LIC Jeevan Arogya | Health Insurance Plan | Features & Hospital Cash Benefits

LIC has launched LIC’s Jeevan Arogya, a unique non-linked Health Insurance plan which provides health insurance cover against certain specified health risks and provides you with timely support in case of medical emergencies and helps you and your family remain financially independent in difficult times.

LIC’s Jeevan Arogya gives you:
• Valuable financial protection in case of hospitalisation, surgery etc
• Increasing Health cover every year
• Lump sum benefit irrespective of actual medical costs
• No claim benefit
• Flexible benefit limit to choose from
• Flexible premium payment options

Very easy to choose your plan

Step 1 Choose the level of Health cover you need
Step 2 Work out the premium payable along with our Representative

Step 1: Choose the level of Health cover you need:

You can choose the amount of Initial Daily Benefit (i.e. the daily Hospital Cash Benefit applicable in the first year of the policy) as per your need from out of the following choices:
` 1000 per day ` 2000 per day ` 3000 per day ` 4000 per day

This is the amount that will be payable to you in the event of hospitalisation in the first year on a per day basis. The Major Surgical Benefit that you will be covered for will be 100 times the Initial Daily Benefit you have chosen. Thus the initial Major Surgical Benefit Sum Assured will be ` 1 lakh, 2 lakh, 3 lakh, 4 lakh respectively. Other benefits such as Day Care Procedure Benefit, Other Surgical Benefit and Premium waiver Benefit (PWB) mentioned below shall also be payable depending upon the daily Hospital Cash Benefit chosen.

Step 2: Work out the premium payable along with our representative
Your premium will depend on your age, gender, the Health cover option you have chosen, whether you are Principal Insured or other insured life and the mode of payment.

Tables below give an indicative annual premium, payable yearly, for all health benefits corresponding to an Initial Daily Benefit of ` 1000 per day, for some of the ages in respect of various lives that can be covered under a single policy:

PRINCIPAL INSURED (Male)

Age at entry	Premium (`)
20	1922.65
30	2242.90
40	2799.70
50	3768.00

SPOUSE (Female) / PARENT (of PI/Spouse) (Female)

Age at entry	Premium (`)
20	1393.15
30	1730.65
40	2240.60
50	2849.10

CHILD

Age at entry	Premium (`)
0	792.00
5	794.75
10	812.35
15	870.75

Who can be insured?
You (as Principal Insured (PI)), your spouse, your children, your parents and parents of your spouse can all be insured under one policy. Quite a relief isn’t it, to have all insured under one policy!

The minimum and maximum age at entry is as under:

	Minimum age at entry	Maximum age at entry
Self / spouse	18 years	65 years (last birthday)
Parents / parents-in-law	18 years	75 (last birthday)
Children	91 days	17 years (last birthday)

How long are each insured under this policy?

Each of the insured are covered for Health risks up to age (80). Children are insured up to age 25 years.

1. Payment of Premiums: You may pay premiums regularly at yearly, half-yearly, quarterly or monthly (ECS mode only) intervals over the term of the policy.

2. Mode and High HCB Rebates:
Mode Rebate:
Yearly mode: 2% of tabular premium
Half-yearly mode: 1% of the tabular premium

HCB Rebates:
In respect of a member covered under a policy, if HCB is more than ` 1000, then the premium arrived at in respect of that member shall be reduced by an amount (`) given below:
HCB (`) For PI For each insured member
other than PI
2000 500 250
3000 1000 500
4000 1500 750

3. Automatic Renewal Date: The installment premium will be guaranteed in respect of each Insured for a period of 3 years from the Date of Commencement of the policy, i.e. for the first 3 years of the policy.

4. Options:
A) Cover to new additional members: If PI gets married/ remarried during the term of the policy, the spouse and parents-in-law can be included in the policy within six months from the date of marriage / remarriage, but the cover shall start from the policy anniversary coinciding with or next following the date of inclusion. Enhanced premium shall be due from such policy anniversary.

