LIC’s Arogya Rakshak

LIC’s Arogya Rakshak

Plan Overview: LIC’s Arogya Rakshak (UIN: 512N318V01) is a non-linked, non-participating, individual health insurance plan. This plan provides fixed benefit health insurance coverage against specific health risks, offering timely support in medical emergencies to help you and your family remain financially independent during difficult times.

Key Features:

• Comprehensive Coverage: Covers you, your spouse, children, and parents under one policy.
• Flexible Benefits: Choose from various benefit limits and premium payment options.
• Lump Sum Benefits: Provides a lump sum benefit irrespective of actual medical costs.
• Increasing Health Cover: Features Auto Step-Up Benefit and No Claim Benefit to increase health coverage over time.
• Premium Waiver: Waives premiums for other insured members in case of the death of the original principal insured or in the event of certain surgeries.
• Additional Benefits: Includes ambulance benefit and health check-up benefit.

Benefits:

1. Hospital Cash Benefit (HCB): Provides a daily benefit for hospitalization exceeding 24 hours, with higher benefits for ICU stays.
2. Major Surgical Benefit: Covers specified surgeries with lump sum payments, including an ambulance benefit and premium waiver for major surgeries.
3. Day Care Procedure Benefit: Provides lump sum payments for specified day care procedures.
4. Other Surgical Benefit: Covers surgeries not listed under major surgical or day care procedures.
5. Medical Management Benefit: Provides lump sum payments for hospitalization due to major medical conditions like dengue, malaria, etc.
6. Extended Hospitalization Benefit: Provides a lump sum benefit for continuous hospitalization exceeding 30 days.
7. Auto Step-Up Benefit: Increases the daily benefit by 15% every three years.
8. No Claim Benefit: Adds 5% of the initial daily benefit to the applicable daily benefit for every three claim-free policy years.
9. Health Check-up Benefit: Covers health check-up expenses once every three policy years.
10. Death Benefit: Continues the policy for other insured members in case of the death of the principal insured, with an Auto Health Cover benefit waiving premiums for up to 15 years.

Eligibility:

• Principal Insured: Age 18-65 years
• Spouse/Parents: Age 18-65 years
• Children: Age 91 days to 20 years
• Initial Daily Benefit: Ranges from ₹2,500 to ₹10,000 per day, chosen in multiples of ₹500.

Premium: Premiums are based on the insured’s age, gender, chosen health cover level, and payment mode. Premiums for other insured members depend on their age, gender, and the principal insured’s age.