Cost of healthcare has risen significantly in recent times due to medical inflation. As a result, any unplanned hospitalization can burn a hole in your pocket and derail your financial planning. Keeping this in mind, Kotak Mahindra General Insurance Company Ltd. has designed a comprehensive health insurance product called Kotak Health Premier. It not only covers expenses made towards consultation fees, medical tests, ambulance charges & hospitalization costs but also rewards you for taking care of your health through regular preventative and fitness habits.
COVERAGE DETAILS:
In-patient Treatment - Medical expenses like room rent, ICU charges, operation theatre charges, doctor’s fees, etc. arising out of minimum 24 hours of hospitalization will be covered
Day Care Treatment - Medical expenses incurred for listed 405 day care procedures will be covered which require less than 24 hours hospitalization
Pre and Post-Hospitalization Medical Expenses - Pre & post hospitalization medical expenses upto specified number of days prior to and after discharge based on the plan opted will be covered.
Restoration Benefit - There will be a 100% restoration of the Base Sum Insured once in a policy year in case the Base Sum Insured and Cumulative bonus is insufficient due to previous claims.
Cumulative Bonus - Cumulative Bonus can be earned upto 50%/ 100% of the sum insured as per plan opted in case of a claim free year at 10% per year. There will be no reduction in Cumulative Bonus in case of a claim.
Annual Health Checkup - The policy includes one health check-up for each Insured Person above 18 years of age for specified tests.
Second E-Opinion Cover - Policy will facilitate to avail of Second E-Opinion on medical condition occurring during policy period.
Ambulance Cover - Policy will cover ambulance expenses for transportation to the hospital in case of an emergency.
Organ Donor Cover - Inpatient hospitalization expenses of the donor in case of an organ transplant will be covered.
Alternative Treatment - Policy covers in-patient medical expenses related to Ayurveda, Yoga and Naturopathy, Unani, Sidha and Homeopathy systems.
Domiciliary Hospitalization - Policy covers medical expenses for treatment taken at home on the advice of the medical practitioner
Othe Covers:
The policy comes with a host of other covers which are in built or available as an optional cover (on payment of additional premium) depending on the plan chosen.
Hospital Daily cash: It will pay a specified daily cash amount from day one in case the hospitalisation extends for at least 3 consecutive days.
Convalescence Benefit: This benefit pays a lumpsum specified amount in case the hospitalisation exceeds for a minimum period of 10 consecutive days.
Home Nursing Benefit: This cover pays for the services of a qualified nurse at the residence of the insured after discharge from hospital.
Daily Cash for Accompanying an Insured Child: It will pay a specified daily cash amount from day one in case the hospitalization of an Insured child extends for at least 3 consecutive days.
Compassionate Visit: This benefit pays for the cost of return journey of Insured’s immediate relative from place of residence to hospital.
Air Ambulance Cover: It will cover expenses for ambulance transportation in an airplane or helicopter for emergency life threatening situations.
Maternity Covers (available under select plans only) (All the below 3 covers need to be taken together)
- Maternity Benefit: It covers medical expenses for the delivery of insured’s child or lawful termination of pregnancy. Cover is available for 2 deliveries across all policy years. Pre and post-natal expenses are covered.
- New Born Baby Cover: It covers medical expenses incurred on the insured’s new born baby.
- Vaccination Expenses: It will cover the vaccination expenses incurred on the new born baby. The expenses will be covered from the birth till the baby completes 2 years of age.