B) Quick Cash facility: If any of the insured lives undergoes any eligible surgery covered under Category I or II of MSB in any of the listed network hospitals, you, as PI will have an option to avail Quick Cash facility.

C) Term Assurance Rider: You, as PI, and your spouse may opt for Term Assurance as optional rider equal to the MSB SA. In case of unfortunate death, an amount equal to Term Assurance Sum Assured will be payable on death during the term for which Term Assurance Rider is opted for.

D) Accident Benefit Rider: You and your spouse may also opt for Accident Benefit Rider if Term Assurance Rider has been opted for. Maximum Accident Benefit Sum Assured shall be equal to the Term Assurance Rider SA. In case of unfortunate death due to an accident, an amount equal to Accident Benefit Sum Assured shall be payable.

5. Eligibility Conditions and Other Restrictions:

FOR BASIC PLAN

i) For Hospital Cash Benefit (HCB) (under Basic Plan)

Feature	Principal Insured (PI)	Insured Spouse (if any) & Insured Parents / Parents-in-law (if any)	Insured Dependent Children (if any)
Minimum Initial Daily Benefit (in a ward other than Intensive Care Unit)	` 1,000/-	` 1,000/-	` 1,000/-
Maximum initial daily amount	` 4,000/-	Insured Spouse- Less than or equal to that of PI Insured Parents / Parents-in-law- Less than or equal to that of Insured Spouse (PI, if there is no Insured Spouse). Further, included parents / parents-in-law shall be covered for equal benefits.	Less than or equal to that of Insured Spouse (PI, if there is no Insured Spouse). Further, included children shall be covered for equal benefits.
Maximum annual benefit period, applicable to each insured	30 days in year 1, 90 days per year thereafter, inclusive of stay in ICU. Maximum number of days in ICU is restricted to 15 days in year 1 and to 45 days thereafter.
Maximum Lifetime Benefit period, applicable to each insured	720 days inclusive of stay in ICU. Maximum number of days in ICU is restricted to 360 days

Initial Daily Benefit shall be in multiples of ` 1000/-.

ii) For Major Surgical Benefit (MSB) (under Basic Plan)

Feature	Principal Insured (PI)	Insured Spouse (if any) & Insured Parents / parents-in-law (if any)	Insured Dependent Children (if any)
Major Surgical Benefit Sum Assured (MSB SA)	100 times of Applicable Daily Benefit (ADB) of PI (as specified in Para 1A) above).	Insured Spouse- 100 times of ADB of Insured Spouse Insured Parents / parents-in-law- 100 times of ADB of each parent	100 times of ADB of each child
Maximum annual benefit, applicable to each insured	100% of Major Surgical Benefit Sum Assured
Maximum Lifetime Benefit, applicable to each insured	800% of Major Surgical Benefit Sum A

iii) For Day Care Procedure Benefit (DCPB) (under Basic Plan)

Feature	Principal Insured (PI)	Insured Spouse (if any) & Insured Parents / parents-in-law (if any)	Insured Dependent Children (if any)
Lump sum benefit payable	5 times of Applicable Daily Benefit (ADB) of PI	Insured Spouse- 5 times of ADB of Insured Spouse Insured Parents / parents-in-law- 5 times of ADB of each parent	5 times of ADB of each child
Maximum annual benefit, applicable to each insured	3 Surgical Procedures
Maximum Lifetime Benefit, applicable to each insured	24 Surgical Procedures

iv) For Other Surgical Benefit (OSB) (under Basic Plan)

Feature	Principal Insured (PI)	Insured Spouse (if any) & Insured Parents / parents-in-law (if any)	Insured Dependent Children (if any)
Daily benefit amount	2 times of ADB of PI	Insured Spouse- 2 times of ADB of Insured Spouse Insured Parents / parents-in-law- 2 times of ADB of each parent	2 times of ADB of each child
Maximum annual benefit, applicable to each insured	15 days in first policy year and 45 days per year thereafter
Maximum Lifetime Benefit, applicable to each insured	360 days

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