L&T My:Health Personal Accident Insurance Plan

Policy Benefits

• Accidental death (AD) is covered up to 100% of the Sum Insured (SI).
• Permanent total disability (PTD) is covered up to 100% of SI. This benefit is applicable under Table B, C & D.
• Permanent partial disability (PPD) is covered up to the sub-limits specified under the policy schedule. This benefit is applicable under Table C & D.
• Temporary total disability (TTD) is covered up to the sub-limits mentioned in the policy schedule. This benefit is payable up to a maximum of 100 weeks. This benefit is applicable only for Table D.
• In case of AD/PTD, cost of education of dependent children aged up to 23 years is covered.
• In case of PTD/PPD, financial compensation against loss of employment due to accident is covered.
• Expenses incurred towards the transportation of mortal remains are covered under this policy.
• Out patient medical expenses following an accident are reimbursed.
• Add-on Covers likeAccident hospitalization expenses following an accident, cost of travel of a relative or friend would be covered, cost of supporting items such as artificial limbs, crutches, etc. that are necessary due to an accidental injuries are reimbursed if taken as a rider on payment of additional premium.

Value Added Benefits

• Enjoy lifelong renewability and stay covered for your whole life.
• Ambulance charges are payable. Expenses incurred towards transportation of the insured following an accident are covered.
• Sum insured can be enhanced at the policy renewals, on submission of income proof.
• Get the renewal bonus, if you renew the policy within 30 days from its date of expiry.
• Family coverage can be opted under this plan.
• Portability benefit is available under this plan.

Sub Limits

• Permanent partial disability is payable between a range of 1% to 50% of SI.
• Temporary total disability is payable as 1% of SI per week, subject to a maximum of Rs 6,000 in a week.
• Education benefit is covered. For one dependent child, it is payable up to 10% of SI, to a maximum of Rs 12,500. And for more than one dependent child, it is payable up to 10% of SI, to a maximum of Rs 25,000 for all children.
• Loss of employment is covered as 1% of SI or Rs 15,000, whichever is lower. It is paid once in a policy period.
• Transportation of mortal remains is payable up to 2% of SI or Rs 2,500 whichever is less.
• Ambulance charges up to Rs 1,000 are paid.
• Out patient medical expenses are payable up to Rs 1,000 per accident or Rs 2,500 per policy.
• Accident hospitalization expenses are payable up to 50%/100% of the claim amount, or 20%/50% of SI or actual expenses whichever is less.
• Cost of travel is covered up to 2% of SI or Rs 10,000 whichever is lower.
• Cost of supporting items is payable up to Rs 10,000 or 2% of SI, whichever is less.

Waiting Period Clause

No specific waiting period is applicable.