Showing posts with label Jeevan Arogya. Show all posts
Showing posts with label Jeevan Arogya. Show all posts

New Health Plan JEEVAN AROGYA Plan no. 903

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Health has been a major concern on everybody’s mind, including yours. In these days of sky rocketing medical expenses, when a family member is ill, it is a traumatic time for the rest of the family. As a caring person, you do not want to let any unfortunate incident to affect your plans for you and your family. So why let any medical emergencies shatter your peace of mind.

LIC has launched LIC’s Jeevan Arogya, a unique non-linked Health Insurance plan which provides health insurance cover against certain specified health risks and provides you with timely support in case of medical emergencies and helps you and your family remain financially independent in
difficult times.

SPECIAL ATTRACTIONS OF JEEVAN AROGYA

  1. Maximum Number of days for HCB increased to 720 days
  2. Maximum Number of days for ICU increased to 360 days
  3. No of Surgeries in MSB increased to 140 MSB available for Minors also
  4. Addition of 140 Day Care Procedures (DCPB)
  5. All other Surgeries covered under Other Surgical Benefit (OSB)
  6. Age at entry for PI and Spouse increased to 65 Years
  7. Age at entry for Parents and Parents-in-law is 75 Years
  8. Maximum Health cover for elders – up to 80 Yrs
  9. Premiums are guaranteed for 3 Yrs
  10. Optional Term Rider and Accident Benefit

USP of JEEVAN AROGYA – Comprehensive Family Health plan:
Covering entire family consisting of Husband, Wife, Dependent Children and Dependent Parents of Husband and/or Wife

Other Benefits

  • Premium waiver benefit
  • Ambulance expenses
  • Quick cash Advance Payment
  • No claim bonus
  • Auto increase in HCB& MSB to take care
  • increase in premium

Risk Cover:

  • Risk cover up to 4 lacs per insured Subject to overall limit of
  • 10 lacs (All our Health Policies put together)
  • Guaranteed renewal after every three yrs

Exclusions:
No benefits are available hereunder and no payment will be made by the Corporation for any claim under this policy on account of hospitalization or surgery directly or indirectly caused by, based on, arising out of or howsoever attributable to any of the following:

  1. Any Pre-existing Condition unless disclosed to and accepted by the Corporation prior to the Date of Cover Commencement or the Date of Revival (if the Policy is revived after discontinuance of the Cover).
  2. Any treatment or Surgery not performed by a Physician/Surgeon or any treatment or Surgery of a purely experimental nature.
  3. Any routine or prescribed medical check up or examination.
  4. Medical Expenses relating to any treatment primarily for diagnostic, X-ray or laboratory examinations.
  5. Any Sickness that has been classified as an Epidemic by the Central or State Government.
  6. Circumcision, cosmetic or aesthetic treatments of any description, change of gender surgery, plastic surgery (unless such plastic surgery is necessary for the treatment of Illness or accidental Bodily Injury as a direct result of the insured event and performed with in 6 months of the same).
  7. Hospitalisation or Surgery for donation of an organ.
  8. Treatment for correction of birth defects or congenital anomalies.
  9. Dental treatment or surgery of any kind unless necessitated by Accidental Bodily Injury.
  10. Convalescence, general debility, nervous or other breakdown, rest cure, congenital diseases or defect or anomaly, sterilisation or infertility (diagnosis and treatment), any sanatoriums, spa or rest cures or long term care or hospitalization undertaken as a preventive or recuperative measure.
  11. Self afflicted injuries or conditions (attempted suicide), and/or the use or misuse of any drugs or alcohol.
  12. Any sexually transmitted diseases or any condition directly or indirectly caused to or associated with Human Immuno Deficiency (HIV) Virus or any Syndrome or condition of a similar kind commonly referred to as AIDS.
  13. Removal or correction or replacement of any material that was implanted in a former surgery before Date of Cover commencement or Date of Revival (if the Policy is revived after discontinuance of the Cover).
  14. Any diagnosis or treatment arising from or traceable to pregnancy (whether uterine or extra uterine), childbirth including caesarean section, medical termination of pregnancy and/or any treatment related to pre and post natal care of the mother or the new born.
  15. Hospitalisation for the sole purpose of physiotherapy or any ailment for which hospitalization is not warranted due to advancement in medical technology.
  16. War, invasion, act of foreign enemy, hostilities (whether war be declared or not), civil war, rebellion, revolution, insurrection military or usurped power of civil commotion or loot or pillage in connection herewith.
  17. Naval or military operations(including duties of peace time) of the armed forces or air force and participation in operations requiring the use of arms or which are ordered by military authorities for combating terrorists, rebels and the like.
  18. Any natural peril (including but not limited to avalanche, earthquake, volcanic eruptions or any kind of natural hazard).
  19. Participation in any hazardous activity or sports including but not limited to racing, scuba diving, aerial sports, bungee jumping and mountaineering or in any criminal or illegal activities.
  20. Radioactive contamination.
  21. Non-allopathic methods of treatment or surgery.
  22. Participation in any criminal or illegal activities.
  23. Treatment arising from the Insured’s failure to act on proper medical advice

