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Compan

S. No.
y ApolloDKV ICICI Lombard
Bajaj Allianz
Plan
1
Name Easy Health
Easy Health
Standard
Esclusive
PlanEasy
Plan
Health Premium Plan
Family Floater
HealthHealth
GuardPlan
5 years to 60
5 years
yearsto 60 years 5 years to 60 years 5 to 60 Years
5 to 55 years

91 days
Entry to 60
2 years (if 91 days 91 days (
Age
either ( if either if either
parernt is 91 days to 60 years parent is parent is
covered (if either parernt is 91 days (if either covered covered
under this covered under this parernt is covered under this under this
policy) policy) under this policy) policy) policy)
1.00,
1.50,
2.00,
3
2.50,
Sum 3.00,
Insured ( 4.00, 5.00
in lacs) 3.00, 4.00,Rs.
5.007.50 3.00, 4.00, 7.50,
5.00 10.00
1.00, 2.00,50
3.00
k to 10 Lac
Covered (
Minimum Covered ( Covered (
4 In- 24 hour Minimum Minimum
Patient hospitaliz Covered ( Minimum Covered ( Minimum 24 hour 24 hour
Treatme ation ) 24 hour 24 hour hospitaliz hospitaliz
nt hospitalization ) hospitalization ) ation ) ation )
30 days 30 days 30 days

60 days
Pre- ( if we get
5 hospitali intimation 30 Days 60 days
zation at least 5
days prior 60 days ( if we get 60 days ( if we get
to the intimation at least 5 intimation at least 5
hospitaliz days prior to the days prior to the
ation) hospitalization) hospitalization)
60 days 60 days 60 days

90 days
Post ( if we get
90 days ( if we get
6 hospitali intimation intimation at least 5 60 Days 90 days
zation at least 5
days prior to the
days prior 90 days ( if we get
hospitalization)
to the intimation at least 5
hospitaliz days prior to the
ation) hospitalization)
Day care
7 procedur Covered
es Covered Covered Covered Covered
Domicilia
ry
8 Covered
Treatme
nt Covered Covered Not Covered
Not Covered
From 4th From 5th from 5th
year year year
onwards onwards onwards
9 i.e, after i.e,after I,e.after
Pre- completin From 4th year From 4th year completin completin
existing g 3 onwards i.e, after onwards i.e, after g4 g4
condition continuou completing 3 completing 3 continuou continuou
s waiver s years continuous years continuous years s years s years

Pre-
10 Policy
check up
Age 46 yrs and above
46 yrs and above 46 yrs and above 46 yrs and 46
above
yrs and above

Rs. 500 Rs. 800


per day, per day,
maximum Maximum
Daily
Rs. 3000 Rs. 4800
cash Rs. 500 Rs. 500 Rs. 800 for Not Not
11 for
allowanc per day, per day, per day, choosing Available Available
choosing
e maximum maximum Maximum shared shared
Rs. 3000 Rs. 3000 Rs. 4800 accommo accommo
for for for dation dation
choosing choosing choosing
shared shared shared
accommo accommo accommo
dation dation dation
Organ
12
Donor Covered Covered Covered Not Covered
Not Covered

Ambulan Up to Rs. Upto Rs.


13 Upto Rs. 2000
ce 1000 1000

Upto Rs. 2000


Upto Rs. 2000
available available
available for available for
for accompa for accompa
accompa nying an accompa nying an
14 nying an
Not Covered insured nying an insured
Daily insured child- Rs. insured child- Rs.
Cash for child- Rs. 500 per child- Rs. 500 per
accompa 300 per day, max. 300 per day, max.
nying day, max. Rs. day, max. Rs.
person Rs. 9000 15000 Rs. 9000 15000 Not Available
Not Available
New
born
15 baby
Coverag
e from
day 1 Not Covered Optional Optional Not Covered
Not Covered
Sum Insured ( in lacs)
3.00, 4.00, 5.00
7.5 3.00, 4.00, 7.50,
5.00 10.00

