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Care Critical Illness Health Insurance

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Care Health Insurance
Critical Mediclaim Policy
Claim Settlement Ratio95.47%
COVID-19 CoverYes
In-House Claim Settlement100%
Network Hospitals8,250+
Policies Sold6,91,739
RenewabilityLifelong

About Care Critical Illness Health Insurance

Critical Mediclaim Policy by Care Health Insurance is an affordable medical insurance plan that is especially designed to cover 32 critical illnesses. These include heart ailments, cancer, stroke, paralysis, kidney problems, major organ surgeries, etc. Available on individual basis, the policy can cover up to 6 members including the proposer, legally wedded spouse, son, daughter, father, mother, brother, sister, mother-in-law, father-in-law, grandmother, grandfather, granddaughter, grandson, uncle, aunt, niece, nephew, employee, or any other relationship having an insurable interest. They can have the same or different sum insured. The policy comes with wide sum insured options ranging between Rs. 10 lakh and Rs. 2 crore, which you can choose as per your budget and other requirements.

To buy the policy, you can choose from several premium payment modes like single, monthly, and quarterly basis. Some coverage benefits offered are in-patient hospitalisation expenses, pre-hospitalisation and post-hospitalisation expenses, daycare expenses, dialysis cover, alternative treatments, second e-opinion, organ donor cover, etc. The policy can be purchased for 1 year, 2 years, or 3 years.

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Key Inclusions and Exclusions of the Plan

What's Included

  • Organ donor cover
  • Cover for 32 critical illnesses
  • Dialysis cover
  • Psychiatric counseling
  • 30 days & 60 days pre & post hospitalisation expenses

What's Not Included

  • Damage due to nuclear attacks etc.
  • HIV/AIDS or STDs
  • Act of self-inflicted injury
  • Plastic or cosmetic surgeries or related treatment
  • Any illness due to consumption of alcohol, cigarettes, or tobacco, etc

6003 Care Cashless Network Hospitals in India

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.

FAQs on Critical Mediclaim Policy Health Insurance Plan

  • What is the No Claim Bonus benefit under Critical Mediclaim Policy offered by Care health Insurance?

    Under Critical Mediclaim policy, you can enjoy 50%/25%/25% of corresponding increase in the sum insured for the first, second, and third continuous claim free policy years respectively, for up to a maximum of 100% of sum insured. 

     

  • Are OPD expenses covered under Critical Mediclaim Policy offered by Care Health Insurance?

    Yes. OPD expenses are covered under Critical Mediclaim Policy for up to 1% of the sum insured for a maximum of Rs. 25,000. 

  • Who all can be covered under Critical Mediclaim Policy offered by Care Health Insurance?

    The following relationships can be covered under Critical Mediclaim Policy with respect to the proposer: self, legally wedded spouse, son, daughter, father, mother, brother, sister, mother-in-law, father-in-law, grandmother, grandfather, granddaughter, grandson, uncle, aunt, niece, nephew, employee, or any other relationship having an insurable interest. 

  • What are the sum insured options available under Critical Mediclaim Policy offered by Care Health Insurance?

    Critical Mediclaim Policy offered by Care Health Insurance comes with the sum insured options of Rs. 10 lakh, Rs. 25 lakh, Rs. 50 lakh, Rs. 1 crore, and Rs. 2 crore. 

  • What is the minimum and maximum entry age under Critical Mediclaim Policy offered by Care Health Insurance?

    The minimum and maximum entry age under Critical Mediclaim Policy is 5 years to 50 years on individual basis whereas there is no maximum age for entry under the plan. 

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