What |s the s|tuat|on today

What New
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1he Cost of nea|th care shoot|ng
up exponent|a||y
resent Generat|on spend more on
nea|th Care
9/6/2011 A[ay kumar kurup
Meaf4h tnsuzanoe
HeaIth Insurance pIan must take care..
1) ually Lxpenses ln PosplLal
2) Surglcal Lxpenses
3) CuL aLlenL expenses
4) All expenses ln and ouL of PosplLal
3) Walver of premlum durlng sLay aL PosplLal
6) 8lsk Coverage ln case of any exlgencles
vhether your ex|:t|nq |on offer: o|| the oboue
9/6/2011 A[ay kumar kurup
T3C`s rruan Aregva
9/6/2011 A[ay kumar kurup
LC's Jeevan Arogya gives you..
Ia|uab|e f|nanc|a| protect|on |n case of
hosp|ta||sat|on surgery etc
Increas|ng nea|th cover every year
Lump sum benef|t |rrespect|ve of actua|
med|ca| costs
No c|a|m benef|t
I|ex|b|e benef|t ||m|t to choose from
I|ex|b|e prem|um payment opt|ons
9/6/2011 A[ay kumar kurup
enefits Under Jeevan Arogya
nosp|ta| cash benef|t (nC8)
Ma[or Surg|ca| 8enef|t (MS8)
Day Care rocedure 8enef|t
Cther Surg|ca| 8enef|t
Cther Cpt|ona| benef|ts(W8)
9/6/2011 A[ay kumar kurup
8enef|ts Under Ieevan Arogya
nosp|ta| cash benef|t (nC8)
Ma[or Surg|ca| 8enef|t (MS8)
Day Care rocedure 8enef|t
Cther Surg|ca| 8enef|t
Ambu|ance 8enef|t
rem|um wa|ver 8enef|t (W8)
9/6/2011 A[ay kumar kurup
8enef|ts Under Ieevan Arogya
nosp|ta| cash benef|t (nC8)
Ma[or Surg|ca| 8enef|t (MS8))
Day Care rocedure 8enef|t
Cther Surg|ca| 8enef|t
Ambu|ance 8enef|t
rem|um wa|ver 8enef|t (W8)
9/6/2011 A[ay kumar kurup
8enef|ts Under Ieevan Arogya
nosp|ta| cash benef|t (nC8)
Ma[or Surg|ca| 8enef|t (MS8)
Day Care rocedure 8enef|t
Cther Surg|ca| 8enef|t
Ambu|ance 8enef|t
rem|um wa|ver 8enef|t (W8)
9/6/2011 A[ay kumar kurup
8enef|ts Under Ieevan Arogya
nosp|ta| cash benef|t (nC8)
Ma[or Surg|ca| 8enef|t (MS8)
Day Care rocedure 8enef|t
Cther Surg|ca| 8enef|t
9/6/2011 A[ay kumar kurup
8enef|ts Under Ieevan Arogya
nosp|ta| cash benef|t (nC8)
Ma[or Surg|ca| 8enef|t (MS8)
Day Care rocedure 8enef|t
Cther Surg|ca| 8enef|t
Ambu|ance 8enef|t
rem|um wa|ver 8enef|t (W8)
Cther Cpt|ona| benef|ts
9/6/2011 A[ay kumar kurup
nC8 (W|th|n Ind|a on|y) |s payab|e on per day bas|s Doub|e the cash benef|t for ICU
Max 30 days hosp|ta||zat|on not more than 1S days |n ICU (2 t|mes nC8) for 1
st
po||cy
year for each one
Max 90 days and |nc| not more than 4S days |n ICU |n the 2
nd
year onwards for each
|nsured
L|m|ted to a max of 720 days (|nc| of 360 days for ICU) dur|ng ent|re po||cy term for each
|nsured
nC8 to |ncrease S t||| |t reaches 1S t|mes And ar|thmet|c add|t|on of an amount equa|
to "No C|a|m 8enef|t"
Stay |n nosp|ta| exceeds a cont|nuous per|od of 24 yrs or part thereof thereafter Stay
more than 7 days even for 1s 24 hours a|so payab|e
nosp|ta| Cash 8enef|t (nC8)
Ieature r|nc|pa|
Insured (I)
Insured Spouse(If any)
arents]In |aw
Insured Ch||dren
,ln lnlLlal ually
8eneflL
8s 1000/ 8s 1000/ 8s 1000/
,ax lnlLlal ually
8eneflL
8s 4000/ Lqual or less Lhan l Lqual or less Lhan l
,ax Age for Cover 80 yrs 80 yrs 23 yrs
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9/6/2011 A[ay kumar kurup
Ma[or Surg|ca| 8enef|t(MS8)
Ieature r|nc|pa|
Insured (I)
Insured Spouse(If any)
arents]In |aw
Insured Ch||dren
Sum Assured (,S8
SA)
100 Llmes Au8
of l
100 Llmes of Au8 of
lnsured Spouse