Normal
Normal Normal Delivery Normal
Delivery Delivery Rs. Delivery
Rs. Rs. 15000/ Rs.
15000/ 25000/ Ceasarea 25000/
Ceasarea Ceasarea n Delivery Ceasarea
n Delivery n Delivery Rs. n Delivery
Rs.
Maternity Not Covered Rs. 25000( Rs. Not Not
16 25000( 40000( 40000(
Expense Including Covered Covered
s Including Including Pre/ Post Including
Pre/ Post Pre/ Post Natal Pre/ Post
Natal Natal liomit of Natal
liomit of liomit of Rs. 1500 liomit of
Rs. 1500 Rs. 2500 and New Rs. 2500
and New and New Born limit and New
Born limit Born limit of Rs. Born limit
of Rs. of Rs. 2000) of Rs.
2000) 3500) 3500)
50% of total
expense subject to
17 Outpatie 1% of the sum
nt dental Insured or Rs. 5000
Treatme from 4th year
nt Not Covered
Not Covered onwards Not Covered
Not Covered

50% of total
18 Spectacl expense subject to
es, 1% of the sum
contact Insured or Rs. 5000
Lenses Not Covered
Not Covered every third year Not Covered
Not Covered
E- Covered
Opinion for sum
in insured of
Covered one Not
19 respect Rs. 5
opinion per policy Covered
of a lacs, 7.5
Critical lacs and
illness Not Covered
Not Covered 10 lacs
Critical Optional, 50% or Optional, 50% or
20 illness Not Covered
100% of the basic 100% of the basic
Rider SI SI Not Covered
Not Covered
Compan
S. No.
y ApolloDKV ICICI Lombard
Bajaj Allianz
Upto 1%
of the
Upto 1% sum
of sum Insured
Free
Insured subject to
Health
21 subject to Covered maximum
Check
a max. of Rs.
up
Rs. 5000 Upto 1% of sum Upto 1% of sum 1000 on
per Insured subject to a Insured subject to a expiry of
person max. Rs. 5000 per max. Rs. 5000 per four claim
every 4th person every 3rd person every 2nd free year
year year year

10% for 3
or more 10% for 2
Family members
22 or more
Discount ( Availabl
members
e in 10% for 3 or more 10% for 3 or more
Individual members ( Available members ( Available Not
Plan) in Individual Plan) in Individual Plan) Available
10% for 5% for 5% for
every every every
Cummul claim free 10% for every claim claim free claim free
23 ative year up to free year up to a year up to year up to
bonus a 10% for every claim maximum of 50% a a
maximum free year up to a maximum maximum
of 50% maximum of 50% of 50% of 50%
Income under under under
24 Tax section section section
Benefits 80 D under section 80 D under section 80 D 80 D 80 D

Family Health Plan


25
Limited
Family Health
Health Admininst
Plan Family Health Plan ration
TPA Limited Limited ? Team

Specific Covered Covered


26
Exclusio from 3rd from 3rd
ns Covered from
Covered
3rd year
from 3rd year
Covered from 3rd year
year year

27

Renewal Discount
Not Available Not Available Not Available 5% for every
10%claim
for every
free year
claim
upfree
to ayear
maxim
Cashless
28 facility Available in network hospitals
10% co
payment
of the
admisible
claim to
be paid
Non- by the
ntework member if
Hospital treatment
is taken
in a
hospital
other
than a
network
hospital
28 Premium Computation for SI 3 Lacs ( without CI Rider)
Age Group
0-17 3370 3876 4846 2573 3715
18-35 3693 4382 5478 3483 4022
36-44 3932 4719 6067 4206 4355
45-50 6741 6741 8314 7491 6567
51-55 7977 9662 11774 7491 7846
56-60 10674 12247 14823 9176 N/A
Royal Sundram
National Star Health
United India
Reliance Cholamandalam

Health Shield Standard


Health MediMediclaim
Classic Health
PolicyWiseChola
Policy-
Health
Gold
Insurance
5 years to 75
5 years
yearsto 65 years
Not
available
for
5 months Individual
91 Days to 60 years to 80 91 days 91 days Plan/18
years (if either (if either years to
parernt is parernt is 45 years
covered covered for floater
under this under this Plan
3 months to 59 years policy) policy)

