Royal Sundaram Lifeline Health Insurance Plan

Product Overview

Royal Sundaram Lifeline Health Insurance is a holistic indemnity plan that covers the health insurance needs of you and your family. It’s a comprehensive plan that offers Sum Insured ranging from 2 lacs to 1.5 crore and covers all day care procedures.

Unique Features of Royal Sundaram Lifeline Health Insurance Plan

• Auto Restore of Sum Insured/No Co-Payment (Classic & Supreme Plan)
• All Day care procedures Covered/No Claim Bonus up to 100% of the Sum Insured (Supreme & Elite Plan)
• Worldwide Emergency Covered/International Treatment for 11 specified Critical Illness (Elite Plan)
• Annual Health check up (Supreme & Elite Plan)
• Pre- Post Hospitalisation-(Classic & Supreme-60 days & 90 days)(Elite-60 days & 180 days)
• Pre Existing Disease Cover after (Supreme-3 years & Elite-2 years)

Critical features of Royal Sundaram Lifeline Health Insurance Plan

• Room rent:
  Limits imposed towards room and ICU rent expenses
  No Capping on the Room rent limit for the 3 variants (Classic, Supreme and Elite)
• 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

1. Classic Plan- 10% of basic sum insured up to a maximum of 50% for each unclaimed year in case opted for (The cumulative bonus will not reduce once a claim is made)
2. Supreme and Elite Plan- 20% of basic sum insured up to a maximum of 100% for each unclaimed year in case opted for (The cumulative bonus will not reduce once a claim is made)

• Co-Pay:
  Specific % of admissible claim amount to be borne by Insured
  20% co-payment for International Treatment for 11 specified Critical Illness (Elite Plan)
• 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

1. Classic Plan has a waiting period of 4 years for pre-existing diseases
2. Supreme Plan has a waiting period of 3 years for of pre-existing diseases
3. Elite Plan has a waiting period of 2 years for pre-existing diseases
4. Maternity has a waiting period of 3 years (Elite Plan)

Eligibility Criteria

• Minimum Age of Entry:- Children-91 days to 25 years/Adults-18 years
• Maximum age of Entry:- No limit
• Renewal Age:- Life Long Renewal
• Sum Insured:-
  Classic Plan- 2/3/4 Lacs
  Supreme Plan- 5/10/15/20/50 Lacs
  Elite Plan- 25/30/50/100/150 Lacs
• Policy Tenure:- 1, 2 & 3 years
• Premium Calculated on Basis of:- Age, Zone (i.e. sum Insured Choosen)?

Add-ons

• Daily Cash (by paying extra premium):
  If the insured is hospitalised for more than 24hrs then a specified amount shall be payable for each completed and continuous period of Hospitalization, provided that
  - The insured should have been hospitalised for more than 24hrs of hospitalization.
  - Max days of hospitalization should not exceed 30 days.
• Inclusion of US and Canada for Worldwide Emergency Hospitalization and International Treatment for 11 specified Critical Illness:
  International Treatment for 11 specified Critical Illness
  Cancer of Specified Severity, First Heart Attack-of Specified Severity, Open Chest CABG, Open Heart Replacement or Repair of Heart Valves, Coma of Specified Severity, Kidney Failure Requiring Regular Dialysis, Stroke Resulting in Permanent Symptoms, Major Organ/Bone Marrow Transplant , Permanent Paralysis of Limbs,  Motor Neurone Disease with Permanent Symptoms, Multiple Sclerosis with Persisting Symptoms.
• Top-up Plans:
  An Amount equal to the deductible specified in the schedule of the insurance shall be borne by the Insured Person at the time of claim. ?

Additional discounts

• Discount for multi-year polices- 5% discount for opting 2 years policy tenure and 10% for 3 yrs tenure

Waiting Period

• 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, Stones in biliary and urinary systems, Hernia/Hydrocele, Hysterectomy for any benign disorder, Lumps/ cysts/ nodules/ polyps/ internal tumours, Gastric and Duodenal Ulcers, Surgery on tonsils/ adenoids, Osteoarthrosis/ Arthritis/ Gout/ Rheumatism/ Spondylosis/ Spondylitis/ Intervertebral Disc Prolapse, Fissure/ Fistula/ Haemorrhoid, Sinusitis/ Deviated Nasal Septum/ Tympanoplasty/ Chronic Suppurative Otitis Media, Benign Prostatic Hypertrophy, Knee/Hip Joint replacement, Dilatation and Curettage, Varicose veins, Dysfunctional Uterine Bleeding/ Fibroids/ Prolapse Uterus/ Endometriosis, Diabetes and related complications, Chronic Renal Failure or end stage Renal Failure.

Exclusions

• T?ests and treatment relating to infertility and in vitro fertilization.
• Treatment with alternative medicines like acupuncture, acupressure, osteopath, naturopathy, chiropractic, reflexology and aromatherapy
• All expenses related to AIDS and related diseases.
• Use/Abuse of intoxicating drugs or alcohol, any hazardous activities
• War or any act of war, invasion, intentional self-injury or attempted suicide
• Treatment of obesity, Cosmetic treatments, mental disorders, external congenital diseases
• Personal comfort and convenience items or services

 

Note: Any claims arising out of or attributable to any of the following is not covered, Please refer policy T & C for a detailed list of exclusions.

Tax Benefits

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

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

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