Indian Insurance

There is a stronger focus on health currently by all individuals across the world. More individuals are dedicated to the pursuit of healthier lifestyles and the prevention of illness and disease. This trend is prevalent across all ages.

In a study, undertaken by Sun Life Financial for the Asian market, the findings related to health care for India, specifically indicate that more than 64% of the individuals are more health conscious today than they were 5 years ago. The same study indicates that the source to finance health related expense comes largely from personal savings. Therefore, keeping these needs in mind, Birla Sun Life Insurance has designed this special Health plan, for the Indian market.

Highlights
Health Insurance Plan fully guaranteed for 3 years
Insure yourself and/or your family or your parents
Decide on the amount of insurance for each individual
Benefits on hospitalization/surgery are fixed and will be paid

•     irrespective of actual costs
•     in addition to any other health plan you may have
You are Guaranteed a new BSLI Health Plan with the Guaranteed Insurability Health Benefit:

•     up to age 78 for you and your spouse or for your parents
•     up to age 23 for your dependent children
•     no underwriting, no questions asked, guaranteed issue
•     irrespective of the health status or past claims under an enhanced BSLI Health Plan
•     more units for everyone with more covered surgeries
•     no waiting period, no deductible, no excluded surgeries

HEALTH INSURANCE for LIFE

Medical Second Opinion by Mediguide

(world’s leading second opinion provider)
You can seek a second medical opinion for any life threatening or serious condition through this service. This second opinion will be provided by the world leading specialists in that condition, with the second opinion provider undertaking the facilitation of data gathering, accessing the specialist and providing the relevant feedback.

Navigator Service by TTKHCS

You have access to a ‘navigator’ service which allows you to find out treatment options available in your locality/area.

Your BSLI Health Plan

Health insurance plan with 3-year policy term.
Regular premium guaranteed during the 3-year policy term.
Insure yourself and/or your family or your parents.
The policy must have a Principal insured who can be yourself, your spouse or one of your parents. An additional adult can be added as a Spouse (your spouse or your other parent). Your child(ren) can also be covered in case the Principal insured is yourself or your spouse. Below are all combinations available:

Conditions Apply

This plan has a Waiting Period of 90 days meaning that during the first 90 days of the policy term, only claims due to accidental injuries will be admitted.

This plan has a list of Excluded Surgeries meaning that during the policy term any hospital admission to undergo one of the excluded surgeries cannot be claimed against Health Insurance Units.

This plan has a maximum limit on benefits we will pay within one policy year and during the policy term. These limits, for each Health Insurance Unit, are:

Surgical Management to undergo a Covered Surgeries – Rs.100,000 per policy year and Rs.200,000 per policy term plus
Surgical Management to undergo any other surgery and/or Medical Management –
Rs.100,000 per policy year and Rs.200,000 per policy term.

Guaranteed Insurability Health Benefit

The Guaranteed Insurability Health Benefit applies to everyone under the plan and guarantees that everyone can remain insured for a very long time (up to age 80 for the Principal & Spouse and up to age 25 for Dependent Child).
When your policy expires at the end of its 3-year policy term, you will have the option to purchase a new 3-year BSLI Health Plan covering the same insured lives each for their same number of Health Insurance Units.
Furthermore, this option to purchase a new BSLI Health Plan every 3 years is available to you:

Until age 78 of the Principal insured and Spouse and until age 23 of the Dependent Child; with

No underwriting, no questions asked, guaranteed issuance of the new plan – irrespective of the then current health status of lives insured or past claims paid by us.

PLUS
The number of Health Insurance Units for each life insured is automatically increased by 20% of initial Health Insurance Units (example 3.0 units becomes 3.6 units).
Waiting Period of 90 days is waived.
Deductible of Rs.1,000 is waived.
All Excluded Surgeries are covered.
Total of 101 Covered Surgeries.

Spousal Continuation Health Benefit

The Spousal Continuation Health Benefit ensures that the Spouse under the plan can remain insured irrespective of the status of the Principal insured.

Should the Principal die, the Spouse will automatically become the Principal insured and the policy will continue uninterrupted.

Similarly, if the Guaranteed Insurability Health Benefit can be exercised for the Spouse but not for the Principal (now aged beyond 78), then the Spouse can exercise the Guaranteed Insurability Health Benefit alone and become the Principal insured on the new BSLI Health Plan.

Complete Sample Case

Case – Principal insured is a gentleman aged 42 who purchased 3 Health Insurance Units. The sample case assumes the Guaranteed Insurability Health Benefit is exercised twice (at age 45 and again at age 48) for a total of 9 years of insurance.

Note that this person can exercise the Guaranteed Insurability Health Benefit 12 times (age 45, 48, 51, … 78) for a total of 39 years (3 + 12 x 3) till age 80!

Every time the Guaranteed Insurability Health Benefit is exercised, the number of Health Insurance Units is automatically increased by 0.6 units (20% of the initial 3 units) – irrespective of the current health status of the Principal insured or past claims.