Kotak Health Premier Health Insurance

When it comes to ensuring the health of your loved ones, owning a health insurance policy is the best measure these days. Hence, one should opt for a plan offered by a renowned and trusted insurer. Kotak Health Premier is a plan offered by Kotak Mahindra that allows its users to undergo medical procedures and treatments without experiencing any financial crisis. Read on to understand all about the Kotak Health Premier Health Insurance Plan.

The Kotak Health Premier Health Insurance Plan is one of the top-selling health insurance plans in India. The policy can be purchased on an individual as well as on a family floater basis with a lifetime renewability option. Moreover, the coverage of the Kotak Health Premier plan includes in-patient treatment, daycare treatment, ambulance cover, restoration benefit, maternity benefit, cumulative bonus, and so on.

Kotak Health Premier Health Insurance At a Glance

Riders Available With Kotak Health Premier Health Insurance

The insurance policy offers various additional benefits, some automatically included and others optional at an extra cost, depending on the chosen plan.

• Hospital Daily Cash: Pays a daily cash amount if hospitalisation lasts for at least 3 consecutive days.
• Convalescence Benefit: Provides a lump sum amount if hospitalisation extends for a minimum of 10 consecutive days.
• Home Nursing Benefit: Covers the cost of a qualified nurse at the insured person's home after discharge from the hospital.
• Daily Cash for Accompanying an Insured Child: Pays a daily cash amount if hospitalisation of an insured child lasts for at least 3 consecutive days.
• Compassionate Visit: Covers the cost of the return journey of the insured’s immediate relative from their place of residence to the hospital.
• Air Ambulance Cover: Covers expenses for ambulance transportation in an airplane or helicopter for emergency life-threatening situations.
• Maternity Covers (available under select plans only): It’s a bundled set of three covers:

1. Maternity Benefit: Covers medical expenses for childbirth or lawful termination of pregnancy, available for 2 deliveries across all policy years. Pre and post-natal expenses are covered.
2. New Born Baby Cover: Covers medical expenses for the insured's newborn baby.
3. Vaccination Expenses: Covers vaccination expenses for the newborn until the baby completes 2 years of age.

Variants of Kotak Health Premier Health Insurance Policy

Following are the different variants of Kotak Health Premier Health Insurance policy:

Benefits of Buying the Kotak Health Premier Health Insurance Plan

Some of the benefits of buying the Kotak Health Premier Health Insurance Plan are as follows:

• In-patient Treatment: With the Kotak Health Premier Health Insurance Plan, you can get coverage for in-patient medical expenses like ICU charges, room rent charges, doctor’s consultation fees, and others.
• Pre and Post-hospitalisation Expenses: The Kotak Health Premier Health Insurance Plan also provides coverage for pre and post-hospitalisation expenses up to a specific number of days prior to and post-hospitalisation.
• Restoration Benefits: The restoration benefit provides a 100% restoration of the sum assured once in a policy year, provided that the base sum assured seems insufficient due to claim history.
• Free Annual Health Check-up: The Kotak Health Premier Health Insurance Plan also provides a free annual check-up for policyholders above the age of 18 years. This benefit is provided irrespective of claims being raised in a given year.
• Second E-opinion Cover: In case you are dissatisfied with the medical opinion, you can also get a chance to go for a second opinion with the Kotak Health Premier Health Insurance Plan.
• Alternative Treatment Cover: The plan also provides coverage for alternative treatments like Ayurveda, Homeopathy, and others.
• Home Nursing Benefit: In case there is a qualified nurse taking care of you at your home, then the relevant expenses are covered with the Kotak Health Premier Health Insurance Plan.
• Convalescence Benefit: This provides a lump-sum amount if the hospitalisation exceeds a minimum of 10 days consecutively.

Eligibility Criteria of Kotak Health Premier Health Insurance Plan

Listed below are the eligibility criteria for buying the Kotak Health Premier Health Insurance Plan:

Inclusions and Exclusions of Kotak Health Premier Health Insurance Plan

While buying the Kotak Health Premier Health Insurance Plan, you must always check its inclusions and exclusions. Listed below are the inclusions and exclusions of Kotak Health Premier Health Insurance Plan:

Inclusions:

• In-patient treatment
• Day care treatment
• Pre and post-hospitalisation expenses
• Restoration benefits
• Hospital daily cash
• Air ambulance cover
• Home nursing cover

Exclusions:

• Pre-existing diseases waiting period exclusion
• Any damage due to involvement in adventurous activities
• Any kind of self-inflicted injuries
• Lasik eye treatment
• Any damage due to nuclear radiation
• Cosmetic surgery

Documents Needed for Kotak Health Premier Health Insurance

You need to submit the following documents to buy Kotak Health Premier Health Insurance:

• An accurately filled Application Form.
• Proof of identity, such as Aadhar card, Passport, Voter ID, or Driver's license
• Proof of address that involves Utility Bills, Rental Agreement, or Aadhar Card
• Proof of your age, like Birth Certificate, School Leaving Certificate, or Passport
• Passport-sized Photographs
• Pre-policy health check-up reports (only in specific situations)
• Any other documents requested by the insurance company.

How to Buy Kotak Health Premier Health Insurance Plan

To buy the Kotak Health Premier Health Insurance Plan, here is all that you need to do:

• Visit the official website of Kotak Mahindra
• Go to the health insurance tab and enter details like age, name, medical conditions, and other
• You will be directed to the quotes page, select Kotak Premier plan
• Upload the documents and finally pay out the premium applicable for Kotak Health Premier Health Insurance Plan
• Once the premium is approved, you will receive the policy details on your registered email id

Claim Process of Kotak Health Premier Health Insurance Plan

Listed below are the steps you need to follow to raise claims for your Kotak Health Premier plan:

• First, inform Kotak Mahindra about the incident. In case of planned hospitalisation, you need to inform 48 hours prior to hospitalistaion and for unplanned, you need to inform 24 hours after hospitalisation
• Fill out the claim form and submit documents like policy papers, identity proof, and other
• Once the claim request is approved, the initial treatment can get started in case of cashless hospitalisation. On the other hand, for reimbursement hospitalisation, you need to pay for the expenses which will be later reimbursed by the insurance company
• Finally, submit all the hospital bills. Upon verification, Kotak Mahindra will approve or reject your claim request