Useful Information

Birla

TPA Information

Arogya Sanjeevani Individual

Synopsis:

A plan that ensures you get the best health treatment in case of medical emergency, at an affordable premium.

Highlight:

  • Cashless hospitalization in a wide network of hospitals
  • Sum Insured from Rs.1 lac to Rs.5 lacs
  • Cataract treatment Covered up to 25% of sum insured or Rs.40,000, whichever is lower,

Benefit:

Title
Description
Room Rent Limit
Covered up to 2% of the sum insured per day-maximum of
ICU Daily Rent Limit
Covered up to 5% of the sum insured per day-maximum of
Pre-Hospitalization Expenses
For 30 days prior to the date of hospitalisation
Post Hospitalization Expenses
For 60 days from the date of discharge from the hospital
Minimum Hospitalization Period
24 hours
Day Care Procedure Coverage
All daycare procedures covered
Pre-Existing Disease / Illness coverage
Pre-Existing Diseases Waiting Period: 48 months.
Waiting Period for New Policy
30 Days Waiting Period
Co-Payment
Mandatory 5% co-pay for all claims.
Ambulance Expenses
Maximum of Rs. 2000/- per hospitalisation.
Non-Allopathic Treatments
Covered
No Claim Bonus
5% increase in your sum insured for eveclaim free year. Max 50%