IFFCO-TOKIO GENERAL INSURANCE

• Joint venture between IFFCO and TOKIO

• Hospital Covered: around 4000 above
• Claim settlement depends on INHOUSE, not on TPA
• Categorized into Two plan: 1) Basic Plan- 150/day and 3 lakhs plan
2) Wider Plan-750/day and 5 lakhs plan Ambulance

• Expenses covered under the plan are Organ donor and Transplantation
• Room rent- For basic: 1% of sum insured for general and 1.5% of sum insured for ICU
For wider: 1.5% of sum insured for general and 2.5% of sum insured for ICU
• Ambulance services: For basic: Approximately 750 Rs.
For wider: Approximately 1500 Rs.
• Co-payment services: Free health check up
Diabetes
Specific ailments
• Claim settlement: based on Cashless and reimbursement
 Magma HDI health Insurance
• Customer based: 24 lakhs customers
• Key features: Network Hospital of 4300
solvency Ratio- 1.67 %
Claim Support
• Excluded part: Substance abuse, such as alcohol or dry hazardous
External congenital anomaly, cosmetic treatment
• Claim Settlement Ratio: 94.41%
• Claim Settlement process-
• 1) Cashless claim: When you get admitted to any of the network hospitals of the company you
are eligible to avail a cashless facility
• 2) For reimbursement claim: In case of any emergency when you are not able to get admitted
into the network hospital you can avail reimbursement of your treatment
SHEILD 5L/7.5L/10L/15L/20L/25L/30L
PREMIUM 10L/15L/20L/25L/30L/50L/1Cr
ELIGIBILTY 18-65 years
CHILD ENTRY AGE 91 days
ROOM RENT NO LIMIT IN BOTH PLANS
PRE-HOSPITILIZATION 60 DAYS IN BOTH
POST-HOSPITALIZTION 90 DAYS IN BOTH
 BAJAJ ALLIANZ HEALTH INSURANCE
• Network hospitals: 6500 and above
• Key features: Claim support
It holds a market shares of 2138.53 crores
Solvency ratio: 2.45%
• Claim settlement ratio: 98.61 %
• Why should buy Bajaj Allianz health insurance?
 Pre-hospitalization: 30 days
 Post-hospitalization: 60 days
 Value added services
 Health check-up
 Pre-existing disease
 Tax benefits
• How does Bajaj Allianz health insurance calculate premiums of its health plans?
 Age
 Medical History
 Smoking Habits
 Sum Insured
 CARE HEALTH INSURANCE
• Network hospital: 7800 and above
• Claim settlement ratio: 93%
• Sum insured: Minimum 3 lakhs
Maximum 75 lakhs
• Daily allowance is about 500 Rs/day to 5 days
• Family members covered in insurance policy: Spouse+ Kid( parents also involved)
• Room rent: For 3-4 lakhs=15 on sum insured
For 5 lakhs= No limits on sum insured
• Ambulance: For 3-4 lakhs: 1500/Hospitalization
For 5 lakhs: 2000/Hospitalization
• Pre-hospitalization: 30 days for both
• Post-hospitalization: 60 days for both
 Oriental Insurance
• Family floater policy
• Age: 18-65 years
Child: 3 months-18 years
• Plan categorized into 3 types: Silver: 2-5 Lakhs
Gold: 5-11 lakhs
Diamond: 12-20 lakhs
• Room rent: Silver Plan-1% limit on SI and 2% Limit on ICU
Gold Plan-1% limit on SI and 2.5% limit on ICU
Diamond Plan-10000+0.5% on SI and 20000+1% limit on ICU
• 3 Unique features: 24 hours hospitalization service
30 days waiting period
Accident cover from Day 1
• Outside TPA is involved