What is the eligibility for buying the plan?

The plan can be bought by anyone aged 18 years and above. There is no maximum entry age. Moreover, renewals are also allowed lifelong.

Can the policy be taken on a floater basis?

Yes, the policy can be taken on a floater basis. However, floater plans would only cover two adults under one policy. For dependent children the policy would have to be taken on an individual sum insured basis.

What is the available term of the plan?

The plan can be taken for 1, 2 or 3 policy years.

Is there a limit on room rent under hospitalisation cover?

In case the policyholder opts for a sum insured of Rs. 2 Lakh, Rs. 3 Lakh, Rs. 4 Lakh, the room rent limit would be 1% of the sum insured per day. For all other sum insured options there is no room rent limit. A single private room would be allowed.

What is the coverage for ambulance costs?

Ambulance costs up to Rs. 2000 are covered for sum insured levels of Rs. 2 Lakh, Rs. 3 Lakh, Rs. 4 Lakh and Rs. 5 Lakh. For sum insured of Rs. 7 Lakh and Rs.10 Lakh, ambulance cost of up to Rs. 3000 is covered.

What is automatic recharge of sum insured?

Under automatic recharge of sum insured, 100% of the sum insured is restored if it is exhausted in any policy year on earlier claims.

Does the plan allow no claim bonus?

Yes, the plan allows no claim bonus if no claim is made in a policy year. As a bonus, 10% of the sum insured is increased for every claim-free policy year subject to a maximum increment of 50% in aggregate.

What optional benefits are available under the plan?

The optional coverage benefits available under the plan include OPD care, international second opinion, home care and active health check-up.

Under the coverage benefit of home care, expenses incurred in hiring a nurse for the care of the patient would be covered. The allowable limit under this coverage is Rs. 1000 per day for sum insured levels of Rs. 2 Lakh, Rs. 3 Lakh, Rs. 4 Lakh and Rs. 5 Lakh and Rs. 2000 per day for sum insured levels of Rs. 7 Lakh and Rs.10 Lakh. The benefit is paid for a maximum of 7 days per occurrence and a maximum of 45 days over the aggregate policy period.

Care Heart Health Insurance Wordings

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Highlights

Cashless Approval TAT	Within 2 hours
Claim Settlement Ratio	93.00%
Network Hospitals	24,800+
Pre-existing Disease Coverage From	Day 1
Special Benefits	No Extra Premium for Disease Coverage
Starting Premium for Rs. 5 lakhs coverage	Rs. 546/month

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Care Care Heart Brochure

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Jun 06, 2019

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Care Health Insurance Plan List

Family (3)
Individual (3)
Woman (1)
Critical Illness (3)
Heart (2)
Senior Citizen (2)
Parents (1)
Maternity (1)
Cancer (1)

Name of Plan	Sum Insured
CareMin: 91 Days; Max: No LimitPopular	4 Lakh	Check Premium
PlusPopular		Check Premium
SupremePopular		Check Premium
Care AdvantageMIn: 91 Days; Max: LifelongPopular	25 Lakh	Check Premium
Care ClassicPopular		Check Premium
Care HeartMin: 18 Years; Max: No Limit	2 Lakh	Check Premium
Care SeniorMin: 61 Years; Max: No Limit	3 Lakh	Check Premium
Arogya Sanjeevani PolicyMin: 3 Months; Max: 65 Years	1 Lakh - 5 Lakh	Check Premium
Critical MediclaimMin: 5 Years; Max 50 Years	10 Lakh	Check Premium
Corona Kavach PolicyMin: 1 day ; Max: 65 years	50,000 - 5 lakh	Check Premium
Care FreedomMin: 90 Days; Max: No Limit	3 Lakh	Check Premium
JoyMin: 1 Day; Max: 65 Years	3 Lakh	Check Premium
Super MediclaimMin: 91 Days; Max: No Limit	1 Lakh	Check Premium

Care Health Insurance Top Up List

Family (1)
Individual (1)
page-template-top-up (1)

Name of Plan	Sum Insured
EnhanceMin: 1 Day; Max: No Limit	1 Lakh	Check Premium
Care Enhance Min: 1 Day; Max: No Limit	1 Lakh	Check Premium

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FAQs on Care Heart Health Insurance Plan

What is the eligibility for buying the plan?
The plan can be bought by anyone aged 18 years and above. There is no maximum entry age. Moreover, renewals are also allowed lifelong.
Can the policy be taken on a floater basis?
Yes, the policy can be taken on a floater basis. However, floater plans would only cover two adults under one policy. For dependent children the policy would have to be taken on an individual sum insured basis.
What is the available term of the plan?
The plan can be taken for 1, 2 or 3 policy years.
Is there a limit on room rent under hospitalisation cover?
In case the policyholder opts for a sum insured of Rs. 2 Lakh, Rs. 3 Lakh, Rs. 4 Lakh, the room rent limit would be 1% of the sum insured per day. For all other sum insured options there is no room rent limit. A single private room would be allowed.
What is the coverage for ambulance costs?
Ambulance costs up to Rs. 2000 are covered for sum insured levels of Rs. 2 Lakh, Rs. 3 Lakh, Rs. 4 Lakh and Rs. 5 Lakh. For sum insured of Rs. 7 Lakh and Rs.10 Lakh, ambulance cost of up to Rs. 3000 is covered.
What is automatic recharge of sum insured?
Under automatic recharge of sum insured, 100% of the sum insured is restored if it is exhausted in any policy year on earlier claims.
Does the plan allow no claim bonus?
Yes, the plan allows no claim bonus if no claim is made in a policy year. As a bonus, 10% of the sum insured is increased for every claim-free policy year subject to a maximum increment of 50% in aggregate.
What optional benefits are available under the plan?
The optional coverage benefits available under the plan include OPD care, international second opinion, home care and active health check-up.
What is home care?
Under the coverage benefit of home care, expenses incurred in hiring a nurse for the care of the patient would be covered. The allowable limit under this coverage is Rs. 1000 per day for sum insured levels of Rs. 2 Lakh, Rs. 3 Lakh, Rs. 4 Lakh and Rs. 5 Lakh and Rs. 2000 per day for sum insured levels of Rs. 7 Lakh and Rs.10 Lakh. The benefit is paid for a maximum of 7 days per occurrence and a maximum of 45 days over the aggregate policy period.

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Claim Process at Care Health Insurance

Network Hospital
Non-Network Hospital

1
Claim Assistance
For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
2
Claim Intimation
Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 48 hours prior to admission.
3
Claim Processing
Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
4
Claim Settlement
Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.

1
Claim Assistance
For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
2
Claim Intimation
Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 48 hours prior to admission.
3
Claim Processing
Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
4
Claim Settlement
Once your request for reimbursement of expenses is approved, the claim will be settled.

Care Health Insurance Contact Details

Reach us for help anytime

Insurance Dekho
755 1196 989Mon to Sun 10:00 AM to 7:00 PM
support@insurancedekho.com
Care Health Insurance
1800-102-4499Mon to Fri 10:00 AM to 7:00 PM