Kotak Health Insurance

Because of medical inflation, the expenses for healthcare have soared substantially in recent years. Therefore, any unanticipated illness can drain your bank account. Taking this into account, Kotak Mahindra General Insurance Company Ltd.

 Has launched various health insurance products that cover you and your family against medical adversaries. Here, we will take a look at the features and benefits offered by Kotak health insurance plans.

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Kotak Health Premier Plan

Kotak Health Premier Plan is a comprehensive health insurance coverage that includes protection as well as rewards and value-added features. The features and benefits of Kotak Health Premier Plan are listed below:

Types

Coverage

In-patient Treatment 

Medical expenses such as doctor’s charges, room rent, operation theatre fees, ICU fees, etc., incurred during a minimum of 24 hours of hospitalisation are covered.  

Day Care Treatment 

Coverage for medical expenses paid for the 405 mentioned day care treatments that need fewer than 24 hours of hospitalisation.  

Cumulative Bonus

Earn a cumulative bonus of up to 50%/100% of the sum insured according to the plan chosen during a claim free year at a rate of 10% annually. If a claim is made, the Cumulative Bonus will not be reduced.

Pre- and post-hospitalisation Medical Charges 

Pre- and post-hospitalisation medical charges are covered for a specific number of days before and after discharge, depending on the plan chosen. 

Restoration Benefit 

If the Base Sum Insured and Cumulative Bonus are inadequate owing to past claims, the Base Sum Insured will be restored once every policy year. In the event of an accident, restoration will be available starting with the first claim.  

Yearly Health Check-up 

One free health check-up per insured person over the age of 18 years for selected tests will be offered. This will be provided irrespective of the policy's claims. 

Ambulance Cover 

During an emergency, ambulance charges will be covered. 

Alternative Treatment  

Alternative treatments like Yoga, Naturopathy, Ayurveda, Homeopathy, etc., are covered.  

Second E-Opinion Cover 

A second E-Opinion on a medical issue that arises within the policy term will be covered. This facility can be used multiple times during the policy term.  

Domiciliary Hospitalisation 

Medical costs involved in taking treatment at home on the recommendation of a physician are covered. 

Organ Donor Cover 

In the event of an organ transplant, the donor's in-patient hospitalisation fees are covered.  

Other Covers 

Hospital Daily cash, Home Nursing Benefit, Compassionate Visit, Air Ambulance Cover, Maternity Cover, Convalescence Benefit, Daily Cash for Accompanying an Insured Child.  

Kotak Secure Shield

Kotak Secure Shield protects you and your family from the costs involved in any of the illnesses covered in your policy. This critical illness plan comes with several benefits. Here are the features and benefits offered under the Kotak Secure Shield plan:

Critical Illness Benefit 

A one-time Sum Insured will be paid that covers 18 critical illnesses, treatments, and medical events included in the plan.  

Personal Accident Benefit 

Financial security is offered to the insured's family in the event of death from an accident or permanent total disability. 

Child Education Benefit 

This benefit offers financial protection in the event of the insured parent's accidental death or permanent total disability. 

Income Tax Benefit 

Tax benefits can be availed on premium payments done for your policy's Critical Illness portion.  

Loss of Job Benefit 

This benefit can be availed by salaried individuals on loan-linked plans.  

Flexible Policy Term 

Based on your requirements, you can select a policy term ranging from one year to three years. You have the option to renew your plan when the term concludes.  

Arogya Sanjeevani Health Insurance Policy

The features and benefits offered under the Arogya Sanjeevani Health Insurance Policy are listed in the table below:

Particulars

Details

Minimum Sum Insured 

Rs.50,000 

Maximum Sum Insured 

Rs.10 lakh 

Minimum Age 

18 years 

Maximum Age 

65 years 

Policy Term 

1 year 

Portability 

Provides the option of portability to other health insurance policies. 

Individuals Covered 

Parents and parents-in-law, legally wedded spouse, and dependent children aged between three months to 25 years. A child over the age of 18 years who is financially independent will not be eligible for coverage for the upcoming renewals. 

Renewability 

Lifetime renewability  

Saral Suraksha Bima Policy

The features and benefits offered under the Saral Suraksha Bima Policy are mentioned in the table below:

Particulars

Details

Minimum Sum Insured 

Rs.2.5 lakh 

Maximum Sum Insured 

Rs.1 crore 

Minimum Age 

18 years 

Maximum Age 

70 years 

Policy Term 

1 year 

Individuals Covered 

Parents and parents-in-law, legally wedded spouse, and dependent children aged between three months to 25 years. A child over the age of 18 years who is financially independent will not be eligible for coverage for the upcoming renewals. 

Renewability 

Lifetime renewability 

Documents Required for Kotak Health Insurance

To buy a Kotak Health Insurance Plan, you will need the following documents:

  1. Proof of identity: Aadhaar Card/Voter ID/PAN Card/Passport
  2. Proof of address: Utility Bills/Aadhaar Card/Passport/Driving Licence
  1. Passport size photo
  2. Proof of age: Passport/Birth Certificate/10th or 12th Marks Card/Voter ID

How to Purchase Kotak Health Insurance Policy Online

The steps to purchase a Kotak Health Insurance Policy are listed below:

Step 1: Visit the official website of Kotak Health Insurance.

Step 2: Select a health insurance plan from the options available such as individual personal health insurance and entire family under one plan.

Step 3: Choose which members you want to insure which includes yourself, your parents, spouse, and children.

Step 4: Enter the date of birth of the members you want to insure.

Step 5: Choose the insurance coverage amount.

Step 6: Enter the requested personal information such as your mobile number and email address.

Step 7: You will receive a quote based on your preferences. You can then proceed to buy your health insurance online. 

FAQs on Kotak Health Insurance

  • Can I buy a Kotak Health Insurance Policy online?

    Yes, you can buy a Kotak Health Insurance Policy online. 

  • Do I need a medical test to buy Kotak Health Shield?

    No, you do not have to undergo a medical exam to buy this plan. While filing a claim, you have to include the diagnostic test report proving the disease's detection.

  • What diseases are covered by Kotak Health Shield?

    Kotak Health Shield covers cancer, nerve diseases, liver diseases, and heart problems. 

  • Will my claim be paid even if I do not seek treatment in a network hospital?

    Yes, you can file a claim. However, keep in mind that the hospital/nursing home must fulfil the requirements outlined in the policy. 

  • What happens if the treatment costs more than the specified amount in cashless claims?

    In such situations, the hospital will request that the insurance provider raise the allowed amount if necessary, during treatment. The insurance provider will evaluate the request, and further approval will be granted according to the policy’s terms and conditions and the sum insured available. 

  • What is the claim submission time limit?

    You must submit the completed claim documents within 30 days from the discharge date. 

  • How can I submit original documents when I have dual insurance?

    In such cases, you need to submit original documents to any one of the insurance providers. Following claim settlement, you must obtain certified true copies of the documents, and a settlement letter, and send them to the other insurance provider.

  • How long does it take to process a reimbursement claim?

    Your reimbursement claim will be processed within 15 working days of receiving all required documents.

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