Kotak Health Insurance Plans

Following are four major benefits of Kotak Secure Shield plan.

Comprehensive critical illness cover: Upon diagnosis of any of the 18 types of critical illnesses, in case of other medical emergencies, and while undergoing surgical procedures, you are entitled to receive a one-time sum insured. This helps you meet your medical expenses as well as other financial obligations, such as payment of an existing debt or any other emergency expenses.

Personal accident benefit: In case of death or permanent total disability due to an accident, your family members may get the personal accident benefit, thus providing them financial stability.

Child education benefit: In an event of your demise or permanent total disability, our critical illness cover will ensure that your child will continue to receive uninterrupted education.

Loss of job benefit: This critical illness policy allows you to avail of a loan in case of loss of job. Besides the aforementioned advantages, you may also avail of tax benefits on your premiums under Section 80D of the Income Tax Act, 1961. You may also enjoy a flexible policy period of one to three years based on your choice. Further, you may avail of a free look period of 15 days to familiarize yourself with the policy features and benefits.

The Kotak Edge: When it comes to keeping your money and your life safe and secure, it pays to go with a reputed company. The Kotak Group has an illustrious history that spans over 3 decades, and is considered to be one of the most trusted brands in the country. With Kotak Secure Shield, your health and your family members are in safe hands.

As people rightly say, health is wealth, which is why we have Kotak Health Care – a comprehensive health insurance plan to ensure you and your family members are always well-protected.

Day Care Treatments: If medical expenses are incurred for specified treatments or procedures that do not require you to be hospitalised for more than 24-hours, Kotak Health Care will cover the cost of these procedures. Enjoy cover for up to 150 specified procedures and treatments. For a complete list of Day Care Treatments covered, please click here.

Cumulative Bonus: Enjoy special no-claim benefits on your policy. Receive a cumulative bonus of 10% on your Base Annual Sum Insured on renewal of your health insurance, provided there has been no claim throughout the policy period, up to a maximum of 50% of the Base Annual Sum Insured. If any claim is made under the policy after a Cumulative Bonus has been applied, then the accrued Cumulative Bonus under the policy will reduced by 10% on the commencement of the next policy year or the next renewal of the policy as applicable.

Pre-Hospitalisation Medical Expenses and Post-Hospitalisation Medical Expenses: In the event of a hospitalisation, focus only on getting better and not on the costs. Medical expenses incurred 30 days before a hospitalisation, and 60 days after a hospitalisation will be covered under Kotak Health Care.

Cashless benefit: Besides reimbursement of medical bills, you would also get the benefit of cashless settlement. Therefore, you need not worry about making any huge expenses, as we settle the bill directly with over 4000 hospitals in our hospital network.

Picking a Plan: Kotak Health Care comes to you in the form of three options; Excel, Premium and Prime. Have a look at what exactly is covered by each plan in the below table before you make your choice:

Eligibility
Entry Age - 91 Days for Child and 18 Years for Adult
Maximum Entry Age for Adult - 65 Years
Maximum Entry Age for Child - 25 Years, after which the Child will be considered as an Adult
Exit Age/Renewal - The Policy provides for life-long renewal
Policy Period - 1/2/3 Years
Policy Type - Individual/Family Floater

Relationships covered
Self, Spouse, natural or adopted dependent children, parents, parents-in-law and siblings, Employer-Employee. Natural/Appointed Guardian can also take insurance for minor under their guardianship.
A Family Floater policy can cover a maximum of 2 adults and 3 dependent children under a single policy.

Waiting period for Pre-existing Diseases - As per Plan opted

Key Discounts

• Long Term Discount
• 2 year policy - 2.5%
• 3 year policy - 5%
• Family Discount (Not applicable for Floater Policies)
• 2 eligible members - 2.5%
• More than 2 members - 5%
• Cross Sell Discount(Applicable if the policyholder has one live policy) – 10%

Pre-policy Medical check-up

Medical tests will be facilitated by us and conducted at our network of diagnostic centers. The validity of such tests will be up to 30 days. If we accept your proposal, we will reimburse 50% of the cost of such pre-insurance medical tests. The charges of the medical test and the center at which such tests shall be conducted will be informed to you before the medical examination.

Zone Classification

Now the premium you pay and co-pay option is determined based on the city where you reside.

Note:

• Dependent Child under family floater policies after completion of 25 Years shall be considered as adult for premium computation.
• Avail tax benefit up to ₹ 25,000 for people below 60 years and ₹ 30,000 for senior citizens u/s 80D*.
• 80D benefit will not be available if any member other than self, spouse, dependent children, parents covered under Family Floater Policy.
• In case of Individual Policy, if any member other than self, spouse, dependent children, parents are covered then 80D benefit will not be available to these members.
• Zone Classification:
• Zone I: Mumbai (including Thane and Navi Mumbai) and Delhi (including NCR areas).
• Zone II: Kolkata, Hyderabad, Chennai, Pune, Bangalore and Gujarat.
• Zone III: Rest of India excluding the locations mentioned under Zone I & Zone II.