Care Health Insurance

An Overview

Care Health Insurance (previously Religare Health Insurance Company Limited) is a subsidiary of Religare Enterprises Limited and a member of the Religare Group (REL). Kedaara Capital is a corporate co-promoter. 

Care Health Insurance was founded in July of 2012. The firm is based in Gurgaon, Haryana, and employs over 6000 people across 158 offices throughout India. It received IRDA permission in July 2019 and is one of five private-sector insurers to solely underwrite policies in the health, personal accident, and travel insurance categories. 

The firm has placed its emphasis on the use of cutting-edge technology in order to provide new products, an incentive for cash administrations, and fantastic client assistance. It presently offers Health Insurance, Critical Illness Insurance, Personal Accident Insurance, Super Top-up Coverage, International Travel Insurance, and Maternity products in the retail segment, as well as Group Health Insurance and Group Personal Accident Insurance for corporates. 

List of best Insurance Products from Care

Care Health Insurance Plan

Care Health Insurance is the most comprehensive health Insurance plan available to families around the country. It provides coverage for 540 day-care procedures, hospitalization charges for more or less than 24 hours. Coverage for robotic surgery is also available.  

The minimum age to avail of this coverage is 91 days, with no upper age restriction. Adults aged 61 and over have the option of paying a 20% co-payment for each accepted claim, with the remaining paid by the insurance provider. For sums insured in excess of Rs 1 lakh, the policy includes an inherent maternity cover of up to Rs 1 lakh. Pre-hospitalization coverage is available for up to 30 days, and post-hospitalization coverage is available for up to 60 days. 

Care Critical Illness Plan

Critical illness insurance is a medical policy that offers comprehensive coverage against life-threatening conditions such as cancer, stroke, renal failure, severe burns, coma, etc. The policy covers hospitalization costs, organ donation fees, dialysis, alternative therapies, medical second opinions, and overseas second opinions. 

This plan comes with a larger sum of insured choices ranging from Rs. 10 lakhs to Rs. 200 lakhs. In addition, the insured can have air ambulance coverage up to Rs 5 lakhs. 

Care Freedom Insurance Plan

Care Freedom is a comprehensive healthcare shield that addresses all of the medical requirements of diabetic and hypertensive individuals. This new-age health insurance coverage is offered in a variety of sums insured. The quantity insured under these choices ranges between Rs. 3 lakhs to Rs. 75 lakhs. The policy is offered in several varieties, each with its own set of coverage features, and is available for one, two, or three years. The minimum entry age is 5 years (on an individual basis, and 91 days on a floater basis when at least one covered person is over the age of 18).  

This policy has several highlights, including no pre-policy medical check-up requirement, lifelong renewability, tax benefits under Section 80D of the Income Tax Act of 1961, the option to receive cashless treatment, direct claim settlement by the insurance company, annual health check-up for all insured members covered as adults, and a 2-year waiting period for pre-existing diseases. Apart from that, the company offers a wide range of other coverage alternatives. 

Care Maternity Insurance Plan-Joy

Joy is an exclusively developed health insurance plan for expectant women and their babies that includes maternity care. The two available variants of this policy are Joy Today and Joy tomorrow. The plan includes in-patient care, day-care treatment, pre-hospitalization, and medical expenditures for up to 30 days, as well as ambulance coverage.  

It has a waiting time ranging from 9 months to 24 months, depending on the type of plan chosen. Hence, it is best to get this maternity cover insurance ahead of time in order to welcome the baby stress-free. 

Care Senior Citizen Insurance Plan

Care Health Insurance provides Care Senior with the most comprehensive health insurance coverage created particularly for those over the age of 60. It is critical because it protects elderly citizens from large medical expenses, allowing them to access the greatest healthcare facilities without experiencing a financial burden. This insurance does not need a pre-policy medical exam. However, in certain situations, a title underwriter may seek a limited number of medical tests. 

Some distinctive perks of Care Senior citizen Insurance plan include yearly health checks, cashless hospitalization coverage, 540+ day-care treatments, pre-existing condition coverage, etc. It is also a valuable financial instrument that allows senior citizens to save up to Rs.10,00,000 in tax under Section 80D of the Income Tax Act. 

Care Health Corona Kavach Policy 

Care Health Corona Kavach Policy is a COVID-19 specialized health insurance plan that covers coronavirus treatment expenditures such as oxygen cylinders, PPE kits, gloves, ventilators, masks, and so on. 

The insurance, which is available as an individual or family floater, covers adults aged 18 to 65, with a coverage value of up to Rs. 5 lakhs. The policy has a 15-day waiting period at the start. 

Network Hospitals

A network hospital is one that has an agreement with a health insurance company to provide cashless services for its customers (because the insurer immediately covers invoices at these hospitals). The network hospitals are chosen by insurance companies based on extensive background checks, efficiency, and knowledge of the medical services provided. Care Health Insurance provides a large network of such hospitals throughout India. 

