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Kotak Health Care- Prime Plan

What is the Plan all About?

Kotak Health Care- Prime is a comprehensive health insurance plan that caters to complete healthcare needs of you & your family members. This plan provides a complete cover against hospitalization expenses. Under this plan, you can opt a cover of up to 100 Lacs that ensures a wider health cover for your entire family.

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Key Features

  • Wide range of health cover for you & your family
  • Health cover of up to 100 Lacs is available
  • Add-on covers are available
  • No pre-policy medical check-up to 45 years
  • Cashless hospitalization across 4000+ network hospitals
  • Enjoy lifetime renewability
  • Tax benefits are available

Policy Benefits

  • In-patient treatment expenses such as hospital room rent, boarding, nursing expenses, ICU charges, operation theater charges, blood, oxygen, medicines, etc. are covered after having a minimum of 24 hours of hospitalization.
  • Pre hospitalization expenses are covered for 30 days prior hospitalization.
  • Post hospitalization expenses are covered for 36 days after discharge from hospital.
  • 150 specified day care procedures/surgeries that require hospitalization for less than 24 hours are covered.
  • 11 add-on covers to enhance the policy benefits.

Value Added Benefits

  • Get cumulative bonus of 10% for every claim-free year, to a maximum of 50% of the Base Annual Sum Insured.
  • Expenses incurred towards emergency ambulance services are covered, as specified under the plan.
  • Free annual health check-ups for every insured person aged more than 18 years, for specified tests. This benefit is applicable regardless of any claim lodged/paid in the policy.
  • Get cashless treatment in any of the listed network hospitals.
  • Avail tax benefits for premium paid under section 80D of the IT Act, 1961.

Sub Limits

  • No Room Rent sub limit is applicable.
  • No co-pay is applicable under this plan.

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 Cataract, Hernia, Arthritis, Fissures/Fistula, etc. are covered after 24 months of continuous policy coverage.
  • Pre existing Disease Waiting Period: Any pre-existing ailment/injury is covered after a continuous policy coverage for 48 months.

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 10 Lacs 100 Lacs
Cover Type Individual/Family Floater -
Policy Tenure 1/2 Years 3 Years
Grace Period 30 Days -
Free Look Period 15 Days -
Riders Hospital Daily Cash, Convalescence Benefit, Donor Expense, Critical Illness Cover, Double Sum Insured, Domiciliary Hospitalisation Cover, Alternative Treatment, Maternity Benefit, New Born Baby Cover, Compassionate Visit, & Restoration Of Sum Insured -

Exclusions

  • Routine health check-ups
  • Dental treatments
  • Aesthetic or cosmetic surgeries
  • Injury/Illness on consumption of intoxicating substances
  • Naturopathy treatment
  • Vaccination or inoculation
  • Non-allopathic treatment, etc.
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