Edelweiss Tokio Life Criticare Plus Plan

What is the Plan all About?

Edelweiss Tokio Life CritiCare+ is a non-linked and non-participating Critical Illness health plan that provides coverage against 17 critical illnesses under 4 different group categories. Upon the onset of a critical illness, this plan covers health care expenses plus day-to-day hospital expenses. Under this plan, you have an option to make claims up to 3 times during the entire policy term. Edelweiss Tokio Life ensures that the future premiums are waived off after the first claim and the policyholder may continue to avail the benefit of protection.

What are the Key Features?

Protection against 17 Major Critical Illnesses
Lump Sum Benefit on the diagnosis of Critical Illness
Claim upto 3 times under Multi Claim Option
Waiver of future premiums on occurrence of first claim
Discounts on opting Higher Sum Assured
Easy benefit design for better understanding of the product
Avail Tax Benefits

What are the Plan Benefits?

Policy Benefits

Lump Sum Benefit

Lump sum payout equal to the sum insured is paid out to the policyholder in the event where the insured is being diagnosed from any of the 17 critical illnesses.

The critical illness benefit options available under the policy benefits are:

Critical Illness Benefit- OPTION 1-Single Claim:

A lump-sum benefit (equal to the sum assured) is paid on the survival of life insured for 28 days after the date of the confirmed diagnosis of Critical Illness and policy terminates thereafter.

Critical Illness Benefit- OPTION 2-Multi Claim:

The insured can get claim benefits for up to 3 claims. The life insured can claim for Critical Illness only once from one group out of the 4 groups of categorized Critical Illness. Under this option, the claim is paid as a lumpsum benefit is paid on the survival of life insured for 28 days after the date of the confirmed diagnosis. The benefits you can avail under each claim are described below.

First Claim- Sum Assured is paid and future premiums are waived off
Second Claim- Sum Assured is paid
Third Claim- Sum Assured is paid and policy will be terminated thereafter

Death Benefit

There is no death benefit payable under this plan.

Maturity Benefit

There is no maturity benefit payable under this plan.

How the Plan Works?

Let us understand the plan with the example of Mr. Raman:

Life Insured: Mr. Raman

Age: 30 years

Term: 20 years

Sum Insured: Rs 20 lacs

Annual Premium: Rs 4,254

Value Added Benefits

Avail tax benefits u/s 80D as per IT Act, 1961 for premium paid for this plan.
High Sum Assured Rebates can be availed under this plan.

Sub Limits

No Copay or sub limit is applicable.

Waiting Period Clause

Initial Waiting Period: Claim for critical illness will only be accepted if the illness has occurred after the expiry of 90 days from the date of issue/date of revival of the policy.
Survival Period Waiting Period: There is a survival period of 28 days and the waiting period between claims is 365 days.
Pre Existing Diseases Waiting Period: For all pre-existing diseases or health conditions, the benefits would be available after 48 months from date of commencement or reinstatement.

Product Snapshot

Factor	Minimum	Maximum
Age (as on last birthday)	18 Years	65 Years
Sum Assured	5 Lacs	1 Crore
Cover Type	-	-
Policy Tenure	5 Years	30 Years
Grace Period	30 Days	-
Freelook Period	15 Days/ 30 Days (for Distance Marketing Channel) From The Receipt Of The Policy	-
Riders	Nil	-
Plan Type	Online	-

Exclusions

Unreasonable failure to seek or follow medical advice.
Existence of any sexually Transmitted Disease (STD) and its related complications or Acquired Immune Deficiency Syndrome (AIDS) or the presence of any Human Immuno-deficiency Virus (HIV).
Self-inflicted Injuries, etc.

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