LIC’s JEEVAN AROGYA (Plan No. 903)

New Plan – Implementation of New Plan Jeevan Arogya (Plan No. 903).
INTRODUCTION:
It has been decided to introduce LIC’s JEEVAN AROGYA (Plan No. 903) with effect from 1st June, 2011.The
Unique Identification Number (UIN) for LIC’s Jeevan Arogya plan is 512N266V01.An individual can take the
health cover under this plan for himself / herself. This individual will be addressed as Principal Insured (PI)
for the purpose of insurance under this plan. The Spouse, Children, Parents and Parents-in-law can also be
covered under the same policy. This is non-linked health plan which provides fixed benefits for
hospitalization and almost all types of surgical procedures irrespective of actual cost incurred and the
benefit is in addition to any other health insurance cover that insured lives may have, subject to certain
terms and Conditions.
The benefits offered under the plan are:
i) Hospital Cash Benefit (HCB)
ii) Major Surgical Benefit (MSB)
iii) Day Care Procedure Benefit (DCPB)
iv) Other Surgical Benefit (OSB)
Features at a glance:
Provides insurance cover for Hospital Charges, Major Surgical Charges, Day Care Procedure Benefit
Charges and Other Surgical Charges in India.
Entire family including spouse and dependent children, Dependent Parents of Husband and/or Wife can
be covered in a single policy.
Hospital Cash Benefit (HCB)
Feature Principal Insured (PI) Insured Spouse, Parents/In-Laws Insured Dependent Children
Min. Initial Daily Benefit Rs.1000/- Rs. 1000/- Rs. 1000/-
Max. Initial Daily Benefit Rs. 4000/- Equal to or less than PI Equal to or less than PI
Max. Age for Cover 80 Years 80 Years 26 Years
8) HCB (With in India only) is payable on per day basis.
9) 1st policy year: Maximum 30 days hospitalization & including 15 days in ICU (2 times of ADB) for each one.
10) 2nd year onwards: Maximum 90 days and including 45 days in I.C.U. for each insured.
11) Maximum of 720 days including 360 days for ICU during entire policy term for each insured.
12) This Benefit increase @ 5% each year till it reaches a maximum of 1.5 times the original HCB and
arithmetic addition of an amount equal to “No Claim Benefit” at every auto renewal stage.
13) Stay in hospital exceeds a continuous period of 24 hours or part thereof thereafter. Stay more
than 7 days, even for 1st 24 hours also payable.
14) Benefit payout is fixed irrespective of actual expenses incurred.
Major Surgical Benefit (MSB)
Feature Principal Insured (PI) Insured Spouse, Parents/In-Laws Insured Dependent
Visual Magic Pro - Release Notes
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Children
S.A. (MSB S.A.) 100 times of HCB 100 times of HCB of Spouse/each parent
100 times of HCB of each
child
Max. annual
benefit
100% of MSB SA 100% of MSB SA 100% of MSB SA
Max. Life Time 800% times MSB SA 800% times MSB SA 800% times MSB SA
8. Quick Cash facility: 50% of eligible MSB amount payable subject to approval from the TPA
9. MSB shall be a percentage of sum assured.
10. Major Surgical Benefit Amount, as calculated as % of Sum Assured, payable regardless of actual
costs incurred.
11. Premium waiver benefit: When any insured undergo major surgery under category 1 or 2,
premium payable for one year from the next
12. Premium due date coinciding or following the date of surgery is waived.
13. Rs.1000/- payable in lump sum towards Ambulance expenses.
14. Applicable for surgery conducted only within India.
Day Care Procedure Benefit (DCPB) (under Basic Plan)
An Insured under this Plan undergoing any specified Day Care Procedure mentioned in the Day Care
Procedure Benefit Annexure.
Feature Principal Insured (PI)
Insured Spouse,
Parents/In-Laws
Insured Dependent
Children
Lump sum benefit
payable
5 times of Applicable
Daily Benefit (ADB)
5 times of Applicable
Daily Benefit (ADB)
5 times of Applicable
Daily Benefit (ADB)
Maximum annual benefit, each insured 3 Surgical Procedures
Maximum Life Time 24 Surgical Procedures
If a Day Care Procedure Benefit is performed no Hospital Cash Benefit shall be paid.
Other Surgical Benefit (OSB) (under Basic Plan)
An Insured under the Plan, due to medical necessity, undergoing any Surgery not listed under Major
Surgical Benefit or Day Care Procedure Benefit and the stay in hospital exceeds a continuous period of 24
hours.
Feature Principal Insured (PI)
Insured Spouse,
Parents/In-Laws
Insured Dependent
Children
Daily benefit amount 2 times of appli.HCB 2 times of appli.HCB 2 times of appli.HCB
Maximum annual benefit, each insured 15 days in year 1 and 45 days per year thereafter
Maximum Life Time, each insured 360 days
For More Information Please Call:- Giribabu, 09885126368, 9246826368..