JEEVAN AROGYA Premium chart and brochure

No comments:
Health has been a major concern on everybody’s mind, including yours. In these days of skyrocketing medical expenses, when a family member is ill, it is a traumatic time for the rest of the family. As a caring person, you do not want to let any unfortunate incident to affect your plans for you and your family. So why let any medical emergencies shatter your peace of mind.

LIC has launched LIC’s Jeevan Arogya, a unique non-linked Health Insurance plan which provides health insurance cover against certain specified health risks and provides you with timely support in case of medical emergencies and helps you and your family remain financially independent in difficult times.

Very easy to choose your plan

Step 1: Choose the level of Health cover you need:
You can choose the amount of Initial Daily Benefit (i.e. the daily Hospital Cash Benefit applicable in the first year of the policy) as per your need from out of the following choices:
` 1000 per day ` 2000 per day ` 3000 per day ` 4000 per day

This is the amount that will be payable to you in the event of hospitalisation in the first year on a per day basis. The Major Surgical Benefit that you will be covered for will be 100 times the Initial Daily Benefit you have chosen. Thus the initial Major Surgical Benefit Sum Assured will be ` 1 lakh, 2 lakh, 3 lakh, 4 lakh respectively. Other benefits such as Day Care Procedure Benefit, Other Surgical Benefit and Premium waiver Benefit (PWB) mentioned below shall also be payable depending upon the daily Hospital Cash Benefit chosen.

Step 2: Work out the premium payable along with our representative
Your premium will depend on your age, gender, the Health cover option you have chosen, whether you are Principal Insured or other insured life and the mode of payment.

Tables below give an indicative annual premium, payable yearly, for an Initial Daily Benefit of ` 1000 per day, for some of the ages in respect of various lives that can be covered under a single policy:

PRINCIPAL INSURED (Male)
Age at entry - Premium
20 - 1922.65
30 - 2242.90
40 - 2799.70
50 - 3768.00

SPOUSE (Female) / PARENT (of PI/Spouse) (Female)
Age at entry - Premium
20 - 1393.15
30 - 1730.65
40 - 2240.60
50 - 2849.10

CHILD
Age at entry - Premium
0 - 792.00
5 - 794.75
10 - 812.35
15 - 870.75

Eligibility Conditions for Jeevan Arogya | Plan no 903

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Eligibility Conditions for Jeevan Arogya

