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Idea Transcript
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CignaTTK Health Insurance Company Limited Plan Name - ProHealth Protect FEMALE (Deductible 200000 )Zone 1 (Mumbai, Thane & Navi Mumbai and Delhi NCR)
Sum Insured
Product Category : Individual Plan Duration
- 1000000
Product Subcategory : High Deductible
: 1 Year
Age Limit at Entry : 4 Months to 99 Years
Age
4 Months to 17
18 to 35
36 to 45
46 to 50
51 to 55
56 to 60
61 to 64
65 to 75
76 to 99
Premium
2773
3316
4803
6679
9428
13334
18302
25134
38220
Plan Features Discount Title
Percentage/Conditions
Long Term Discount
7.5% for opting a 2 year policy
Benefits Special Benefits Benefit Title
Notes/Conditions
Cashless Facility
Cashless facility at 4000+ network hospitals across India.
Room, Boarding and Nursing expenses
Covered upto Sum Insured
Anaesthesia, Blood, Oxygen, Diagnostics, Pace makers
Covered
Intensive Care Benefit
Covered
Cost of Medicines and Drugs
Covered upto Sum Insured
Ambulance charges
Covered upto Rs.2000 per hospitalisation
Pre and Post Hospitalization expenses
Pre-Hospitalisation covered up to 60 days before date of hospitalisation. Post Hospitalisation covered up to 90 days post discharge from hospital
Cumulative Bonus
5% of Sum Insured for each claim free year, max up to 100% of Sum Insured
Health Check Up
Available once in 3 years for insured aged 18 or above
Critical Illness
Lump sum payment of 100% of Basic Sum Insured Opted (*Add on cover)
Day Care Procedures
171 Day care procedures covered
Other Key Benefits
Worldwide Emergency Cover,Expert Opinion On Critical Illness,Healthy Rewards,Deductible on Sum Insured
Other Benefits Benefit Title
Notes/Conditions
Outpatient Treatment Expenses
Reimbursement of Rs.500/- each year to cover out-patient expenses such as doctors consultation,pharmacy expenses or diagnostic tests
Domiciliary Hospitalization
Covered upto Sum Insured
Rider options
Critical Illness Rider (Persons between 18 to 65 years can opt for Critical Illness cover as add-on benefit)
Maternity Expenses
Maternity : Not Covered. New Born Baby : Not Covered
Special Condition Conditions
Notes
Compulsory deduction
200000
Eligibility
Entry age for Adult is 18 years , For Children 91 days,No maximum age limit for entry. Life long Renewal
Pre-acceptance Medical check up
Medical Check-Up Required above 46 years of age.
Preexisting Disease
Covered after 4 years of continuous insurance.
Organ Transplant
Covered up to sum insured
Third party Administrator
No Third Party Administrator, direct in-house claim settlement
Co-Payment
Co-payment of 20% of the claim amount under the policy for insured persons whose age at the time of entry is above 65years
Special Features Features
Notes
Tax Benefits
Income tax benefit on the premium paid as per section 80D of the Income Tax Act
Waiting Period
Any disease contracted during the first 30 days from the commencement of the policy except treatment for accidental injuries. Personal Waiting Period: A Maximum of 48 months of WP can apply as per UW decision for specific ailments as declared at the time of proposal or subsequent diagnosis during Medical Tests. CI Waiting Period : 90 days WP will apply on CI add on cover