Health Insurance Insurance

Best Health Insurance Plan for Newly Married couple

Newly Married Couple

NO CLAIM


80% GAIN

GET 80% DISCOUNT
ON YOUR RENEWAL PREMIUM FOR
A CLAIM-FREE YEAR.

Future Generali Insurance

Health Super Saver Insurance

Health Super Saver is a Health Insurance Product with the unique benefit of ‘Super Saver Discount’!

Health Super Saver has 2 Varients

Health Super Saver 1 X Plan

Health Super Saver 2 X Plan

WHAT IS SUPER
SAVER DISCOUNT?

There is a discount of 80% on the applicable premium, which is offered to the Policy Holder in case the initial years of plan tenure as claim-free.

  • Health Super Saver 1X plan – In case, Policy Holder’s not taken any claim in his or her first-year policy Term, then they are eligible for a Super Saver discount of 80% in the consecutive year of the plan.
  • Health Super Saver 2X plan – In case, Policy Holder’s first 2 years of plan tenure is claim-free, then they are eligible for a Super Saver discount of 80% for the next consecutive 2 years in the plan or up to the first claim.
  • In case there is no claim paid for Policy Holder in an individual policy, the Super Saver discount would be applied for that respective Policy holder’s premium only.
  • In case there is no claim paid for any of the Policyholders covered under the floater policy, the Super Saver discount would be applied to the total policy premium. In case of the claim paid for any insured under the floater policy, the Super Saver discount will not be applicable.

•           For the purpose of the Super Saver discount calculation paid claim and outstanding claims are considered

BENEFITS

  • 80% discount on the renewal premium for a claim-free year
  • Good protection for the whole family
  • Sum insured on an individual and family floater basis
  • Insurance premium can pay in Installment
  • Maternity Expenses Covered after waiting period of 9 months

 

                 HEALTH SUPER-SAVER

A

Eligibility

Sum Insured options (in Rs)

3 Lacs, 4 Lacs, 5 Lacs, 6 Lacs, 10 Lacs,15 Lacs, 20 Lacs, 25 Lacs, 50 Lacs

Proposer Entry age 

18 years – 70 years

Child Entry age 

From birth – 25 years

Maximum Renewal Age

Lifelong

Sum Insured options

Individual Policy/ Family Floater Policy

Policy Term

Annual 

Family Definition (Individual/ Family Floater)

Self, Spouse and up to 4 Children, 2 Dependent Parents And /Or 2 Dependent Parents in law

Plans

Health Super Saver 1X plan & Health Super Saver 2X plan

The chosen plan sum Insured is common to all members covered by the policy. irrespective of Policy taken by Individual or Family Floater Sum Insured options.

B

Coverages

Hospitalization Expenses

Covered

Pre Hospitalization Expenses

60 days

Post-Hospitalization Expenses

90 days

Day Care Treatment

Covered

Maternity Expenses

Covered with a waiting period of 9 months, inclusive of Pre-natal and Post-natal hospitalization as per the plan opted under the Base Sub Limits

Alternative Treatment

Hospitalization for Ayurveda, Unani, Siddha, or Homeopathy covered

Organ Donor Expenses

Hospitalization expenses are covered (excluding donor screening charges, pre and post hospitalization)

Emergency Ambulance

Maximum up to Rs.1000 per hospitalization

Home Health Care Services

a)  Available through our empaneled Service Provider on a Cashless facility basis.

b)  Pre and Post hospitalization expenses (both inclusive) are restricted to up to 3% of the admissible claim amount.

