Compare Aviva Heart Care Plan
Aviva Heart Care Plan
Key features of the plan
- This is a health insurance plan which covers 19 heart related illnesses and ailments.
- The ailments are categorized in three heads of mild, moderate and severe and the payout depends on the severity of the ailment suffered.
- There are four coverage options under the plan. These options allow coverage for self and spouse in one plan and also provide the option of Sum Assured restoration for severe ailments if the coverage is exhausted in any policy year.
- Premium discounts are available for choosing a high Sum Assured level.
Example
Rahul, a non-smoking male aged 30 years, buys Heart Care plan for a term of 20 years. The Sum Assured he chooses is Rs.10 lakhs.
Option 1 – Rahul chooses the ME option. He undergoes Pericardectomy which is categorized as a ‘Mild’ ailment. Thus, he gets Rs.2.5 lakhs payout. If he suffers a heart attack later in the policy tenure, it would be classified as ‘Severe’ ailment and he would get the remaining Sum Assured which is Rs.7.5 lakhs.
Option 2 – Rahul chooses ME+ option. He takes two ‘Moderate’ category treatments which pay his 50% of the Sum Assured in each instance. When his Sum Assured is exhausted, it is restored back to Rs.10 lakhs which would be available if he suffers any ‘Severe’ ailment.
Option 3 – Rahul takes WE option covering his wife too. Both the lives can claim the plan benefits. If Rahul suffers heart attack which is a ‘Severe’ condition, 100% of the Sum Assured is paid thus exhausting his cover amount. His policy would be terminated but his wife’s policy would continue and premiums would be waived off.
Option 4 – Rahul chooses WE+ option with restoration benefit. He takes two ‘Moderate’ category treatments which pay his 50% of the Sum Assured in each instance. When his Sum Assured is exhausted, it is restored back to Rs.10 lakhs. His wife’s Sum Assured can also be restored if it gets exhausted in treating any ‘Mild’ or ‘Moderate’ ailment. The restored Sum Assured would be applicable for ‘Severe’ ailments for both lives and the future premiums would be waived off.
Plan benefits
- Illness benefit – if the life insured (s) suffer from any heart-related ailments covered by the plan, the Sum Assured is paid in a proportion depending on the severity of the ailment suffered. Though multiple claims can be made in a policy period, there is a limit on the maximum number of claims which can be made. This limit also depends on the severity of the illness. The categories, limit on claims and the payout proportion are as follows:
Eligibility Criteria
| Category of ailments | Mild | Moderate | Severe |
| Benefit paid | 25% of the Sum Assured per instance | 50% of the Sum Assured per instance | 100% of the Sum Assured per instance |
| Maximum number of claims | For ME and WE variant – 1 claim per life For ME+ and WE+ variant – 2 claims per life for 2 different ailments |
2 claims per life | 2 claims per life |
Moreover, in case of ME+ and WE+ plan variants, the premiums are waived off if the restoration benefit is activated and the Sum Assured is replenished.
Maturity Benefit – when the chosen tenure expires and the plan matures, no benefit is paid if the life insured does not suffer from any heart ailments.
FAQs
- What are the premium paying modes?
- When can one avail Sum Assured rebates?
- Is there any death benefit under the plan?
- What is the grace period?
- What is the free-look period?
Premiums can be paid annually, monthly or half-yearly.
Rebates are allowed if the chosen Sum Assured is Rs.11 lakhs and above.
No, the plan only pays benefits in case of diagnosis of any heart-related ailments. Death benefit is not available.
The grace period allowed is 30 days for annual and half-yearly mode. For monthly mode the grace period is 15 days
The free-look period is 15 days or 30 days (for distance marketing channels).
