GET 80% DISCOUNT
ON YOUR RENEWAL PREMIUM FOR
A CLAIM-FREE YEAR.
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 |
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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 |
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Proposer Entry age |
18 years – 70 years |
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Child Entry age |
From birth – 25 years |
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Maximum Renewal Age |
Lifelong |
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Sum Insured options |
Individual Policy/ Family Floater Policy |
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Policy Term |
Annual |
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Family Definition (Individual/ Family Floater) |
Self, Spouse and up to 4 Children, 2 Dependent Parents And /Or 2 Dependent Parents in law |
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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. |
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B |
Coverages |
Hospitalization Expenses |
Covered |
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Pre Hospitalization Expenses |
60 days |
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Post-Hospitalization Expenses |
90 days |
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Day Care Treatment |
Covered |
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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 |
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Alternative Treatment |
Hospitalization for Ayurveda, Unani, Siddha, or Homeopathy covered |
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Organ Donor Expenses |
Hospitalization expenses are covered (excluding donor screening charges, pre and post hospitalization) |
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Emergency Ambulance |
Maximum up to Rs.1000 per hospitalization |
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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. |
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C |
Waiting Periods |
30 days |
Except for Accidental Hospitalization |
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2 Years |
Applicable for listed conditions |
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4 Years |
Applicable for listed conditions |
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Pre-existing Diseases |
Covered after 2 Years |
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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.
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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 |
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51 years and Above |
Any Sum Insured |
Required |
- 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:
- There is no premium charge for the experience of unfavorable claims.
- Follow the guidelines to provide portability and migration.
- Installment Payment Options – Installment premium payment options are available.
- 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 |
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Procedure/Treatment |
Sum Insured |
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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 |
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Procedure/Treatment |
Sum Insured |
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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
- F01 Vascular dementia
- F20 Schizophrenia
- F30 Manic episode
- F31 Bipolar affective disorder
- F32-33 Depressive disorders
- F41 Other anxiety disorders
- F50 Eating disorders
- F60 Specific personality disorders
- F84 Pervasive developmental disorders
- 9 Phobic anxiety disorder, unspecified
- 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.
- Uterine Artery Embolization and HIFU
- Balloon Sinuplasty
- Deep Brain stimulation
- Oral chemotherapy
- Immunotherapy- Monoclonal Antibody to be given as an injection
- Intra vitreal injections
- Robotic surgeries
- Stereotactic radio surgeries
- Bronchial Thermoplasty
- Vaporization of the prostate (Green laser treatment or holmium laser treatment)
- 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 |
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Health Super Saver 1X Plan |
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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 |
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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