When it comes to safeguarding our health, having the right insurance plan in place is paramount. In this introduction, we will explore and compare two renowned insurance options: the Care Heart-Health Insurance (Care Heart or Care Heart Insurance) and the Care Supreme Health Insurance. These plans are designed to provide comprehensive coverage for medical expenses, ensuring peace of mind and financial security for individuals and their families.
The Care Heart Insurance focuses specifically on heart-related conditions and offers specialized coverage for cardiac treatments and procedures. On the other hand, the Care Supreme provides comprehensive coverage for a broader range of medical expenses and conditions. It is essential to review the coverage details and benefits offered by each plan to determine which one aligns better with your specific healthcare needs.
Continue reading to know more about Care Heart Insurance and Care Supreme Health Insurance
A Comparative Analysis of Care Heart Insurance Vs Care Supreme
Here is the complete detailed analysis of Care Heart Insurance and Care Supreme.
|Minimum Entry Age
Adult- 18 Years
Child- 90 Days
|Maximum Entry Age
Adult- 99 Years
Child: 24 Years (Last Birthday)
|Up to Rs. 10 Lakh
|Up to Rs. 100 L
|Pre-Hospitalization Medical Expenses
|Pre-Hospitalization for 30 days
|Up to SI, Pre-Hospitalization expense cover for 60 days prior to hospitalization
|Post Hospitalization Medical Expenses
|Post-Hospitalization for 60 days; Maximum up to 5% of SI
|Up to SI, Post-Hospitalization expense cover for 180 days after discharge
|Up to Rs. 3000 per hospitalisation
For SI below Rs. 15 lac – up to Rs. 10,000
For SI Rs. 15 lac and above – up to SI
|Day Care Treatment
|Up to the Sum Insured
|All Day Care Procedures
|Up to 100% of the Sum Insured covered after 3 days
|Up to the Sum Insured
|Unlimited Automatic Recharge
|100% of the original Sum Insured upon exhaustion of SI
|Available for unlimited times for unrelated or same illness
|Initial Waiting Periods
|30 Days (not applicable on accident cases)
|24 months on the specific waiting period
|Pre-policy Issuance Medical Check-up
What is Care Heart Health Insurance Policy?
The Care Heart-Health Insurance is specifically tailored to address the healthcare needs related to heart conditions and cardiovascular diseases. This plan offers extensive coverage for cardiac treatments and procedures, aiming to provide support and financial protection for individuals at risk or diagnosed with heart-related ailments. The Care Heart Plan typically covers hospitalization expenses, including room charges, doctor’s fees, surgical procedures, and diagnostic tests related to heart conditions. It may also include coverage for pre-existing heart conditions, cardiac surgeries, emergency ambulance services, and post-hospitalization expenses. The plan often comes with additional features like cashless hospitalization, wellness programs, and regular health check-ups.
Care Heart Insurance aims to alleviate the financial burden associated with expensive heart surgeries and procedures by offering comprehensive coverage. The sum insured options range from Rs. 2 lakhs to Rs. 10 lakhs, offering a variety of coverage levels to suit different preferences and healthcare needs.
What are the Key Features and Benefits of Care Heart Insurance?
The following are the incredible features and benefits of Care Heart-Health Insurance.
- In-patient Care: Hospitalization for at least 24 hours
The insurance coverage is comprehensive, encompassing a range of medical expenses through either a Cashless or Reimbursement Facility, with the maximum limit up to the chosen Sum Insured. This coverage includes various components of medical care such as room charges, nursing expenses, ICU charges, surgeon’s fees, doctor’s fees, anesthesia, blood, oxygen, OT (Operation Theatre) charges, and similar medical-related costs.
- Day Care Treatment
The insurance coverage extends to hospitalization scenarios involving less than 24 hours, specifically for listed daycare treatments. In such cases, the insurer will facilitate payment through either Cashless or Reimbursement Facility, with the maximum limit being up to the chosen Sum Insured.
