LIC’s Arogya Rakshak

LIC’s Arogya Rakshak is a health insurance plan that provides fixed benefits for specific health risks. It offers financial support during medical emergencies to help you and your family stay financially secure.

Key features:

  • Eligibility:

    • Principal Insured: 18 to 65 years old

    • Spouse/Parents: 18 to 65 years old

    • Children: 91 days to 20 years old

  • Initial Daily Benefit (IDB):

    • Minimum IDB: ₹2,500 per day for all members

    • Maximum IDB: ₹10,000 per day for the Principal Insured, and for other members, it’s limited by the IDB of the Principal Insured.

  • Benefits:

    • Hospital Cash Benefit (HCB): Paid for each day of hospitalization exceeding 24 hours, with a higher benefit for ICU stays.

    • Major Surgical Benefit: A lump sum benefit for undergoing specified surgeries.

    • Day Care Procedure Benefit: A lump sum benefit for undergoing specified day care procedures.

    • Other Surgical Benefit: A daily benefit for surgeries not listed in the Major Surgical Benefit or Day Care Procedure Benefit.

    • Medical Management Benefit: A lump sum benefit for specified medical conditions like Dengue, Malaria, etc.

    • Extended Hospitalization Benefit: A lump sum benefit for hospitalization exceeding 30 days.

  • Other benefits:

    • Auto Step Up Benefit: IDB increases by 15% every three years, up to 1.5 times the initial amount.

    • No Claim Benefit: IDB increases by 5% for every three claim-free years.

    • Health Check-up Benefit: Actual expenses or half of the ADB, whichever is lower, are paid for health check-ups every three years.

    • Death Benefit:

      • For members other than the Principal Insured, the policy continues, and the premium for the deceased member ceases.

      • For the Principal Insured, the Auto Health Cover (AHC) benefit is triggered, waiving premiums for other members for a specified AHC period.

  • Premium Payment: Yearly or half-yearly intervals.

  • Modal Loading: No loading for yearly premiums, 1.5% loading for half-yearly premiums.

  • HCB Rebates: Premium rebates are available based on the chosen HCB level.

This policy offers comprehensive health coverage with fixed benefits, ensuring financial stability during medical emergencies and promoting well-being for you and your family.

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