Care Health Insurance FAQs
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Care Health Insurance Plan List
- Individual (19)
- Family (19)
- Woman (22)
- Senior Citizen (13)
- Parents (17)
- Blood Pressure (22)
- Kids (13)
- Thyroid (22)
- Diabetes (22)
- Heart (9)
- Cancer (2)
Care
Cover
7 Lakh
Cashless Hospital
6003
Starting From ₹ 727/month*
Care Freedom
Cover
7 Lakh
Cashless Hospital
6003
Starting From ₹ 1,289/month*
Care Senior
Cover
3 Lakh
Cashless Hospital
6003
Starting From ₹ 1,411/month*
Cancer
What are the eligibility criteria for a Care Health cancer plan?
The maximum age to purchase a Care Health Cancer plan is 5 years for children and the maximum age is 50 years for an adult in an individual plan.
Is cashless treatment available in the Care Cancer Plan?
Yes, Care Health Insurance offers cashless claims to its policyholders. However, the claim type will also depend on the terms and conditions of the policyholder’s policy.
Does Care Health Insurance provide coverage for alternative cancer treatments?
Yes, Care Health Insurance provides alternative treatments for cancer under their cancer plan. Treatments like AYUSH (Ayurvedic, Yoga, Unani, Siddha, Homeopathy) are provided as an alternative to customers so they can have a choice for preferred treatments.
Does Care Cancer Plan cover radiotherapy and chemotherapy in their coverage?
Yes, the Care Cancer Plan covers both radiotherapy and chemotherapy under their coverage. However, for more details, you can connect with an InsuranceDekho advisor at +91-7551196989 or support@insurancedekho.com.
What are the exclusions in the Care Cancer Plan?
If the customer undergoes any check-ups, treatments, or diagnosis within the waiting period then the insurer will not provide them with coverage. Adhering to the waiting period is important in a health insurance plan.
Claim Settlement
How long does it take for Care Health Insurance to settle a claim?
If the policyholder applies for a cashless claim then Care Health settles claims at the time of discharge. However, if the policyholder applies for a reimbursement claim then it will take 15 days after the discharge for the insurer to settle the claim.
Can the policyholder track the status of the claim settlement?
Yes, Care Health Insurance provides easy online access to track the status of the claim made by the policyholder. This helps the customer to be stress-free and helps them avoid unnecessary anxiety. Additionally, InsuranceDekho also offers complete tracking support for checking your policy status or downloading your policy document.
What documents are required while filing for a claim?
The documents required while filing for a claim under a Health Insurance policy are the claim form, medical certificate, diagnosis report, ID proof, discharge card, prescriptions, bills, and FIR (in case of an accident).
What can be done if the claim is delayed or denied by Care Health Insurance?
Contact an InsuranceDekho advisor for any problem during claim filing or settlement. The advisor will help you with your concerns at +91-7551196989 or support@insurancedekho.com.
Critical Illness
Does Care Health Insurance have a separate critical illness plan?
Yes, Care Health Insurance provides a separate plan for critical illness. The Care Critical Mediclaim offers all critical illness-related treatments.
What are the age restrictions for purchasing a critical illness plan from Care Health Insurance?
The age restrictions for purchasing a critical illness plan from Care, an individual child should be at least 5 years of age and an adult should be 18 years old. In a family floater plan the child should be 91 days to 4 years old and an adult 18 years old.
Can the waiting period be waived for critical illness by paying an extra amount of premium?
Yes, Care Health provides the benefit of waiving the waiting period for critical illness if they can pay an extra premium amount for the add-on that helps remove waiting period.
Does the critical illness plan cover family members of the policyholder?
No, under the Care Health Insurance critical illness plan only an individual is covered not the entire family.
Diabetes
Is there an eligibility criteria for opting for a diabetes-related plan?
The eligibility criteria for a Care Diabetes-related plan is 18 to 65 years of age. However, children are covered under the family floater-based plan the minimum age of the child should be 91 days.
Does Care Health Insurance cover diabetes as a pre-existing condition?
Care Health offers a separate diabetes-related health insurance plan, the Care Freedom plan. The waiting period for this plan is 24 months.
Is Insulin covered under the Care Health Insurance diabetes-related plan?
Yes, the Care Freedom Plan provides coverage for insulin. The Care Freedom plan is a diabetes-specific plan provided by Care Health Insurance.
Are routine check-ups and screenings for diabetes offered by Care Health Insurance plans?
The routine check-ups and screenings for diabetes are a benefit that is plan specific. Many plans may cover them and some may not. However, for more detailed information you can reach out to an InsuranceDekho advisor.
Is there any waiting period for diabetes in Care Health Insurance plans?
Yes, the waiting period for diabetes in the Care Health Insurance diabetes-specific plan is 24 months.
Family
What is the coverage limit of in-patient hospitalisation under family floater plan?
The policyholder can avail the benefits of in-patient hospitalisation to the amount of Sum Insured.
How does family floater plan work under Care Health Insurance?
A family floater plan is a plan which provides coverage under a floater basis. This means a single premium amount is paid to provide cover for the entire family.
