Senior Citizen Red Carpet Policy (2009-10)
Major product features
- For people aged between 60 and 69 years
- Guaranteed renewals beyond 69 years
- No pre-insurance medical test required
- Treatment at network hospitals only
- All pre-existing diseases are covered from first year, except those for which treatment or advice was recommended by or received during the immediately preceding 12 months from the date of proposal
- Disease for which treatment or advice was recommended by or received during the immediately preceding 12 months from the date of proposal will be covered from second year onwards
Policy benefits
- Hospitalization Cover: In-patient hospitalization expenses for a minimum of 24 hours. Includes room rent and boarding @1% of sum
- ICU expenses per day @ 2% of sum insured
- Nursing expenses
- Surgeon's fees, consultant's fees, Anesthetist's and specialist's fees per illness @ 25% of sum insured
- Cost of blood, oxygen, pacemaker
- Cost of drugs and diagnostic tests @ 50% of sum insured per hospitalization
- Treatment for Cardiovascular Diseases / Cerebro-vascular Accident/Cancer and breakage of Bones : up to Rs.75,000/- where the sum insured is Rs.1,00,000/- and up to Rs.1,50,000/- where the sum insured is Rs.2,00,000/-
- Cataract (both eyes included), up to Rs.15,000/-
- Renal Complications : up to Rs.75,000/- where the sum insured is Rs.1,00,000/- and up to Rs.1,50,000/- where the sum insured is Rs.2,00,000/-
- All other Major Surgeries : up to Rs.60,000/- where the sum insured is Rs.1,00,000/- and up to Rs.1,20,000/- where the sum insured is Rs.2,00,000/-
- Emergency Ambulance Charges for transporting the Insured Person to the Hospital @Rs.600/- per Hospitalization and Rs.1200/- per Policy period
Post-hospitalization
Post-hospitalization - a lump-sum calculated at 7% of the hospitalization expenses (excluding room charges), subject to a maximum of Rs 5,000 is payable.
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Policy Premium
- A flat premium of Rs.5000/- (inclusive of Service Tax) per annum for a sum insured of Rs.1,00,000/- and Rs.9500/- ( inclusive of Service Tax ) per annum for a sum insured of Rs.2,00,000/- , irrespective of age. .
- A discount of 10% of the above premium will be allowed if the Proposer produces the following documents to the satisfaction of the Company
- Stress Thallium Report*
- BP report*
- Sugar (blood & urine)*
- Blood urea & creatinine*
- Self-declaration or certification that surgeries related to Heart / Brain / Cancer has / have not been done in the past * the tests should have been taken not before 45 days from the date of proposal.
- A flat premium of Rs.5000/-(inclusive of Service Tax) per annum for a sum insured of Rs.1,00,000/- and Rs.9500/- ( inclusive of Service Tax ) per annum for a sum insured of Rs.2,00,000/- , irrespective of age. .
- A discount of 10% of the above premium will be allowed if the Proposer produces the following documents to the satisfaction of the Company
- Stress Thallium Report*
- BP report*
- Sugar (blood & urine)*
- Blood urea & creatinine*
- Self-declaration or certification that surgeries related to Heart / Brain / Cancer has / have not been done in the past *the tests should have been taken not before 45 days from the date of proposal.
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* Conditions apply
Tax benefits
Premium paid by cheque or credit card is eligible for relief as provided under Section 80 D of the Income Tax Act.
Exclusions
- Treatments currently availed or availed during the previous 12 months from date of proposal
- Any expenses incurred for treatment of illness/disease/sickness contracted by the insured person during the first 30 days from the commencement date of the policy
- First Two-year exclusions : Hernia, Piles, Hydrocele, Congenital Internal disease/defect, Sinusitis, Gall Stone/Renal Stone removal and Benign Prostrate Hypertrophy
- Two-Year Exclusions: Hysterectomy, Cataract, Joint/Knee Replacement surgery (other than caused by an accident), Prolapsed Inter-vertebral Discs, Varicose Veins, Ulcers
- Naturopathy treatment
- Expenses which are purely diagnostic in nature with no positive existence of any disease
- Expenses for treatments that are mainly cosmetic in nature
- 50% co-payment applicable for pre-existing diseases conditions
- 30% co-payment applicable for all other claims
Note:- For a detailed list of exclusions, refer
