Claim Settlement Ratio 84.52%
Claim Settlement Facility 100%
Network Hospitals 3200
COVID-19 Cover Yes
Incurred Claim Ratio 35.31%
Critical illness coverage: The plan provides for an additional 50% increase in the base sum insured on first diagnosis of a critical illness as specified in the policy document. If the critical illness sum insured is not utilized in the policy year, it would not be carried forward to subsequent policy years. The waiting period under this cover is 90 days from the date of purchase of policy. The cover is not valid if the person has already claimed for the same critical illness previously.
Restoration of Sum Insured: The Silver variant of the plan provides for the restoration of the sum insured on exhaustion of the base sum insured. The restored sum insured can be utilized only for the illnesses or diseases unrelated to the illnesses or diseases for which a claim has been made in that particular policy year.
Recharge: The sum insured will be replenished 100% in case of exhaustion of the sum insured during the policy period. It is not mandatory for the restoration benefit amount to be exhausted or replenished for the recharge benefit to apply.
Voluntary Co-payment: A voluntary co-payment of up to 20% can be opted under the plan in return for a discount on the premium. This option is available for customers aged 60 years and above.