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Bank Name

Name of scheme

Insurer

Andhra Bank

AB Arogyadaan Scheme

United India Insurance Co Ltd

Bank of Baroda

BarodaHealth

National Insurance Co Ltd

Bank of India

BOI National Swasthya Bima policy

National Insurance Co Ltd

Bank of Maharashtra Mahabank Swsthya Yojana

Canara Bank

CanMediclaim

United India Insurance Co. Ltd

United India Insurance Co. Ltd

Corporation Bank

Corp Mediclaim

New India Assurance Company Ltd.

Indian Bank

IB Arogyaraksha

United India Insurance Co. Ltd

Indian Overseas Bank IOB Health Care Plus

Universal Sompo General Insurance Company Ltd

Oriental Bank Mediclaim


Oriental Bank of Commerce

Oriental Insurance Company Ltd

Punjab National Bank Royal Mediclaim

Oriental Insurance Company Ltd

Comment

Eligibility

Policy type

Family floater
coverage

Minimum
entry age

Maximum
entry age

Account holders only

Plan 1 - self, spouse, 2 dependent


children
Plan 2 - Plan 1 +Parents of prime
holder

Yes

5 years (3
months if both
parents are
covered
concurrently)

60 years

Account holders only

Self and family (spouse+ 2 dependent Yes


children)

3 months

65 years

Account holders, staff and cardholders Self and family (spouse+ 2 dependent Yes
children)

3 months

65 years

Account holders with initial deposit


applicable to SB accounts

Plan A Account holder, Spouse and


2 dependent children (1+3)
Plan B - Plan A + parents (1+5)

Yes

5 years (3
months if both
parents are
covered
concurrently)

65 years

Account holders of the Bank i.e.


Plan A Account holder, Spouse and
Deposits as well as loan, including
2 dependent children (1+3)
employees, ex-employees and Cancard Plan B - Plan A + parents (1+5)
holders

Yes

5 years (3
months if both
parents are
covered
concurrently)

60 years

Account holders only

Self and family (spouse+ 2 dependent Yes


children)
4 Plans depending on the age of the
senior most member of the family

3 months

65 years

Account holders

Self and family (spouse+ 2 dependent Yes


children+parents)
3 Plans as under:
i) Plan A upto 35 years*
ii) Plan B upto 65 years*
iii) Plan C upto 80 years*
(* Based on the age of the eldest
person in the group)
Self and family (spouse+ 2 dependent Yes
children); Parents can be included for
additional premium

3 months

80 years

18 years

65 years

Account holders only

Self and family (spouse+ 2 dependent Yes


children)

3 months

79 years

Account holders and employees

Self and family (spouse+ 2 dependent Yes


children)

3 months

80 years

Saving bank, Cumulative deposit


Account holders, including NRIs

Option to include parents available


with: Andhra Bank, Bank of
Maharashtra, Canara Bank, Indian
Bank, IOB

Higher entry age


for Indian Bank,
Oriental Bank of
Commerce and
Punjab National
Bank; Lower age
for Andhra
Bank, Canara
Bank

Maximum age Minimum Sum


on renewal
Assured
80 years

100,000

Maximum Sum Premium per annum


Assured
(for a sum insured of Rs. 3 lakhs)

Pre-hospitalization
time period

500,000 Plan 1 - Rs.6,874


Plan 2 - Rs.11,587

30 days

80 years, at a
premium
loading of 25%

50,000

500,000 Upto 65 years - Rs. 4,734


Upto 80 years - Rs. 5,917

30 days

80 years, at a
premium
loading of 25%

50,000

500,000 Rs. 4,729

30 days

80 years

50,000

500,000 Plan A - Rs. 4,875


Plan B - 8,120

30 days

80 years

50,000

500,000 Plan A - Rs. 4,870


Plan B - 8,131

30 days

70 years

50,000

500,000 Plan 1: Age of senior most family member 30 days


-35 years: Rs. 3,526
Plan 2: Age of senior most family member36-45 years: Rs. 3,832
Plan 3: Age of senior most family member46-55 years: Rs.4,873
Plan 4: Age of senior most family member56-65 years: Rs. 5,605
Plan 5: Age of senior most family member66-70 years: Rs.6,752
Premium is for four family members and
is exclusive of service tax and Rs.250
bank charges

80 years

50,000 10,00,000
(subject to
certain
restrictions for
Plan C)

80 years

50,000

500,000 Rs. 6,261


NA
(For a family of four, without Personal
Accident cover; Age of senior most family
member: 36-45 years)

79 years

100,000

500,000 Rs 4,620

80 years

100,000

500,000

Not specified

NA

30 days

Rs. 4,536 30 days

Highest sum
assured option
available with
Indian Bank

Most banks charge a flat premium


irrespective of age;
Andhra Bank - Premium comparatively
high
Corporation Bank and IOB charge
premium according to age- high premium
in Corporation Bank if you are above 55
years
Indian Overseas Bank - premium is high
compared to peers
Cheapest premium available with Bank of
Baroda, Bank of India, Punjab National
Bank and Oriental Bank of Commerce

