Royal Sundaram Master Product- Total Health Plus- Platinum Plus
Objective
A policy with an objective to cover several relationships under a single policy to reduce time and efforts on multiple policy handling.
Suited for
It covers many relationships under a single policy which makes it suitable for a big family. However, it covers all members on an individual sum insured basis.
What does it do?
It is a policy with a provision to cover several relations under a single policy. It can cover brother, sister, mother-in-law, father-in-law, grandfather, grandmother, grand-daughter, grandson, daughter-in-law, son-in-law. Each family member can select a sum insured that cannot be shared among other insured members. Platinum Plus plan covers out-patient treatment charges as well. Additional offers that sets this policy apart are Indexation benefit and Accidental hospitalisation cover. With increasing age and rising insurance needs, this policy allows sum insured to increase by 10% on an annual basis till it reaches 50%. Apart from this, the policy gives an extra protection for accidental hospitalisation which can be utilized only after exhaustion of basic sum insured.
Pros
This policy offers lifelong renewals.
Premiums paid towards this policy enjoy a tax benefit under Section 80D.
Reduces time and efforts to handle multiple individual policies.
Cons
Room rent and ICU charges are capped.
Our View
A comprehensive policy covering maternity, Out patient treatment and providing a daily cash allowance for related expenses as well.
Accidental hospitalisation though is a good additional feature, it does not provide disability benefits so, cannot replace a standalone accident cover.
Premiums for this policy are already higher than other comprehensive policies which means that the cost of Indexation benefit has already been taken care of.
Eligibility
| Entry Age (years) | |
| Minimum | 18; 91 days for children |
| Maximum | 65; 21 years for children |
| Maximum Policy Renewal Age (years) | Lifelong |
| Coverage Type | Individual/ Family/ other legal dependents on individual basis |
| Sum Insured (Rs) | |
| Maximum | 10 lakh under Platinum Plan |
| Minimum | 7.5 lakh under Platinum Plan |
| Policy Term (years) | 1 |
| Discount | 10% Family discount to cover 3 or more members 5% No claim discount on renewal premium |
| Pre Policy Medical Check Up | Not required upto 50 years of age for sum insured of Rs 3 lakhs and upto 45 years of age for sum insured above Rs 3 lakhs and upto Rs 10 lakhs. Insurer will reimburse 50% of costs if proposal gets accepted |
| Grace Period for Policy Renewal | 30 days |
| Policy Termination | Either of the parties may terminate this policy. Policyholder may cancel this policy anytime and the insurer would pay proportionate premiums if no claim has been made. |
| Customer Service | |
| Address | Royal Sundaram Alliance Insurance Company Limited Sundaram Towers 45 & 46, Whites Road, Chennai 600 014 |
| Mail to | [email protected] |
| Call to | 1860 425 0000 (toll free) |
| SMS | SMS to 560701 |
| Network Hospitals | Http://www.royalsundaram.in/App/search-hospital-list.aspx |
Additions to the Plan
| Scope Of Cover | |
| Cashless facility | allowed if treatment is availed in a network hospital |
| Reimbursement facility | allowed if treatment is availed in a non- network hospital |
| Pre and Post hospitalisation | covers medical expenses incurred 60 days prior to hospitalisation and 90 days after discharge from the hospital |
| In patient hospitalisation | covered |
| Room rent | No limit |
| ICU charges | No limit |
| Day care procedures | 147 in number are covered |
| Emergency ambulance | covered upto Rs 1500 per claim upto total of Rs 3000 policy limit |
| Health Check up | allowed after every 4 claim free years for upto Rs 3000 |
| Accident hospitalisation | covered for upto 50% of basic sum insured |
| Indexation benefit | Sum Insured increases by 10% each year till it reaches 50% irrespective of claim in expiring policy |
| Maternity Benefit(allowed for first two children) | pays 10% of sum insured upto Rs 50000 |
| Outpatient Treatment Charges | covers consultation fees/ pharmacy bills/ diagnostic test charges for maximum upto Rs 2500 |
| Hospital Cash Allowance( for upto 30 days) | Rs 1000 per day |
| Exclusions and Waiting Period | |
| Pre-existing diseases | covered after 3 years of continuous policy renewal |
| No claim period | initial 30 days of policy commencement |
| Waiting period | Diseases such as Congenital Internal Disease, Stone in urinary and biliary systems, Migrane/Vascular headaches etc., are not covered during first policy year.Certain diseases such as Cataract, Knee/Hip Replacement, Heart Disease, Chronic Renal Failure/ End Stage Renal Failure etc are not covered during first two policy years.certain diseases such as Osteoarthritis of any joint, treatment of joint replacement surgery etc shall be covered after first three policy years. 3 years for maternity benefits |
| Other Exclusions | Ayurvedic or any other non-allopathic treatmentAIDS or related condition |
| Annual Premium for Individuals | |||
| Age (in Years) | Sum Insured (in Rs.) | ||
| 7.50 lakh | 10 lakh | ||
| 18-35 | 13350 | 16507 | |
| 36-45 | 16832 | 20971 | |
| 46-50 | NA | NA | |
| Premiums are exclusive of Service tax and cess. | |||
| Refer to insurer's website for calculating premiums for a family. | |||
