Health Insurance June 2, 2021

Raheja QBE Individual Personal Accident Insurance Policy

Raheja QBE Individual Personal Accident Insurance Policy provides you financial protection against accidental injuries. Under this policy, you’ll get coverage against the following eventualities due to accident –

  1. Death
  2. Permanent Total Disablement
  3. Permanent Partial Disablement
  4. Temporary Total Disablement

Read this page below and know about the Raheja QBE Individual Personal Accident Insurance Policy coverage in detail.

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Raheja QBE Individual Personal Accident Insurance Policy Base Cover

You’ll get coverage for the following under this policy:

Accidental Death: The insurer will pay an amount equal to the sum insured if you die during the policy term due to an accident.

Permanent Total Disablement: You’ll receive an amount equal to the sum insured if an accidental injury results in total and irrecoverable loss of –

  1. The sight in both eyes,
  2. Physical separation of two entire hands or two entire feet or one entire hand and one entire foot
  3. The sight of one eye
  4. Entire hand or one entire foot
  5. Use of two hands or two feet
  6. Use of one hand and one foot
  7. The sight of one eye and loss of use of one hand or one foot

Permanent Partial Disablement: In case you suffer from Permanent Partial Disablement due to an accidental injury, a percentage of the sum insured as specified in the policy document shall be payable to you

Temporary Total Disablement: If accidental injury results in Temporary Total Disablement, the insurer will pay 1% of the sum insured or INR 5,000, whichever is less per week, for up to 104 weeks.

Additional Benefits Under Raheja QBE Individual Personal Accident Insurance Policy

In addition to the above-mentioned benefits, you’ll also get compensation in respect of the following:

  1. The insurer will pay 1% of the sum insured or INR 2,500, whichever is less, for transporting the insured’s mortal remains and funeral expenses
  2. The insurer will cover the loss or damage to the insured’s clothing occurred due to an accident, up to INR 1,000
  3. Ambulance charges are covered up to INR 1,000 for transporting the insured to the nearest hospital
  4. Educational assistance for the insured’s dependent children in case of death or permanent total disablement, subject to a maximum of INR 5,000 per dependent child. However, this assistance is limited to two dependent children.
  5. In case of loss of employment due to permanent total disablement, the insurer will pay 2% of the sum insured

Cumulative Bonus

If you haven’t filed any claims under this policy, the insurer will increase the amount payable towards ambulance charges, mortal remains and funeral expenses, educational assistance, permanent total disablement and reimbursement of reasonable medical expenses by 5%. However, the cumulative bonus over all periods of insurance shall not exceed 25% of the sum insured.

Note: The accumulated cumulative bonus shall not be lost if the policy is renewed within the grace period of 30 days.

Raheja QBE Individual Personal Accident Insurance Policy Optional Extension

You can extend the policy coverage by adding the following optional covers:

  1. Medical Expenses Extension: The insurer will reimburse the incurred medical expenses for the treatment of an injury caused by an accident.
  2. Hospital Confinement Allowance: A daily allowance of INR 500 per day will be payable to you for up to 30 days if you get hospitalized due to an accident.

Free Look Period

A free look period of fifteen days applies from the date of receipt of the policy to review its terms and conditions. If you have any objection to the policy terms and conditions, you can return the same stating the reason for it. You’ll be entitled to a refund of the paid premium less medical examination expenses and stamp duty charges, provided you haven’t claimed under this policy. Whereas if the risk has already commenced and the option of return of the policy is exercised by you, a deduction towards the proportionate risk premium for the period on the cover will be made. If only a part of the insurance coverage has commenced, such proportionate premium commensurates with the insurance coverage during the free look period.

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