C

Waiting Periods

30 days

Except for Accidental Hospitalization

2 Years

Applicable for listed conditions

4 Years

Applicable for listed conditions

Pre-existing Diseases

Covered after 2 Years

D

Discount

Super Saver Discount

a) For the Super Saver 1X Health plan option, where your first year of the plan duration is claim-free, you are entitled to an 80% per year Super Saver discount.

b) For the Super Super Saver 2X Health plan option, where the first 2 years of the plan are claim-free, you are entitled to an 80% Super Saver discount for the first 2 consecutive years or until the first Claim request, whichever is the first.

c) If no insured loss is paid in an Individual policy, the Super Saver discount will only apply to that person’s premium. In the event of claims paid in the first year with the 1X plan or in the first 3 years with the 2X plan for any insurance under the individual policy, the Super Saver discount will not apply to the respective policyholder. At the time of the next renewal year, however, insurers have the option to initiate tenure of a new plan under either a 1X plan or a 2X plan. If so, you will be covered by a separate policy with the ownership of a new plan on an insured individual basis without losing continuity benefits such as waiting periods and existing illness coverage.

d) If no claims are paid for any of the insurances covered by the floor policy, the Super Saver discount will be applied to the full premium of the policy. For claims paid for by any policyholder under the floor policy, the Super Saver discount will not apply. However, the policy can be renewed with the mandate of a new plan under the 1X Plan or the 2X Plan without losing continuity benefits such as waiting times and coverage for existing illnesses.

     

e) Increase/ decrease in Sum Insured, change of sub-limit option, and/or change of plan is allowed only at the start of plan tenure.

Note: For the purpose of the Super Saver discount calculation, paid claim and outstanding claims are considered

Family Discount
10% discount is applicable in case two or more family members are covered with individual sum insured basis in the same policy
Note: The family discount will not be applicable if the Insured opts for a new plan under 1X Plan or 2X plan at the time of renewal due to claim reported under the previous policy.

E

Installment option (monthly, quarterly, half-yearly) with Loading

Loadings on the standard premium will be applicable in case the installment facility has opted for premium payment.

F

Sub-limit for Specified procedures

a)   Base Sub-limits (Standard Option/ Double option/ Nil sub-limits option)

b)   Mandatory Sub-limits for Modern Treatment Methods and Advancement in Technologies

c)    Optional Sub-limits – applicable for sum insured from INR 3 Lacs up to 10 Lacs if the Insured has opted for it

G

Loadings and Discount applicable for options under the Sub-limits

a)   Loading applicable for Base Sub Limits options are as given below, loading shall be applicable on the respective person’s premium

b)   Discount of 5% shall be applicable on respective person’s premium if Optional Sub Limit has opted In case of the family floater, the loading/discount will be applicable at the policy level.

Installment frequency

Loading on standard premiums

Monthly

5%

Quarterly

4%

Half-yearly

3%

Option

Loading (%)

Standard Option

0%

Double Option

22%

Nil Sub Limit Option

30%

Pre-insurance medical examination

Pre-insurance medical examination for any individual is applicable as below:

Age

Sum Insured (in Rs.)

Medical Examination

Up to age 50 years

Up to 20 Lacs

Not required. Subject to clean proposal forms (without medical declaration)

25 Lacs, 50 Lacs

Required

51 years and Above

Any Sum Insured

Required

  1. Any change in the premium will be done with the approval of the
  • The revised rate applies to all new applications.
  • The revised award must be linked to renewals starting at least 3 months in advance.
  • Current interest rates will continue to apply to policyholders until the end of the current plan.
  • The likelihood of this policy being revoked in the future will be limited for approximately the same 3 months before the policy expires.

Exclusions

• Expenses related to existing illnesses will be excluded until the 24-month expiration date.

• Illnesses that develop in the first 30 days of the insurance policy, except for accidental injuries.

• Joint replacement surgery due to degenerative conditions, the listed psychiatric disorders should be covered after a 48-month waiting period.

• Diseases such as cataracts, benign prostatic hyperplasia, hernias, and tumors should be covered after a 24-month waiting period.

• Gender treatment changes.

• Dangerous or adventurous sports.

• All costs associated with sexually transmitted diseases other than HIV / AIDS.

* The above list is essentially an indicator. See the policy wording for more information

Other features:

  1. There is no premium charge for the experience of unfavorable claims.
  2. Follow the guidelines to provide portability and migration.
  3. Installment Payment Options – Installment premium payment options are available.
  4. Premiums paid by means other than cash and remittance checks are subject to the tax deductions under Section 80-D of the Income Tax Act.

