V/s

PRESENTATION ON

Health Insurance Plans of

Health Insurance - An Overview

The term Health Insurance is generally used to describe a form of insurance that pays for medical expenses. It is sometimes used more broadly to include insurance covering Disability or Long Term Nursing or Custodial Care needs. Under the Insurance Act, 1938, insurance against sickness & medical treatment is not part of the Life Insurance Business but comes under miscellaneous insurance business, which is part of General Insurance business. In many country including India it comes under both business.

ICICI Pru HEALTH PLANSThere are several Health Insurance Plans of ICICI Pru , it is categorized on the following basis:

Hospitalization Plans: Cover expenses in case you need to be hospitalized. Such as HOSPITAL CARE.

Critical Illness Plans: Provide coverage against critical illnesses such as heart attack, organ transplants, stroke, and kidney failure among others. Such as CRISIS COVER, HEALTH ASSURE PLUS.

Specific Conditions Coverage: Designed specifically for certain conditions or illnesses such as diabetes or cancer. Such as DIABETES CARE, CANCER CARE,  DIABETES CARE PLUS, CANCER CARE PLUS DIABETES ASSURE,

HOSPITAL CARE PLAN

FEATURES & BENEFITS

• Hospitalsation benefit (DHCB) • Intensive Care unit (ICU) Benefit • Post Hospitalization Benefit • Surgery Benefit • Payout in addition to other plan • Cashless hospitalization • Multiple Claims

• Tax Benefits• Transparent coverage norms• Guaranteed coverage

HOSPITAL CARE At a Glance

Entry age 1 - 60 yrs

Policy Term 10 - 20 yrs

Maximum Cover Ceasing Age 80 yrs

Premium Payment Frequency Yearly, Half yearly& Monthly

Maturity / Death Benefit Not Payable.

CRITICAL ILLNESS PLANSCRISIS COVER PLAN

Features & benefit• Disability benefits• Disease benefits for 35 critical diseases• Death benefits• Lump sum paid irrespective of actual billing. • Coverage up to 75 yrs• Coverage continues even after claim• Tax benefit

Crisis Cover At a Glance

HEALTH ASSURE PLUS

Features & benefits• Benefits against 6 critical illness• Death benefits • Maturity benefits• Flexible withdrawal options • Tax benefit• Claim on basis of Diagnosis, not on medical

bill

Health Assure Plus At a Glance

Age of entry 18 - 60 yrs

Coverage term 10 - 50 yrs

Maximum cover ceasing age

75 yrs

Sum Assured 3 lacs – 20 lacs

Premium payment frequency

Monthly, half yearly & annually

Tax benefits As per tax laws under Sec 80C & 80D

Sum Assured 1 lacs - 10 lacs

Policy Term 10 - 30 yrs

Age of entry 18 yrs - 55 yrs

Maximum cover ceasing age

65 yrs

Premium payment frequency

Monthly, half yearly & annually

Tax benefits As per tax laws under Sec 80C & 80D

SPECIFIC CONDITION COVERAGE PLAN

DIABETES CARE,CARE PLUS& ASSURE PLAN

Features & Benefits

• Lump-sum payment, on diagnosis of the six critical illnesses, kidney failure(only in Diabetes Assure plan)

• Optional cover for eye & foot complications (only in diabetes care & care plus plan)

• Wellness program 3 Free check-ups every year • Reduced Premium on display of good control • Web support for better diabetes control • Tax benefit• No Maturity benefit payable in any plan Diabetes plans At a Glance

CANCER CARE & CARE PLUS PLAN

Features & benefits

• Covers given to both early and advanced stages of cancer

• Free cancer screening under wellness program

• Cash payouts at different stages for diagnosis, treatment and surgery

• Cover up to 10lakh against cancer, for premium as low as Rs 300 per month

• Tax benefit under section 80D

Cancer plans At a Glance

Entry age 25 yrs - 60 yrs

Policy Term 5 yrs

Sum Assured 3 lacs - 10 lacs

Premium payment mode Yearly, half yearly, monthly

Tax benefit As per the Tax laws

Entry age 20 – 60 yrs

Maximum cover ceasing age 70 yrs

Policy Term 10 - 50 yrs

Sum assured 5 lacs - 25 lacs

Min. single premium 1200 / annum

BAJAJ ALLIANZ HEALTH PLANS

BAJAJ ALLIANZ deals with two health products which are as follows• CARE FIRST (Hospitalization Plan)• HEALTH CARE (6 in 1 plan)

