Date : 10 Apr 2024
Mr Vijay Pal
2076/3 Rajiv Nagar
Gurgaon
Gurgaon
Gurgaon 122001
Haryana
State Code : 06
Policy No: 38972321
Mobile No: XXXXXX5387
Dear Mr Vijay Pal,
Thank You for trusting us as your preferred Health Insurer.
At Care Health insurance, it is our endeavor to make quality healthcare easily accessible for our customers as well as ensure a truly hassle-free claim
servicing experience
To help you understand our services better, please go through the 'Know your policy better' kit that accompanies this
letter and constitutes the following
l Policy certificate
l Premium Acknowledgement
l Key Policy Information
l Claim Process - http://bit.ly/3EyPRnT
l Policy Terms and Conditions- https://bit.ly/3qaIs5e and also available on Customer App
Also appended herewith for your convenience is your Care Health Card. This card should be presented at the time of an emergency or a planned
hospitalization, to avail cashless treatment at our network of over 16000+ cashless network pan-India.
To further simplify procedures, we're online as well. Visit our portal www.careinsurance.com and view network hospitals across the country, cashless
procedures and do much more.
For any assistance, please feel free to write to us at https://www.careinsurance.com/contact-us.html.
Once again, we thank you for this opportunity to serve you, and wish you and your loved ones good health always!
Team Care Health Insurance
CUSTOMER APP
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Policy Certificate Policy No. 38972321
Mr Vijay Pal Plan Name CARE PLUS
2076/3 Rajiv Nagar Add-on Policy Name Care Shield
Gurgaon Cover Type Floater
Gurgaon
Policy Period - Start Date 00:00 hrs 11-Apr-2024
Gurgaon 122001
Haryana Policy Period - End Date Midnight 10-Apr-2025
State Code : 06 Premium Paid Rs.21,831.00
(Premium Rs 18501.00+Underwriting Loading
Rs 0.00+CGST Rs0.00+IGST Rs3,330.18+SGST
Rs0.00+UGST Rs0.00)
Premium Payment Mode Single Premium
Policyholder Gender Date Of Birth Client ID
Mr Vijay Pal Male 15-Apr-1974 33013771
Details of Insured Person
Insured with the
Name Client ID Date of Birth Relationship Pre-existing diseases since
Company (since)
Vijay Pal 33013771 15-Apr-1974 MEMBER 23-Feb-2022 NONE
Nirmal . 33013772 15-Apr-1973 SPOUSE 23-Feb-2022 NONE
Details of Cover
Accumulated No
Accumulated Inflation Shield
Policy Insured Name Policy Sum Insured Claim Bonus
Amount
Amount
Vijay Pal 5,00,000.00 5,00,000.00 28,250.00
Nirmal .
Note -NCB/NCB Shield Protection has been applied on this renewal.
-Amount of No Claim Bonus / No Claim Bonus Super is calculated basis the claim status updated till Date of Payment of Renewal Premium.
-This amount can vary basis the claim reported against Expiring Policy Year.
-Floater Policy, all the member coverage is on shared basis. Individual Policy each member is covered on Individual Basis.
-Coverage and Claims Subject to the Policy Terms & Conditions.
Contact details for Claims & Policy Servicing
Care Health Insurance Limited, Vipul Tech Square, Tower C, 3rd Floor, Golf Course Road, Sector-43,
Correspondence address
Gurugram-122009 (Haryana)
E-mail ID for Claims [email protected]
Website www.careinsurance.com
Intermediary Details
Name Code Contact Details
Care Health Insurance Ltd. Direct https://www.careinsurance.com/contact-us.html
Schedule of Benefits
S No. Particulars Basis of Offering
1 Hospitalization Expenses (Conditions for Medical Expenses) Upto Rs.5,00,000
Pre-hospitalization upto 60 days;
2 Pre-hospitalisation & Post-hospitalization Expenses
Post-hospitalization upto 90 days
Schedule of Benefits
3 Ambulance Cover Upto Rs. 2000 per hospitalization
4 Organ Donor Cover Upto SI
5 Domiciliary Hospitalization Upto SI
6 Second Opinion Once in a policy year (per member)
7 Annual Health-Check Up Available for adult members
8 Unlimited Automatic Recharge Up to SI (unlimited times, applicable for same illness as well)
9 AYUSH Treatments Up to SI
10 Air Ambulance Cover Up to SI or maximum of 5 Lacs per policy year, whichever is lower
50% increase in SI per Policy Year,max upto 200% SI. No reduction
11 No Claim Bonus Protect
in NCB, if total claim amount <25% of SI in a policy year
Accidental Death -100% of SI
12 Personal Accident Cover (AD & PTD)
Permanent Total Disablement - Up to 100% of SI
The base policy SI will be increased on cumulative basis at each
13 Inflation Shield
renewal onthe basis of inflation rate in previous year.
14 Unlimited E-Consultation Available for General Physicians
Wellness program that allows the customer to Earn and Burn the
15 Earn and Burn
reward points.
16 Health Services Health Portal and Discount Connect
17 Pre-Existing Diseases 36 Months
18 Out-patient Consultations Up to Rs.1,500, Limit per consultation is Rs.350/-
19 Out-patient Dental and Ophthalmic Treatments Up to Rs.1,500
20 Room Rent Single Private Room
21 ICU Charges No Limits
22 Initial Wait Period 30 Days, except for accidents
23 Named Ailment 24 Months
Optional Cover
S NO. Particulars Details
1 Sum Insured 5,00,000
Additional 20% Co-payment applicable for all claims made in Non
2 Smart Select
Smart Select Network Hospitals.
