LIC Health Insurance

LIC Jeevan Arogya Plan overview

LIC Jeevan Arogya Plan is health insurance offered by LIC, a most trusted life insurance company in India. Well, it is not linked with the LIC. It provides full financial security when it comes to the insurance in health and life.the company focuses on giving good financial coverage against death or illness at affordable rates. The funds get invested to the best of the investors to earn an attractive return. It is also known as “LIC health insurance”

Health insurance now becomes a necessity. It helps you the most in medical emergencies whether the policyholder is disabled after an accident resulting in temporary disability, permanent disability, and even an unfortunate death. not only major injuries, minor injuries are also usually covered in this plan up to the certain restrictions.it is truly said that health is wealth. But today’s lifestyle and increasing cost of medicines and treatments cannot be affordable by the common man.LIC health insurance plans act as the armor to the cover the risk associated with an accident.

Unique features of LIC Jeevan Arogya Plans

  • It comes in both individuals as well as family health insurance. parents are also covered which is a unique proposition of LIC policies.
  • Daycare treatments and all kinds of surgeries
  • No claim bonus is available
  • Additional critical rider benefit is also available
  • Online tracking of application
  • Online purchase and renewal of plans
  • Income tax benefit under section 80D
  • Grace period-30 days for annual and semi-annual premium payment

Easy to choose Health Insurance

Step 1: Choose the level of Health cover you need

the amount of Initial Daily Benefit can be chosen (i.e. the daily Hospital Cash Benefit applicable in the first year of the policy) as per your need and demands. you In the event of hospitalization, this amount will be payable in the first year on a per day basis.
Step 2: Work out the premium payable along with our representative

Your premium will depend on your age, gender, the Health cover option you have taken, the mode of payment and whether you are Principal Insured or other insured life

Eligibility criteria for policy

self and spouse

The minimum age for enrollment-18years

Maximum age for enrollment -65 years(last birthday)

Maximum age for coverage-80 years

 

Parents and parents in law

The minimum age for enrollment-18years

Maximum age for enrollment -75 years(last birthday)

Maximum age for coverage-80 years

 

Children

The minimum age for enrollment-91 days

Maximum age for enrollment -17 years(last birthday)

Maximum age for coverage-25 years

 

Benefits of LIC Jeevan Arogya

Hospital cash benefit

If the insured person stays in the hospital due to injury or illness more than 24 hours, a lump sum amount equal to 5 times the applicable daily benefit shall be paid. It is irrespective of the actual cost incurred.

Daycare procedure benefits

A lump sum amount equal to five times shall be paid on the Applicable Daily Benefit, regardless of the actual costs incurred.

Major Surgical Benefit

In the event of the insured having to undergo a surgery due to an accident or illness then the respective benefit percentage would be paid to them. But applicable as long as covered under the policy.

 Premium Waiver Benefit

When the Major Surgical Benefits are not successful under any of such events, the company would be waiving off the total annualized premium of one year.

 Other Surgical Benefit

If the surgery to be performed upon the policyholder that is not covered under the policy, then for each extended period of 24 hours, a daily benefit amounting to double the applicable Daily Benefit would be paid out.

Ambulance Benefit

The company will provide emergency transportation costs of the ambulance, an amount of rupees 1000, wherever Major Surgical Benefits are not successful.

For more information refer: LIC Jeevan Arogya 

Documents required for the filling claim

These the following documents required to ensure smooth claims processing. These documents need to be kept carefully.

  • Hospital Discharge Summary
  • All prescriptions and bills with the break-up
  • Advance and final payment receipts
  • All types of diagnosis, scans, X-ray, ECG and other relevant Reports
  • Copies of all investigations

These documents need to be filed along with the Claims Form and a copy of ID proof.

 

Exclusions

Here are the exclusions in the policies. These are not included or no payment shall be made for the following:

  • Pre-existing diseases and complications arising thereof
  • AIDS / HIV-related diseases
  • Hospitalization and injuries owing to the war, civil or criminal proceedings, martial law, etc
  • Experimental treatment or surgery
  • Organ donor expenditure
  • Dental treatment
  • Deliberately and knowingly injuring body and health
  • Injury or sickness under the influence of alcohol or drugs without being under doctor’s advice
  • Participation in dangerous sports such as bungee-jumping, martial arts, skydiving, paragliding, mountaineering, hunting, scuba diving, driving races, etc.
  • Injuries and hospitalization due to chemical and biological contamination, terrorism, or owing to exposure to hazards such as working in high electricity voltage establishments, underground mines or explosion-prone areas
  • Injury and hospitalization owing to prolonged childbirth or pregnancy
  • Nervous or mental treatments
  • Genetic and congenital disorders or birth defects unless expressly covered under the plan
  • Treatments which become necessary owing to the failure to act upon sound med

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By | 2018-08-24T11:28:32+00:00 June 20th, 2018|Health Insurance|0 Comments

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