Does Care Health Insurance provide health check-up under family floater plan?
Yes, Care Health Insurance offers annual health check-up under its family floater policy to all its members.
Is organ donor cover involve in the family floater plan of Care Health Insurance?
Yes, Care Health Insurance provides the organ donor cover under the family floater plan.
Are day care treatments and procedures covered under the Care Health Insurance family floater plans?
Yes, Care Health Insurance family floater plans provide the coverage for daycare treatments.
General Information
How can I cancel my Care Health Insurance Policy?
Apart from the 15-day free-look period, you can apply for Care Health Insurance Policy cancellation during any time of the policy tenure. The premium will be returned to you accordingly.
What is the Claim Settlement Ratio of Care Health Insurance?
Care Health Insurance had a Claim Settlement Ratio of 93% for FY 2018-19.
Heart
Can Care Health Insurance Care Heart 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 for the heart plan of Care Health Insurance?
Care Health Insurance Care Heart plan can be taken for 1, 2 or 3 policy years.
Help to Buy
Individual
What is the maximum amount of sum insured offered by Care Health Insurance for individual plans?
Care Health Insurance offer sum insured amount for individuals from Rs. 4 Lakh to Rs. 6 Crore.
Should I go for any pre-medical health check-up to buy an individual health insurance plan by Care Health Insurance?
You might need to go for a pre-medical screening before buying an insurance plan if you are 45+ years or the sum insured amount of your plan is above Rs. 15 Lakh.
Is free look period feature available in Care Health Insurance individual health plans?
Yes, Care Health Insurance offers a free look period with every individual health plan to review the policy. If you are not satisfied with the policy, you can generate a cancellation request for your individual insurance policy during this period.
Will purchasing an individual health plan by Care Health Insurance bring any tax benefit for me?
Yes, you can get tax benefits on the premium amount of every individual health insurance policy by Care Health Insurance under the Income Tax Act 1961.
Kids
What is the minimum entry age for kids offered by Care Health Insurance?
Care Health Insurance provides the coverage for kids from the age of 91 days.
Are any daycare procedures offered for kids by Care Health Insurance?
Yes, more than 540-day care procedure coverage are offered by Care Health Insurance for kids.
Is there any co-payment option applicable to the insurance plan for kids by Care Health Insurance?
No, the Care Health Insurance plan covering the kids applies no co-payment option on them. The co-payment option exists only for people with more than 61 years of age.
Maternity
Is newborn baby also covered under the plans?
Yes, Care Health Insurance offers coverage for newborn baby up to Rs. 30,000 for Rs. 3 Lakh Sum Insured and up to Rs. 50,000 for Rs. 5 Lakh Sum Insured.
What maternity-related expenses are covered by Care Health Insurance?
The maternity-related expenses covered by Care Health Insurance are prenatal care, postnatal care, delivery, sonograms, tests, medicines, etc.
What is the waiting period for getting maternity-related coverage?
The waiting period for maternity-related coverage under Care Health Insurance is 9 months after which the policyholder gets the medical expenses covered.
What is the waiting period for getting maternity-related coverage?
The waiting period for maternity-related coverage under Care Health Insurance is 9 months after which the policyholder gets the medical expenses covered.
What maternity-related expenses are covered by Care Health Insurance?
The maternity-related expenses covered by Care Health Insurance are prenatal care, postnatal care, delivery, sonograms, tests, medicines, etc.
Can I purchase a maternity-related plan when I am already pregnant?
Yes, you can purchase a maternity-related plan while pregnant, however, the coverage will only be accessible after the waiting period for maternity is over.
Are pre-natal, post-natal checkups, and delivery covered under a maternity-related plan?
Yes, Care Health Insurance provides coverage to pre-natal, and post-natal check-ups, and delivery charges after the waiting period for them is over.
Does Care Health Insurance cover both normal and cesarean deliveries?
Yes, the policyholder has access to both normal and cesarean deliveries under Care Health Insurance.
Are newborn-related expenses covered by Care Health Insurance maternity plans?
Yes, Care Health Insurance provides medical coverage for the newborn under its maternity plans.
Parents
Is there any bonus offered by the Care Health Insurance for parents?
Yes, for claiming no bonus, Care Health Insurance increases the Sum Insured amount of parents by 10%, up to a maximum of 50% in consecutive 5 years.
Does Care Health Insurance offer a lifetime renewal option for the parents?
Yes, Care Health Insurance gives a lifetime renewability feature under the plans covering your parents to make them covered for lifelong.
Will my parents get a domiciliary hospitalisation option under Care Health Insurance?
Yes, Care Health Insurance offers the domiciliary hospitalisation feature for your parents.
Plan Coverage
Does Care Health Insurance offer any specific plans for athletes or people with an active lifestyle?
No, Care Health Insurance does not offer any specific plans for athletes or people with an active lifestyle. However, they do offer discounts for people who stay healthy on their policy premiums.
Are premium discounts provided to people with a healthy lifestyle by Care Health Insurance?
Yes, Care Health Insurance offers premium discounts for people with a healthy lifestyle. However, the discount varies in different plans.
