Accident Care Individual Insurance Policy

This is an overview of the Accident Care Individual Insurance Policy and its key highlights.

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Plan Essentials

 

1. Entry Age:
   • Individuals aged 18-70 years can avail of the policy.
   • Dependent children aged 5 months to 25 years are covered.
2. Policy Type:
   • Available as Individual or Floater basis.
   • Floater covers the insured, spouse, and dependent children.
3. Premium Discounts:
   • 10% Discount for family-based policies.
   • 5% Online Discount for policies purchased online.

 

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Important Highlights

 

1. Sum Insured:
   • Minimum: ₹1,00,000.
   • Can increase in multiples of ₹10,000, subject to earning capacity.
2. Policy Benefits:
   • Table A: Covers Accidental Death.
   • Table B: Covers Accidental Death + Permanent Disablement.
   • Table C: Covers Accidental Death + Permanent Disablement + Temporary Total Disablement.
3. Coverage Details:
   • Accidental Death: 100% of Sum Insured + Cumulative Bonus.
   • Permanent Total Disablement: 150% of Sum Insured + Cumulative Bonus (on 100% SI).
   • Permanent Partial Disablement: Specific percentage of SI as per policy clause.
   • Temporary Total Disablement:
     • 1% of SI per week, up to ₹15,000/week for 100 weeks.

 

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Additional Benefits (Tables A, B, & C)

 

1. Educational Grant:
   • ₹10,000 per child (max 2 children, under 18 years) in case of accidental death/total disability.
   • Maximum ₹20,000.
2. Ambulance Charges/Transportation:
   • ₹5,000 for hospital transport or mortal remains transfer.
3. Travel Expenses for Relative:
   • 1% of SI up to ₹50,000 for a relative to visit in case of accidental death.
4. Vehicle/Residence Modification:
   • 10% of SI (max ₹50,000) for modifications due to accident-related disabilities.
5. Purchase of Blood:
   • 5% of SI (max ₹10,000) for surgical/medical treatment.
6. Transportation of Imported Medicines:
   • 5% of SI (max ₹20,000) for freight charges.
7. Cumulative Bonus:
   • 5% increase in SI for each claim-free year, up to 50%.

 

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Optional Benefits

 

1. Medical Expenses Extension:
   • Covers inpatient/outpatient expenses up to:
     • 25% of valid claim or
     • 10% of SI (max ₹5,00,000).
2. Coverage for Winter Sports:
   • Covers injuries during participation.
3. Hospital Cash:
   • ₹1,000/day for hospitalization (max 15 days per occurrence, 60 days annually).
4. Home Convalescence:
   • ₹500/day for an attendant at home post-hospital discharge (max 15 days per occurrence, 60 days annually).

 

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Refer to Policy Documents

 

For full details and Terms & Conditions, consult the official policy documentation.

 

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FAQs