Jeevan arogya 904 pdf
The daily cash benefit is only extended for the hospitalisation period after the first 24 hours in a non-ICU ward or room of the hospital. So if you had chosen an HCB of Rs. Tho No Claim Benefit does not have an upper limit and will continue to accrue as long as no claims are made in the policy. In case of hospitalisation of greater than 4 hours in the ICU ward of the hospital, you would be eligible to double the HCB benefit for that period.
Note: In case the total length of the hospitalisation is less than 7 days, no benefits are paid for the first 24 hours of hospitalisation. Maximum annual benefit that can be availed for each of the persons covered in the plan - 30 days in year 1, 90 days per year thereafter, inclusive of stay in ICU.
Maximum number of days in ICU is restricted to 15 days in year 1 and to 45 days thereafter. Maximum lifetime benefit that can be availed for each of the persons covered in the plan - days inclusive of stay in ICU. Maximum number of days in ICU is restricted to days. In case of a major surgery during the policy period, an amount equal to times the initial HCB selected will be paid to the policyholder as part of this benefit. So the payouts for MSB will be as follows:.
Now you will get the following payouts in case of a Major Surgery. As aroyga caring person, you do not want to let any unfortunate incident to affect your plans for you and your family. No benefits are available hereunder and no payment will be made by the Corporation for any claim under this policy on account of hospitalization or surgery directly or indirectly caused by, based on, arising out of or howsoever attributable to any of the following: Tho No Claim Benefit does not have an upper limit and will continue to accrue as long as no claims are made neevan the policy.
If the request for revival is received by the Corporation beyond 90 ninety days from the jeevn date of the first unpaid premium, then there shall be a specific waiting period of 2 two years from the Date of Revival in respect of each Insured. Maximum number of days in ICU is restricted to 15 days in year 1 and to 45 days thereafter. In the event of an Insured under this Plan undergoing any specified Day Care Procedure mentioned in the Day Care Procedure Benefit Annexure due to medical necessity, a lump sum amount equal to 5 five times the Applicable Daily Benefit shall be paid, regardless of the actual costs incurred, subject to benefit limits and conditions mentioned in Para 11C and exclusions mentioned in Para arpgya below.
B If policy is issued on more than one life Jsevan policy shall terminate at the earliest of the following: In the event of an Insured under this plan, due to medical necessity, undergoing one of the surgeries defined in Major Surgical Benefit Annexure, within the cover period in a hospital due to Accidental Bodily Injury or Sickness, the respective benefit percentage of the Major Surgical Benefit Sum Assured, as specified against each of the eligible surgeries mentioned in Major Surgical Benefit Annexure, shall be paid subject to benefit limits and conditions mentioned in Para 11B and exclusions mentioned in Para 15 below.
Mere silence is not fraud unless, depending on circumstances of the case, it is the duty of the insured or his agent keeping silence to speak or silence is in itself equivalent to speak. During one period of 24 continuous hours i. The amount of tax as per the prevailing rates shall be payable by the Policyholder on premiums including extra premiums, if any. Treatment for Gall stones vii. In such case, the premium for the Insured Spouse will change from the date coinciding with or following instalment premium due date and the new premium would be based on tabular premium rates applicable for PIs and the age for calculation of revised premium rate will be the age at entry of the spouse.
Treatment for varicose veins xvi. The revival of the discontinued policy shall take effect only after the same is approved by the Corporation and is specifically communicated to the PI. Less than or equal to HCB of Jefvan. Treatment for adenoid or tonsillar disorders ii. So if you had chosen an HCB of Rs. Any natural peril including but not limited to avalanche, earthquake, volcanic eruptions or any kind of natural hazard. No benefits are payable at end of the Cover Period. If the number of Surgical Procedures eligible for the Day Care Procedure Benefit in respect of an Insured equals this lifetime maximum limit, the Day Care Procedure Benefit in respect of that Insured will cease immediately.
Choose the level of Health cover you need: No Policy of Life Insurance shall be called in question on any ground whatsoever after expiry of 3 yrs from. Nowadays medical expenses are touching the sky. Children are insured up to age 25 years. If the request for revival is received by the Corporation beyond 90 ninety days from the due date of the first unpaid premium, then there shall be a specific waiting period of 2 two years from the Date of Revival in respect of each Insured.
Reply how good jeevsn this to cover person 1: Treatment arising from the Insured failure to act on proper medical advice. For members included subsequently under the policy, the benefit in the first year shall be equal to Initial Daily Benefit amount and thereafter the Applicable Daily Benefit shall increase as above.
C Quick Cash facility: No Policy of Life Insurance shall be called in question on any ground whatsoever after expiry of 3 yrs from a. If the policyholder undergoes a surgery which is listed under Day Care Procedure Benefit List an amount equal to five times the applicable HCB will be payable to the policyholder.
Complete list of the Daycare procedure allowed under the scheme can be downloaded from here. If the policyholder undergoes a surgical procedure which is not mentioned as a Major surgery or as a daycare procedure, then an amount equal to two times applicable HCB will be payable as Other Surgical Benefit. Let us consider the example of Mr. Arun and family taking LIC Jeevan arogya plan with following family details. You can download excel software to create a presentation similar to the one shown above from here.
The deduction allowed under section 80 D is up to Rs. You may be also interested in:. Please feel free to share this post using sharing buttons provided below.
If you have any comments or doubts, you can use the comment section given below. He is also a finance, insurance and software consultant. He thoroughly follows the developments in finance, insurance, and other related sectors. Jeevan Arogya policy does not have any surrender value and hence there is no option to close the policy and get money back.
Can you make your query a little more clear? Please use this calculator to get the benefits available if people with mentioned age takes a Jevan arogya policy. Normally premium will not increase with time. But there is a provision to revise the premium every 3 years. But it need not be an increase it can be a decrease also.
There has been a lot of claim denials citing flimsy reasons because of which many of my friends including myself are planning to discontinue with this insurance. Any comments? Nobody can reject any claim citing flimsy reasons as you mentioned. Which claim was rejected? Rules of Jeevan Arogya is clear and the claim has to be paid based on that.
If you have any dispute in the claim decision you can go for an appeal and raise your point if any. I cannot comment without more details. If you want any clarifications you can ask. Ise mere hone wale bacha cover nahi hai to aur policy premium Bhaut hai…… To policy continue karu koi aur option par jau ex Star health insurance ….. Please replay.
Hi Swapnil, You can add your new child to the Jeevan Arogya plan once he is 3 months old. What else you want to know? Is this policy gives lumpsum amount on maturity in case there is no claim, in short is it endowment policy?
Is this policy endowment plan? Means will it give me my amount on maturity in case of no claim at all? Jeevan Arogya is not an endowment type plan. Nothing is payable on maturity or if there is no claim. What I understood from your query is that you are already having a CGHS scheme and you want to know whether paying some amount in Jeevan Arogya plan can cover the additional rebate available in 80D.
Yes, that is possible.
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