Are ayurvedic and homeopathy covered by Care Health insurance as alternative treatments?
Yes, Care Health Insurance offers alternative treatments under their plans. AYUSH treatment covers both ayurvedic and homeopathy treatments.
Does Care Health Insurance provide the benefit of paying the premium in installments?
Yes, Care Health Insurance provides the benefit of paying premiums monthly, quarterly, or annually.
Portability
What are the documents required for portability in Care Health Insurance?
Here are the documents needed for portability in Care Health Insurance:
- Plan’s proposal form
- Portability form
- Copy of expiring health insurance policy
- Copy of renewal notice
Is there any age criterion in Care Health Insurance to be eligible for portability?
The entry age depends on the terms and conditions of Care Health Insurance.
When can I apply for the portability in Care Health Insurance?
You can avail the option of portability at the time of policy renewal.
Premium
What is the annual premium of Care Health Insurance?
The annual premium will vary from plan to plan. The base policy is usually customized by customers according to their health requirements which will affect the premium they pay.
Does Care Health Insurance accept premiums monthly?
Yes, Care Health Insurance accepts premiums monthly. The policyholder can also pay premium quarterly and yearly according to their convenience.
What is the maximum premium under Care Health Insurance?
The amount of premium paid by the customer depends on their plan. Customers customize their base policy according to their needs which will define their premium.
Are deductible options available under Care Health Insurance for lowering the premium?
Yes, deductible options are available under Care Health Insurance for lowering the premiums. A customer can customize their policy according to their needs and reduce their premiums.
Renewal
Can the policy be renewed after the expiration date?
Yes, the customer can renew their health insurance policy after the expiration date but only within the grace period provided by the insurer.
How many days before the expiration date can I renew my Care Health Insurance policy?
A customer can renew their health insurance policy 30 days before the expiration date is due. This gives them the benefit of continued coverage of their medical emergencies.
Can I switch plans during the time of renewal?
Yes, a policyholder can switch health insurance plans during the time of their policy renewal. They can also make changes to their existing health insurance plan during the renewal time.
Does Care Health Insurance allow sum insured adjustments during the time of renewal?
The sum insured can be adjusted during the time of renewal if the policyholder were to make changes in their existing policy like adding riders or excluding the current riders. Adjustments according to the needs and requirements of the customers are available.
Senior Citizen
What is the limit of ambulance cover under the Senior Citizen Plan by Care Health Insurance?
Ambulance coverage is offered up to Rs. 1,000 per hospitalisation.
What is the policy tenure of senior citizen plan?
Care Health Insurance offers the plan for senior citizens for tenure 1, 2 and 3 years.
Is there any health check-up offered under Care Health Insurance senior citizen plan?
Yes, an annual health check-up benefit is offered.
Is there any dialysis coverage offered to senior citizens?
Yes, a dialysis cover is offered by the Care Health Insurance for senior citizens up to Rs. 1,000 per sitting limited up to 24 consecutive months.
Tax Benefit
What documents are required to claim the tax deduction benefits on the payment of health insurance premiums?
The documents required to claim the tax deduction benefits on your health insurance premium are: a copy of your health insurance policy; a premium receipt; a copy of the payment receipt in the form of a cheque, demand draft, or online banking.
Can I claim tax benefits on my health insurance if I pay my taxes half-yearly?
The tax deduction benefit on the health insurance policy premium can only be claimed once every financial year.
If the health insurance premiums are paid through a Health Savings Account (HSA) can a customer still get tax benefits?
Yes, health insurance premiums can be paid through a Health Savings Account (HSA) for a customer to get tax deduction benefits.
Are there any restrictions for an NRI while claiming tax benefits on their health insurance policy premium?
Yes, NRIs do not get the benefit of tax deductions on their health insurance premiums. Only the residents of India can avail this benefit.
Top-up
Does the Care Health Insurance top-up plan cover pre-existing diseases?
Yes, the Care Health Insurance top-up plan covers pre-existing diseases with a certain waiting period for them. After that waiting period, the customer can get medical coverage for their treatments.
What can I do if the sum insured for both my base policy and top-up plan has been exhausted?
If the sum insured from both the base policy and the top-up plan has been exhausted the customer has to cover the remaining expenses out-of-pocket.
Does the Care Health Insurance top-up plan cover hospitalisation globally?
Yes, the Care Health Insurance top-up plan offers global coverage as an option to customers who opt for a sum insured of at least Rs. 1 crore or more.
Can I customise my Care Health Insurance top-up plan?
Yes, you can customise your Care top-up plan according to your requirements with rider options provided with the plan.
Woman
Can women proposers get tax benefits with Care Health Insurance?
Yes, women and men both can gain tax benefits on the premium amount of health insurance under the Income Tax Act.
Does Care Health Insurance provide a second opinion feature for women?
Yes, women are also provided with the second opinion option by Care Health Insurance.
Is there any health check-up feature offered by Care Health Insurance for women?
Yes, an annual health check-up option is offered by Care Health Insurance under a plan offering the coverage for women.
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 |