100 Llmes of Au8 of
each chlld
,ax Annual beneflL 100 of Sum
Assured
100 of Sum Assured 100 of Sum
Assured
,ax Llfe 1lme 800 of ,S8 SA 800 of ,S8 SA 800 of ,S8 SA
;u|ck Cash fac|||ty S0 of e||g|b|e MS8 amount sub[ect to
approva| from 1A |n se|ect nosp|ta|s
MS8 sha|| be a percentage of Sum Assured and |s payab|e
regard|ess of actua| costs |ncurred
ks 1000] towards Ambu|ance expenses
rem|um Wa|ver benef|t for next one year
Surgery w|th|n Ind|a
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9/6/2011 A[ay kumar kurup
uay Care rocedure 8eneflL (uC8)
Ieature r|nc|pa|
Insured (I)
Insured Spouse(If any)
arents]In |aw
Insured Ch||dren
Lump sum beneflL
payable
3 Llmes of Au8
ln PC8
3 Llmes of Au8 ln PC8 3 Llmes of Au8 ln
PC8
,ax Annual beneflL
3 Surglcal rocedures
,ax Llfe 1lme
24 Surglcal rocedures
If a DC8 |s performed no nC8 sha|| be pa|d
DC8 |s payab|e as one |ump sum and proof of surgery |s
requ|red
A|| surg|ca| procedures shou|d be done by a hys|c|an or Surgeon
to the sat|sfact|on of the Corporat|on
No transfer of |eft over benef|t to other |nsured
Surgery w|th|n Ind|a
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9/6/2011 A[ay kumar kurup
Cther Surg|ca| 8enef|t (CS8)
Ieature r|nc|pa|
Insured (I)
Insured Spouse(If any)
arents]In |aw
Insured Ch||dren
ually 8eneflL amounL 2 Llmes of Au8 2 Llmes of Au8 2 Llmes of Au8
,ax Annual beneflL
13 uays ln ?ear 1 and 43 days per year LhereafLer
,ax Llfe 1lme
360 days
CS8 |s payab|e as da||y benef|t
roof of surgery done by a hys|c|an or Surgeon |s sub[ect to the
sat|sfact|on of the Corporat|on
No transfer of |eft over benef|t to other |nsured
Surgery requ|red but not ||sted under MS8 or DC8
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9/6/2011 A[ay kumar kurup
ther ptions
%erm Rider enefit
Min Term Assurance SA: Rs. 100000/-
Max Term Assurance SA: EquaI to MSBSA
Min Entry Age: 18 Years compIeted
Max Entry Age: 50 Years NBD
Max Maturity Age: 60 Years NBD
Max Term: 35 Years
(SA be in multiples of Rs. 25000/-)
Accident enefit Rider
Min A SA: Rs. 25000/-
Max A SA: Equal to
%erm Assurance SA
A SA shall be in multiples of Rs. 5000/-
9/6/2011 A[ay kumar kurup
ther Benefits ConLd
ueaLh 8eneflL
No doalh lonofil unIoss TA Ridoi lonofil is oplod foi
Cn deaLh of Lhe rlnclpal lnsured(l)
5urvIvIng Insurcd 5pnusc wI!! bccnmc PI, If a!rcady nptInn gIvcn at thc
bcgInnIng nf cnntract
If thc Insurcd 5pnusc had prcdcccascd thc PI, Thcn thc nthcr Insurcd
wI!! havc thc nptInn tn takc ncw pn!Icy nn fn!!nwIng cnndItInns
Thc ncw pn!Icy wI!! bc Issucd wIthnut any undcrwrItIng If thc ncw pn!Icy Is
bnught wIthIn 90 days nf thc tcrmInatInn nf thc cxIstIng pn!Icy
Thc maxImum cntry agc wI!! nnt app!y fnr thc ncw pn!Icy
Thc nutstandIng WaItIng pcrInds and nutstandIng pcrInd nf any Exc!usInn
wI!! hnwcvcr app!y undcr thc ncw pn!Icy
Othcr tcrms and cnndItInns Inc!udIng prcmIum ratcs wI!! bc as app!Icab!c fnr
thc ncw pn!Icy
,aLurlLy 8eneflL n bcncfIts arc payab!c at thc cnd nf thc cnvcr pcrInd
9/6/2011 A[ay kumar kurup
s even for 1s 24 hours a|so payab|e
EIigibiIity Conditions
Ieature r|nc|pa|
Insured
(I)]Insured
Spouse
arents arents|n
|aw
Insured Ch||dren
,lnlmumLnLry Age 18 ?rs L8u 18 ?rs L8u 3 ,onLhs(CompleLed)
,axlmum LnLry Age 63 ?rs L8u 73 ?rs L8u 17 ?rs L8u
,ax Cover ceaslng
age
