VALUE FOR MONEY HEALTH INSURANCE SOLUTIONS

UNDERSTAND INDIAN MIND SET

Health insurance is important part of financial planning of every person. Unfortunately it is most ignored due to reactive attitude of the person. We should be pro-active in buying health insurance because when we want it we may not get it.

We are very good at solving the problem when it occurs but we are not ready to become proactive and buy health insurance. We are very good at analysis and comparison but too much analysis of cost of premium leads to decision paralysis. When our nearest friend is hospitalized we carry fruits and coconut water for him but we NEVER carry cash. When we see our nearest friend/relative is struggling to meet health care treatment expenses in hospital we never visit him. This is hard fact of life.

Importance of having your Own Health Insurance Policy

  1. Private jobs these days are most unsecured. Do not depend on Company provided Health Insurance.
  2. There may be long gap in 2 jobs
  3. 98% people do not get time to exercise due to heavy work schedule
  4. Stress level are ever increasing.
  5. Friends and relatives are for parties and not for financial calamities.
  6. Cost of health treatment is going up 10% to 20% CAGR.
  7. Your medical emergency should not result in your financial emergency.
  8. One single incidence of health expenses can wipe off your entire life savings.
  9. We only think of health insurance when we go through worst health care expense or when we see others trauma what happens when one does not have health insurance.
  10. Last but not least you can get tax exemption under section 80 D

VALUE FOR MONEY HEALTH INSURANCE PLANS

HEALTH INSURANCE COVERAGE AMOUNT Rs.25 Lakhs ( Annual Premium, Inclusive of 18% GST)
Age Group Individual Couple Couple with 1 Child Couple with 2 Children
90 Days – age 35 Rs.11,340/- Rs.17,010/- Rs.19,844/- Rs.22,678/-
36 to 45 Rs.13,190/- Rs.20,043/- Rs.23,277/- Rs.26,509/-
46 to 50 Rs.17,648/- Rs.26,537/- Rs.30,528/- Rs.34,517/-
51 to 55 Rs.21,496/- Rs.32,310/- Rs.37,262/- Rs.42,215/-
56 to 60 Rs.24,336/- Rs.36,569/- Rs.42,321/- Rs.47,894/-
61 to 65 Rs.36,482/- Rs.55,178/- Rs.62,644/- Rs.70,109/-
66 to 70 Rs.43,710/- Rs.66,019/- NA NA
71 to 75 Rs.53,322/- Rs.80,438/- NA NA
 Guaranteed Renewal for Life Time, The above premium calculation is combination of base cover of Rs.5 Lakh and Top up Policy of Rs.20 Lakh and it is more cost effective. ( As on 3 Oct 2019)

Benefits

  1. No Disease Sub-limit
  2. No Capping on Room Rent
  3. Pre and Post Hospitalization 60 and 180 Days
  4. PED Cover after  Years3
  5. Dependent Child covered up-to age 25
  6. Life Long Renewal
  7. Sum Insured Rebound
  8. Smooth Cash Less Settlement through more than 10,000 hospital across India.

Above premiums are subject to applicable loading in case of Diabetes, Hypertension history. The loading percentage will be decided by the company on receipt of medical reports. The cost of medical examination will be borne by the company.

EXCLUSIONS APPLICABLE TO STANDARD HEALTH INSURANCE POLICY ISSUED BY ALL INSURANCE COMPANIES IN INDIA

Exclusions

1) Pre-existing Diseases at the time of obtaining policy. ( However pre-existing diseases are covered after 3 consecutive renewals with the company)
2) Any Disease contracted during first 30 days
3) First 2 year
        • Benign prostate hypertrophy
        • Hernia, Hydrocele, Fistula in Anus, Piles
        • Sinusitis
        • congenital internal disease/defect
        • Renal stone and Gall stone removal
        • Cataract
        • Hysterectomy following menorrhia or fibromyoma
        • Knee Replacement Surgery
        • Joint Replacement Surgery
        • Prolapse of intervertibral
        • Vericose veins / ulcers

These are the standard exclusions stated in all Health Insurance Policies  offered by all insurance companies. Except these exclusion you can claim any medical expenditure. After 2 years all above diseases can be claimed which please note.

Other Terms and Conditions:-

1] OPD is not covered in health insurance policy.
2] After admission in the hospital any medical management which is diagnostic in nature the result of which is negative (means medical reports are normal after performing medical tests) are not payable.
3] 24 Hours hospitalization is necessary to claim under policy.
4] In case hospitalization arising out of accident can be claimed anytime from date of issue of policy.
5] Dental treatment is not covered however dental treatment arising out accident is covered. Cosmetic surgeries of all kinds are not covered. Lasik Surgery / aids treatment is not payable.
6] Please note cashless claim means not 100% of bill amount. You are required to pay 5% to 10% of total bill amount depending on case to case basis as cost of consumables, admin charges not payable by insurance company.

To buy the policy please mail following details to care@sanriya.in
1] Complete Name, Gender, Date of Birth, Height in cms, Weight in Kgs, of each member.
2] Medical History of each family member if any.
3] PAN number of proposer.
4] Complete postal address with Pin code
5] Email address, Cell number:

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