Previous Insurer Details of the Insured
Previous 1st
Sum insured + NCB +
Policy Period Insured Name Insurer Name Policy Enrollment
NCBS + Inflation SI
Number Date
5,00,000.00 + 2,50,000.00 +
23-Feb-2022 to 22-Feb-2024 VIJAY PAL Care Health Insurance Ltd 38972321 23-Feb-2022
0.00 + 0.00
23-Feb-2022 to 22-Feb-2024 Nirmal . Care Health Insurance Ltd 38972321 23-Feb-2022
Add-on Policy - CARE SHIELD
UIN No-
Schedule of Benefits
S No. Particulars Description
1 Claim Shield Applicable
2 NCB Shield Applicable
3 Inflation Shield Applicable
For Care Health Insurance Limited
Authorized Signatory
Date of Issue : 10 Apr 2024
Place of Issue : Gurgaon, Haryana
Service Branch : 1st and 2nd floor Plot no F1 Sector6 Noida 201301Noida,Uttar Pradesh, Branch Contact No. : 0120-4888701
201301
Consolidated Stamp Duty paid vide E-Challan GRN no. 0107464159 dated 21 Sep 2023, RCM Applicability- N/A
SAC: 997133 and Description of Service: Accident and Health Insurance Services State
GSTIN No.: 09AADCR6281N1ZQS_GSTIN_No
UIN :CHIHLIP22047V012122
Note:
- Attached with this Policy Certificate are the Policy terms and conditions, Optional Covers (if opted) and Annexures. Please ensure that
these documents have been received, read and understood. If any of these documents have not been received, please feel free to write
to us at https://www.careinsurance.com/contact-us.html
- For waiting periods and exclusions under this Policy, please refer to Clause 4 of the Policy terms and conditions.
- This Policy Certificate in original must be surrendered to the Company in case of cancellation of the Policy.
Premium Acknowledgement
Policy No. 38972321
Client ID 33013771
Policyholder Mr Vijay Pal
2076/3 Rajiv Nagar
Gurgaon
Address Gurgaon
Gurgaon 122001
Haryana
Policy Period 11-Apr-2024 to 10-Apr-2025
Premium Details
Particulars Amount (in Rs.) S.No. Receipt Number Amount Mode of Payment
1 A9484385 21,831.00 IPG
Gross Premium
Care Plus 18,501.00
Goods & Services Tax (GST) 3,330.18
Total 21,831.00
The Premium is rounded off to the nearest rupee.
Eligibility of Premium for Deduction u/s 80D of the Income Tax Act, 1961
The premium paid through any mode other than cash for this policy is eligible for Income tax benefits to the person making the payment
subject to the provisions of section 80D of the Income Tax Act, 1961 and amendments thereof. Effective from Assessment year 2019-20, in
cases where health insurance premium for multiple years is paid in one year, it will be eligible for proportionate deduction in the years in
which the health insurance continues to be effective.
For Care Health Insurance Limited Signature Not Verified
Digitally signed by Manish Dodeja
Date: 20240410113549
Reason: I'm the author
Location: India
Authorized Signatory
Date of Issue : 10 Apr 2024
Place of Issue : Gurgaon, Haryana
Note:
1) In case of any discrepancy, the Policyholder is requested to contact the Company immediately.
2) Any amount paid in cash towards the premium would not qualify for tax benefits as mentioned above.
3) This document must be surrendered to the Company in case of Cancellation of the Policy or for the issuance of a fresh certificate in
the case of any alteration in the Policy.
4) This Policy is issued subject to realization of the premium amount. In case the instrument given towards the premium amount is
dishonored, then the cover provided under this Policy shall automatically get cancelled. In the given scenario, if any amount has been
paid by the Company in respect of a claim or due to any other reason than the amount so advanced by the Company shall be
refunded to the Company forthwith.
5) We may credit upto Rs. 1/- to your account for validation, before remitting any further payment.
No physical Health Cards will be dispatched. The electronic version of the card below will be accepted across all network providers.
www.careinsurance.com
Policy No.
38972321
Member ID DOB NAME
33013771 15-Apr-1974 Vijay Pal
33013772 15-Apr-1973 Nirmal .
Submit Your Queries/Requests: www.careinsurance.com/contact-us.html
Disclaimer
1. This card is not transferable
2. Use of this card is governed by the policy terms &
conditions
3. To avail cashless facility.this card needs to be produced along with photo
ID Valid
4. proofupto policy period end date or cancellation date,whichever is earlier
IRDAI Registration No.148
Good Health Declaration
I/ We hereby state and confirm that I/ We continue to enjoy good health since the expiry of our policy
till today. I/ We further state and confirm that neither has any member covered under the policy
undergone any consultation, investigation and treatment for any illness or injury nor any claims has
been logged during this period. I/ We also understand that the policy coverage would not be
extended over the break in period. I/We understand that no claim will be reported/is payable for break
in period till the new policy gets issued. Further to this, there has been no other change to the
information previously provided in the proposal form submitted during initial purchase of this policy
Proposal No: 1129973218763S_APPLICATION_PROPOSAL_NO
Declaration as provided to the insurer at the time of proposing for insurance cover
Date: 10 Apr 2024