L&T -Medisure- Classic Plan

L&T General Insurance Company Limited

L&T General Insurance Company Limited is a wholly owned subsidiary of Larsen & Toubro Limited. The company offers all types of General and Health insurance products. With state-of-the-art technology, L&T General Insurance aims to provide seamless service to the customers

Contact Details

Toll free Number - 1800-102-0333
Email Address - help@ltinsurance.com

Product Overview of L&T -Medisure- Classic Plan

L&T- Medisure Classic Health Insurance is a policy that offers step-by-step plan to ensure complete well-being of your family. Under this policy if the Sum Insured gets used up then it can be reinstated or replenished to the extent of the claim amount (but not exceeding the Sum Insured). The policy also offers maternity cover, new born baby cover and recovery benefits.

Unique Features of L&T -Medisure- Classic Plan

Restoration of the Sum Insured is available in the event of an Accident once in a policy year.

Maternity & Ayurvedic treatment expenses are covered.

Hospital cash & Recovery benefits are available.

Waiting period for pre existing disease is 3 years.

Critical features of L&T -Medisure- Classic Plan

Room rent
Limits imposed towards room and ICU rent expenses

  • 1% of the Sum Insured (excluding cumulative bonus) per day subject to a maximum of Rs. 4,000/- per day
  • For ICU, 2% of the Sum Insured (excluding cumulative bonus) per day subject to a maximum of Rs. 6,000/- per day
  • Note: By paying extra premium room rent limit will be waived off
No Claim Bonus
Health Insurance policies may offer Cumulative Bonus wherein for every claim free year, the Sum Insured is increased by a certain percentage at the time of renewal

  • 5% of basic sum insured up to a maximum of 50 % for each unclaimed year in case opted for (The cumulative bonus is reduced by 20% of sum insured once a claim is made)
Co-Pay
Specific % of admissible claim amount to be borne by Insured

  • This plan has 10% co-payment for individuals of 80 years and above
Pre-Existing Diseases
Means any condition, ailment or injury or related condition(s) for which you had signs or symptoms, and / or were diagnosed, and / or received medical advice/ treatment, within 48 months prior to the first policy issued by the insurer

  • This plans has a waiting period of 3 years in case of pre-existing diseases
  • Maternity has a waiting period of 4 years

Eligibility Criteria for L&T -Medisure- Classic Plan

Product NameL&T-Medisure Classic
Minimum Age of Entry Children-91 days to 23 years/Adults-18 years
Maximum age of Entry 65 years
Renewal Age Life Long Renwal
Sum Insured 1 Lacs to 5 Lacs
Policy Tenure 1 & 2yrs
Premium Calculated on Basis of Age, (i.e. sum Insured Chosen)

Product Benefits of L&T -Medisure- Classic Plan

Critical Features
L&T-Medisure Classic
  1 Lacs to 5 lacs
Sub Limit-Room Rent/ICU • 1% of sum insured up to Max of Rs 4000/- per day. 
• 2% of sum insured up to Max of Rs 6000/- per day for ICU
Initial Waiting Period 30 Days
Coverage-Pre Existing Disease 3 Years
Coverage-Specified Surgeries 2 Years
No Claim Bonus 5 % to 50% 
Co-payment 10% co-payment at age of 80 years and above
Important Features
Maternity (Covered after 4 years) (Normal delivery-10% of the SI up to Max Rs 20,000/-) (Caesarean delivery-20% of the SI up to Max Rs 40,000/-) (New-born baby will be covered for a period of 90 days) 
First year Vaccination Not Covered
OPD Not Covered
Reinstatement of SI Equal to 100% of the Sum Insured in case of accident
Day Care Process Covered
Other Features
Pre-Hospitalisation 30 Days
Post-Hospitalisation 60 Days
Ayush Benefits Covered Upto Rs 25,000
Health Check up 1% of the SI after 4 continuous claim free years
NCB Movement-In Claim Reduced by 20 % if claim is made
Road Ambulance Upto Rs.1500 per hospitalisation
Air Ambulance Not Covered
Organ Donor Expenses Covered
Worldwide Emergency Cover Not Covered

Add-ons for L&T -Medisure- Classic Plan

Add-On
Double Sum Insured for Critical Illness
Waiver of Room Rent Sub-limits

Additional discounts for L&T -Medisure- Classic Plan

  • Family Discount of 10% for 2 or more family members
  • Discount for multi-year polices-5% discount for opting 2 year policy tenure

Waiting Period for L&T -Medisure- Classic Plan

Covered from Day 1 : Accidental Injuries
Covered after 30 Days : All incidences apart from specified surgeries, Permanent exclusion & Pre-existing diseases (if any)
Covered after 2 Years : Cataract, Hysterectomy other than for Malignancy, Uterine prolapse including any condition requiring Hysterectomy, Polycystic Ovarian Diseases, Myomectomy for Fibroids, Knee Replacement Surgery (other than caused by an Accident), Osteoarthritis and Osteoporosis if age related, Arthritis, Rheumatism, Joint Replacement Surgery (other than caused by Accident), Prolapse of Intervertibral Discs (other than caused by accident), Varicose Veins and Varicose Ulcers, Hernia, Stones in the Urinary, Uro-Genital and Biliary Systems, Benign Prostate Hypertrophy, Hydrocele, Congenital Internal anomaly, Fistula in Anus, Piles, Fissures, Fibroids, Dilatation & Curettage for treatment purposes, Pilonidal Sinus, Chronic Suppurative Otitis Media (CSOM), Deviated Nasal Septum, Sinusitis and related disorders, Surgery on Tonsils/Adenoids, Gastric and Duodenal Ulcer, any type of Cysts/Nodules/Polyps and any type of Breast Lumps, benign ear, Nose and Throat disorders and surgeries Chronic Nephritis and Nephritic Syndrome, Hypertension and Diabetes and related complications.

Exclusions for L&T -Medisure- Classic Plan

  • Genetic disorder and stem cell implantation/surgery
  • Birth control procedures, hormone replacement therapy and voluntary termination of pregnancy during the first 12 weeks from the date of conception
  • Routine medical, eye and ear examinations, cost of spectacles, laser surgery for cosmetic purposes or corrective surgeries, contact lenses or hearing aids, vaccinations, related to HIV and sexually transmitted diseases.
  • Problems including attention deficit hyperactivity disorder, Congenital external anomaly/ies or defects, sterility, infertility including IVF, impotency, venereal disease, puberty, menopause or intentional self-injury, suicide or attempted suicide.
  • Any substance, intoxicant, drug, alcohol, any mental illness, Any cosmetic surgery, Charges incurred primarily for diagnostic, X-ray or laboratory examinations or other.
  • Civil war, public defense, rebellion, revolution, insurrection, military or usurped power.
Any claims arising out of or attributable to any of the following is not covered,Please refer policy T & C for detailed list of exclusions.

Tax Benefits of L&T -Medisure- Classic Plan

When you pay the premium for your health insurance policy, you are liable to get a tax rebate under section 80D of the Income Tax Act, 1961.

Claim Process for L&T -Medisure- Classic Plan

In case you would like to know about the Claim Process or would like to register a Claim please click the link below

Know More


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