LIC's Jeevan Arogya
LIC Jeevan Arogya is a non-linked Health Insurance Policy which helps individuals to cope up with the rising medical costs. In this plan you can cover yourself, spouse, children, parents as well as mother-in-law and father-in-law. It is a comprehensive health insurance policy for the entire family.
Benefits
Key Features of LIC Jeevan Arogya
- One health insurance policy that covers self, spouse, children, parents and parents-in-law
- Covers hospitalisation, surgery and much more
- Provides benefit payout irrespective of actual medical cost incurred
- Can be availed along with existing mediclaim policy for the same hospitalisation / surgery
- Cover can be extended to new members of the family in case of marriage and childbirth
- Quick Cash Facility is available on hospitalisation instead of waiting to make a claim for the benefit after discharge
- Under Quick Cash, 50% advance payment is given by LIC (under 57 surgeries performed in network hospitals)
- Payout made on the basis of photocopy of bills
- No Claim Benefit is 5% of initial Hospitalisation Cash Benefit (HCB)
What is covered in LIC Jeevan Arogya?
- Hospitalisation Cash Benefit (HCB)
- Major Surgical Benefit (MCB) is 100 times the HCB / Accidental Death Benefit (ADB)
- Day Care Procedure Benefit paid as lump sum
- Other Surgical Benefits (where all other surgeries are covered) is 2 times HCB / ADB
- Ambulance charges up to Rs 1000 per insured per year, for major surgeries under category 1 or 2
- Premium Waiver Benefit
- Auto increase @ 5% in both HCB and MCB up to 50% even if there is any claim
Hospitalisation Cash Benefit in detail:
- Choose from Rs 1000 to Rs 4000 per day
- Up to Rs 4000 per day for maximum 720 days
- Up to Rs 8000 per day for maximum 360 days in ICU
Daycare procedures (which do not require 24 hr hospitalisation) in detail:
- 5 times Hospitalisation Cash Benefit (HCB) / Accidental Death Benefit (ADB)
- 140 surgeries
- 3 daycare procedures covered in a year, and 24 procedures covered in a lifetime
Waiting period for availing benefits in LIC Jeevan Arogya:
- Accidental claims - 0 days
- HCB and MSB - 90 days from policy start date
Additional Benefits of LIC Jeevan Arogya
- Term Rider and Accidental Benefit rider available as an option
- Increasing health cover every year as a No Claim Benefit
Eligibility conditions and other restrictions in LIC Jeevan Arogya
- Daily Hospitalisation Benefit Minimum Rs. 1000/day excl ICU & Maximum Rs.4000/day excl ICU
- Major Surgical Benefit Minimum Rs. 1,00,000 & Maximum Rs.4,00,000
- Entry Age of Self/Spouse Minimum 18 Years & Maximum 65 Years
- Entry Age of Children Minimum 91 days & Maximum 17 Years
- Entry Age of Parents Minimum 18 Years & Maximum 75 Years
- Age at Maturity 80 Years Maximum
- Payment modes are Yearly, Half-yearly, Quarterly or Monthly (ECS mode only)
Exclusions - What is not covered in LIC Jeevan Arogya Policy?
- Pre-existing conditions (unless disclosed and accepted by LIC)
- Routine check-ups and Non-allopathic treatments
- Epidemic diseases or conditions (classified by Central or State Government)
- Cosmetic or beauty treatments, circumcision, dental treatments
- Plastic surgery (unless necessary for treatment of illness or due to an accident and performed within 6 months of the event occurrence)
- Any treatment arising from insured person's failure to act on proper medical advice
- Self-inflicted injuries or attempted suicide
- Abuse of drugs, alcohol or intoxicants
- Conditions existing at birth (congenital conditions)
- Rest cure, general weakness, nervous breakdown or related conditions, infertility or sterilisation
- Sexually transmitted diseases like HIV / AIDS
- Pregnancy or child-birth related conditions
- Any act of war, invasion of foreign enemy, naval or military operations etc
- Radioactive contamination
- Criminal or illegal acts
- Natural catastrophe like earthquake, floods etc
- Participation in dangerous sports like racing, scuba diving, bungee jumping