CARE FIRST

Benefits & features• Hospitalization Cover• Day Care Treatment Care First At a Glance• Pre & Post-Hospitalization Cover• Cash Less Service Facility• Death benefit• Tax Benefit

Entry Age 18 yrs - 56 yrs

Sum Assured 1lacs – 7 lacs

Maximum cover ceasing age

65 yrs

Policy Term 3 yrs

Premium Payment Frequency

Yearly, half yearly Quarterly , monthly

Health Care

It is three year Health Insurance Plan providing comprehensive health cover with a life insurance plan. This plan covers the Six Plans that’s why it called as 6 in 1 plan.

Benefits & Features

6 in 1 Health plan at a glance

• Death benefit

• Hospital care benefit

• Critical Illness benefit

• Surgical benefit

• Accidental Total / Partial Disability Covers

• Post hospitalization benefit

Others benefits

• Multiple Claim

• Cashless benefit

Entry age 18-57 yrs

Maximum age maturity 65 yrs

Term policy 3 yrs

Premium payment mode Yearly,half yearly Quarterly,monthly

Minimum single premium 1000 / year

Tax benefit As per the tax laws

Comparison Between ICICI Pru & Bajaj Allianz

Basis ICICI Prudential BAJAJ Allianz

Hospitalization benefits

At least For 2days & max for 90 days per policy year , expense cover range up to 20 lacs

At least for 1day, expense cover range up to 7 lacs

3D’s benefit Full sum assured is payable in crisis cover plan if death/disability due to an accident

Care first plan also provide the death & disability benefit(if permanent disability occur)

Maturity benefit Payable in health assure plus plan if no claims made during policy term

Does not provide such benefit

Surgery benefit Hospital care gives this benefit depending on surgery grade

Max Rs 50,000 per policy year

Critical illness benefit

It covers 35 critical illnesses It cover 11 critical illnesses

Policy term Policy term varies from 5-50 years in its different plans

Its each policy term are of 3 years.

Entry age Min 1 year & max 60 yrs throughout its different plans

Min 18 yrs & max 57 yrs throughout its different plan

Basis ICICI Prudential Bajaj Allianz

Special condition plans

It has special plan for diabetes & Cancer .

Such plans are not available here

Hospital networks 4583 hospitals allover India 2000 hospitals allover India

Multiple claim One can make multiple claim during a policy term but it should not exceed the benefit limit

It also provide multiple claim benefit for various surgical , hospital cash and post hospitalization benefits

Cashless hospitalization

Only in network hospitals Only in network hospitals

Tax benefit As per the tax laws under section 80C & 80D

As per the tax laws under section 80C & 80D

Maximum age of ceasing

80 yrs in hospital care, 75&65 in critical illness plan 70 in all special condition plan

65 in all of the plans

Renewal In most of the plans Policy term are quite long to cease the maximum age, but wherever needed plan can be renewed

Necessary after 3 yrs to continue the policy to the next 3 yrs

CONCLUSION

From the point of view of consumers both the companies havemostly common plans with common benefits. But ICICI Pru lifehave some more advantages over BajajAllianz life insurance inthe following ways:-

• More specialized plans for special diseases• Larger network of hospital• Easier Claim.• High benefit limit in comparison to Bajaj Allianz.• Policyholder can claim for benefit amount from this policy as well as from

the other medical Insurance policy.• Policies are available for the child of 1 yr up to 60 yr old person.• One of the policy of ICICIPru is a health-cum-life insurance plan i.e Health

Assure Plus Plan.

THANK YOU