- Pre-Hospitalization & Post-Hospitalization Medical Expenses
Care Heart insurance goes beyond covering hospitalization costs by providing comprehensive coverage for both pre-hospitalization and post-hospitalization expenses. The coverage includes medical expenses incurred 30 days preceding hospitalization and 60 days after discharge, with the reimbursement amount capped at a maximum of 5% of the chosen Sum Insured.
- Ambulance Cover
Under this coverage, the insurer provides financial support for ambulance services incurred during hospitalization. Policyholders can receive reimbursement for expenses related to ambulance services offered by the hospital or any service provider in emergencies.
- Alternative Treatments
The insurance plan recognizes the value of a holistic approach to healthcare by covering a combination of conventional medical treatments and alternative therapies such as Ayurveda, Unani, Siddha, and Homeopathy. This coverage aims to expedite and aid the recovery process.
- Cardiac Health Check-up
The Care Heart Insurance offers a proactive approach to cardiac health by providing a Cardiac Health Check-up on a cashless basis. Policyholders can request and undergo a set of specified medical tests at the insurer’s network provider or any other empanelled providers in India. This benefit is available once during each policy year for every insured individual covered under the policy.
- Automatic Recharge
The Care Heart Insurance plan offers a beneficial feature called Sum Insured Reinstatement, providing a “refill” of the coverage when needed the most. In case the policyholder utilizes the maximum limit of the Sum Insured due to claims, exhausting the health cover, the insurer reinstates the entire Sum Insured immediately once in the policy year. This reinstated amount can be utilized for future claims unrelated to any illness or injury for which a claim has already been admitted during that policy year.
- No Claims Bonus
The Care Heart Insurance plan offers a unique feature by providing a flat increase of 10% in the sum insured for the upcoming policy year as a No Claims Bonus. This bonus is a reward for policyholders who have not made any claims in the previous policy year, encouraging a healthy and preventive approach to healthcare. However, there is a provision to ensure that the No Claims Bonus does not exceed 50% of the Sum Insured under the policy. In the event of a claim in a policy year, the No Claims Bonus accrued will be reduced by 10% of the sum insured.
- Domiciliary Hospitalization
Under this benefit, the insurer provides coverage for medical expenses incurred during treatment at home, as long as it involves medical treatment for a period exceeding 3 consecutive days. Policyholders can receive reimbursement for these home-based medical expenses, up to the specified Sum Insured.
What is Care Supreme Health Insurance Policy?
Care Supreme health insurance is a comprehensive health insurance option that offers a wide array of benefits. This plan includes wellness benefits, which focus on promoting overall health and well-being. It provides access to unlimited e-consultations, allowing policyholders to seek medical advice remotely. Additionally, Care Supreme Health Insurance offers unlimited automatic restorations, ensuring that the coverage is reinstated even after a claim is made. To be eligible for the Care Supreme Health Insurance, adults must fall within the age range of 18 to 99 years. Dependent children, on the other hand, must be between 90 days and 24 years of age to qualify for the plan’s coverage.
Its goal is to give more family members access to health care without having to pay astronomical premiums. The Care Supreme Health Insurance offers several optional advantages in addition to the base coverage, including wellness benefits, air ambulance coverage, annual health check-ups, and cumulative bonus super.
Explore the Salient Features and Benefits of Care Supreme Health Insurance
The features and benefits are as follows:
- Unlimited Automatic Recharge
With this feature, the policy sum insured is recharged an unlimited number of times in a year. This recharge is applicable for both the same and unrelated illnesses in case the base sum insured gets exhausted due to one or more claims.
- Unlimited E-Consultations
This feature allows policyholders to access healthcare advice and consultations conveniently through various digital channels, including phone calls, video calls, chat, or email. The unlimited nature of these e-consultations provides flexibility for policyholders to seek medical guidance as needed, promoting accessibility and convenience in healthcare delivery.
