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Health Insurance 431 views July 12, 2021
Kotak Accident Care Insurance Plan provides coverage towards contingencies resulting from an accident, such as death, permanent total disablement, permanent partial disablement, temporary total disablement, etc. So, secure the future of your family and loved ones with the Kotak Accident Care Insurance Plan. Read this page below and know more about the Kotak Accident Care Insurance Plan coverage.
Table of Contents
Kotak Accident Care Insurance Plan Base Cover
Under Kotak Accident Care Insurance Plan, you’ll get the option of two covers:
Section A: If you opt for this cover, you’ll get coverage against the following:
Death: The nominee will receive a sum insured in case the insured dies due to an injury sustained in an accident, provided the death occurs within 12 months from the date of the accident.
Permanent Total Disablement (PTD): The insurer will pay the sum insured if you suffer from PTD due to an accident, provided it occurs within 12 months from the date of the accident. Under Kotak Accident Care Insurance Plan, you’ll get coverage against the following:
- Loss of sight of both eyes
- Physical separation/loss of use of two entire hands or two entire feet, or one entire hand and one entire foot
- Loss of sight of one eye
- Physical separation/loss of use of one entire hand or one entire foot
- Physical Separation/loss of use of two hands or two feet, or one hand and one foot, or loss of sight of one eye and loss of use of one hand or one foot
The benefit under this section shall be payable if an accidental injury permanently disables the insured from engaging in any employment or occupation of any description.
Permanent Partial Disablement (PPD): The insurer shall pay a percentage of the sum insured in case you suffer from PPD due to an accident, provided it occurs within 12 months from the date of the accident. Check out the table below to know about the covered losses and the percentage of the sum insured payable against it.
| Loss Covered | % of the Sum Insured Payable |
|---|---|
| Loss of use/physical separation of one entire hand | 50 |
| Loss of sight of one eye | 50 |
| Loss of use/physical separation of one entire foot | 50 |
| Loss of toes – all | 20 |
| Loss of toes - great both phalanges | 5 |
| Loss of toes - great one phalanx | 2 |
| Loss of toes - if more than one toe lost other than great both phalanges and phalanx | 1 |
| Loss of use of both ears | 50 |
| Loss of use of one ear | 20 |
| Loss of four fingers and thumb of one hand | 40 |
| Loss of four fingers | 35 |
| Loss of thumb - both phalanges | 25 |
| Loss of thumb - one phalanx | 10 |
| Loss of Index finger - three phalanges | 10 |
| Loss of Index finger - two phalanges | 8 |
| Loss of Index finger - one phalanx | 4 |
| Loss of middle finger – three phalanges | 6 |
| Loss of middle finger - two phalanges | 4 |
| Loss of middle finger - one phalanx | 2 |
| Loss of ring finger - three phalanges | 5 |
| Loss of ring finger - two phalanges | 4 |
| Loss of ring finger - one phalanx | 2 |
| Loss of little finger – three phalanges | 4 |
| Loss of little finger - two phalanges | 3 |
| Loss of little finger - one phalanx | 2 |
| Loss of metacarpus - first or second (additional) | 3 |
| Loss of metacarpus - third, fourth or fifth (additional) | 2 |
Temporary Total Disablement (TTD): If the injury sustained due to an accident results in TTD and restricts you from engaging in any employment or occupation of any description, you’ll receive a weekly benefit as specified in the policy schedule. The benefit under this section shall be payable only if the TTD is certified by a medical practitioner in writing
Note: TTD benefit shall not be payable for more than 100 weeks.
Section B: If you opt for this benefit section under Kotak Accident Care Insurance Plan, you’ll get the following benefits:
Accidental Hospital Daily Cash Benefit Benefit: The insurer will pay a Hospital Daily Cash Benefit for every completed hospitalization for the treatment of an injury sustained during an accident.
Note: The insurer shall not be liable to make payments for more than 30 days under this benefit.
Accidental Hospitalization Expenses Reimbursement Benefit: The insurer will indemnify the medical expenses incurred in respect of hospitalization for the treatment of an injury sustained during an accident.
Note: The insurer shall not cover expenses incurred on eyeglasses, contact lenses, hearing aids, examination for the prescription or fitting unless it is mentioned in the policy schedule.
Convalescence Benefit: You’ll get a convalescence benefit amount of INR 10,000 on hospitalization for a minimum of 10 consecutive days in respect of hospitalization for the treatment of an injury sustained during an accident.
Kotak Accident Care Insurance Plan Optional Cover
You can get the following extensions under Kotak Accident Care Insurance Plan if you opt for Section A. Check out the extensions below:
- Carriage of Dead Body: In case of death of the insured due to an accident, the insurer will reimburse the costs for transporting the insured person’s body from the place of death to the place of residence. This benefit is up to the limit as specified in the policy schedule.
- Permanent Total Disablement Improvement Benefit: If you have filed a claim under PTD, the insurer will pay for the improvements to be carried out in your residence to support their daily life.
- Permanent Partial Disablement Improvement Benefit: If you have filed a claim under PPD, the insurer will reimburse the costs incurred for improvements up to the limit as specified in the policy schedule.
- Children’s Education Grant Extension: If you have filed a claim in respect of death or PTD, the insurer will pay the amount up to the limit as specified in the policy schedule to cover your dependent child (under the age of 25 and unmarried) financially. This benefit is payable irrespective of whether the child is an insured person under this policy or not. You can avail of this benefit only if the dependent child is pursuing an educational course as a full-time student at an accredited educational institution.
- Ambulance Charges Extension: The insurer will cover the transportation expenses, provided the insured person requires treatment at a hospital for an injury that occurs due to an accident
- Funeral Expenses: The insurer will reimburse the costs of the funeral expenses in case of the death of the insured due to an accident. The payment under this extension is over and above the sum insured.
Kotak Accident Care Insurance Plan Eligibility Criteria
You can purchase this policy from Kotak Accident General Insurance if you meet the following age criteria:
- Minimum entry age: 5 years
- Maximum entry age: 65 years
If the insured’s age is between 5 and 18 years, the proposer needs to be either of the parent(s)/guardian/employer/administrator. Kotak Accident Care Insurance Plan is issued on an Individual Sum Insured basis.
Free Look Period
A free look period of 15 days applies to this policy from the date of receipt of the policy document to review the terms and conditions. If you disagree with any of the terms and conditions, you can return the policy stating the reasons. If you have not made any claim during the free look period, you will get a refund of the paid premium after a deduction of medical examination expenses and the stamp duty charges. Where the risk has already commenced and you have returned the policy, a deduction towards the proportionate risk premium for the period on cover shall be provided. If only a part of the risk has commenced, such proportionate risk premium commensurates with the risk covered during such period.