Post-hospitalization
time period

Pre-existing diseases
coverage

Medical check-up

Minimum
Waiting period
hospitalization period

60 days

3 years from start of


policy, if there is no
hospitalization during
this time

Not specified

24 hours, subject to
certain exceptions

30 days

60 days

3 years

No

24 hours

30 days except
accidental injury

60 days

3 years

No

24 hours, subject to
certain exceptions

30 days except
accidental injury

60 days

3 years from start of


policy, if there is no
hospitalization during
this time

No, upto 45 years

24 hours

30 days

60 days

3 years from start of


policy, if there is no
hospitalization during
this time

No

NA

30 days

60 days

4 years from start of


policy, if there is no
hospitalization during
this time

NA

No, upto 55 years

NA

30 days except
accidental injury

3 years from start of


No
policy, if there is no
claim during this period

NA

30 days except
accidental injury

NA

3 years from start of


No
policy, if there is no
claim during this period

NA

30 days except
accidental injury

60 days

3 completed years

No

24 hours, subject to
certain exceptions

30 days

60 days

NA

No

24 hours, subject to
certain exceptions

30 days

Corporation Bank has


higher time period for
pre-existing diseases

Cashless facility

Claim considered
same illness if

Maximum time to
submit bills on
discharge
30 days

Available in network
hospitals

Relapse within 105


days of date of
discharge

Available in network
hospitals

NA

Available in network
hospitals

Relapse within 45 days Not specified


of date of last
consultation with
doctor

Available in network
hospitals

NA

Not specified

Available in network
hospitals

Relapse within 105


days of date of
discharge

Not specified

Not specified

Available in network
hospitals

NA

Not specified

Available in network
hospitals

NA

Not specified

Available in network
hospitals

NA

Not specified

Available in network
hospitals

Relapse within 105


days of date of
discharge

7 days

Available in network
hospitals

Relapse within 105


days of date of
discharge

7 days

Most banks are silent


on this; Bank of India
has a shorter time
period for 'new illness'
but it is from the date
of last consultation
with the doctor, which
can be beneficial

Expenses limit

1) Room, boarding, nursing: 1% of sum insured per day


2) ICU: 2% of sum insured
3) Specific sublimits for certain diseases
4) Pre&post hospitalization expenses: 10% of sum insured
5) 20% of all admissible claims will be deductible towards co-payment
of the claim.
1) Ambulance charges and Out of pockets expenses: Rs.1000/- each per
policy period.
2) Health check-up: 1% of sum insured after completion of three
continuous claim free years

1) Ambulance charges and Out of pockets expenses: Rs.1000/- each per


policy period
2) Health check-up: 1% of sum insured after completion of three
continuous claim free years
3) Maternity Benefit and Baby Care Expenses: 5% of the sum insured.
4) Funeral expenses: Rs.1000/- over and above the sum insured

1) Ambulance charges and Out of pockets expenses: Rs.1000/- each per


policy period
2) Health check-up: 1% of sum insured after completion of three
continuous claim free years
3) Maternity Benefit and Baby Care Expenses: 5% of the sum insured.
4) Funeral expenses upto Rs 1,000/- in case of insured donating eye(s)

1) Ambulance charges and hospital cash: Rs.1000/- each per policy


period.
2) Health check-up: 1% of sum insured after completion of three
continuous claim free years
3) Funeral expenses: Rs 1,000/- in case of insured donating eye(s)
5) Maternity benefits and baby care : 5% of sum insured

1) Ambulance charges upto Rs.1000/- per policy period.

Not specified

1) Ambulance charges and out of pocket expenses: Rs.1000/- per


policy period.
2) Health check-up: 1% of sum insured after completion of three
continuous claim free years
3) Maternity Benefit and Baby Care Expenses:5% of the sum insured.
4) Funeral expenses:Rs.1000/- over and above the sum insured

1) Room, boarding, nursing: 1% of sum insured per day


2) ICU: 2% of sum insured per day or Rs. 10,000 whichever is less
3) Ambulance charges: 1% of sum assured per policy period
4) Hospital cash: Upto 1,000 per policy period
5) Funeral expenses: 1,000 during the policy period

1) Room, boarding, nursing: 1% of sum insured per day of Rs. 5,000


whichever is less
2) ICU: 2% of sum insured or Rs.10,000 whichever is less
3) Ambulance charges: 1% of sum assured per policy period
4) Hospital cash: Upto 1,000 per policy period
5) Funeral expenses: 1,000 during the policy period

Expenses limit more stringent in Andhra Bank; most other banks have
similar expense limit restrictions

