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Health Insurance 4566 views December 6, 2019
Health Insurance Plans are always important to cover or guard us against the increased cost of hospitalization. Another aspect of health insurance is to be prepared for a most wonderful tremendous moment of joy in anyone’s life which is childbirth. Needless to say, it is a big responsibility as well from the time one hears this news. Hence, any parent would like to have complete monetary protection for the mother and the new child.
Care Health Insurance Company recognizes the above fact and provides a unique plan to cover both the mother and the child under their Care Joy Health Insurance Plan. We will study in detail about the Care Joy Health Insurance Plan in the below article.
Table of Contents
The plan has various benefits which can be described as follows:
Cover of Maternity
Expenses that are made for Maternity expenses incurred for hospitalization for delivery are covered under the Joy Plan. The plan also covers the pre and post-natal charges.
Coverage of New-born Baby
From birth till full 90 days the plan covers all the medical costs for the newborn and post 90 days, the newborn is covered under the regular plan with a premium as applicable.
New Born Birth Defects
In case, the newborn is detected with Down’s Syndrome or Cerebral Palsy, the company will pay a lump sum amount.
Pre and Post Hospitalization Benefit
The plan compensates the Pre and Post Hospitalization charges that are incurred by the insured before and after hospitalization
All-Inclusive Coverage
A Complete Nil Payment
The extensive range of hospital networks ensures a nil payment with a cashless facility.
Ease at Policy Term
The period of the policy is 3 years which makes the policy, an easy one to handle.
Claim Settlement
With the Care Health Insurance Joy Card, the process of claim becomes easy and hassle-free. This card can be shown to the leading 4000 hospitals all over India and one can avail of the cashless facility.
Medical Check-up Before the Policy
The company takes care of the medical costs which are incurred before availing the policy.
Income Tax Benefit
Income Tax Benefit can also be availed under the Income Tax Act, 1961 for the premium paid towards under section 80D.
Type | Premium paid towards self, spouse and children | Premium paid towards parents | Total 80D Benefit |
---|---|---|---|
Self, Spouse and Children<60 Parents<60 | Maximum INR 25,000 | Maximum INR 25,000 | Maximum INR 50,000 |
Self, Spouse and Children<60 Parents>60 | Maximum INR 25,000 | Maximum INR 50,000 | Maximum INR 75,000 |
Self, Spouse and Children>60 Parents>60 | Maximum INR 50,000 | Maximum INR 50,000 | Maximum INR 1,00,000 |
Freelook Period
One can cancel the policy if he/she is dissatisfied with the terms and conditions within 15 days of the receipt of the policy document.
Minimum Age of Entry | Adult- 18 years Child- 1 day New Born-1 day |
Maximum Age of Entry | Adult- 65 years Child- 24 years New Born- 90 days |
Type of Cover | Individual up to 6 members and Floater |
Proposer’s Age | 18 years or above |
Age of Exit | Lifetime |
Combinations in Floater | 2 Adults, 2 Adults and 1 Child, 2 Adults and 2 Children |
Coverages | Individual: Self, spouse, daughter, son, brother, sister, granddaughter, grandson, niece, son-in-law, Daughter-in-law, nephew, employee. Family Floater: Self, spouse, daughter, son, mother, father, employee and his/her dependants. |
Maximum age of Maternity Cover | Up to 45 years of age |
Renewal | Lifetime |
Grace Period | 30 days from the expiry date for renewing the policy |
Now we will have a detailed view of the benefits under Care Joy Health Insurance Plan
Name of the Plan | Joy Today | Joy Tomorrow |
---|---|---|
Tenure of the plan | 3 years | 1 year, 2 years & 3 years |
Cover for Maternity (inclusive of Pre & Post Natal costs) | Up to Rs. 35,000 for 3 Lakhs SI Up to Rs. 50,000 for 5 Lakhs SI | Up to Rs. 35,000 for 3 Lakhs SI Up to Rs. 50,000 for 5 Lakhs SI |
Cover for New Born Baby | Up to Rs. 35,000 for 3 Lakhs SI Up to Rs. 50,000 for 5 Lakhs SI | Up to Rs. 35,000 for 3 Lakhs SI Up to Rs. 50,000 for 5 Lakhs SI |
Defects for New Born Birth | Not Valid | Rs 50000 |
Day Care Charges | Applicable | Applicable |
In-patient Care | Up to Sum Insured | Up to Sum Insured |
Pre-Hospitalization Charges | Till 30 days | Till 30 days |
Post-Hospitalization Charges | Till 60 days | Till 60 days |
Ambulance Charges | Till Rs 1000/ hospitalization | Till Rs 1000/ hospitalization |
Coverage of Dialysis | Till Rs 1000/ sitting | Till Rs 1000/ sitting |
Room | Single AC Private Room | Single AC Private Room |
Initial Waiting Period | 30 Days | 30 Days |
Termed Ailments | 24 Months | 24 Months |
Pre-Existing Diseases | 48 Months | 48 Months |
The following grid will be applicable in case of pre-policy medical check-up
Age and Sum Insured | 3 Lakhs | 5 Lakhs |
---|---|---|
46 years till 55 years | Refer List 1 below | Refer List 2 below |
56 years and above | Refer List 2 below | Refer List 2 below |
List 1 & List 2
LIST 1 | LIST 2 |
---|---|
Routine and Microscopic Urine Analysis | Routine and Microscopic Urine Analysis |
Medical Examination Report | Medical Examination Report |
Complete Blood Count with ESR | Complete Blood Count with ESR |
HbA1C | HbA1C |
ECG | Liver Function Test |
Serum Total Cholesterol | Kidney Function test |
SGPT | Lipid Profile Fasting |
Female- USG (Abdomen Pelvis) | HBsAg |
S Creatinine | TMT/ ECG with 2-D Echo Serum PSA (Male) USG |
The claim is to be made within 30 days from the date of discharge with the following required documents:
Conclusion
We can conclude from the above discussion that the Care Joy Health Insurance Plan is a wide-ranging health plan which takes care of uncertainties and tension which arise at the of the newborn baby. One can safely apply for the plan and enjoy the joyous occasion and welcome the new member in the family in peace.