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Health First Plan

Health First Plan

UIN: 136N051V01

A Non-linked Non-Participating Fixed Benefit Health Insurance plan that is affordable and provides you with a lump-sum amount on the occurrence of Heart, Cancer related conditions and on pre-defined 26 Major Critical Illnesses. The plan is designed in such a way that it provides you complete freedom to pick and choose the cover you need, and also provides multiple customization options to best suit your requirements. The lump-sum amount paid can help you overcome the immediate medical expenses without compromising on your lifestyle.

Health Insurance Plan Product ParametersHealth First Plan Product Parameters

Health Insurance Plan Age Criteria

Age Criteria

  • Entry Age (Life Assured)

    Minimum

    18 years

    Maximum

    65 years
  • Maturity Age

    Minimum

    23 years

    Maximum

    80 years
Titanium Plus Plan Term

Policy Term


5 to 40 Years subject to maximum maturity age of 80 years
Return of Premium Option under Major Critical Illness Cover: 10 years to 20 years subject to maximum maturity age of 80 years
Health Insurance Plan Sum Assured

Sum Assured

  • Minimum
    Major Critical Illness - 5 lacs
    Heart Cover- 5 lacs
    Cancer Cover- 5 lac
  • Maximum
    Major Critical Illness - 50 lacs
    Heart Cover- 40 lacs (For Increasing Cover option, the maximum Sum Assured allowed is 25 lacs)
    Cancer Cover- 50 lacs
Health Insurance Plan Premium Payment Details

Premium Payment Details

  • Premium Payment Modes & Premium Amount
    Premium modes: Annual & Monthly
  • Minimum Annual Premium (exclusive of Taxes):
    Major Critical Illness Cover (without Return of Premium Option): 685
    Heart Cover: 596
    Cancer Cover: 456
  • Maximum Annual Premium:
    Depending on chosen Sum Assured, and subject to Underwriting
  • Premium Payment Term:
    Same as Policy Term

In case of Monthly mode, Annual premium needs to be multiplied with a factor of 0.09 to arrive at the monthly installment premium payable.

*Please note that it is mandatory to pay first 3 month’s Premium in advance and subsequently through standing instruction.
  • Option to cover yourself against Heart ailments, Cancer conditions or Major Critical Illness.
  • High coverage at affordable premiums.
  • Increasing cover option to take care of increasing medical needs.
  • Offers lump-sum payout on the first diagnosis of illness irrespective of actual amount spent on treatment.
  • Waiver of all future premiums on first diagnose of Minor Conditions covered under Cancer Cover and Heart Cover.
  • Option of additional monthly income in case of Major Claim (Heart and Cancer Cover) & Major Critical Illness Cover.
  • Get all your premiums paid back on maturity, under Major Critical Illness Cover, if Return of Premium Option is opted (if there is no claim during the Policy Term).

Lump-sum payout on diagnosis:

This plan provides lump-sum payout on the first diagnosis of covered illness, irrespective of actual amount spent on treatment, to help you recover without any financial stress.

Major Critical Illness Cover

This option offers you cover against 26 Major Critical Illnesses. When a major Critical Illness strikes, it can place a huge burden on you and your family, not only because of the medical expenses, but also because you may have to take a break from work. To protect you against the financial burden, we will pay you the applicable Sum Assured as lump-sum to meet your financial needs. The benefit is payable irrespective of the actual expenses incurred by you.

This product provides a lump-sum equal to the applicable Sum Assured on first diagnosed of a Major Critical Illness or undergoes first performance of any of the listed surgeries in relation to a Major Critical Illness. On the payment of applicable Sum Assured, coverage will terminate immediately

Heart Cover and Cancer Cover

The plan offers comprehensive cover for Heart and Cancer related ailments. You can choose the cover which you need at inception.

