critical illness insurance policy

Download Critical Illness Insurance Policy

Post on 05-Dec-2014

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Critical illness policy covers 20 critical illnesses, lump sum payment on survival of over 30 days and renewal discount of 5% for every claim free year, No medical checkup required upto 45 years of age. This Policy provides for comprehensive coverage in case the Insured Person is diagnosed with any of the covered critical illnesses.

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  • 1. Smart Health Critical Illness Insurance Policy 1
  • 2. Agenda Need for Critical Illness Insurance? Scope of Cover Section I - Hospitalisation expenses payment/ reimbursement Section 2 Payment of Compensation Add-on Covers Policy Features Exclusions Key Features For more detail about our products please visit us at www.bharti-axagi.co.in or call us at 080-49010200
  • 3. Need for Critical Illness Threat of facing a major ailment is always present Increased probability due to modern life-style factors - Long working hours - Stress at work - Lack of physical exercise - Irregular meal patterns - Junk foods habits - Alcohol consumption - Smoking habits 40s is the new 50s - The average age of people facing such major illnesses have been falling over the years - Critical illnesses can occur to young people as well - Often comes in an unexpected manner - Rising occurrences of diabetes, blood pressure etc in people in the 30s and 40s For more detail about our products please visit us at www.bharti-axagi.co.in or call us at 080-49010200
  • 4. Potential Financial Impacts 1. Increasing treatment costs to deal with - Advanced technology, specialised experts etc Savings that one has worked very hard to build can be wiped out 3. Potential Loss of Income 2. - in case a critical illness occurs to the breadwinner of the family 4. For more detail about our products please visit us at www.bharti-axagi.co.in or call us at Ad-hoc expenses 080-49010200
  • 5. Why Critical Illness Insurance? Specialized product only for critical illnesses Product can be taken as a stand-alone cover It can also act as a supplement to ones existing health insurance cover Illustration: Mr .X has taken a health insurance cover of Rs. 2 Lakh for his family. He, unfortunately, needs to undergo bypass surgery This Sum Insured can be fully consumed or prove to be insufficient for treatment costs. Plus, the familys health insurance cover would also be exhausted. In case Mr.Xs son meets with an accident, there will not be any Sum Insured left Solution: He can either take a critical illness policy to cover hospitalisation expenses in which case he can claim from this Policy and keep his health insurance policy intact Or he can take a critical illness policy on benefit basis in which case he can claim from his health insurance policy for hospitalisation expenses and then claim under the critical illness policy for compensation For more detail about our products please visit us at www.bharti-axagi.co.in or call us at 080-49010200
  • 6. Agenda Need for Critical Illness Insurance Scope of Cover Section I - Hospitalisation expenses payment/ reimbursement Section 2 Payment of Compensation Add-on Covers Policy Features Exclusions Plan Options Product Comparison with Competitors Key Features For more detail about our products please visit us at www.bharti-axagi.co.in or call us at 080-49010200
  • 7. Scope of Cover This Policy provides for comprehensive coverage in case the Insured Person is diagnosed with any of the covered critical illnesses. The coverage is available in two options: Section I: Payment/Reimbursement of Hospitalisation Expenses for treatment of critical illness (Or) Section II : Payment of Compensation For more detail about our products please visit us at www.bharti-axagi.co.in or call us at 080-49010200
  • 8. Critical Illnesses The list of critical illnesses covered under the Policy are: 11. End Stage Liver Failure 1. Cancer 12. Coma 2. First Heart Attack 13. Major Burns 3. Coronary Artery Disease 14. Major Organ/Bone Marrow 4. Coronary Artery Bypass Transplantation surgery 15. Multiple Sclerosis 5. Heart Valve Surgery 16. Fulminant Hepatitis 6. Surgery to Aorta 17. Motor Neurone Disease 7. Stroke 18. Primary Pulmonary 8. Kidney Failure Hypertension 9. Aplastic Anaemia 19. Terminal Illness 10. End Stage Lung Disease 20. Bacterial Meningitis First product in India to cover 20 critical illnesses For more detail about our products please visit us at www.bharti-axagi.co.in or call us at 080-49010200
  • 9. Agenda Need for Critical Illness Insurance Scope of Cover Section I - Hospitalisation expenses payment/ reimbursement Section 2 Payment of Compensation Add-on Covers Policy Features Exclusions Plan Options Product Comparison with Competitors Key Features For more detail about our products please visit us at www.bharti-axagi.co.in or call us at 080-49010200
  • 10. Section I - Hospitalisation expenses Payment/ Reimbursement This Section provides for payment or reimbursement of hospitalisation expenses incurred by the Insured for treatment of defined Critical Illnesses at any Hospital/ Nursing Home in India as an inpatient This is available upto the Sum Insured opted by the Insured. For more detail about our products please visit us at www.bharti-axagi.co.in or call us at 080-49010200
  • 11. Section I - Hospitalisation expenses Payment/ Reimbursement This Section offers the following benefits: Hospitalisation Benefit Pre Hospitalisation Expenses Post Hospitalisation Expenses Dread Disease Recuperation Transplantation of Organs For more detail about our products please visit us at www.bharti-axagi.co.in or call us at 080-49010200
  • 12. Hospitalisation Expenses This benefit provides cover for payment or reimbursement of hospitalisation expenses that are reasonably and necessarily incurred for treatment of Critical Illness in a Hospital in India. This, among other things, includes: Hospital (Room & Boarding and Operation theatre) charges, admission and registration charges in the Hospital Fees of Surgeon, Anaesthetist, Nurses, Specialists, Cost of diagnostic tests, medicines, blood, oxygen, appliances like pacemaker, artificial limbs, organs etc. A minimum period of 24 hours of hospitalisation is required for this benefit to be payable. This cover is available up to the limit of Sum Insured opted by the Insured For more detail about our products please visit us at www.bharti-axagi.co.in or call us at 080-49010200
  • 13. Pre and Post Hospitalisation Expenses Pre-Hospitalisation Expenses This benefit provides for payment or reimbursement of pre hospitalisation expenses incurred for a period of 30 days prior to hospitalisation Post-Hospitalisation Expenses This benefit provides for payment or reimbursement of pre hospitalisation expenses incurred for a period of 60 days after discharge from hospital For more detail about our products please visit us at www.bharti-axagi.co.in or call us at 080-49010200
  • 14. Dread Disease Recuperation Payment of an allowance towards Recuperation expenses incurred by the Insured Person post discharge from the Hospital, where he/she undertakes treatment for any of the covered critical illnesses, as an in-patient. This benefit is payable for 60 days subject to medical requirement as certified by the attending Medical Practitioner. For more detail about our products please visit us at www.bharti-axagi.co.in or call us at 080-49010200
  • 15. Transplantation of Organs Payment or reimbursement of hospitalisation expenses incurred towards donor for a major organ transplant in case the Insured Person contracts any of the covered critical illnesses requiring major Organ Transplantation surgery and the Insured Person undergoes surgery and treatment in a Hospital as an inpatient. For more detail about our products please visit us at www.bharti-axagi.co.in or call us at 080-49010200
  • 16. Agenda Need for Critical Illness Insurance Scope of Cover Section I - Hospitalisation expenses payment/ reimbursement Section 2 Payment of

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