From 50 Rs.
k to 5 50000/-
lacs ( in to Rs.
multiples 500000/-
of Rs.
Rs. 1 lac to25000)
Rs. 5 lacs Rs. 15000/-Rs.
to 1Rs.
lacRs.
toRs.
Rs.
5 lacs
50000/-
5 lacs to 10 lacs

Covered Covered Covered ( Covered ( Covered ( Covered (


(Minimum (Minimum Minimum Minimum Minimum Minimum
24 hour 24 hour 24 hour 24 hour 24 hour 24 hour
hospitaliz hospitaliz hospitaliz hospitaliz hospitaliz hospitaliz
ation) ation) ation ) ation ) ation ) ation )

30 Days 30 Days 30 Days 60 Days 60 Days

A lump-
sum
calculate
d at 7%
of the
total
hospitaliz
ation
60 Days expenses 60 Days 90 Days 90 Days
, subject
to a
maximum
Rs. 5000
per
occuranc
e as per
the policy
Covered not available ? Covered Covered Covered

Not covered ? Not coveredCovered


? Covered Covered
from 6th from 3rd from 4th
year year year
onwards onwards onwards
i.e, after i.e, after i.e, after
completin completin completin
g5 Not g2 g3
continuou Applicabl continuou continuou
s years Not Covered
e s years s years

Mandator
y for 50
years and
46 yrs and above
above 50 Yrs and46
above
yrs and above 46 yrs and above

A lump
100 % of
sum of
eligible
2% of the
expenses
sum
up to the
Insured
Available Sum
per claim,
- On Insuered
in case of
payment Not Limit
continuou Covered
of Available subject to
s
additional pre-
hospitaliz
premium authorisat
ation for a
ion;
period
otherwise
more
its ot
than 15
covered
days

Not Covered Not Covered


Not Covered
Covered Covered

upto Rs.
1000/- for
sum
Insured
Upto Rs. from 50 K
Not to 3 lacs
1000 per
claim Rs. 750 Covered and upto
per Rs.
Hospitaliz 2000/- for
ation / sum
Rs. 1500 Insured of
for policy Rs. 4 lacs
period Upto Rs. 1000/-
to 10 lacs

Not Available Not Available


Not Available
Rs. 300/- per
Notday
Available
Not Covered Available with
Not Covered
family Not
package
Covered
Not Covered

Not Not Not


Not Covered
Not Covered
Covered Covered Covered

not
covered

not
Not Covered
covered Not covered
Not Covered
Not Covered
Not Covered

not
Not Covered
covered Not covered
Not Covered
Not Covered
Not Covered

Not Not Not


Covered Covered Covered
not
covered Not Covered
Not Covered

Not Covered
Not Covered
Not Covered
Not Covered
Covered Not Covered

Royal Sundram
National Star Health
United India
Reliance Cholamandalam
Cost of
Health
1 % of Check up
Maximum the at the end
of rs. average of a block
750/- per Not sum of four
Insured Covered
Covered insured years,
Person, during the provided
after each block of 4 there
5 claims were no
consecuti free claims
ve claim underwritt reported
free years Covered ing years

10 % for
3 or more 10%
members

Not Available ? ?
5% for 5% for 5% for 5% for
every every every every
claim free claim free claim free claim free
Not
year up to year up to year up to year up to
Available
a a a a
maximum maximum maximum maximum
of 50% of 50% of 50% of 50%
under under under under under
section section section section section
80 D 80 D 80 D 80 D 80 D
TTK for
Individual
and
Paramou
Medicare nt Health
T. P. A. Services
Services for
(I) Pvt. Floater
Ltd. ? Plan
Covered Covered
from 2nd from 2nd Covered Covered Covered
year/ 3rd year/ 3rd from 3rd from 2nd from 2nd
year year year year year
5% of 5% of
renewal renewal
from 5% premium, premium,
to 25% if there if there
for every are no are no
claim free claims in claims in
year the the
previous previous
Not Available year. year.

Available in network hospitals


2315 3708 3096 3230 4011
4022 3708 3676 3230 4421
4022 4101 4626 3620 4927
6433 6933 7175 5805 7365
7720 6933 7175 5805 7365
9264 9214 10048 N/A N/A

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