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Health Insurance 510 views July 20, 2021
Exide Life Sanjeevani Policy protects your finances in medical emergencies related to heart and cancer. Treatment of these critical illnesses can be costly. By paying a lump sum amount, this plan makes sure that neither you nor your family suffers financially during such medical emergencies. Individuals can also enjoy double claim and premium funding benefits with this plan.
We are showing the key features of this fixed benefit health insurance plan below. Please check.
Let’s read this page further to understand these features in detail.
Table of Contents
Exide Life Sanjeevani Policy is a non-participating, individual health insurance plan that offers policyholders a fixed benefit amount on the occurrence of Cardiovascular and/or Cancer-related conditions. We have discussed its features below. Do check.
Exide Life Sanjeevani Policy offers multiple policy term options that range from 5 to 35 years. You can choose according to your convenience. The premium payment term will be equal to your policy term.
For this plan, the minimum sum assured can be INR 5,00,000, while it can go up to INR 25,00,000.
This plan from Exide Life offers the following coverage options from which you can choose according to your convenience.
Option A – Coverage for Cardiovascular (Related with Heart) Conditions
Option B – Coverage for Cardiovascular and Cancer Related Conditions
On the diagnosis of covered conditions under the plan, policyholders will get a lump sum benefit, which will depend on the severity of the diagnosed condition and claims previously admitted under the plan. The maximum claim amount cannot exceed 100% of the basic sum assured. To know about the categories of severity and benefit amount, check the below table.
Category of Severity | Benefit Details |
---|---|
Mild | Each claim will be 25% of the basic sum assured. During the policy period, only one and two claims under this category can be made in Option A and Option B, respectively, if they are from two different classes. |
Moderate | Each claim will be 50% of the basic sum assured. Thereafter, Exide Life will pay the premium on your behalf for five years. Two claims under this category (both Cardiovascular and Cancer conditions put together) can be made. However, the policy will terminate after 100% payment of the sum assured. |
Severe | Each claim will be 100% of the basic sum assured minus already paid claims (if any). Upon paying this, the policy will terminate. |
Note: If more than one covered condition is diagnosed at a time, the claim which has the highest benefit payout, will be paid to the policyholder.
To know the conditions covered under the policy, check the below table.
Mild | Moderate | Severe |
---|---|---|
Heart-related Conditions | ||
Angioplasty Arrhythmia’s leading to Insertion of Pacemaker or ICD Cardiac Arrest Open Heart Replacement or Repair of Heart Valves Pericarditis leading to Pericardiectomy Keyhole Coronary Bypass Surgery Infective Endocarditis Percutaneous Heart Valve Surgery Valvuloplasty | Carotid Artery Surgery Secondary Pulmonary Hypertension with permanent functional impairment NYHA class III Cardiomyopathy Surgical Septal Myectomy to relieve Left Ventricular Outflow Tract obstruction | Myocardial Infarction (First Heart Attack of specified severity) Open Chest Coronary Artery Bypass Graft Major surgery of Aorta Heart transplant Primary Pulmonary Hypertension Stroke resulting in permanent symptoms |
Cancer-related Conditions | ||
Carcinoma-in-Situ of all organs excluding skin Early-stage Cancers of Prostate Thyroid Papillary Microcarcinoma Bladder Microcarcinoma Chronic Lymphocytic Leukemia (Early stages) | Mastectomy due to diagnosis of Carcinoma-in- situ of the Breast Cancer Cystectomy due to diagnosis of Carcinoma-in- situ of the Urinary Bladder / T1NoMo Urinary Bladder Cancer Orchidectomy due to diagnosis of Carcinoma-in-situ of the testis Total Abdominal Hysterectomy and Bilateral Salpingo-Oophorectomy due to diagnosis of Carcinoma in-Situ of the Cervix/ Carcinoma-in-Situ of the Uterus / Carcinoma-in-situ of the Ovary | Cancer of Specified Severity |
If a policyholder has made a claim under a moderate category and the same has been accepted by the insurer, he/she will not need to pay the due premium for the next 5 years or till the end of the policy term (whichever is earlier). The waive-off will be effective from the date of diagnosis or the actual undergoing of a procedure.
At the end of five years of this benefit, the premiums will be according to the age at the time of entry. The policyholder will need to resume the payment without paying any arrears for the period premiums have been waived off.
Note: Premium funding benefit will be applicable once during the policy term.
You can get coverage for the covered conditions even if you have filed a claim under another health insurance policy. So, you will get double the benefits.
The life assured needs to survive for a definite period after the diagnosis of the covered condition to be eligible for the claim payout. This is known as the survival period. To know more about it, check the table below.
Condition (Mild, Moderate and Severe) | Survival Period (In Days) |
---|---|
Cancer | 0 |
Cardiovascular | 28 |
Please check below the conditions related to the plan you need to fulfill.