Base Sub-limits

Our maximum liability towards expenses incurred during hospitalization

(inclusive of pre and post hospitalizations) for the specified conditions/ procedures are as per the 3 options given below:

Standard Option

The maximum liability for the specified conditions/ procedures will be as per the table below

All values are in INR

Procedure/Treatment

Sum Insured

300000

400000

500000

600000

1000000

1500000

2000000

2500000

5000000

Listed Mental and Psychiatric Illness #

a)     F01 Vascular dementia

b)     F20  Schizophrenia

c)     F30 Manic episode

d)     F31 Bipolar affective disorder

e)     F32-33 Depressive disorders

f)      F41 Other anxiety disorders

g)     F50 Eating disorders

h)     F60 Specific personality disorders

i)      F84 Pervasive developmental disorders

j)      F40.9 Phobic anxiety disorder, unspecified

k)     F05 Delirium, not induced by alcohol and other psychoactive substances

60000

80000

100000

120000

200000

300000

400000

500000

1000000

Cataract surgery (per eye)

30000

40000

50000

60000

100000

150000

150000

150000

150000

Maternity* – Normal Delivery

15000

15000

25000

25000

35000

50000

50000

50000

50000

Maternity* – LSCS (Caesarean)

25000

25000

35000

35000

45000

50000

60000

75000

100000

# Per policy period
*Maternity limit includes Pre-natal and Postnatal hospitalization expenses.

 Double option

The maximum liability for the specified conditions/ procedures will be as per the table below:

 

All values are in INR

Procedure/Treatment

Sum Insured

300000

400000

500000

600000

1000000

1500000

2000000

2500000

5000000

Listed Mental and Psychiatric Illness #

a)     F01 Vascular dementia

b)     F20 Schizophrenia

c)     F30 Manic episode

d)     F31 Bipolar affective disorder

e)     F32-33  Depressive disorders

f)      F41 Other anxiety disorders

g)     F50 Eating disorders

h)     F60 Specific personality disorders

i)      F84 Pervasive developmental disorders

j)      F40.9 Phobic anxiety disorder, unspecified

k)     F05 Delirium, not induced by alcohol and other psychoactive substances

120000

160000

200000

240000

400000

600000

800000

1000000

2000000

Cataract surgery (per eye)

60000

80000

100000

120000

200000

300000

300000

300000

300000

Maternity* – Normal Delivery

30000

30000

50000

50000

70000

100000

100000

100000

100000

Maternity* – LSCS (Caesarean)

50000

50000

70000

70000

90000

100000

120000

150000

200000

# Per policy period

*Maternity limit includes Pre-natal and Postnatal hospitalization expenses

Nil sub-limit option

Under this option, Our maximum liability for the specified conditions/ procedures will be as per the actual expenses or up to the sum insured, whichever is less:

Under this option, Our maximum liability for the specified conditions/ procedures will be as per the actual expenses or up to the sum insured, whichever is less:

 Listed Mental and Psychiatric Illness

  1. F01 Vascular dementia
  2. F20 Schizophrenia
  3. F30 Manic episode
  4. F31 Bipolar affective disorder
  5. F32-33 Depressive disorders
  6. F41 Other anxiety disorders
  7. F50 Eating disorders
  8. F60 Specific personality disorders
  9. F84 Pervasive developmental disorders
  10. 9 Phobic anxiety disorder, unspecified
  11. F05 Delirium, not induced by alcohol and other psychoactive substances

ii.   Cataract surgery (per eye)

  • Maternity (Normal Delivery or Caesarean Section)

Mandatory Sub-limits for Modern Treatment Methods and Advancement in Technologies

The Medical Expenses incurred for the below-listed treatments or procedures, as an inpatient or as daycare treatment (inclusive of pre and post-hospitalization), shall be restricted to 50% of the sum insured opted, per policy period.