Care Health Insurance (previously known as Religare Health Insurance Company Limited) strives to give its clients with simple access to quality treatment by delivering cashless health insurance at its 8350+ network hospitals. Individuals and families can focus on receiving great treatment in a timely way with cashless hospitalization facilities and a simple claims procedure. 

Care Health Insurance- Accolades and Reviews

For its exceptional services, the company was proclaimed “Best Health Insurance Company” at the ABP News-BFSI Awards in 2017 and again at the Emerging Asia Insurance Awards in 2019. At the Insurance India Summit & Awards 2018, Care was named the “Best Claims Service Provider of the Year.” Care Health Insurance also received the “Editor’s Choice Award for Best Product Innovation” at the Frontier Finnoviti Awards in 2017, as well as the “Best Medical Insurance Product Award” at the FICCI Awards in 2015, 2018, and 2019. 

Care Health Insurance-Network Hospitals

The network hospitals are chosen by insurance companies based on extensive background checks, efficiency, and knowledge of the medical services provided. They periodically update their network hospital listings based on the quality of services provided to policyholders. This means that if the network hospital does not provide high-quality care, the tie-ups will not be extended. 

Care aspires to provide its clients with easy access to high-quality care by providing cashless health insurance at its 8350+ network hospitals. Individuals and families may concentrate on obtaining excellent care in a timely manner thanks to cashless hospitalization and a simplified claims procedure.  

Care Health Insurance-Contact Details

Care Health Insurance Limited’s (formerly known as Religare Health Insurance Company Limited) registered office is located at, 5th Floor, Chawla House, Nehru Place, New Delhi – 110 019 and they have zonal offices/branches all throughout India. 

  • Correspondence Address :

Care Health Insurance Ltd:

Unit No. 604-607,  6th Floor, Tower C, Unitech Cyber Park, Sector 39, Gurgaon, Haryana – 122 001 

Benefits and Features of Care Health Insurance Plans 

Pre-existing Diseases: After a four-year waiting period, any pre-existing condition is covered. 

Auto Recharge Feature: This feature allows for the automatic recharge or restoration of the sum insured if the coverage is depleted after receiving medical care. 

Health Earning: With this feature, policyholders can earn up to a 25% return on their premium amount by referring colleagues, friends, and family members to Care Health Insurance. 

Room rent: Care Health Insurance policies cover in-patient hospitalization charges including room rents, boarding options, etc. 

Pre and post-hospitalization coverage: Its health insurance plans provide expenditure coverage for up to 30 days and 60 days before and after hospitalization, respectively. 

No. of members: The plan covers a maximum of six family members, including up to two youngsters and four adults. 

Free Health Check-ups: Provides free health check-ups to insured individuals. 

Easy Portability: Customers of Care Health Insurance have the option of easily porting their policies. It follows a straightforward procedure that comprises a premium check, filling out current insurance data and payment completion. 

Life-long Renewability: Renewals under Care Health’s insurance policies are not subject to any age restrictions. Policyholders can avail of this offer by simply renewing their health insurance coverage at the conclusion of their policy term, which might vary depending on their selection. 

In addition to the core benefits stated above, Care provides a variety of additional add-on coverages. It includes the following features

No Claim Bonus Super: Care Health Insurance’s add-on cover increases the total covered by 50% for each claim-free year, up to a maximum of 100%. 

Everyday care: This add-on insurance pays 1% of the Sum Insured for medical consultations and diagnostic testing. 

Unlimited Automatic Recharge: Care Health Insurance’s add-on cover offers an unlimited number of times for the restoration of the sum covered. 

Air Ambulance Coverage: Care offers air insurance coverage in the event that a patient has to be treated in a city other than their home. 

Personal Accident Cover: This add-on coverage offers Accidental Death and Permanent Total Disability coverage for up to ten times the Sum Insured. 

International Second Opinion: This coverage takes into account the possibility of a second consultation before beginning treatment. 

Global Coverage: This add-on gives cashless global coverage at any of Care’s network-listed hospitals located anywhere in the world. 

Why Care Health Insurance? 

Promoter Synergies: Promoted by the founders of Fortis Healthcare and SRL Diagnostics, who have extensive expertise in the field of wellness and healthcare services. 

High Claim Settlement Ratio: The Claim Settlement Ratio is the proportion of claims successfully resolved by an insurance company out of all claims received in a fiscal year. In the fiscal year 2018-2019, Care earned an impressive claim settlement percentage of 92.83 percent. 

Active Customer Support: Care consumers may contact its customer service staff at any moment to get their health insurance questions answered. Care Health Insurance provides 24×7 claim support to its clients, who are handled by an experienced and skilled team of specialists. 

Quick Cashless Claim Approval: Care Health Insurance’s claim settlement staff is exceptionally skilled at settling health insurance claims. They promise to resolve the majority of their cashless claims in less than two hours, providing policyholders with a positive experience. 

Wide Hospital Network: The company has connected with over 16,500 healthcare providers located across various Indian cities where its customers can receive cashless medical treatment. 

