| Name of policy |
Easy Health Individual Standard |
Easy Health Individual Exclusive |
Easy Health Individual Premium |
Medi classic |
Medi premier |
| Eligibility |
3mon - 60yrs |
3mon - 60yrs |
3mon - 60 yrs |
5mon - 80yrs |
26 - 75 years |
| Min -Max S.I limit |
Rs 1lac - 5lac |
Rs 3lac - Rs 7.5lac |
Rs 4lac - 10lac |
1lac - 5lac |
Rs 1lac - 4lac |
| Policy Coverage |
| Pre-hospitalisation |
30 days.If hint for hospitalisation is given 5 days before then days are increased to 60. |
30 days.If hint for hospitalisation is given 5 days before then days are increased to 60. |
30 days.If hint for hospitalisation is given 5 days before then days are increased to 60. |
30 days |
30 days . |
| Post-hospitalisation |
60 days. If hint for hospitalisation given before 5 days then days are increased to 90. |
60 days. If hint for hospitalisation given before 5 days then days are increased to 90. |
60 days. If hint for hospitalisation given before 5 days then days are increased to 90. |
Cover 7% of the hospitasation expense, max of Rs 5000. |
Cover 7% of the hospitasation expense, max of Rs 5000. |
| Domiciliary Hospitalisation |
Covered |
Covered |
Covered |
Not covered |
Not covered |
| No-claim discount |
Not indicated |
Not indicated |
Not indicated |
5%-25% for every claim free year |
5%-25% for every claim free year |
| Cummulative Bonus |
10% for every claim free yrs max 50%.(In case of claim, CB reduces by 20% of SI) |
10% for every claim free yrs max 50%.(In case of claim, CB reduces by 20% of SI) |
10% for every claim free yrs max 50%.(In case of claim, CB reduces by 20% of SI) |
5% of SI for every claim free year to max of 25%. |
5 % is added to your sum assured for every claim free year. |
| Day-Care Procedures |
medical exp for 140 days |
medical exp for 140 days |
medical exp for 140 days |
Not indicated |
Not Required |
| New born baby care |
Not covered |
Optional |
Optional |
10% of SI of mother |
10% of SI of mother |
| Health checkup |
1% of SI at the end of 4 continuous claim free years. |
1% of SI, subject to max of 5000 after every 3 continuous claim free years |
1% of SI, subject to max of 5000 after every 2 continuous claim free years |
Not indicated |
Free medical check up provided at the end of 3 claim free years. |
| Daily cash for choosing shared accomodation |
Rs 500/day, max of Rs 3000 |
for 3-5lac Rs 500/day, max of Rs 3000
for 7.5lac Rs 800/day, max of Rs 4800 |
for 4&5lac Rs 500/day, max of Rs 3000
for 7.5 & 10lac Rs 800/day, max of Rs 4800 |
Not indicated |
Not indicated |
| Emergency Ambulance Charges |
upto Rs 2000. |
upto Rs 2000. |
upto Rs 2000. |
upto Rs 750/hospitalisation, over all limit of Rs 1500/policy. |
upto Rs 750/hospitalisation, over all limit of Rs 1500/policy. |
| Critical illness |
Nil |
Optional 50% or 100% of basic Sum Insured |
Optional 50% or 100% of basic Sum Insured |
Not indicated |
Not indicated |
| Daily Cash for accompanying an insured child. |
Nil |
for 3-5lac Rs. 300 per day, Maximum Rs.9,000
for 7.5lac Rs. 500 per day, Maximum Rs.15,000 |
for 4&5lac Rs. 300 per day, Maximum Rs.9,000
for 7.5 & 10lac Rs. 500 per day, Maximum Rs.15,000 |
Not indicated |
Not indicated |
| Out-patient Dental Treatment with Waiting Period of 3 years |
Not covered |
Not covered |
Upto 1% of SI, Max of Rs. 5,000 |
Not indicated |
Not indicated |
| Spectacles, Contact Lenses, Hearing Aid Every Third Year |
Not covered |
Not covered |
upto Rs 5000 |
Not indicated |
Not indicated |
| Maternity exp wtith waiting period of 6 yrs |
Not covered |
for 3-5lac
Normal delivery Rs 15000
Caesarean delivery Rs 25000
for 7.5lac
Normal delivery Rs 25000
Caesarean delivery Rs 40000 |
for 4&5lac
Normal delivery Rs 15000
Caesarean delivery Rs 25000
for 7.5 & 10lac
Normal delivery Rs 25000
Caesarean delivery Rs 40000 |
Not indicated |
Not indicated |
| Coverage |
In-patient hospitalisation, diagnostic expense, ICU, boarding & lodging, cost of anaesthesia, blood, oxygen, surgical appliances, any device or equipment implanted internally during surgical procedure, medicine and drugs, nursing & medical practitioner charges. |
In-patient hospitalisation, diagnostic expense, ICU, boarding & lodging, cost of anaesthesia, blood, oxygen, surgical appliances, any device or equipment implanted internally during surgical procedure, medicine and drugs, nursing & medical practitioner charges. |
In-patient hospitalisation, diagnostic expense, ICU, boarding & lodging, cost of anaesthesia, blood, oxygen, surgical appliances, any device or equipment implanted internally during surgical procedure, medicine and drugs, nursing & medical practitioner charges. |
- In-patient hospitalisation expenses for a minimum of 24 hours.Includes room rent and boarding @2% of SI, maximum of Rs.4000/- per day,
- Nursing expenses, Srgeon's fees,Consultant's fees,Anaesthetist's and Specialist's fees
- Cost of medicine & drugs blood, oxygen, diagnostic expenses, pace-makers .
