Compare Religare Joy Plan

Religare-Health-Insurance

Religare Joy Plan

Religare’s Joy plan is a maternity oriented health insurance plan which covers maternity expenses after a very low waiting period. Moreover, the plan also extends coverage for new born baby and other health plan coverages. All in all, the plan provides a comprehensive health cover with special focus on maternity benefits.

Key features of the plan

  • The waiting period for claiming maternity expenses is only 9 months.
  • Lifelong renewals are promised under the plan.
  • A maximum of 6 individuals can be covered individually or 4 members on a floater basis.
  • The policy is issued for a term of 3 years which reduces the hassles of annual renewals.
  • There is an optional No Claim Bonanza feature which increases the Sum Insured by 100% within 3 claim-free years.

How does the plan work?

Step 1 – the policyholder chooses the Sum Insured and the members covered.

Step 2 – the insured has to undergo medical check-ups if he is aged 46 years and above. After underwriting, the policy is issued.

Step 3- If the covered member (s) face any medical contingency and the related expenses are covered by the plan the expenses incurred are paid by the plan.

Step 4 – if the plan matures and no medical contingencies occur, no benefit is paid.

Example

Rohan buys Joy Today for a Sum Insured of Rs.3 lakhs for himself and his wife covered on individual basis.

Option 1 – His wife becomes pregnant and delivers a baby boy after 9 months. Since maternity waiting period is only 9 months, the delivery expenses are covered by the plan. Moreover, the plan provides coverage for the new born baby too.

Option 2 – if the plan tenure of 3 years complete without any claims, the Sum Insured would increase to Rs.6 lakhs without any increase in premium.

Plan benefits

  • Medical benefits – the list of medical expenses covered by the plan and their extent is as follows:
    Room rent, boarding and nursing expenses Single Private AC room
    In-patient hospitalization Covered up to Sum Insured
    Ambulance cover Up to Rs.1000 per claim
    Pre hospitalization Up to 30 days
    Post hospitalization Up to 60 days
    Day care procedures 170 procedures are covered
    Maternity cover including pre and post-natal expenses Sum Insured Rs.3 lakhs – up to Rs.35,000
    Sum Insured Rs.5 lakhs – up to Rs.50,000
    New born baby cover Sum Insured Rs.3 lakhs – up to Rs.30,000
    Sum Insured Rs.5 lakhs – up to Rs.50,000
  • No Claim Bonanza – if a claim is not made in the three years of the plan, the Sum Insured increases by 100%.

Eligibility Criteria

  Minimum Maximum
Age at entry (in completed years) Child – 1 day
Adult – 18 years
Child – 24 years
New born baby – 90 days
Adult – 65 years
Premium paying options Single pay
Plan term 3 years
Sum Assured Rs.3 and 5 lakhs

What is not covered by the plan?

Illnesses suffered during the first 30 days of the plan commencement are not covered.
Pre-existing ailments are not covered in the first 4 years of the plan.
Maternity benefits are not covered in the first 9 months of the plan.
Illnesses or accidents caused due to genetic disorder or stem cell surgery, substance abuse, participation in adventure sports or hazardous activities, criminal acts, attempted suicide, war and hazardous substances, etc. are not covered.
Treatments like dental treatments, cosmetic treatments, artificial life support, weight loss treatments, etc. are not covered.

Premium Illustration

Below are the sample rates of premium payable by a non-smoking female living in Mumbai for different combinations of Sum Insured and members covered. The policy is taken for 3 years and the age of the eldest member is 35 years.

Religare-Joy

FAQs

Is co-pay applicable under the plan?

Yes, co-pay is applicable if the insured is aged 61 years and above. The rate of co-pay is 20% of the claim amount.

What happens if there is a claim in the 3-year tenure?

In case of claim, the No Claim Bonanza bonus becomes nil.

How do individual and floater cover work?

Individual cover can be taken for self or up to 6 family members. The Sum Insured would be granted on individual basis. If family floater option is selected, the proposer can cover self, spouse and children with the maximum cover available to 4 persons.

When are pre-policy medical check-ups required?

Pre-policy medical check-ups are required if the insured is aged 46 years and above.

What is the free-look period?

Free-look period is the period after policy issuance when the policyholder can cancel the issued policy. The plan allows a free-look period of 15 days.

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