Inclusions/Exclusions in Care Health Insurance Policies: 

The inclusions of Care Health Insurance Plans may vary from one plan to the next. Some of the common inclusions included in all policies are listed below: 

  • Coverage for pre-existing conditions following a four-year waiting period. 
  • In certain circumstances, pre-hospitalization cost up to 30 days are covered. 
  • Post-hospitalization care expenses are reimbursed for up to 60 days. 
  • Domiciliary Hospitalization Cover i.e., the cost of home treatment if recommended by a doctor. 
  • Alternative medical treatments like Homeopathy, Unani, Siddha, and Ayurvedic therapies. 
  • Day-care programmes and treatments that do not necessitate hospitalisation for 24 hours. 
  • The expenses of nursing and boarding costs for X-rays, drugs, pharmaceuticals, dialysis, diagnostic materials, and so on.  
  • Medical fees, specialists’ fees, consultants’ fees, and so on. 

The following are some of the exclusions from the Care Health Insurance policy

  • Any existing disease within 30 days after the policy’s inception. 

  • Infertility tests and treatments, including in-vitro fertilisation 

  • Mental, psychiatric and behavioural disorders. 

  • Intentional self-harm, such as injuries sustained during a suicide attempt. 

  • STDs and Venereal Diseases caused by intoxication, drug or alcohol usage, chewing tobacco, and smoking. 

  • Hospitalization as a result of war, riot, strike, or nuclear weapons. 

Claim Process of Care Health Insurance

When a policyholder receives medical care at a hospital that is part of Care Health Insurance’s network, the claim is settled in a cashless way. In the case of a cashless claim, the policyholder is not obligated to pay the hospital since Care Health Insurance pays the hospital directly up to the sum covered. 

The following is the procedure for filing health insurance claims without using cash: 

Step 1: Within 24 hours following hospitalization, contact Care Health Insurance at 1800-102-4488. In the case of a scheduled admission, notify the insurance provider 48 hours before the hospitalization. The same might be addressed to [email protected]

Step 2: Obtain a pre-authorization form at the hospital. Fill it out completely, sign it, and return it to the hospital’s TPA desk, together with any other required documentation, so that it can be submitted to Care Health Insurance. 

Step 3: The case and documentation provided will be reviewed by Care Health Insurance’s in-house medical staff. 

Step 4: If the pre-authorization request is accepted, both the hospital and you will be notified. 

If a cashless claim is refused, the insured may submit a reimbursement claim after being discharged. 

Reimbursement claims can be submitted at both network and non-network hospitals. The reimbursement procedure is as follows:  

Step 1: Within 24 hours following hospitalization, contact Care Health Insurance at 1800-102-4488. In the case of a scheduled admission, notify the insurance provider 48 hours prior to hospitalization. The same might be addressed to [email protected]

Step 2: Submit a completed reimbursement claim form, along with all original medical records and other required documents.  

Step 3: The submitted form and documents will be checked by Care Health Insurance’s in-house medical experts. 

Step 4: Following a successful verification and approval, the medical expense will be reimbursed. 

Note: Required documents may include proof of identification, admission letter from the doctor, medication prescriptions, consultations, diagnostic test results, invoices, and so on. 

FAQ of Star Health Insurance

Q1. What all is excluded from a standard Care Health Insurance Policy? 

Ans: Some of the things that are not covered by Care Health Insurance plans include infertility tests, psychiatric illness, STDs and Venereal Diseases, intentional self-harm, accidents or diseases caused by conflict, and nuclear weapons. 

Q2. What is co-payment in Care Health Insurance plan? 

Ans: After an insured member reaches a particular age, a co-payment option can be availed. The co-pay is the portion of your claim amount that you will be responsible for. The co-pay might be a percentage of the total amount insured or an absolute amount. 

Q3. What is the highest sum insured option available through Care Health Insurance for individual plans? 

Ans: Care Health Insurance provides sum insured options ranging from Rs. 4 Lakh to Rs. 6 Crore for individuals. 

Q4. How many times we can claim Care Health Insurance in a year?  

Ans: There is no limit to the number of claims that can be lodged in a calendar year. However, the total treatment cost should not exceed the total covered.  

Q5. Can I port my Care Health Insurance policy?  

Ans: Yes, Customers of Care Health Insurance have the option of easily porting their policies. It follows a straightforward procedure that comprises a premium check, filling out current insurance data and payment completion. 

Q6. What is the waiting time for availing the maternity benefits?  

Ans: The waiting period to get maternity benefits ranges from 9 to 24 months. 

Is there a way to cancel my Care Health Insurance Policy? 

Ans: Yes, Aside from the 15-day free-look period, you can file for Care Health Insurance Policy cancellation at any point throughout the policy’s term. The premium will be refunded to you accordingly. 

What is the Claim Settlement Ratio of Care Health Insurance? 

Ans: For the fiscal year 2018-19, Care Health Insurance had a claim settlement ratio of 93 percent.