Premier

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 Global Cover Bariatric Surgery

Restore Benefit
(for related as well as Cumulative Bonus
unrelated illnesses)

Covers Consumables
expense
Preventive Health
Check up

Room rent- No Capping Accidental Death Cover

Inbuilt Covid cover with consumables

*AAA rating by ICRA for the overall financials and strength in every function of the organisation
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 MediCare MediCare Premier
(Also includes benefits of MediCare)
Sum Insured Sum Insured
5/7.5/10/15/20 lakhs 5/10/15/20/25/50 lakhs

1. In-patient benefit 12. Global cover 20. Maternity cover

2. Pre/Post hospitalization 13. Bariatric surgery 21. New born baby cover
3. Day care procedures 14. In-patient dental treatment 22. First year vaccinations
4. Organ donor 15. Second opinion 23. Prolonged hospitalization
5. Domiciliary treatment 16. Vaccination cover 24. High end diagnostics
25. OPD treatment
6. Restore benefit 17. Hearing aid
26. OPD treatment – dental
7. AYUSH benefit 18. Daily cash for shared
27. Emergency air ambulance
8. Ambulance cover accommodation
28. Accidental death benefit
9. Health Check-up 19. Daily cash for accompanying an
10. Compassionate travel insured child
11. Consumables benefit

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 Features MediCare Protect MediCare MediCare Premier
Sum Insured 2/3/4/5 Lacs 3/4/5/7.5/10/15/20 Lacs 5/10/15/20/25/50 Lacs
In-patient Treatment Available Available Available
Pre-Hospitalisation 30 Days 60 Days 60 Days
Post-Hospitalisation 60 Days 90 Days 90 Days
Day Care Procedures 541-day care procedures will be covered up to the sum insured
Organ Donor Available Available Available
Domiciliary Treatment Available Available Available
Restore benefit Available Available Available
AYUSH benefit Available Available Available

Ambulance cover Upto Rs.1000 per hospitalization Upto Rs.3000 per hospitalization Up to Rs.5000 per hospitalization

upto 1% of sum insured, only if the
Health Check-up insured has not made any claims in last
three consecutive years
upto 1% of sum insured, only if the
Up to 1% of sum insured every year
insured has not made any claims in
irrespective of claims
last two consecutive years

Compassionate travel Up to a maximum of Rs.20,000 in a policy year

Consumables Benefit Available Available Available
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 Features MediCare Protect MediCare MediCare Premier
10% of sum insured, upto a maximum of 50% of sum insured, upto a maximum of 50% of sum insured, upto a maximum of
Cumulative Bonus 100% subject to claim free year 100% subject to claim free year 100% subject to claim free year
- Two Options:
a. Single Private
- Cover for shared accommodation. b. Shared Accommodation
Room Rent - 10% copay is applicable if insured opts for a - 10% copay is applicable in case the No Restrictions
higher category room insured opts for a higher room category in
case the plan opted is for shared
accommodation
Accidental Death Benefit Optional Cover Optional Cover Available
Global Cover NA Available Available
Bariatric Surgery Cover NA Available Available
In-patient Dental Treatment NA Available Available
Second Opinion NA Available Available
Vaccination cover NA Upto Maximum of Rs. 5000 Available
Hearing Aid NA Available Available
Daily cash for choosing shared
NA Available Available
accommodation
Daily cash for accompanying an
NA Available Available
insured child
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 Features MediCare Protect MediCare MediCare Premier

Maternity Cover NA NA Available

New Born Baby Cover NA NA Available*

First year Vaccinations NA NA Available*
Prolonged hospitalization benefit NA NA Available
High End Diagnostics NA NA Available
OPD Treatment NA NA Available
OPD Treatment-Dental NA NA Available
Emergency Air Ambulance Cover NA NA Available
Maternity Cover NA NA Available
Newborn Baby Cover NA NA Available*

*This benefit will trigger only in case where the maternity claim is admitted.

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 Cover name MediCare Protect MediCare MediCare Premier

Health Check-up Over and above SI Over and above SI Over and above SI
Compassionate travel Over and above SI Over and above SI Over and above SI
Vaccination cover NA Over and above SI Over and above SI
Hearing Aid NA Over and above SI Over and above SI

Daily cash for accompanying an insured child NA Over and above SI Over and above SI

Daily cash for choosing shared accommodation NA Over and above SI Over and above SI

Prolonged hospitalization Benefit NA Not applicable Over and above SI

High End Diagnostics NA Not applicable Over and above SI
OPD Treatment NA Not applicable Over and above SI
OPD Treatment-Dental NA Not applicable Over and above SI
Emergency Air Ambulance Cover NA Not applicable Over and above SI

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INDIVIDUAL FAMILY FLOATER

Self | Spouse | 3 dependent

Children | 2 dependent parents

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Dependent children between 91
5 years onwards No maximum ceasing age
days to 5 years can be covered
only if both parents are covered
Maximum entry age is 65 yrs. i.e. Lifelong Renewals
under the policy

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1 2 3
YEAR YEARS
YEARS

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 Type of Discount Discount Details

2 members 3 members More than 3 members

Family Floater
20% 28% 32%
2 years 5%
Policy Tenure 3 years 10%

2 Pre-Policy Check-up (PPC)

Up to age 45 Nil Nil Nil

Age\Sum Insured 2/3/4/5 Lacs 7.5/10 Lacs > 10 Lacs

46-65 Tele MER Tele MER Tele MER

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 PREMIUM CALCULATION

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 (Annual) Per Person Rates (Rs.) (Exclusive of taxes)

Age\Sum Insured 5 Lakh 10 Lakh 15 Lakh 20 Lakh 25 Lakh 50 Lakh

0-18yrs 6,535 7,668 8,528 9,139 9,613 11,646

19-35yrs 8,362 10,319 11,475 12,297 12,936 15,223
36-45yrs 9,868 12,266 13,638 14,614 15,373 17,735
46-50yrs 14,893 19,042 21,169 22,683 23,860 27,517
51-55yrs 20,247 24,307 27,016 28,944 30,445 35,106
56-60yrs 24,901 29,150 32,399 34,711 36,510 42,094
60-65yrs 30,804 44,415 49,369 52,892 55,632 64,134
66-70yrs 45,829 61,509 68,372 73,250 77,043 88,808
71+yrs 57,636 77,686 86,353 92,513 97,301 112,155

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