  1. Uterine Artery Embolization and HIFU
  2. Balloon Sinuplasty
  • Deep Brain stimulation
  1. Oral chemotherapy
  2. Immunotherapy- Monoclonal Antibody to be given as an injection
  3. Intra vitreal injections
  • Robotic surgeries
  • Stereotactic radio surgeries
  1. Bronchial Thermoplasty
  2. Vaporization of the prostate (Green laser treatment or holmium laser treatment)
  3. IONM – (Intra Operative Neuro Monitoring)

Stem cell therapy: Hematopoietic stem cells for bone marrow transplant for hematological conditions to be covered.

Premium Tables (exclusive of Goods and Services Tax)

 

A. Individual Premium

Health Super Saver 1X Plan

Age Bands/SI

3

lakhs

4

lakhs

5

lakhs

6

lakhs

10

lakhs

15

lakhs

20

lakhs

25

lakhs

50

lakhs

0-17

3535

4246

4686

5262

6548

7395

8580

9515

12054

18-25

5863

7022

7739

8677

10774

12153

14084

15339

19477

26-30

6194

7418

8175

9165

11379

12835

14873

16174

20543

31-35

6509

7792

8587

9626

11948

13476

15615

16959

21542

36-40

7423

8880

9782

10961

13597

15332

17760

19228

24431

41-45

8518

10183

11214

12562

15576

17558

20333

21950

27897

46-50

10762

12857

14154

15850

19641

22134

25626

27549

35031

51-55

14632

17389

19095

21327

26315

29597

34192

36161

46006

56-60

19155

22779

25023

27957

34516

38831

44872

47461

60406

61-65

25085

29846

32794

36648

45263

50931

58866

62267

79270

66-70

32847

39093

42960

48017

59320

66756

77166

81628

103936

71-75

42980

51164

56230

62854

77662

87404

101043

106888

136114

>=76

54653

65066

71512

79941

98782

111177

128531

135969

173156

Health Super Saver 2X Plan

Age Bands/SI

3

lakhs

4

lakhs

5

lakhs

6

lakhs

10

lakhs

15

lakhs

20

lakhs

25

lakhs

50

lakhs

0-17

3703

4447

4908

5510

6856

7741

8981

9940

12596

18-25

5992

7176

7909

8867

11010

12419

14392

15665

19894

26-30

6339

7590

8365

9378

11643

13133

15219

16540

21009

31-35

6775

8110

8936

10017

12432

14021

16246

17626

22393

36-40

7719

9233

10170

11396

14135

15937

18460

19969

25376

41-45

9034

10799

11891

13319

16512

18613

21554

23241

29543

46-50

11534

13778

15166

16983

21043

23714

27453

29483

37496

51-55

15668

18624

20454

22846

28195

31714

36641

38752

49310

56-60

20546

24438

26847

29998

37041

41674

48161

50941

64841

61-65

26958

32079

35248

39394

48659

54755

63289

66946

85233

66-70

35372

42102

46268

51717

63895

71907

83124

87932

111968

71-75

46389

55225

60694

67847

83835

94354

109080

115392

146948

>=76

56401

67149

73803

82503

101952

114747

132660

140338

178723

Floater Discount: Applicable as per the following table

Age Bands/ SI

Floater Discount

    0-17

 

60%

 

18-25

55%

 

26-30

50%

 

31-35

45%

 

36-40

45%

 

41-45

40%

 

46-50

 

40%

.

Age Bands/ SI

Floater Discount

51-55

 

40%

56-60

35%

 

61-65

35%

 

66-70

35%

 

71-75

35%

 

>=76

25%

   

Note

  • This is just an illustration of premium
  • Premiums may vary with respect to Plan and Sum Insured opted by the
  • Premium rates specified in the above illustration are the standard premium rates without considering any loading and/or discounts like – Online (Website) Sales discount
  • In case the premium is paid on an installment basis, the loading will be applicable
  • Premium rates are exclusive of Goods and Services Tax
  • I have tried my best to whole information correct but human error may be possible more details please go through the policy wording

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