What does it do?
It is a top up plan that gets activated only when the claim crosses the deductible limit. A deductible is that portion of claim which has to be borne either by an existing policy or by the policyholder himself. In this plan, deductible limit applies afresh each time insured person is hospitalized during the policy term. For instance, an insured accesses hospitalisation services twice during a policy term. For the first time the total medical expenses amounted to Rs 2 lakh and Rs 2.5 lakh during second hospitalisation. If the deductible limit on his policy was Rs 3 lakh, the policyholder will not receive insurance benefit of this policy as the admissible claim expenses were below the deductible limit each time. This policy offers a wide range of deductible starting from as low as Rs 30,000 up to Rs 5 lakh.
It covers hospitalisation expenses including doctor's fee, nursing, room charges up to the daily limit stated in the policy document, ICU charges, oxygen, OT charges, anesthesia and other expenses incurred as an inpatient. This plan can be bought as an individual or as a family floater policy.
Pros
Premiums paid under this plan qualify for deduction under Section 80D of Income Tax Act.
Policyholder can escape from hassle of paying premiums annually by selecting a higher policy term of 2 or 3 years.
It provides for lifelong renewals as there is no policy ceasing age.
There is no need to undertake pre-policy medical check up upto 55 years of entry age.
Cons
There is capping on room rent expenses.
Deductible applies afresh on each claim.