80 ?rs 80 yrs 23 yrs
uaLe of cover explry
ln respecL of each
lnsured covered
under Lhe plan
ollcy annlversary on whlch Lhe lnsured llfe aLLalns ,axlmum cover
ceaslng age
nomlnaLlons
AsslgnmenLs
Allowed
noL Allowed
,ode of remlum
Crace erlod
8evlval erlod
?early Palf ?early and ,onLhly(LCS Cnly)
30 days for ?early Palf ?early mode and 13 days for ,onLhly ,ode
2 ?ears from due daLe of lu
9/6/2011 A[ay kumar kurup
!oints to be noted
remlum guaranLeed for flrsL 3 years and may
be revlsed afLer every 3 years based on PealLh
condlLlons
All exlsLlng members musL be added ln flrsL
lnsLance new members can be added Lhrough
Chlld blrLh (Chlldren)3 ,onLhs ,arrlage
(Spouse arenLslnlaw) 6 ,onLhs from nexL
ollcy annlversary
9/6/2011 A[ay kumar kurup
!oints to be noted ConLd
Wa|t|ng er|od
90 days from uCC oLher Lhan accldenLal bodlly ln[ury
43 days from uC8 lf requesL for revlval recd wlLhln 90 days from Lhe due
daLe of lu
90 days from uC8 lf requesL for revlval recd beyond 90 days from Lhe due
daLe of lu
Spec|f|c Wa|t|ng er|od (LreaLmenLs)
2 years from uaLe of Cover CommencemenL
2 ?ears from uCCC lf requesL for revlval recd wlLhln 90 days from Lhe due
daLe of lu
2 ?ears days from uC8 lf requesL for revlval recd beyond 90 days from Lhe
due daLe of lu
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9/6/2011 A[ay kumar kurup
1reaLmenLs ln respecL of Speclflc
walLlng perlod
|. !reatmeat far aeaa| ar taas|llar |sarers
||. !reatmeat far aaal f|stala ar aaal f|ssare
|||. !reatmeat far |ea|ga ealargemeat af prastate glaa
|. !reatmeat far |ea|ga ater|ae |sarers l||e f||ra|s, ater|ae pralapse,
sfaact|aaal ater|ae |lee|ag etc
. !reatmeat far Bataract
|. !reatmeat far Ball staaes
||. !reatmeat far sl|p |sc
|||. !reatmeat far P|les
|t. !reatmeat far |ea|ga tlra| |sarers
t. !reatmeat far Hera|a
t|. !reatmeat far lracele
t||. !reatmeat far egeaerat|e ja|at caa|t|aas
t|||. !reatmeat far s|aas |sarers
t|. !reatmeat far ||ae ar ar|aar tract staaes
t. !reatmeat far ar|case e|as
t|. !reatmeat far Barpal taaael sarame
t||. !reatmeat far |ea|ga |reast |sarers e.g. f||raaeaama, f||racst|c |sease etc
nter |ease
9/6/2011 A[ay kumar kurup
o|nts to be noted Contd
1erm|nat|on of o||cy
If po||cy |s |ssued on a s|ng|e ||fe
non aymenL of premlum wlLhln revlval perlod
Cn deaLh
Cn uaLe of cover explry
Cn exhausLlng all Lhe llfe Llme maxlmum 8eneflLs LlmlLs as speclfled above
If po||cy |s |ssued on more than one ||fe
non aymenL of premlum wlLhln revlval perlod
Cn deaLh or uaLe of cover explry of Lhe l and lf Lhe ollcy does noL
conLlnue wlLh Lhe lS as Lhe l
Cn deaLh or uaLe of cover explry of lS afLer ollcy conLlnues wlLh Lhe lS as
Lhe l afLer Lhe l dles or reaches hls/her uaLe of cover explry
Cn l exhausLlng all Lhe llfe Llme maxlmum 8eneflLs LlmlLs as speclfled
above
9/6/2011 A[ay kumar kurup
hat is different from Mediclaim
re deflned beneflL no relmbursemenL buL
lump sum pald based on predeflned beneflL
noL based on expenses lncurred
1hls wlll Lend Lo lndlrecLly reduce Lhe PealLh
care cosL whlch ls rlslng due Lo cash less
medlclalm beneflL
All beneflL ls dependenL on PC8
9/6/2011 A[ay kumar kurup
hy wait hy wait
Get Get
LIC's LIC's Jeevan Jeevan Arogya Arogya
Enjoy Your Life with Enjoy Your Life with
your famiIy your famiIy
9/6/2011 A[ay kumar kurup