LIC Health Plus Plan no. 901
Health
Plus Plan Provides
Hospital Cash Benefit (HCB)
Major Surgical Benefit (MSB)
Domiciliary Treatment Benefit (DTB)
|
|
How it works:
-
A unit linked
product where premium paid will be subject to deduction
of Allocation Charge. Balance credited to Policy Fund
account.
-
Policy Administration
Charges, Premium for HCB and MSB with Service tax @ 12.36%
are deducted on a monthly basis.
-
Policyholder
is entitled to claim benefits for self and other members
of the family as mentioned in the Policy Bond.
-
Policy Fund
will be invested according to investment pattern as under:
FUND INVESTMENT:
| FUND
TYPE |
HEALTH
PLUS FUND |
| Govt./
Govt. guaranteed Securities / Corporate Debt |
Not
Less than 50% |
| Shorter
investments, such as Money Market Invt. Including
Govt. Securities & Corporate Debt |
Not
more than 90% |
| Investment
in listed equity shares |
>
10% and <50% |
| Simply,
it's a Low Risk- income & Growth fund. NAV
is declared on a daily basis |
|
Eligibility Conditions & Features:
Min.
Premium
(in multiples of Rs 500/-) |
On Single
life- Higher of Rs. 5000/-
and 6 times the HCB of Principal insured.
On 2 lives - Higher of Rs.7,500/- p.a.
and 6 times the HCB of Pl and 3 times the HCB
of other insured.
On more than 2 lives- Higher of Rs.10,000/-
p.a. and 6 times the HCB of Pl and 3 times the
HCB of each of the other insured. |
| Max.
Premium |
No limit
|
| Min.
Entry Age |
Pl and Spouse
- 18 years LBD Dependent Children -3 month completed. |
| Max.
Entry Age |
Pl and insured
Spouse -55 years NBD Insured Dependent Children
-17 years NBD |
| Max.
cover ceasing age |
Pl and insured
Spouse -65 years
Insured Dependent Children -25 years |
| Max.
cover ceasing age |
Pl and insured
Spouse -65 years
Insured Dependent Children -25 years |
| Policy
Term |
65 years
NBD of Pl minus age at entry of Pl |
| Mode
of Payment |
Yly, Hly,
Mly (ECS Only |
| Day
of grace |
30 days
for yly /hly modes and 15 days for ECS |
|
WHO IS ELIGIBILE
-
Cover can be
taken for self (Principal Insured ), Spouse, Dependent
children (no limit of numbers)
-
Any eligible
existing spouse / children if not covered initially, cannot
be covered in future.
-
Any subsequent
spouse (on marriage / remarriage ) or children (on birth
/ adoption) can be covered within one year from policy
anniversary.
-
Depending on
the cover opted, HCB is payable if insured is hospitalized
due to Accidental body injury or sickness
-
Daily Hospital
Cash Benefits at selected rate which increases by 5% at
each Policy Anniversary up to a maximum of 1.5 times of
Initial Daily Benefits (IDB). IDB must be in multiples
of Rs 50/-
-
In case of
ICU, the Benefit is TWO times of the daily Hospital Cash
Benefit.
-
If stay in
hospital exceeds a continuous period of 48 hours, then
payment will be made for any continuous period of 24 hours
or a continuous part thereof, which exceeds 4 hours (after
having completed 48 hours).
|
Principal
Insured |
Insured
Spouse |
|
Min. IDB
Max IDB
|
Rs.250/-
Rs.2,500/-
|
Rs.250/-
Less than or equal to
Pl subject to a max.
Of Rs.1,500/- per day
|
Rs.250/-
Less than or equal to Spouse/Pl subject to
a max. of Rs.1,500/- per day
|
| Min
Age at entry |
18
Yrs LBD 3 Month completed |
|
| Max Age
at entry |
55
Yrs NBD 17 Yrs NBD |
|
| Max. cover
Age |
65
Yrs NBD 25 Yrs NBD
|
|
Max annual
Benefit Period
|
18
days in 1st Year Max. 60 days per year thereafter,
inclusive of stay in ICU Max. No. of days in ICU
is restricted to 9 days in 1st Year and 30 days
thereafter. |
Max. Benefits
Period
|
365 days |
365 days |
365 days
90 days upto age 5
|
|
MAJOR SURGICAL BENEFITS:
| |
Principal
Insured |
Insured
Spouse |
Insured
Children |
| Sum Assured
|
200 times
of IDB of HCB of Pl |
200 times
of IDB of
HCB of Insured Spouse
|
200 times
of IDB of HCB of each Child |
| Min. age
for cover |
18 yrs lbd |
18 yrs lbd |
18 yrs lbd |
| Max. age
for cover |
65 yrs nbd
|
65 yrs nbd
|
25 yrs nbd
|
| Max. Annual
benefit |
100% of
Sum
Assured
|
100% of
Sum
Assured
|
100% of
Sum
Assured
|
Max. Life
time
benefit
|
3 times
the Sum Assured |
3 times
the Sum Assured |
3 times
the Sum Assured |
|
Major Surgical Benefit as a Percentage of Sum Assured
a few examples:
| Open
Heart Surgery 100% |
Lung Transplantation
100% |
| Implantation
of Pacemaker 60% |
Open surgery
for peptic ulcer 60% |
| Angioplasty
(stent) 40% |
Replacement
of Hip/ knee joint 60% |
| Bone marrow
transplantation 60% |
Partial
resection of liver 60% |
| Surgery
to remove Tumor (Brain) 100% |
Partial
excision of Thyroid/ Adrenal 40% |
| Renal Transplantation
100% |
Eye Surgery
for corneal /retinal repair 40% |
| Nephrectomy
due to medical advice 60% |
|
|
WAITING PERIOD
-
A waiting period
of 180 days from the date of cover commencement in respect
of each insured during which no HCB/MSB shall be payable.
-
A child included
in the policy will be automatically covered for MSB from
policy anniversary on which the age lbd is 18 years without
any waiting period.
-
A waiting period
of 90 days from the date of Revival/Reinstatement in respect
of each insured during which no HCB/MSB shall be payable.
-
There shall
be NO waiting period for HCB/MSB in case of Accidental
Bodily Injury.
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