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Corona Kavach Policy is an Indemnity based Covid product that offers you coverage for hospitalization due to positive diagnosis of Covid.
No one can predict when and how the virus SARS-CoV2 will attack anyone of us. Hence, having an insurance cover is a must during these tough times of COVID-19 outbreak so that an appropriate protection is in place for you and your loved ones too.
Corona Kavach Policy is an Indemnity based Covid product that offers you coverage for hospitalization due to positive diagnosis of Covid. With rising medical cost and unpredictable health situation, it is imperative to have a health insurance product in place with adequate sum insured.
This product is mandated by IRDAI, having base covers and optional cover which are uniform across market.
Features you'll appreciate
Coverage - This policy is designed to offer below Base Coverage on Indemnity basis.
Covid Hospitalization Cover
Pre Hospitalization
Home Care Treatment Expenses
Post Hospitalization
AYUSH Treatment
Road Ambulance
The Policy also offers below Optional Coverage on Benefit basis.
Hospital Daily Cash
Sum Insured Options - You have the option to choose the sum insured from 50,000 to 5 Lacs in the multiples of 50,000.
Age Eligibility - Minimum age at entry under this Policy is 18 years for principal insured and maximum age at entry shall be 65 years. Dependent children shall be covered from the age of 1 day to 25 years. If a child above 18 years is financially independent, he or she will be ineligible for coverage as dependent child.
Policy Period Option - Policy can be issued with any of the below term based on your choice
i. Three and half months (3.5 months) = 105 days
ii. Six and half months (6.5 months) = 195 days
iii. Nine and half months (9.5 months) = 285 days
Type of Policy - This policy can be issued to an individual on an Individual Sum Insured basis and/or to a family on an Individual Sum Insured basis or on a Family Floater Sum Insured basis.
Number of members covered under each type of policy are -
Geography - Policy covers for event within the territorial limits of India. All payments under the Policy will be made in Indian Rupees.
Waiting Period - We shall not be liable for any claim arising under the policy within 15 days from the first policy commencement date.
Premium - The Premium charged on the Policy will depend on the Tenure and Sum Insured. Additionally, the health status of the individual will also be considered.
Premiums will be payable by Single premium mode only.
Substandard Risk Loading - We may apply risk loading on premium payable based on the information revealed in the Proposal Form and the current health status of the person.
The maximum risk loading for an individual shall not exceed 100%.
We will inform You about the applicable risk loading and issue the policy only when we receive your consent and applicable premium.
What are the Exclusions?
The Company shall not be liable to make any payment under the policy, in respect of any expenses incurred in connection with or in respect of:
Investigation & Evaluation
Expenses related to any admission primarily for diagnostics and evaluation purposes. Any diagnostic expenses which are not related or not incidental to the current diagnosis and treatment
Rest Cure, rehabilitation and respite care
Expenses related to any admission primarily for enforced bed rest and not for receiving treatment. This also includes:
a) Custodial care either at home or in a nursing facility for personal care such as help with activities of daily living such as bathing, dressing, moving around either by skilled nurses or assistant or non-skilled persons.
b) Any services for people who are terminally ill to address physical, social, emotional and spiritual needs.
c. Dietary supplements and substances that can be purchased without prescription, including but not limited to Vitamins, minerals and organic substances unless prescribed by a medical practitioner as part of hospitalization claim or Home care treatment.
Unproven Treatments:
Expenses related to any unproven treatment, services and supplies for or in connection with any treatment. Unproven treatments are treatments, procedures or supplies that lack significant medical documentation to support their effectiveness. However, treatment authorized by the government for the treatment of COVID shall be covered.
e. Any claim in relation to Covid where it has been diagnosed prior to Policy Start Date.
f. Any expenses incurred on Day Care treatment and OPD treatment
g. Diagnosis /Treatment outside the geographical limits of India
h. Testing done at a Diagnostic centre which is not authorized by the Government shall not be recognized under this Policy
i. All covers under this Policy shall cease if the Insured Person travels to any country placed under travel restriction by the Government of India.
Covered for a fixed period of 30 days
We shall indemnify post hospitalization/home care treatment medical expenses incurred, related to an admissible hospitalization//home care treatment, for a fixed period of 30 days from the date of discharge from the hospital, following an admissible hospitalization covered under the policy
Covered for a fixed period of 15 days
We shall indemnify pre hospitalization/home care treatment medical expenses incurred, related to an admissible hospitalization/home care treatment, for a fixed period of 15 days prior to the date of admissible hospitalization/home care treatment covered under the policy.
Covered up to the limit of sum insured
We shall indemnify medical expenses incurred for inpatient care treatment upon Positive diagnosis of COVID test in a government authorized diagnostic centre including the expenses incurred on treatment of any comorbidity along with the treatment for Covid under Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy systems of medicines during the Policy Period up to the limit of sum insured as specified in the policy schedule in any AYUSH Hospital
Covered
Family Covered in this Policy
Covered
Room Rent, Boarding, Nursing Expenses as provided by the Hospital / Nursing Home.
Available
Home Care Treatment means treatment availed by You at home upon positive diagnosis of Covid in a Government authorized diagnostic Centre, which in normal course would require care and treatment at a hospital but is actually taken at home maximum up to 14 days per incident provided