Major exclusions

1)Pre-existing diseases upto 3 years


2) Any disease within 30 days of start of policy
3) Certain treatments done within 1 year of start of policy
4) Alternative treatment
5) Dental treatments
6) Pregnancy related
7) Domiciliary hospitalization benefits
1)Pre-existing diseases upto 3 years
2) Any disease within 30 days of start of policy, except injury out of accident
3) Certain treatments done within 1 year of start of policy
4) Naturopathy treatment
5) Dental treatments
6) Pregnancy related
7) Benefits accrued under previous policies by any other insurance co
8) Domicilary Hostpialization benefits

1)Pre-existing diseases upto 3 years


2) Any disease within 30 days of start of policy, except injury out of accident
3) Certain treatments done within 1 year of start of policy
4) Expenses primarily for diagnosis
5) Naturopathy treatment
5) Dental treatments
6) Benefits accrued under previous policies by any other insurance co
7) Domicilary Hostpialization benefits

1)Pre-existing diseases upto 3 years


2) Any disease within 30 days of start of policy
3) Certain treatments done within 1 year of start of policy
4) Naturopathy treatment
5) Dental treatments
6) Pregnancy related beyond 5% of Sum Insured
7) Domiciliary hospitalization benefits

1)Pre-existing diseases upto 3 years


2) Any disease within 30 days of start of policy
3) Certain treatments done within 1 year of start of policy
4) Naturopathy treatment
5) Dental treatments
6) Treatment arising from or traceable to pregnancy (including voluntary
termination of pregnancy) and child birth including caesarean section
7) Domiciliary hospitalization benefits

1)Pre-existing diseases upto 4 years


2) Any disease within 30 days of start of policy except accidental injury
3) Certain treatments done within 1 year of start of policy
4) Naturopathy treatment
5) Dental treatments
6) Treatment arising from or traceable to pregnancy (including voluntary
termination of pregnancy) and child birth including caesarean section
7) Domiciliary hospitalization benefits

1)Pre-existing diseases upto 3 years


2) Any disease within 30 days of start of policy except accidental injury
3) Certain treatments done with 1 year of start of policy

1)Pre-existing diseases upto 3 years


2) Any disease within 30 days of start of policy except accidental injury
3) Certain treatments done with 1 year of start of policy
4) Domiciliary hospitalization benefits

1)Pre-existing diseases upto 3 years


2) Any disease within 30 days of start of policy, except injury out of accident
3) Certain treatments done with 1 year of start of policy
4) Expenses primarily for diagnosis
5) Naturopathy treatment
6) Dental treatments
7) Treatment arising from or traceable to pregnancy (including voluntary
termination of pregnancy) and child birth including caesarean section
1) Certain treatments done with 1 year of start of policy
2) Expenses primarily for diagnosis
3) Naturopathy treatment
4) Dental treatments
5) Treatment arising from or traceable to pregnancy (including voluntary
termination of pregnancy) and child birth including caesarean section

Maximum exclusions under Andhra Bank, Corporation Bank and Canara Bank
Pregnancy related benefited excluded from Andhra Bank, Bank of Baroda,
Canara Bank, Corporation Bank, Oriental Bank and PNB
Domiciliary hospitalization benefits excluded from Andhra Bank, Bank of
Maharashtra, Corporation Bank, Indian Overseas Bank

Additional covers

Not specified

1) Ambulance charges upto Rs.1000/- per policy period.


2) Out of pockets expenses upto Rs. 1000 per year for hospitalisation
of children below 12 years
3) Health check-up: 1% of sum insured after completion of three
continuous claim free years

1) Ambulance charges upto Rs.1000/- per policy period.


2) Out of pockets expenses upto Rs. 1000 per year for hospitalisation
of children below 12 years
3) Health check-up: 1% of sum insured after completion of three
continuous claim free years
4) Maternity Benefit and Baby Care Expenses: up to 5% of the sum
insured.
6) Funeral expenses: Upto Rs.1000/- over and above the sum insured
7) Domiciliary hospitalization subject to certain conditions
8) Treatment of NRIs in Indian hospitals
9) Treatment in hospitals in Nepal and Bhutan in INR

1) Ambulance charges upto Rs.1000/- per policy period.


2) Hospital cash upto Rs. 1000 per year for hospitalisation of children
below 12 years
3) Health check-up: 1% of sum insured after completion of three
continuous claim free years
4) Funeral expenses upto Rs 1,000/- in case of insured donating eye(s)
5) Maternity benefits and baby care : Upto 5% of sum insured if opted
6) Treatment in Nepal/Bhutan in Indian currency
7) Personal accident - death benefits included, subject to certain
conditions

1) Ambulance charges upto Rs.1000/- per policy period.


