Young India Digi Health Policy
Product Information
1.Eligibility *.For Adults: 18 Yrs – 45 Yrs *.For Dependent Child – 91 Days – 25 Yrs 2.Sum Insured Options – 4 L & 8 L 3.Type of Cover: Individual or Floater Sum Insured basis. 4.No Pre-Acceptance Medical Check-up. 5.Life Long Renewals. 6.Waiting Period for Pre Existing Diseases is 24 Months, For Specified Diseases the waiting period is 12 Months. 7.Room Eligibility: Single AC Room 8.Pre Hospitalization & Post Hospitalization Expenses: 60 Days and 90 Days 9.Hospital Cash (for a maximum of 5 days) @ INR 500/- day 10.Cumulative Bonus: 10% of Sum Insured for each claim free year and Maximum of up to 30% of Sum Insured 11.Reinstatement of Sum Insured is available up to 100% of Sum Insured, for illnesses other than for which the claim is preferred or admitted under the policy. 12.Treatments towards HIV, Mental Illness and Genetic disorders are also payable under the policy 13.Dental treatment due to disease or injury is also covered 14.Advance treatments such as Robotic surgeries, Balloon Sinuplasty, Oral chemotherapy, Immunotherapy, Intra vitreal injections, Stem cell therapy etc.. are . covered. 15.Medical Second Opinion for Critical Illnesses up to INR 5,000/- is payable 16.Road Ambulance Charges are Payable up to INR 5,000/- 17.Health Checkup Expenses are reimbursable up to INR 3,500/- for a block of 2 claim free years. 18.Expense incurred for Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy system of medicines are covered 100% of Sum insured. 19.New Born Baby Coverage is available. 20.Floater Discount
Discount on number of members | 2 members | 3 members | 4 members & above |
5% | 10% | 15% |
21.Loadings & Discounts are applicable based on the Following Health Parameters
Discounts | Loadings |
BMI (<32) – 2.5% Discount | BMI (>32) – 2.5% Loading |
Non- Diabetic (Hb1Ac <6.4) – 2.5% Discount | Diabetic (Hb1Ac >6.4) – 2.5% |
Non-Hypertensive – (<=120/80) – 2.5% Discount; (>120/80) to (<139/89)– Nil | Hypertensive (>139/89)– 2.5% loading |
No Hospitalization for the last 3 years at the time of taking the policy – 2.5% |
Zone Wise Premium is Applicable
1.Zone 1: Delhi, National Capital Region (NCR), Mumbai, Mumbai Suburban, Thane and Navi Mumbai, Surat, Ahmedabad and Vadodara
2.Zone 2: Rest of India
Conditions:
- Insured Person opting for Zone I can avail treatment anywhere in India and No Co-pay shall be applicable.
- In case the Insured Person opting Zone II takes treatment in Zone I, Co-pay of 10% shall be applicable on admissible claim.
- Co-Pay shall not be applicable for immediate hospitalization arising out of Accident
Premium Table (Excluding GST)
Zone 1: Delhi, National Capital Region (NCR), Mumbai, Mumbai Suburban, Thane and Navi Mumbai, Surat, Ahmedabad and Vadodara Zone 2: Rest of India | |||||
Annual Premium – Zone -1 | Annual Premium – Zone 2 | ||||
Age Band/Sum Insured | 4L | 8L | Age Band/Sum Insured | 4L | 8L |
3months-17 | 2,608 | 3,347 | 3months-17 | 2,134 | 2,739 |
18-30 | 3,748 | 4,849 | 18-30 | 3,066 | 3,967 |
31-35 | 4,553 | 5,910 | 31-35 | 3,725 | 4,836 |
36-40 | 5,767 | 7,510 | 36-40 | 4,719 | 6,144 |
41-45 | 7,614 | 9,943 | 41-45 | 6,230 | 8,135 |
46-50 | 10,314 | 13,500 | 46-50 | 8,438 | 11,046 |
51-55 | 12,859 | 16,856 | 51-55 | 10,521 | 13,792 |
56-60 | 18,593 | 24,412 | 56-60 | 15,213 | 19,974 |
61-65 | 25,224 | 33,149 | 61-65 | 20,638 | 27,122 |
66 & above | 28,542 | 37,520 | 66 & above | 23,352 | 30,698 |