What are the premium payment options available under Critical Mediclaim?

There are single, monthly, and quarterly premium payment options available under Critical Mediclaim plan.

How does dialysis cover under Critical Mediclaim plan help?

Under Critical Mediclaim plan, there is dialysis coverage up to the sum insured.

Why is it necessary to disclose my state of health correctly when buying critical illness plan?

Declaring the correct and accurate health information at the time of purchase ensures smooth processing of the claim at the time of need.

What is the time period for pre and post hospitalisation coverage under Critical Mediclaim plan?

Pre-hospitalisation is covered for up to 30 days, and post-hospitalisation is covered for up to 60 days.

What is the waiting period under the Critical Mediclaim plan?

The initial waiting period under Critical Mediclaim plan is 90 days. There is no waiting period for specified ailments. However, for pre-existing conditions, the waiting period is 4 years.

When I buy Critical Mediclaim plan, do I get a cashless health card?

Yes, you get a cashless health card on purchase of a Critical Mediclaim plan for availing cashless facility.

What are the health services provided under the Critical Mediclaim plan?

There are various health service benefits available under Critical Mediclaim plan. Some of them include quick recovery counselling, doctor on call, health portal, global coverage, OPD expenses for a covered condition, international second opinion, air ambulance, etc.

What is a no-claim benefit under Critical Mediclaim plan?

No-claim benefit under Critical Mediclaim plan means that there is an increase in the sum insured options for 1st, 2nd, and 3rd continuous claim free policy years up to a maximum of 100% of sum insured.

What is the age limit under Critical Mediclaim plan?

The age limit under Critical Mediclaim plan is 5 years to 50 years on an individual basis.

Is floater policy available under Critical Mediclaim plan?

No, the floater policy is not available under Critical Mediclaim plan.

Care Critical Illness 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 Critical Mediclaim Brochure

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May 26, 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

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Family (1)
Individual (1)
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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 Critical Mediclaim Health Insurance Plan

What are the premium payment options available under Critical Mediclaim?
There are single, monthly, and quarterly premium payment options available under Critical Mediclaim plan.
How does dialysis cover under Critical Mediclaim plan help?
Under Critical Mediclaim plan, there is dialysis coverage up to the sum insured.
Why is it necessary to disclose my state of health correctly when buying critical illness plan?
Declaring the correct and accurate health information at the time of purchase ensures smooth processing of the claim at the time of need.
What is the time period for pre and post hospitalisation coverage under Critical Mediclaim plan?
Pre-hospitalisation is covered for up to 30 days, and post-hospitalisation is covered for up to 60 days.
What is the waiting period under the Critical Mediclaim plan?
The initial waiting period under Critical Mediclaim plan is 90 days. There is no waiting period for specified ailments. However, for pre-existing conditions, the waiting period is 4 years.
When I buy Critical Mediclaim plan, do I get a cashless health card?
Yes, you get a cashless health card on purchase of a Critical Mediclaim plan for availing cashless facility.
What are the health services provided under the Critical Mediclaim plan?
There are various health service benefits available under Critical Mediclaim plan. Some of them include quick recovery counselling, doctor on call, health portal, global coverage, OPD expenses for a covered condition, international second opinion, air ambulance, etc.
What is a no-claim benefit under Critical Mediclaim plan?
No-claim benefit under Critical Mediclaim plan means that there is an increase in the sum insured options for 1st, 2nd, and 3rd continuous claim free policy years up to a maximum of 100% of sum insured.
What is the age limit under Critical Mediclaim plan?
The age limit under Critical Mediclaim plan is 5 years to 50 years on an individual basis.
Is floater policy available under Critical Mediclaim plan?
No, the floater policy is not available under Critical Mediclaim plan.

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Claim Process at Care Health Insurance

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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.

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