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Claim Process
Get TPA Details
Good Health TPA Services Ltd.
United Healthcare Parekh TPA Pvt. Ltd.
Medi Assist India TPA Pvt. Ltd.
MD India Healthcare (TPA) Services (Pvt.) Ltd.
Paramount Health Services (TPA) Pvt. Ltd.
E Meditek (TPA) Services Ltd.
Heritage Health TPA Pvt. Ltd.
Focus Healthservices TPA Pvt. Ltd.
Medicare TPA Services (I) Pvt. Ltd.
Family Health Plan (TPA) Ltd.
Raksha TPA Pvt. Ltd.
Vidal Health TPA Private Limited
Anyuta TPA in Healthcare Pvt. Ltd.
East West Assist TPA Pvt. Ltd.
Med Save Health Care TPA Ltd.
Genins India TPA Ltd.
Alankit Health Care TPA Limited
Health India TPA Services Private Limited
Vipul Med Corp TPA. Pvt. Ltd.
Park Mediclaim TPA Private Ltd.
Safeway TPA Services Pvt. Ltd
Anmol Medicare TPA Ltd.
Dedicated Healthcare Services TPA (India) Private Limited,
Grand Healthcare Services TPA Private Limited
Rothshield Healthcare (TPA) Services Limited
Sri Gokulam Health Services TPA (P) Ltd.
Spurthi Meditech TPA Solutions Pvt. Ltd
Happy Insurance TPA Pvt. Ltd.
Ericson TPA Healthcare Pvt. Ltd.
Health Insurance TPA of India Ltd
Bajaj Allianz General Insurance Co.Ltd.
Reliance General Insurance Co.Ltd.
Star Health and Allied Insurance Co.Ltd.
IFFCO Tokio General Insurance Company Limited
Universal Medi-Aid Services Ltd.
Future Generali India Insurance Co. Ltd.
HDFC General Insurance Co. Ltd
Cholamandalam MS General Insurance Co. Ltd.
ICICI Lombard Health Care
HDFC Ergo Health Insurance
Care Health Insurance Company Limited
Niva Bupa Health Insurance
Tata AIG Health Claim.
Sixty Plus Mediclaim
Quick Links :
--Plans for Individauls--
Mediclaim 2012 - Individual ( Old)
Janata Mediclaim
Mediclaim 2007
Senior Citizen Mediclaim Policy
Mediclaim Policy 2017 - Individual
Mediclaim Nu
Top Up Mediclaim Individual
Sixty Plus Mediclaim
Global Mediclaim
Cancer Guard
Arogya Sanjeevani Individual
Corona Kavach Individual
--Plans for Families--
Floater Mediclaim (old)
Asha Kiran
Top Up Mediclaim Floater
Premier Mediclaim Policy Floater
Good Health
Floater Mediclaim Policy
Arogya Sanjeevani Floater
Corona Kavach Floater
Synopsis:
Policy is primarily designed for Senior Citizens.Senior citizen and his/her spouse can be covered on individual basis in one policy and at least one member should be a senior citizen
Highlight:
Sum Insured: 2,3 & 5 Lakhs
Entry age for the policy is 60-80 Years.
If only a single women senior citizen gets covered under the policy, then a discount of 5% will be given on the primary member’s premium.
Co-Pay of 10% is mandatory. For an additional co-pay of extra 10% i.e. for the total co-pay of 20% a discounted premium will be charged.
Attendant benefit of maximum of Rs. 800/day or actuals whichever is less, up to Rs. 5,000/-, Rs. 7,000/- &Rs. 10,000/- per hospitalization for 2,3 & 5 Lakhs respectively will be given after providing relevant support documents.
Children can take the Policy for their Parents for availing higher tax benefit under 80D for senior citizens.
If both the Husband and wife are covered under one policy, where one of them is above 60 Years of age then the other can be below 60 Years of age.
In the event of unfortunate death of one of the insured or the spouse, then the other person can continue under the policy even if he/she is under 60years of age.
For fresh policies Health Checkup is Mandatory.If the proposal is accepted then 50% of the cost of medical checkup will be reimbursed.
Benefit:
Title
Description
Ambulance Expenses
1% of SI per hospitalization
Attendant Allowance
Attendant Benefit of up to Rs. 5000/-, Rs. 7000/- and Rs, 10,000/- per hospitalization for the Sum Insured of Two, Three and Five Lakhs respectively subject to the limit of Maximum Rs. 800 per day or actuals whichever is less.
Co-Payment
10% co-pay is mandatory.Voluntary Extra co-pay of 10% i.e a total co-pay of 20%
Donor Expenses
Covered
ICU Daily Rent Limit
2% of Sum Insured
Minimum Hospitalization Period
24 hours
No Claim Bonus
No cumulative bonus
Non-Allopathic Treatments
Not covered
Post Hospitalization Expenses
60 days
Pre-Existing Disease / Illness coverage
After 48 months of continuous coverage
Pre-Hospitalization Expenses
30 days
Room Rent Limit
1% of Sum Insured