Wednesday, November 30, 2011

LIC -- JEEVAN AROGYA

Jeevan Arogya
LIC Jeevan Arogya is a Health Insurance Policy which helps individuals to cope up with the rising medical costs. In this plan you can cover yourself, spouse, children, parents as well as mother-in-law and father-in-law. It is a comprehensive health insurance policy for the entire family.

Nowadays many people prefer one policy that covers the entire family and their extended family. LIC Jeevan Arogya is one such policy which offers high coverage and some good riders for a low premium amount. Depending on your financial situation or family structure, it gives you the flexibility to add or remove any family member.

Key Features of LIC Jeevan Arogya

One health insurance policy that covers self, spouse, children, parents and parents-in-law
Covers hospitalisation, surgery and much more
Provides benefit payout irrespective of actual medical cost incurred
Can be availed along with existing mediclaim policy for the same hospitalisation / surgery
Cover can be extended to new members of the family in case of marriage and childbirth
Under Quick Cash, 50% advance payment is given by LIC (under 57 surgeries performed in network hospitals)
Payout made on the basis of photocopy of bills
No Claim Benefit (for not making any claims for 3yrs then 5% of initial Hospitalisation Cash Benefit (HCB) will be increased

What is covered in LIC Jeevan Arogya?

Hospitalisation Cash Benefit (HCB) -
1000 rupees per each day of hospitilisation for 1lakh Sum assured;
2000 rupees per each day of hospitilisation for 2lakh Sum assured;
3000 rupees per each day of hospitilisation for 3lakh Sum assured;
4000 rupees per each day of hospitilisation for 4lakh Sum assured
-30 days max for first year, 90days per year there after

Major Surgical Benefit (MSB) is 100 times(max) the HCB
-Totally 140 surgeries covered under this
- Max 8 times of Sum Assured can be claimed in life time

Day Care Procedure Benefit (DCPB) –an amount equal to 5times of HCB will be paid for small procedure surgeries like anestesia
-3 daycare procedures covered in a year, and 24 procedures covered in a lifetime

Other Surgical Benefits – for surgeries other than MSB and DCPB an amount equal to 2 times of HCB will be paid for every single day of hospital stay

For stay in ICU 2times of HCB will be paid for every single day
-Max 15 days in first year and 45 days per year thereafter

Ambulance charges of Rs 1000 for emergencies

Auto increase @ 5% every year in both HCB and MSB for inflation reasons


Waiting period for availing benefits in LIC Jeevan Arogya
- Accidental claims - 0 days
- HCB - 90 days from policy start date


Additional Benefits of LIC Jeevan Arogya

Accidental Benefit rider available as an option at 0.50 rupees per 1000 rupees sum assured

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