|
- Lumpsum payment incase of certain illness
- In-patient hospitalisation expenses are covered which includes room rent at @2% of SI, maximum of Rs.4000/- per day,
- Boarding,Nursing expenses,
- Srgeon's fees,Consultant's fees,Anaesthetist's and Specialist's fees
- Cost of medicine & drugs blood, oxygen, diagnostic expenses, pace-makers .
|
| TPA |
Available |
Available |
Available |
Not available |
Not available |
| Pre-existing disease |
after 3 continuous policy years |
after 3 continuous policy years |
after 3 continuous policy years |
after 5 continuous policy years. |
Not indicated |
| Tax benefit on premium |
u/s 80D of IT act |
u/s 80D of IT act |
u/s 80D of IT act |
u/s 80D of IT act |
Max. Limit as per Section 80D |
| Exclusion |
| First 30 days |
Any treatment for first 30 days except accidental injury |
Any treatment for first 30 days except accidental injury |
Any treatment for first 30 days except accidental injury |
Any treatment for first 30 days |
Any treatment of illness/disease/sickness contracted by insured |
| 1st year &/or 2nd year |
2nd year
Cataract
Hysterectomy
Hernia, Hydrocele
joint replacement
|
2nd year
Cataract
Hysterectomy
Hernia, Hydrocele
joint replacement
|
2nd year
Cataract
Hysterectomy
Hernia, Hydrocele
joint replacement
|
1st year
- Benign Prostate Hypertrophy,
- Hernia,Hydrocele,
- Fistula in anus,Piles,
- Sinusitis and related disorders,
- Congenital internal disease,removal of gallstones
- Cataract,Hysterectomy for Menorrhagia or Fibromyoma,
- Replacement surgery for knee or joint,
- Prolapse of intervertibral disc
,
- Varicose Veins and Varicose Ulcers
2nd year
|
1st year
- Piles,
- Hernia,Hydrocele,
- Fistula in anus,Piles,
- Sinusitis and related disorders,
- Congenital internal disease,removal of gallstones
- Cataract,Hysterectomy
- Replacement surgery for knee or joint,
- Prolapse of intervertibral disc
,
- Varicose Veins and Varicose Ulcers
2nd year
|
| Permanent Exclusion |
- Congenital disease
- Non-allopathic treatment,mental disorder
- Cosmetic surgery,wt control treatment
- Expenses arising from HIV or AIDS and related diseases, use or misuse of liquor, intoxicating substances or drugs
- pregnancy, dental and external aids and appliances
- War, riot, strike, nuclear weapons induced hospitalization!
|
- Congenital disease
- Non-allopathic treatment,mental disorder
- Cosmetic surgery,wt control treatment
- Expenses arising from HIV or AIDS and related diseases, use or misuse of liquor, intoxicating substances or drugs
- pregnancy, dental and external aids and appliances
- War, riot, strike, nuclear weapons induced hospitalization!
. |
- Congenital disease
- Non-allopathic treatment,mental disorder
- Cosmetic surgery,wt control treatment
- Expenses arising from HIV or AIDS and related diseases, use or misuse of liquor, intoxicating substances or drugs
- pregnancy, dental and external aids and appliances
- War, riot, strike, nuclear weapons induced hospitalization!
|
- Congenital disease
- Cosmetic surgery
- Naturopathy treatment
- Diagnostic expense
- Expense for non-allopathic treatment shall be limited to 25% of SI, max of 25000/-
|
- Congenital disease
- Cosmetic surgery
- Naturopathy treatment
- Diagnostic expense
- Expense for non-allopathic treatment shall be limited to 25% of SI, max of 25000/-
|