Overview
Highlights For
Lifeline Elite
Restore Benefit
Coverage
No-Claim Bonus
Vaccination in case of Animal Bite
Maternity Cover
Hospital Cash
Features
Sub-limits
Ambulance
Transportation of the patient to the hospital and back home
Bariatric cover
Expenses related to obesity-related conditions such as high BP, sleep apnea, arthiritis asthma, etc.
AYUSH
Alternative treatment coverage such as ayurvedic, unani, sidha and homeopathy which leads to hospitalisation.
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 : 60 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 : 180 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 24 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 illnesses except any accidents.
No claims are accepted within this period except due to accidents/ injury.
Waiting Period- Specific : 24 months
Listed specific illness
Waiting Period- PED : 24 months
No pre-existing ailment related claims are accepted within this period.
Room Rent : Upto Sum Insured
Room rent for in-patient hospitalisation
ICU Charges : Upto Sum Insured
Charges for ICU hospitalisation
Co pay : No
% of the claim that the policyholder needs to pay out-of-pocket
Restore Benefit/ Recharge/ Refill : Upto 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 : Annual Health checkup
Free annual health check-up for all insured members according to the list of tests specfied in the policy document.
No Claim Bonus : 20% of Base Upto Sum Insuredupto a max of 100% Based on the plans
% 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 : Upto 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 : Up to Rs.10,000
Transportation of the patient to the hospital and back home
Convalescence benefit : Hospital Cash (for 30 days in case of hospitalisation beyond 2 days) ₹2,000/day
A specific fixed amount of money paid as a recovery benefit for extended hospitalisation.
Organ Donor : Upto Sum Insured
The costs for a surgical procedure of removal or damaged organ from the patient's body which could otherwise be fatal.
Bariatric cover : Up to 5% of SI or ₹50,000 (whichever is less). Contact OneAssure Partner for details.
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 : Govt. Hospitals - Upto SI; Other Hospitals - Covered upto ₹20,000.
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.
Modern Treatments : Covered upto 50% of Sum insured
All advanced treatment with upgrade in technology.
Health Management/ Wellness : Yes
Benefits provided for staying fit and managing health
Maternity Benefit : Rs. 200,000 for Standard Plan, Rs. 250,000 for Elite Plan (based on Sum Insured)
All expenses related to childbirth or legal medical termination of pregnancy, usually upto a specified limit.