Feature

Principal Insured (PI)/Insured Spouse

Parents & Parents-in-law

Insured Children

Minimum Entry Age

18 Yrs LBD

18 Yrs LBD

3 Months(Completed)

Minimum Entry Age

65 Yrs LBD

75 Yrs LBD

17 Yrs LBD

Max Cover ceasing age

80 Yrs

80 yrs

25 yrs

Date of cover expiry in respect of each Insured covered under the plan

Policy anniversary on which the Insured life attains Maximum cover ceasing age

Nominations

Assignments

Allowed

Not Allowed

Mode of Premium

Grace Period

Revival Period

Yearly, Half Yearly and Monthly(ECS Only)

30 days for Yearly , Half Yearly mode and 15 days for Monthly Mode

2 Years from due date of FUP

LIC’s Jeevan Arogya | Plan no 903

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LIC’s Jeevan Arogya

A unique defined benefit Hospitalization Insurance Scheme

For you alone (Principal Insured) or all your family members including parents-in-law, from age 18 to 65 (75 for parents) and 3 months onwards for children
Cover up to 80 years for your family and 25 for dependent children

Hospital Cash Benefit (HCB) – for hospitalization = Initial Daily Benefit amount chosen by you (will increase by 5% every year and No Claim Bonus on completion of 3 years, and will be called Applicable Daily Benefit
Major Surgical Benefit – for major surgeries = 100 times of Applicable Daily Benefit
Day Care Procedure Benefit – for minor surgeries done within one day = 5 times of Applicable Daily Benefit
Other Surgical Benefit – for all surgeries not covered in above two benefits = 2 times of Applicable Daily benefit

Hospital Cash Benefit (HCB)
  • For hospitalization of more than one day where surgery may or may not be involved
  • Choose between Rs.1000 and Rs.4000 as initial daily cash benefit
  • Increases by 5% every year
  • Additional no claim bonus of 5% every fourth year
  • Less than or equal amount for every additional member as per choice
  • Can avail 30 days in year one, 90 days every year thereafter not to exceed 720 days total during the policy period
  • Double the cash benefit for treatment in ICU

Major Surgical Benefit (MSB)
  • For surgeries that require prolonged hospitalization
  • 100 times of applicable daily benefit (including 5% increase and no claim bonus)
  • Maximum annual benefit 100% of major surgical benefit per person insured
  • Maximum life time benefit 800% or 8 times of major surgical benefit per person insured
  • See annexure for full list of MSBs

Day Care Procedure Benefit (DCPB)
  • For surgeries that may nor require hospitalization of more than one day
  • 5 times of Applicable Daily Benefit
  • Maximum annual benefit = 3 surgical procedures per person insured
  • Maximum lifetime benefit = 24 surgical procedures per person insured

Other Surgical Benefits (OSB)
  • Where surgery is required but does not fall under the MSB and DCPB category
  • 2 times of Daily Benefit Amount for each person insured
  • Maximum annual benefit = 15 days in the 1st year and 45 days in subsequent years for each person insured
  • Maximum lifetime benefit = 360 days for each person insured

Other things to know:
  • Optional accident benefit and term insurance benefit
  • Initial premium fixed guaranteed for 3 years and revised every 3 years depending on age and health condition
  • All members to be added at the beginning except where new members are through childbirth (next policy anniversary), marriage new spouse and parents in law within 6 months and risk cover starts from next policy anniversary)

Emergency Cash Facility:
Only for instances where the treatment is from listed network hospitals and for Major Surgical Benefits alone – 50% of the MSB credited to the bank account to be treated as an advance from the claim amount

