Health Insurance 3303 views June 15, 2020

ICICI Pru Heart and Cancer Protect Plan

Nowadays Heart Attack and Cancer are the major illnesses and they need a lot of funds to be cured. Many individuals drain out all their savings for the treatment of cancer and heart attack. But if you have a health insurance plan, the financial burden can be avoided. Usually, most insurance companies offer Cancer and Heart Protection plan separately but you can cover both the diseases under one insurance plan known as ICICI Pru Heart and Cancer Protect Plan. This plan comes with an affordable amount of premium and gives you a high Sum Insured. You can cover the financial risk that might arise due to cancer or heart disease with this plan.

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Key Features of Heart and Cancer Protect Plan

  1. Large amount of Sum Assured at a very nominal amount of premium.
  2. Receive Monthly Payouts once you are diagnosed with Cancer or Heart Disease.
  3. Enjoy discounts on Premium if you take a comprehensive coverage under the same policy.
  4. The company will reimburse the bill amount of any hospital if you are admitted for the treatment.
  5. Waiver of Premium if you become permanently disabled.
  6. Enjoy No Claim Bonus of 10% every year.
  7. There is no need for the Co-Payment.
  8. Enjoy Tax Deductions Under Section 80D of the Income Tax Act 1961.

Benefits of the Cancer and Heart Protect Plan

Now you must see how this plan will benefit you if you are diagnosed with Cancer or Heart Disease. Know all the benefits of this plan before buying it.

High Reimbursement at a Low Premium

This health insurance plan covers the risk of heart disease and cancer at a very low premium and gives you a high insurance cover. You can afford the premium easily and get a high amount of reimbursement once you are diagnosed with Cancer or Heart Disease.

Payout Benefits

In the ICICI Pru Cancer and Heart protect the plan, the company will give you a payout if you are diagnosed with the disease. This benefit will be given on the first diagnosis so that you can recover the money paid for the treatment. The plan will continue even after the payouts have been made for a minor condition and you don’t have to pay an extra premium for this benefit.

Discount on Premiums

This plan can cover your spouse or dear ones under the same health insurance plan. It will give comprehensive coverage to you and your dear ones. You will get a discount of 5% on the combined premium amount that you will pay for the first year.

Choose Any Hospital for the Treatment

Most of the health insurance companies have a tie-up with the hospital and they provide reimbursement only if you are admitted to such hospitals. But in this insurance plan, you can get the treatment at any hospital of your choice and the company will reimburse the expenses made for the same.

No Claim Bonus

The Sum Assured amount will increase by 10% every year if you don’t claim. This is known as no claim bonus. On the other hand, it will keep on increasing until the Sum Assured amount doubles and becomes 200% of the Sum Assured chosen at the time of policy inception.

Extra Income Benefits

If you are going for a major treatment of heart disease or cancer, your monthly income will obviously get disturbed. So the company will pay you 1% of the Sum Assured every month for 5 years to compensate for the loss occurring due to income cut off. You can take a break from your work as the company will pay you for that loss but it is only applicable in major conditions. The monthly payment made to you will be over and above the lump sum payment made on the diagnosis of the illness and it will be paid to the nominee even after your death.

No Part-Payment

There are some insurance policies that only cover a certain percentage of medical expenses and the rest is borne by the insured. But in the ICICI Pru Cancer and Heart Protect Plan, the company will reimburse all the medical expenses incurred after the diagnosis of the disease. There is no need for the co-payment by the insured.

Waiver of Premium Benefit

If in case you are diagnosed with a minor condition or become permanently disabled, all the remaining premiums will be waived off. The policy benefits will continue and you can enjoy the cover without paying any premium.

Conditions Covered Under ICICI Pru Cancer and Heart Plan

Certain Conditions of heart and cancer diseases are covered in this health insurance plan and are divided into minor and major conditions.

Minor Conditions for Cancer

  1. Early Stage of Cancers
  2. Carcinoma-in-Situ of any organ except skin

Major Condition for Cancer

  1. Cancer of a Specified Severity

Minor Conditions for Heart Disease

  1. Angioplasty
  2. Balloon Valvotomy or Valvuloplasty
  3. Carotid Artery Surgery
  4. Implantable Cardioverter Defibrillato
  5. Implantation of Pacemaker of Heart
  6. Infective Endocarditis
  7. Minimally Invasive Surgery of aorta
  8. Pericardectomy
  9. Surgery for Cardiac Arrhythmia
  10. Minimally Invasive Surgery of aorta
  11. Surgery to Place Ventricular Assist Devices or Total Artificial Hearts

Major Conditions for Heart Disease

  1. Cardiomyopathy
  2. First Heart Attack of Specified Severity (Myocardial Infarction)
  3. Heart Transplant
  4. Major Surgery of aorta
  5. Open Chest CABG
  6. Open Heart Replacement or Repair of Heart Valve
  7. Primary (Idiopathic) Pulmonary Hypertension

Steps for Making a Claim

There are three steps for making a claim if you are diagnosed with any kind of Heart Disease or Cancer.

Informing the Company

You can inform the company about the disease through the following modes:-

  1. Visit the ICICI Prudential Branches
  2. Online Claim through the Company’s Website
  3. Send an SMS ICLAIM Policy Number to 56767.
  4. Dial the Toll-Free Number- 1860-2667766.

Claim Processing

Once you have informed the company, the claim assessor will ask for related documents and verify them as per the policy’s terms and conditions. The field investigating officer will also check all the necessary documents.

Decision and Payouts

If the company finds that all the documents are authentic and fulfills the terms and conditions, your claim will be passed. The company will transfer the money into your account either through ECS or NEFT.

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