Overview
Care Health Insurance (CHI) is a specialized Health Insurer offering health insurance services to employees of corporates, individual customers and for financial inclusion as well. With CHI’s operating philosophy being based on the principal tenet of ‘consumer-centricity’, the company has consistently invested in the effective application of technology to deliver excellence in customer servicing, product innovation and value-for-money services. Care Health Insurance currently offers products in the retail segment for Health Insurance, Critical Illness, Personal Accident, Top-up Coverage, International Travel Insurance and Maternity along with Group Health Insurance and Group Personal Accident Insurance for corporates. The organization has been adjudged the ‘Best Health Insurance Company’ at the ABP News-BFSI Awards & ‘Best Claims Service Leader of the Year – Insurance India Summit & Awards. Care Health Insurance has also received the ‘Editor’s Choice Award for Best Product Innovation’ at Finnoviti and was conferred the ‘Best Medical Insurance Product Award’ at The FICCI Healthcare Awards. Best Health Insurance Company - ABP News – BFSI Awards 2015, Best Claims Service Leader of the Year - Insurance India Summit & Awards 2018, Best Product Innovation - Editor’s Choice Award Finnoviti 2013, Best Medical Insurance Product - FICCI Healthcare Awards 2015
Highlights For
Care
Restore Benefit
Modern treatments
Maternity Benefit
Features
Sub-limits
Room Rent
Room rent for in-patient hospitalisation
ICU Charges
Charges for ICU hospitalisation
Ambulance
Transportation of the patient to the hospital and back home
Convalescence benefit
A specific fixed amount of money paid as a recovery benefit for extended hospitalisation.
Organ Donor
The costs for a surgical procedure of removal or damaged organ from the patient's body which could otherwise be fatal.
Modern Treatments
All advanced treatment with upgrade in technology.
Maternity Benefit
All expenses related to childbirth or legal medical termination of pregnancy, usually upto a specified limit.
Pre-Hospitalisation : 30 Days
The amount of expenses incurred during this period prior to hospitalisation such as diagnostic tests, doctor fees, medicines, etc. for investigiation purpose are also payable by the insurer
Post Hospitalisation : 60 Days
The amount of expenses incurred during this period after discharge from hospitalisation for the purpose of recovery such as follow-up tests, doctor fees, medicines, etc. are also payable by the insurer
Pre existing Disease cover : Pre-existing diseases covered after 48 months of renewal.
Coverage for all Pre-Existing Diseases covered after a certain specified waiting period with continuous renewal.
Waiting Period- Initial : 30 Days for all Illness except Accidental injury
No claims are accepted within this period except due to accidents/ injury.
Waiting Period- Specific : 2 years
Listed specific illness
Waiting Period- PED : 4 years
No pre-existing ailment related claims are accepted within this period.
Room Rent : For 3 to 4 lakh (1% of SI per day) and 5 to 75 lakh( single private room)
Room rent for in-patient hospitalisation
ICU Charges : For 3 to 4 lakh (2% of sum insured) and 5 to 75 lakh( Upto Sum Insured)
Charges for ICU hospitalisation
Co pay : 61 years and more, you will have to pay 20% of copay
% of the claim that the policyholder needs to pay out-of-pocket
Restore Benefit/ Recharge/ Refill : Up to Sum Insured
If the sum insured is exhausted due to hospitalisation expenses of one or more members, there is an automatic restoration of the sum insured for related or unrelated ailments.
Health Check up : Up to Sum Insured
Free annual health check-up for all insured members according to the list of tests specfied in the policy document.
No Claim Bonus : Up to 150% of Sum Insured
% of the sum insured that rises every claim free year.
Video/telephone consultation : No
E-consultation with expert doctors empanelled with the insurer for a second opinion.
Domiciliary hospitalization : Up to 10% of Sum Insured
Home care treatment where there are no beds in the hospital or paitient is not in a condition to be moved to the hospital, This treatment is provided under the supervision of a registered medical practitioner.
Ambulance : 3 to 4 lakh Upto Sum Insured- Upto Rs.1,500 per hospitalization , 5 to 10 lakh Upto Sum Insured- Upto Rs2000 per hospitalization, 15 to 40 lakh Upto Sum Insured- Upto Rs2500 per hospitalization, 50 to 75 lakh Upto Sum Insured- Upto Rs3000 per hospitalization,
Transportation of the patient to the hospital and back home
Convalescence benefit : For 3 to 4 lakh (Rs.500 per day up to 5 days)
A specific fixed amount of money paid as a recovery benefit for extended hospitalisation.
Organ Donor : 3 to 4 lakh Upto Sum Insured- Upto Rs.50,000, 5 to 10 lakh Upto Sum Insured- Upto Rs 1,00,000, 15 to 40 lakh Upto Sum Insured- Upto Rs2,00,000 50 to 75 lakh Upto Sum Insured- Upto Rs3,00,000
The costs for a surgical procedure of removal or damaged organ from the patient's body which could otherwise be fatal.
Bariatric cover : No
Expenses related to obesity-related conditions such as high BP, sleep apnea, arthiritis asthma, etc.
Daycare : Upto Sum Insured
Covers in-patient hospitalisation expenses where the stay is <24 hours under a specified list of treatments
AYUSH : 3 to 4 lakh Upto Sum Insured- Upto Rs.15,000, 5 to 10 lakh Upto Sum Insured- Upto Rs 20,000, 15 to 40 lakh Upto Sum Insured- Upto Rs 30,000 50 to 75 lakh Upto Sum Insured- Upto Rs 40,000
Alternative treatment coverage such as ayurvedic, unani, sidha and homeopathy which leads to hospitalisation.
Congenital Coverage : No
Covers medical expenses related to diagnosis and treatment of heriditary and internal congenital ailments/ conditions/ traits that exist from birth.
Health Management/ Wellness : No
Benefits provided for staying fit and managing health
Maternity Benefit : Sum insured 50 to 75 lakh - Upto Rs1,00,000.
All expenses related to childbirth or legal medical termination of pregnancy, usually upto a specified limit.