Exclusions
  • Pre-existing condition unless disclosed and accepted by the insurer
  • Routine check ups, cosmetic treatments, epidemics, dental treatment, non-allopathic treatments, reopening of former surgeries, self-inflicted injury, dangerous sports, war, participation in illegal and criminal activities
Premiums:
  • Yearly, Half-yearly, of monthly (ECS)
  • 30 days of grace for all modes except Monthly where it is 15 days
  • Cooling off cancellation 15 days
  • Nomination available
  • Approximate premium – Rs.1922/- (age 20) to Rs.3768/- (age 50) for males and Rs.1393 (age 20) to Rs.2849 (age 50) for females
What is different from Medi-claim
  • Pre defined benefit- No reimbursement, but lump sum paid based on pre-defined benefit
  • Not based on expenses incurred
  • This will tend to indirectly reduce the Health care cost, which is rising due to cash less mediclaim benefit
  • All benefit is dependent on HCB
Termination of Policy
  • If policy is issued on a single life
  1. Non Payment of premium within revival period
  2. On death
  3. On Date of cover expiry
  4. On exhausting all the life time maximum Benefits Limits as specified above
  • If policy is issued on more than one life
  1. Non Payment of premium within revival period
  2. On death or Date of cover expiry of the PI and if the Policy does not continue with the IS as the PI
  3. On death or Date of cover expiry of IS after Policy continues with the IS as the PI after the PI dies or reaches his/her Date of cover expiry
  4. On PI exhausting all the life time maximum Benefits Limits as specified above
Treatments in respect of Specific waiting period
  1. Treatment for adenoid or tonsillar disorders
  2. Treatment for anal fistula or anal fissure
  3. Treatment for benign enlargement of prostate gland
  4. Treatment for benign uterine disorders like fibroids, uterine prolapse, dysfunctional uterine bleeding etc
  5. Treatment for Cataract
  6. Treatment for Gall stones
  7. Treatment for slip disc
  8. Treatment for Piles
  9. Treatment for benign thyroid disorders
  10. Treatment for Hernia
  11. Treatment for hydrocele
  12. Treatment for degenerative joint conditions
  13. Treatment for sinus disorders
  14. Treatment for kidney or urinary tract stones
  15. Treatment for varicose veins
  16. Treatment for Carpal tunnel syndrome
  17. Treatment for benign breast disorders e.g. fibroadenoma, fibrocystic disease etc

LIC's Mediclaim plan - Jeevan Arogya 903

1 comment:
Jeevan Arogya is a unique non ULIP Health Insurance plan which provides health insurance cover against certain specified health risks and provides you with timely support incase of medical emergencies and helps you and your family remain financially independent in difficult times.

A non unit linked health plan offering health cover up to 80 years.

Single Health policy for self, Wife, children, parents and parents-in-law.

Existing medi-claim policy holders can take this policy and claim according to their elegiblility.

Premium paid will be eligible for Tax exemption under section 80D up to 15,000/- (Rs. 30,000/- if parents are covered).

Valuable financial protection in case of hospitalisation, surgery etc.,

Increasing Health cover every year,

Lumpsum benefit irrespective of actual medical costs,

No claim benefit

Flexible premium payment options

LIC launches new health insurance plan - Jeevan Arogya

No comments:
LIC’s Jeevan Arogya gives you
  • Valuable financial protection in case of hospitalisation, surgery etc
  • Increasing Health cover every year
  • Lump sum benefit irrespective of actual medical costs
  • No claim benefit
  • Flexible benefit limit to choose from
  • Flexible premium payment options

Benefits Under Jeevan Arogya
  • Hospital cash benefit (HCB)
  • Major Surgical Benefit (MSB)
  • Day Care Procedure Benefit
  • Other Surgical Benefit
Other Optional benefits(PWB)
  • Death Benefit:
No death benefit unless TA Rider benefit is opted for
  • On death of the Principal Insured(PI)
  1. Surviving Insured Spouse will become PI, if already option given at the beginning of contract
  2. If the Insured Spouse had predeceased the PI, Then the other Insured will have the option to take new policy on following conditions
  • The new policy will be issued without any underwriting if the new policy is bought within 90 days of the termination of the existing policy
  • The maximum entry age will not apply for the new policy
  • The outstanding Waiting periods and outstanding period of any Exclusion will however apply under the new policy
  • Other terms and conditions including premium rates will be as applicable for the new policy

  • Maturity Benefit: No benefits are payable at the end of the cover period
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