Kotak Mahindra Health Insurance Plans

Company Overview

Kotak Mahindra General Insurance Company is a wholly owned subsidiary of Kotak Mahindra Bank (a leading Indian private sector bank) aims to cater the growing non-life insurance segment in India. Kotak Mahindra General Insurance always delivers excellence in customer service, quality and innovation along with custom-designed non-life insurance products such as motor, health, etc. to its customers.

Key Points of Kotak Mahindra Health Insurance

Policy Renewability	Lifetime
Health Cover	Individual & Family Floater
Network Hospitals	4000+ hospitals
Claims Ratio	68%
Pre-existing Disease	4 years

Snapshot Of Kotak Mahindra Health Insurance Plans

Plan Name	Plan Type	Min/Max Age	Min/Max SI	Availability	Plan Tenure
Kotak Health Care- Excel	Individual/Family Floater	Adult: 18 years– 65 years Child: 91 days – 25 years	Min SI: 2 Lakh Max SI: 4 Lakh	Online	Min: 1 year Max: 3 years
Kotak Health Care- Premium	Individual/Family Floater	Adult: 18 years– 65 years Child: 91 days – 25 years	Min SI: 5 Lakh Max SI: 25 Lakh	Online	Min: 1 year Max: 3 years
Kotak Health Care- Prime	Individual/Family Floater	Adult: 18 years – 65 years Child: 91 days – 25 years	Min SI: 10 Lakh Max SI: 100 Lakh	Online	Min: 1 year Max: 3 years

Reasons for buying Kotak Mahindra Health Insurance Plans

Everyone is looking to make quality health care accessible to their family. With ever-rising medical costs, it becomes quite challenging. Buying a right health plan helps you get an adequate health coverage without any financial worries. Kotak General Insurance Company offers health plan to suit you & your family’s healthcare needs.

Main USP’s of Kotak Mahindra Health Insurance Plans are:

Comprehensive health cover for you & your family
Flexibility to choose Sum Insured
Get cashless treatment in over 4000 network hospitals across the country
Option to get additional cover
No pre-acceptance medical test
Plans with Lifetime Renewability option

Key Benefits of Kotak Mahindra Health Insurance Plans

In-patient treatment expenses such as room rent, boarding expenses, ICU charges, OT charges, medicines, consumables, etc. are covered
Pre hospitalization expenses are covered up to 30 days prior hospitalization
Post hospitalization expenses are covered up to 60 days after hospitalization
150 specified day care procedures are covered, for which insured needs to get hospitalized for less than 24 hours
Tax benefits are available for the premiums paid under the policy and you can avail the tax benefit under section 80D of the Income Tax Act

Value Added Benefits under Kotak Mahindra Health Insurance Plans

Option to increase the sum insured at renewal of the policy
Get cumulative bonus of 10% up to a maximum of 50% of the sum insured for every no-claim policy year
Ambulance charges are payable
Free annual health check ups are available for each insured person, irrespective of claims under a policy year
Pre-acceptance medical screening is not required up to 45 years of age
Optional covers such as hospital daily cash, convalescence benefit, donor expense, domiciliary hospitalization, alternative treatment, critical illness cover, maternity benefit, new born cover, restoration of sum insured, etc. are available depending on the plan chosen

(Note: The health plan benefits, features, specifications may differ from one to another)

Kotak Mahindra Health Insurance Coverage

Sum insured is the cover amount which will be paid by the Kotak Mahindra Health Insurance towards the medical expenses incurred due to hospitalization. The company will cover you against these expenses, provided you have all the due premiums till date.

For instance, you have a kotak health insurance policy with sum insured of Rs 2 lakh. In case of first hospitalization, you incur Rs 1.3 lakh. In the second hospitalization, you incur Rs 90,000. So, your total medical expenses goes to Rs 2.2 lakh. With 2 lakh health coverage, the insurance company will pay up to 2 lakh expenses and the remaining 20,000 you will have to pay from your pocket.

You are recommended to pick a right sum insured, so that your medical cost is adequately covered.

Kotak Mahindra Health Insurance Claim

Kotak Mahindra General Insurance Company will cover the medical-related expenses through cashless and Reimbursement of claim.

Cashless Claim: In order to avail cashless claim, you need to get hospitalized with one of the network hospitals of Kotak Mahindra General Insurance. You can go through the hospital list and pick a nearby network hospital to avail cashless hospitalization.

Reimbursement Claim: When you get hospitalized in a hospital other than the non-network hospitals, Kotak Mahindra General Insurance Company will reimburse the covered medical expenses. In order to settle the medical bills, you need to submit the medical bills and other documents as asked by the insurance company.

Documents to be submitted for Claims

The following documents need to be submitted with the Kotak health insurance claim form.

First doctor’s prescription
Hospital bills
Related treatment prescriptions
Diagnostic reports
Discharge from hospital
FIR copy, if any
Patient’s identity card
Copy of health card

Calculate Kotak Mahindra Health Insurance Premium

Under a health insurance plan, coverage available is the sum insured that will pay for your hospitalization expenses. To get the health cover, you need to pay the premium which differs from one insurer to the other. There are several factors that help determine the health insurance premium such as age of the insured, current health condition, tobacco habits, pre-existing illness and sum insured chosen.

You can choose the amount of health insurance coverage you wish to get covered. You may determine the premium amount by using health insurance premium calculator. You can also check the premium chart to know about the premium you need to pay for getting a specific health cover.

Kotak Mahindra Health Insurance Review

Kotak Mahindra health insurance offers cover for hospitalization medical expenses up to the sum insured chosen. You will get the option to customize the health cover depending on your healthcare needs. You can also choose from several additional covers that will help to enhance the coverage and meet you & your family’s healthcare needs.

Kotak Mahindra Health Insurance- FAQ's

How to pay the policy premium?

Kotak Mahindra health insurance offers payment of premium through two modes

Online Payment: For online premium payment, you can pay through credit card, debit card & net banking.

Cash payment at branch: You need to visit Kotak Mahindra Health Insurance branch and pay the premium in cash on or before the due date.

How can I check the status of Kotak Mahindra health insurance policy?

By logging to Kotak Mahindra health insurance homepage, you can check the policy status online by entering the policy number or other required details.

What is the policy renewal process of Kotak Mahindra general insurance?

To renew a health policy, you need to visit the website of Kotak Mahindra health insurance. The insurance company will ask you some basic details such as policy number, name, e-mail ID and contact details. Thereafter, you can calculate the premium amount and then proceed for the payment. After making the premium payment, the policy is renewed instantly.

What is the process of Kotak Mahindra to settle the health insurance claims?

In order to settle a health claim, you need to inform the company by filling the claims form and uploading other required documents online. After accepting the documents, the insurance company will start processing your claim and will settle it within the timeframe as specified by the company.

Is there any tax benefit on Kotak Mahindra health insurance plans?

The premium amount you pay for covering self or your family under Kotak Mahindra health plan is considered for tax benefit under section 80D of the Income Tax Act 1961.