Jeevan arogya 1. Jeevan Arogya Plan No: ; 2. Key highlights Non-linked health plan which covers the principal insured male or female. Lic Jeevan Arogya is a distinctive plan which offers the health insurance cover facing certain health risks and in the case of any medical emergency at that.
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LIC’s Jeevan Arogya is arofya unique non-participating non-linked plan which provides health insurance cover against certain specified health risks and provides you with timely support in case of medical emergencies and helps you and your family remain financially independent ejevan difficult times.
In these days of skyrocketing medical expenses, when a family member is ill, it is a traumatic time for the rest of the family. As a caring person, you do not want to let any unfortunate incident to affect your arlgya for you and your family. So why let any medical emergencies shatter your peace of mind. Choose the level of Health cover you need: You can choose the amount of Initial Daily Benefit i. This is the amount that will be payable to you in the event of hospitalisation in the first year on a per day basis.
Work out the premium payable along with our representative Your premium will depend on your age, gender, the Health cover option you have chosen, whether you are Principal Insured or other insured life and the mode of payment. Premiums indicated are exclusive of Service Tax Who can be insured?
You as Principal Insured PIyour spouse, your children, your parents and parents of your spouse can all be insured under one policy. The minimum and maximum age at entry is as under:. How long are each insured under this policy? Each of the insured are covered for Health risks up to age Children are insured up to age 25 years.
Jeevan Arogya (Plan no – ) Lic’s Health Plan – Lic Universe
A Hospital Cash Benefit: During the first year of cover commencement in respect of each insured, the Applicable Daily Benefit shall be the Initial Daily Benefit amount chosen by you and mentioned in the policy Schedule. Such increase in the Applicable Daily Benefit shall be effected on each policy anniversary during the Cover Period and shall continue until it attains a maximum amount of 1.
Thereafter, this amount in each Policy Year in future shall remain at that maximum level attained. G below provided the policy attracts and is eligible for it. For members included subsequently under the policy, the benefit in the first year shall be equal to Initial Daily Benefit amount and thereafter the Applicable Daily Benefit shall increase as above.
If any of the member insured is required to stay in an Intensive Care Unit of a hospital, two times the Applicable Daily Benefit will be payable subject to benefit limits and conditions mentioned in Para 11A and exclusions mentioned in Para 15 below. During one period of 24 continuous hours i. No benefit will be payable for the first 24 hours of hospitalisation.
However, for every Hospitalization that extends for a continuous period of 7 days or more, the Daily Hospital Cash Benefit would also be paid for first 24 hours day one of hospitalization, regardless of whether the Insured was admitted in a general or special ward or in an intensive care unit.
B Major Surgical Benefit: In the event of an Insured under this plan, due to medical necessity, undergoing one of the surgeries defined in Major Surgical Benefit Annexure, within the cover period in a hospital due to Accidental Bodily Injury or Sickness, the respective benefit percentage of the Major Surgical Benefit Sum Assured, as specified against each of the eligible surgeries mentioned in Major Surgical Benefit Annexure, shall be paid subject to benefit limits and conditions mentioned in Para 11B and exclusions mentioned in Para 15 below.
C Day Care Procedure Benefit: In the event of an Insured under this Plan undergoing any specified Day Care Procedure mentioned in the Day Care Procedure Benefit Annexure due to medical necessity, a lump sum amount equal to 5 five times the Applicable Daily Benefit shall be paid, regardless of the actual costs incurred, subject to benefit limits and conditions mentioned in Para 11C and exclusions mentioned in Para 15 below.
D Other Surgical Benefit: F Premium Waiver Benefit: In the event that a Major Surgical Benefit falling under Category 1 or Category 2 as mentioned in the Major Surgical Benefit Annexure is payable in respect of any Insured covered under the policy, the total annualized premium i. G No claim benefit: A no claim benefit will be paid in the event that during the period between Date of Commencement of policy and next Automatic Renewal Date or between two Automatic Renewal Dates described in Para 4 below there are no claims in respect of any Insured covered under your policy.
You may pay premiums regularly at yearly or half-yearly intervals over the term of the policy. The premium in respect of each individual will be payable from the date of entry into the policy till the date of exit from the policy and will depend on the age of the insured member, the level of Hospital Cash Benefit HCB chosen, whether the insured member is Principal Insured or any other Insured life in case of cover for more than one member in a policy.
LIC Jeevan Arogya (T 904)- All details with premium and benefit calculators
The level of premium for Principal Insured and the other insured members shall be different for the same age and same level of cover. The premiums are guaranteed for 3 years from the date of commencement of policy. The rates applicable on every Automatic Renewal Date shall be guaranteed for a further period of 3 years i.
The premium rates zrogya respect of each insured member on renewal will be based on age of that member at the time of inclusion into the policy.
The total premium to be charged for a policy will be the sum of premiums in respect of each member to be covered in that policy. The installment premium will be guaranteed in respect of each Insured for a period of 3 years from the Date of Commencement of the policy, i. These premium due dates, at the end of every third policy anniversary, starting from the date of commencement of policy till the date of cover expiry, on which the jedvan premiums are reviewable, will be referred as Automatic Renewal Dates in jervan of all Insured in the Policy.
A Cover to new additional members: Enhanced premium shall be due from such policy anniversary. arotya
If the age of legally adopted child on the date of adoption is more than 3 months, the child can be covered from policy anniversary coinciding with or jeeevan following the date of adoption. Enhanced premiums shall be due from such policy anniversary. Inclusion of each additional member will be on payment of enhanced premiums and subject to various terms and conditions of the plan.