- Cumulative Bonus
This benefit increases the policy sum insured by 50% for each claim-free policy year, with the potential to accumulate up to a maximum of 100%. In other words, if no claims are raised in the previous policy year, the sum insured will be enhanced by 50%, and this bonus can be compounded to reach a maximum of double the original sum insured.
- Cashless Hospitalization
The Care Supreme Health Insurance prioritizes the convenience and well-being of the insured by offering cashless hospitalization facilities at a vast network of more than 22,900 hospitals. This extensive network ensures that policyholders have access to hassle-free claim settlement and can avail themselves of best-in-class medical facilities
- Discounts on Health Services
The Care Supreme Health Insurance not only provides comprehensive health coverage but also extends additional benefits through the ‘Health Portal’ and ‘Discount Connect.’ The ‘Health Portal’ offers a range of services, including access to a Doctor on chat and reminders for healthy tips. Additionally, it provides discounts on various healthcare services such as consultations, diagnostics, maternity services, and more.
- Tax Benefits
The Care Supreme Health Insurance not only offers comprehensive health coverage but also provides a financial benefit in terms of tax deductions. The premium paid for purchasing this plan is eligible for tax deductions under Section 80D of the Income Tax Act, of 1961.
- Advance Technology Methods
The Care Supreme Health Insurance demonstrates its commitment to advanced healthcare by covering the cost of treatments carried out through cutting-edge technology methods. This includes procedures such as robotic surgeries, deep brain stimulation, stem cell therapy, oral chemotherapy, and more. The coverage for these advanced treatments ensures that policyholders have financial support when opting for state-of-the-art medical interventions that may contribute to enhanced outcomes and recovery.
- AYUSH Treatment
The Care Supreme Health Insurance prioritizes holistic healthcare by covering charges incurred on in-patient treatment through traditional systems of medicine, including Ayurveda, Homeopathy, Siddha, and Unani. This feature reflects the plan’s commitment to providing comprehensive coverage that extends beyond conventional medical treatments.
- Domiciliary Hospitalization
The Care Supreme Health Insurance prioritizes flexibility and patient-centric care by covering the cost of treatment taken at home for at least three days. This coverage is applicable when a qualified doctor recommends home-based treatment due to circumstances where hospitalization is not possible or may not be the most suitable option.
- Cumulative Bonus Super
The Care Supreme Health Insurance encourages and rewards a healthy lifestyle by providing a Cumulative Bonus. For every claim-free year, policyholders are eligible for a cumulative bonus of 100% of the sum insured, with the potential to accumulate up to a maximum of 500%.
Premium Illustration of Care Heart Insurance and Care Supreme Health Insurance
Mr. Shamsher Singh Rana, a 61-year-old retired Army officer, is actively searching for a health insurance plan tailored to his needs, considering his existing heart disease condition. In his quest, he discovers two promising plans: Care Heart-Health Insurance and Care Supreme Health Insurance. Mr. Rana is seeking a health insurance plan with a substantial coverage of Rs. 10 lakhs. He decides to calculate the premium for both the Care Heart-Health Insurance and Care Supreme Health Insurance plans, ensuring that the parameters for the calculation are similar for a meaningful comparison.
Care Heart-Health Insurance:
|Health Insurance Cover
|Rs. 10 Lakhs
|Rs. 54231 (Premium includes 18% GST)
Care Supreme Health Insurance:
|Health Insurance Cover
|Rs. 10 Lakhs
|Rs. 36845 (Premium includes 18% GST)
What Should You Pick: Care Heart Insurance and Care Supreme Health Insurance?
If you have a specific concern or history of heart-related conditions, the Care Heart Insurance plan may be more suitable. It offers specialized coverage for cardiac treatments and procedures, ensuring comprehensive protection for heart-related ailments. On the other hand, if you are looking for broader coverage for various medical expenses and conditions, the Care Supreme Health Insurance plan may be a better choice. Ultimately, the choice between Care Heart Insurance and Care Supreme Health Insurance should be based on your individual healthcare needs, financial considerations, and future expectations.