The benefits payable under Heart or Cancer Cover (as applicable) will be paid as a lump-sum upon first diagnosis of any of the illnesses / first performance of any of the covered surgeries (as listed below). The payout depends on the severity of the diagnosed condition (Major/Minor Condition) and claims previously admitted under this Policy. The maximum claim payable in this Policy shall not exceed 100% of the applicable Sum Assured

If the Life Assured is diagnosed to be suffering from Cancer or Heart disease of defined severity, a percentage of the applicable Sum Assured will be paid, as per below schedule:

Condition/Cover

Cancer Cover

Heart Cover

Minor Condition

25% of applicable Sum Assured for Cancer Cover

25% of applicable Sum Assured for Heart Cover

Major Condition (after occurrence of Minor Condition claim)

75% of applicable Sum Assured of Cancer Cover

75% of applicable Sum Assured of Heart Cover

Major Condition (without occurrence of any Minor Condition claim)

100% of applicable Sum Assured of Cancer Cover

100% of applicable Sum Assured of Heart Cover

Only one claim is permissible under each of these Conditions (Major/Minor). In any case, the total payout in the Policy cannot exceed 100% of the applicable Sum Assured for each cover.

Premium Waiver Benefit:

In Heart and Cancer Cover the plan continues even after the first pay-out for a Minor Condition Claim is made, without you having to pay any future premiums for the applicable coverage under which the claim is made.

Other Benefits

Increasing Cover Option:

You have the option of taking Increasing Cover under all the three plan options (Major Critical Illness Cover, Heart Cover, Cancer Cover) at proposal stage. Increasing Cover option helps you take care of growing medical expenses. Under this option, the initial Sum Assured increases by 10% (simple rate) every year starting from the first policy anniversary, until the first claim is made. The Sum Assured can go up to a maximum of 150% of initial Sum Assured.

If you have opted for Increasing Cover option at inception and there is claim during the Policy Term and the Policy is in-force you will receive a lump-sum payout basis the Increased Sum Assured.

For example, when you choose a Sum Assured of Rs. 20 lacs under Heart Cover for a term of 10 years and take the Increasing Cover option, starting from the first policy anniversary an additional 10% of initial Sum Assured will be added to your Sum Assured. Hence, by the 5th Policy year your Heart Cover would have increased from Rs. 20 lacs to Rs. 30 Lacs. (10% of Rs.20 lacs = Rs.2 lacs, Rs.2 lacs *5 years = Rs.10 lacs increase).

Monthly Income Benefit Option:

This plan gives you an additional benefit of 1% of initial Sum Assured every month for 5 years (i.e. 60 months) following the date of diagnosis of a Major Heart / Cancer condition / Major Critical Illness (as applicable), to help your family deal with loss of income. This monthly income payment is over and above the lump-sum payment made on diagnosis of the illness/ condition, and is continued to be paid to your Nominee for the total defined period of 5 years, even in case of your unfortunate death. The Nominee can also request for commuting the remaining monthly instalments into lump sum within six months of the death of the Life Assured. On the request for such commutation, the value of the remaining monthly instalments, discounted at 4.0% per annum, shall be payable and no further benefit shall be payable thereafter

Maturity benefit:

The Policy does not provide any maturity benefit under Heart or Cancer Cover. In case of Major Critical Illness Cover, there is an option to take the Return of Premium Option (available with Policy Term 10 to 20 years), which provides maturity benefit. For details please refer to the Option as explained below.

Return of Premium Option:

This benefit ensures that your premiums comes back to you at the end of the Policy Term (if no claim is made) to take care of ongoing health / medical expenses. Upon survival of the Life Assured till the end of the Policy Term without any claim having made, while the Policy is in-force, the Company will pay back all the premiums paid (including modal loading but excluding underwriting extra premium and Goods and Services Tax & applicable cess(es)/levy, if any) during the Policy Term as a Maturity Benefit.

Note: The Return of Premium Option is available only in Major Critical Illness Cover with Policy Term 10 to 20 years only.

4 simple steps to customize you plan and protect yourself.

Step 1 Choose your plan option(s)

• Depending on your coverage needs choose the plan option (Major Critical Illness Cover (with or without Return of Premium option)/ Heart Cover/ Cancer Cover).

Step 2 Choose your additional option(s)

• Choose whether you need Level Cover or Increasing Cover option. It is advisable to opt for Increasing Cover option to keep pace with rising inflation.

• Choose whether you need additional Monthly Income Benefit option to get an income stream for 5 years

Step 3 Choose your Policy Term

• Flexible policy term options ranging from 5 to 40 years.

Step 4 Calculate your premium, complete your proposal form and pay your premium

• Calculate your premium basis coverage taken, add-on options chosen, and other key details

• Fill your proposal form and pay your premium