2) Hospital cash upto Rs. 1000 per year for hospitalisation of children
below 12 years
3) Health check-up: 1% of sum insured after completion of three
continuous claim free years
4) Funeral expenses upto Rs 1,000/- in case of insured donating eye(s)
5) Maternity benefits and baby care : Upto 5% of sum insured if opted
6) Treatment in Nepal/Bhutan in Indian currency
7) Personal accident - death benefits included, subject to certain
conditions

1) Ambulance charges upto Rs.1000/- per policy period.

Maternity expenses after 9 months of taking first policy for the first
two children only

1) Ambulance charges upto Rs.1000/- per policy period.


2) Out of pockets expenses upto Rs. 1000 per year for hospitalisation
of children below 12 years
3) Health check-up: 1% of sum insured after completion of three
continuous claim free years
4) Maternity Benefit and Baby Care Expenses: up to 5% of the sum
insured.
6) Funeral expenses: Upto Rs.1000/- over and above the sum insured
7) Personal Accident death cover is available for additional premium.
8) Treatment of NRIs in Indian hospitals
9) Treatment in hospitals in Nepal and Bhutan in INR

1) Ambulance charges upto Rs.1000/- per policy period.


2) Out of pockets expenses upto Rs. 1000 per policy period
3) Funeral expenses: Upto Rs.1000/- over and above the sum insured
4) Domiciliary hospitalization subject to certain conditions

1) Ambulance charges upto Rs.1000/- per policy period.


2) Hospital cash upto Rs. 1000 per policy period
3) Health check-up: On completion of four continuous claim free
years, maximum of 1% of average sum insured of the four years
4) Funeral expenses: Upto Rs.1000/- over and above the sum insured
4) Domiciliary hospitalization subject to certain conditions

Maximum additional covers under Bank of India, Indian Overseas


Bank, Bank of Maharashtra and Canara Bank

Closing comment

This plan gives you the option of including your parents. However,
compared to other plans, premium is higher for both the available
plans. Further, though exclusions are in line with peers, there is a
limit on various expense heads not normally seen in peers. Maximum
entry age for new policy is also among the lowest

Premium comparable among peers. However, there is no option to


include parents. Also, there are no maternity benefits available. No
medical check-up needed for any age of insured

Premium is low and many additional covers are available. Maternity


benefits and domiciliary hospitalization benefits are also available.
However, parents are not included. No medical check-up needed for
any age of insured

This plan gives you the option of including your parents. Premium
comparable with peers. Many additional covers are available.
Maternity benefits and personal accident cover is also available.
However medical check-up is needed if you are above 65 years

This plan gives you the option of including your parents. Premium
comparable with peers. Additional covers include Maternity benefits
and personal accident cover. However, domiciliary hospitalization
benefits are not available. No medical check-up needed for any age
of insured.

Premium depends on age of the senior most member in the family. It


works out cheaper than other plans if you are below 45 years.
However, service tax and bank charges are applicable over n above
the premium amount. Further the maximum age for renewal of the
policy is lower than other policies. The pre-existing diseases waiting
period is higher than other policies and medical check-up is needed
above 55 years. Maternity and domiciliary hospitalization benefits
also not available

Parents are included in this plan, but premium depends on age of the
insured. Maternity benefits are available, subject to certain
conditions. The maximum age of entry is higher compared to other
policies. A unique feature is the high amount of cover which can be
taken (Rs. 10 lakhs)

Parents can be included in this plan, but premium depends on age of


the insured. Premium is on the higher side compared to peers, for
similar age group. Personal accident-death cover available at
additional cost. Maternity benefits are available, subject to certain
conditions. But domiciliary hospitalization benefits are not available.
No medical check-up needed for any age of insured.

Premium comparable among peers. However, there is no option to


include parents. Maximum entry age is the highest among peers. No
medical check-up needed for any age of insured. However there are
expense restrictions on room, boarding, nursing and ICU charges.
Maternity benefits are not available. Further, if you take treatment
from a non-network hospital, you should submit bills within 7 days.

Premium comparable among peers. However, there is no option to


include parents. Maximum entry age is the highest among peers. No
medical check-up needed for any age of insured. However there are
expense restrictions on room, boarding, nursing and ICU charges.
Maternity benefits are not available. Further, if you take treatment
from a non-network hospital, you should submit bills within 7 days.
Health check-up costs reimbursed after completion of 4 claim free
years, compared to 3 years among peers.

VERDICT

Avoid due to high premium and other restrictions

Can be taken if parents need not be covered and no need for


maternity benefits

Can be taken if parents need not be covered

Can be taken

Can be taken. Avoid if you need domiciliary hospitalization benefits

Can be taken for lower age, due to lower premium. Else avoid due to
high premium and other restrictions

Can be taken if you want high cover, else avoid

Avoid due to high premium

Can be taken if parents need not be covered and no need for


maternity benefits

Can be taken if parents need not be covered and no need for


maternity benefits

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