Scope of Cover |
Plans | Plan 1 | Plan 2 |
Sum Insured | 2 lakh/3 lakh/4 lakh/5 lakh | 2 lakh/3 lakh/4 lakh/5 lakh/7 lakh/10 lakh |
Cashless facility | available at network hospitals |
Reimbursement facility | available if treatment taken in non-network hospitals |
Pre and post hospitalisation expenses | Up to 7.5% of payable hospitalisation expenses if the Sum Insured is below 5 lakh. Up to 10% of payable hospitalisation expenses if the Sum Insured is equal to or more than Rs 5 lakh. |
Automatic recharge of Sum Insured | 100%, if the Sum Insured is Rs 3 lakh and above |
Inpatient treatment | covered |
Day care procedures | Covered |
Dialysis Cover | Up to Rs. 1,000 per sitting; up to 24 months from date of occurrence of event |
Domiciliary Hospitalisation | up to 10% of Sum Insured covered after 3 days |
Room rent and nursing charges | Twin Sharing Room subject to a maximum of 1% of Sum Insured per day; Twin sharing room without limit if the Sum Insured is 5 lakh | Twin Sharing Room subject to a maximum of 1% of Sum Insured per day; Twin sharing room without limit if the Sum Insured is 5 lakh; Single private room if the Sum Insured is 7/10 lakh |
ICU/ICCU charges | Up to 2% of Sum Insured per day if the Sum Insured is below 5 lakh; No limit if the Sum Insured is 5 lakh and above | Up to 2% of Sum Insured per day if the Sum Insured is below 5 lakh; No limit if the Sum Insured is 5 lakh and above |
Emergency ambulance | Up to Rs 1,000 per hospitalisation |
Companion Benefit(If Hospitalization exceeds 10 days) | Rs 10,000 if the Sum Insured is below Rs 5 lakh; Rs 15,000 if the Sum Insured is 5 lakh and above |
Consumable Allowance(Max. 7 days per Hospitalization covered after 3 days) | Rs 500 per day for Sum Insured of Rs 2 lakh; Rs 750 per day for Sum Insured of Rs 3 and 4 lakh; Rs 1000 per day if Sum Insured is Rs 5 lakh and above |