporosis and osteoarthritis, calculus disease etc
• Pre-existing diseases and related conditions for first 2 yrs
• Any disease covered under the policy contracted by the Insured person during the first 30 days from the commencement date of the policy except treatment for accidental injuries
• Injury or conditions due to any act of foreign enemy, war, nuclear materials
• Circumcision, vaccination, inoculation
• Surgery for eye sight correction, cost of spectacles, contact lenses, hearing aids, crutches, braces, walker etc
• Any conditions due to abuse of drugs, alcohol or intoxicating substances
• General weakness or rest cure
• Self-inflicted injuries, suicide
• Psychiatric and psychosomatic disorders
• AIDS / HIV / STD
• Cost of vitamins, tonics etc unless part of treatment
• Massages, Steam bath, Shirodhara and like treatment under Ayurvedic treatment.
• Doctor’s home visit charges, Attendant / Nursing charges during pre and post hospitalisation period.
• Naturopathy, accupressure and accupuncture