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Kotak Health Care- Premium Plan

What is the Plan all About?

Kotak Health Care- Premium health plan provides a comprehensive coverage against hospitalization expenses arising from any illness/injury. This health plan offers the sum insured to suit you & your healthcare needs.

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Key Features

  • Complete health cover
  • Wide range of sum insured options
  • Choose additional covers to enhance health cover
  • Lifetime Renewability
  • Avail tax benefits

Policy Benefits

  • In-patient hospitalization expenses like room rent, anesthetist & surgeon fees, OT charges, blood, oxygen, etc. are covered under this policy.
  • Pre hospitalization expenses incurred 30 days prior hospitalization.
  • Post hospitalization expenses incurred 60 days after discharge from hospital.
  • 150 enlisted day care procedures that require hospitalization for less than 24 hours.

Value Added Benefits

  • Base annual sum insured can be enhanced at the policy renewal.
  • Avail cumulative bonus of 10% on completion of each claim-free policy year, to a maximum of 50% of the sum insured.
  • Ambulance charges are payable as applicable.
  • Free annual health checkups for every insured person above 18 years, for specified tests. This benefit is applicable regardless of any claim registered/paid in the policy.
  • Option to avail cashless treatment in 4000+ network hospitals across the country.
  • Avail tax benefits u/s 80D as per IT Act, 1961 for premium paid for this plan.

Sub Limits

  • No Room Rent sub limit is applicable under this plan.
  • Emergency ambulance charges are payable up to Rs 1500.

Waiting Period Clause

  • Initial Waiting Period: A waiting period of 30 days from the inception date for all hospitalization claims except in case of accidents.
  • Specific Waiting Period: Specific illnesses such as Hernia, Fistula, Gout, Arthritis, etc. are covered after 24 months of policy coverage.
  • Pre existing Disease Waiting Period: Any pre-existing ailment/injury is covered after a continuous policy coverage for 48 months, applicable for all age groups.

Who can Buy the Plan?

Factor Minimum Maximum
Age (as on last birthday) Adult: 18 Years, Children: 91 Days Adult: 65 Years, Children: 25 Years
Sum Assured 5 Lacs 25 Lacs
Cover Type Individual/Family Floater -
Policy Tenure 1 Year 3 Years
Grace Period 30 Days -
Free Look Period 15 Days -
Riders Hospital Daily Cash+Convalescence Benefit+Donor Expenses, Critical Illness Cover + Double Sum Insured -

Exclusions

  • Routine medical, eye or ear examination
  • Dental treatment
  • Cosmetic treatment
  • Naturopathy treatment
  • Vaccination or Inoculation
  • Mental illness/other psychiatric disorder
  • Treatment taken outside India
  • Non-allopathic treatment
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