Critical Illness

A health insurance plan that covers critical illness means you can insure yourself against the risk of serious illness in much the same way as you insure your car and your house. It will give you the same security of knowing that a guaranteed cash amount will be paid if the unexpected happens and you are diagnosed with a critical illness.

Key Benefits

  • The benefit amount is payable once the disease is diagnosed meeting specific criteria and the insured survives 30 days after the diagnosis.
  • The insured receives the amount as lumpsum so that he can plan the treatment accordingly.
  • Expenses like donor expenses in a transplant surgery, which are not covered under normal health insurance policy, can be paid out of the amount received under this cover both in India & abroad.
  • Very competitive premium rates.
  • Sum insured options of Rs. 100,000/- to Rs. 5000000/- for age group of 6 yrs. to 60 yrs.
  • Sum insured options of Rs. 100,000/- to Rs. 500000/- for age group of 61 yrs. to 65 yrs.
  • Tax saving up to Rs. 100,000 under Sec 80D.

Coverage

  • SI available from 1,00,000 to Rs. 50,00,000
  • Age band – 6 yrs – 59 Years.

Illness Covered

  • Cancer
  • Coronary Artery Bypass Surgery
  • First Heart Attack (Myocardial Infarction)
  • Kidney Failure
  • Major Organ Transplant
  • Stroke
  • Aorta Graft Surgery
  • Primary Pulmonary Arterial Hypertension
  • Multiple Sclerosis with Persisting Symptoms
  • Permanent Paralysis of Limbs

Exclusions

  • Any critical illness for which care, treatment, or advice was recommended or which was first manifested or contracted before
  • Any critical illness diagnosed within the first 90 days
  • Death with in 30 days following the diagnosis of the critical illness
  • Presence of HIV/AIDS infection
  • Treatment arising from or traceable to pregnancy or childbirth, including caesarean section and birth defects
  • War, invasion, act of foreign enemy, terrorism, hostilities (whether war be declared or not), civil war, rebellion, revolution
  • Naval or military operations of the armed forces or air force and participation in operations requiring the use of arms or which are ordered by military authorities for combating terrorists, rebels and the like, any natural peril
  • Consequential losses of any kind, be they by way of loss of profit, loss of opportunity, loss of gain, business interruption etc.
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This entry is part 7 of 12 in the series June 2019 - Insurance Times

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