Care Heart Health Insurance
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Our Verdict
Expert Review: Care Health Insurance
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Final Verdict
About
About Care Health Insurance
Inclusions and Exclusions
Inclusions and Exclusions of Care Insurance Company Limited
Maternity Cover
Not available
Cashless Healthcare Providers
21700+ Healthcare Providers
Daycare Treatment
Covers medical expenses for treatments not requiring 24-hour hospitalization, up to your annual sum insured
Claim Settlement Ratio
96%
Modern Treatment
Hospital expenses for listed advanced treatments are covered up to your full sum insured during the policy period
AYUSH Treatment
Covers AYUSH treatment expenses up to your annual sum insured during the policy period
ICU Charges
Up to ₹3 L sum insured – 2% of Sum Insured per day
Above ₹3 L sum insured – No Limit
Disease-wise sublimits
Yes
Restoration Benefit
Provides 1 restoration of the base cover upon exhaustion, applicable for unrelated illnesses only
Consumable Cover
No. However, available as an add-on
Initial Waiting Period
30 days
Room Rent
Up to ₹3 L sum insured – 1% of Sum Insured per day
Above ₹3 L sum insured – Single Private Room
Co-payment
In-built co-payment: 20% if entry age ≤ 70 years, 30% if entry age > 70 years.
Specific Waiting Period
2 years
PED Waiting Period
2 years
Annual Health Checkup
Health check-up is available from the first policy year
Pre-Hospitalisation
You get cover for medical tests and doctor visits up to 30 days before hospitalisation, if your main claim is approved
Deductible Option
Not available
Coverage Options
Available coverage options: ₹3L, ₹5L, ₹7L and ₹10L
Cumulative Bonus
Your sum insured increases by 10% each policy year as a No-Claim Bonus, up to 50% of the sum insured. The bonus reduces by 10% for every claim paid
Post-Hospitalisation
You get cover for medical bills up to 60 days after discharge, including physiotherapy if your doctor prescribes it
Outpatient Department Cover (OPD Expense)
OPD expense is not included
Maternity Cover
Not available
Cashless Healthcare Providers
21700+ Healthcare Providers
Daycare Treatment
Covers medical expenses for treatments not requiring 24-hour hospitalization, up to your annual sum insured
Exclusions
Expenses for hospital admission primarily for diagnostics are excluded.
Expenses for bed rest, custodial or palliative care excluded.
Surgery covered only under strict medical criteria and guidelines.
Expenses for any procedure to alter gender characteristics excluded.
Covered only for accident, burns, cancer, or medical necessity.
Injuries from professional participation in extreme sports are not covered.
No coverage for treatments related to criminal acts or violations.
Treatment from blacklisted hospitals or practitioners not reimbursed.
Add ons
Add-Ons
Care OPD
Shield
Home Care
Insurance Premium Calculator
Insurance Premium Calculator
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About the company
About the company
Carе Hеalth offеrs a widе rangе of plans tailorеd for individuals, familiеs, sеnior citizеns, and corporatе groups. Each policy is thoughtfully dеsignеd to covеr hospitalization еxpеnsеs, surgеriеs, daycarе procеdurеs, and both prе- and post-hospitalization costs. Thе insurеr also providеs global covеragе options, wеllnеss-basеd bеnеfits, and top-up plans to еnhancе protеction basеd on spеcific hеalthcarе nееds.
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