Any addition of new lives shall be allowed by the PI only. After the death of PI, no addition will be allowed. Addition in any other case will not be allowed. The existing spouse, parents, parents- in-law and children, if not covered at the time of taking policy, shall not be covered under the policy. If both of the parents father and mother are alive and are eligible for cover, then either both of them will have to be covered or none of them will be covered.
The PI will not have any option to choose one of them. The same condition will apply for parents-in- law also at the time of purchasing a policy or on addition of new members under an existing policy.
B Option to migrate: Children covered under this plan shall have the option to take a suitable new health insurance policy subject to underwriting at the end of the specified exit age or at the renewal of the policy after completion of 18 years of age.
The outstanding Waiting periods and outstanding period of any Exclusion will however apply under the new policy. C Quick Cash facility: This will be, however, subject to approval from the Corporation, and the advance amount will be adjusted from the final settlement of MSB claim amount.
This facility of advance payment could be availed by submitting your Bank Account details in the prescribed format. The amount of advance shall be credited to your bank account directly. In case of unfortunate death, an amount equal to Term Assurance Sum Assured will be payable on death during the term for which Term Assurance Rider is opted for. In case of unfortunate death due to an accident, an amount equal to Accident Benefit Sum Assured shall be payable.
The additional premium for this benefit will not be required to be paid on and after the Policy anniversary on which the Term Assurance Rider ceases.
Further, included children shall be covered for equal benefits. Maximum number of days in ICU is restricted to 15 days in year 1 and to 45 days thereafter.
A Death Benefit under the basic plan: No death benefits will be payable on the death of any Insured unless any of the Rider Benefits mentioned above has been opted for. In such case, the premium for the Insured Spouse will change from the date coinciding with or following instalment premium due date and the new premium would be based on tabular premium rates applicable for PIs and the age for calculation of revised premium rate will be the age at entry of the spouse. If the option is not exercised at the beginning of the contract, the Insured Spouse will not become PI and the policy will terminate.
In respect of these other Insured:. The new policy will be issued without any underwriting if the new policy is bought within 90 days of the termination of the existing Policy. In the event of death of an Insured person other than the Principal Insured, the policy will continue after removal of the Insured and change in premium will apply from the instalment premium due date coinciding with or next following the date of intimation of death of the Insured. C Discontinuance of premiums: A grace period of one month but not less than 30 days will be allowed for payment of yearly or half yearly premiums.
If premium is not paid before the expiry of the days of grace, the Policy lapses and all the benefits payable under this plan will cease. A lapsed policy may be revived by the PI within a period 940 2 years from the due date of first unpaid premium but before the expiry of cover in respect srogya PI, on submission of proof of continued insurability to the satisfaction of the Corporation and the payment of all the arrears of premium together with interest at such rate as may be fixed by the Corporation from time to time.
The Corporation reserves the right to accept at original terms, accept with modified terms or decline the revival of a discontinued policy.
The revival of the discontinued policy shall take effect only after the same is approved by the Corporation and is specifically communicated to the PI. Waiting periods and Exclusions, as described in Para 14 and 15 respectively, will apply on revival. The Principal Insured may need to provide satisfactory evidence of good health in respect of each Insured as required by the Corporation, at his own expense.
No benefit will be jsevan for an event that occurred during the lapse period till the Date of Revival when the Policy was in a discontinued state. Further, if the Automatic Renewal Date falls between the revival period and revival is done after the Automatic Renewal Date, the premium jwevan and after the Automatic Renewal Date may be 094.
The Corporation will cancel the policy and return the premium paid subject to the following deductions: Upon attainment of this limit ejevan an Insured, the Hospital Cash Benefit in respect of that Insured shall cease immediately. If more than one Surgery is performed on the Insured, adogya the same incision or by making different incisions, during the same surgical session, the Corporation shall only pay for that Surgery performed in respect of which the largest amount shall become payable.
The Major Surgical Benefit shall be paid as a lump sum as specified for the benefit concerned and is subject to providing proof of Surgery to the satisfaction of the Corporation. All Jeevah Procedures claimed should be confirmed as essential and required, by a qualified Physician or Surgeon, to the satisfaction of the Corporation. The Major Surgical Benefit will be payable only after the Corporation is satisfied on the basis of medical evidence that the specified Surgery covered under the Policy has been performed.
The amount in lieu of ambulance expenses shall be payable only once in respect of each Insured in any Policy Year and is subject to providing satisfactory evidence to the Corporation. If the total amount paid in respect of an Insured equals this lifetime maximum limit, the Major Surgical Benefit in respect of that Insured will cease immediately. The Benefit Limits specified in the above clauses argya respect of an Insured under this Policy, shall solely and exclusively apply to that Arogyaa.
The Major Surgical benefit for any surgery cannot be claimed and shall not be payable more than once for the same surgery during the arohya of jeevab policy. If more than one Day Care Procedure is performed on the Insured, through the same incision or by making different incisions, during the same surgical session, the Corporation shall only pay for one Day Care Surgical Procedure.
The Day Care Procedure Benefit shall be paid as jeegan lump sum and is subject to providing proof of Surgery to the satisfaction of the Corporation. The Day Care Procedure Benefit will be payable only after the Corporation is satisfied on the basis of medical evidence that the specified Surgical Procedure covered under the policy has been performed. If the number of Surgical Procedures eligible for the Jeegan Care Procedure Benefit in respect of an Insured equals this lifetime maximum limit, the Day Care Procedure Benefit in respect of that Insured will cease immediately.
If more than one Surgical Procedure is performed on the Insured, through the same incision or by making different incisions, during the same surgical session, the Corporation shall only pay for one Surgical Procedure.
The Other Surgical Benefit shall be paid as a Daily Benefit and is subject to providing proof of Surgery to the satisfaction of the Corporation.